One of the hardest decisions in your career begins at foundation level, which is when you have to start thinking about which specialty to pursue.

Anecdotally, about half of all foundation doctors have a good idea of what this is from very early on; the other half are very much influenced by their experience. Some doctors will not be entirely sure even when they are years into consultancy. Your specialty preference can also change over time with experience and age; there are over 60 specialties in total to consider after foundation training!

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