Recent changes to medical career pathways have resulted in the introduction of a range of career support activities by medical education organisations. This doctoral research took a case study approach to consider how coaching can support doctors to make career choices. Data was collected through interviews with 18 participants. The findings have been combined into a career coaching framework for working with doctors. Coaches and doctors identified three groupings of metaphors which either: i) conceptualised a career in medicine, ii) described how doctors gain insights through coaching or iii) were specific to career coaching for doctors.