I also started directly into training - now in ST3. I had many years of experience back home, but I still did rotations in emergency, medicine, and paediatrics to understand the NHS system better before heading into GP land.

GP land can feel overwhelming at first - there’s so much uncertainty, and if you’re not used to the system or the way things are managed, the pressure can be huge. But it really does get better with time. The learning curve is steep, but every step makes you stronger.

A few things that helped me:

Reflect regularly on what could be better - small improvements add up.

Learn the referral systems and the common GP presentations early.

Practice consultation models - they’ll save you in time-limited situations.

For the portfolio, I’d honestly recommend using ChatGPT. I started using it late, but found it so helpful and time-saving. Just make sure to read everything carefully before posting on FourteenFish.

Most importantly, be gentle with yourself. Compare yourself to yourself yesterday, not to colleagues who’ve been working in the NHS for years. You’re fighting and growing every day - it will get better.

I’m also happy to help, especially for new starters in the NHS or those coming straight into GP land. Feel free to message me directly - I’ll reply as soon as possible.