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Yes. Ok. Um it turns out I need to press a button to start. I just go live. It should do it now for you. It should be live now. Yes, thank you. All right, fine. Um So yeah, yeah, starting from the beginning. Yeah. Yeah, no problem, no problem. Um So I've just got that over there. So I just said, yeah, the things I'm probably gonna go over is the training pathway in the UK, how to get into co surgical training and what you need for ST three training. Um and then going over the speciality and going through some interesting cases which I think everybody likes. So the training pathway in um in the UK, it's not like other places. Um, we have two years of core training, which is called CT one and CT two. it used to be that if you wanted to get a run through job, you when you were applying for core training, there were some jobs that you wouldn't need to reapply. Um, but we don't have that for plastics yet. It could be that when you come to apply that might exist. Um because there was some chatters that, you know, that could potentially make it. So after CT one ct two, you then would be doing your MRC S exam, that's called your member of the Royal College of Surgeons exam. And you would need that before you start your ST three. really the best time to do that is an F one F two. I think you might have to be at F two to do it, but the earlier you can do it the better and it will actually been shown in studies that um the higher pass rate is kind of if you're sitting at around F two time. Um after that, you've got ST three to SS T eight and they say from ST three to ST six is when you're kind of learning to, you know, become the level of a day one consultant. And they're saying that you've kind of reached more or less the final stages of your training just before ST seven. And those last two years is really where you start to get specialist interest and kind of find out what you wanna do and work on that. And then obviously your exit exam is the FR CS exam, which is um the class as fellow overall college of surgeons. You can also um change things a little bit so you can do fellowships, can do, er, year out. I have a friend that's taken six months out and he's gone kind of trekking all over America. Um A lot of people these days are doing less than full time training, probably kind of like 20 30% are doing that. Um And it will extend your time only a little bit. So I graduated in 2016. Um I had my f one, I did respiratory med psychiatry and colorectal surgery. Um I think it's good to get experiences from each thing psychiatry. For me, there was a lot of time to do portfolio stuff. So I managed to do an audit, I managed to get my portfolio, things done and I managed to do um I managed to do some research. So if you get something and you're not, you know, you might not be keen on it, but there's definitely opportunities there to get things done for the future. Um So colorectal surgery was my first surgical job and, you know, where I did it was good because it expo exposed me to all the different surgical specialties. So we did urology, vascular general surgery. So I got to kind of get a taste of a lot of specialties and decide what I wanted to do. Um Then during my f two, I did A&E and ent surgery as well. Um I think ent surgery is when I started to decide that I wanted to do surgery. Um in ent you get a lot more hands on experience. So you get to do a lot of practical skills. Um And there is a lot of overlap with plastic surgery. So things like rhinoplasty, they will do ear reconstruction, they will also do parts of that, some head and neck surgery they will do. Um, so I knew I wanted to do surgery but I wasn't 100% set on plastics cos I had never done it. Um And then I did my, I did like an F three and I decided that I wanted to try and do some plastics experience and decide what speciality, you know, I wanted to do and that I definitely wanted to do plastics. So, um I think I didn't get into core training the first time, but like I said, if you have a bad experience, just think, you know, how can I make the best of it? Um And I applied for some different jobs in, in plastics. Um And kind of overnight I got an offer from um Saint Helens and Wis um and I think that was probably like a very good decision I made. Um And I got a lot of experience there and it really solidified that I wanted to do plastic. So I was really gunning from it at that point. Um I also wasn't sure where I wanted to do my core training, so I wasn't sure which um which deed I wanted to do it in and that can really change things a lot. I think if you're getting a deanery that maybe is not as supportive or doesn't have the same resources. Um, you know, it might not set you up good. So I tried different hospitals and decided where I wanted to go. So I decided that I'd want to do my, um, I did my core training down in the West Midlands. Just cos I've done a lot in the north west and, um, I wanted to try something, something different. Um, so I'll go over the core surgery recruitment. It's changed a lot since um I applied for core surgery. If you scan the link in the middle, it should take you to the NHS website and uh there they've got the portfolio breakdown very well. Um On the right, I've just got what you need for the max points. Um So to, to apply, you go on oral um how it works now is when you apply, you'll be getting an invitation to sit the M SRA exam, er, from what I understand that's free. So you don't have to pay for it. And then the top 1200 applicants will get invited to do the interview and that's on the Keeper Commer system. Um Some universities use that as well. So you might have, you might have used it to do um admissions for university potentially. Um and they will then invite you to upload evidence. So they'll use a combination of the M SRA score and the interview, um the interview points to determine what rank you'll get and then you'll rank your job. So the application, um, the competition ratio this year, er, was 4.17 to 1. So to get max points, it's split now into a few different things. And I think there's some things you can do kind of from day one to try and improve your chances of getting into core training. So, operative experience, you only need more than 40 cases in your logbook or if you don't have that, you can do surgical taste a week, a surgical elective or even if you do a surgical placement in your foundation, the foundation, um, years, they take that as well, which is, um, which is quite good. Um, in terms of what you should do, not everyone should have ae surgical logbook, which I hope everybody should have. Um, and you definitely should be trying to get cases in there. Um, so I think to get over 40 cases before you apply for court training should be very doable. Um, in terms of audit, they're saying that there's two ways you can get max points, you can be involved as a lead in all aspects of a surgical audit and you need to demonstrate change if that somehow. So that can include closing the loop or if you measure the change some, some way else and you've, er, presented it, er, if you've not been the designer of the audit and you haven't done it, you could what, instead what you could do is actually present both cycles of the data at a meeting. Um That could be maybe like a local meeting or a conference. And even if you haven't done the audit, that will also give you max max points, um, presentations and prizes as to where it gets a bit harder. So you could get top prize for an or presentation at a national or international meeting, which um probably will be very difficult to do. But if anyone has already done that then that's great. You've got max points. Um, the other way is if you're the first author of any PUBMED publication, er, but it can't be a case report. Um, so again, that's definitely something you could do from now until when you wanna start core training. Um, and if even something you guys could do together, you could do joint first author ship, they'll accept that as well. Er, and then the final thing that they take now is the teaching experience. So, organizing a face to face teaching program four more teaching sessions and you have to deliver to at least four of the sessions. Um, so it's quite, it's a lot easier since, um, what it was like beforehand, they don't take CPD into account and things like that. Er, I think the argument was that you would, you could pay for that and if some people couldn't afford it, it was, it wasn't fair. Um, does anybody want to know what the actual interview itself is like or does anyone kind of already know what the interview is like? I think that would be interesting because I, so the interview a split into three stations and each station is 10 minutes basically, and the points are equally split between them. One of the stations is your portfolio station. So these things that you're submitting here, that will be one of the stations and then there's two other stations. Um One is clinical. So you'll have two clinical scenarios, you'll stand outside a room and you get to read them and then as you go in, you'll have to act out that clinical scenario. Um So they'll ask you things like what is your initial diagnosis? Uh What is your management plan for this patient? Um They might give you things like ABG S or blood results and say uh you know, what, what does this person need? Um So that's, that's one third is the portfolio. One third is the clinical and then another third would be like a communication skills station. So they can ask you um ethical questions or they can ask you to do um um presentation. So sometimes they can ask you to preprepare a presentation that's about five minutes and then the other five minutes they'll be asking you ethical questions. So they could say like, you know, you've gone to consent a patient and they are like they're 14 and they say that they want the surgery, but they said that their mum can't have it, you know, what would you do and then they go through things like that. Um, so it's, it's not too bad to do and there's really good resources out there. Um, I have loads of like the past, past questions and things in a work book that's quite useful. So I can definitely share that at some point. Um Fine. So if you go on Aureo on the left, that is what it will look like. And I'll just show you me searching it up. So you log into Aureo, I think anyone can make an account. So you log into a here and then the best place to find out this information is you go go to the vacancies and then for the search, you can type in core surgery. Oh sorry, core surgical, core surgical training. So there's a separate one for Northern Ireland and a separate one for everywhere else. You can just check this every year. You can just even go to application summary or go to the links and you can just see yourself every year, what they've changed. That's the best way really to see to see what you need to do. Does anyone have any questions about um applying for core training or core training? Um I was going to ask, I know how the foundation training like competition rates vary depending on. Is that similar with course surgical training applications as Well, yeah, so it changes every year how they'll normally do it is there'll be like an Excel spreadsheet of, let's say, like 400 20 or 500 jobs. Um, and some of those will be plastic themed, like some of them will have plastics in them. I think last time I checked, maybe like 2025 of them had plastics in, um, maybe like 15 or plastics themed, but a lot of them don't have plastics in so they don't publish the specific competition ratios for those. Um But obviously y you have to score quite highly to get co training with plastics in it because there's not a lot of them. Um So I think, yeah, definitely you should need to be trying to score higher to get a core training with plastics in it. Um It's not a, it's not like essential because you could maybe do orthopedics and do plastics related things or do ent and do plastics related things and then maybe like take a year out and try and get numbers elsewhere or something like that, but it's definitely more difficult. I think you're definitely on the back foot. Yeah. Ok. I can find the list of the preferences. So it should have every single job in the UK at the moment from like 1 to 500 I'll show you exactly the breakdown of them. Yeah, behind the things. Fine. So that's going on to Aureol. Um So next I'm just gonna go over plastics are the different subspecialties within it. And then underneath them, I've put, when you're how many numbers of these cases you kind of need to collect. So you can see burns on the left. Um This was a patient I was involved in that had, that's got a superficial partial thickness. Burn all the way to the back was quite big. Um So in burns, it's normally split up um in the UK following the review of the burns services. Um So now we have burns facilities, um, burn centers and burns burns facilities, burn centers and burns units. So burn units would be where the biggest, the biggest things would go. Um So as you're in, when you're in ST three burns excisions, you need to be getting 60 of them over your whole training and then in burns recesses, you wanna be getting 18 of them and we classify that anything above um, 20% in an adult will need resuscitation with fluids. So we get a mixture of flame burns, um, chemical burns, um, mostly scold in Children and a lot of contact burns in elderly people. Um, cle and palate surgery is quite specialist. You probably, you're only gonna see it if you're doing a children's rotation or, you know, if you'd got training towards the end of your training, you'd kind of be doing a fellowship in it. Um We are expected that specialist training during our training to either perform or assist on 35 of them probably would be difficult for someone to perform them unless they really, really wanna do collect. But we, we do get involved with them. Um Craniofacial again is a rare specialty mainly only in children's units. Um And I think that we don't have any index procedures that we have have to get, but it is subspecialty if people are involved. Um Some of the more common ones, head and neck in the middle. Um We deal with like lymph node surgery. So we have to get 15 lymph node surgeries that can be in the axilla or the neck. Um So neck dissections, things like that. We also deal with like carotid surgery, um tumors of lips, eyes, nose. Um we'll deal with facial recon and yeah, cancer surgery for node clearance, hands on the right is a very big part of our workload and some places it's done by orthopedics, some places it's done by plastic surgery and even what they do will vary. So here at Salford, um we get a lot of distal radius fractures, a lot of other places. It would be mostly orthopedics that deal with that kind of thing. Um But so there is crossover in some units and there's some kind of territorial arguments between them. Um We deal with hand fractures, um tendon injuries. So replant putting digits back on and arteries and nerves. So anything really from the wrist to downwards we would deal with, with everything, which is why I think plastics are such a nice specialty because we've got a lot mixed into it. We've got micro uh vascular repair, you've got your bony fixation, soft tissue management. Um So it's really varied. Um And then on the left again, some places will do this hypospadia surgery normally. Um We do hear like a vulva plastic MDT. So reconstruction of some vulva cancers and then finally, um, skin and soft tissue, lower limb and oncoplastic breast surgery, lower limb, we wanna be getting about 35 cases in our training, er, breast surgery, we need 20 breast reconstructive numbers, er, 27 free flaps and that can include the, the breast ones, er, and then skin and soft tissue do quite a lot of the workload. We wanna get 100 of those in our training. Um, and I think people take it for granted, but it's a really useful technique and you really learn techniques that you can apply to trauma surgery and other things. So it's, um, if you're just starting off, I think when you're doing your core training, you wanna get really comfortable with that stuff and you can apply it to a lot of the surgery, even aesthetic surgery. Uh, does anyone have any questions about the like subspecialties? Yeah. Right. I'll move on. Um, so I'm just gonna go over some interesting cases just to give you an idea of kind of what we do day to day and, uh, some other cases. So this would be like a skin and soft tissue, er, reconstruction from a, from a, um, I'll ask, actually, does anyone know what it is or what it could be? You can, you can message in the chart, can read it. Yeah, it is acc. And what do you think that reconstruction is any ideas? Well, I'll tell you it's a, it's not just like a local flap. So you can see that that's a sec. You'll fully remove it with a clear margin around it. And you can see here we reconstructed it with, er, a hatchet flap and this is the same kind of incision actually you would be using to do, um, for a facelift. So you see that the, the scar is sitting quite nicely in the hairline, you go all the way down if you were to extend that you could get underneath and dissect out some of the, er, smart lade to do a face lift, but it's the same kind of principles that you can apply to a lot of things. Um, even aesthetic surgery. So it's, it's really, really nice surgery to do, to gain confidence and understand things. Um, and then again another soft tissue case, um, anyone know what this flap is called by any chance it's really common, probably one of the most common ones might even know how to do it. All right. This is a er, yeah, rhomboid. So rhomboid, another name for it is Limberg. Um, because it's a circle, it's technically like we call it like a square peg, round hole flap. Um, so this is a big skin cancer. They removed all the way down to the muscle and that's what it looked like on the left after the surgery. And you can see it gives a really characteristic, um, question mark, backwards, question mark, like Riddler kind of scar. Um And you can see on the right, he came back to clinic a couple of weeks later, um took the stitches out. So it's healing quite nicely. So, you know, you can get a really good result from these. So this is, this is a case of a dog bite. So you can actually start to kind of see how you can apply those kinds of principles to other things. So this lady was due to go to her son's wedding. I think it was in about six weeks or so. Um had a little sausage dog was kind of bending over to feed him something or to pet him or something and our sausage dogs do it just got angry at her and taken off, you know, a small chunk of her face. Um You can see here on, on the bottom initially, it was a bit murky. So we had to had to cut things away, debride the debride, the tissue that had been bitten by the dog and we had to kind of take a decision of what we would do with it. So we closed it a little bit to begin with and we decided to do a flap on it later again. You'd treat it exactly. Kind of the same as a skin cancer, even though it's a, even though it's a traumatic wound and she got a really good result. I don't have any pictures yet of her scar healed, but I know she's really happy with the result. Um There's also some other interesting things we do. We use like lee therapy. Um This is maggot therapy we use. So it's small bags of maggots that we use in wounds to debride them. Um Interestingly, they cost about 100 lb a bag, which I think is quite a lot. Um But, you know, we use a lot of technology. Um, we have got pineapple dressing wounds that we use to also debride tissue. Um We've got silver and copper based dressings. Um We've got synthetic dermis to reconstruct wounds. Um So, you know, it's really nice that we have a lot of technological advancement um in the field and I think we're probably one of the fields that have got the most um in technological advancements. You know, we normally get things earlier than other people. This is the case um of diabetic foot wound. Again, you can see reconstructive options. So we're putting BTM on there, which is artificial dermis and then he's had a skin graft over it and this is a dog bite again with BTM and it's had a skin graft over it. So you can see um similar kind of techniques we use for skin cancer really work well in other places. Um, and then I've just got OV, gone over where I've done my core training. So I did, um, TN O and Spines, er, did general surgery and then I did plastic CT one and then CT two, I did, er, po and plastics and then um Queen, I worked in Queen Elizabeth down in Birmingham. So that was just to mention that there are like other routes available. Um, so that you do get, this is the military hospital. So we do get a lot of people from the military um, that also trained with us a lot of the consultants and regs. So that option is also available if anyone is uh is that way inclined? Um, this was me, sorry. Yeah, so I was gonna go over the ST three requirements for 2025. Um I've not managed to get them all on here yet, but I wanted to go through them with you. Currently, the competition ratio, it's 4.23 for plastics, which is not too bad and I'm just gonna talk you through what you will need for that. Um Does anyone have any questions about applying for ST three? I know it's a long way away. You can type in the chat if you want to as well. I don't mind, I guess, would you say like applying to core surgical training or applying to ST three was more difficult of the two. Um, I think co applying to core training has got easier. Um, I think, I think, yeah, ST three is ast three is a lot more difficult for sure. Um, I think there is, I think it's also getting like more and more competitive. Um Yeah, worth things worth about thinking in med school. So I'm gonna take you through the or old page now for, for what you need to apply. So this is the application for ST three and plastics. Top one is how many years you've been in practice? So they used to penalize you quite a lot and they had a little bit of a secret formula behind the scenes that they wouldn't tell you. So it would sometimes take like 20% of your marks away. They, they wouldn't really tell you what it was, but from what I understand, um they would take away percentages of your marks. Now it's not as bad. Now you max you can get is six points and that's if you've less than five years of practice. So if you did F one, F two CT one CT two a year out and then applied, you'd be getting max points. Um But now you're like 5.1 to seven years, you're only dropping two points, which is, which is hardly anything. Um, so I think how you hard to get penalized now and you can pick up way more points in two years. So it's not a big deal if you don't get in straight away. Um, MRC S is just a, a requirement. You don't get points for it. You can see here the applications is split up into, um, hand trauma. Here, it's split up into bends and it's split up into skin cancer. So I'll just go over what you need for that. And I can also send this in a file to you guys. I think if you uh what um what portfolio do you guys use for med school? Uh I don't think there's necessarily a specific um type, you just kind of store it anywhere. I think if um I think you can apply for I CPI think if you could do that, you could maybe start to get tickets early for this kind of stuff and it would, it would count to be fair. So how it works for ST three is you have this matrix ABCD E and to get to the next level, you need three of these, you need evidence of three of them. So as a med student, you could or an F one or an F two, you could definitely start to be doing nail bed repairs when you're an F one or F two and whatever portfolio system they use, then if you use that and get tickets for it, then it will all count and you have to do a lot less later. So, nail bed repairs, um extensor tender repairs. And then you can see flexor is your max point. So you would need three of each of these um for fractures, manipulating fractures, which you can do if you do F one or F two or job or you do an A&E job that counts, try and get tickets done K wires. Um putting metal work on fractures, that's something you probably have to do when you're actually doing the job. Um nerve group just suturing a skin wound counts. So if you can get three tickets suturing a skin wound, that's you already one point you've got for the rest of the applications. Um and then you got onto nerve repair, mixed ner repair and nerve graft. These will be harder to do, but you might be able to do them in some jobs. Um Does anyone have questions about that part? Fine? So I'll move on to Ben's Ben's is harder. Um Burns resuscitation we talked about again, you'll need three of them. You're only really gonna get these probably in a burns center burns unit or an A&E that maybe is a trauma center that might take these. Er, so these are quite tricky, but again, you need three of these to be eligible to get this point. You need three of these, then three of these same down here cutting out and skin grafting burns. Um And then finally, skin cancers. I think you could also try and do some of these in F one F two. If you were to get a plastics job or a hospital out of plastics, they would definitely let you do these. Um So three of these cutting out the skin cancers, three of them doing full thickness grafts, three doing flaps and then three doing the sentinel node biopsy, which is gonna be quite tricky unless you report trainee. So looking at the things that were for core surgery, um you get four points if you do a full cycle audit related to surgery and you re audit it if you pick a audit in plastics and you re audit that, that will count for your core surgery as full points and it'll also count for your ST three as full points. So again, that is something that you should be looking at doing, um trying to present it somewhere, um training and teaching hard one if you could be, if you know anyone doing a book chapter, um that would be useful. Um or if you were to not get into course surgery the first time, if you did an anatomy demonstrator role for something like six months, then that would give you good points as well. And then management committee and leadership roles, you can see that um these will be quite easy to get. You can get some at med school. Uh, and then once you leave, there is some organizations like process, which is the Student National Plastic Surgery Society. So if you got a role there, that would be a national role, that would count. National rules for the BMA are always going. Um, plus they sometimes have junior roles that are going. So just keep a look at any role you can get onto. That counts for full marks. Um, higher qualifications. Intercalation doesn't count, I believe. And these are gonna be quite tricky to get unless you really fancy doing a phd for some reason. I don't have any questions so far about that. Ok. The way publications works is a bit weird. So you are allowed to submit for papers. What they then do? I think it's, um, I think it's four now. Yeah. So four papers, they will take the impact factor of those papers and combine them. Er, if your first author you'll get 100% of the points. If your second author, you know, you might get 50%. It depends when they look at the paper. Um, so if you've got five papers and all the impact factors is one, you'd only get five points. Um, so you can see here, it's quite hard to actually get a very high number of points. I guess the tactic with that would be if you could get a paper into a really into a journal that had a really high impact factor, but it would have to not be plastics really because all the plastic ones impact factors is not really high enough. Um But there are some good ones out there that have really high impact factor that you can maybe write papers for um posters. If you've got four posters, you get four points. Definitely start looking at Asset conferences now by press conferences, definitely start to make stuff. It's very easy to get four posters um before you're applying for ST three and then the final one um is collaborative research that can be hard to do, but I'll try and find out if anything's going at the moment. The one I did, most of the ones with is Euro Search. If you sign up for any collaborative research, if you just have two of them, you'll get a point for that um kind of a lot of work to do for one point. But um I think it's good cos you get a publication out of it as well and it is good experience. Do the papers have to be in plastics? Um Let me take a look. I don't think they do. No, it doesn't say that the paper has to specifically be in plastics and to be honest, II listed an ent paper and, and they accepted it so that shouldn't be a problem. Fine. Has anyone got any other questions? I'll give you probably like 5 10 minutes if you wanna ask anything, pick my brains feel free. Um, I was gonna ask, you know, for the surgical cases for like the log books and stuff. Do those be within the UK or no? No, on, on E log book? They don't really ask you where the country is. They just ask date of birth, um, like an identifier. So, no, they don't have to be in the UK. They'll ask you where they, where it was done and you just put it in. But yeah, it doesn't matter if it's abroad. Ok. Thank you. An interesting thing for like ST three. I found out a while ago as well. Let's say you don't have enough evidence that you've done like three hand fractures. Um If you double that, if you get six logbook cases that are signed off, that can supersede it. So if you're struggling to get tickets, you could get the double the amount of logbook entries. And as long as somebody signs that you can slip in that as evidence and they'll accept it, which is a really good way of doing it, to be honest. Hopefully that is still, they still have that when you apply. Cos it's very good. Not that I ever used it bones. Uh I've got a question on what you just said. Let me show you so you can use different logbooks. When you're F one F two, you might use like Ae Portfolio Horace or something like that. Um, this is what you use normally for surgery. I think you can get it. You might have to, you pay every year. There might be a way where you could get the Deanery to pay for it if your F one F to maybe. Um, well, let's say I do something that's a procedure. Um, I would go here to add PBA ticket. Um, I would go under plastic surgery and let's say I did, um, let's say I did like a nerve repair today. I would fill that out, put the date, put who I did it with or who I want to assess me at the hospital, fill everything out and then down here, I would, I would submit it that then gets sent off and that goes as kind of like we call it a ticket and you can see that that's been verified and you get a grade for it. So this comes back as level four. So it means that I can do this procedure without any help. Um, so when you're applying for specialty training, you need three of those at least level three and level three means you can, you can do it without much guidance or intervention. So obviously you, you have to be able to do it to a certain level. Do you need a GMC number to register for the I SCP or er, no cos I know some, I know some international people that are registered. So II don't, I don't think you need the GMC number, but I think you'll need some kind of evidence of an equivalent medical degree. You've done somewhere or something like that. If you're a medi I think if you're a medical student, technically you will be ok to register. I think technically you guys do have GMC numbers. You just don't know what they are. Um, because if you were to become a doctor like next year and you look at your GMC number, you'll notice that the number it starts with is a lot lower than somebody else that just came to the UK on the exact same day. So they make the numbers for you. When you start medical school, they do exist somewhere. Ok? Is there anyone that's like tempted by any other specialties or is everyone like, really sure that they wanna do plastics? Is anyone thinking like they're not sure where they don't wanna do co surgery? Like what, what part of the UK? They wanna do it? They're want tempted to go abroad. Thank you. All right, I'll give you guys another couple of minutes if you wanna ask any questions. Er, if not, I'll let you go if anyone wants to ask me anything, if they think about it, uh, they're more than welcome to get in touch with me. Um, and if anybody wants to come shadow cases here again, more than able to thank you so much for that. Talk. It's really interesting. Say that again. Sorry. No, I just said thank you so much for the talk. It was really interesting and not a problem. Thank you. Sorry, I wasn't able to, um, do more. It's been, uh, very busy this, I'm working seven days a week this week and, um, I was doing a teaching yesterday as well, so, er, I was trying to get cases in there cos I think it's quite interesting. Um, you said what part of what pla, what aspects of plastic surgery do you find the most challenging? Um, I think Hansa is the most challenging and I also think that the variety of cases is the most challenging, like most surgeons like general, for example, they'll always be constrained really to the abdomen. They're always in the same place. Um, we go from like the foot to like, and all the way to the thickness as well where we'll go, you know, do a full baloney amputation. We'll do that. So we go through every single layer of the foot, like pretty much everything from there to there, tendons, nerve arteries, um, abdominoplasty where you're going on to the rectus sheath. Um, so we really get involved in a lot of different areas and cos a lot of it is trauma, it's not like a standard approach. You have to think, how am I gonna, how am I gonna do this? Because everything has been moved around. The anatomy is not normal. Um, and then the other thing is, is that there's not really a one correct way of doing it because there's more than one correct way. It can be quite tricky to, to decide, er, like a flap, for example, like what is the best thing to do? So, it's definitely a hard specialty. But I think the, I think the staff normally very friendly. Um, I think the work life balance is better than some of the specialties. Um I think that because you're very highly specialized and not a lot of other people um have had much plastics experience. Like they really take your opinion. Um Like they really, they really value your opinion and they, you don't get too much pushback. They, like they do respect your opinion and they do kind of um take it on board. Whereas I think with the, with some of the specialties, like you do get a lot of pushback when you give an opinion, something that I was gonna ask is like during your time as a core surgical trainee or a specialty trainee, ho how much time do you find you have towards dedicating to building your portfolio? Do you think that it's better to go less than full time to build it? Um There was some research that was done by, I think it's the less than full time, uh less than full time lead for health education in England that was about two years ago. And I think they were saying that people that were less than full time had um were more likely to get the outcome six on the A RCP. Um So I think you do have more time, but normally with core training, you're supposed to be getting a half day of admin a week for your portfolio. Um And depending on the specialty, like, there's lots of downtime you have that you can be doing things. Um So I think if you make like a conscious effort to like find time during the day, like free time to do things, there's, there's more than enough time to, to get all your tickets done. Um And if you think about it, the stuff that I showed you was maybe, if there's three in each, there's maybe like, you know, 4050 it's the tickets you wanna get done and you know, if you have four years to do it, like it's a good amount of time. Um And the other thing as well is a few people that have got quite low portfolio scores, some of them scored the highest in the country after their interviews. The portfolio is only about 25% of your score. The other 75% is the interview. So the most important thing is getting an interview after that, you could probably score very, very, very high and, and get a job if you do well in the interview, I think that people undervalue the the interview. Any ask questions? Fine. Well, thank you for having me, Omar. Thank you everybody. Um If you do you think of anything, please? More than welcome to get in touch? Um I'll drop my email down here. Well, thank you so much. Never will. Right? Thank you. Goodbye, everyone. Take care. Oh, thank you so much for that. Never will. Thank you. Bye bye.