Full-time academics (lecturers and some research fellows) could sometimes be upgraded from Honorary Registrar to Honorary<unk>  (with NTN) at an interview, without the open competition otherwise required. There was also a side pathway for academics with an international reputation (shown by publications and presentations abroad) to get onto the General Medical Council's Specialist Register (and thus become eligible for an NHS consultant appointment) on the strength of their research, without having the clinical experience normally required for any particular specialty. This was justified by the likelihood of such a person having a tertiary-referral post as part of a team in an academic centre. SRs could, especially towards the end of their training, be given similar responsibility to a consultant, but there was normally a named consultant with clinical responsibility for each junior doctor's activities. Locum consultant appointments could be taken by a SR (or sometimes a trainee at a lower grade, or an experienced person with no higher qualification) while retaining their SR post. It was also possible to go abroad to do research for a defined period.
Senior registrar
Specialty registrar
Specialist registrar
Clinical officer
Senior house officer
Chief medical officer
Clinical investigator
Junior doctor