Judgement
The decisions that become more complex, the uncertainty that remains and the experience that slowly changes how I respond to both.
Diary of an Emergency Doc follows my four years as a Higher Specialist Trainee in emergency medicine, beginning in 2026.
After Basic Specialist Training comes another beginning: greater responsibility, harder decisions and learning to become someone others can turn to when the department gets difficult. The shifts continue, but the view from inside them is changing.
I’m currently an HST 1, writing as I go. This journal follows the cases that stay with me, the people I learn from and the ongoing effort to grow as a doctor while keeping a life beyond the hospital.
The journey begins with the foreword, then follows each year of higher specialist training. I’m still in HST Year I, so the rest of the story will arrive as I live it.
Why another journal, what I’m bringing with me and what it means to begin higher specialist training with a little more experience and plenty left to learn.
Open the foreword → I The first year · 2026 - presentFinding my feet in higher specialist training, taking on more responsibility and making sense of the shifts while they are still happening.
Read HST Year I →Higher specialist training changes the questions I ask, the decisions I make and the way I see the department. These are the threads I’ll follow along the way.
The decisions that become more complex, the uncertainty that remains and the experience that slowly changes how I respond to both.
01Learning to lead, supporting the people around me and finding my voice while still knowing when to ask for help.
02Protecting time for the sea, travel, relationships and everything else that keeps me grounded when work threatens to fill the whole picture.
03One’s destination is never a place, but a new way of seeing things.- Henry Miller
Diary of an Emergency Doc is a work in progress. I’m still living the first of its four years, so the complete journal is not available to buy yet.
While these pages take shape, you can read my other published journals - the stories from medical school, the early years as a doctor and the journeys that brought me here.
There are more shifts to work, lessons to learn and pages to fill. While I get on with that, you can return to my previous journals or head outside and explore Malta with me.