This document provides information to help someone new to working in the UK as a doctor, including: 1) Details on initial paperwork, orientation, and shadowing other doctors for the first few weeks. 2) Advice on adapting to working more independently quickly as a house officer, including tips on maintaining standards, working with colleagues and patients, and dealing with cultural differences. 3) Suggestions for behavioral modifications like being polite, planning effectively, and understanding differences in hierarchy compared to other systems. 4) An overview of specialty exams and areas of interest like leadership, advanced procedures, and medical education topics.