SAS Doctors are a diverse group with regards to their level of knowledge,  training, performance and their needs. SAS Doctors’ roles are seen as providing a high service component. The need for professional development and lack of a structure for educational process is hampering appropriate training and individual development. The stage is set for the creation of a new “Lost Tribe”

  • Form a significant hospital Workforce in NHS (20%)
  • They have postgraduate qualifications
  • Fellows and Members of Royal colleges
  • A significant number are working at a very senior level independently with increasing responsibilities and autonomy
  • New Specialty Doctor in early stages of their career

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Who Joins SAS Grade

  • By choice
  • Not Keen on Consultant responsibilities
  • Not keen on post-graduate exams or failed to get through
  • Committed to the speciality and have experience and failed to go through training programme for various reasons
  • Gap in service
  • Too old and too experienced to join the SpR grade
  • Not short listed
  • Other interests in life and family commitments

Challenges Facing SAS Doctors 

  • SAS doctors are hardworking but often incompletely trained doctors
  • Carrying out independent work but no independence
  • Posts without postgraduate Dean’s approval
  • Wide variation in job plans with no guidelines for session allocation
  • Non-standard posts may have disadvantages terms and conditions of services, which have not been negotiated nationally
  • No pathway for career progression
  • Educational and developmental needs have not been met over the past decade
  • Great changes have taken place in the training Junior Doctors and in the appraisal and professional development of Consultants
  • To deliver best patient care, SAS Doctors need to address the educational and developmental priorities as other two groups