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waiting for it to go live here, and then I'll introduce you. Mhm. Cool. Okay. Hi, everyone. And so welcome to the radiology breakout session. Uh, we're really lucky to have Doctor. Uh, yes, sir. Who has an S t six and interventional radiology. Um, who's going to just talk to you about his career? So stage is yours. So mine is? Yes. I'm one of the interventional radiology showers in the northwestern area in England. Um, so I'm an S t six. So, um what what do I do? I guess it's probably a good good place to start is, um So being an interventional radiologist, you are still a radiologist. So you do reporting. So when people come in through, you know, with through the door and they need a scan, for whatever reason, I report those scans. So this morning, I've been doing acute CT. So, you know, any time any patient needs, um, you know, an acute scan for, you know, bowel obstruction, etcetera, or a CT pa for a P, then that would need to be interpreted. So I would interpret those, uh, and then this afternoon, I'll be doing procedures. So these procedures are generally sort of a few things that they they'll be sort of, um uh, access, access based, um, you know, procedures. So lines, tunneled lines, Hickman lines port and then, um, even say stents. So endovascular aortic repairs or stents in, you know, in the legs, Um, and then angioplasty as it is, the other bulk of the work. Um and then there's a whole branch of sort of non vascular intervention. So all of the all of the ones that I just mentioned, we're vascular intervention where you sort of do procedures within blood vessels. And then you've got non vascular intervention where you do a procedure like drains come, someone comes in with the city's image guided drainage, or someone has an abscess, you know, in a difficult place to get to maybe ultrasound or CT guided. Um, so, um, that that's that's one other facet, and then you've then got more complex nonvascular interventions. So, like a nephrostomy. So someone's got ureteric obstruction, and they need some form of drainage of the kidney system. So put a needle in, put a drain in and let the urine sort of divert or or the same same thing in the liver in the bio duct. So to sort of p t. C, which is a percutaneous transhepatic cholangiogram. Um, and basically getting into a bio duct with a very fine needle and then draining off the excess bile. Um, usually in a case of, um, pancreatic malignancy. So, um, so that that's basically the the stuff that I do on a on a daily basis. Um, so, yeah, it's It's I'd say it's the best specialty. Um, you've got a good balance of, you know, like reporting away from patient's. I mean, you've got patient interaction. Um, uh, so, yeah, the pathway to get into radiology. So, um, so I'm gonna I think you guys are all left. One's left, too. So once, once you finish, once you're in, you're f two year about now, you can apply to do radiology. Um, and it's straight from F two, if you want. They accept people from court surgical poor, you know, core training of other specialties. Um, but I I came in straight from F two without a taking gap here. And once you have to sit an exam it's called is the MRSA is the same exam for G p and very supper specialties that use them these days, like the s a t type thing. And then, um if you score, uh, you know a certain level, then you get invited for an interview, and then the interview has two stations. The first station is like, um, you know, it's like a portfolio review station and second stations, like a commitment to radiology station. Um, so, yeah, um, you know, and they assess for things like, um, you know, uh, you know, taste of weeks audits in radiology publications, presentations. Um, you know how engaged you are with the sort of radiology. Uh, you know, field basically, um, things that you will, like, pick up if you go on a taste a week because you'll meet radiology trainees that will guide you through the interview process. So So there's that. So if you're thinking about applying, then that's a really good good thing to do. Recently, they've they've changed it from, Um okay, just, uh, just apply for radiology, and then you can also apply specifically for interventional radiology. From the get go doesn't mean that you're committed to doing interventional radiology, but it gives you the guarantee of doing intervention radiology? Because once you hit s t three, um, then you've got to make a decision about what kind of specialty you do. So there's either general radiology or interventional radiology, and then some people have sub specialty interest, so they choose to become just sort of a chest radiologist. Um, So, um so, yeah, so So the radio training program. So just I just finished for answer the question. So the radio training process five years, which is relatively short compared to the hospital specialty, right? Other special hospital, especially, which is great. Um, And then you have to do a six year to do interventional radiology or neuro interventional radiology. Um and yeah, that's that's that's That's the sort of play a flow chart. So the application stage is when you get in and then, um, if you want to do intervention, then you may need to reapply at ST three, but equally you can apply for the ST one in interventional radiology. And if you change your mind to do diagnostic, then that's fine. You'll still become a diagnostic radiologist. The work life balance, I'd say, is probably one of the best in the whole of the whole of medicine. Um, you know, you you I mean, I don't know what the sort of set up is specifically in Northern Ireland, but, um, you know, you you you generally, um, work, you know, quite intense for for for short periods of time. But it's, um um you know, you get decent, decent support, there's a you know, you're not. There's not so much like, um, patient interactions. So you you can be left to be a bit more, um, efficient so you can report CTS one after the other. Um, you generally have a quiet space where you can report. Um, sometimes when you're doing the acute side, then it can be a bit busier. But in terms of work, life balance. Yeah, there's generally not so many encores because you get out of our services that support hospitals. So, um, out of hours, you're less likely to get called in. Um, you know, it's generally a Monday to Friday 9 to 5 type job and the way that the S p A system works, you generally only work 3 to 4 days. Um, a a a week. Um so, yeah, in terms of work life, and I'd say it's one of the best, and you actually get trained properly. So in in most specialties you get you get sort of thrown in and you're basically the pediatrician or the, you know, the medic, and you have to just deal with it. Um, in in radiology, you get in first year, you do not sign anything off yourself. You're literally there as a supernumerary figure, every all of your work is checked. So you report scan, it gets checked. Um, you know, you get usually 1 to 1 teaching with a consultant. Um, it really is, um, proper training. I'd say the only specialty is that you get that level of training from is anesthetics. Maybe, um, where they literally watch you do it, and they make sure that you can do it. Um, so when you come out as a consultant, you you're pretty. You know, you're you're pretty thorough and good at what you do. Exams are hard. Um, in particular. The second exam is hard. Um, So there's 33 parts to the exams of part one. Is anatomy in physics because it's obviously especially involving radiation and stuff. And then The second part is the written paper, and then the third part is the vibrators. The written paper is, um, particularly hard. But then I guess all the membership exam should be pretty hard. Um, at what stages? So subspecialized. So you make the decision at S T three levels so that you begin at ST four with your sub specialty interest or into so there's only two specialties in radiology, interventional radiology and diagnostic radiology. Um, so within interventional radiology, you can either do neuro or general, um, intervention and then within diagnostic radiology. You're technically signed off to be a diagnostic general diagnostic, radiologist. But you you basically, in this day and age, you basically just choose a sort of a couple of areas where you want to be interest, you know, have an area of interest like chest or G eye or head and neck or neuro. And you sort of focusing on that. Sometimes you'll have to do diagnostic on cause as part of your consultant job. But, um, it depends on the hospital that you're in and how they how they're set up. But yeah, I'd say it's, um it's one of the best specialties you can ever choose best and worst parts of the job, so I'd say Yeah, I mean, it's it's it's you turn up every day and you're basically dealing with clinical, um, conundrums. Um, it's like turning up to work and dealing with puzzles. Um, you know, uh, worst parts of the job there. There is a lot of work Everyone wants to scan. Every wants to scan now. Um, so you do get inundated. Um, but, you know, you you work. You work. Um, you know, you work within your limits. Um, you know, you don't necessarily stay late per se. I think only in really intervention do you might you stay late when a procedure is overrunning, um, due to unforeseen circumstances. But even then you are You are, you know, a lot of the time if it's getting on later in the day that the patient might get canceled. Doctor said that's us run out of time. Would you believe 10 minutes goes really quick? Um, thank you so much. And thank you for just answering the questions as to come up in the chat box. Um, everybody's answer or everybody's question was answered, so thank you. so much for your time. And if everybody wants to move out, this is our final breakout room now. Thank you so much. No, it's just