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NHS Life

First on-call as an IMG — what nobody tells you

Posted by Dr. Ngozi · 6/21/2026

Bleep going off non-stop, SBAR over the phone, escalating to reg. My top 3 survival tips: 1. Always document call-back times 2. Use the trust induction handbook (most have one) 3. Ask the nurse — they know everything

3 replies

  • Dr. Li Wei · 7/16/2026

    The most important skill is knowing when to escalate. You are not expected to manage everything alone. Senior support is part of the job.
  • Dr. Fatima Al-Rashid · 7/16/2026

    Write everything down. A small notebook or the notes app on your phone will save you when bleeped for the tenth time.
  • Dr. James OBrien · 7/16/2026

    Eat before the shift starts and bring snacks. Sounds silly but low blood sugar at 3am makes everything harder.

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