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Indian Journal of Dermatology, Venereology, Leprology, Vol. 70, No. 4, July-August, 2004, pp. 256-259 Medical Education Dermatology training and career options in the U.K. for Indian graduates Walton Shernaz, Finlay Andrew Hull and East Yorkshire Hospitals NHS Trust and Hull York Medical School (H.Y.M.S.), Hull Update March 22, 2005: The link to Diploma in Dermatological Sciences and MSC in Dermatology Department of Dermatology, Cardiff University, Cardiff, noted in this article, has changed to: http://www.dermatology.org.uk Code Number: dv04090 There has been a recent surge of overseas trainees arriving in the U.K. and applying for clinical attachments. Most of these doctors have obtained the Professional and Linguistic Assessment Board (P.L.A.B.) certificate prior to seeking training posts. The General Medical Council (G.M.C.) offers limited registration to trainees after obtaining a suitable post. After successful completion of a year, they can be considered for full registration. To avoid disappointments in fulfilling one′s goals in career progression, a good understanding of the training system needs to be obtained before embarking on a difficult and often lengthy career path. A. Higher Medical Training Dermatology requires a minimum of four years (whole time equivalent) as a Specialist Registrar in a Dermatology Training Programme. These posts are awarded in competition which is often very strong. They are advertised in the British Medical Journal (BMJ). Successful completion of formal training (known as type 1 programme) will lead to the award of a Certificate of Completion of Specialist Training (CCST). Many overseas doctors will be employed as Visiting Specialist Registrars (VSpR) and will be engaged in training in either short programmes (known as type 2 programmes) that do not lead to a CCST or a type 1 programme where they are eligible. Obtaining the CCST makes them eligible to be placed on the Specialist Register and hence apply for Consultant posts.B. Entry Requirements for Higher Medical Training American Boards of Internal Medicine FCPS (Pakistan) FRACP Part 1FCP (South Africa) MHKCP MD (Columbo) M Med (Singapore) FRCP (Canada) M Med (Malaysia) Aspiring trainees with other qualifications would be unwise to assume that their qualification is equivalent and should obtain the MRCP(UK) if they wish to train in the UK. Further information on the JCHMT and specialist training in the UK may be found on: http://www.jchmt.org.uk C. Changes in organisation of higher medical training The above summarises the situation in 2004. However, it is important to know that there are major changes about to be introduced in the structure of medical posts and careers from the time of qualification onwards. These changes are being introduced in 2005-2006. After gaining a medical degree the pre-registration house job year and first Senior House Officer (SHO) year are being redesigned as two Foundation years. Following completion of the two foundation years doctors will compete for SHO 2-3 year rotations before becoming eligible to apply for SpR training posts.D. Other Career Options In Sub-Consultant Grades Dermatology Postgraduate Training in the UK currently requires a period of training of at least 7 years after gaining a medical degree. The period of training will be between 7 and 9 years after the above reorganisation takes place(details have yet to be finalized-some double counting of experience may be possible). Some overseas trainees may need to consider other options especially if they have arrived in the UK as mature graduates or have been unable to obtain, or who do not wish to sit the MRCP diploma. These non-training career grades include Hospital Practitioner grade and Staff Grade doctors who may progress to Associate Specialist after 4 years. Full registration with the GMC is required for Staff Grade and Associate Specialist doctors.
E. Career Paths at a Glance (Current Situation) Pre-registration house officer post (one year) followed by…F. Dermatology Diploma / Degree Courses for Dermatologists MSc (CLINICAL DERMATOLOGY) E-mail: derm-courses@kcl.ac.uk Diploma in Dermatological Sciences and MSC in Dermatology Department of Dermatology, Cardiff University, Cardiff. The Diploma in Dermatological Sciences is a structured programme designed for doctors who wish to specialise in dermatology. The course gives firm grounding in the fundamentals of clinical and scientific dermatology. New modules in surgical and cosmetic dermatology have recently been added to the curriculum. The full-time course covers a complete academic year commencing in October each year. Examinations held at the end of the course lead to the Diploma in Dermatological Sciences. After the successful completion of the Diploma course, students are eligible for progression to the MSc Degree. The duration of the MSc course extension is from July - November (a total of five months) and consists of taught and dissertation elements. For further details: E-mail: dermpostgrad@cf.ac.uk Diploma in Dermatology Examination Royal College of Physicians and Surgeons of Glasgow. This examination is held twice yearly, usually in March and October. To be eligible to sit the examinations, satisfactory evidence of the following must be provided:
E-mail: exam.office@rcpsglasg.ac.uk G. Dermatology Diploma Courses For General Practitioners Diploma In Practical Dermatology E-mail: dermpostgrad@cf.ac.uk This is a 30 week distance learning course with clinical training days
in London aimed at improving the knowledge of GPs concerning dermatology
in practice. For further details: KEY POINTS
ACKNOWLEDGEMENT We are grateful to Professor David J Gawkrodger, Lead Clinician, Department of Dermatology, Royal Hallamshire Hospital, Sheffield for his helpful comments.Copyright 2004 - Indian Journal of Dermatology, Venereology, Leprology |
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