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all right. I think we'll make a start. Hi, everyone. So this is our first one second. Yeah. Um, so this is our first lecture as part of the career series for Minor Bleed. And we've got Doctor Adrian, who was very kindly going to give us a webinar on anaesthetics A C s anaesthetics as a pathway a bit about the interview, Uh, preparation and other general advice. Um, it could also be the chance to ask questions throughout. We'll answer them at the end. Uh, and you can get these slides afterwards if you fit in the feedback from, um, from provide your email address as well as a certificate. Um, so what I'll do, I'll let the doctor Adrian make a start, and it should be roughly, I think, just under an hour or so. Um, so take care of Children. Hi. Thanks very much. Hello, everyone. Thanks for joining us today, so yeah, my name is Adrian. I'm a a ccs anesthetics ct one, which is always a bit of a mouthful, and I'll be taking you through a bit of a bit about the specialty as well as the application process and some tips for portfolio and interview as well. It is quite jam packed, so I'll be aiming to finish about in about 40 45 minutes. And then please, any questions that you have let us know. Well, we'll try and get around to answering them towards the end. If you want to email me, there's my email address. I bought another screen as well, so please feel free. So, um, for me, so a bit about me, um so that I'll be graduating Then I did an undergrad in physiology at UCL Didn't get into my school first, so I did a first degree graduated medicine 2019 Also UCL. And then I did a standards set off F one F two. The the only interesting part was real appointment to lie to you. So I did go to, um I see you during the curve is the first week for about six weeks. But aside from that, it's primarily standard surgery. Then med, uh, it's like a general medicine. And whilst enough to I applied for a CCS anesthetics training and what my first choice to generate just looked at it, Um, what to expect? I've just popped up the feedback QR codes. So feel free to sort of use that. Get the feedback. And, um, like I said, we'll send you to slide at the end of the four point you filled in the feedback. So, firstly, very important, This is aimed at CT one applicants anesthetics and eight ccs anesthetics are not going through. So you do unfortunately, have to apply a second time, and these will be the bits that will be covering today. Resources anesthetic, a specialty shape of training application process for you. So, resources, I've just listed here sort of you're absolutely necessary to go through. Absolutely. Have a look at the Royal College of these is working lots and lots of really good information about the specialty about the Celebrex, the new curriculum. You can become a member 3 lbs a month, which is like nothing, um, loads of loads and loads of events. Association with the PSA test again, lots of how to get involved. Resources publications webinar the Gap Handbook. So guidance for any system trading is super, super helpful. Um, the Androgel which you will get to know very well if you do put in an application to the anesthetics National recruitment office really again. Lots of useful information. And there's specifically information about the acute care common stem. And I'll explain a little bit more about this because it does come in three different flavors, and there's a lot of misunderstanding around how it actually works in practice again. These are just resources I use. I'm not affiliated with any of them, but I find them very, very useful. Anesthetics interviews The first one do some fantastic quarters on around the interview, the application process, anesthetics interview and hopefully they have pretty identical names. They do a fantastic question bank, which I really, really recommend the obviously Medic interviews book, which is against your bread and butter. If you're going for interviews and then finally am sorry, I use past test and, uh, Pass med, but you've got a few different kinds, a few different ones. MCQ Bank, I think, is the one that people most often say is the most useful one for the M Sorry and again foundation doctors. I I know we might have some foundation doctors as well as medical students listening in, but foundation doctors, you can sometimes get funding towards aspirational activity. So so these courses that you would have to pay for out of pocket, like in my greenery, I was able to get actually funding towards them, so worth asking. So anesthetics is a specialty. Um, what are your key responsibilities? Well, Perry and postoperative care Pre Assessment clinic. There's not very much clinic time, which I find quite good because I'm not really keen on clinic resuscitation and risk or two. As you probably know, there's always an injustice that comes to any rescue in the hospital. You have a big role in metric anesthesia, so you will have to rotate through obstetrics, um, support, and I see you payments and transport acutely ill patients. So there's now sort of a pre hospital branch as well, which is a kind of a pioneer by anesthetist. So if you think about your hands and and things like mountain rescue and events based stuff as well, there's a lot of pre hospital, um, sort of opportunities and anesthetics as well. Um, and wider. Also, education management research points improvement, and this is quite often are in a position because they spend a lot of time in theater when sort of things are just progressing as they should, so that so they have time engage with on sites and other roles and other responsibilities, and it is worth pointing out that anesthetist single largest hospital specialty. So that's that I found interesting. I didn't know. I think only GPS. Technically, a bigger specialty than what? Well, what what sort of person should you maybe be if you wanted to apply and enjoy anesthetics? So definitely liking call Medical science is really good. So if you like your anatomy physiology, pharmacology, if you enjoy procedures and sort of the sort of the mild dexterity that comes with it, um, working well as part of the team so stressful environment, sometimes theaters or for arrest calls so equally hoping under pressure, um, generally need This is very much involved with learning, teaching simulation, that side of things. Um, having to be quite meticulous is always a good good thing, a good trait to have if you like dealing with sort of one thing at a time, one patient at a time. That's also quite good. Um, if you don't want to spend too much time in clinic, but equally don't mind along the wardrobe like I see, it quite often has a long walk around, and if you can function quite as well as quite a proactive member or a hierarchy, that is reasonably flat. But then, if when things to happen, then someone will very obviously rise out of the hierarchy and take leadership in a situation, and then it sort of settles. Buy them lots of 11 on one supervision. So it's a very well supported specialty shape of training. So again, if you have any medical students listening in, it's it's more for you guys. Remember medical student progress on the foundation training and then, you know you might take it so you might also do a medical school school. Do an additional degree and then you progress into specialty training, and then some specialties have an exit exam. Anesthetics doesn't actually so well, come on to the exams a little bit later, but there is no exit exam and then finally sort of see CT, which means completion of training neither GP or consultant. In this case, anesthetics training is divided into three stages, so this is with the new curriculum, so sometimes you might still see that you do CT one c t two and then progress into the next day. So that was the previous curriculum, which is literally changed just now in 2021. Um, and the reason being that quite often, uh, suddenly very young ct three doctors would be left alone, sort of on labor ward for a night shift. And that was quite terrifying. So they've decided to actually extend the first state of training. So it's just been restructured. It's it's not. The overall training is still seven years for single specialty anesthetics, but the first stage has gone from two years, 23 years, and the stage two would be your S C four c five and especially with the sort of that preparation for Sisi preparation for a consultant you can have a look at the curriculum in your own time. I put the link on the bottom and like I said, we'll be sending out a second. All the references are pretending you'll be able to look up yourself, um, difference between core anaesthetics cat and a CCS anesthetics, which, which is what I'm saying. So a ccs is acute care common stem, and it comes in three flavors which is anesthetics, emergency medicine and internal medicine, and basically that the nose, your parent specialty. So it's not like you apply for a CCS, and it's all three in the same one, and then you branch out. You apply for a CCS alongside with its parents specialty. So, like when I applied for anesthetics, it was not possible to apply for anesthetics and a CCS anesthetic separately. When you get these sub preferences for jobs, you literally get the list for all a ccs, anesthetics and all core anesthetic jobs. And obviously you can decide not to preference one or other type of job. But you literally get everything on that preference thing. What a CCS does do is, regardless of your parents specialty, you rotate through six months of emergency medicine. Six months of acute medicine. Six months later, you in six months, anesthetics in the first two years. So everybody does that, and then you branch off according to your parents specialties. So if you're wanting to do, um, anesthetics or anesthetic, say CCs, then those would be your possible outcome. You could do anesthetics alone. You could do I cm, so that's that's kind what you can do if you come up in a CCS background and you wanted to do a trade in anesthetics and I cm, which is my reasoning, for example, for wanting to do a CCS is because you get those additional medical rotations that you need. That is a requirement. When you apply for I see mm Registrar stage Or actually, you can do pure. I see em as well, which is becoming its own pathway. But quite often you still come off in a CCS background and going to, um into, uh, ICM. So just be very, very careful what you apply for, really. If you're applying for anesthetics or a CCS anaesthetics, your home parents specialty will be an aesthetic. So ask yourself that question. Do I want to do anesthetics as my parents specialty in terms of care? So I'm not going to go into too much detail on this again. I put in the relevant references for the curriculum and also for the National Recruitment Office. But this would be roughly a specialty training pathway. You would do, for example, your a ccs, which is not three years now. It's four years, and this is a bit of an outdated diagram. Um, you would then transition into your specialty training, and then you will sit and I some specific exam. You can do a train like I already mentioned. So, for example, with anesthetics with or with I am so those are your three options with your training? Yes, there's always someone who can you triple train as they can. You have anesthetics, I cm and medicine. And yes, you can. I'm not going to go into detail on that. You can look that up, but yes, it is now possible. So triple training is is recently become a possibility as well exams. So if you're doing core and aesthetics, you said the F. R C. A primary. So that will be either CT three if your core training or C t. Four. If you're in a CCS training, just make that very clear. So cool if your core training or stage one is three years. If you're in a CCS, training is four years, so you essentially do like a zero year. The first year is additional additional medicine, and then you said you're F R C. A final, which is which allows your progression beyond your ST five. Yeah, If your dual training with for I see em, then you still you have to set your I c M f i E f f I see em that will be your later they exam along with whatever your primary background was. So those are your three options for primary examinations? It's either going to be the f r c a primary and then f r c a final n f f i cm or it's going to be m R C E p and then f f i cm. Well, then it's going to be m R C e m. So that's your emergency medicine, plus your FICA. Um so those are kind of how the exams work. If you're just doing core anesthetics is just going to be your fr fr say is your primary and you find one. That's it, um, application process at C. T. One. So it's a national recruitment, so you apply in first. So the first bit of preference and you do is either you apply to England and Wales or Scotland or Northern Ireland. So you have to make that decision from sort of flying from the beginning of the new Submit your Your application. That's Oriole is a platform that you use so similar to when you were applying for foundation. There's two cycles each year there is an August intake, which is the big one, and there's a February take, which is a smaller one essentially happens in two stages. So you have long listening, which is where you've submitted your real application. And then they say, Great, that's fine. Please go and see your MSR A And then the short list thing is, when you set your I'm sorry you have the score. And then based on that, they decide whether or not to invite you for the interview. Um, I'm sorry, what works with a cut off. So the last year's August intake of was 5 25 on the um, I'm sorry, but it's also It also contributes 15% of the overall candidate school. Um, and then the interview is 85% of the overall candidate school, half an hour interview, which 15 minutes miles, a portfolio station and 15 minutes is a clinical scenario station. So the interview has massively, massively changed. The Precose did. It was an hour and personally of 33 stations, 20 minutes each. Then coated came. Then they sort of changed it to be actually, my cycle. When you saw us, it was 10 minutes for portfolio and 20 minutes. Sort of general interest. Kind of general motivation questions. And now they've gone and changed it again. So they were giving 15 minutes for a portfolio station and 15 minutes for a clinical scenario station. Uh, and like I mentioned some characteristics that you will have access to all anesthetic school and basis anesthetics dot So, um, this is literally just a screen shot of, uh, enrolled. Like I said, the anesthetics national recruitment this really recommend visiting? It's got, like, all of the inflammation pretty well for your CT one application person specification guidance. I'm sorry. Guidance. Anything and everything. So please get very familiar with it when you're applying Rough timeline. So closing day. That is your submission for Oriole. Please do not miss this. Um, if you miss it, you know, you just have to apply in the next life. Or like you can't. You can appeal that. Um I'm sorry, window. So you have about just over a week. I think about 10 day window in which you can sit it so it's a bit like you go to a person view center, so there's a few. Still, remember the U capital bit like that? And then again, invitations for interview and African Declaration is an important day. So invitations to interview the later dates I'll come into this fly off the shelf. So the day that you know that interview invites come out like literally sit on your laptop, because if you don't and you leave it till later, you'll only have, like, the earliest what's available. And usually that's only about a week after the invites go out. So be quite quite proactive, I would say on the day and then hold that line. So if you get offered a post, then obviously congratulations. You have three options. You can even decline it. You can. You can accept it with upgrades, or you can just accept as is. So that's like, uh, like you wouldn't get upgraded if you just accept it, as is, um, Aureole. Uh, mostly take take books exercise. So for anesthetics, you might hear about other specialties like I think pediatrics. They have, like white space questions and evidence, admission and whatnot again, to sort of. The information that we have at the moment is that there are no words, basic questions, no evidence submission. But be very careful about a few things, particularly employment history. So you literally have to release all of your rotations with dates. Um, and if you're coming straight out of F two because you need a three year employment history, you also have to put in your final year at medical sports is a bit with But please, please, please check. These days I literally know someone who just because of the type Oh, they were automatically rejected because they just simply it appears as though they had, like, a month gap in the employment. And they didn't. It was just a type and they couldn't appeal it. So be very, very careful. Three references you'll you'll have to have. So this is typically going to be your e s S e s or another C s. I think I put in my E s and then two consultant anything. Just like what? We've uncovered I to you just because I knew them well and I got a good report with them, but let them know that they're going to be contacted for reference, and then this. This is the only bit of like they call it evidence. But you're not submitting any evidence. It's just like there's a section and I'll show you the I've got, like, screenshots off of my pdf printout of actually my worry application so you can put in additional undergraduate degree is qualifications. You've got B S C IBSC that would go under there Post graduate degree. So again, if you don't usually, uh, achievements. So if you've got prices of wars, distinctions from med school or otherwise and then training courses and you can put it up to six and then you do advise you to include you have to include your, uh, this one there. So this is what my employment history would have looked like. So these these are literally all of my vacation from my foundation years with all of the dates. So these are the dates that you check. Um, this was my additional undergraduate degree, So I put in my radiology degree. Uh, I had no post graduate degrees qualifications, and I don't want surprises, So that was blank just fine. And then I put in my training courses, and then this was six that I had. So you're allowed to 60 l s taste of weeks. If you do, then please do them. Put them in, Um, a career in anesthesia. This is Royal College and end up like, if you if you attend anything sort of royal college, You put it in, um, test days, put them in a hot days with men. And then I don't like the train training type, of course as well. So But that's just an example. Is, um, the SSRI? So this is more special specialty recruitment assessment. It was initially used in a GP selection, but now most specialties use it. So anesthetic started using it because of code because they have to. Up until then, they would literally interview everyone. And it was it would be about quite strictly how your portfolio scored in how you perform interview. But they needed essentially a way to cut down the number of people they're interviewing. It's still quite generous. I think they still interview like two thirds of applicants. So it's not. It's not terrible, but don't underestimate it. it is. Go through your sort of a JT knows that you might have from medical school, because there is the professional dynamics as JTB. And again, for those of you who did the finals, who did the SED 80 in the UK This is a familiar pick three out of eight and then bank five type questions, um, and then clinical problems. I mean, essentially, this is S b S and m to sell, um, kind of like finals over the emphasis for sort of a bit more clinical relevance. So it is a appropriate the level of an F two, I would say, Don't underestimate specialties, that you haven't necessarily work. And so I know that I struggled with, like, these questions because I didn't do a rotation and peed. So that was something that I would sort of go back and focus more on. But it's pretty straightforward and get get a question bank work through it. It's nothing. Nothing too terrible. Um, how competitive is it? Well, um, it depends. What you compare it against amongst the biggest specialty, like the main specialty, is probably a bit more in the competitive. So I definitely last year saw a record number of Africans, probably because actually redeployments made it more possible for everyone's active, engaged with the specialty. And actually, a lot of a lot of junior doctors sort of had more exposure and found it quite interesting. So all I say, you don't have to be exceptional. I wasn't I was definitely not exceptional. You just have to be prepared to go through the motions. It does take a lot of time. I will say, Like when you're doing f two and suddenly like you got, you're having to settle into active. But then also, you're having to do a lot of, like pressure from where I'm sorry and what not so just just be prepared like that's That's the thing. Um portfolio ct one, uh, level. So all money you had, like I mentioned a self assessment and very stringent evidence. And it was a very strict points based system. Um, and then curve it hit. And actually, it made the because obviously, interview stopped happening face to face. So it wasn't where you rolled up to interview. You brought this massive folder with all your evidence and you showed it. And then we went they went through it and said Whether or not they agree with yourself school, it became practically impossible to do that. So they said, All right, let's forget about that. Let's leave the self assessment, Uh, and we'll just put out person specification, which they actually already had, and we'll just go with that. Now I'm going to show you the person's specification. I don't find it necessary particularly helpful in knowing how to be a better applicant. Our house like what could be the things that you could do to maybe score better in certain section. So if I were alone in the world, I would say Use the self assessment from 2020. It's not officially the thing to do anymore. Would you be a disadvantage if you didn't know that? You shouldn't be. But I was still really, really recommend that you have a look and you look at what would have scored higher and you go in having looked at it and relying on it. Not so much like don't worry too much about the point, but just use it as general guidance on top of the the applicant person specification. Again, I put all the links in, um, how early should you start preparing Portfolio? Well, as early as you like. Really? If you know, your med students think think about doing your elective and anesthetics if you're interested. That's what I did do a sec and anesthetics, which is what I did. I knew quite early on I was quite lucky in that. And I just knew what specialty I want to do. But be strategic. So always wake up how much time you're investing against certain alcohol. Be realistic. So can you achieve this goal? Um, be proactive. So literally. Unfortunately, it's just a bit like you have to approach people. You have to sort of put yourself out there a little bit and talk to your Royal Royal College if you need to institute so most trust will have one or just, you know, get to know any cysts around your trust So literally. Um, I had a consultant in the cities who helped me prepare for my interviews, and she was fantastic. And the reason I got to know what it was because when I was doing my office and my annual rotation, I would hand it over a patient here and I discussed the patient with her and I kind of went like, Oh, by the way, I am applying. And she was like, Oh, yeah, great. Like the interview part with you And yeah, she was fantastic. So yeah, just Yeah, put yourself out there. Um, and finally, it is never a bad idea to keep evidencing like if you go, you know, quarters get yourself to figure, save them somewhere, because again, based on what we currently know, when you apply for your registrar jobs, you will need to evidence you also their portfolio physical evidence that will be important. And, uh, basically, along with that, keep your saving up to date as well. It really, really, really helped the first thing I did. Actually, when I started tracking my application even before I touch Dorial, I just really went through my CV and sort of had it essentially, like, raised the same way as I did my portfolio really, really helped to be like, Oh, yeah, I did that. And I did that and I did that. That's actually quite helpful. It just helps you to navigate through the cotton. Um, so this is the current guidelines like it says the person's specification. So some of it is quite straightforward. Sort of your additional degrees. Fine, Um, and then aptitude for practical skills, fine clinical skills, wise academic skills, research. So it's I'll leave you to have a look at it in your own time, but it's literally like five pages, and that's it. And there isn't really any more guidance out there unless you pick up that 2020 self assessment. Um, obviously, property community specialty. Um, so it's got, like, all of the very obvious stuff. Now, if on top of that you were to look at the self assessment, you would find that it was very much like I say very much a point based system, and it was very much sort of gunning for as many points as you possibly can. Can I put in here? Just the Orioles sign to indicate that currently you can. These are the bits. These would be the best, like under graduate training additional degrees. You would be able to lift that one oil in that section about evidencing like I mentioned staying with your prizes and awards, you would be able to mention those um, saying with your post gradual post grad medical qualifications. And also, if you have any sort of, um, additional rotations beyond F two techniques taking an F three or F four year, then obviously you didn't list up again on under your employment history. So you can see that at this point, like I was coming straight out of that too. So and again, all my I would have been scoring zero points on this. Currently it doesn't really matter. So in my interview they asked me, you know, what were your other rotations? And I told them the same information as active in an Oriole. What I will really urge you to be quoted about and this is a bit of a weird thing with a lot of specialties. Same with surgical specialties, actually, is that if you exceed 24 months employment in relate to specialties going beyond your F two year, you actually become ineligible to apply to be very careful. So if you're sort of approaching that F four year and you start thinking of applying, just be very, very careful, because if you spend 24 months in related specialties like acute medicine or a and D or anything like that. Even if you sort of just low coming, um, you actually become ineligible to apply. So be careful. Um, commitment to specialty. So again, you can. These would be things like your courses. Um, so from your students out there, I think about your options or modules. Like I mentioned, your ESI is your electives. Um, and again, um, I'm just very going to quickly touch on the courses. Attend this again. You don't get any points for it as such, because it doesn't exist this point based system. But they do ask you they are going to be. You can. And you should say about any relevant courses that you attended. And a lot of the times people think about the big ones, like a TLS basic. In fact, you know these ones because those were the ones that got listed, like you can see them listed here as well. And it doesn't have to be like that. Like you can literally, I would say, go for the low hanging fruit. So go attend the virtual career in anesthesia event at the Royal College. Just like commitment to specialty. I went to taste like virtual tasting these things, everything he says. Everything's virtual, um, attend like royal college events again, like literally. They're really cheap. They're like, maybe 30 lbs and you're just listening on it like you would sort of a podcast. And again, it's like a commitment special here in this event. I thought it was, You know, these are some really interesting point that they raise, and I'm going to just mention in line seizure as well. So a line is, um, anesthesia learning in the Northeast. And they do amazing events, and a lot of them are free free of charge. So they did this massive conference level in the field on championing diversity in the NHS. So again, that was that's, like, just a really, really great event to be able to mention to you, um, clinical, um, double rinse your clothes improvement. So again, for any of my students out there, talk to your local met socks for opportunities. Actually, more model leads, uh, placement. Need to think about your planning, your ESI an elective and including audit or the line there is for everyone have to unfortunately just unavoidable part of the portfolio. So plan early. Um, So I did a, uh, obstetric anesthesia related Q I project early on in my life, too. So I found a friendly and exist, and I was able to do that project with literally kind of still in time to be able to talk about, uh, the interview. So, uh, think about if you set up earlier, and obviously you have time to complete cycle and that's again something that in the interview, they ask very specifically. What product did you do? Did you design it, and did you complete the cycle on it? So again, in terms of the wording, it's quite similar to the self assessment research. Again, think about Ms Julian. Get a vacation shit that's always really good. Looks really, really good. And you see the IBSC years elective as a C student conferences. If there isn't one being run at your unique well, it's great, like literally sort of national student conference. That's really, really good. And then for foundations, have a look on the association with this. Is this website again? Have a look locally. What training conference is get advertised. You can always lies with sort of your royal course shooter as well And obviously there is an element that if you, you know, gone and done a research degree or a bit more for the applicant, you might have a bit more to talk about. But it's just what it is. Some people are more experienced. Some people are obvious. It's just what you make of it. Um, teaching again. It used to be very much sort of focused around formal teaching, like, Have you set up a teaching program? And then it had It was very, very specific. Uh, the in my interview, I was asked what teaching I had delivered in what format. And then I was asked what type they asked, um, how what was sort of the what's good and bad about different types of teaching, what different types of features you know, teaching styles, you know, and what's good and bad about each of us, And how do you find that you like the best? So it was a bit more loose. It wasn't quite so strengthened as how many sessions with whom over what period of time like it would have been again. So so that's why I'm saying Don't get too obsessed about the points just use it as a bit of a guidance because it's it's quite often publications again, um, can be time consuming. So way up if there is, you know, more strategic way for you to spend your time and have something to talk about. Obviously, if you do have a publication, great, absolutely do talk about it. They do mention it, um presentation, post presentation. So again, it should be reasonably easy If you do a bit of research. If you do a bit of a student vacation ship. If you so much student, if you do a Q I just to get a post sort of submitted either to like a student conference or like a foundation training conference. It's not that difficult. And again that that looks quite good. If you had posted presentation, like usually conferences or the national level, and then if the disease outside. So again, if you're volunteering committee positions, student families, so again, you can always use these to illustrate various skills and my team working leadership and commitment, and so on, so forth. And that's always good, right? Um, I'm gonna put a list in here is by no music also, but just a few ideas where you can look around for sort of career building opportunities. So there's the HLA Medics Academy in domestic girls who I'm with, actually. So I'm the director of academia for Indonesia, which is a big national outreach program trying to get kids from under represented backgrounds into med school. So if anyone's interested in the role of the be Mad officer, please let me know I am officially recruiting. Or maybe my officer if you're interested. Um, so that's my little ad just very quickly. And then BMJ students again definitely do the best you can sound good. Too good to know about right onto the interview. So see if you want applicants again. This is what the Androgel website looks like. So this is gives you a list of the different wineries and one day interview now. Importantly, Like I said, you have to specify if you're applying to England and Wales, Scotland or Northern Ireland, if you're applying to England, it doesn't matter which Dina you book with. Okay, So, like, I'm a Yorkshire trainee now, and Yorkshire was my first choice, but I think I interviewed with West Midlands. I want to say I don't remember. So basically, if you apply to Scotland, you have to be interviewed by Scotland. If you apply to Northern Ireland, you have to be interviewed by Northern Ireland. If you apply well, England and Wales, it doesn't matter. So don't get panic, they say. Still, break it down, as they would have want interviews will face to face. And you would actually have to interview with the dean everywhere you were applying. But that's not the case anymore. So So please don't panic. It just tells you which Diener is one of their interviews when, But it really doesn't matter in. Like I said, the day you know that interview invites are opening up literally could not sit in your lap. So that's what I did. Um, I just sat on my laptop at the moment they opened it up. I went on both immediately, and the later date absolutely fly over the shelves. Now, if you don't, if you're not too fast and you're happy to prep within a week, that's you know. Or if you worry about being prepped, that's fine. But literally, if you get an earlier date like you might just have like the week to prep for it. So I would definitely recommend trying to get a later date, Um, domains and scoring matrix. So this is what it looks like at the moment. So it's a virtual interview. You have to panel members and then, like a third person who is just like observing. So you're having observers? Well, they don't score either. They're just observe. Um, and these are literally your, uh, domains that you get tested on or one test that assessed on. So commitments. Specialty decision making involving teaching order queue I research reflected practice to my qualifications experience working under pressure so you can see how some of them those would be more obviously portfolio type questions, and some of it will come under your clinical scenario part of your interview. So again, this is straight from Monroe on the previous slide. Again, that's if you click on each of those you're going to enroll, you click on each of those. It will give you these books, which I use and again really useful because it tells you like the different How how do you progress from the score of three to score of five so what would be the things that you would have to pay attention to? What would you have to sit down so first off with qualifications and experience. So this is literally they? They asked you pretty much. First question is, So what is what? What? What are your qualifications? What's your experience? So go through university education with appropriate relevant SSC elective F one F two rotations with appropriate relevant taste of days. Um, prizes that you got in any of your rotation, that medical school or during foundation post presentations publications So literally think about this is sort of almost like a bullet point going through your say, be teaching Mordechai research and literally give that, at least in my portfolio station, it was very, very time pressured. And they literally give it to you as a question of like, tell me about your teacher. Audit my research So it's sort of trying to reel off an answer really, really quickly. But do you know your definition of acute an audit? Because they did put that a little bit of you know what's in order cycle? What's acute eye loupe be able to like I said, talk about different styles of teaching was good was bad. What what teaching style you've used or you benefited from and why? And describe the different stages of research as well. I know the difference between research and Q. I was quite handy. Commitment, specialty. So why in a study? So I'll come on to the structures in a bit, but use your camp here. So cramp stands for clinical, academic management, so soft skills and personal reasons to want them to do anesthetics. They will 100% ask you what you want to do. Anesthetics. And also they will ask you about the shape of training. So they said to me like, Um so as you know, the curriculum has changed in 2021. What do you understand by the exchanges? And how do you think this will impact your training? Something along those lines? And I was like, Well, tell because, like on and read about it on the Royal College. It's like literally there is like a half hour electronic, and you feel great. Now I know. So it's literally just go and have a listen to that read the got hand. But like I said so, the guidance for the cyst in training Super Super Super helpful assessment tools. So again, a little bit about, like, again, the that lecture that I mentioned goes through E p is being in trustable professional activities, um, responsibilities of being proactive train the and sort of the idea that with the new therapy, um, there's more integration of specialties of, like, acute medicine, medicine, medicine, and I see em clinical judgment decision making. So again, go through these, uh, practice your same style, uh, scenarios. So if you've got access to same So OMX, I think Oxford medical symbol you can do, uh, stations with them. Revise your emergency. So I definitely went through sort of back of cheese. And you have Or did you have your medical emergencies go through them? Know you're sort of basic dose is for, you know, right and diazepam. Um, it's like that practice of these are really quite helpful. Just put you in that mindset. You say, corporal, help the usual it. And now a, B, C D. And just keep reassessing as well. So they might ask you for a hand over at the end of the station. So just use a good solid as party and over. And like I mentioned anesthetic interview, they do. Well, as far as I know, the only question that actually that includes clinical scenario questions as well. And they've got quite a few stations so really worthwhile. I would say they a subscription to those guys and going through their stations. Um, in addition, I will point out to know what a serious incident is. So I got asked why you ever involved in a serious incident? I hadn't. But And they as you know, what do you understand by a serious incidents again? Have a look at that definition and just know it saying were similar with duty of canvas. So you get asked what's, you know, duty of cancer and, you know, how would you use in your practice? Do you know about reflected passive? This is massive. So really, have those have those cases revisit your portfolio or you know where you've you've worked in. You know, you were in a situation where you really went away, reflected about it, and these are very stiff bits that come under reflected practice. And again, please use this when you're preparing, because what if they you know, ask you to reflect or ask you about your reflected practice. You can say, Well, I tend to think of my reflective practice in terms of my educational program, appraisal risk management, my PDP's various assessment tools such as my NSF tabs and also the feedback within each of those. And then you can give a bit of a breakdown of relevant that you have done team working again, have a specific example prep. So he obviously demonstration of the skill you would you start, which is a situation task, action and reflection or resolution. So have have a have a good example. You know, with the revolving in situations when things went well, the team work, things go so well, the team work. So really have that star set up a good reflection on it and again have a look at what scores you as an outstanding candidate. So, um, you being, you know, calling for help with appropriate clear instruction is not just, you know, uh, I wanted to get help, but you turned in the delegate. If you ask them to call the medical registrar, asking them to then come back to you and let you know, when the medical registrar. So this is like that, you know, closed loop communication. So So just think about how your phrasing that because I'm sure you did it. It's just about getting that across very, very time. Pressured interview. It's a bit of a skill. So climate practice, working and pressure same idea. Have a specific example. Have a few examples really, really like written out welfare? Very slick we can talk about. You can talk about how you would have improved what you would have done differently. Uh, if it happened again. What are you take home, um, learning point. And so so again, again, have a look at what classes you as an outstanding applicant if you follow the rubric and then this is the final. So this is your global rating based on your interview performance again, it's them pattern. Um, finally, Yeah. So these are already structures that I've touched on. You know, you can click on academic management personal, that is, you know why you want to do anesthetics. And so So there's the motivation type questions and the stars when you're having to give an example and give a talk through a situation that you were involved in. Some situation, task action result and ideally with the results also include a bit of a reflection of the very used to say what your key take home. Message is, um, spies. Uh, that one probably not quite so relevant. Depends. It might be relevant to your clinical scenario station. So just again, bear in mind, you know, what is the problem? Assess. Um, what can you do? What do you need help with involved with the college. So that's always like, try, try, try, try delegating as much as possible to be like, Let me make the most of the team got around me And finally, just a bit of general into the advised prep with a friend. Get buddy up. Uh, if you can please, it's it's just so much nicer. I had a couple of friends. I was prepping without it was actually quite fun. Enjoyed it. Um, some people like recording themselves and this thing back. I get sort of strange lives from that. But, you know, uh, if you learn from that, then by all means, go ahead. Um, start by writing out your answers. So, like, literally write them out. Use your structures formatted with star with camp and know your answers like know them in a way that you can be very conversational about it, not in a way that you've memorized. And the moment you go off off script you suddenly like you're having to find your feet and and and also, if you sort of memory, some people a little bit monotonous or robotic, so just really get it. Very sleepy. Very be very conversational. Be very approachable. Be friendly. Be, you know, just be someone that they would like to work with. Get slick. So it is very, very, very time pressure so half an hour and literally feel like I said, they're like five minutes. So time yourself, don't waffle on, like, kind of like when back when you were writing your personal saying and make every word comes pretty much so. It's It's been like that as a senior colleague to run and climb up for you. So I had a couple of people who are very kindly did that for me, and I found it super, super helpful, good body language. So again, I tend to fail with my hands really badly. And you probably noticed. Keep looking at your camera. Sit with a good pressure put on, like, you know, smart shirt, blouse, whatever. And, like, sit on your hands. I think that's literally what I did. Otherwise they sort of wonder all over the place. Um, yeah, the enthusiastic and we, like, just have this positive energy like you've got through the interview. You just have to give them a reason to give you a cup. And yeah, I think that's the end of it. But keep com give him propofol. Also support the airway because otherwise that things happen. And thank you. So, um, any questions? I've also put the pee are you are you are And and my email address again. If he wants to message me directly. And please do. Give me the feedback and you will get a pdf print out these slides. That was brilliant. Um, Adrian, thank you so much. Um, I had a couple of questions before. There's quite a few questions, actually. But just before I get started on those, um, I just had a couple of questions myself. Um, just I know you picked up on it anyway, but What would you say you most enjoyed about the specialty and and and maybe a couple of reasons about why you picked in particular. Okay, so, um, what I really enjoy is, um, that it's very meticulous. I really like being able to, um, deal with one patient at a time. Now, mind you, I am in a cc of training, so really, I'm not actually done any of my anesthetic rotation yet, but the things that I really enjoy about it is being able to be meticulous, having that strong grounding in basic sciences. I really enjoy that. I like it because it makes sense and and it works. And it's really quite nice to have that physiology and literally at your fingertips. And it works. And you're like giving this drug. And it's like, I really like the teaching aspect, the one on one learning, and I just really And and this is generally tend to have a very, very positive Why that genuinely, just, like, tend to be very nice people to be around like they immediately want to teach you. They want to, you know, explain what they're doing to you. They want you to kind of get involved and and and And every time I've interacted in this is this I thought, Gosh, it's a very, very supportive environment. Now what got me? What? They introduced me, actually, um, two anesthetics. Specialty was during my physiology degree. I got involved with one of the Everest studies, so I I don't know if you guys remember that there was a couple of big Everest, uh, expeditions that went up 2007, I think. And then 2013, I want to say and they were doing literally taking blood gas samples on, like, you know, pretty much at the summit of Everest or just, like, 100 m below it. And it was all being run by any sense to me at that time. That was just like, Wow, this is really cool. Um, and then, obviously it's not always about like, every study, but it was still that that physiology and that research and that side of things like really drew me into it. And then I just spent a lot of time with the cysts, and I really liked it. That's amazing. And that is really interesting about the gas. Is mentioning ever. Yeah. Look it up, Doctor Dan Martin. He holds the world record for lowest oxygen oxygen saturation is this chap. The consultant in instances was walking around with oxygen stats of 31. I think he may like it. Well, it was like just a climate, so yeah. Anyway, I won't belabor the point. It was interesting. That's definitely it's definitely want to research. And I'll do that. Definitely find. And would you say, in terms of challenges or positives, would you say about anesthetic? If anything, you might, uh I just started training, but anything just to be aware of in terms of maybe the biggest positive that I touched on, maybe challenges. So the challenge is is that obviously it can be quite a lonely, and it is a very, very steep learning curve. So So if you think about it within three months of starting your anesthetics rotation, so for me, that will be obviously next year you have to be become proficient with with your skill set. And that's a very, very steep learning curve. So So you shouldn't be on call three months, but, uh, three months you may well be the anesthetic Shh. Recall And you're having to, you know, interferon. The might be sort of some, uh, some pretty hefty cases going to theater. You are carrying that leap, and that can be very, very daunting. So I would say it's it might be quite daunting for some people to have to really take a lot of ownership of their own training and their own development, especially especially with the new curriculum, where it used to be very much like the curriculum was very much take box of the pink box of the time box. And the Royal College actually went like more than we're like kickboxing close. But are we actually learning? So that was part of the curriculum change. And now it's actually, if you look at my portfolio, there's like no two boxes at all, so I'm kind of like just putting stuff into my portfolio and go like, Well, I hope that's enough and no one really knows yet because we're a bit of a guinea pig year with that, uh, the other thing, I would say is that you are having to travel quite far sometimes, especially if you're a dictionary or sub dictionary like mine is quite big. So Northeast York's, which is where I am, stretches like all the way from Harrogate to Scarborough down to whole Grimsby. Strangle a massive, massive, massive area sometimes that you can cover, Um, and you sort of have to be prepared to either commute if you want to sort of settle down or just sort of keep moving around and bear in mind that it is like seven years if you're doing poorly on a second for eight years, if you if you're a dual training, if you do have sort of basically make a bit of a sacrifice in terms of, do they keep moving around every time like my placement changes, or do I just say fine, I'll just settle down here? But then I'm accepting a quite a significant commute. Brilliant. Thank you for that and my last one. Before I, uh, mentioned the other questions. Um, is there anything that you would you would say in terms of, you know, you've done a lot of things, but in terms of highlight or something that you really valued in terms of not only just putting toward your portfolio, but in terms of personal satisfaction as well that you really enjoy in terms of your preparation for anesthetics or even in your development in towards towards, um, sort of creating your portfolio towards anesthetics and developing your interest? Sure, Definitely. So. Like like I mentioned, one of the key points for me was getting involved in my, uh, during my B s C with research. So that was for me. Was definitely very very, um um, inspiring at the time. Now, later on, as I progressed through medical school and then my foundation training, I'm not going to lie, I think Probably coated. I t u was was again one of those turning points. In a way, I think up until I was redeployed, I was very much like I'm going to do for anesthetics. I'm just going to be a pure anesthetist, and I'll be very happy with that. And then I got redeployed, and, um, it was the best supported I've ever felt. Um, and this was this was the last rotation of my F one year, and I felt for the first time, like I could, I had a voice I could leave voice. My opinion I could as my you as an F one. You walked in into coated I t u and you're looking after like, I had a baby of three for really poorly patients. I had one patient who literally was in. Actually, three of them were, at least in, um dual organ failure. So I had a chat who was running temperatures of 41. He had, um, obviously coated, so his lungs were really bad. Um, his kidneys were barely functioning, and then he started getting my car like this on top of that. So essentially three of his organs were not great. I had one chap who was He started off with covert, and then his kidney started going as well and then a third Chapin that they started doing the same again. So it was a very similar pattern it over and over again of life lungs think itnews than heart. And to be sort of to walk into the night shift as an F one. What am I doing here and basically be told that right? Well, you know, you're the doctor looking after this. They were obviously consultants going to come around. They're going to do the war drowned. There's to ward rounds. Obviously, on when I see you anyway, and to be like Okay, well, just, you know, start prepping and then and and to go through that process of knowing your patients in so much detail, then that when there was a change over, like a consultant, you'd be the one presenting to you an idea consultant about this patient that just because you knew about them because you've been caring for so long for them. So I think that was that somehow, as much as it was coded I to you, and it was horrible, and it had awful obviously, it was awful for patients and their families. To me, it was just one of those moments where I I thought, you know, I'm quite good at this. I quite enjoyed doing it. And and I think I think I could do this as sort of a longer term. Thank you. Thank you so much. That that is really interesting, actually, um, and yeah, like I said, uh, various things you mentioned that, um, just a couple of questions now from from the audience, if that's okay, um, so we can start and stop at the top. So, um one question How many exams are in the training pathway and roughly one of these taken? I know you touched on a couple, didn't you? Yeah. So pure anesthetics to there is fr see a primary. So that stands for the vote for a fellow of the Royal College of Anaesthetist. And if you're doing just pure anesthetics, you would usually sit down in your in your CT three years. So there's the last year of the first stage of your training. And then there is the F. O. C. A final, which you would then sit in your S t five t A. If you're doing a CCS. And obviously you would sit in the last year of your first stage, which in that case, the CT for you would be sitting your primary, Um and then your final. I think it was still well, it would be the equivalent of your S t five years, so that if you just do an aesthetic something else, if you do, if you do want to draw a train and do I see em, then you also have the I see em to the F f I CM exam. So that's the equivalent of fellow of the College of Intensive Care Medicine exam and that one, you would sit at some point during your registrar, so that would be like I want to say, Let's see. Six. But look, look at the pathway that I put up. I think that's that's the new one C six year. So two, if you're doing just anesthetics and then the I see em one. If you're doing your ads on to that bad exam Brilliant. Thank you so much. And a couple questions, Um, in terms of you already touched on their portfolio is quite a lot. So comparing with peers in corn statics versus a ccs Um uh, someone mentioned you may have had comparatively less theater or pure anaesthetics time. So how do you or specialist registrars find that that helps or hinders you in in the competency that you need to know for anesthetics? So I'm not sure if I follow this question. So So the question is comparing with peers in court, anesthetics versus just a CCS if you I think the question is, if you're just doing one of those, I'm not sure which you may have had less theater time in terms of pure anesthetics. Know that your anesthetics won't change, though, because all that. So you're still doing the same. So okay, your your anesthetics training won't change. Think about a CCS as they're being just a zero year zero year where you do additional six months of emergency medicine and an additional six months of acute medicine. So essentially, what happens if you do a CCS? Is that your c t two year of a CC s? You join up with the new CT ones of coronary disease. So right now I'm doing doing medicine this year as an A C C S C T. One. Next year, I will be joining up with the new intake of CT one cohort and cohort and coming in and continuing my training with them. So I don't feel that at least at sort of core training level. So during your your stage one training that it would impact your theater time doing a CCS or call because you continuing to emerge onto the same pathway anyway. Thank you. Thank you so much. Brilliant. I think that's some sort of our one hour. Um, I think it was really really useful and there are more questions. But I mean, do you think in terms of the other questions whether they email yourself or mind the bleep, anything that you prefer to go up to you if there's a few more? I'm happy to take a few more if you have time. If, if not entirely up to you, then more than having to take e mails so entirely completely up to you. Okay, well, we'll see if we can do a couple more questions. And in terms of differences in training in a d. G. H versus an inner city hospital, Um, is there anything that you might say differs difficult for me to comment? Because, really, all I know is D. G h. Well, I haven't been in the city hospital in in in a long time, so I did my foundation training at a. D G H as well as now. I'm Harrogate, which is also quite a small DJ. Um, differences that you might experience. Um, if you are at a in a city hospital, they might be sort of more specialist. That's typically what you tend to get in a city. Hospitals have the specialization because they have the resources of being in a bigger city. So, for example, in, um, where I am now and Harrogate, you you don't have vascular surgeon, for example, as a specialty. So anything that that comes in the vascular, even if it's an emergency, would need to go to leads from us. So depending on the DJs, you might just simply not have all the specialties available. Like, you know, anesthetics for vascular wouldn't be an option just simply because vascular isn't done at like currently, Um, whereas in, um in inner city hospitals that the case might be that they're actually very, very subspecialized. So the your bread and butter stuff you're not seeing as much as, But that's a bit of a conjecture. Based on what I've heard from other trainees, I cannot unfortunately speak with personal experience on that one. That's perfectly fine, thank you. I think that was really useful, actually, Another question. Does an F three year count does an employment gap know every you know, every day is absolutely fine, and that's not an employment gap. So every if you're a low coming, you you would basically just have to keep quite strict records of your time spent low coming and ideally, have a senior can oversee that you know you are. You are getting training needs done as well. I would say like things like procedures. Just make sure that there is someone who can kind of oversee you and then act as your reference as well. It's not. But it's not an employment gap at all. No. Uh, and, uh and obviously, if you're doing something like the JC, then obviously that that is more structured, let's say, than than a local year. But no, absolutely not. Not not a gap. Fine, Brilliant. And there was a couple of other questions. Lastly, um, if someone's had time off work, would that make the application less competitive in terms of the Gap? But I would think that they they would take that into account. I would assume well, no, I mean, it's it's basically it's all about unexplained employment. So, um, if you don't know if it's quite common that someone's been on, like, for example, and alternatively and then they just say I was on maternity leave and it's like that's absolutely fine in terms of making the application less competitive. I I don't think that would be I'm not sure why. That would be. I I wouldn't think it would be less competitive. As a result, I'm not sure that would be the case. Yeah. No, no, I I think like you said, it's all about the reason. And if something is reasonable, then I would assume that that should be okay. And the last question, Carol. Sorry. No, no. We're going to say something. No, no, just I will say that, uh, anesthetics is quite famously good at sort of making provisions for people who've had again very much reasonable and justifiable employment gaps are typically very supportive. Brilliant. Yeah. And lastly, um, well, someone else would have bachelors in psychology be considered relevant, Do you think? Yeah, I don't I don't see why. Not again. Um, it used to be. If you look at the old self school system, it would It would very much be express it in terms of, Is it a degree relevant? So is that your sort of your typical biochem biomed bio? You know, whatever. Or whatever interpolation degrees that you could do, Like the immunology and genetics and so on. Um I think again because self scoring doesn't really work like that anymore. It's, you know, an additional degree is an additional degree. Like, if if you did sort of reason, you know, you got to one or a first again, it doesn't really translate into points the same way anymore, but yeah, I would definitely say it's Yeah, it's relevant. Thank you. Thank you so much. Brilliant. I think that wraps up all the questions. Um, just a big thank you again for for your time. And I think that was a brilliant webinar. You went into a lot of detail, and I mean, I I learned a great deal myself. So thank you again. Um, any further questions feel free to. I think you mentioned they can email yourself or they can a message more in the sleep, but I think we'll probably end up there. Anything else to add? A You know, perfect. Thank you so much for having me and yeah, genuinely feel free to email me with anything and everything. If you want more advice or more resources, let me know. I've got a pretty big folder where I just got everything that I was doing when I was preparing. So, like, access that you're welcome to it. Um, And like I said, I'm very, very happy to take any further questions. Please, please put them in the feedback. And I will, you know, the pdf print outside to you If something's going wrong and you can't get it because I don't know if that should happen again, just email me, and I'll send them to you. So, uh, yeah, Thank you for having me. Brilliant. Thank you so much. And Yeah, exactly. So please fill in the feedback. You get the certificates, etcetera. Fine. Thank you so much.