 This is a unification of the previous training grades of SHO (except for year 1) and the old SpR grade.The duration of StR training varies by specialty, but as with the Foundation years, all programmes have a standardised curriculum and assessment model that is approved by the Postgraduate Medical Education and Training Board.In 2007 appointments were made centrally, but following the disastrous outcomes of that system, whereby some 14,000 junior doctors were left without jobs, many specialties have appointed registrars locally since 2008.