Welcome to our department, which is proudly one of the busiest EDs in Europe. I’m so glad to have you here, and I want to extend a heartfelt welcome to each and every one of you. Most of you are new to our ED, and I can remember exactly how you might be feeling. Many moons ago, I was in your position — a bit fearful, but also excited to embark on the journey of training in Emergency Medicine.

Some things will feel new, others familiar, but rest assured that your experiences here will shape you into the doctor — and Consultant (such as me) — you will become. Every day is a learning day, and while medicine will certainly come with time and experience, today I want to highlight some of the other essential aspects of our work.

The environment we work in is high-pressure, fast-paced, and often stressful. But the key to thriving in this environment isn’t just about the medicine — it’s about how we take care of ourselves while we do it.

Top Tips for Staying Happy in a High-Demanding Environment:

Eat Well: Nutrition is vital, especially in a busy ED. Eating regular, balanced meals will help fuel your energy levels and improve your focus. Always have healthy snacks on hand for when you’re in a rush — a banana, nuts, or even a protein bar (in moderation) can keep you going.
Move Well: Long shifts can mean a lot of sitting, so it’s important to stay active when you can. Whether it’s taking the stairs instead of the lift or doing a quick walk around the department, find small ways to stay moving.
Sleep Well: Sleep is crucial, and I can’t stress this enough. Even with a busy rota, try to prioritise sleep. Consider relaxation techniques before bed, such as reading or meditation, to help wind down. No screen time for at least 1 hour before bed – I know this sounds crazy, but implement it for a better sleep!
Night Shift Strategies: Night shifts can be particularly draining. Here are some tips to help you manage:

Try to adjust your sleep routine in advance by shifting your sleep times gradually.
During the shift, take regular breaks to keep your mind sharp.
Drink plenty of water to stay hydrated and avoid relying too heavily on caffeine.
When your run of night shifts are over, do something you LOVE. Relax, recharge, unwind and watch something awesome on Netflix!

Managing a Relentless Rota: Our rota is often relentless, and you might feel overwhelmed at times. My top tip here is to make use of your team — lean on your colleagues for support, share the load when possible, and make time to decompress together during breaks. Teamwork really does make the dream work!

Personal Experience – Why Self-Care Matters

Some years ago, after the birth of my son, I found myself struggling with a snowball effect of work pressures and personal challenges. The demands of being a new mother, combined with the relentless expectations I set for myself, took a toll. I didn’t recognise it at first, but it eventually led to a personal downfall and an unexpected hospital admission.

I knew something had to change. That’s when I decided to embark on my own health and fitness journey. I learned the hard way that when we don’t prioritise ourselves, we can’t be our best for others — including ourselves, our loved ones, our patients and colleagues.

Now, I make time to plan holidays and take time away from emails — this has been key in preventing burnout. Fitness has been a big part of my recovery. It’s not always easy; some weeks I manage to train five times, while other weeks, it’s only once. But every bit helps.

I no longer fight the battle alone. I call on family members and my husband for support. My son is my pillar – at the tender age of 8 he is always the first to tell me to relax, and not to worry. I love that little guy!

Asking for help has been one of the best decisions I’ve made. When things aren’t working, I take a step back and ask, "Why?" It’s important not to bury your head in the sand, but to take active steps to address the issue. This is a top tip that I’ve learnt from my husband, who always takes time out to listen to me and work through difficult periods. Thank you for being my rock!

Taking care of myself has ultimately made me a better doctor, and more importantly, a happier person.

The Importance of Hobbies and Asking for Help

It’s easy to fall into the trap of thinking work is everything, but remember, having hobbies outside of medicine is just as important. Whether it’s a creative outlet, fitness, or spending time with loved ones, having something that brings you joy and helps you unwind is crucial for your overall wellbeing.

Another vital piece of advice is to ask for help early. Don’t wait until you’re feeling overwhelmed or burned out. It’s okay to not have all the answers, and it’s okay to seek guidance. Whether it’s from a senior colleague, a mentor, or a fellow trainee, asking for help ensures you don’t feel alone and that you’re supported in the challenges you face.

Final Thoughts

Your journey here will be full of challenges, but also incredible rewards. Every shift will bring new learning, and while the medicine is important, how you manage yourself and your wellbeing will make all the difference. We want you to succeed, not just as doctors, but as individuals who are thriving in a demanding career.

Remember, every day is a step toward becoming the doctor you aspire to be — and we are here to support you every step of the way.

References for Wellbeing Strategies:

Recovery from Night Shift Work - PubMed Central
Wellbeing Resources for Doctors
Your Wellbeing - BMA
The Wellbeing Toolkit for Doctors - Dr. Lesley Morrison

A Warm Welcome to Our New Doctors: Thriving in one of the Busiest EDs in Europe

Final Thoughts

A Warm Welcome to Our New Doctors:
Thriving in one of the Busiest EDs in Europe