Filler The Changing NHS

On being an older foundation year 1 doctor

BMJ 2015; 350 doi: (Published 16 March 2015) Cite this as: BMJ 2015;350:h1054
  1. Andrew McWilliams, foundation year 1 doctor, Newham University Hospital, Barts Health NHS Trust, London E13 8SL, UK
  1. Correspondence to: andrewmcwilliams{at}

Maybe you first noticed me at the back of your ward round, remarking to yourself that you had not been expecting a new registrar. I wear suede brogues and genuinely smart trousers, and I have a beard that can’t be classed as designer stubble. My shirts are always ironed, and I am never hung over at work. At crash calls I may arrive a touch breathless, but the nurses heave a sigh of relief because they think a senior doctor has arrived. I have to announce …

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