How to take the step up to registrar? For most people the main step which must happen before taking the plunge as a registrar for the first time is passing the royal college exams for your speciality... but once in a while due to registrar shortages they invent the wonderful post of "senior SHO" which places a pre-membership completion SHO on the middle grade rota. The purpose of the membership exams is demonstration that the canditate is ready for the post, but for those who have been volunteered early then how dp you become a registrar overnight. Today I had my induction day as a senior SHO to be joining the middle grade rota for the first time and some of you may have read my blogs a few weeks ago about the qualities of a good registrar . But tonight, as I prepare to start work this week as a registrar for the first time and next week to complete my first on call shift in the role, how do you step up to the role? What qualities do you need and what advice can you offer? How can I become the capable and confident registrar who I have faithfully followed into battle these last 3 years?