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What motivates some people to pursue medicine or leave it? What happens to the medical student who dreads the prospect of a doctor’s responsibility or the junior doctor who took maternity leave and was no longer respected professionally? What about the international medical graduate who is repeatedly declined by the training programme of their choice or the registrar who believes they have chosen the wrong specialty for themselves? These are just some of the individuals that Dr Caroline Elton has encountered in 20 years of working with medical students and doctors.