Cryptic crossword clue
Overconfident and fired up, failed final medical 8

The most common and most likely answer to this crossword clue is the 8 letter word PRIDEFUL

I've seen this crossword clue in Financial Times
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Buddy explains!

The straight part
We know that "Overconfident" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case overconfident = prideful.
The cryptic/wordplay part
In cryptic crossword there's often an wordplay/cryptic part as well.
This part involves a more complex hint, such as an anagram, homophone, hidden word, etc.
Sadly, We don't have an explanation for this specific crossword clue yet.

What does PRIDEFUL mean?

PRIDEFUL adjective
  1. Full of pride; haughty, arrogant.

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