0:00:03 > 0:00:04Seven junior doctors...
0:00:04 > 0:00:06Start CPR.
0:00:06 > 0:00:08Can you stop doing the drugs, please, and help here?
0:00:08 > 0:00:10Open your eyes for me?
0:00:10 > 0:00:11Showtime.
0:00:11 > 0:00:13..on the front line of medicine.
0:00:13 > 0:00:15Looks busy, man.
0:00:15 > 0:00:17All the wards are bleeping me at the same time.
0:00:17 > 0:00:19With all its blood,...
0:00:19 > 0:00:20We're removing everything.
0:00:20 > 0:00:22We'll go in a second with adrenaline.
0:00:22 > 0:00:23I love screwing!
0:00:23 > 0:00:24..sweat...
0:00:24 > 0:00:26I think lots of doctors are competitive.
0:00:26 > 0:00:28..and tears.
0:00:28 > 0:00:29You're not going to die.
0:00:38 > 0:00:40The doctors of your future,...
0:00:40 > 0:00:42I want to be the best junior doctor.
0:00:42 > 0:00:43..facing life...
0:00:43 > 0:00:45I'm part of the family now. Lion King moment.
0:00:45 > 0:00:46..and death.
0:00:46 > 0:00:49He's tired, I think he just wants to go.
0:00:49 > 0:00:51Have they got what it takes?
0:01:04 > 0:01:07At New Cross Hospital in Wolverhampton,
0:01:07 > 0:01:10the junior doctors are nearing the end of their placements.
0:01:10 > 0:01:12After nine weeks on the wards,
0:01:12 > 0:01:14the doctors are going to find out
0:01:14 > 0:01:16if they've done enough to pass the year.
0:01:16 > 0:01:19It'd be devastating if I found out that, after all that,
0:01:19 > 0:01:20I wasn't going to progress.
0:01:20 > 0:01:24And they all have big decisions to make about their future careers.
0:01:24 > 0:01:26It'd be quite nice to know
0:01:26 > 0:01:28what I'm doing, like, where I'm headed.
0:01:31 > 0:01:34Get pumped, get psyched.
0:01:35 > 0:01:36Get ready for the day.
0:01:38 > 0:01:40First-year junior doctor Emeka
0:01:40 > 0:01:43is preparing for an end of year assessments
0:01:43 > 0:01:45with his clinical supervisor.
0:01:45 > 0:01:48Today's the big day. So I need to dress accordingly.
0:01:48 > 0:01:51Yeah, yeah, I'm a little bit nervous.
0:01:52 > 0:01:53Today, Emeka will find out
0:01:53 > 0:01:56if he's done enough to go into the next year.
0:01:57 > 0:02:00Having that, mentally, that you've failed,
0:02:00 > 0:02:03yeah, it can't happen for me. Not born to fail.
0:02:03 > 0:02:0726-year-old Emeka comes from a long line of doctors.
0:02:07 > 0:02:11When people knew I wanted to be a doctor, from a really young age,
0:02:11 > 0:02:12I think their response was,
0:02:12 > 0:02:16"He wants to be like his father, but he doesn't have the ability."
0:02:16 > 0:02:18I could see the doubt in people's faces,
0:02:18 > 0:02:20I could see the doubt in people's voices
0:02:20 > 0:02:22and all it did was push me harder.
0:02:22 > 0:02:24He's well-known around the hospital
0:02:24 > 0:02:26for taking pride in his appearance.
0:02:26 > 0:02:28Do you think there's a good level on top?
0:02:28 > 0:02:30- Yeah.- That's all right. We can keep that.
0:02:30 > 0:02:32I think looking good equates to feeling good -
0:02:32 > 0:02:35if I look good, I feel good, and if I feel good, I'm great,
0:02:35 > 0:02:37like that's fine with me.
0:02:37 > 0:02:39But in the surgical department,
0:02:39 > 0:02:43Emeka's outfit choices have sometimes been called into question.
0:02:43 > 0:02:45Baby blue is just not really my thing, so I...
0:02:45 > 0:02:47But if you have to going into theatre to help,
0:02:47 > 0:02:49you have to wear these.
0:02:49 > 0:02:52I'm hoping I can wear a couple of aprons and dodge all that.
0:02:53 > 0:02:57Emeka is putting the finishing touches to today's outfits,
0:02:57 > 0:03:00perfecting the right look can be harder than it seems.
0:03:02 > 0:03:03Come on, buddy.
0:03:03 > 0:03:06Come on, I got you.
0:03:06 > 0:03:09You know what...
0:03:16 > 0:03:19I've been working out. My neck's getting a little bit thicker.
0:03:19 > 0:03:21Getting a little thick for these shirts.
0:03:26 > 0:03:28Just as easy as that.
0:03:28 > 0:03:32Breathing's overrated, anyway. As long as you look good.
0:03:33 > 0:03:35That's what I'm talking about.
0:03:48 > 0:03:5327-year-old Jo is nearing the end of her time in trauma and orthopaedics.
0:03:53 > 0:03:56Today, she's in theatre assisting one of her favourite surgeons,
0:03:56 > 0:03:59Ms Mahroof, with a wrist fracture.
0:03:59 > 0:04:01So how old is this injury? Is it...
0:04:01 > 0:04:03Just under two weeks.
0:04:03 > 0:04:05It's great to be working with Ms Mahroof again.
0:04:05 > 0:04:07I would definitely like to impress her.
0:04:08 > 0:04:10At this stage of her training,
0:04:10 > 0:04:13Joe needs to decide where her career goes next.
0:04:13 > 0:04:14I want to go travelling
0:04:14 > 0:04:17and there's various things I want to achieve in my career.
0:04:17 > 0:04:20I'd be scared of just doing nothing and wasting my life or experiences.
0:04:20 > 0:04:25At New Cross, Jo has worked in both the emergency department and surgery.
0:04:25 > 0:04:27She's now trying to decide which to specialise in.
0:04:27 > 0:04:31I love surgery, but I have really,
0:04:31 > 0:04:33really enjoyed my job in A&E,
0:04:33 > 0:04:34so I'm a bit torn.
0:04:35 > 0:04:39Today's surgery is Jo's most complex so far,
0:04:39 > 0:04:41helping to fix Mrs Price's wrist.
0:04:41 > 0:04:45The operation starts with cutting open the wrist.
0:04:45 > 0:04:47Let's just open this up a bit more.
0:04:47 > 0:04:52Ms Mahroof then prepares the fractured area for a metal plate.
0:04:52 > 0:04:53Let's get the plate, please.
0:04:54 > 0:04:58Once the plate is in, Jo gets the chance to fix in the screws.
0:04:58 > 0:05:01I love screwing.
0:05:01 > 0:05:03I like it in DIY, as well.
0:05:08 > 0:05:11Hold on two secs. Just could go a little bit...
0:05:13 > 0:05:16So it's locking into the plate and that's an important element of it.
0:05:16 > 0:05:17Can you see that?
0:05:18 > 0:05:20There you go. Well done, Jo.
0:05:23 > 0:05:26Next, Jo carefully drills holes into the patient's bone.
0:05:26 > 0:05:31Any mistakes could cause permanent damage to the patient's arm.
0:05:32 > 0:05:35- I can't feel anything so I don't want to go.- No, don't.
0:05:38 > 0:05:40Having successfully fixed the fracture,
0:05:40 > 0:05:43Jo has one last chance to impress Ms Mahroof
0:05:43 > 0:05:45with her suturing skills.
0:05:47 > 0:05:48That's it, well done.
0:05:50 > 0:05:52The skin's a lot, kind of, looser isn't it?
0:05:52 > 0:05:54Use your assistants and don't pinch.
0:05:55 > 0:05:58- That's it.- I want it to be perfect.
0:05:59 > 0:06:01That will come with time.
0:06:02 > 0:06:06Jo did very well, she improved from her first suturing that she did.
0:06:06 > 0:06:09You could see she was getting more confident as she went along,
0:06:09 > 0:06:12which was pleasing. She does what she's told.
0:06:12 > 0:06:13That's important.
0:06:13 > 0:06:17I think Ms Mahroof did kind of notice I was a little more relaxed.
0:06:17 > 0:06:20I was really pleased with the end result. So...
0:06:35 > 0:06:37Just getting the computer ready for the ward rounds.
0:06:37 > 0:06:42On the surgical ward, Emeka has a plan to impress Mr Curran.
0:06:42 > 0:06:45Yeah, I'm trying to be that, you know that student at school
0:06:45 > 0:06:48who does everything extra and the whole class looks at him, like,
0:06:48 > 0:06:50"You're such a suck-up." I want to be that suck-up.
0:06:50 > 0:06:54He's determined to make a good impression because today,
0:06:54 > 0:06:58Mr Curran will decide whether Emeka passes into his second year.
0:06:58 > 0:07:01These are her bloods, those are her vitals.
0:07:01 > 0:07:03I'm about making Mr Curran's life easier,
0:07:03 > 0:07:06so he'll make my meeting easier.
0:07:13 > 0:07:16I was actually holding the door for just Mr Curran,
0:07:16 > 0:07:19but everyone seemed to walk through!
0:07:19 > 0:07:22So I was like, "OK, all right, you guys are good as well."
0:07:23 > 0:07:26Mr Curran, are we still good for three o'clock?
0:07:26 > 0:07:28I hope so, I'll let you know if there's a problem.
0:07:28 > 0:07:29All right, cheers.
0:07:34 > 0:07:36Emeka is getting on with his jobs for the day
0:07:36 > 0:07:39when he's interrupted by a consultant.
0:07:39 > 0:07:40It's not acceptable.
0:07:40 > 0:07:43- Take it off?- It's an infection control, take it off.
0:07:44 > 0:07:47The consultant has asked Emeka to remove his tie.
0:07:49 > 0:07:50I feel confused.
0:07:52 > 0:07:54Because I've had this tie for a while now
0:07:54 > 0:07:57and she hasn't said anything about it.
0:07:57 > 0:07:59Although he's been wearing a tie clip,
0:07:59 > 0:08:02it's not been in the right position to meet the hospital's rules.
0:08:02 > 0:08:05Sorry? Yeah, but why? Why now?
0:08:05 > 0:08:07It's not part of the uniform policy...
0:08:07 > 0:08:08What's the uniform policy?
0:08:08 > 0:08:11Because in case of emergency, right, cardiac event,
0:08:11 > 0:08:14if you go and, say, you are doing CPR and your tie there,
0:08:14 > 0:08:16it's just going to pull you down.
0:08:16 > 0:08:18- It can't, if it's clipped.- And then if you've got a massive wound,
0:08:18 > 0:08:20you're tie's going to go in.
0:08:20 > 0:08:22But it's clipped, that's the point,
0:08:22 > 0:08:24and I worked on two wards, prior to this.
0:08:24 > 0:08:26I've been on the job for nine months.
0:08:26 > 0:08:29Yeah, but she doesn't care, it doesn't matter.
0:08:29 > 0:08:30- Why?- This is surgery.
0:08:31 > 0:08:33Feels a bit unnecessary.
0:08:36 > 0:08:37Just like that.
0:08:38 > 0:08:40Seven weeks in the job, in the middle of the day,
0:08:40 > 0:08:42in the middle of the ward,
0:08:42 > 0:08:43it's a bit...
0:08:45 > 0:08:47It is what it is. It is what it is.
0:08:48 > 0:08:49Whatever.
0:08:59 > 0:09:01With the day's surgery over,
0:09:01 > 0:09:05Jo gets a chance to share her plans for the future with Ms Mahroof.
0:09:05 > 0:09:09You said you might not want to do orthopaedics, or A&E.
0:09:09 > 0:09:10Have you decided?
0:09:10 > 0:09:13The problem was I really enjoyed A&E, so I was getting a bit kind of
0:09:13 > 0:09:16like, oh, God, now what do I... What do I want to do?
0:09:17 > 0:09:20And I realised that it was always surgery,
0:09:20 > 0:09:22I've missed being in theatre. It's just such an...
0:09:22 > 0:09:25You kind of feel like you're home when you walk in, don't you?
0:09:25 > 0:09:28What are you doing now, what's your plans?
0:09:28 > 0:09:30So, I'm moving to Australia.
0:09:30 > 0:09:33I've never worked in medicine, outside of the NHS,
0:09:33 > 0:09:36so it will be really interesting to see how they do it there.
0:09:36 > 0:09:40You might find things are no better anywhere else than they are here,
0:09:40 > 0:09:44but I think it's important that you go and find out for yourself, really.
0:09:44 > 0:09:47- Whether the grass is actually greener, or not?- Yeah.
0:09:47 > 0:09:49And it may not be greener, but...
0:09:49 > 0:09:53- Different.- But, saying that you gain so much by going abroad.
0:09:53 > 0:09:57You actually bring stuff back to the NHS, as well, which is fantastic.
0:09:57 > 0:09:59So I wouldn't ever discourage anybody
0:09:59 > 0:10:02- from going abroad but, you know, come back.- Come back to New Cross.
0:10:02 > 0:10:04- Fabulous.- You're never going to get rid of me.
0:10:04 > 0:10:06Absolutely. We don't want to.
0:10:07 > 0:10:11I'm just really pleased that Jo has decided, as a woman,
0:10:11 > 0:10:12she would like to do trauma and orthopaedics
0:10:12 > 0:10:18cos a lot of young ladies ARE put off by the fact
0:10:18 > 0:10:20they think there's going to be
0:10:20 > 0:10:22a terrible lifestyle, that they can't manage
0:10:22 > 0:10:24drills and screws and it's too onerous,
0:10:24 > 0:10:28but it's nothing like that and where there's a will, there's a way.
0:10:29 > 0:10:32I'm coming to the end of something. This was my foundation training
0:10:32 > 0:10:35and I'm not the baby any more and you've got responsibilities
0:10:35 > 0:10:37and you're supposed to like know what you're doing, be good.
0:10:37 > 0:10:39So it's a strange feeling.
0:10:40 > 0:10:41I think I'm ready for it.
0:10:48 > 0:10:51Anna is coming to the end of her first year
0:10:51 > 0:10:52as a junior doctor.
0:10:52 > 0:10:55Today, she will be in charge of a medical student.
0:10:55 > 0:10:57I'll have my own minion.
0:10:59 > 0:11:01I don't think I'll be bossy, though.
0:11:01 > 0:11:04I can't believe it's been a year since I was in this position
0:11:04 > 0:11:06and really scared of starting in hospital
0:11:06 > 0:11:08and now I'm actually here teaching a medical student.
0:11:08 > 0:11:12At the start of her placement, Anna struggled to find her feet.
0:11:12 > 0:11:15I feel a bit like a spare part at the moment, I think.
0:11:15 > 0:11:17I'm not really sure what I'm meant to be doing.
0:11:17 > 0:11:20Even straightforward procedures were a challenge.
0:11:20 > 0:11:23I'm going to see if one of my senior doctors can try.
0:11:23 > 0:11:27Now, a more confident Anna is on the respiratory ward
0:11:27 > 0:11:29with medical student Unat.
0:11:29 > 0:11:31Do you want to get his scan?
0:11:31 > 0:11:33Do you want to prescribe this?
0:11:33 > 0:11:36- I'll have a go.- OK.
0:11:36 > 0:11:38I don't think you realise, kind of, day-to-day,
0:11:38 > 0:11:41until you see someone that is where you were a year ago
0:11:41 > 0:11:44and realise, "OK, maybe I have learned something."
0:11:45 > 0:11:50Anna's next job is to show Unat how to do an arterial blood gas,
0:11:50 > 0:11:52a delicate procedure which isn't easy.
0:11:52 > 0:11:55I actually didn't do one as a medical student,
0:11:55 > 0:11:57cos I was too scared to do one.
0:11:57 > 0:12:00This is Unat. I'm just going to be teaching him how to do it.
0:12:01 > 0:12:04Just have to make sure that you expel all the air, first of all.
0:12:07 > 0:12:09Just a sharp scratch.
0:12:09 > 0:12:12Anna has to take blood straight from the patient's artery
0:12:12 > 0:12:16to check her oxygen and carbon dioxide levels.
0:12:16 > 0:12:18Let me know if you want me to stop at all.
0:12:18 > 0:12:19To minimise the pain to the patient,
0:12:19 > 0:12:22Anna needs to act quickly and with precision.
0:12:24 > 0:12:25Sometimes just try and draw back, as well.
0:12:25 > 0:12:28Even if you haven't got a flashback, sometimes, it...
0:12:28 > 0:12:30- Yeah.- ..can get something.
0:12:32 > 0:12:34Yes. There we go. Done it.
0:12:34 > 0:12:37- I knew we'd get there in the end. - Yeah.
0:12:37 > 0:12:39Thanks for that. I think ABGs are quite difficult
0:12:39 > 0:12:41when you first start.
0:12:41 > 0:12:43It's really easy just to, kind of, get discouraged
0:12:43 > 0:12:46and give up, but just keep trying.
0:12:46 > 0:12:48That was so me this time last year,
0:12:48 > 0:12:51nervous and slow and, kind of, not sure what to do.
0:12:51 > 0:12:56Just made me realise I think how much I've come on in the last year.
0:12:56 > 0:13:00Thanks for today, anyway. It's good to have some extra help!
0:13:00 > 0:13:02- Thanks, guys.- See you.
0:13:06 > 0:13:08During their lunchtime break,
0:13:08 > 0:13:12Emeka has arranged to meet his best friend Osama.
0:13:12 > 0:13:15- Hey! What's up? How are you doing? - Yeah. Good, man.
0:13:15 > 0:13:17- How are you doing?- Not too bad.
0:13:17 > 0:13:20What's up? Oh, how was your meeting?
0:13:20 > 0:13:21I haven't had it yet.
0:13:21 > 0:13:23But what happened to the tie?
0:13:23 > 0:13:24- Bro...- What?- Bro...
0:13:24 > 0:13:27As soon as I got news of your tie situation I was, like,
0:13:27 > 0:13:29"Oh, man I need to go counsel you."
0:13:29 > 0:13:31I know it's a big deal for you, man.
0:13:31 > 0:13:33I think I need to be there for you.
0:13:33 > 0:13:34I appreciate that.
0:13:34 > 0:13:36I was literally just on the ward.
0:13:37 > 0:13:42And Miss E spotted me and she was just, like, "No ties."
0:13:42 > 0:13:44- That's terrible.- Right in the middle of the ward,
0:13:44 > 0:13:45I just had to rip the bad boy off.
0:13:45 > 0:13:48Oh, man, I'm really sorry to hear. That's terrible news for you, man.
0:13:48 > 0:13:51I know, feel a bit naked, a little empty.
0:13:51 > 0:13:54I can't remember the last time I wore a shirt at work without a tie.
0:13:54 > 0:13:57- The tie was you. - I know, and I was the tie.
0:13:57 > 0:14:00Bro, how do you feel about your meeting, then?
0:14:00 > 0:14:02I'm hoping it's still, still goes down.
0:14:02 > 0:14:04Has Mr Curran got wind of your tie news?
0:14:04 > 0:14:06I'm sure somebody's told him what happened.
0:14:06 > 0:14:09Oh, do you think you'll go down in his eyes after the tie situation?
0:14:09 > 0:14:12I don't know. I have no idea what's going to happen.
0:14:15 > 0:14:19After lunch, Emeka manages to track down Mr Curran in surgery.
0:14:19 > 0:14:21Hi, Mr Curran. How's it going?
0:14:21 > 0:14:23Afternoon. Apologies.
0:14:23 > 0:14:25I've a patient on the operating table,
0:14:25 > 0:14:26it's going to be a couple of hours.
0:14:26 > 0:14:30- OK.- So I think your final assessment will have to wait.
0:14:30 > 0:14:32OK, all right. Well, thanks for letting me know.
0:14:32 > 0:14:34- See you next week. - All right, thank you.
0:14:34 > 0:14:35Meeting postponed,
0:14:35 > 0:14:39Emeka will have to wait to find out if he's passed his year.
0:14:39 > 0:14:41I guess it gives me the weekend to, you know, get my head together,
0:14:41 > 0:14:46find out what I'm going to wear, cos obviously I was thrown off by today.
0:15:08 > 0:15:12Junior doctor Jess is on her way to a night shift at New Cross hospital.
0:15:12 > 0:15:16Night shift work definitely carries more responsibility,
0:15:16 > 0:15:19as compared to day-to-day routine work.
0:15:19 > 0:15:21People say I make medicine look quite easy.
0:15:21 > 0:15:25I'm like, "It's not easy, medicine's not easy at all."
0:15:25 > 0:15:2925-year-old Jess is nearing the end of her second year.
0:15:29 > 0:15:32I wouldn't describe myself as bossy, so to be the boss,
0:15:32 > 0:15:35it's almost like stepping out from my comfort zone.
0:15:35 > 0:15:37During her time in haematology,
0:15:37 > 0:15:41Jess has had to manage some serious medical emergencies.
0:15:41 > 0:15:42OK, how bad is the pain?
0:15:45 > 0:15:46This is very difficult,
0:15:46 > 0:15:48especially when you just walk in.
0:15:48 > 0:15:51I feel like, when you're in that situation, you just handle it.
0:15:51 > 0:15:55Does get easier with time, but to some extent, I now realise
0:15:55 > 0:15:57how much more can go wrong.
0:16:01 > 0:16:06As Jess's shift starts, she receives an urgent bleep.
0:16:06 > 0:16:08So I need to go to the ward urgently,
0:16:08 > 0:16:11because there is a lady with a really fast heart rate.
0:16:11 > 0:16:14At the same time, other wards are bleeping me, as well.
0:16:14 > 0:16:17Hello. Hi, sister.
0:16:17 > 0:16:19- Where is she?- Yeah. She's inside room two.
0:16:19 > 0:16:23OK, cool. Good evening, my name's Jess, I'm the doctor here.
0:16:23 > 0:16:25- How are you feeling?- Not too good.
0:16:25 > 0:16:28Not too good. OK. Do you mind if I listen to your chest?
0:16:28 > 0:16:29Thank you.
0:16:29 > 0:16:32Lillian has come in complaining of heart palpitations
0:16:32 > 0:16:33and pain in her chest.
0:16:33 > 0:16:36Sorry, Lillian, I'm just going to step outside.
0:16:36 > 0:16:39Jess is concerned that the patient's heart rate is still very high.
0:16:39 > 0:16:43She calls her medical registrar for some urgent advice.
0:16:43 > 0:16:45Her heart rate's 160.
0:16:45 > 0:16:48We've tried some vagal manoeuvres, tried blowing into a syringe.
0:16:48 > 0:16:50That has not seemed to settle it down.
0:16:50 > 0:16:54What shall we do next, in terms of direct treatment?
0:16:54 > 0:16:56OK. I've read about it, I've not given it before, no.
0:16:58 > 0:17:01The consultant has recommended a drug called Adenosine
0:17:01 > 0:17:03to regulate the patient's heart rate.
0:17:03 > 0:17:06So I've never administered Adenosine before and, basically,
0:17:06 > 0:17:10it blocks the conduction of, like, the electrical waves in the heart.
0:17:10 > 0:17:14So, essentially, you kind of stop the heart for a few seconds.
0:17:14 > 0:17:18Dr Mirayala has arrived to help Jess administer the drug.
0:17:18 > 0:17:20Feel a strange feeling, but it will pass on soon.
0:17:20 > 0:17:21OK.
0:17:22 > 0:17:26Jess injects the drug into Lillian's vein.
0:17:26 > 0:17:30It's a tense moment as they wait for the heart to restart.
0:17:30 > 0:17:31You're all right.
0:17:31 > 0:17:33- OK.- Oh! Mmm.
0:17:33 > 0:17:36OK. You should start feeling a little bit better in a minute.
0:17:38 > 0:17:42Lillian's heart has started again and is now beating at a normal rate.
0:17:42 > 0:17:44Has that feeling gone a bit?
0:17:44 > 0:17:46- It's gone.- It's a horrible feeling, that Adenosine.
0:17:46 > 0:17:48On a positive note, it has done what it should do.
0:17:48 > 0:17:50It has slowed you down.
0:17:52 > 0:17:54Thank you ever so much, thank you.
0:17:54 > 0:17:56No, no, no.
0:17:58 > 0:18:00It was definitely quite scary.
0:18:00 > 0:18:02It was a good experience to do it.
0:18:02 > 0:18:05Yeah. And make my patient get better very quickly, as well.
0:18:05 > 0:18:07So, I think the outcome was...
0:18:07 > 0:18:08Yeah, it was...
0:18:08 > 0:18:11Everything turned out well, which is like, phew.
0:18:12 > 0:18:14Thank you.
0:18:14 > 0:18:15Bye.
0:18:19 > 0:18:21I think, being in an emergency situation,
0:18:21 > 0:18:23being the only doctor on the ward,
0:18:23 > 0:18:26you do feel that sort of pressure and you do feel that responsibility,
0:18:26 > 0:18:29as well. But, you know, you do grow into that role.
0:18:41 > 0:18:45Finally, Emeka meets Mr Curran for his end-of-year assessment.
0:18:46 > 0:18:48Because the meeting has been postponed,
0:18:48 > 0:18:50it's kind of made the anticipation even greater.
0:18:50 > 0:18:52It's a bit like more hyped up.
0:18:52 > 0:18:55Hyped up now. This is making me a little bit more nervous.
0:18:55 > 0:18:58- Come in.- I've been praying that it all goes well.
0:19:00 > 0:19:03So, you've been here on this firm for about two months now.
0:19:03 > 0:19:04How have you got on?
0:19:04 > 0:19:07I've enjoyed it, I really enjoyed surgery.
0:19:07 > 0:19:10I enjoyed the team.
0:19:10 > 0:19:11What mistakes have you made?
0:19:14 > 0:19:16Mistakes...
0:19:16 > 0:19:19I don't have any glaringly obvious mistakes I've made.
0:19:19 > 0:19:21We all make mistakes, be honest.
0:19:21 > 0:19:22I think...
0:19:24 > 0:19:26What happened on the ward on Friday?
0:19:28 > 0:19:30I hear one of the consultants had a word with you.
0:19:30 > 0:19:35Miss Algoda had a word with me about wearing my tie, but, yes...
0:19:35 > 0:19:38Not sticking to the dress code is a mistake.
0:19:38 > 0:19:43Yes. So I assumed I was following the policy of the dress code.
0:19:43 > 0:19:46You're allowed to wear a tie, but it needs to be tucked in.
0:19:46 > 0:19:50- Especially because I don't...- And how did you react when she discussed
0:19:50 > 0:19:53- your tie with you?- When she, obviously, told me to take it off,
0:19:53 > 0:19:54I was a little bit surprised.
0:19:54 > 0:19:57To my knowledge, I thought she'd seen it with me on
0:19:57 > 0:19:59throughout my placement.
0:19:59 > 0:20:03Our impression is that you know your book work very well, yes.
0:20:03 > 0:20:05- Thank you, yeah.- What you haven't got is experience.
0:20:05 > 0:20:07You can't have experience at this stage of your career.
0:20:07 > 0:20:12And you need to listen to people who give you advice, more senior people.
0:20:12 > 0:20:14- Yeah.- OK?
0:20:14 > 0:20:17Not always receptive to getting advice, I'm told.
0:20:17 > 0:20:20I guess... I guess that's personal opinion.
0:20:20 > 0:20:23I'd like to think I'm receptive in getting advice.
0:20:23 > 0:20:25It's not a personal opinion, it's a general opinion.
0:20:25 > 0:20:27Personally, I don't think I have any issue,
0:20:27 > 0:20:29in terms of taking advice from others.
0:20:29 > 0:20:32Have you got what it takes to get on in surgery?
0:20:32 > 0:20:34Have you got the commitment and the drive?
0:20:34 > 0:20:36I believe I have what it takes to go forward.
0:20:36 > 0:20:38If that was definitely the career...
0:20:38 > 0:20:41You've certainly improved during your time here.
0:20:41 > 0:20:44We felt you were a little bit laid-back when you started.
0:20:44 > 0:20:46So, our overall assessment.
0:20:46 > 0:20:48I have to decide whether we have no concerns about you,
0:20:48 > 0:20:51some concerns about you, or major concerns about you.
0:20:54 > 0:20:55As far as I'm concerned,
0:20:55 > 0:20:58I'm happy for you to proceed on to the next stage of your training.
0:20:58 > 0:20:59OK, perfect. That's great.
0:20:59 > 0:21:01So enjoy your remaining weeks.
0:21:01 > 0:21:02Into theatre, into clinic.
0:21:02 > 0:21:04Yeah. I'll make sure I get into theatre and clinic.
0:21:04 > 0:21:07- And careful how you talk to people on the ward.- Yeah. I'll...
0:21:08 > 0:21:11- ..watch my mouth. - Thank you very much, Mr Curran.
0:21:12 > 0:21:16It wasn't quite as smooth as silk as I wanted, but it was like...
0:21:16 > 0:21:17It was like peanut butter,
0:21:17 > 0:21:20but crunchy peanut butter with the bits in it.
0:21:21 > 0:21:25Smooth, but a little bit rocky. The main thing is he signed me off.
0:21:25 > 0:21:27If he didn't, I probably wouldn't be joking about it.
0:21:27 > 0:21:29So, it was good.
0:21:49 > 0:21:52Emeka is back on night shift in the surgical ward.
0:21:52 > 0:21:56One of his patients, 84-year-old Dennis,
0:21:56 > 0:21:59has severe infection in his gall bladder.
0:21:59 > 0:22:01Are you in any pain at all?
0:22:01 > 0:22:04- No pain.- No, just feeling a bit...
0:22:04 > 0:22:06Feeling a bit exhausted?
0:22:06 > 0:22:09Emeka is concerned because Dennis's BP is dropping.
0:22:09 > 0:22:12I'm just going to keep a close eye on you, OK?
0:22:12 > 0:22:13- Yeah.- All right?
0:22:13 > 0:22:17This could be a sign he's in septic shock, a life-threatening condition.
0:22:17 > 0:22:20I am worried about Dennis.
0:22:20 > 0:22:21He's quite a frail old man.
0:22:21 > 0:22:25You do feel for these patients and what they're going through.
0:22:25 > 0:22:29The best thing is to be as caring as you can
0:22:29 > 0:22:31because you think, if this was my grandfather,
0:22:31 > 0:22:35I'd want people there caring for him.
0:22:35 > 0:22:39Emeka decides to give Dennis some fluids to help stabilise him.
0:22:39 > 0:22:41One, two, three.
0:22:41 > 0:22:42Is that a bit better? Much better.
0:22:45 > 0:22:50But, even after the fluids, Dennis's BP is still too low.
0:22:50 > 0:22:53Emeka decides it's time to call for some help from the registrar,
0:22:53 > 0:22:54Dr Mumtaz.
0:22:54 > 0:22:55- Where is he, is he there?- Yes.
0:22:59 > 0:23:02My name is Dr Mumtaz. I'm the registrar on call tonight.
0:23:02 > 0:23:04- Yeah.- How are you doing?
0:23:04 > 0:23:06- I'm shattered.- Do you mind if I listen to your chest?
0:23:06 > 0:23:08Go ahead.
0:23:08 > 0:23:10Thank you. Sorry, sir, sorry.
0:23:13 > 0:23:14Just breathe in and out.
0:23:16 > 0:23:17- I've got you.- OK.
0:23:17 > 0:23:18Breathe in.
0:23:23 > 0:23:24Lie back.
0:23:27 > 0:23:29Dennis, can I be honest with you?
0:23:29 > 0:23:30I'm a bit worried about you.
0:23:30 > 0:23:31Mm-hm.
0:23:31 > 0:23:34You've got an infection in your gall bladder,
0:23:34 > 0:23:37for which you are on antibiotics.
0:23:37 > 0:23:39They can't do anything with the gall bladder because of your weak heart.
0:23:39 > 0:23:42We're trying to get on top of the infection,
0:23:42 > 0:23:45but things seem to be quite tricky at the minute.
0:23:47 > 0:23:48Anything happens, press it, OK?
0:23:50 > 0:23:53It's the heart which is giving way for him, unfortunately.
0:23:53 > 0:23:55Do I call ITU, see if like, level two type...?
0:23:55 > 0:24:00- The way he's talking, he doesn't want to be touched with tubes.- Yeah.
0:24:00 > 0:24:01We've discussed it with him.
0:24:01 > 0:24:05He said he wouldn't want CPR, or to be intubated.
0:24:05 > 0:24:09I think he, kind of... He's tired and he just...wants to go.
0:24:10 > 0:24:13If he gets worse, that will probably be it for him.
0:24:13 > 0:24:17We need to tell the family this is what's happening.
0:24:18 > 0:24:21Dennis will now remain on the ward and be kept comfortable.
0:24:21 > 0:24:23When I first came into this career,
0:24:23 > 0:24:24I thought I'd be able to save everyone.
0:24:24 > 0:24:26It was a bit of naivete, really, but...
0:24:26 > 0:24:30You kind of get hit hard with the fact that you won't and you can't.
0:24:32 > 0:24:33I think Emeka did really well.
0:24:33 > 0:24:35He was faced with a difficult situation.
0:24:35 > 0:24:38When things were getting out of control, he called me appropriately.
0:24:38 > 0:24:40So I think he did really well.
0:24:40 > 0:24:42I think he's going to be a really good doctor.
0:24:51 > 0:24:54Tonight is a special occasion for the junior doctors.
0:24:54 > 0:24:58They're all getting together to celebrate their successes.
0:25:01 > 0:25:03Oh, wow. This looks great.
0:25:03 > 0:25:05Wow!
0:25:05 > 0:25:06Oh!
0:25:06 > 0:25:09- Oh.- Oh, my God, it's so hot in here!
0:25:09 > 0:25:13Wow! We thought it was hot enough with the candles.
0:25:13 > 0:25:15You do scrub up well.
0:25:17 > 0:25:18Cheers.
0:25:18 > 0:25:21Yeah. Yeah. I get it. Yeah.
0:25:21 > 0:25:23- Cheers.- Cheers.
0:25:23 > 0:25:24Cheers!
0:25:25 > 0:25:28- We never get to do stuff like this. It's lovely.- It's great.
0:25:28 > 0:25:30Yeah, yeah, I'm going to miss you guys.
0:25:30 > 0:25:31Oh, don't say that!
0:25:32 > 0:25:34We could have our own hospital, guys. Come on.
0:25:34 > 0:25:37I would love you to be my doctor.
0:25:37 > 0:25:39- Thank you.- So where are you going to be a GP?
0:25:39 > 0:25:41- I'll move there.- Yeah, GP.
0:25:42 > 0:25:45Well, I would definitely have Jo working on my bones.
0:25:45 > 0:25:47Thanks.
0:25:47 > 0:25:50- Gosh, yes. - Guys, I'm not doing gynaecology.
0:25:51 > 0:25:55If I could choose the first face my baby saw
0:25:55 > 0:25:57when it entered this world,
0:25:57 > 0:25:59you have fabulous eyebrows.
0:25:59 > 0:26:01I would want my baby to see that.
0:26:01 > 0:26:04I feel like my baby should know what real eyebrows look like!
0:26:06 > 0:26:07Oh, thank you. Guys!
0:26:08 > 0:26:11So, who's learned something this rotation?
0:26:11 > 0:26:14I learned about, like, decorum in the workplace
0:26:14 > 0:26:17and, like, how to behave with and around the seniors.
0:26:17 > 0:26:19I think I've seen a change, so that's good.
0:26:19 > 0:26:22- How about you?- I think there were two types of constructive criticism.
0:26:22 > 0:26:24One was like when they're gentle about it
0:26:24 > 0:26:26and they break it to you in a nice, soft way,
0:26:26 > 0:26:28but then other consultants are a bit more direct.
0:26:28 > 0:26:29At that moment, you don't like that person,
0:26:29 > 0:26:32but afterwards, you're thankful, because you're like,
0:26:32 > 0:26:34"Actually, yeah, I've learnt the most from you."
0:26:34 > 0:26:37What's painful is that those are the experiences where you learn the most
0:26:37 > 0:26:38and that is engraved in your head.
0:26:38 > 0:26:40Tell us about Life.
0:26:40 > 0:26:41Life is the best.
0:26:42 > 0:26:45Yeah. Little babies are just so cute.
0:26:45 > 0:26:48So much effort goes into bringing a child into the world.
0:26:48 > 0:26:50I thought it was easy. I didn't know before this.
0:26:50 > 0:26:52Excuse me.
0:26:53 > 0:26:56I'm very glad you have learned this before you have become a father.
0:26:56 > 0:27:00- Yes.- I thought childbirth, right... - Yes, come on, it just falls out.
0:27:00 > 0:27:03We just sneeze and we've just given birth.
0:27:05 > 0:27:07Well, congratulations, guys.
0:27:07 > 0:27:08Everybody survived.
0:27:08 > 0:27:12We've learned lots, we've made friends and here's to the future.
0:27:12 > 0:27:14- Cheers!- To the future.- Cheers!
0:27:21 > 0:27:23The junior doctors round off the night
0:27:23 > 0:27:27with some serious moves on the dance floor in Birmingham.