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Minimum number, the minimum number is not fixed but depends on their interview capacity. Uh So for example, if they have around 2000 post for interview capacity, I'm and I'm just giving an example. But if they have capacity to uh interview only 2000 people and then 4000 people have applied, then they'll uh for that year, they'll have to set a minimum score uh beyond like below which they wouldn't be able to call people for interviews, right? So that would be, that school would define whether you're able to be shortlisted or not. And then finally, they'll call you for the interview and you have to sit in the interview and, you know, in a competitive interview process which will ultimately decide whether you have got a successful I MT training post or not. Uh Now dealing uh like further into the nitty gritty of this. Uh Obviously, in order to show that you have got the same competence as a doctor is complete. F one and F two must have a crest form signed, this form can sign only be signed by a consultant and consultant may have different meanings. So it doesn't necessarily mean anybody with act uh for example, a, a doctor who's having a GP can uh still be a uh like regarded as a consultant. So this website tells you who can sign your press form, but it needs to be a consultant who with whom you have worked for at least three months within the last three years. They do not have to be a consultant in UK only this can be a consultant in a, in your home country as well, right? Uh getting shortlisted in your, in the uh for the I MT application interview, as I said, would depend on your CV. And your CV is given scores and the scores are dependent on the following criteria. So, first of all, in a, in addition to M BBS, do you have any other, any other postgraduate qualification? Have you done an MSC or a PT Cert or an MD or any other qualification? So, and then have you done any posters or presentations um in any conferences or uh in any? And it can be even local, it can be even a presentation at your departmental meeting or it can be a post or presentation in an international conference. And depending on where it is, you'd get various scores, right? Uh uh Then you get separate points if you have got teaching experiences and you get separate points if you have got teaching qualifications. So teaching experiences basically can be anything between te teaching locally. At your department to teaching at, you know, uh, a formal structured teaching curric program which you have organized yourself. Yeah. So, depending on what you've done, you get various different types of scores and teaching qualifications can be, the most common thing is attending a teach the teacher course, uh, which, you know, tends to be a one day course run at various places in the country or it can be a formal MSC degree in, you know, uh uh in teaching as well. So again, you would get various types of scores depending on what you have done uh publications. Um you get in your separate marks for publications and this can be publications in journals, this can be publications in books, uh for journals. It needs to be a peer reviewed journal. Otherwise you don't get a point and usually the most points are when you have publications where you're the first doctor, right? Uh Similarly, if you have not written a whole book, but you have written a chapter in a book, you'll still get points, leadership and management can be, again, nat at national levels or even local levels and you get different points based on that Q I PS uh to get the maximum point, you must complete a whole Q IP. So you must have a complete P DSA cycle. And then after that, you must have a second cycle where you have done it at least an audit. So that would get you the maximum marks, you get lower marks for just doing one PDC cycle. And obviously, if you've just done one audit, you probably would get a few more points as well. Uh But they do value qis and audits quite strongly and additional achievements, meaning national prizes you have received. So, for example, in Bangladesh, we've given a professional exam, profit exam and you've um you know, you've got honors or you've got, you know, you've got a position, distinction or a position in the under the university, you can get some additional achievements for that. Equally. If you've got a uh prize at a national conference for a booster, those things can be counted as well. So again, this is the website which I've sign signposted you to and you can have a look at it for further details. I'm happy, happy to answer any questions with regards to those either during today or at a later time. Once you get shortlisted, you then got get called to the interview in the interview. You're just on basically three criteria. One would be your CV. So far. So you're supposed to present what you have done with your carrier to the interview board. And then very importantly, you also have to explain why you're a suitable candidate for the I MT training. So just your just having a good CV is not good enough. You have to explain how your CV makes you a good I MT doctor, right? And then the second station would be a clinical scenario. So you'll be given us clinical scenario which you have to solve. And that would be usually questions based on a bit of theory, but mostly around management. So investigations, treatment, teamwork, escalation, appropriate escalation and stuff, but also one of the other segments and which would, you'd need plenty of practice on would be to practice an efficient handover to your next colleague when you're finishing a shift or for example, escalating to your registrar or your consultant or uh you know, uh just handing over the case to somebody else. So they, they would need you to hand over in a, in a proper manner in the same way as you would do in real life. And then the third station is basically ethics and communication usually has questions around GMC, good medical practice. I will heavily encourage everybody to read the GMC, good medical practice and then it will, it may contain scenarios where ethics or communication is involved, right? So interviews for I MT S. So the interesting thing about I MT application is once shortlisted. So you know how we said that your, your short listing would depend on C vs, which depends on multiple criterias. But as soon as you're shortlisted, you do not carry for forward any shortlisting score to the interview. So everyone goes to the interview with a score of zero. So it ultimately it is your interview which has 100% uh you know, uh like, you know, effect and impact on your ultimate ranking and your ultimate outcome. Shortlisting scores are not carried forward. So everyone goes through the interview with the same score of zero and it's ultimately their interview score which heart like dictate whether they're gonna be successful in getting an I MT application I MT interviews are held online. Um And again, the JR CPT B website has an website uh like, you know, it talks about great details about what to expect on the day and how the interviews are carried, carried or like, you know, um are conducted. So an alternative pathway to doing I MT is what we say A C CSI M. So instead of doing the three year I MT program, you can actually do a four year program called A CCS at the end of four years, you still have to apply for an ST four. So after I MT, normally somebody who's completed I MT 123 applies for an ST four. If they haven't done I MT 123. Rather they have done the whole four years of A CCS. After four years, they don't apply for ST five, they have to apply for ST four as well. So it's basically a four year program as, as an alternative to the three year I MT program. The good side of A CCS is people who like critical care stuff. Uh A CCS is very heavily uh like, you know, um designed around looking after the critically or acutely unwell patients. So in the first two years, they make you rotate through EDS, acute medicine, intensive care medicine and anesthesia. And then your 3rd and 4th year basically simulates the I MT two and the I MT three year. And again, if somebody's interested in a CCS pathway, I've given a website to signpost you to it, right. So once you've completed your I MT 12 and three years, you apply for an HST, which is a higher specialty training pathway. So you apply for an ST four number. So again, that's a competitive process. So first of all, you must be eligible to apply for H SD. So obviously, if you have done I MT, you just, you are automatically uh you know uh eligible to apply for HST if you have successfully completed your three years of I MT. However, if you have not done I MT, then you have to show that equivalent skills and knowledge to that you of an I of a doctor who's completing I MT. So you get the alternative I MT three competence form signed this, however, can only be signed by a consultant who has worked in NHS. And this is where it's different from the press form which could have been signed by any consultant anywhere in the world. Uh Alternative I MT three competence form can only be signed by a consultant who's had in who has had NHS experience. Obviously, the other things are you need to have GMC, you need to have the right to right to work. By the time of starting your post, you need to have a valid A LS by the time of starting your post. And you must have the adequate experience, which would be three years of, you know, three years for the I MT covalence and one year for the F three covalence. So four years post your internship. Yeah. Uh and then obviously you get shortlisted based on your CV scores, the CV scores are so they're scored differently. But the same criteria used in I MT application are used for your shortlisting of HST as well. The only difference is you get additional points for successfully completing MCP. So uh you remember you have to finish MCP by this time of starting the post. So you do not necessarily have to finish MCP at the point of applying, but you cannot start HT four without a without an M RCP, right? And obviously, you'll also get additional points for commitment to specialty. So for example, if you're applying for cardiology, you can get anywhere between 0 to 10 points depending on whether you have done stuff related to cardiology in the past, right? Post stress publications, uh doing audits in cardiology, you're going to cardiology conferences and stuff. So this is a new addition to the training pathway where you can get heavy a lot of marks or you can, on the other side, you can lose a lot of, you can lose a lot of marks depending on whether you, you have shown enough commitment to the specialty you're applying to. Right again, further, further information can be obtained in the website that I've shared. And once you have sh become shortlisted, you get called to the interview. But unlike I MT your, your interview outcome and the whether you are successful in getting a HST post would not only depend on your interview score, but we also have shortlisting score, impacting it as well. So you basically carry forward your shortlisting score to the interview table. So some doctors can choose not to apply for a group one HS. Uh So group one is basically all the common specialties that we know of. Yeah, but some of the specialties are called group two. And here is an exhaustive list of all the group two specialties uh which uh somebody can apply to the difference between a group one and group two specialties. Group two, group one specialties are coupled with GI M. So everybody who's done the four years, who, who's done three years of I MT and four years of a group one specialty, they not not only get a CT in that specialty, but they also get act in GI M as well. So you can, so you've, you've got, you've got dual CT on the other hand group two specialties do not get a CCT in GI M, they only get a CT in the specialty that they're training. Meaning you don't need to have so many G, so much GI M exposure, meaning you do not need to have three years of IMT rather you can apply at the end of IMT two. So the doctors who are doing IMT, they will try to finish their MCP by the IMT two. And then instead of doing I MT three, they will directly apply for a group two specialty, right? Uh If you want to, if you are not doing I MT, then you can still apply for a group to specialty provided that you have three years of experience, post internship. And you have got the alternative I MT two competence from sign, you must also be uh like have done the M RCP as well. So again, if somebody is interested in the group to specialties, uh I've given a website here, group two specialties. Uh I feel a lot of people don't realize that there is a great opportunity to enter group two specialties and get a CCT in some of the quite exciting uh specialties that I've mentioned here. The other pathway for training with is called the academic Clinical Fellowship program. So it's called the ACF pathway. So this is a training pathway where it, so the I MT and the HC training pathway is heavily clinical training pathway. You can do a bit of research, you can do a bit of academics, but those are done as a side job rather than in integrated into your training. If you want a training pathway where, where you're heavily doing research and other academics at the same time as your clinical training, then perhaps the AC ACF pathway is more relevant to you. So this is a training pathway which combines academic and clinical training. Academic training means you often get the opportunity to do an MD and phd as part of the training, it's not, it's not guaranteed, but there are great opportunities to get this funded and get this done. You can do the ACF pathway either at in. So you can finish A I MT and then apply for an HST ACF pathway or you can pick up the ACF at directly from the start. So directly from I MT, if you're doing ACF directly from the start I MT S, then there is opportunity to do a run through program, meaning that at the end of I MT three, you don't again have to apply ST four, you just directly go into that specialty. So for example, trainees who are doing ACF in Renal, they started I MT one and they, they continue all the way to ST seven. Yeah. So often it is a run through program. But again, um further information is need uh given in the website that I've shared, feel free to look at it um if you're interested and then obviously II II thought it's important to uh talk in great details about the nonconventional training routes to be, become a consultant because you don't have to always train if it doesn't suit your, you know, your uh your personal choices or your life. So there are other ways to become a consult consultant as well. So first of all, I, I've just talked about the seizure pathway. Uh if you have a RCP and you have adequate experience and adequate experience, uh it can be anywhere either in UK or back home and your trust is happy, they can directly apply, recruit you as a local consultant. You just need to get two referees. If I if I'm not wrong, the other pathway which has recently opened up is called the GMC specialist pathway. So local consultants that they are not in the specialist registrar. So the UK has a specialist registrar where it maintains a register of all the people who are eligible to work as a consultant. So local consultants are not on the specialist registry, but the GMC specialist role is a recognized GMC role, which is basically an extension of the SAS role. So, so what happens is doctors who have, you know, long work as registrars and Mr CPS, they will eventually, you know, uh from a registrar role, they'll step up into the SS role, which is a senior role. Uh and it is, it is it is a GMC and a Royal College recognize role where it recognizes your seniority. Yeah. And SS doctors basically in uh form specialty, associate specialist and uh staff grade doctors and they can work at different levels, for example, registrar level to working or like uh in the same way as a consultant depending on the senior team. So the doctor SS rule is basically a recognition of your senior team in NHS uh recently, what the GMC has done is they have introduced the GMC specialist Post, which is basically, for example, in Leicester in medicine, we have got two GMC specialists who work in exactly the same way as a consultant. So they have, they have patients under their name. Yeah. So this, this is basically a pathway where if you've got enough seniority and you've got the M RCP degree and your trust is happy they can a appoint you directly under the DMC Specialist contract. If anybody's interested in that, I'm happy to share a website, there's a website which talks about that. But again, I'm happy to share this that as well. So finally, now that we have talked in great details about a carrying medicine. Uh One of the other things that uh doctor wanted me to speak about is what is acute internal medicine and compass. Yeah. So acu internal medicine is often regarded as the heartbeat of the hospital. The reason for the this is it's very common for 80% of the admission to a hospital being a medical admission, right? So the way NHS works, uh a majority of the patients who are admitted to hospital unless you know, um they require specific interventions by a particular specialty. A lot of them get admitted under the medics. So as soon as they get admitted to the medics, unless there is a specific pathway for them to directly go to a specialty. For example, cardiology or stroke or respiratory, these patients will get admitted in the AM U. So there's an argument that you can say that um more than 70% of the patients who come to the hospital get admitted in aus anyway, so you basically as a department, you're the heart, heart bit of the hospital because you're taking most of the admissions to your unit. So you then need a specific specific group of doctors who need that training on how to interact effectively at the interface between the community from where patients are coming to the E hospital front door through that is ed and then to the base words. So there must be a doc group of doctors who specialize in that interface. You also need a group of doctors who are, who not only specialize in that interface of connection between the community and the front door and the base words, but who also who are proficient in managing those acutely unwell patients escalating them to the critical care if needed, stabilizing them in their own units, but also discharging back to the community in a safe and efficient manner. And the last part is really important because if you don't have enough expertise in effective discharges, the whole NHS will crumble because simply there is not enough hospital capacity to look after uh uh you know, and, and treat and admit any and you know, specifically admit every patient who comes to the hospital. So that's why back in 22,008, the acute internal medicine specialty was born specifically to cater to the needs of the NHS hospital medicine. And then over the last 14 years, 15 years, this has expanded quite a lot. So a internal medicine department, uh you know, departments and as a specialty, they have evolved to incorporate uh other effective ways of treating patients without admitting them. So, ambulator care units. And then recently, one of the exciting developments is the hospital at home services where patients will stay in their hospital and you have a group of doctors and other healthcare stuff, go to their homes and treat them. And this is, it may sound fancy but it's very, very, very like, you know, it's expanding at a quite a high rate. Birmingham has got a fantastic hospital and home service. Lester is building one up for the frail, frail uh doctor uh like frail patients. And uh the last time I checked it was like, you know, it had started and other units across the country. Oxford has got a fantastic hospital at home service as well. So it's, it's not a, it's not, it's not a uh n like it's not an, it's not a concept which is uh in its infancy. Actually, it has progressed quite a lot over the last few years. So to train as an acute medic, you have to have four years of training, you dual train with general internal medicine. So at the end of your CT, you get a dual CT in acute medicine and general medicine. This part is important because acute medicine, because of its uniqueness is still a specialty which is mostly confined to UK, right? There are a few other countries which recognizes your acute medicine CCT. So you can uh and there are few countries which actually has acute medicine as a specialty. But for the rest of the country, in order for your CC to be valid, you need that GI and CT as well, right? You can have a triple CCT. Uh if you want to do stroke or ICU intensive care medicine, you need to have mandatory training in point of care. Ultrasound. You rotate through acute medicine, cardiology, respiratory geriatrics and it so you have that skill set, you have a lot of training in Ed and you have a lot of training in ambulatory care, right? And then in addition to those, you can develop specialist skills in other various fields as well for example, point of care, echo medical education, leadership and management, dermatology, tropical disease, diabetes, et cetera, if anybody is interested in active medicine. Um I've shared a website here which talk, which you know, talks about the curriculum. And then one of the most exciting things being a Bangladeshi, we are very proud that we have done quite a lot of work and people actually like it may, you'll be surprised to hear that over the last few years, there's been an intense amount of amount of work to expand acute medicine as a specialty to Bangladesh. So we have formed our own society called the Aut and Critical Physicians Foundation, Bangladesh, which is uh like in short called A C CPF P. And Acute Medical Units have started opening in some of the hospitals of the most notable perhaps is the Acute Medicine Unit at the Square Square Hospitals Limited. So a bit about the foundation uh that we have set up. So we obtained Bangladeshi government approval in May 2023. This was a major landmark event because now we are an officially recognized society. We have started collaboration with the Bangladesh Society of Medicine, the Royal College of Physicians of London and the Society for Active Medicine of UK. The members includes doctors trained or training in acute medicine in UK in various formats. So, you know, MTI doctors and HST S and some of the activities we have been doing uh include a running acute medicine, long courses, acute medicine, short courses, uh workshops on a point of care, ultrasound and echo medical procedures and bronchoscopy. We have developed our own acute medicine ultrasound and echo program called AM U Se Mu which have uh and we have had some collaboration with the famous, which is uh official Acute Medicine Ultrasound program uh ef under society for Acute Medicine of UK, right? We have developed courses on uh like we have developed a course on critical care in collab. Yeah, in collaboration with an American Society, uh we are in the process of developing a journal in acute and critical care medicine. We officially will launch our inauguration program on the 12th of December. So if anybody's interested in attending that, this will be a free to join webinar where you'll have the heads of societies of. Uh Yeah, uh you know, uh from various healthcare leaders from Bangladesh and UK. And we're aiming for our first international conference in autumn or winter of 2024. So that's basically it. That was a, a short talk of me, a carrier in medicine and how we are expanding acute medicine all within UK and beyond to Bangladesh as well. I will stop share. Uh like I'll stop my uh presentation here and I'm happy to take any questions if needed. Thank you. Thank you. That was a fantastic presentation and it's so impressive with the collaboration work you've done in Bangladesh. Um Absolutely. In all I'm so proud of this work. Um Thank you again for your presentations. Really appreciate it. Um Yeah, if, if you could share the Google Google doc link on the chat, so people can er recap and especially some of the resources that would be really helpful. Thank you so much again for coming. Thank you. Thank you and I'm more than happy to do it. I I'll, I'll just share you the link now. Thanks. Thank you so much, Doctor Laif Rahman for your amazing uh presentation. Um So in the chat box, um if you can share your email address in the chat box, if anyone has any question, can directly get in touch or uh during the event. If you just put any questions on the chat box, then we will make sure that which is the right person. All right. Thank you very much. Uh time for our next presentation which will be given by Doctor Hanko Rahman. Um Hello everyone. Uh I'm I'm so sorry. Um I'm just here new here to the UK. I couldn't manage a place as of yet. So the light and background is not that great and I also could not manage time to prepare any presentations. Uh So far, I'm just trying to settle in, I guess I'll be joining my duty from uh this week onward. So I'll talk a little bit about clinical attachment and uh how it helped me to secure a job. So a bit about me. Uh I completed my M BBS from Medical College and then I com uh passed my MRC S part A back in April 2019. And then I passed my part B in 2022 May. Uh There was a delay because of the, of the COVID. And then I acquired my GMC registration in July this year. And then uh from 20th July till the 23rd of August, I did a clinical attachment at Birmingham Heartlands Hospital under the guidance leadership of uh doctor uh Mr Tavi Hussein. So then we really helped me to get that attachment also to learn and to develop myself during the attachment. So some key points about attachment uh in there. So why did we opt to go for an attachment or how did the clinical attachment help me? The first thing is I have been working in Bangladesh and I just worked abroad for one year in the Maldives, but the entire system is quite different. So the clinical attachment, it gives you an idea or a familiarity with the NHS and also with the trust, different trust, they have different ways of working. So here I got the opportunity to work at Birmingham Heart Hospital under the University of Birmingham Foundation Trust. So during my attachment, what I got to understand is that the treatment or the protocol in here is 80% mostly communication and understanding uh how things work in the NHS and 20% is your core uh clinical skills. So the first thing I tried to do during my attachment days at first trying to get an idea about how the treatment works. So at my first posting was in the surgical assessment unit. So there at first I in on my first day I learned how the patients are clerked. So the basic when the patient is coming to the ICU, the first set of clerking is done by the fy one or the Sh Os. And then after the basic clerking, they are referred to the registrars and the registrars come and they give an I uh they give a judgment or they give a treatment on the uh entire patient or whether they need admission or they need to go for an investigation or come up or follow up the next day with an investigation. So during my S AU of two weeks, in the S AU, the first thing I learned is to collaborate with the Sh Os and with the registrars. So by the completion of the first week, during the second week, I requested my registrars uh to observe me trying to make the consultation with the patient. So I uh made the communication with the patient regarding taking their history, understanding their condition, then making uh making the, the notes or clerking on the computer and then uh prompting uh what is my plan and then getting a feedback from the registrar is my plan correct? Or what modifications need to be made. So that was my first two weeks and then the third week was a mixture of in uh inhouse the wards and also the theaters alongside that the post ward drugs and the general ward drugs there too. I got an idea of fami about where the different wards are there and the patient admission criteria, the investigation, profiling the follow up investigation and how to uh assess the notes and get an idea about the patients that are being referred from the emergency. So in the in the world as well, I got an idea about the chronology of patient admission to discharge. So how is it different from back home in the country? And what are the common principles that you follow? One of the most important thing is antibiotics, usage of antibiotics. So there are trust guidelines. So in the internet of the trust, we get an idea about which antibiotics to use, then switching from one to another, going to a higher one. So these are some things that I learn. And then in the theater at fir on, on my first one week, I observed how uh the theater practices go because the theater in Bangladesh and here it's quite different. One of the most striking difference is generally in Bangladesh, we don't get a scrub nurse. So one of the doctors, they serve a scrub nurse. But here we have designed a scrub nurse and it's very important to identify their role and acknowledge their role. And very important thing is never to uh touch any of the instruments without asking it from the shrub nurse. That's uh that's very important here. And also about the painting draping and the writing, the POSTOP do the basic surgical aspects. And during the clinical attachment, what I felt was important is number one to make your presence felt that generally what happens during clinical attachment, you tend to be invisible. So during my 1st 1 to 2 weeks, I felt that that I'm quite invisible and no one's really seeing me, I don't have a core uh responsibilities or duties and me being there or not being there, it doesn't make a, a bit of a difference that can be a bit uh depressing in the very beginning. But then I uh thought, how can I change this? So with my communication or with, I try to engage a lot more with the registrars and with the consultants and try to prompt. OK. Is there any way I can help in this aspect? Is there any way I can make your work a bit easier? Is there any way I can contribute? So that way I kept I learned and also in that way, I tried to help uh the chosen, tried to build a rle with all of them. And during my attachment, I initiated an audit. And that too. Thanks. Uh uh Thanks to con that he gave the basic idea and he approved the audit. So the audit was on the consent form. So I collected the data in collaboration with two other Sh Os and the in initial data collection is completed and we'll be submitting the first uh presentation. So that's something that I did and with the Azo and with the communication in there and in the in between I tried to apply for some jobs and then I reached out to a few consultants and that's how I II managed to get my first job here in the same trust. So it happened that on uh during my attachment in the theaters. So one of the consultants from Queen Elizabeth Hospital, he came to operate in the HTC building of the Heartlands Hospital. So there I got an opportunity to uh observe him um doing surgeries and I took out the opportunity to go approach him and talk to him and try to introduce myself. And what's my uh future plans and roles? What's my, what are my aspirations? And from there? Uh then he uh reached out to me and asked, OK, fine. So in this case, we do have an opening coming up in Queen Elizabeth Hospital. So if I'm interested, so based on his advice, I applied for that role and then I secured an interview and al I could crack the interview and then I was given the role. So I've just got done with my occupational health appointment. And hopefully I'll be joining by the end of this week or hopefully next week. So that was my overall journey during my clinical attachment. And uh as I get to know about the system better when I start this job and thanks uh everyone for this platform. So where I'll be able to understand more about the NHS how this works. And I'm new to this country and get a familiarity with this country as a, as a whole. So moving forward, I'll also gained some experience and I'll be able to contribute even even further. So, thank you very much. That was it from my end? So, any questions regarding uh obtaining a clinical attachment or any help regarding clinical attachment for any doctors who are planning to come to the UK? Uh You're more than welcome to reach out to me. I'll be of any help. I'm extremely sorry for um me being unprepared. Uh I was uh I'm, I'm just so unprepared at this time that I could not invest much time or make any presentations. Extremely sorry for that. Thank you everyone. Thank you so much. Uh Doctor Ashe, I think that was uh really inspiring. Um because every day we get messages from doctors in Bangladesh that um they are quite um uh worried about getting the first job in NHS. So can I ask you uh what was the time um duration between when you got your GMC registration and you got your first job in NHS. So, uh I obtained my GMC registration on the seventh of July 2023 and I got the job offer on the third of October 2023. So like a few months apart. Um that, that is very impressive actually. Do you think that doing a clinical attachment has um made any difference? Uh Yes, it has, it has made a huge difference in terms of that. First of all, once you are in the country and you have some access. So this has always al already given me the exposure. For example, the consultant who uh made me aware of the opportunity, the opportunity was not present on track jobs or any jobs. So he, he was the one who gave me the exposure or II got the opportunity to even attend the interview because of me p uh pursuing a clinical attachment. That's number one. And then the clinical attachment, it uh ensures that your CV is uh quite heavy. So you have a familiarity with the NHS, someone without a clinical attachment will get less preference compared to someone who has a clinical attachment. And here as well, you understand the basic nuances of how the NHS work. It's the basis of communication, how you present yourself. And uh generally, uh if you, if you even consider from the aspect of an employer to train someone who has had an attachment will be comparatively easier compared to someone who has no exposure or no attachment. So in that case, I would recommend everyone if it's possible if it's feasible for anyone, please go for attachment. It, it it really helps, right? Anyone from the audience maybe want to ask any question. Ok. If you have any questions, you can always put it in the chat box and uh Doctor Asik, if you uh kindly put your email address. Um so if anyone wants to reach out to you, maybe they can email you directly. Ok. Uh Thank you very much and congratulations on your first job in N HSI. Hope that you prepare your um portfolio and everything and soon uh get a training number and come to training. Um mm mm mm. Ok. Someone has asked I have sent emails to different consultants but till now, no response. Can you advise anything regarding this? No, and I think she is probably trying to get into a clinical attachment position. Ok. So in this aspect it's it's it's uh better to keep on pursuing. So I was uh absolutely lucky that uh the moment I reached out to. So the next day he responded back to me and he uh forwarded my application to the HR department. So that one I've been lucky. So in this case, if Visar would be able to help uh T Nova in this case, so that would be a really big help. So Tanvir has been a blessing in my life. Yeah, I'm sure a lot of people will agree with you on that. Um So can we have Mister Tanvir Hussain on the stage, please? And he has already given you the email address. I've, I've posted my email address on the um, chat box. Ok. Uh So I'm just gonna load up my slides, just give me a second da Yeah. Ok. So uh what I'm gonna do? Share screen. So if you go to the um bar under the screen itch shows you an up facing arrow. Yeah, I got it. I got it. I'm just putting the powerpoint on. OK. So, yeah. OK. OK. So can you see my, can you see my presentation? Yes, we can see it. OK. Stages on you? OK. So uh good afternoon everybody and thank you so much for attending this conference on a weekend in your own time. Um This has been a lot of hard work and organization by nor and Fareed and um a big thank you to them for organizing this. I'm really, really impressed with the presentation so far and really, really impressed with the speaker so far. So my presentation is all about all about developing leadership skills in medicine from more medicine and surgery from the stage of being a medical student to right up to being a senior doctor. Uh did my slide uh move. So the next slide is leadership in being an amalgamation of qualities and behaviors. So leadership skills are something that you continuously develop over your career. And actually those skills can start even before medical school. Um And, and those qualities are something that you're constantly going to have to work on and their qualities and behaviors. And that's what opens doors for you. So let's imagine you are a medical student. Ok. How are you going to build your leadership skills and how are they going to help you in your future career? Right up to when you are a senior doctor. So your medical school will have lots of clubs and societies where you can pick up roles. You know, you can be a social secretary, a, a general secretary, you can be a treasurer and one might be thinking, ok, so, you know, I'm, I'm, I'm the treasurer of the debating Society. Something like how is this gonna help me in, you know, in my job as a consultant? Look what this does is it gets you really used to working with people when you're working with a, with other people in a team, there are challenges, there are barriers. Uh and, and, and you also learn about yourself and how you work with other people. You might have er, scenarios where you have to deliver an event, you have to collaborate with other organizations, all of this, all of this stuff, even at medical student level really helps you in the future. Because as you go up to junior doctor and up to consultant, you're really building up on these kind of things. So let's just say that you've moved on from medical student to fy one or first year intern, there will be initiatives on your team that are happening that you really have to put yourself forward for. You've gotta volunteer yourself for. Um And it's not just sort of um you know, management type stuff, even in your clinical practice, the, the teamwork that happens that being that person who everyone can rely on uh having leadership in events such as a crash call or a problem. Let's just say, you know, something's gone wrong with a patient that's been discharged. And the team has been made aware if you're the person that can solve the problem, liaise with everybody deliver a solution such that by the time your seniors are found out, somebody has already solved the problem efficiently and the patient is happy. That's, that's the kind of thing, you know, just being organized, being the person that's really on it and can sort problems out other things that can happen uh in your department whilst you're a junior doctor even, no matter how junior you are, a lot of people have talked about audits. Uh What does that mean? Yeah. So, yeah, your a when you're doing an audit, you are ensuring quality, but at the same time, you're having to work with the people, you know, not just your team who are collecting data, but you're having to liaise with the audit department, you're having to make sure that the audit gets approved by your head, head of quality improvement. Um And so it's this process of working with people and also delivering it. You know, how many people have started an audit and not finished it. You also developed your presentation skills and one project can lead to another. You might have done a small departmental audit, but it happened to be that there's a consultant in your department who's doing a national project, you know, on that, on that same topic. And so they think, ok, you know, this, this junior doctor is gonna be able to help us and he's already got an idea or he or she has already got an idea of this subject matter. And before you know, it, you know, it can open doors. So one leadership activity can really be a springboard for others. There will be a number of organizations that you can join and pick up roles. So we, we really have had it amongst our speakers, the pinnacle of that. We've had number of national organizations, but often to that journey, um can start with smaller roles, maybe in smaller organizations, developing your skipping in a way that how you can position yourself. Um There are other stuff that's also clearly open for um very junior doctors. So there will be say a foundation year, one representative to the deanery um in your local deanery and taking these trainee representation roles. It could be just even a local role. You know, there could be a junior doctor's forum in your hospital and in some hospitals, they have specific forums for IM GS. And so when you take up a role like that, what you're really doing is being the voice of your colleagues. But also in that process, you're developing your communication skills, your collaboration skills, you having that uh title also gives you a ticket to approach somebody more senior uh for a specific problem and build a relationship. Because if that person likes how you've communicated with them, how you've brought a problem and solved it, how you've completed on a task, then that's an opportunity for them to think. Ok, this person is quite efficient, is quite reliable. It's quite articulate. I have an opportunity to need XY and Z done by an intern or an fy one. Why don't I ask them? And all of these processes really build your confidence. So we've talked about roles and responsibilities and those roles and responsibilities don't just have to be on, you know, a trainee representative group or a forum for trust grades or IM DS. Um There are other tasks that can be happening in your department, let's just say, for example, rota coordination, there might be somebody in medical staffing who's doing the ROTA and they have not really the appreciation of what's happening in house and therefore all your juniors are unhappy. So you could probably approach your rotor coordinator person and it might be either a registrar or it could be medical staffing and say, can I give you a hand, can I be the representative of fy ones or F twos uh for rotor coordination? Can I help you with the rotor? Um Can I help you make it and you sign it off? So sometimes you can make roles and, and that, that can happen, not just at a very local level, but regional, national level, I'll give you an example. Um When I worked at the Queen's Medical Center as a very junior registrar, there was an organization called Staff Improving Patient Safety and I saw some of their male shots. So I turned up to some of their meetings and events and they were mostly medical doctors uh doing trust wide projects uh all on patient safety. So I took an interest, I actually helped them with a few things. And then after, after being in that, you know, turning up to their meetings, not even being part or in their organization or having a role or a title after this scene, I'm, you know, I'm somebody that has got good ideas, good suggestions and I turn up to all their meetings. It's about three or four months past I said, look in general surgery. Uh actually in breast surgery at the time, you guys don't have a representation from breast surgery. Do you need one? Uh And they, they duly offered me a role and gave me a role on their organization. So they didn't even have, there was a role. They didn't even have. I made it for myself. And there are organizations throughout your trust. If you open your internet, trust, internet, you will find so much stuff. There. It'll be like a lead nurse who's like the hand washing champion. There's all sorts of stuff you didn't even know existed and they might not have a junior doctor rep or a foundation year one rep or an I MG rep. So you could probably contribute some work to them. Help, help, help with the, like some of the tasks they're doing and then make a suggestion that do you need an I MG rep? Do you need a do junior doctor rep? You can actually create your own roles and positions and, and all these roles and positions help you springboard to the next thing. Now, let's just say there is, you know, one of the national organizations has advertised a role for a junior doctorate. If you're already doing something that involves organization and teamwork, it doesn't matter how big or small, then they already know that you are somebody who can work with people and deliver, deliver on things. Uh and it might be that or it might be a specific skill that you have that they may need. So some of the national organizations over the years have advertised roles for um social media marketing reps. So if you're somebody who's well rehearsed on Twitter linkedin, um all of that kind of stuff, then they may need someone that like that. So it's worth looking out for what kind of skills, certain organizations who are looking for junior doc doctor representations are looking for. And you could probably do like skillshare classes on things like that on web design. For example, when I was, when I was a medical student, uh in my fourth year, uh I joined the Sheffield Students Surgical Society and I could build websites and I was doing that as a kind of part time job making, you know, put a helping fund medical school and, er, they needed somebody who needed to, who could build a website. So I became their web designer and the following year after that I became the president of the organization. So sometimes you may have specific skills that uh a group or a team or a committee need, but otherwise it can be your experience in leadership roles. And again, it doesn't matter how big or small that role is saying that you can communicate and you can work with people. So we've talked about rota coordination, training representatives, stuff like that. Um There are like also specialty societies. So just like he, he, he is on a roll with the RCP. Everything. Every single specialty of your interest, be a surgical, be a medical, be it psychiatry. They all have their own, um, organizations and it's worth really seeing if you can get involved with them and it might not be that they have a role for you, but you can just reach out to one of their representatives to say, look, I'm really interested in work. I'd love to come to your meetings or I'd love to see how I could contribute. Now, let's just say that you're becoming more senior. Ok. So you're a junior doctor, becoming senior. So your, your mid to senior grade registrar, you've done all of this stuff. Ok. You've been on training rep committees. Uh You've done leadership activities and er, you're now looking to step, step up. So there are formal medical leadership courses you can do and training programs you can do to help teach you about theory on medical leadership. There are also formal fellowships you can do the most well known. One is from the Faculty of Medical Leadership and Management and they have a national Medical Director scholarship. It's a year out of training and essentially what you're doing is you're going and working under a senior medical leader and doing a project for a year. And what is it doing it teaching you how to communicate with senior leaders, uh how to deliver on a project, how to communicate with teams. Um and, and also giving you some insights on the healthcare landscape and how things work more at a senior level. There's also the um chief registrar role, I believe. Lot pay has that as well. Um So um chief registrar role er, is in every hospital, some hospitals just have them as er medics, but some hospitals, for example, University of not to have surgeons as chief medics registrar roles. And again, there you're gonna be working with senior leadership in the hospital, er, delivering on projects at this stage, it's worth thinking about what leadership roles do, consultants do. Um And you could probably a approach, you know, your governance lead, your patient safety, lead your education lead at your department that you're working in and say either do you have an associate role? So basically like a deputy role for a registrar or can I just help you out? So for example, the head of service or Governors lead might be, might be responding to complaints and things like that. Uh And they might need a hand cos they're quite time consuming. So there's a lot of things that like essentially legwork but you can do and that will upskill you. So shout the next post you go to, you can say, well, I've been answering data replying to um complaints and looking into investigations, looking into serious incidents as a registrar, uh helping my consultant. And so straight away, you've already got credentials for your next really leadership role. So, um as I was saying, yeah, think about what roles consultants do and see how you can develop the skills to position yourselves for those roles. Yeah. So some of the examples of clinical service, lead education, uh clinical governance and education leads. So if you've been trainee rep um for your deanery, if you have uh been a representative for training needs in your trust, uh if you have done a lot of educational projects, if you've delivered teaching courses, um all of these things put together straight away setting you up for education lead. And let's say that's something that you really wanna do, you could consider APG cert or a formal postgraduate um qualification to also set you up for that kind of role. So, so as I would be saying, it's all about planning ahead and thinking that this is a long game. OK? Um And just think about how you can position yourself for those roles. So let's just say you want to take up a leadership roles in fy one foundation year one. If you've done stuff at medical school that has involved communication, organization teamwork, then you are in a good position to go up to take on those roles and you could keep growing like that. So um it's really important also apart from an application you make or a list of credential or experiences that you list off that your team genuinely perceives you as somebody with leadership skills and qualities and they really judge um how good your values and behaviors are. So this next slide er is all about the FML M Leadership development passport. So this is um a leadership development passport that was developed whilst I was on the national trainee steering group and it allows you to document all of your leadership experiences, reflect on them, see how you can grow them. And when you've got them down on paper, it gives you a true reflection of what you've done or what you haven't done what you need to do. Um One of the useful things on this passport is the standards for medical professionals in terms of leadership and management. And this is really interesting and I'll just go through some of them. It's quite a long list. So the first set of standards was all about self awareness and self development. OK? And um it being aware that is your style of communication, how you make decisions and actions. Are they patient centered? So this is talking completely from a clinical perspective. OK. Uh So sometimes it's worth being mindful. Am I being perceived as that? OK. And then what about B manages own emotions and adapts leadership style to have the maximum positive impact on others? So this is really simple, but let's just say, you know, you're upset by something, something is really, you know, something's gone wrong in your team or a junior has managed something that you don't like. Are you able to manage your emotions in a way to have the maximum positive impact on others? Is your response going to be one that is gonna be perceived negatively or is that what is your response going to be? No matter how upset you are that somebody has forgotten to prescribe antibiotics on a septic septic patient is how you manage and regulate your emotions and leadership styles. One that's constructive, one's gonna get solve the problem and also be encouraging such that the problem isn't going to happen again. How, how would you respond to problems? Basically, another one is, it seeks and it acts upon feedback from patients colleagues and professionals. So nobody's perfect. OK. And making a mistake or having something to develop or improve is never anything wrong. But if you have a something going on, that is not a good thing and it's consistently happening year in year out, then that's a problem. OK? And that's something that you will be that will start to define you. And are you someone that, you know, maybe probably, you know, did ward rounds too fast, for example, or didn't listen to the concerns of your nurses or something? Are you someone who is able to handle feedback? And are you someone who's able to then change such that that problem is gone? You know, it d do you meet a colleague at ST five or six who knew you at CT two and can say, oh, actually, you know, wow, you know, uh his communication is, is, is really good, you know, and actually I remember Xy and Z but obviously he's improved things. So another thing is committing your time to professional development. OK. Always want to improve. And with this talk is all about leadership management, but your leadership skills and management skills have got to always improve. You've got to be a better leader uh cons constantly, OK. So not just how you communicate, not just how you deliver tasks um but also how you take the lead in making things happen. Some more examples here, establishes and maintaining strong professional and support networks. OK. So you will develop networks as you go through your careers and you will meet people who are really, really helpful to you and hopefully vice versa and maintaining those relationships. So, you know, let's say you've done a project with a consultant uh and you've done it well and you, and, and so that consultant thinks highly of you maintaining that relation. It's not easy cos it's not defined but touching base with them, keeping in touch with them following up on things that they are interested in that you could help with and vice versa. That kind of relationship building uh is, is, is really important because those professional networks, they're gonna be the network that you go to when you do come up with an amazing idea or project and stuff. How, how are you gonna make that happen? You, you have to call upon your networks and those networks can be from anywhere they can be from somewhere you worked two years ago, three years ago, it doesn't even have to be at work. It can be from here, doctors in the UK. Uh, you know, you could come up with a great suggestion that the other team members take on or let you take the lead on and you've developed that relationship that you can take forward. Uh, one of the, you know, most amazing things are those who have been mentees who have uh come for teaching and now some years down the line us are leading in the teaching programs for bd.uk. So that kind of thing, building relationships, um maintaining those networks, I cannot stress how important that is cos relationships. I've built 56 years ago even now are opening doors for me. So you got, you got a really valued um that sort of maintaining relationships thing. So, yeah, that's just some of the examples that ii probably don't have time to go through all of them for the self. One, I'll pick up a few from some of the other um chapters in this um guide. So personal resilience. OK? Takes full accountability for actions. So this is really all about um something's gone wrong or something's gone well, that you own that and you solve that problem cos as we said before, not everyone's perfect. And the main thing is how you learn from problems, how you respond from problems. You know, you could have had a problem. And from that, um so I had a complication when I was operating. And what I decided to do is review all of our data for our unit for 10 years. And that has turned into a huge project that now will be published as a paper. And the department, you know, have got really good things to say about me. From that, this is when I was a reg sha. So you can turn a negative into AAA positive. And um let's pick out another one um works to a high standard and earns the respect of colleagues. So, so working to excellence is really important. No one's gonna take notice of you the leader if your work is not of a high standard. OK. So you know, our bread and butter, day to day work is our clinical work and you want to branch out to other things. Obviously, everybody wants to and needs to be at leadership, be at teaching uh be a researcher or whatever. But if you're clinically um not up at the up to the standard, you need to be, then you're gonna be taken less seriously. I'll go on to another really important er section of the leadership development passport standards and that's being a team player. OK. Uh I it doesn't need to be said that being a team player is essential for a doctor. Um But there are some really interesting things here that, you know, we may know in the back of my minds but never outright thought about. For example, attract, look at uh um see attracts and develops talent. Um that's, that's really important because the healthcare workforce has got constantly people retiring and constantly new people joining and a department, a team, a organization need needs talent and needs that talent, talent developed. And if you're someone who can attract talent because of your warm leadership skills and you can develop them, then you are gonna be invaluable to an organization coaching to develop individuals to reach their full potential. I'm so I'm so happy that on bd.uk, we have so many er leaders uh such as no, she has organized a conference today who has that ability to attract talent and coach them and develop people for, for no return of her own just genuinely because she enjoys doing that. Again, there's some more qualities I'll go to the g empowers and motivates others to deliver. So, so you, so you've got to really nurture your team members, your juniors such that they, they can go ahead. Hopefully, deli, you know, my motto is I II would like to see my mentees achieve 10 times more than I have because I, I'm gonna be able to share that, know how for them to take forward and mix with their own qualities. So I would like to see all of those that come up to me to just be so much more successful. The last one is one of my favorites to celebrate success. You, you've gotta remember how important celebrating success is. Um when you have had a team win, when you have had an achievement, make sure you celebrate it cos you know that moment will be gone soon and, and celebrating those successes are what really can motivate you to keep working. So the, the last, the last, the last section in the leadership development passport was all about cross team collaborations. Uh And this is somewhat similar to building relationships and things like that. But yeah, identifying opportunities for collaboration is, is really, really important. So when you've got that credibility, you know, your communication is on point clinically or excellent. Um and you've already worked with somebody or you've already delivered a project and you see an opportunity maybe completely different specialty. Um make sure you don't take lose those opportunities for collaboration and partnership cos developing relationships is key to developing your leadership skills. Um And another one that I would ii would say, and this is a, this is a gonna be a controversial statement, but I do get some trainees say that and I don't know whether it was out of frustration because things are not progressing how they want to. But they do say in the healthcare commu community that sometimes others don't share their know how or share their even go back to medical school, don't share their past exam questions and things like that. But that is, that is not about leadership. OK. So, so look at um number, well, letter P openly shares own networks with colleagues and partners, sharing your networks, sharing your gems. Uh that is a, a vital leadership skill cos that's how you make uh collaborations, that's how you build relationships. That's how you get the same kind of favor, return to you. So sharing your networks um don't be afraid to share your networks or resources or anything like that, you know, kind of um keeping them to yourselves doesn't really benefit, you doesn't really benefit anyone yet. Sharing your networks, which doesn't cost you anything can, you know, spread and really pass on the goodwill that you, that we need to do for, for one another as well as hopefully help develop your own networks. So that was the sort of important bits of the FMM M leadership passport and I will post a link in the chat to the FMM leadership passport in a second. So just to summarize, um so leadership is a continuous journey. OK? And it starts from medical school or even before medical school and it's continuous and it's actually a combination of qualities and behaviors and that coupled with taking up opportunities, there are opportunities everywhere. If there's not an opportunity, make an opportunity. So that means, you know, turn up and help, help, help a department or a group, an organization and, and later see after you've really sort of earned your stripes, whether they, you need a role where you, you, you can have a role. It, it's, it's a long journey but try to start as soon as you can just like everybody's looking at their portfolios for the number of conferences. They've been to a number of presentations, they've done publications, they've presented teaching courses, they've done teaching sessions, they've taught, looking at your management and leadership section on your CV is important. So try and take on roles and positions. Um get in touch if you want a role or position in bd.uk, we are going to be advertising roles, um appointed roles on merit uh for bd.uk, which is a national organization. We're a UK limited company. We've been around for a number of years. We've done a lot of national and international work. Um So please get in touch if you are looking for a role. Um We can organize national roles at bd.uk. That's it. OK. So let's go to questions. Thank you so much. Uh Thank you for your interesting presentation. Any questions from our delegates? Um I cannot really express it enough. How has um supported us throughout our journey in NHS bid jobs, bid um Training even be like some personal support. He's still my go to person. I have a bad day at work. I can, I have done something good in work. I like turned to him and I, I'm sure a lot of other people like do it um as well. II really don't know how he finds time. II really do believe that he's got some secret tool to expand his time schedule. His day is not a 24 hour day. He's got more hours in his days. Um Walid Khan Shaar has uh posted a question. Is there any role for doctors who are in Bangladesh? O is willing to join NHS. So if you mean leadership management roles, um what I would say um is those roles, try and find roles in your current hospital even in Bangladesh? Because let's just say you are applying for a job, you know, um even in the UK, your past experience, including that from Bangladesh can go on your applications and your C vs. Um So when you carry out a leadership role, it's important to make sure you've got it all, doc you've documented it all. OK. The impact of what you've done. Title of the role. Was it a national local or regional role? Make sure before you leave Bangladesh and when you're joining the NHS, make sure you bring all your evidence with you. OK. So if you've done a teaching program for five weeks where you've taught other junior doctors, make sure you bring feedback forms with you and make sure you get your head of department to give you a signed letter saying that you've done it. So there, there is um a, a neurologist in our group, Riyad and he brought all of his evidence with him. And within a year of arriving in the UK, he got a national training number in urology. And I think he was in the top five, I think it was all six. I think he was well or something like that. He, he, he was, he ranked really high and all of his evidence for his portfolio was brought from Bangladesh because he thought, you know, one step ahead, he thought he's gonna need all of this stuff for his portfolio. Uh It's difficult for you to carry out a UK leadership role whilst you're in Bangladesh. It may be possible virtually for some things, but more realistically, your current hospital where you've built relationships with your team members, with your bosses who you've worked hard for for probably many years is probably more likely that you're gonna get a ton of evidence to bring with you from them. Um And that will make your job a lot easier when you're here because your first one year as uh a new doctor to the NHS, it's all about settling in learning to communicate, people learning the system and that can be quite stressful. And so then it's difficult to also make the time to do extracurricular stuff like audits, presentations, leadership roles and things like that. So, whilst you're where you are, that is a comfortable pace, hopefully, uh I would collect all your evidence. Um And, and, and it's worth thinking a few steps ahead. So look at all of the application forms for various training programs, see what they're looking for, what they need, what scores for you and what doesn't. Um And try and bring your evidence from Bangladesh. And once you're here, then slowly, you know, take up one, maybe one leadership role and start to build it up as time and sort of stress levels allow. Right? Um We've got two questions. I think one is for you and one would be for Doctor Raman. Um Anika Bushra has asked, how can we get involved with B do UK as a trainee in uh based in UK. So there's two things so do UK in the New Year, we're gonna be advertising roles, ok? And these are gonna be roles by so the seniors including our director are gonna be betting application forms for things that we need. Ok? So things that we are, I can give you sort of before, before it's being posted. Like inside info, I can tell you the things that we need and what we're gonna be looking for. We're gonna be looking for community engagement leads regionally and nationally because one of our roles is to give health awareness information to our local communities. So that's gonna be a big part of things. We're also gonna be looking at specialty level leads to deliver career development in case. So what like mentoring? So we've, we are doing it really well in general. Surgery at the moment in bd.uk and nor will tell you more about that. Um All of our mentees are getting national training numbers. Um We're even running, we've even run courses where, you know, people like local trainees, like local non I MG trainees have come to our courses. So there are some things we're doing really well in, but there are some specialty specific things where we don't have much representational activity. So we'll be looking for representation across the specialties and those specialties were having a dual role. One of the role is going to be delivering education and career development, mentoring and programs. Ok? But at the same time, those specialty specific things are also going to have to work with our community engagement lead to deliver health education in our communities. So what do I mean by that? For example, Dr Anice, who is the lead of the British Bangladeshi Psychiatrist Association, he came to Nottingham a few months back and we delivered a talk on mental health and he also recruited some of our trainees and we're gonna be delivering a program on mental health in in the community er over the next couple of years. So that's just one example. So we're gonna be advertising roles all to do with specialties, all to do with communities and they're going to be specialty specific and these are going to be appointed roles. So these are gonna be based on merit and application um rather than votes and things like that. It's not a political thing. This is all about merit. Ok. Uh So that's the opportunities coming our way and please follow our Facebook group and those opportunities will be advertised on the Facebook group. And hopefully we will have appointed people by the time we have a face to face con conference next summer. So that was one question. Do another question you were saying, I think you're muted. Not, I'm not sure you're muted. Oh, sorry. My um so Nasrin A Johan has um got the GNC registration but it looks like she's really interested in a surgical career. Um So I think that's the same question that uh Shami na na Nabi only asked earlier, like how to get surgical jobs? Is it more competitive than a medicine job? Uh Would it be high ambition to try for a surgical attachment position after passing plan? I think uh I'll direct these questions to doctor Ashika Rahman. All right. Uh Thank you so much. So my advice to Nasri doctor Johan would be uh I mean, from my personal experience, what I feel is that uh pursuing attachment after pla one will not be that much beneficial. So you need to come to the UK for your lab two exam. So once you appear for your lap two exam, after that would be a suitable time to go for an attachment. So hopefully you'll be able to pass your lab one and once you pass your pla one, you get your gyms restoration. So during the attachment, during that time after pla two, that will be of uh much more beneficial uh beneficial for you. And in the, in the meantime, if you do want to pursue your care in the field of surgery, after you pass plan one, you should start preparing for your M CS. So it's, it's better that after pla one during your attachment, if you can appear for your M CS part A exam. So that gives you a little bit of a uh of a of an, of a competitive advantage to apply for jobs and securing a job. So my personal advice would be not to go for attachment after pla one. So wait until your pla two. So I hope that uh answers your question. Uh Thank you. I think uh what I have seen a lot of people do is when they come uh to UK for lap two with a visit visa. Um They just book two weeks of clinical attachment right after the exam before the result. Uh So uh by the time they leave UK, they have some sort of um uh you know, um um idea that how it works. Maybe they talk to some of the consultants um if they have any vacancy, they can apply directly to that hospital. So it, it always helps. Uh Walid Khan Shaar has texted. Thank you, sir for your inspiring words. Um I have cleared MRC is now willing to your oe what can I do by this time? I will just take the liberty to answer that question. Um If I were in your position, I would certainly try to get some clinical experience. I don't know which level in training you are uh back in Bangladesh. But uh wherever you are working, you can try to do some audits and teachings. Um just as you have seen today that we have got um some presenters from Bangladesh who has done their audits and re research projects in Bangladesh and presented it here and there are uh multiple other conferences going on as well who really encourage uh junior doctors and trainees to send their presentation um even as a poster as a oral, um anything is good for it. And then if you are doing any local or regional teaching, make sure you get all the evidences before you leave Bangladesh. And not, but the least um last but not the least try to enjoy some family time because once you get a one way ticket to UK, you will probably only be visiting once in a year or once in a few years. So try to enjoy this time as much as we as you can. OK. So I've got um Miss Sat Khan on stage um as uh than was saying um that how in surgical specialty we have, we have supported uh the doctors to get training. Well, at, at first I was supported by, uh, than and sat to get my training number. And as soon as II got mine, I started to build up a group and help other people. And, uh in last three years, we have had six selections for ST three general surgery, which is a huge achievement. And I can see all these juniors upcoming in surgical jobs in UK, I'm sure by the time you guys come and start working, we can support you a lot better and in more organized way because now we are having more people on the other side of the table. So sat will also give you some insight um of our group and then announce the prizes. Um Thank you, no machine for your very kind introduction. And uh thank you and all of the organizers for organizing such a beautiful program. Um I, I'm quite interested to see the message block and seeing so many people are interested to come and do work particularly in my specialty. That is general surgery. I II really, really encourage you don't uh be like uh dishearten that it's not possible. It's difficult, it's, it's very difficult because we did it and you can also do it and we are doing it every day almost. So, uh what I would ask, whosoever is uh doing their pla one and finish or finish their pla two, try to prepare and finish clear up once uh level of mrcs because it's very difficult to come in. A new country settle down. Um Have your family settle down and then prep for the examination. And just one thing is in Bangladesh, what we do is we don't do anything and just we read and read and then we prepare for the examination when you come to UK. That's not the case. You will not get your study leaves, you will not get that much time. You need to take care of yourself, your family, cook, grocery shopping and everything and then prep for the um examination. So uh if you finish up a bit that it helps and those who um are working in um Bangladesh and have a plan to apply for a training job with co training or um uh C three training. I would advise you to do least amount of general surgery jobs or a specialty job like pediatric surgery, ed, um vascular if possible cardiothoracic surgery. So it all adds up and then you don't need to get all those placements and then uh you can have some more numbers. That's it. And I think um this is a stepping point that you can uh how should I say, communicate with us very nicely through. Um No, and through um Bangladeshi Doctors in UK uh platform. And um I will just conclude with the oral price presentations and I will start with the third price. Um So the third price goes to uh safety and efficacy of patients with ST elevated M I experience in a tertiary care hospital in Bangladesh. Um And it was presented by Doctor Samba Z Joy. So big hand for her. Thank you very much and uh for presenting you nice presentation. Uh Can we have Joy on stage and turning on the camera and say a few words, she has taken like a big step. A big A B step to um present her audit from Bangladesh. Thank you. Uh It, it was a great opportunity and I am very much grateful and thankful to you. My initials is not as good and I am not so much fluent right now. I have tried my best. Mm Thank you especially. No, Shin Aur, you always did for me. I always um push up. Thank you. Thanks a lot. You are very, very nice for you and always remember. It's not about the accent, it's the content of the uh your presentation matter. So don't feel deserted or don't feel hesitant that you will not present or you and you might be an example to all the other Bangladeshi doctors who are now in this um uh scenario and planning to come to UK so they can get advice from you that how you did your audits and how you are presenting here uh That brings me to the second prize. Um uh It's an audit on can virtual hospitals be the answer to ongoing bed crisis. Is NHS, it was uh presented by MS Resna Tamanna. Uh Thank you very much for your amazing visit, Msna to turn on the video please and say a few words. Uh OK, thank you very much. I didn't expect this thing. Thank you. No, I can. Thank you enough. Um And thank you. So thank you. Thank you everyone. And uh thank you gi uh for giving me this opportunity to present here. I was very shy to present it here because the last time you also invited me, I didn't present because I thought I couldn't um I couldn't have done this, but this time I have the encouragement just because of noting. Thank you. No, thank you very much. And people who have just started their job or are going to start their job in NHS very soon and um dreaming of a carrier in surgery for them. Uh Miss Wana has actually achieved a lot within a very short time in NHS. She's been here for less than two years. Um She's presented oral presentations and posters in different conferences. Um And she has a uh gained uh she has been elected as the education and trainee rep in a CPG B Dukes committee, which is a national leadership role. So it's, it's just for you guys to get some inspiration that how much can you do. Um And like, what are the ways and there are so many people doing these things these days. So that you can follow their uh pathway just like we have followed our seniors. OK. Um That brings me to the grand and first prize uh which goes to Mister Mabu Hasan uh for his presentation on outcomes of robot assisted Partial Nephrectomy with the retroperitoneal approach. A single center experience. You're muted. Uh Mister Hassan, uh Mister Hassan, your uh microphone is muted. Yeah, there's always some problem. Sorry for that. Uh Thank thank you very much. Uh Everyone uh um to give me an opportunity to present this uh project here and I'm really delighted I got the prospect. Uh And thank you very much. No, uh and uh to run this kind of program uh and also supported by as well, he helped me a lot because II was struggling to sub abstract on that time. So, yeah. No. Thank you guys for bringing uh all these uh brilliant scientific projects. I'm sure our second moderator, Mister Farul would be really happy to see this, that uh urology project has won the first prize, but he's not here. We'll convey this information to him. Yeah, sure. Can I, can I ask one thing? It's uh it should be m aha. My, my name is Spilling. It's M aha. Oh yeah. Yeah, I think because your email uh and the oh that's, that's it is a very common name. Uh correct the certificate, don't worry. Um Right. Thank you very much and well done. You guys can I ask um uh all our speakers um including s be on stage um and turn on their video just for the closing speech. So we are quite close to our ending time. Now, whoever we have, it looks like we have Farid, we have a Rahman, we have Latif Rahman as well. And um mister can we all turn on our cameras and take a quick photo just one second? Does it took me or maybe is it because um yeah, now it's better than could you turn on your video for a second if that's OK. They look good. Yeah, your urology project has won the first prize. Well done. All right. That's good. Right. Uh Thank you very much. Uh I'm not sure if my Mister Hussein is still available. Um So see what do you want to conclude and close this? Thank you very much for joining on such a short notice. No. Uh Thank you. No, thank you again. Um All the organizers of this amazing um audit uh presentation. Um I'm quite happy with the participants and also the uh the people who have joined and have gone through all those um amazing audits and projects that is presented here um on a weekend. Um Then that's quite great. And listening to all these things, you will, can have a brainstorm and then have an idea and then finally present on a uh national presentation like this. Uh It will definitely boost up your portfolio these kind of stepping stones actually take you towards like how you do your everyday practice and an evidence based practice method and how you are not only a clinician, but you um you have the basic approach to appraise and do something um uh with your clinical research um particularly with the uh it, it's quite like I II find it quite amazing that how many Bangladeshi people are involving it. Uh So it will uh hopefully this kind of conference and this kind of um uh audit, we put a representation of Bangladeshi doctors in NHS. That is now it is, is very important um because um the NHS is very diversified um area and uh in every um communities and every uh countries is important and uh having Bangladeshi people uh representing at those is also very important for all of us. Um So, II think I will conclude with it, hopefully the next um conference or next, what whatever future um prospects we have, uh we will try to benefit the most out of it. And uh definitely I will uh like have the ethos of and no, that uh lift as you carry. So we will help everybody as we progress that uh that would be beneficial for you ourselves, that would be beneficial for everybody. Thank you. All right. Thank you all very much. Thank you. Uh all the tutors and presenters. Hopefully we'll see you um next year. Uh And we are really trying our best to make it a hybrid conference so that we can see each other talk to each other in a more uh personal aspect. And um people who are currently in Bangladesh really hope to see you next year in UK for the next conference. So best of luck, uh wishing you well guys. Ok, thank you very much, everyone and thank you very much. Thank you doctor. Thank you so much, everyone. Bye bye. Thanks.