First day on the ward with a bleep on your belt and the knowledge that suddenly it’s all become real – the theory, clinical rotations and practice from medical school have now culminated in you having responsibility in the care of patients. Sound scary? It is a bit! If you aren’t nervous about this moment, then you probably haven’t taken in what it means. I can promise you that even the toughest, most no-nonsense consultant felt butterflies walking on to their first ward as a junior doctor.