Having gone to medical school, you might as well finish and become a house officer, then you might as well become an SHO, then you might as well become a registrar, then you might as well become a senior registrar, and by then you’re practically a consultant. There almost certainly don’t need to be so many different grades; I strongly suspect it’s designed so that the next step is always just round the corner. It’s the fifty-pound note you chase down the street, swept up by another gust of wind the millisecond before your hand makes contact. And it definitely works. One day I realized—as if
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