Misconceptions about foundation training

As the next cycle of our Enrichment Programme begins, we thought to give some insights into some misconceptions about foundation medical training in the UK!

Misconception no. 1: Choosing individual rotations

A common misconception we have heard is that most medical students believe you can choose each of your rotations individually, tailoring your foundation programme entirely to your interests. However, in actuality, most foundation jobs have the full set of six rotations across F1 and F2 pre-allocated to you. This means, once you’re matched to a programme you may be automatically assigned specific specialties and locations for both years, with limited flexibility to swap.

So, make sure you research the foundation school you’re applying to, making sure it has specialties you are interested in!

Misconception no.2: Portfolio requirements

Portfolio forms, sign-offs, reflections—they don’t end after finals. If anything, they matter even more now.  It’s easy to underestimate how much ongoing assessment continues during foundation training. ARCP (Annual Review of Competency Progression) comes around faster than you’d expect, especially if you’re only just getting the hang of your ward job. 

Start early, ask questions, and stay organised—you’ll thank yourself when ARCP rolls around.

Misconception no. 3: full GMC graduation

Many students think full GMC registration only happens after F2, but actually, it’s granted after F1—as long as you get a satisfactory Certificate of Completion. This means you're officially recognised as a fully registered doctor with the GMC, and you can start applying for specialty training (if you want to), work locum shifts more freely, or even take an FY3 year if that’s part of your plan. Knowing this early can help with career planning—especially if you're thinking about taking a break after F2 or applying for competitive training programmes that require full registration at the point of application. 

Just make sure you stay on top of your e-portfolio, supervisor meetings, and assessments—because any delays in your F1 sign-off can hold up your registration.

Misconception no.4: Specialty Applications

The foundation programme is thought to give you two full years to explore different specialties and then decide what to apply for. However, in practice, applications for specialty training open in October of F2, which is very early in the programme, usually during your 1st rotation. This means that you might not have the chance to experience all the specialties you're considering before making decisions about your specialty career path. This leaves many doctors applying based on limited experiences or relying on insights gained during medical school or early F1. Moreover, if you want to apply for specialty training after F2 you must be building your portfolio throughout later years in medical school and F1.

Even if you’re not 100% sure what you want to do, start narrowing things down in med school or early F1. You’ll be surprised how quickly October of F2 rolls around— having some portfolio evidence or specialty-specific insights by then really helps.

Misconception no.5: No spare time!

As a foundation doctor, you’ll have more time than you think—yes, even with nights, long days, and weekend shifts. But to truly make the most of it (and protect your wellbeing), you’ll need to be intentional. Plan your annual leave around zero days and weekends to create longer stretches of rest, and use those windows to actually recharge—not just catch up on life admin. Whether it’s a proper break, a weekend away, or just time to do nothing, prioritising rest is just as important as ticking off portfolio tasks. Burnout is real, and planning your time well is one of the simplest ways to guard against it.

When the rota drops, grab a calendar and block out any golden weekends or clusters of zero days. Then, slot in annual leave strategically to stretch out your time off. Even adding just one or two days can turn a regular weekend into a mini reset—and your future self will thank you for it.

Starting foundation training can feel like stepping into the unknown—but the more informed you are, the more empowered you’ll feel. Whether you’re navigating portfolios, planning your career, or just trying to find your rhythm, you don’t have to figure it out alone.

That’s exactly why our Enrichment Programme exists—to support current Black medics with mentorship, guidance, and community. If you're a final year medical student looking to get ahead with confidence, connection, and clarity, this programme is for you.

 Applications are now open—find out more via this link