Embracing the Transition: A Foundation Doctor’s Journey into Clinical Practice

Starting my first job as a Foundation Doctor in August 2024 at the University Hospitals of North Midlands NHS Trust (UHNM) marked a significant transition from medical student to junior doctor. The shift was undeniably a huge leap, but the support provided by the trust throughout the process was invaluable. From the moment I joined, the trust was proactive in offering clear and timely communication, ensuring that the transition was as smooth as possible. This structured onboarding process helped me feel well-prepared to take on my clinical responsibilities.

I began my foundation training in the vascular surgery department, which was my base specialty, and had the opportunity to cover additional weekends and on-call shifts in various general surgery subspecialties, including upper gastrointestinal and colorectal surgery. These early weeks were both intense and rewarding, as I quickly adapted to the demands of the role. I was impressed by the collaborative nature of the team, with consultants and senior registrars always approachable and willing to support and guide me. The emphasis on team-based care provided me with a sense of reassurance and helped me build confidence as I navigated my new responsibilities.

One of the most enriching experiences during my initial rotation was the opportunity to work in the Surgical Emergency Unit. Here, I was entrusted with independently seeing and clerking patients, which allowed me to sharpen my clinical assessment skills. I had the chance to present my findings to senior registrars and consultants, who provided constructive feedback and furthered my learning. The patients, too, were incredibly patient and understanding, which made the learning process much easier and more rewarding. Their trust in me as a newly qualified doctor was a significant motivator and reinforced the importance of empathy and communication in the doctor-patient relationship.

Additionally, I was involved in local audit projects, which broadened my understanding of clinical governance and quality improvement. The general surgery department was home to a highly professional team of registrars and consultants, many of whom were engaged in research and offered valuable opportunities for junior doctors to get involved. This exposure to clinical research was a welcome addition to my foundation year and further inspired my interest in academic medicine. The trust also provided excellent resources, including an outstanding library that was open throughout the week, which allowed me to engage in additional reading both before and after clinical shifts.

Reflecting on my early experiences, I’ve learned several key lessons that have shaped my practice. First, it’s essential to seize every opportunity to observe and participate in clinical procedures—this is the best way to improve and develop practical skills. During on-call shifts, where the pace can be fast and unpredictable, it’s crucial to prioritise the most acutely ill patients and address their needs promptly. Equally important is the need to never hesitate to ask for help when in doubt. Asking for guidance not only ensures that you’re on the right track but also fosters a collaborative learning environment. Finally, thorough documentation is essential—everything must be recorded accurately to ensure continuity of care and legal protection. I would definitely recommend the “”Oxford Handbook for the Foundation Programme”” as one of the best pocket handbooks to carry along in your scrub pockets in addition to your ID Badge, stethoscope, a bottle of water and a go to snack.

Prianna Menezes

F1, West Midlands North Foundation School