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PlasticSurgery– ST3ApplicationsandInterviewsOverview • What youneed toknow as a Medical Student / FoundationDoctor • Overallapplicationprocess • ST3 Portfoliorequirements • ST3 InterviewWhereyouarenow&whythisisimportantto you • Start preparing early • Will serve you well for CST applications • Applicable for all application processes • Maximise your chances with a sound understanding of what you are aiming for yearstunately, it is very likely to have many different iterations over theApplicationProcess • Long term investment in preparing your portfolio for the application • Competitive process • Invited to interview based upon the portfolio score • Portfolio requires long term investmentTimelineBasicRequirements • MBBS or equivalent • MRCS (Part B passed / on passed by offer date) • Core Surgical Competencies • Employment History • CREST From – • Certificate of Readiness to Enter Higher Surgical Training • Not required if progressing through CST / have completed CSTPortfolio–Y earsinPractice • Less than 5 years – 6 • 5.1 to 7 years – 4 • 7.1 to 10 years – 2 • More than 10 years - 1 Portfolio–ClinicalExperience/Knowledge Hands E A B C D TG Tendon No Nail bed Repair extensor Repair flexor Repair flexor Group Experience repair tendon (Zones I tendon (Zones tendon (Zones – VII) III – V) I – II) FG Fracture No MUA hand K wire hand ORIF ORIF Group Experience fracture fracture metacarpal phalangeal fracture fracture NG Nerve Group No Suture skin Digital nerve Mixed nerve Nerve Graft or Experience wound repair repair Nerve Transfer A minimum of 3 cases demonstrated in the logbook in combination with three procedural WBAs e.g. PBAs or DOPS at performed (P), supervised un- scrubbed (SU) supervised scrubbed (SS) with at least 1 PBA/DOPS being level 3 or 4 assessed by a consultant will be required to score the section Portfolio–ClinicalExperience/Knowledge Burns A B C D E BR Burn No Burns Burns Burns Resuscitation experience Resuscitatio Resuscitatio Resuscitatio n 10-19% n 20-49% n >50% E Escharotomy No Yes BS Burn No Excise/ Excise/ Excise/ Excise/ surgery experience Debride Debride Debride Debride Burn and Burn and Burn and Burn and SSG <5% SSG 5-19% SSG 20-49% SSG >50% A minimum of 3 cases demonstrated in the logbook in combination with three procedural WBAs e.g. PBAs or DOPS at performed (P), supervised un- scrubbed (SU) supervised scrubbed (SS) with at least 1 PBA/DOPS being level 3 or 4 assessed by a consultant will be required to score the section Portfolio–ClinicalExperience/Knowledge Skin Cancer A B C D E SK No experience Excise skin Excise skin Excise skin Sentinel Lymph malignancy and malignancy and malignancy and Node Biopsy close directly FTSG flap closure (SLNB) A minimum of 3 cases demonstrated in the logbook in combination with three procedural WBAs e.g. PBAs or DOPS at performed (P), supervised un- scrubbed (SU) supervised scrubbed (SS) with at least 1 PBA/DOPS being level 3 or 4 assessed by a consultant will be required to score the sectionAudit • A – Little or no evidence • B – An audit relating to plastic surgery as primary author, presented at an audit meeting but full cycle not completed • C – A full cycle audit relating to plastic surgery where both audit and re-audit are completed by the applicant as primary author, presented by candidate at audit meeting and ideally AoA WBAT eaching A B C D E 1 No evidence . Collaborator on book Lead or principle Editor or author of chapter author of book surgical text book chapter 2 . . eLPRAS author or web . . based learning resources 3 . Formal departmental, . Full time (6 Full time teaching regional or months or less) role (greater than undergraduate formal teaching 6 months) teaching presentations role or significant formal part time role greater than 6 monthsManagement/Committee/Leadership Experience • A Little or no evidence • B Undergraduate management role or committee • C Departmental rota or management role • D Trust, regional or deanery committee or management role • E National committees e.g. PLASTA, BMAHigherDegreesrelatedtoMedicine E A B C D 1 None BSc awardedor Masters with less than Full time masters Fulltime MD completed 1 yearof research with 1-2 years of with >2 years (intercalateddegrees awarded research awarded of research do notscore) awarded or PhDawarded 2 . Masters with less than Full time masters with MD with >2 years . 1 yearof research in 1-2 years of research full time research progress writing or submitted or PhD writing or (labphaseor submitted (lab equivalentcomplete) phase or equivalent complete) 3 . Full time masters with MD with >2 years full . . 1-2 years of research time research orPhD (labphaseor labphaseor equivalentin equivalentin progress progress) 4 . . BDS orequivalent FDS or equivalent . MRCP or equivalentHigherDegreesNOTrelatedtoMedicine A B D D E 1 None BSc/BA awarded or Masters with <1 Full time Master’s PhD or Doctorate equivalent year of research with 1-2 years of with >2 years full Post Graduate awarded research awarded time research Certificate of Masters in Medical awarded Education Education (PGcert) awarded 2 . Masters with <1 Full time Masters PhD or Doctorate . year of research in with 1-2 years with >2 years full progress research writing or time research submitted writing or submitted 3 . Full Time Masters PhD or MBA . with 1-2 years Doctorate with >2 research in lab years full time phase or research in lab equivalent phase or equivalentPublications • Up to 5 papers can be submitted • Scored by the impact factor of the journal the paper is published in • Score will be 100% of the impact factor if first author • Score will be 50% of the impact factor if anything else • Impact factor 5 and 1 author = 5Presentations • 4 First authorship presentations at a National / International conference • Must have presented • No points for 2 authorCollaborativeResearchandPI • Collaborative research – • 2 points for being named in published collaborative research • Principle Investigator (PI) – • 1 point for being a PITheInterviewI Portfolio InterviewTheInterviewII Interview Call the Structure boss Consent Clinical SummaryThree of the following areas will be covered in this station -Consent Essentially a speech with potentially some questions at the end Technically could be asked to consent for ANY procedure trauma / emergency / elective patient summary Provided with a background / setting synopsis which may procedure to be consented for include... informationantCalltheBoss Typical scenario is you are the registrar on call out of hours and are asked to review / been referred a patient & you want / need to discuss this patient with the on-call consultant Typically an‘acute / emergency’presentation Patient summary Provided with a synopsis which PC including background may include... Observations & investigations Examination findings Other relevant informationClinicalScenario Typically a clinical photograph / Xray Could be trauma or elective Can be evolving scenario – questions can be related and will test knowledge not only image but related topicsStructuredInterview • This station will cover 3 of the following areas: • Audit • Research • Teaching • Risk and safety • Management • Consent • EthicsCredits-Images • Title Slide • https://unsplash.com/photos/person-holding-yellow-and-white-pen-ZBstHWt9vLc • Hands – • Overview– • https://www.flaticon.com/free- icon/finger_9099532?term=hand+injury&page=1&position=2&origin=search&related_id=9099532 • https://www.flaticon.com/free-icon/fire_599502?term=burn&page=1&position=1&origin=search&related_id=599502 • https://www.flaticon.com/free-icon/cleft- • https://www.flaticon.com/free- icon/injury_508748?term=hand+injury&page=1&position=9&origin=search&related_id=508748 lip_4317831?term=cleft&page=1&position=1&origin=search&related_id=4317831 • https://www.flaticon.com/free- • Burns – icon/ear_9122219?term=ear+surgery&page=1&position=5&origin=search&related_id=9122219 • https://www.flaticon.com/free-icon/burn_10281592?k=1705999158905&sign-up=google • https://www.flaticon.com/free- icon/surgery_8357585?term=surgery+cancer&page=1&position=31&origin=search&related_id=8357585 • https://www.flaticon.com/free- icon/fire_3898712?term=burns&page=1&position=8&origin=search&related_id=3898712 • https://www.flaticon.com/free-icon/superficial-spreading- melanoma_9028888?term=melanoma&page=1&position=2&origin=search&related_id=9028888 • SkinCancer– • https://www.flaticon.com/free- icon/injury_7354433?term=wound+leg&page=1&position=4&origin=search&related_id=7354433 • https://www.flaticon.com/free-icon/lentigo-maligna- melanoma_9028905?term=skin+cancer&page=1&position=22&origin=search&related_id=9028905 • Where you are no– • https://www.flaticon.com/free-icon/superficial-spreading- melanoma_9028888?term=melanoma&page=1&position=2&origin=search&related_id=9028888 • https://www.flaticon.com/free- icon/winner_2997005?term=competitive&page=1&position=62&origin=search&related_id=2997005 • Teaching – • https://www.flaticon.com/free-icon/job-interview_3135682?term=interview&related_id=3135682 • https://www.flaticon.com/free- icon/presentation_609001?term=teaching&page=1&position=13&origin=search&related_id=609001 • ApplicationProcess • HigherDegrees related tomedicine – • icon/presentation_609001?term=presentation&page=1&position=16&origin=search&related_id=609001 • https://www.flaticon.com/free- • https://www.flaticon.com/free- icon/degree_4011160?term=degree&page=1&position=8&origin=search&related_id=4011160 icon/publication_7553800?term=publication&page=1&position=1&origin=search&related_id=7553800 • The Interview I • Timeline – • https://www.flaticon.com/free-icon/golden-ticket_7505544?term=golden+ticket&page=1&position=5&origin=search&related_id=7505544 • https://unsplash.com/photos/soccer-field-qCrKTET_09o • plan_4594149?term=timeline&page=1&position=39&origin=search&related_id=4594149 • Structured interview • Portfolio–Years inPractice • https://www.flaticon.com/free-icon/audit_4308094?term=audit&page=1&position=1&origin=search&related_id=4308094 • https://www.flaticon.com/free-icon/research_3273567?term=research&page=1&position=12&origin=search&related_id=3273567 • https://www.flaticon.com/free- • https://www.flaticon.com/free-icon/law_12735607?term=ethics&page=1&position=13&origin=search&related_id=12735607 icon/diary_1488936?term=folder&page=1&position=57&origin=search&related_id=1488936