under the banner of "Modernising Medical Careers", merging the PRHO year and the first year of SHO training into a "foundation programme" (FY1 and FY2). This programme was formally introduced in August 2005. In August 2002, Professor Sir Liam Donaldson, the then Chief Medical Officer, published a report titled "Unfinished Business", which focused on reforming SHO training. The SHO grade was abolished and renamed specialty registrar. This change took place in 2007. Amongst the many changes, many doctors who had completed their Foundation Training were now appointed into a "run-through" training programme that incorporated the previous SHO and specialist registrar grades. The job title changed from "SHO" to "ST1/ST2" (specialist trainee year 1 & year 2). Part of this decision was subsequently reversed in a number of specialties, with competitive entry into the registrar grade ("uncoupled training"), and in these specialties the SHO level posts are referred to as "CT1/CT2" (core trainee year 1 & year 2) and in some "CT3". Current status in the UK Some hospitals use the term senior house officer in an unofficial capacity for physicians in FY2 and CT1/2 year, who often have similar working patterns in duty shift rotas. The term still applies to non training posts, those organised by a hospital/trust as opposed to a Deanery, where a physician is employed at a level after full registration with the GMC and before entering higher specialty training. These posts are typically referred to as "Trust SHO", "Junior Clinical Fellow" or other such terms. United States In the United States, physicians in training are also sometimes referred to as "senior house officers" in their later years of residency, but the term is more variable in its American than its European usage. Use in the rest of the world Specializing post-graduate clinical students are still referred to as Senior House Officers in many other countries around the world, most of which were British colonies and adopted the British education system like Uganda. See also Junior doctor Non-consultant hospital doctor Internship (medicine) Consultant (medicine) References External links UK medical training MMC home page Medical education in the United Kingdom Healthcare occupations in the United Kingdom