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STEP 6 OF 7 · EVERYONE

Specialty training and what comes next

Choosing a direction after Foundation.

  • ⏱ 4 min read
  • Everyone
  • Step 6 of 7
  • Reviewed 27 October 2026
Foundation (F1, F2)GP trainingcommunity careInternal medicinethen a specialtySurgerycore, then higherOther specialtiesanaesthetics, paediatrics…
Routes from Foundation into specialty training.
  • After Foundation you can apply to specialty or GP training, or take time out or other posts.
  • Training length varies by specialty.
  • Each specialty has its own Royal College exams.
  • Competition varies by specialty and region.

Thinking it through

  • Use your placements to try specialties.
  • Talk to trainees about the daily reality, not just the title.
  • Check the person specification and how selection works for the specialty.

Your checklist

  • Listed three specialties I might like

This page is general education, reviewed 27 October 2026. Rules, fees and dates change: always confirm with the official sources below. It is not medical, legal or immigration advice.