Preparing for FY1 is what this entire website is dedicated to but I thought I would collate some of the most important things. The aim is for you to do some light reading with links to more detailed articles on any topics you feel anxious about. Please comment below with any questions & I'll update the post regularly with answers to your questions!

What's my rota?
You should receive a generic work schedule which details the rota pattern 8 weeks prior to starting your job. By 6 weeks, you should be told exactly which part of that pattern you start on and when. You should check the rota doesn't breach any safety limits. The BMA has a rota checker for members. Final year medical students get free membership until October 2020.

What's my pay?
This should be on your work schedule (see above) but is usually between £28,000 to £35,000 prior to tax depending on how many hours you're working. Here's an explanation of how it works with a hypothetical calculation for an FY1. You can get your expected pay based on inputting your hours on a junior doctor pay calculator.

For more detailed information & to understand how to claim tax relief (not relevant until later on in FY1) check out this post.

I'm worried about FiY1 or interim posts
The BMA has extensive, regularly updated advice on this. I've written some specific advice on maintaining your wellbeing during Covid-19.

I'm worried about being a doctor
When you're starting FY1 it is normal to be anxious & feel you won't be able to manage. Your seniors expect this and your SHO should directly support you with every task you need help with. We expect and want you to check in for everything you do, with direct support for every job initially. Therefore please ask us a hundred times if you don't understand the rationale for any job.
  • Most of your jobs will be administrative. If you're good at these then we are usually very impressed! This includes preparing the list of patients, documentationdischarge letters & referrals. There's plenty of apps & equipment to make you more efficient at this.
  • All FY1s tend to be worried about dealing with an emergency alone & forgetting the treatments. We expect you to escalate almost immediately for every emergency whilst doing the basic ABCDE. For any treatment plans you do forget, when you escalate seniors will give you some advice if you ask and will usually arrive by your side very promptly. 
  • Communication is really important as it is the source of most complaints. It is really important that you understand the principles of how to deal with complaints & communicate with relatives
  • On calls are usually the most tough part of your job but there's plenty of tips to make this smoother. It's important to prioritise well
What's your most important advice?
Be nice. Nurses, colleagues and other people will go out of their way for anyone who is nice to them. Everyone around you can help you & so rely on them for advice. You will spend most of your time with them so it is important they become your friends so they can be a constant source of support & advice. Be nice to yourself too, ensuring you balance work & life and prevent burnout.

How do I use the system?
You usually receive e-learning on using the computer system & local policies on manual handling, fire safety etc. As this is mandatory induction, you should be paid for this or offered time off in lieu if doing it from home.

What about working with difficult people? What support is there for FY1s?
Whilst there are people who are difficult to work with (and here's some advice on how to deal with it), bullying or undermining is completely unacceptable. This & the support available is discussed here.

What about the next steps? Planning my career?
There's lots of time in FY1 to start working on your career. Sadly though there's a whole list of things specialties often like you to have to maximise your chance of getting a job. You might want to start some of them now during your time off or after you've gotten used to your new job. There's an entire article dedicated to this topic giving more information on this.

Written by Dr Akash Doshi CT2