Your F3 & SHO Options explained

You are reaching the end of your Foundation Training. What next? We have put together all your options.

This includes staying in the UK or going abroad, for all clinical jobs (patient contact).

If you are considering an F3 year – check out our article “To F3 or not to F3?” here.

 

Staying in the UK

 

Training (Specialty/Core)

 

Round 2 of specialty applications open in July 2019 for training starting in February 2020

 

Staying in the UK

 

Non-Training (Locum)

 

Bank & Agency Doctor

Joining a Trust Bank or Locum Agency is a popular choice for the F3 year.

A Trust Bank is a group of doctors registered to a trust, that can book locum shifts directly with any hospital in that trust. Trusts are in the process of combining Banks so you can work at hospitals in different trusts under one Bank.

 

A Locum Agency is a private company that supplies doctors to hospitals directly, by doctors registering to the locum agency. There are multiple locum agencies and depending on the hospitals they work with, depends on the hospitals you are able to work for.

 

Staying in the UK

 

Staff grade post (LAS/LAT)

 

Locum Appointment for Training (LAT)

        • Formal, approved specialty training usually in the early years of specialty curriculum
        • Used by doctors looking to: prepare for further specialty training, prepare to work in career grade post, gain further experience and competencies
        • Does not grant right of entry to specialty training but can help count towards specialty training.
        • Usually one-year contracts (minimum of 3 months)

 

Staying in the UK

 

Staff grade post (LAS/LAT)

 

Locum Appointment for Service (LAS)

        • Role is for service delivery, not training
        • Will not be able to demonstrate educational progression
        • Short-term contracts to fill a rota gap
        • No competency assessment is required
        • Have a clinical supervisor but not an educational supervisorFor more information about either of these, please click here

 

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Staying in the UK

 

Clinical fellowship

 

      • Taking on the role of a SHO or junior Registrar
      • Generally more research and less clinical work
      • In terms of clinical responsibility, it is dependent on the job title itself, some expect SHO work, other registrar work.
      • It is closely associated with the Staff grade posts.
      • Depending on the clinical fellowship role, they will dedicate a certain amount of time to research over clinical work
Staying in the UK

 

Research & Teaching fellowship

 

Research Fellow

      • Taking on the role of a SHO or junior Registrar
      • Generally more research and less clinical work
      • In terms of clinical responsibility, it is dependent on the job title itself, some expect SHO work, other registrar work.
      • It is closely associated with the Staff grade posts.
      • Depending on the clinical fellowship role, they will dedicate a certain amount of time to research over clinical work
      • Generally a year contract
      • Mix of Research & Service provision
      • Research can include all areas of medicine depending on the specialty/organisation sponsoring the role
      • The mix depends on the job, some are majority service provision, others are majority research.
      • Opportunity to use the Research Fellowship to contribute towards a PhD, where in some roles one is expected to enrol for a PhD
Staying in the UK

 

Teaching Fellow

 

        • Minimum a year contract (can be up to 3 years)
        • Focus on educational projects linked with a medical school
          • Assessment – writing, reviewing & standard setting medical school examinations & supporting the delivery of practical assessments
          • Teaching – facilitating sessions about clinical examination, professional skills and preparation for practice
          • Curriculum development – designing new curriculum content and reviewing old content
          • Admission – interviewing prospective students
        • Regular professional development session

There is a growing trend amongst doctors to take a year out following F2, rather than going straight into specialty training. However 90% still go into specialty training within 3 years.. Source: BMJ

 

 

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Go Abroad

The availability of training and non-training jobs is dependent on each country. In most cases training and non-training roles are available to UK junior doctors.

Training

 

EU

Currently, any EU or Swiss doctor with full GMC registration (post-F1) is entitled to train in any other EU country (and Switzerland). However, due to Brexit, this may change – to stay up to date on latest Brexit implications for doctors, check out our Brexit article here. It goes without saying, but to train in these countries, you will be expected to speak the local language to a suitable level.

For more information, please click here.

 

Ireland

Doctors that have completed the Foundation programme are eligible to jump into specialty training. Specialty training in Ireland is similar but not identical to the UK training scheme. For more information, click here.

Check out more, please click here.

 

USA

Training for junior doctors is available in the USA, however it is quite an arduous process You need to obtain the Educational Commission for Foreign Medical Graduates (ECFMG) to apple for a residency (a training role). Depending on the specialty, specialist training can take 3 to 7 years. You’re required to complete the USMLE (United States Medical Licensing Examination), a 2 part exam. The first one focussing on basic medical and clinical knowledge. The second part focuses on clinical skills.

There are however some research and fellowship posts to avoid the examinations.

Check out more information, please click here.

 

Canada

In Canada, it is generally only possible to go into a training programme at a junior doctor level. International Medical Graduates (IMGs) are expected to take exams, or supervised clinical training to meet clinical requirements. Places in these assessment programmes and specialty training are limited to international graduates. It’s recommended to contact the IMG programme in the province you’d like to work in.

Similar to the USA, there are some research and fellowship posts to avoid the examinations.

Check out more information, please click here.

 

Locum/Non-Training

 

Australia

To practice in Australia without exams you need to obtain Condition Medical Registration. This allows you to work as a hospital non-specialist doctor in an Area of Need. This would be as a non-training resident medical officer/hospital medical offer.

There are a few ways you can find work in Australia, either by a locum agency, contacting hospitals directly or state government websites. These all have their pros and cons, which are explained in more detail here.

Check out more information, please click here.

 

New Zealand

New Zealand has similar rules to Australia, where post Foundation year 2 one can work as a House Officer or junior Registrar One can request a temporary work permit if staying for less than 3 years, and registration to practice is granted once a confirm offer has been confirmed. House Officer is similar to an F1 & F2 role and Junior Registrar is similar to a core training role.

One can apply for a job via the National Application process or via a locum agency.

Check out more information, please click here.

 

Developing Countries

Opportunities for emergency relief, developing and building medical infrastructures, running clinics and medical education programmes. Through NGOs and organisations, such as Africa Health Placements, one can work in Kenya, Malawi, South Africa & Tanzania on one year contracts.

One can go on volunteer expeditions, with Raleigh and Blue Ventures, to Madagascar, Belize, Timor-Leste, Nepal, Costa Rica & Tanzania.

Check out more information, please click here.

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