Dr Richard Gordon's first job after qualifying takes him to St Swithan's where he is enrolled as Junior Casualty House Surgeon. However, some rather unfortunate incidents with Mr Justice Hopwood, as well as one of his patients inexplicably coughing up nuts and bolts, mean that promotion passes him by – and goes instead to Bingham, his odious rival. After a series of disastrous interviews, Gordon cuts his losses and visits a medical employment agency. To his disappointment, all the best jobs have already been snapped up, but he could always turn to general practice?