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It's twenty-three-year-old Howra鈥檚 first Christmas working in the hospital and with some staff away for the holiday, her job list increases. Whilst on call and responsible for up to 350 patients across 10 wards, Howra must assess an agitated patient, who has been brought in by the police. It鈥檚 her first experience of a prisoner and the pressure is on her to calm him down and make a diagnosis. She is also called to register the death of a patient who unexpectedly passed away on the ward. It鈥檚 another first for Howra, who will need to hold her nerve and manage her emotions.

Twenty-six-year-old Tom is also working his first Christmas in A&E, one of the hospital鈥檚 busiest departments. With alcohol related incidents up over Christmas, Tom needs to be prepared to deal with whatever the festive period throws at him.
When a patient arrives with a fractured and dislocated ankle after falling at a party, it鈥檚 Tom鈥檚 chance to push the bones back into place before sending the patient to the theatre for emergency surgery. It鈥檚 a difficult procedure which requires strength and precision, and it鈥檚 the first time Tom has attempted it. Has he got what it takes?

With dreams of being an anaesthetist, Nick must be proficient at inserting cannulas, but a couple of failed attempts result in him having to call for help. With his confidence low, will he cope when asked to assess an agitated and aggressive patient?

Working in Geriatrics and learning about the complexities of working with vulnerable, elderly patients is a big adjustment for Zohaib. And now, as well as facing the unique challenges of the department, Zohaib must prepare for his 鈥榞rand round,鈥� an important presentation which is part of all junior doctors鈥� training. With the added pressure of his consultant and peers coming to watch his presentation, how will he cope on the big day?

With resources tighter and pressures higher than ever, working in a hospital is no mean feat. Our junior doctors are thrown in at the deep end as they take their training to the next level to find out if they have what it takes to be our doctors of tomorrow.