134-154Career structures and their associated boundaries both offer and restrict career opportunities and provide the potential to be sites of unfair discrimination. Yet the impact of such structures is rarely explored. This article investigates the impact of a career structure on the employment conditions of a medical career grade in which some three-quarters of the doctors qualified overseas. The comparison of UK and overseas qualified doctors in the Staff and Associate Specialist Group provides an underexplored perspective on a professional career structure with a particular reference to reward, workload, autonomy and morale. The article draws on a quantitative study of 1,715 Staff and Associate Specialist doctors undertaken in 2004. The findings demonstrate a complex comparative picture with overseasqualified doctors earning more, working for longer hours, having less autonomy and a lower morale than their UK-qualified comparators. We conclude by pointing to the potential for certain career structures to structurally and systematically disadvantage some groups. Source: DH (2003) medical and dental workforce census England. SASG = Staff and Associate Specialist Group.Impact of a career structure on the employment conditions of overseas-and UK-qualified doctors HUMAN