Dr Daniel Brimm is a Principle House Officer in Orthopaedic Surgery with Queensland Health, currently working at Gold Coast Hospital. Dr Brimm is also a researcher, with interests in orthopaedic surgery, sports sciences (especially strength sports), medical culture, and medical education. In this episode of Behind the Scalpel, we explore the early surgical career pathways, applying for SHO/PHO positions, and discuss the realities of navigating medical school, internship, residency, and the PHO years. The conversation centres on actionable advice for medical students and early PGY doctors, alongside an honest reflection on what the transition into senior pre-registrar roles actually involves.