Over the past few months, the junior doctors have continued to learn on the job and have become more confident. But as they near the end of their time on their wards, the pressure is on as they are expected to take on even more responsibility. It’s all change for second year doctor Luke as his more experienced colleagues leave the ENT department, meaning he will need to work more independently. Unsure if ENT is the specialty for him, Luke takes a trip back home to Derry to seek advice from his GP father. Second year doctor Tom has been working in Salford Royal’s A&E department, which provides treatment to over 80 thousand patients a year. Several months into his training, he’s still learning how relentless the job can be. As he goes from treating a patient with a head injury, for whom a fast diagnosis could be life-saving, to an elderly lady whose condition deteriorates rapidly, the emotional pressure begins to take its toll. As first year doctor Zohaib approaches the end of this stage of his training, it is time for him to lead a family discussion about how to treat an elderly patient should her condition deteriorate. Although routine, discussing how to treat, and whether to resuscitate a patient, is a sensitive matter. Zohaib has learnt to appreciate the unique complexities and rewards of the Geriatrics Ward, but will he be able to lead this sensitive discussion alone? 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.