Junior doctors in England are to go on strike again later this month and early next year, after talks with the government broke down.
The British Medical Association (BMA) says it will call on members to walk out in December before Christmas and again in early January for several days at a time.
The first strike action will take place over three days from 7am on Wednesday 20 December to 7am on Saturday 23 December.
The second walkout will be held over six days from 7am on Wednesday 3 January until 7am on Tuesday 9 January.
The BMA told its members: "This means you should not attend any shifts starting after 6.59am on the first day of strike action. You can then attend any shifts starting from 7am on the final day."
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BMA junior doctors committee co-chairs Dr Robert Laurenson and Dr Vivek Trivedi said it was "forced to call strikes" as the "government was unable to present a credible offer on pay" after five weeks of intense talks.
"Instead, we were offered an additional 3%, unevenly spread across doctors' grades, which would still amount to pay cuts for many doctors this year. It is clear the Government is still not prepared to address the real-terms pay cut doctors have experienced since 2008," they said.
"It is a great shame that even though the approach was more constructive, there was not enough on offer to shape a credible deal, which we hoped would end the dispute. Without enough progress by the deadline, we have no choice but to take action that demonstrates doctors are as determined as ever in reversing their pay cuts."
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