NHS junior doctors to be known as resident doctors after job-title change
Junior doctors working across the NHS will now be called resident doctors instead â in a change intended to better reflect their expertise.
The doctors union, the British Medical Association (BMA), which called for the change, called the term junior âinfantilising and demeaningâ.
âResident doctorâ will refer to more than 50,000 qualified doctors working in GP practices and hospitals â some recently out of medical school and others with a decade of experience.
Health ministers say they have accepted the new name as part of a drive to âreset the relationshipâ between NHS doctors and the government.
It comes just days after resident doctors in England accepted the governmentâs offer of a 22% pay rise over two years, ending an 18-month dispute.
The BMA says many of its members said the term âjuniorâ was confusing and wrongly implied doctors were unqualified.
Politicians had also sometimes used the term to âundersell the roleâ, it says.
BMA member Dr Lily Huang, who works in London and specialises in ear, nose and throat surgery, has been a qualified doctor working in NHS hospitals for seven years.
âIâm 40, I have two kids, a cat and a mortgage,â she says.
âWhen I say, âjunior doctorâ, my friends and family interpret that to mean I am still at medical school.
âIt takes a lot of explaining to say Iâm still in training to be a consultant but am not a student.â
And while âresidentâ is not âentirely accurateâ â because many resident doctors are not necessarily resident in the hospitals they work in â it is a much better term.
âIt is more neutral,â Dr Huang says.
âIt doesnât have an inherent value judgement in it that âjuniorâ does and is a little more akin to what people are used to watching [TV drama] Greyâs Anatomy.â
After qualifying as a doctor, Dr Huang completed two years of foundation training, two of core surgical training, three of speciality training and has three yearsâ training left.
Some patients were confused by the term âjuniorâ, she says, as she is often responsible for a lot of care.
âFor example if someone comes into the emergency room with a catastrophic nose bleed, Iâll be the one to operate,â Dr Huang says.
âOr on a clinic day, I will see some 20 patients and Iâm often the doctor who will be asked to help if people have life-threatening problems with their airways.â
A BMA committee considered many alternative terms before deciding âresidentâ was the most appropriate.
The term, already used in the US, Canada, Philippines, Argentina, Mexico, Brazil, Spain and Australia, reflects the role of medics âon the ground, keeping hospitals tickingâ that is often highly experienced and âanything but juniorâ, it says.
Who are resident doctors?
A resident doctor is a qualified doctor continuing some form of clinical training.
After graduating from medical school, resident doctors start their roles by completing a two-year foundation programme.
Typically, many resident doctors then enter speciality training in a particular area of medicine and surgery, or general-practice training to become a GP.
Full training can take a long time, meaning some resident doctors have more than a decade of practical experience and are responsible for many aspects of medical care.
Over the training period, resident doctors deal increasingly with patients without direct senior supervision from a consultant or GP.
A consultant is a senior doctor with overall responsibility for the care of patients in hospital.
Some doctors choose different pathways, including associate specialist and staff-grade doctors.