Starting F1: What you need to know before you begin

At The Next Step, we’ve spent years supporting medical students as they transition from university to working life, and we know that starting F1 can feel like stepping into the unknown.

From navigating hospital systems to managing your wellbeing, there’s a lot to take in. That’s why we’ve gathered practical advice from those who’ve been there, done it and lived to tell the tale.

Here are some top tips to help you start your Foundation Year with confidence and clarity.

Get organised early

Organisation is your best friend in F1. Whether it’s keeping a running jobs list, noting down door codes and printer instructions or planning your annual leave, staying on top of the small things will make your day-to-day life much smoother.

• Use a rota app to track shifts and coordinate with friends.
• Keep a notebook or phone notes with referral processes, contact numbers and useful tips.
• Submit annual leave requests early - ideally with at least eight weeks’ notice.

Master the art of referrals

Referrals can be intimidating at first, but they quickly become second nature.

Learn your hospital’s system during induction and use a structured approach like SBAR (Situation, Background, Assessment, Recommendation) when calling other teams. Consider keeping a cheat sheet of referral formats and contact details - it’ll save you time and stress.

Build your portfolio as you go

Your e-portfolio can feel like a chore, but it’s essential for progression.

Familiarise yourself with the requirements early and look for opportunities to get sign-off’s during your day-to-day work. Presenting patients, teaching students or performing procedures are all great chances to tick off assessments. Just don’t leave it all to the last minute.

Ask questions and learn on the job

No one expects you to know everything. Ask questions, seek feedback and volunteer for tasks you’re less confident with when support is available. This builds your skills and confidence for when you’re working independently.

Look after yourself

You can’t pour from an empty cup. Take breaks, eat, hydrate and don’t be afraid to hand over jobs at the end of your shift. If you’re consistently staying late, speak to your supervisor or submit an exception report. Your wellbeing matters - for you, your colleagues and your patients.

Build relationships and find your people

Get to know your team - nurses, pharmacists, porters and fellow doctors. A friendly face on a tough day can make all the difference. Say yes to social events when you can and don’t underestimate the value of peer support.

Think ahead (but don’t panic)

It’s never too early to start thinking about your future. Whether you’re considering specialty training, an FY3 year or something else entirely, start exploring your options. Use taster weeks, portfolio projects and conversations with seniors to help shape your path.

Know where to turn for support

If you’re struggling, speak up. Your clinical or educational supervisor, F1 coordinator or Guardian of Safe Working are all there to help. And don’t forget your fellow F1s, they’re often your best source of advice and solidarity.

Final thoughts

Starting F1 is a huge step, but you’re more ready than you think. With the right tools, support and mindset, you’ll not only survive but thrive. And remember, you’re not alone, we’re here help every step of the way.

Want more real talk from doctors who’ve been there? Check out our YouTube playlist for honest insights, practical tips and stories from those who’ve walked the path you’re about to take.