Pennod 7

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0:00:00 > 0:00:00- *

0:00:00 > 0:00:02- It's a privilege being a doctor...

0:00:02 > 0:00:06- ..because you take a peek - into people's lives.

0:00:06 > 0:00:10- There's no better feeling - than when people say thank you.

0:00:11 > 0:00:15- Our cameras have been following - students at Cardiff University.

0:00:15 > 0:00:19- You see things you'd never normally - see. You're forced to grow up.

0:00:20 > 0:00:22- 15 individuals on an unique course.

0:00:23 > 0:00:25- We get the creme de la creme.

0:00:25 > 0:00:30- I'm the most competitive person. - I'm itching for the responsibility.

0:00:30 > 0:00:33- From the classroom - to hospitals across Wales.

0:00:33 > 0:00:38- It's going to be more challenging - than anything they've done before.

0:00:42 > 0:00:44- Entering the medical world - for the first time.

0:00:45 > 0:00:47- Young doctors are like chicks.

0:00:49 > 0:00:52- Remember that? It was hilarious!

0:00:53 > 0:00:56- Facing the greatest challenge - of their young lives.

0:00:56 > 0:01:00- This year was the first time - I'd seen someone die.

0:01:00 > 0:01:04- It really hit me - because she's not going to recover.

0:01:04 > 0:01:09- I feel like I'm drowning, - that I'm not doing enough work.

0:01:09 > 0:01:12- Medicine is hard, - the course is hard.

0:01:12 > 0:01:17- We chronicle their every step - to become the doctors of tomorrow.

0:01:17 > 0:01:21- We'll be the doctor on the scene. - We'll be in charge.

0:01:21 > 0:01:24- This is superb. - What made me want to do this?

0:01:25 > 0:01:28- This is not about elitism.

0:01:28 > 0:01:30- You have been given a gift.

0:01:30 > 0:01:33- You must use that gift...

0:01:33 > 0:01:35- ..to do good.

0:01:43 > 0:01:47- After five years of hard work, - the end is in sight...

0:01:47 > 0:01:49- ..for senior students.

0:01:49 > 0:01:53- Fifth-years Carys and Guto - are just weeks away...

0:01:53 > 0:01:55- ..from graduating as doctors.

0:01:55 > 0:01:59- They must first complete - one final clinical placement.

0:01:59 > 0:02:04- The work shadowing placement is - a chance to gain work experience...

0:02:04 > 0:02:08- ..in the position they will fill - after graduating.

0:02:08 > 0:02:12- I'm currently on - my final placement of the course.

0:02:12 > 0:02:15- I'm doing geriatric care - in Carmarthen.

0:02:15 > 0:02:19- That'll be my first job in August...

0:02:19 > 0:02:23- ..so I'll learn how things work - on the ward and shadow the F1...

0:02:23 > 0:02:26- ..to see what the role entails.

0:02:26 > 0:02:31- The responsibility I'll shoulder - in a month's time has hit home.

0:02:31 > 0:02:34- The placement - is a kind of apprenticeship...

0:02:34 > 0:02:37- ..in how to behave on the ward...

0:02:37 > 0:02:41- ..how you turn up on a ward - at eight every morning...

0:02:41 > 0:02:45- ..how you - make a list of your duties...

0:02:45 > 0:02:48- ..how you fulfil them - by the end the day...

0:02:49 > 0:02:51- ..and hand over the list - to the night staff.

0:02:52 > 0:02:54- It's good for them to see...

0:02:55 > 0:02:57- ..what's expected of them.

0:02:58 > 0:03:01- What their daily tasks will be.

0:03:02 > 0:03:06- They've passed their exams, - they just need practical experience.

0:03:06 > 0:03:08- Hello, Caryl.

0:03:08 > 0:03:12- My name's Carys, - I'm one of the medical students.

0:03:12 > 0:03:14- This was my first choice...

0:03:14 > 0:03:18- ..because I wanted - to start with general medicine.

0:03:18 > 0:03:22- Geriatric care - deals with a variety of problems.

0:03:23 > 0:03:26- I thought it was a good way - of getting a broader perspective.

0:03:26 > 0:03:29- My legs swelled...

0:03:29 > 0:03:31- ..because I had yellow jaundice.

0:03:31 > 0:03:34- They swelled up immediately.

0:03:34 > 0:03:38- Some have onset dementia whereas - others have serious dementia.

0:03:38 > 0:03:42- They're not sure - where they are and who you are.

0:03:42 > 0:03:47- That's a new challenge but you see - it a lot more on a geriatric ward.

0:03:47 > 0:03:49- So you're getting stronger...

0:03:50 > 0:03:52- ..which is great.

0:03:52 > 0:03:56- It's nice getting to know the people - who work on this ward...

0:03:56 > 0:03:59- ..because it's not - a very big hospital.

0:03:59 > 0:04:04- I'll be working here in August, - so I'm familiarizing myself...

0:04:04 > 0:04:06- ..with how things work.

0:04:06 > 0:04:10- It's an odd feeling now that - everything's coming to an end.

0:04:10 > 0:04:14- This is our final placement - and then we graduate.

0:04:14 > 0:04:19- Everyone feels ready to start - working now. It's quite exciting.

0:04:19 > 0:04:23- With many more years of study - ahead of them...

0:04:23 > 0:04:27- ..third-year students - are on their hospital placements.

0:04:28 > 0:04:34- Elen and Catrin see a variety - of patients in the fracture clinic.

0:04:34 > 0:04:38- This block is hospital front door, - so it's acute medicine...

0:04:38 > 0:04:42- ..rather than chronic disease, - but I'm really enjoying it.

0:04:42 > 0:04:47- This is not something I've - ever considered specializing in...

0:04:47 > 0:04:50- ..but it's interesting - and it's a different field.

0:04:52 > 0:04:56- Very often, these young people - haven't had to talk to adults.

0:04:56 > 0:05:02- They haven't had to ask adults - questions in a respectful way...

0:05:02 > 0:05:06- ..or know that it's OK - to ask personal questions.

0:05:07 > 0:05:10- They must quickly - get into the rhythm...

0:05:10 > 0:05:13- ..of asking the right questions...

0:05:13 > 0:05:19- ..and seeing how far they can push - a patient, which is so important.

0:05:19 > 0:05:23- The science behind it - provides the foundation...

0:05:23 > 0:05:26- ..but we treat people - on a day-to-day basis.

0:05:26 > 0:05:31- This man has two fractures - in his little finger...

0:05:31 > 0:05:35- ..and he's had to have pins in - his hands to stabilize the fracture.

0:05:36 > 0:05:37- Did you fall?

0:05:38 > 0:05:41- I fell off my push bike. - It was pouring down with rain.

0:05:41 > 0:05:46- It was a dropped kerb, and as I went - up it, the front end went away...

0:05:46 > 0:05:50- ..and I landed on the manhole cover - - it's a double fracture.

0:05:52 > 0:05:53- That's one.

0:05:57 > 0:06:00- That's the other. Alright? - Still with us?

0:06:00 > 0:06:03- Most of the time - the patients are really good.

0:06:04 > 0:06:07- They understand - that this is the way we learn.

0:06:07 > 0:06:11- They're keen to have us there - and they show us everything.

0:06:11 > 0:06:15- Trust is a big thing, - and in three years' time...

0:06:15 > 0:06:17- ..they're going to have to trust us.

0:06:18 > 0:06:21- I chose this course, knowing - I couldn't walk out the door...

0:06:21 > 0:06:25- ..and forget what I'd done that day - because it's people's lives.

0:06:26 > 0:06:30- If you've done something wrong, - it can have serious consequences.

0:06:31 > 0:06:34- The responsibility - is starting to dawn on me.

0:06:34 > 0:06:37- I just hope - I'll do right by the patients.

0:06:38 > 0:06:39- What's odd about that, do you think?

0:06:39 > 0:06:43- What's odd about that, do you think?- - It's, like, sticking out a bit.

0:06:43 > 0:06:45- INAUDIBLE

0:06:48 > 0:06:51- That has basically - punched up into there.

0:06:51 > 0:06:54- That's a rare injury.

0:06:55 > 0:06:57- Let's go and see how he's doing.

0:06:59 > 0:07:03- I done it in work. I pull cables - and it caught under the ground.

0:07:03 > 0:07:05- The rope shot out of my hands...

0:07:06 > 0:07:09- ..and as I let go, - it wrapped around my finger.

0:07:09 > 0:07:11- Sounds painful.

0:07:12 > 0:07:14- If I do this...

0:07:14 > 0:07:16- ..can you see it goes that way?

0:07:16 > 0:07:20- We can push on with therapy - for several months.

0:07:20 > 0:07:21- Several months?

0:07:21 > 0:07:23- Several months?- - It's going to be a long time...

0:07:23 > 0:07:26- ..in terms of - overcoming the stiffness.

0:07:26 > 0:07:28- The break's still healing...

0:07:28 > 0:07:32- ..so I might have to - take some of the metalwork out.

0:07:32 > 0:07:33- Another operation?

0:07:33 > 0:07:35- Another operation?- - You may do, yes.

0:07:35 > 0:07:38- I went over bones this morning...

0:07:38 > 0:07:39- ..and I was clueless.

0:07:39 > 0:07:41- ..and I was clueless.- - I thought I'd revised enough...

0:07:41 > 0:07:43- ..but oh, my god!

0:07:43 > 0:07:47- He shows us X-rays and - then he takes us to the patient...

0:07:48 > 0:07:50- ..and we can assess the movement.

0:07:50 > 0:07:54- It's good being able - to see the fracture on the X-ray.

0:07:56 > 0:07:59- Unlike the third-years, - Guto's feeling more confident...

0:08:00 > 0:08:02- ..in the final months of the course.

0:08:03 > 0:08:07- He's also on his final - clinical placement in Merthyr.

0:08:08 > 0:08:10- I'm on ward 12...

0:08:10 > 0:08:13- ..at Prince Charles Hospital.

0:08:14 > 0:08:16- This is the respiratory ward...

0:08:16 > 0:08:20- ..and this is where I'll be working - from the end of July onwards.

0:08:21 > 0:08:24- The other good thing - about this placement...

0:08:24 > 0:08:29- ..is that it's not - just about studying the lungs...

0:08:29 > 0:08:33- ..and the diseases which - affect people with lung problems.

0:08:34 > 0:08:37- It's more to do - with familiarizing myself...

0:08:37 > 0:08:40- ..with the environment - I'll be working in.

0:08:40 > 0:08:43- Knowing the daily routine...

0:08:43 > 0:08:47- ..and knowing our responsibilities - when we take over the job.

0:08:47 > 0:08:50- You need big biceps to do this job.

0:08:50 > 0:08:53- This is a massive pile - of patients' notes.

0:08:53 > 0:08:56- This placement has shown me - how stressful it can be...

0:08:57 > 0:09:00- ..remembering where all the - patients are and what's going on...

0:09:00 > 0:09:04- ..and making sure everything's - been done before leaving.

0:09:04 > 0:09:06- I'm familiarizing myself...

0:09:06 > 0:09:09- ..and there are no exams - to fret about.

0:09:09 > 0:09:13- It's stress free, more or less.

0:09:13 > 0:09:15- I'm enjoying it. It's great.

0:09:16 > 0:09:18- I'm glad of this opportunity.

0:09:19 > 0:09:23- Perhaps it's better - that I make mistakes now...

0:09:23 > 0:09:28- ..rather than make them when - I'm actually paid to do the job.

0:09:29 > 0:09:32- My name is Guto. - I'm one of the medical students.

0:09:32 > 0:09:34- Your name is Mrs Jones, right?

0:09:35 > 0:09:37- It's nice to meet you.

0:09:37 > 0:09:40- I've been - having a look through your notes.

0:09:41 > 0:09:45- I was wondering if you could - talk to me about why you came in.

0:09:46 > 0:09:49- I don't remember a lot about it...

0:09:49 > 0:09:54- ..but apparently my husband woke at - 4.00am and I was shaking all over.

0:09:55 > 0:09:57- I didn't know where I was.

0:09:57 > 0:10:00- I take MST and Oramorph...

0:10:00 > 0:10:04- ..because I've had - numerous operations on my stomach.

0:10:04 > 0:10:09- Because I couldn't pass urine, - the morphine was staying in my body.

0:10:09 > 0:10:14- It wasn't being flushed out. I - poisoned my body with the morphine.

0:10:14 > 0:10:17- Like a type of overdose thing, - you know?

0:10:17 > 0:10:21- I've had gangrene in the bowel, - I've had blockages.

0:10:21 > 0:10:24- I've had stomach abscesses.

0:10:25 > 0:10:29- I've had adhesions - and scar tissue removed.

0:10:30 > 0:10:32- Plenty of stuff there.

0:10:33 > 0:10:37- Last week we were - down to one doctor on the ward...

0:10:37 > 0:10:40- ..and she had to go - and see a patient on another ward.

0:10:41 > 0:10:43- I held the bleep for a while.

0:10:43 > 0:10:46- I know what kind of doctor I'll be - after that day...

0:10:46 > 0:10:50- ..because I was so stressed.

0:10:50 > 0:10:55- I can tell what I'll be like, - especially in the first month.

0:10:55 > 0:10:58- I'll worry - I've forgotten to do something...

0:10:58 > 0:11:00- ..or I've done something wrong.

0:11:00 > 0:11:06- I hope that'll improve but that's - what I'll be like at the start.

0:11:06 > 0:11:08- Your ankles are a bit swollen.

0:11:08 > 0:11:10- Your ankles are a bit swollen.- - Yes, my legs are.

0:11:10 > 0:11:12- You can obviously see...

0:11:12 > 0:11:17- ..there's a fluid build-up - in the legs and ankles.

0:11:17 > 0:11:21- There's not much time left - - only a few weeks...

0:11:22 > 0:11:26- ..before I graduate, and within - a fortnight I'll be on the ward...

0:11:26 > 0:11:29- ..actually doing the job.

0:11:30 > 0:11:32- It's daunting, really...

0:11:33 > 0:11:37- ..but I think it's important - to be confident about it.

0:11:37 > 0:11:40- I'm feeling confident...

0:11:40 > 0:11:42- ..and I feel ready.

0:11:42 > 0:11:44- Cheers. I'll see you soon, OK?

0:11:48 > 0:11:48- .

0:11:51 > 0:11:51- Subtitles

0:11:51 > 0:11:53- Subtitles- - Subtitles

0:12:02 > 0:12:05- Elen and Catrin are on placement - in a fracture clinic.

0:12:05 > 0:12:08- The students - are treating a patient...

0:12:08 > 0:12:11- ..whose fracture - will have a big impact on his life.

0:12:11 > 0:12:15- There's not enough work, - so they've laid us off.

0:12:15 > 0:12:17- Obviously now I can't get work.

0:12:17 > 0:12:20- Obviously now I can't get work.- - You're only fit for one-handed work.

0:12:20 > 0:12:21- Light duties with your left hand.

0:12:21 > 0:12:23- Light duties with your left hand.- - The only other job I do...

0:12:23 > 0:12:26- ..I could go back to, - I've already been there...

0:12:26 > 0:12:30- ..is driving a crane, - and that's with two hands.

0:12:30 > 0:12:33- And labouring, - which I'll need both hands.

0:12:33 > 0:12:34- Do I need to get a sick note?

0:12:34 > 0:12:36- Do I need to get a sick note?- - I can give you a sick note.

0:12:36 > 0:12:38- How long is this likely to be?

0:12:38 > 0:12:40- How long is this likely to be?- - It's going to be months.

0:12:40 > 0:12:44- It's one of the worse injuries - you can get to the finger.

0:12:44 > 0:12:47- I've only seen a couple like it.

0:12:49 > 0:12:51- It is a bad injury.

0:12:53 > 0:12:56- Coming to the end - of the clinical years...

0:12:56 > 0:13:00- ..and developing into someone - who can take a patient's history...

0:13:00 > 0:13:04- ..and working out the diagnosis - and course of treatment...

0:13:05 > 0:13:09- ..makes you feel - as though you've arrived.

0:13:09 > 0:13:13- Putting all that knowledge - into practice is the highlight.

0:13:13 > 0:13:17- The last one we saw - was a three-year-old child.

0:13:17 > 0:13:20- A child's X-ray - differs greatly from an adult's.

0:13:21 > 0:13:24- Do you know - what type of fractures children get?

0:13:25 > 0:13:28- What's different about a - child's bone compared to an adult's?

0:13:28 > 0:13:30- Is it softer?

0:13:30 > 0:13:31- Is it softer?- - More elastic.

0:13:31 > 0:13:35- If you were to try and snap it, - a child's bone doesn't snap.

0:13:36 > 0:13:39- An adult's will snap - and you get a typical fracture.

0:13:39 > 0:13:41- A child will bend.

0:13:42 > 0:13:46- I've never seen - a child's X-ray before. It was odd.

0:13:46 > 0:13:51- He asked what's different - about a child's fracture...

0:13:51 > 0:13:54- ..but I didn't know where to start.

0:13:54 > 0:13:58- Can I have a look at your arm? - Do you like red?

0:13:58 > 0:14:00- Is it your favourite colour?

0:14:01 > 0:14:05- It's a bit daunting to think - that in two years' time...

0:14:05 > 0:14:09- ..we'll be - prescribing stuff for people...

0:14:09 > 0:14:11- ..and deciding - on a course of treatment.

0:14:12 > 0:14:16- She's got a fracture - of one of the bones in her forearm.

0:14:16 > 0:14:20- That's sometimes associated - with dislocation but this is not.

0:14:20 > 0:14:23- It means - we don't have to operate on it...

0:14:23 > 0:14:26- ..but she'll need - another two weeks in plaster.

0:14:27 > 0:14:29- OK, darling? - Are you going to say bye?

0:14:29 > 0:14:31- Bye.

0:14:36 > 0:14:40- The big day has finally arrived - for the fifth-year students.

0:14:40 > 0:14:45- Five years after entering - the university as students...

0:14:45 > 0:14:49- ..today they'll step out - into the world as junior doctors.

0:14:49 > 0:14:52- I'm just picking up my cap and gown.

0:14:52 > 0:14:56- I'm not sure how it works. - I'll have to work it out.

0:14:56 > 0:14:58- I have a code on my phone.

0:14:58 > 0:15:00- The effort and sacrifice - over the years...

0:15:01 > 0:15:03- ..has been - leading up to this moment.

0:15:04 > 0:15:06- Graduating as a doctor.

0:15:06 > 0:15:08- Graduating as a doctor.- - It feels so weird.

0:15:08 > 0:15:12- Feels like I'm actually graduating - now I'm wearing the robe.

0:15:12 > 0:15:16- Seeing everyone look smart and happy - is nice. It's exciting.

0:15:16 > 0:15:20- Today marks the end of a journey - that began five years ago...

0:15:21 > 0:15:23- ..when the students - moved to Cardiff.

0:15:23 > 0:15:26- I looked forward - to moving to Cardiff...

0:15:26 > 0:15:30- ..but it took me half an hour - to get to the university.

0:15:30 > 0:15:33- There were - far more people than I expected.

0:15:33 > 0:15:35- Five years of study scares me.

0:15:36 > 0:15:39- I don't know how I'm - going to be ready in five years.

0:15:39 > 0:15:44- It sounds a long time but it's not - nearly long enough to learn it all.

0:15:44 > 0:15:46- They had to - deal with anatomy lessons.

0:15:47 > 0:15:49- I enjoyed the dissection.

0:15:49 > 0:15:51- I didn't.

0:15:51 > 0:15:54- I remember the first session...

0:15:55 > 0:15:57- ..made me feel uneasy.

0:15:57 > 0:15:59- We had to make the first incision.

0:16:00 > 0:16:03- They practised clinical skills - in the classroom...

0:16:03 > 0:16:06- I'm going to have a look - at your back passage.

0:16:07 > 0:16:11- So, I'm just going to be having - a feel around in a second now, OK?

0:16:13 > 0:16:16- ..before dealing - with real patients on placement.

0:16:16 > 0:16:20- They removed the rectum - and most of the large intestine.

0:16:20 > 0:16:24- The surgery went well, - but the thing about cancer...

0:16:24 > 0:16:27- ..is that it's so unpredictable.

0:16:27 > 0:16:30- They took responsibility - in an emergency.

0:16:32 > 0:16:35- There are two casualties on - the floor, a motorbike and a car.

0:16:36 > 0:16:39- There's another patient in the car.

0:16:39 > 0:16:43- They experienced first hand - the emotional challenge...

0:16:43 > 0:16:46- ..of being an oncology patient.

0:16:46 > 0:16:49- I was told I got two years. - I've had 10 months of that now.

0:16:50 > 0:16:54- She said she won't see - her grandchildren grow up.

0:16:55 > 0:16:58- That really hit me, actually, - because...

0:16:58 > 0:17:01- ..that's quite, like, sorry....

0:17:01 > 0:17:05- And the harsh reality of the job - in the A&E department.

0:17:05 > 0:17:09- It's so busy and there are - lots of beds and trolleys...

0:17:09 > 0:17:13- ..where people - were admitted overnight.

0:17:13 > 0:17:16- There are still - many waiting outside on chairs...

0:17:17 > 0:17:19- ..because there's no room for them.

0:17:20 > 0:17:22- The journey has been eventful...

0:17:22 > 0:17:25- ..full of highs...

0:17:25 > 0:17:27- I didn't think I'd manage it. Yes!

0:17:29 > 0:17:30- Really good.

0:17:30 > 0:17:32- ..and lows.

0:17:32 > 0:17:36- This year was the first time - I'd seen someone die.

0:17:36 > 0:17:41- A journey that will continue - for the majority after today.

0:17:41 > 0:17:45- It makes us realize - how much pressure we'll be under...

0:17:45 > 0:17:47- ..in two and a half years' time.

0:17:47 > 0:17:51- It also makes me realize - that I do know quite a lot...

0:17:51 > 0:17:54- ..and we're only halfway through.

0:17:54 > 0:17:59- Graduating means so much - to the students and their families.

0:17:59 > 0:18:01- It's a lovely day...

0:18:02 > 0:18:05- ..and we're so proud of her - - you've worked so hard.

0:18:05 > 0:18:09- We're going to - enjoy the day together.

0:18:10 > 0:18:12- Yes, it's nice - we can spend it together.

0:18:13 > 0:18:17- I'm really excited because I can - officially call myself a doctor!

0:18:17 > 0:18:22- The five years have flown, though - it feels like I've only just begun.

0:18:22 > 0:18:24- It's been an incredible journey.

0:18:27 > 0:18:31- For Guto, the end of the journey - is a time to reflect...

0:18:32 > 0:18:35- ..on this unique course's - highlights and challenges.

0:18:35 > 0:18:38- The elective - was definitely the highlight.

0:18:39 > 0:18:43- I went to Tonga - and worked there for four weeks...

0:18:43 > 0:18:47- ..before going travelling - - it was an incredible experience.

0:18:47 > 0:18:52- Being on the course is incredible - in itself. It offers so much.

0:18:52 > 0:18:56- You won't experience - anything like it elsewhere.

0:18:56 > 0:18:58- I'm glad I chose Tonga.

0:18:59 > 0:19:02- The healthcare system - is different from ours.

0:19:02 > 0:19:06- Heart failure is not something - you associate with children.

0:19:06 > 0:19:08- You wouldn't see it at home.

0:19:09 > 0:19:11- It was an unforgettable experience.

0:19:11 > 0:19:14- When I reflect - on my time in Cardiff...

0:19:15 > 0:19:19- ..that will definitely stand out - as the highlight for me.

0:19:20 > 0:19:24- I think there are - lots of highlights in this job.

0:19:24 > 0:19:27- Though the responsibility - is stressful...

0:19:27 > 0:19:31- ..being responsible for - helping patients gives you a buzz.

0:19:31 > 0:19:34- It's a great course.

0:19:34 > 0:19:40- Over the five years, I enjoyed it - a little more every year.

0:19:42 > 0:19:46- The skills you learn, you won't - get them from any other course.

0:19:46 > 0:19:50- It's not just about - academic achievement.

0:19:50 > 0:19:53- An important part - is your interpersonal skills...

0:19:54 > 0:19:58- ..and your interaction - with patients on the ward.

0:19:58 > 0:20:02- It's an unique course - and despite the stress...

0:20:02 > 0:20:06- ..it's been worth - every single second.

0:20:07 > 0:20:10- For anyone thinking of studying - medicine, I'd say go for it.

0:20:11 > 0:20:13- It's worth doing.

0:20:14 > 0:20:16- Guto Rhys Hughes.

0:20:22 > 0:20:25- Completing the course - is a feat in itself.

0:20:25 > 0:20:28- It's been challenging...

0:20:28 > 0:20:32- ..and there've been many times - when I wasn't sure I could do it.

0:20:33 > 0:20:36- Reaching the end - and knowing I'm almost a doctor...

0:20:37 > 0:20:39- ..is a nice feeling.

0:20:44 > 0:20:46- You do feel proud of yourself.

0:20:47 > 0:20:49- You've had to work hard - to reach this point.

0:20:50 > 0:20:54- There've been days when I thought - I couldn't carry on...

0:20:54 > 0:20:56- ..so I'm happy.

0:20:56 > 0:20:59- It might sound like a cliche...

0:21:00 > 0:21:02- ..but now the real work begins.

0:21:03 > 0:21:07- I'm looking forward - to showing what I can do...

0:21:08 > 0:21:11- ..and what I've learned - over the past five years.

0:21:13 > 0:21:15- It varies from day to day.

0:21:16 > 0:21:19- There are days when I think, - I'm ready, I'm excited...

0:21:19 > 0:21:22- ..and there are other days - when I don't feel ready.

0:21:22 > 0:21:24- And that's so scary.

0:21:25 > 0:21:28- It's come to a nice closure, - hasn't it?

0:21:28 > 0:21:30- It's been a brilliant day.

0:21:30 > 0:21:34- We've celebrated - five years of hard work...

0:21:34 > 0:21:36- ..with a bit of fun in the middle.

0:21:36 > 0:21:39- ..with a bit of fun in the middle.- - Everyone's really happy.

0:21:39 > 0:21:42- We're all celebrating - the same thing.

0:21:42 > 0:21:45- We've gone through it - and come out the other end.

0:21:47 > 0:21:51- They don't have to - make decisions until August.

0:21:51 > 0:21:54- Making decisions - and the onus being on you...

0:21:55 > 0:22:00- ..to discharge a patient or to keep - a patient in hospital is different.

0:22:01 > 0:22:05- This is - just the beginning of their journey.

0:22:05 > 0:22:08- There are - many more exams ahead of them.

0:22:08 > 0:22:12- When I was interviewed - for a consultant's post...

0:22:12 > 0:22:16- ..they asked if I felt I was a fully - qualified orthopaedic surgeon...

0:22:16 > 0:22:21- ..and I said no, I'll be - fully qualified the day I retire.

0:22:21 > 0:22:26- Starting the job in August is the - beginning of the journey for them.

0:22:26 > 0:22:30- They've been given the grounding, - now it's up to them.

0:22:30 > 0:22:34- I wasn't sure if I wanted to do - medicine when I was at school...

0:22:35 > 0:22:38- ..but I went for it - and I can honestly say...

0:22:39 > 0:22:42- ..that I'm very pleased - I made that decision.

0:22:42 > 0:22:45- It's thanks to Mam, really, for...

0:22:48 > 0:22:50- ..I won't say forcing me to do it...

0:22:53 > 0:22:55- ..but she was keen for me to do it.

0:22:56 > 0:22:58- And I listened to her.

0:22:58 > 0:23:00- I'm glad I did.

0:23:22 > 0:23:24- S4C Subtitles by Adnod Cyf.

0:23:24 > 0:23:24- .