BMA resident doctor leader Dr Jack Fletcher said the “resounding response” should leave the health secretary in no doubt about how badly he has just fumbled his opportunity to end industrial action.
“Tens of thousands of front-line doctors have come together to say ‘no’ to what is clearly too little, too late,” he added.
He said any solution had to address pay.
But he added the union was “committed to ensuring patient safety” and would be in close contact with NHS England throughout the strike to address concerns as they arise.
Rory Deighton, of the NHS Confederation, which represents hospitals, said: “It’s bitterly disappointing that the BMA has rejected this offer and chosen to continue with hugely disruptive strikes.
“These strikes come at the worst possible time, with rapidly rising flu levels putting huge strain on hospitals.”