ABSTRACT
Once upon a time, there was a girl called Hannah. Now Hannah was a bright girl and liked helping people, so she decided that she wanted to be a doctor. She went to medical school, worked very hard for five years and at the end became Dr Hannah. Although people have always perceived this to be the way progression in medical careers happens, it is in fact a myth. Climbing the job ladder in medicine has always been a messy affair, and certainly not something for the faint-hearted. So Sir Liam proposed some changes to the grade. First of all, he wanted to get rid of the issue of different programmes being of different quality, so he suggested that rules be set on how training would be delivered. The lack of a clear pathway of progression was one of the main problems with the old training grade.
