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Ok. Hi, everyone. It's great to see you all. Thank you so much for coming and joining us for our second session in um for our, our practical guide to ECG S. My name is Jojo Mansel. And by background, I'm a cardiologist in training. And at the moment I'm doing a phd at the National Amyloidosis Center, which is fantastic. If anyone has any aspirations to come and do some research, get in touch. And I'm also the women cardiology and BJC A representative. It's a pleasure to introduce Emily Morris, who's gonna talk a little bit about tonight's session, which is being led by Doctor Jenny Rainer and thanks all for joining us. Hi, everyone. Good evening. So we're gonna start by really going through the ECG side of this. So I think some of you will have met Doctor Rainer in the last session and she's gonna start by guiding you through some new, more exciting ecgs. And then at the end of the session, we're gonna have sort of 10 minutes where we're gonna talk through pathways to how you can become a cardiologist if that's something that you're interested in. Um So I'll hand over to doctor Rena now. Thank you. Hello. Hi. Well done for making it back. Um, as Emily said, this is the more exciting session. These, these are more exciting EC GS. So, um, so, uh, fasting your seatbelt is gonna be very exciting. Um, I've just realized you can be a cardiologist, um, without having a Christian name that starts with Jay because last week it was Jenny Jo and Joy. And this week we've got Jenny and Jo Jo and Emily who will obviously at some point be a cardiologist. So, um, it, it is possible. So don't panic if you're not a Jay. Um Right. I'm going to share my screen. She said we've mastered this this week. Oh, no, Emily, I said it was working and it's not working. Right. Take two. Now, I think the problem is, can you see my, um, EC GS there? Yeah, we can see the ECG S the whole screen and your mouse? Oh, ok. Uh, fingers crossed. So, actually, if I go to slideshow, hopefully that will do the trick. Can you see slide show? Now, we still see the whole screen with all the slides? Mm OK. We could do it like that, but it's much better if it's in slow, isn't it? Sorry? This was working until, uh, until we started the, the thing. Uh, let me stop sharing that one and then I've just seen that we've got a question in the chat about the recording for the sessions. So we will release the recordings to part one and part two of the ecgs once we've finished today. And if you're also looking for recordings from the previous sessions or any of our other sessions in the future, they should be available on the sort of the B CS learning pages and we'll be in touch with all of our sort of people who attend the sessions about that afterwards. Apologies for the slight technical difficulties. Emily, slight challenge, I can't join the chat. So if I drop out everyone, I will be joining again immediately. Um And if the chat won't work, we might just stop a few things verbally if there are any questions as we go along, uh that Doctor Rainer can answer particularly if people have similar questions and otherwise at the end of the session, I'm sure Emily just said this, we'll go through all questions. So please make a note if there are any ECG S you want to go back to. So I think what we might do while Rena is just getting her slides ready for this format, it might be an idea that we're going to do the career section now briefly and then we can switch back to the ECG S at the end. So I apologize for the slight change in the running order, but hopefully you're able to see the slides now. So I am a current academic F two and I'll be going into I MT training this year. I currently, so I've gone through the process. I ranked 29 out of 6000 nationally. And I'm here today to talk to you about the process of I MT applications. And also how can you sort of end up specializing like Jojo and like Jenny have into cardiology. And if you're looking for a really helpful guide on this, we have produced a becoming a cardiologist document, which is available on the B CS women and cardiology website. Currently, it's the 2024 version, but the 2025 version will be released next week. So what are the different pathways that you can become a cardiologist? So I think traditionally there was a very conventional pathway that you went to medical school. You did your two years of foundation, you did your three years of internal medicine training, then you moved on to cardiology training and then you became a consultant. But as time has gone by and our trainees have had, you know, we're becoming a more diverse cohort with lots of different interests. This pathway is becoming a lot more flexible. So people are more commonly taking time between foundation and I mt whether that's taking, you know, time to go, traveling, time, to go to Australia, time to complete a fellowship and something you're interested in. Some people are also doing P hds slightly earlier in the training process. For instance, after foundation training or internal medicine training and there's also an emerging group of fellowships. So you can complete fellowships sort of after I MT training. If you're looking for more cardiology experience before going into higher training, or you can complete fellowships between the cardiology reg jobs and becoming a consultant. And these can be very flexible in the UK or abroad. And as we say, a lot of people also complete P hds. Normally this is done during your cardiology training, but there's flexibility to do this at different points in the pathway. So what are the shortlisting criteria for I MT? The good thing is that if you prepare your I MT application very well, that will bode you in good stead for your higher specialty training applications. So for I MT, you're gonna be shortlisted based on five domains which are gonna be presentations, publications, postgraduate degrees, quality improvement and teaching and teaching is divided into experience of teaching. So how much teaching have you actually done alongside your training, qualifications? And this slide just provides you a good overview of what points you can get for things. So if you've given an oral presentation, either first or second author at a national or international medical meeting, that gets you six points. And I would say a really good conference to target is the National Foundation Doctor's Presentation Day. This normally happens in January, it's run by the UK FP and it's free and they often are good at accepting sort of audits or quality improvement projects. So this can be a good way to get a free chance to present nationally publications to score. The maximum point of eight you need to have it has to be original research. So this wouldn't be review articles or opinion pieces. Um That's you need for the full eight points. Postgraduate degrees are traditionally quite hard to get either you have them or you haven't. People aren't going to be doing P hds just to get points for I MT applications. And the important thing to say is that integrated degrees don't count for points in this area. Quality improvement project is a good, easy way to score a reasonable number of points quite quickly. And during your foundation training, you're required to do an audit in your second year. So if you do that early, you can get two cycles in which gives you the maximum five points. Teaching actually gets you a lot of points out of the total available if you've helped to deliver a three month teaching program with formal feedback that gets you a maximum of six points. And a lot of people do this during F one and I myself did a program trying to bridge family, your medical students from, I guess your last lecture to your first shift. And there's quite a lot of people that do this across the country and then there's training and teaching. So if you have a PC APG cert or a master's degree that will get you three points for training and teaching. Uh and you can get one point for any other training. And what people normally do in this domain is there's a two day teacher, the teacher course, which you can do online or in person costs around 400 lbs. And if you're a foundation trainee, you can get this funded. So again, that's quite helpful. But what do these points mean? The important thing to say is you're not expected to score the maximum points in each domain. This was the application score distribution for the last year. And if you got 15 points or above, you were shortlisted and you can see there's a whole wealth of different points. So if we go back to that slide, what do you need to get 15 points? So let's say you've done a teaching series locally which gets you six points and then perhaps you have a publication by your second author.