Non-consultant Hospital Doctor
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Non-consultant Hospital Doctor
Non-consultant hospital doctor (NCHD), sometimes also referred to as junior doctor, is a term used in Ireland to describe qualified medical practitioners who work under the (direct or nominal) supervision of a consultant in a particular speciality. It is an umbrella term, encompassing doctors on formal postgraduate training schemes as well as doctors in "service" roles outside of postgraduate training. The clinical duties and responsibilities of NCHDs are varied but centre around the provision of medical care to patients. Examples of work carried out by NCHDs includes the diagnosis and treatment of medical conditions, performing therapeutic and diagnostic tests and interaction with other healthcare professionals. A clinical team made up of a consultant, or group of consultants, along with a cohort of NCHDs, is the core of medical service delivery in the Irish hospital system. A NCHD may be in a training programme or in a non-training role. Non-training doctors are employed most com ...
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Republic Of Ireland
Ireland ( ), also known as the Republic of Ireland (), is a country in Northwestern Europe, north-western Europe consisting of 26 of the 32 Counties of Ireland, counties of the island of Ireland, with a population of about 5.4 million. Its capital city, capital and largest city is Dublin, on the eastern side of the island, with a population of over 1.5 million. The sovereign state shares its only land border with Northern Ireland, which is Countries of the United Kingdom, part of the United Kingdom. It is otherwise surrounded by the Atlantic Ocean, with the Celtic Sea to the south, St George's Channel to the south-east and the Irish Sea to the east. It is a Unitary state, unitary, parliamentary republic. The legislature, the , consists of a lower house, ; an upper house, ; and an elected President of Ireland, president () who serves as the largely ceremonial head of state, but with some important powers and duties. The head of government is the (prime minister, ), ...
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Medical Practitioner
A physician, medical practitioner (British English), medical doctor, or simply doctor is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through the study, diagnosis, prognosis and treatment of disease, injury, and other physical and mental impairments. Physicians may focus their practice on certain disease categories, types of patients, and methods of treatment—known as specialities—or they may assume responsibility for the provision of continuing and comprehensive medical care to individuals, families, and communities—known as general practice. Medical practice properly requires both a detailed knowledge of the academic disciplines, such as anatomy and physiology, underlying diseases, and their treatment, which is the science of medicine, and a decent competence in its applied practice, which is the art or craft of the profession. Both the role of the physician and the meaning of the word itself vary a ...
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Consultant (medicine)
In the United Kingdom, Republic of Ireland, Ireland, and parts of the Commonwealth of Nations, Commonwealth, consultant is the title of a senior hospital-based physician or surgeon who has completed all of their Medical specialist, specialist training and been placed on the specialist register in their chosen speciality. The primary objective of a consultant is to use expert knowledge and skill to diagnose and treat patients and ultimate clinical responsibility for their care. A physician must be on the Specialist Register before they may be employed as a substantive consultant in the National Health Service (NHS). This usually entails holding a Certificate of Completion of Training (CCT) in any of the recognised specialities, but academics with substantial publications and international reputation may be exempted from this requirement, in the expectation that they will practice at a tertiary level. "Locum consultant" appointments of limited duration may be given to those with cl ...
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Internship (medicine)
A medical (or surgical) intern is a physician in training who has completed medical school and has a medical degree, but does not yet have a license to practice medicine unsupervised. Medical education generally ends with a period of practical training similar to internship, but the way the overall program of academic and practical medical training is structured differs depending upon the country, as does the terminology used (see medical education and medical school for further details). Australia In Australia, medical graduates must complete one year in an accredited hospital post before they receive full registration. This year of conditional registration is called the intern year. An Medical education in Australia#Internship, internship is not necessarily completed in a hospital at the same state as the graduate's medical school. Austria In Austria, the sixth and final year of medical school is called "Klinisch-praktisches Jahr" or "KPJ" (literally translated: clinical practi ...
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Senior House Officer
A senior house officer (SHO) is a non-consultant hospital doctor in Ireland and many Commonwealth countries. SHOs usually have a minimum of 1 year post medical school training. SHOs are supervised in their work by consultants and registrars. In training posts these registrars and consultants oversee training and are usually their designated clinical supervisors. The same structure to junior doctor grades also applied previously in the National Health Service in the UK, and informal use of the term persists there. Irish usage NCHD grades in order, from most junior to most senior: * Intern — ( post-graduate year 1) * Senior house officer — (PGY ≥ 2) * Registrar — (PGY ≥ 3) * Specialist registrar — (PGY ≥ 4) * Fellow (PGY variable) In Ireland, physicians typically spend one year as an intern, before becoming a Senior House Officer (SHO). Most doctors spend between 2–4 years working as an SHO. Advancing to registrar level is dependent on experience and aptitude wi ...
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Specialist Registrar
A specialty registrar (StR), previously known as and still commonly referred to as a specialist registrar (SpR), is a doctor, public health practitioner or dentist who is working as part of a specialty training programme in the UK. This is known as a training grade as these doctors are supervised to an extent, as part of a structured training experience that leads to being able to undertake independent practice in a hospital specialty or working as a general practitioner. This training grade was introduced into UK postgraduate medical training in 2007 as part of the Modernising Medical Careers programme with the specialty registrar training places being created instead of the Senior House Officer (SHO) and Specialist registrar (SpR) posts. Background In the UK medical system, a specialist is someone who has the necessary experience and qualifications to be placed on the GMC's Specialist Register. Only persons on the Specialist Register can be appointed consultants in the Nation ...
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Fellowship (medicine)
A fellowship is the period of medical training, in the United States and Canada, that a physician, dentist, or veterinarian may undertake after completing a specialty training program (residency). During this time (usually more than one year), the physician is known as a fellow. Fellows are capable of acting as an attending physician or a consultant physician in the specialist field in which they were trained, such as internal medicine or pediatrics. After completing a fellowship in the relevant sub-specialty, the physician is permitted to practice without direct supervision by other physicians in that sub-specialty, such as cardiology or oncology. United States In the US, the majority of fellowships are accredited by the Accreditation Council for Graduate Medical Education ("ACGME") or, to a lesser extent, the American Board of Physician Specialties in select states. There are fellowship programs that are not ACGME accredited, yet are well received, given the importance of bei ...
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Foundation Doctor
A foundation doctor is a grade of medical practitioner in the United Kingdom undertaking the Foundation Programme, a two-year, general postgraduate medical training programme which forms the bridge between medical school and specialist/general practice training. Doctors in the first year of the programme are known as Foundation Year 1 (FY1) doctors, and those in the second year are known as Foundation Year 2 (FY2) doctors. Being a foundation doctor is compulsory for all newly qualified medical practitioners in the UK starting from 2005 onwards. The grade of foundation doctor has replaced the traditional grades of pre-registration house officer and senior house officer. Foundation doctors have the opportunity to gain experience in a series of posts in a variety of specialties and healthcare settings. Learning objectives for each stage are specific and focused on demonstration of clinical competences. Emphasis was on the assessment and management of acutely ill patients, but ...
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Medical Resident Work Hours
Medical resident work hours refers to the (often lengthy) shifts worked by medical interns and residents during their medical residency. As per the rules of the Accreditation Council for Graduate Medical Education in the United States of America, residents are allowed to work a maximum of 80 hours a week averaged over a 4-week period. Residents work 40–80 hours a week depending on specialty and rotation within the specialty, with residents occasionally logging 136 (out of 168) hours in a week. Some studies show that about 40% of this work is not direct patient care, but ancillary care, such as paperwork. Trainee doctors are often not paid on an hourly basis, but on a fixed salary; in some locations, they are paid for booked overtime. Limits on working hours have led to misreporting, where the resident works more hours than they record. Medical resident work hours have become a hot topic of discussion due to the potential negative results of sleep deprivation on both residents an ...
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Modernising Medical Careers
Modernising Medical Careers (MMC) is a programme for postgraduate medical training introduced in the United Kingdom in 2005. The programme replaced the traditional grades of medical career before the level of Consultant. The different stages of the programme contribute towards a " Certificate of Completion of Training" (CCT). It has been dogged by criticism within and outside the medical profession, and an independent review of MMC led by Professor Sir John Tooke criticised many aspects of it. MMC refers to both the programme itself, and also to the temporary organization, formed in 2003, responsible for its nationwide implementation. Structure Foundation Programme From 2005 new medical graduates embarked on a two-year Foundation Programme in place of the former one-year Pre-registration house officer (PRHO) term and the first year of the former Senior house officer (SHO) term, with the older titles nominally replaced by "Foundation House Officer 1" or F1 and "Foundation House ...
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Physician
A physician, medical practitioner (British English), medical doctor, or simply doctor is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through the Medical education, study, Medical diagnosis, diagnosis, prognosis and therapy, treatment of disease, injury, and other physical and mental impairments. Physicians may focus their practice on certain disease categories, types of patients, and methods of treatment—known as Specialty (medicine), specialities—or they may assume responsibility for the provision of continuing and comprehensive medical care to individuals, families, and communities—known as general practitioner, general practice. Medical practice properly requires both a detailed knowledge of the Discipline (academia), academic disciplines, such as anatomy and physiology, pathophysiology, underlying diseases, and their treatment, which is the science of medicine, and a decent Competence (human resources ...
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