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way, way, way, way, way, yeah. Way, way, way, way, way, way, way, way, way, way, way, way, way here. Way, way, way, way, thing way. Hi, everybody On So well, thank you for waiting. And while we got everything ready, I'm welcome to preparing for a career in surgery running on the 23rd of October 2021. Um, my name's Emily Mills, and I'm I'm sort of sharing or reading the event today, on behalf of the associations of surgeons in training on, we run this events of every year on disses the second or second time we burn it virtually now, Um, so we've got today is the 23rd and then we've got next week's is the thirstiest. So firstly, I want to say some of a warm welcome table here. You know, it's great that, you know, you've given up your free time to sort of investigate. You know, what a career in surgery is like, further and hopefully you know, you leave this day feeling inspired. Um, and in forms, it's sort beginning your career and so just a little bit off. Welcome from arson and to explain. So who the Association of surgeons and training are so my name's Emily Mils on the foundation doctor, representative for assets. So a cyst on asset council on behalf of foundation doctors, too represents or surgical training issues a foundation level. And I've been organizing this event and putting together the program alongside Sophie. So Sofia Louis Ms Sophie Louis is a pediatric training. She's also the director of education for assets. And so who are the associations of surgeons in training? So why are we putting on this event and why do we think with the appropriate people for this? Well, the Association of Surgeons in Training was a group formed in 1976 on This was for senior training is basically to come together and share ideas about surgical training on also, you know, have social benefits as well of salt networking across the country. And were you kn Irish group on be say, we are retreating a li a representative body on So we have regional representatives throughout the UK In Ireland we have representatives in every single specialty that exists, and we also have a lot of our council members on other specialty committees s. So this will be things like breast. And also we have input into their societies a so well. And so we looked. We, like, say, we're quite a large group eso at the moment we have, you know, over 3003 and a half 1000 members, ranging from medical students the way to senior trainees. So what do us it do? So we give educational events such as they're so proponent for a career in surgery and that sort of senior medical students and to F two and beyond, we'll say run education and events such a Z preparing for ST three and we also in things like surgical skills courses, usually at low cost or or no cost prices tacit members on. That's one of our founding principles and soft, accessible courses for our members. We also ain't to improve training experiences. So we listen to our regional wraps all, um, specialty representatives on we listen to issues that those specialties of regions are having with their training. Fortunately, is a professional body. We can then speak to the appropriate people. You know, where that's health education, England or the royal colleges, and highlight these issues for our trainees, which then comes into advocacy. So if we know you know, members are struggling throughout the country, struggling to get training numbers on there, struggling just with general progression, we can help in advise on that as well. We also participate in some research that we've collaborated with groups such a star search were on it. We've recently run of robotic surgery consensus. And so so you know, we're we're agreed that truly represents all surgical trainings from PIN issue Know through training education on did you know, impactful research. So today I'm just to take you through the program. So this screen is the main event for preparing for a career in surgery. So on this soon call, it will be a little talks throughout today, we also have a portfolio clinics running in parallel. The's portfolio clinics had limited places, unfortunately, so no everyone will be able to access those. Anyone in a portfolio clinic would have been sent a link already by their faculty member for a specific time and just wanted to say, Make sure you keep to those timings is if if unfortunately, if you can't, we may not be able to accommodate Later on and also of note You know a lot of speakers today. Our surgical trainees, apart from myself, is who's a foundation representative. So you know, everyone here has given up their free time, you know, to help you guys and inspire you guys. So do better with us if there's any sort, slight technical issues or any Yeah, basically, any issues on day. And I would like to, you know, thank our faculty both of the main event on for the port failure clinics for allowing us to put on this event because we really couldn't do it without, you know, the generosity off them. And so today, you know, in the morning it will tend to feature talks about applying for surgery and and preparing your application, and then, throughout the day, will have specialty talk. So might be pediatric surgery cardiothoracic surgery on. Then we'll also have talks about innovation in surgery, academic surgery on. Then we'll close at the end of the day when you have your portfolio clinics just coming back to those we would expect, you know, either to come out of the main event and then go to a portfolio clinic, or you can have it running in the background on. Then you just pop back in and join the talks When you finish your portfolio clinic and these are basically, you know, for you to show your CV Teo Surgical trainee, you can discuss you know where you might gain more points on. You can also ask them sort of jumble and things about training and applications and all our faculty members of have a Ganden voluntary. So they should be, you know, happy and friendly and happy for you to ask any questions. If you have any issues with these portfolio clinics, please feel free to, you know, take a picture of mine and save these email addresses on email us throughout the day. If you're really struggling but do about with us, of course, because we're running the main event as well. So the main thing I wanted to say is, you know, this this day is is for you guys to experience, you know, the breath of what a career in surgery can offer you on. Do you know how to get there basically at the beginning? So we hope you enjoy the day. You know, we've worked quite hard to put again this program together, you know, alongside you know it's myself. Sophie, Chris, our general manager medal. Hear you'll hear from later who are who are helping us run this event on also responses like Wesleyan and we'll have a tendency is from the colleges later. So and we really couldn't run this event without them. One thing I wanted to say before I hand you over to Sophie Eczema's part of What's it? Do we want an annual conference Every year on this year, it will be in Aberdeen in March. Um, I attended these conferences, is a medical student. I felt very welcome, sir, and it's a very, very nice environment to sort begin that those steps towards research and networking and currently now richest rations open on abstracts of open a swell for submission. There's a really good opportunity to get a poster presentation or a normal presentation on, then sort of increase your sort of networking skills as well. And so with that, I'll be handing over to Sophie Right now, he's going to speak about applying for course surgical training, and so Miss Sophie Louis is a pediatric training. So, you know, that's her main sort of focus. But she's also the director of education for assets. And so she's heavily involved in these events. And I personally like, say, thank you for allowing today to happen so I'll hand over to say for now thank you. Ah, thank you, Emily, for such a lovely warm welcome. Good morning, everyone. As Emily said, My name's Sophie and I'm direct education for asset on in the next 2030 minutes or so, I'm just gonna have a discussion and talk about the application process for surgical training. So this is just a very brief outline of the application process and what we're going to go through. So you may or may not be aware that you need to submit an application by the Oriole website, and it's important to mention that a lot applications have to give I this route, so we'll go through that in a bit more detail. The other thing to discuss is the portfolio, which you know is something that creates potential of anxiety. Um, the before, hopefully you for 2022 unfortunately has not yet being released, so we will be having a little look at the 2021 assessment criteria just be aware to make sure that when you are applying that you look for the most up to date. Guidance. Guidance does remain relatively similar from year to year, but there are changes that do come in place on by know from. Previous is there have been issues, particularly with where to put your mark. So I know that they're really working this year to try and ensure that the criteria is really clear. So I'm hoping that this year will be much easier to allow you to make those assessments and maybe from previous years. Depending on your portfolios, you have to submit a self assessment score. If you reach that self assessment school, you'll be offered an interview for 2022. They have confirmed that they will be doing virtual interviews again similar to last year, based on the Curb in 19 Pandemic and the difficulty with carrying out face to face interviews. This interview will be 20 minutes long, so it'll be 10 minutes of clinical and 10 minutes of leadership and management, and we'll go through that in a bit more detail as well. If you then are successful, you will be offered to run that selected the jobs that you would be keen to apply force. You don't have to pry for every job. It's worth noting that if you're applying across the four nations, so Scotland Whales Island in England, you only have to submit one application, and it will cover all of those areas and regions. And then later on, you'll have to confirm your offer. If you are offered one and then you have the opportunity to a private upgrades, that's a very sure overview off the process. They haven't unfortunately released the timeline for 2022. But do you keep an eye out? I do believe it will be available in the next coming weeks. Um, unfortunately, I don't have that information as of yet. So the Orioles medication. So if you are applying this year, I would really recommend having a little look at this if you haven't already, so you need to go to www oriole dot any chest or UK. This is just a screen shot of my accounts. You have to create your own account. As you can see in the left hand bar, you have your soul tabs on the one that you're really interested in is the one that says vacancies from that. You can then search the job that you're wishing to apply for, and just to remember that it's jobs throughout all specialties, not just surgery. So the terminology you want is course surgical training. Then, in this or blue box here you will be you be demonstrated the list of jobs available sick. Currently, only the academic jobs have seen advertised. But when the more generic jobs they're released, that is where you will find them. And then on the right hand side, you have little button, which there's apply with the view pen sort of note on. That's where you then make your application. And just to remind you that the application covers all four nations, what applications you don't have to submit for if you want to apply for everywhere and then So this is a screenshot of my application that I've recently done for pediatric surgery, so it will be slightly different, but it's very generic and will be similar. So what did you get through to the application process? You basically have to fill out a set of information, so that may be sort of covers your name standard sort of generic information like your address you GMC number your national insurance on. You also have to do a declaration to say that you've not been in any or if you have been involved. Any incidents with a GMC or with the law is well. The other thing you have Teo put in is your employment history, and it's really important that you employment history covers everything since when you finish university. So you know, if you're coming straight from F two, you'll just sort of put your F two jobs up until next year if one medical school if you've taken time out, whether that's in a clinical fellow job or if you've been low communal. If you been traveling, you need to sort of specify exactly what you've been doing, and all of those dates need to match. You need to ensure there's no gaps within that to say What you doing. If you had a gap, that's fine. He's just got to say that that's what you've done in that time. I think a really important thing for the application that even if you can't get on your application now, is thinking about your referees s so you will have to submit referees, which are often your educational supervisors are clinical supervisor that you worked with. They usually ask for two or three. So do you think about he would like to ask to be your referees and I would speak to them soon about the later because obviously it's just curious to let them know that you're going to put me down on the application and they're happy to be involved. They do. You want referees that cover the last three years of your training's? You may need to put someone down from your medical school. Is Wells to do better? That in mind? I think when I perfect put down one of my supervises as my personal tutor and things, and they were happy for me to do that. So just just have a think. Even if the applications aren't open, you can at least get the paperwork and things together. When you're doing your application, make sure that the bars Eircom bleat in green because that will show you filled in all of the details. You don't want any sort of little red because that will show that something's missing on the application is fairly straightforward. But, you know, do you give yourself time to do it? Cause it can take a little bit of time. Don't leave it to the last minute. Um, you know, you don't want that added stress involved. So once you've submitted your application, you also have to do a self assessment school. So the self assessment school is, um, as I said, the guidance there on this link, hopefully we'll be able to get to it. So this is the 2020 words to quit themselves s mint school. It is relatively self explanatory. If you need to find it. If you just put into Google. Oh, my share. Can you see this, Emily? I I can see. No, I can only see where it says Self assessment school and the way with me. I'll try it in. Is that better? Yes. Yes. No. Yeah. If it's sorry. Sorry, that live in and say this is the 2021 self assessment school. So as I said, if you want to find this, if you literally put into Google cause surgical training, self assessment guidance, you'll be this and often the first or second link, and it's just a Pdf document. And basically, my advice is to read all of this information. Um, and then you move down and you get quite clear. Marking criteria based on your self assessment and evidence in terms of this office doesn't evidence this will be really useful if you're using doing a portfolio finnic to be able to go through your CVS and to think about how you could potentially get more points by any means. Um, my advice would deport failure. I think everyone gets very book down with a portfolio, and I do appreciate it is important this year and last year the fact that you have to hit a benchmark cut off in terms of score, which you've not had to do in previous years. But it gets to a point where you can't really up to your port failure on a long as you can get to that interview. I would really then focus on your interview because actually, it's worth 66%. Your interview. Where is your portfolio? Is only were 33 so, you know, obviously get as much as you can be. Poor failure savvy have a real look through it and think, right, What? The point that I can achieve in the time that I have left. There are some things that you just will not be able to achieve. You're not going to be able Teo you because And there's some things that you, uh will not be able Teo achieve in the time frame that you got left. There are some things that you can So I think simple things like being an affiliate with the world college could be really beneficial. And you get points for that. It shows commitment, surgery. You may be the process of finishing an order in trying to present that regionally may be an option to you if you've already done the work. So I wouldn't go through all of this in detail. Appreciate it. It's a lot, but just have a little like go through it all. And if you're borderline between a point or two, I would probably advise to march yourself higher. But you have to be able to really justify why, because later on, you will have to submit. Your evidence for that portfolio is well on. If the risk is. If you do know hit that mark is. Rather than dropping you down a point, they may not give you any points a tool, and I think it's just about making people aware of that. So if you think in your head, you can justify why you deserve that point. Even if you're borderline, then go for the higher school because obviously you need to hit that benchmark. But if if you can't quite convince yourself, it may be safer to drop down to that one below because they are really thumping down on what they will accept and what they won't. I'm hoping, as I said, from discussions that we've had kids pass. It has mean I'm not myself personally. But other members have been involved in the discussions that they are really going to tighten down on what they will exact and make that guide. It's really clear, so I'll just made back to the presentation itself. So, as I said, put failure, any counts and 82% of your score on do you will require to be you will be required to submit your evidence later on, and then if you're able to sort of hit that put point that ultimate benchmark, Then you will be offered an interview. So if the 2022 were planning to do bitter interviews, and that will be via Microsoft teens if you are applying in later years, I appreciate we sometimes have medical students. And if one doctors bear in mind that they may be a possibility for them to go back to face to face interviews as well. But with the current pandemic and the situation and actually the fact that they felt the virtual interviews went well that they want to stick with this format for this coming year. So you'll have one clinical stations that would be split into 25 minutes. Medical scenarios. And you also have a leadership in management station as well. In terms of general advice for interviews, think of the basics treat into like the exam is my best advice. So I applied for court trading. The first time was a little bit naive. I went to the interview thinking, I'll be fine. I normally interview quite well, But the reality is most best probably haven't done an interview since we went to medical school on thinking back. Even when I applied to medical school. I really practiced my you know, those examines is of you know why I do want to get a medicine. Um, why you want to come to this city? Those sorts of generic questions Do you know do treat the into life exam? Make sure your heart's in your clinical knowledge, because they will be asking you about it and make sure that you prepped for it appropriately. Um, my other big advice is pleased You read all the information they sent in every single email. So once you've applied, warrior will send you regular emails with all information updates. Those emails and messages can also be accessed by the oral website as well. Um, so in the years previous, you've had to do a presentation, available presentation, and lots of people didn't. I was at my interview and the people who arrived and weren't aware that they had to presentation just because it was a bottom of one of those emails to do. Do you read every single piece of those emails? A lot of it's rubbish, but there will be some piece of information that's really important. You don't want to miss it. Um, simple things dressed um, are you know, it's It's an important interview, and first impressions do make a difference. And it's those first few seconds that people do really get an appreciation of what they think. If someone a Z, we hope that personal appearance isn't the thing you've got to remember, he's interviewing you on. We are surgeons. We are clinical professionals. So, actually, if you can dress smart and appropriately, then I think that's really important. Just it's a lots of people will say where black and white and don't my color. Personally, I'm not sure if I agree with that or no. I wore a dark green dress with Navy through it, so no, a bright pink for residents dress, but it had some color in it. And I think it makes you bit more memorable if you've got a little bit of color in you and I'm very pale black and white probably don't do very much for me. So, you know, do you dress for what you want, but make sure it's comfortable, but make sure you look like you're going going for business on. I think if your dress smart, you also feel better and more comfortable make sure you're happy with the Internet. It's virtual. Um, there were lots of emails being sent saying, If the Internet goes down, it's your fault. It's this. It's that the other, to be fair. When I did my ST three interview I loved in on the administrator was made me calm down straight away, she said, Look, if the anti goes, we'll just try and restart. We'll carry on and do what we can So they are aware that, you know, this is a stressful scenario without technology causing problems, so but do you just make sure you're happy? I was very anxious and bought myself anything that cable, but that probably was a bit OCD. But, you know, just just think of ways that you can make that situation clear if you, um your environment. I know I've got my bed in my background right now, but, you know, when I did my interview, I did it downstairs. I made sure I just had a white wall behind me. Try and keep it as clear as possible because people will get distracted and look at things in your rooms Well on. Just take a deep breath, Theanti goes really quick. I know I speak really fast anyway. Just, you know, you will speak faster when you're more stressed and in that environment. So just trying calm you prepared for this. This is your opportunity to show them why they should hire you. So in terms of the actual stations that the leadership management station, as I said, it's been 2 to 5 minutes. Traditionally, the first five minutes is a two minute presentation, plus questions. The presentation doesn't require you to make any slides. It is just in a lot presentation, 30 minutes. The common sort of questions have come it previously. Obviously, I cannot guarantee whether they'll come up again, but there's a lot of questions around leadership and management. So what makes the leader? What makes the manager what the difference is? One of the overlaps, um, obviously well, that we would define a leader of somebody who can be to bring on others. Inspiring is the key kind of word on that they able to manage, you know, they're very firing. They bring people on, they want people to succeed. It's not just a manager who's trying to maintain the status quo, trying to get a test and as quickly as possible. There is obviously overlap. To be a good leader, you need to have that organizational management skills. Actually, if you want to be a good manager, you also need to bring people on with you. It's not just about finishing that task. It was useful to know the different types of leaders. So, you know, if you think about the scenarios that you're in, if you're in a research situation, you want a direct leader. You don't want someone to little team. What do you think we should do? You want someone to be like right? Anesthetics. You need to man this airway. You know any Reg, please, and you get access. You know, it's where is if you're in a different scenario. See if you're running a teaching course. You actually want creativity and other things to come through, so you need to take a slightly different leadership roles and take on opinions of views on others. So, like, I can't guarantee that question would come up. It's probably not worth looking into it as of yet, but if that is what comes up, those are the sorts of things you need to think about. They've also asked about more describe. When you've seen it, when you've seen good teamwork and when you've described good leadership and just you know where those sorts of things in mind you was back in five minutes, then you'll be given a scenario. It's kind of a very similar. So Esther 80 scenario on. Do you have to sit with basically, go through your practical of what you do so your rent is about to perform a procedure that you're not happy with, and you don't think they're competent? Know how would you manage that? What we do your consultant is doing a project with you on is actually changing the results to make it look more significant. How do you deal with that or you're scrub nous um was shouted out in theaters day, and apparently this behavior from you consulted is in common or you consulted tons of drunk on, but they're sort of techniques to use. There were lots of people talk about spies. Apology to the poor quality of the state do so it's about of seeking further information. So particularly with the research, you maybe want to speak to a consulting to say, Okay, I've noticed that you've changed the results. I just wanted to know Was there any reason for that? Because you never know. There may have been actually that they realized that with their steps wrong and there was a logical reason for doing it. Um, you have to think about patient safety. So in the incident of the research question, there isn't any immediate patient safety. But obviously, if you'll publishing B six is incorrect and invalid, then that could be a issue for patient safety, because some people may change their practice based on it, um, initiatives that can you do anything else yourself a little bit difficult in the research scenario. But you know, you have to think about it. Say, if it was more to do with, like, greater issues, could you and your team sit down and try and figure out how you can accommodate people's rate is a bit better, or if you're a bit worried about not getting any training, is there a way that you could maybe allocate people theater time, particularly if you're struggling to go on? Call that you potentially another set juegos whilst on call and you share a month's yourself. So thinking about those sorts of things and then the escalation pathway is really important to knowing he to escalate to, um so, normally, if it's around someone's training or your training, you speak TV or clinical supervisor. Educational supervisor. If you're not really getting anywhere with that, you can speak to the store head of surgery or the department in particular. Then you will have someone will regionally electoral TPD. So they're the person who oversee all of the training in the region. And where is it? If it's more to do with the clinical issue, you would potentially speak to a clinical supervisor, all the other person's clinical supervisor. You could potentially speak to another consultant in the team who's had a department again. And then you also have your clinical and medical director suit. Having an idea of who those pathways are is really useful. And having the spies performance is good because it just helps structure your answer and you not stop their thinking. Oh my goodness, I don't know what to do, you know, you're like, right, I've got to see conformation. I've got to think about patient safety. So this is how you can practice for your interview itself, and they're moving on to the benefits narrows. You'll have to clinical scenarios. I'm not entirely sure how Iran Yes, last year with the virtual I know when I did it face to face, we were given a piece of paper with a clinical scenario before we went in. And then we were given a second clinical scenario when we were in the room, Remember you a B c D. And remember that only expecting you to be able to work at the level of an asset show, you know, expected to be saying I'm going to take this theater for a laparotomy like That's not what you're going to be doing as an S h O. They dress what need to do the basics and the stuff you're doing in your day to day job. And it's about practicing, communicating that although we sometimes do lose this, we don't think about it. For example, in my first interview, they were asking, What can you test in the urine? And I was having a massive blank, and I said, We can test for infection markers. You could send it off like yes, but well skewed, test nearing. And then I have the shower movement. The next day was thinking pregnancy, Test it, and it's something that is just done in S au most the time you don't think about it, but it's just trying to make sure you've got these things in your head to go down on a B C D. And it's structures. Your answer. But don't spend forever doing it. Say, I'm happy with this patient's airway in terms of breathing. I'd like to know the option saturations on the respiratory rate. I want to listen to the chest and then, you know, move on to see DNE appropriately. But don't spend too long common things that come up from general surgery. Think about your Triple A, so you're gentleman with back pain thinking potentially renal colic. Don't forget about your play POSTOP surgical patients think about us and asked about it. Leaks, particularly. They've become very tachycardic, and they do sometimes through a couple of also ones in. And so if you've got someone with potentially, um, post list limb or something, pancreatitis. It's nothing. It's nothing uncomplicated, but they're, you know, just try and have a think in a session is maybe with your friends as well. So when I applied, I was really lucky that I was in Wales in some of the worst society. And some of the seniors were running the sessions where we basically just went around and did station have to stay in our station with someone firing questions to get your colleagues to practice with you get you a seniors. Most of them have been through this themselves. When I applied for STD three, I harassed all of my Reg is and they probably were fed up with me by the end of the amount of practice ideas on a little like an idiot. I'm not gonna lie with some of the stuff I said in the night. Why are you saying that? But I think having gone through that when you're in a stressful environment and saying rubbish, I think then it really made me think about the questions and the scenario. CDO ask everyone. And actually, I think most people are really willing to help, um, useful resources. So the medical interviews, but is a very generic book. It's for all interviews, know, just general surgery, But It has really nice stuff about the kind of more estate e orientated questions. A swell as the you know, the escalation Pathways has a bit of stuff on clinical governance, which and was very important, Fasting three, but could come up soon. Knowing about your pillow seven pillars of clinical governance and things is quite useful. Just have in the back of your mind. So that's quite a good book. Just to review and go through quite easy. Read a swell. The course surgery interview book is also very good. It hasn't really good clinical scenarios in it, and and it's, um, it's a little bit more structured to the course of training into your other than this or generic interview advice. Just say none of these endorsed by us or anything like that. It's just These are the ones that I use, and I know it's quite commonly used by many other people, so I would definitely recommend them, um, in terms of job preference in just very briefly, um, so prior to knowing your ranking, you will be sent a big spread sheet with all the jobs that are available within the country. Do very mind. It's very annoying, but they often do You change and you'll get around them email saying this job change this job changed on. What you need to do is rank your jobs in order of what you want, so you don't have to rank them. Or if you have a column with all of them, then you'll have your column of preferences, and you have to drag him across the ones that you actually want to go for. I'm my Firestone for any jobs down that you you won't go and do because it's just not worth it. Um, obviously, it depends on your situation. When I applied the first time, I only put the area that I wanted to be in a pride. The second time I was like, Well, actually just like a job, So I put more across, make sure they ranked in the might order. I have one friend who had then found out, Apparently, is it? I think you drag it across, and then when you drag your next one, it will automatically puts it sometimes to the top rather than underneath. Even though that's your second choice, they've managed to rank them all backwards, so really annoying to just be very careful. Um, And yet, as I said, only select the jobs you want and make sure they ranked in the correct order. And then if you are successful, you will be offered on offer on with that offer, you can either accept it. You can accept it with upgrades. You could hold it whereby it's your job. But you may be waiting on other jobs, air coming through or you can decline. It might do not accept a job offer that you will then decline, because then, if you do that, you may not be allowed to ever private that specialty again. If you if you hold it so you've declined it straight away, that's fine. You will be able to apply, but if you decline an offer that you have accepted than that, my understanding is that prevents you from being able to apply for further years. Be very careful if you're someone who's applying for multiple specialties. I have a colleague who apply for surgery and radiology. They got offered there surgical job. They held it. They then go off of their radiology job, and they wanted to hold the radiology job as well. You cannot hold two jobs at the same time. So actually held the radiology job. It completely got rid of her surgical job, but she lost it. She doing radiology, and she's loving it. But you cannot hold two jobs at the same time, so you have to think about which one you wanted to do. But it's much more common core level that people will do multiple applications. You don't get job. Don't give up. I didn't get a job the first time around on back Chew a li I had amazing every, um, Italy. I worked through it and didn't go to Australia. Do anything fancy, but I really used that year to boost my CV. I then got my top choice job the second time I applied. Um, I think it put me in a really good step to kind of think about ST three and have managed to go straight to ST three. And actually, I did say what operating in my three year it was fabulous then it meant that when I started my core year that actually I felt so much happier and I had kind of already gone through that transition of FTO s a job which actually can be a bit of a jump on. It could be quite hard to leave your F ones and go to the theater. I used to So today I think I'm even now I'm still too. I feel like I want to look after my F ones and don't want to get to be a tip. But it is getting that balance. Look at your feedback. You do get some some feedback. Admittedly, feedback is always variable. Some people get really good feedback. Some people, unfortunately, don't have a little looksee where you fallen down and see what you can do. Consider your portfolio in the areas you need to target. You know, you've got a whole nother year. Think right, where do I need the points? Where was I falling down? What can I do and plan your year out to try and improve your CD, but also be realistic. You know, a year getting something published. It may be a bit ambitious. It's not impossible, but get in an order for quality improvement project and presenting it is very reasonable and go again next year. And you, you know you like to get a better job than if you just kind of scrape three. Um, any questions? I don't know, Emily, if they've seen any in the chart or anything, that's come up. I can't see. Sorry s Oh, Sophie. There's a one in the chat from Know MASH, they say, Do you get the opportunity to explain your justification for relevant points that you list down? Um, so I'm assuming this is saying, you know, do you justify it or is there evidence based so you don't get to write a spear or do any justification? So what happens is you submit your school and then later on, you'll be asked to submit your evidence that you need to make sure the evidence is really, really clear, Andres, that this is what a point that you deserve. If you're concerned, then when the points come back and you be marked down, you have the opportunity to appeal, which I appreciate. It is stressful. But, you know, if you do have any concerns, then I would definitely recommend appealing. You won't be penalized in anyway, or they may do is say that. Actually, we think this point stems on that or they may give you the points. I don't think I don't think they can reduce you again. There's always a chance if someone else wasn't happy with you evidence. But I know that there were so many issues last year. I think that they will be really trying to ensure that the same issues that ironed out this year on day, for my understanding, is they really, really trying to hone down on the terminology. So that's really clear for people, what will count and what weight so it will only be a justification in the appeal is the only way I could describe it. Unless you're evidence clearly shows it as well and short. So I think there's quite a few more questions popping up. I'm not sure we'll be able to answer all of them, but just what one of them is, how many times can you reply so you can? My understanding is you can apply as many times as you want it, um, the issue you may face, depending on what specialty want to go down. So particularly general surgery and fortune is the one I can think about. You get penalized, s t three by how many years out you've had. And if you had zero years out, one from my understanding, I think even one this year was actually caused you to be down mark slightly. They do. A lot of it's kind of complicated they do in increments. So based on your port radio school, depending on how many years out you get this increments. If you've had one year serious that you get of 1.5 increments, say, I don't know if that's the correct number. If you'd had one year out, you get a one point increments, so it may. It won't affect you a call, but it could potentially affect us t three. But that does apply for what you apply for, so for pizza or you don't get penalized for how many years you taken out. But you do get penalized for how much experience you potentially have, So if you've got over two years of pediatrics, you'd experience in particular you could be a penalized later on. So if you have a specialty that you're really interested in, there's no harm in having a look at the ST three application process either, because that also can be really useful and you'll be ahead because you'll be planning for that next step is well on and quite a few questions that popping up. But I'm quite, you know, in the interest of sort of time and keeping on schedule, and you know, we'll be running breaks and everything. And, you know, we have an academic surgery talk latest that might help answer this or publication and everything, but I suggest everyone sort of has a look at their self assessment criteria for last year to get an idea. But as we all know, it may change this year, and it hasn't been released yet. So I'm you know, I cancer in specific questions might not be massively helpful, but thank you so much. So for you, for that. For that to walk. I think that was really, really useful to cover sort of the general aspect of the blind flare called surgical training and also the interview process. So I hope everyone got something after that. Thanks, Sophie. New problem. Thanks for having me. No worries. So I next talk about the moment is from Ms Georgia late. And so Miss Georgia is a