The pathway
How you actually get there, here
How you become one varies far more by country than what one does. This is the UK route. Most people take one of these ways in; the right one depends on where you're starting from.
- 1
VP/Director of R&D (Large MedTech Company)
5-10 years in previous roleSkills to master
- Enterprise-level budget management, multi-product portfolio strategy, global team leadership, deep regulatory engagement.
You're ready to move on when
- Successfully launched multiple regulated medical devices/SaMDs.
- Managed an R&D budget of £5M+ and a team of 50+ engineers.
- Consistently delivered on strategic R&D objectives.
- Proven ability to influence executive leadership and external partners.
- 2
CTO / Head of Engineering (Medical Imaging Startup)
3-7 years in previous roleSkills to master
- Full technical ownership from concept to commercialisation, fundraising experience, building a technical team from scratch, navigating early-stage regulatory challenges.
You're ready to move on when
- Successfully scaled a technical solution from prototype to market.
- Played a key role in securing significant investment rounds.
- Built and led a high-performing technical team in a fast-paced environment.
- Demonstrated strong product-market fit with innovative technology.
- 3
Principal/Distinguished Engineer (Major Tech Company, Healthcare Division)
7-12 years in previous roleSkills to master
- Deep technical expertise in large-scale systems, architectural leadership, influencing across complex organisations, driving innovation at scale.
You're ready to move on when
- Architected and delivered major technical platforms or products.
- Recognised as an industry expert and thought leader.
- Mentored and guided numerous senior engineers and architects.
- Successfully driven technical strategy in a large, matrixed organisation.