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The Department of Health publications on modernising medical careers1,2 sets out principles for the reform of postgraduate medical education, following the consultation document Unfinished Business published by the chief medical officer in 2002.3 Although focusing on the senior house officer (SHO) grade, the last of the training grades to be reformed, MMC has far reaching implications for medical education and training, including the introduction of a new foundation grade.
Foundation programmes will encompass the current pre-registration house officer (PRHO) year (which is currently under review again by the General Medical Council) and a second year, F2, equivalent to first year SHO. The first F2 pilots were introduced in August 2003; pilot F2 rotations were developed by most acute trusts in 2004. An important …