Those who started approved surgical training in the UK on or after the 1st August 2007 are known as Specialty Registrars (StRs)*. The change in title was part of the Modernising Medical Careers (MMC) initiative developed by the four UK Health Departments.
Guidance on the arrangements for StR training, which has continued to evolve, is set out in A Reference Guide for Postgraduate Specialty Training in the UK (also known as the Gold Guide).
StR trainees will pay the JCST trainee fee.
*Trainees who started before 1st August 2007, but switch to a more recent curriculum, become StRs once they switch.