Obstetrics and Gynaecology
Obstetrics and Gynaecology combines medicine and surgery. An obstetrician manages pregnant women, and a gynaecologist the female reproductive system.
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Entry Route into Obstetrics and Gynaecology
Applicants must have completed the two-year Foundation Programme before run-through training from ST1-ST7 begins. Once candidates have been accepted at ST1 level there is no need to reapply.
Job Progression as an Obstetrician or Gynaecologist
Training takes at least seven years to complete, but is based on achieving different competencies. Some trainees may therefore take longer than the minimum time to achieve these. In general, trainees take the Part One MRCOG exam by the end of ST2, and the Part Two examinations at the end of ST5.
Trainees can apply for consultant positions six months before obtaining their CCT, and there are opportunities to work in management as a clinical lead, or a clinical or medical director. There are also formal opportunities to become involved in the education and training of junior doctors by working as
- a director of medical education overseeing postgraduate medical training,
- a training programme director responsible for the education of trainee doctors in the local region, or
- an associate dean responsible for managing the training programme.
Academic Obstetrics and Gynaecology Roles
Trainees interested in an academic career can apply for an academic clinical fellowship. Alternatively, trainees can continue the ST clinical training programme after ST4 level.
Competition for Obstetrics and Gynaecology Posts
In 2017, the competition ratio at CT1/ST1 was 2.11, with 555 applications for 263 posts.
In December 2017, there were
- 2,210 consultants,
- 77 associate specialists,
- 301 speciality doctors,
- 17 staff grades,
- 2,553 speciality registrars,
- 179 core trainees,
- 257 F2 trainees, and
- 76 F1 trainees.
Salaries in Obstetrics and Gynaecology
The salary for NHS consultants ranges from £76,000 to £102, 500, and for speciality doctors from £37,500 to £70,000. The salary for doctors in training ranges from £26,350 to £45,750.
A Day in the Life of an Obstetrician or Gynaecologist
Most consultants work in both Obstetrics and Gynaecology, developing a specialist interest in areas such as high-risk obstetrics, fertility care, or minimal access surgery. Some consultants work solely as sub-specialists.
Most trainees and consultants work on shift system, which includes regular on-call work. Daily duties involve ward rounds, reviewing inpatients and new admissions, as well as arranging investigations. There may also be an antenatal or gynaecology outpatient clinic and a theatre list, and both trainees and consultants may need to attend emergencies on the labour ward. There are opportunities to work in the community in either discipline, with some consultants working completely in the community.