In the dynamic and challenging world of healthcare, the decision to ‘act up’ as an intensive care unit (ICU) consultant is a significant step in a trainee doctor's career. 

It marks a pivotal moment where one transitions from the supportive cocoon of training to the forefront of decision-making, all while still enjoying the protective umbrella of being a trainee.

In this article, I share my personal experience to shed light on why I chose to act up, the intricate process involved, and the invaluable lessons learned during this transformative period.