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So, hello everyone. Welcome to the Beyond the Foundation Talk. Um So today, so the purpose of this talk is basically we're gonna be um trying to give you guys some more career paths and options beyond Foundation. Um So first off, our first talk is looking at internal medicine training. So it's gonna be presented by er, Doctor DME Varland who's currently in I MT one at Leicester, er, he secured his first uh top choice I MT position after achieving high interview scores. Um So yeah, it's uh thank you DSH for uh taking up some time to present. Um Yeah, without further ado I'll, I'll hand over to Dar Mesh if you guys have any questions, just put it in the chat and I can read them out as we go along. Ok. Brilliant. Thanks very much. No, II hope you can hear me. Ok? And you can see the slides up on the screen. All right. Um So as Noah said, my name is Dams. I currently work as an I MT one doctor in Leicester. Um Today I'm just gonna be telling you a little bit about I NT but I'll also spend a bit of time going through the application process. Um But before we start, I just wanna say a big thank you to no for having me today and for you guys for tuning in. Um I'll probably talk for about 20 minutes or so and I hope you do find it useful. Um If you don't mind sticking in some questions in the, in the chat as and when you think of them, I'll try and answer them towards the end if I can. Um And yeah, we'll get cracking. Um So, so I give you a quick overview about the sort of things I'm gonna talk about is just generally about what is I MT first of all, why should you do I nt the general I NT application process? Um And then the I NT interview. Um and then we'll finish off with some questions if you've got any towards the end. So what is I MT? So basically, it's just the first stage of specialty training in medicine. It's not too different from foundations, training. To be honest, it's still rotational. Um You still rotate around different medical specialties. Um You also still unfortunately have AE portfolio and an ACP every single year. Um Most of the portfolio is also quite similar, you still need to do certain procedures and things like that. Um Although they are a bit more advanced, um you have to do chest drains. Um and your daughters have to hit certain outcomes for ACP. Um There are a few differences between foundation and I MT. Um you get a bit more protected time thankfully for teaching. Um You also get some dedicated time to go to clinics which is very helpful. Um And in theory, you, you are expected to take a bit more of a active role on the medical take. Um It's split in two stages. Um So stage one is 91 and 92. Um And essentially you're an IC slash co trainee. Um And then in stage two, you go on to be becoming a medical registrar um in the first, in the first stage or stage one. you typically have four, sorry, you typically have 64 month rotations um with mandatory rotations in Jerry which you have to do an, it typically in three, you have 26 month rotations um with one of them mandatory in AU. Um So, yeah, and then unlike foundation, you do unfortunately have to sit exams um and pass the M RCP by the end of stage one for you to be able to progress. Yeah. So why should you think about doing I nt um NT allows you to enter higher specialty training in any, in any or all, all of the major medical specialties? I think it's around 34 different medical specialties that it lets you go into. Um all the ones that you might expect like cardiology, gastroenterology, nephrology, rheumatology. Um But there are a few more niche ones as well. Like, um, oncology, hematology. Yeah. And there are a few more, even more niche ones like aviation medicine and sports, exercise medicine. Um, that it would also let you go into, for me. I think there's two reasons why you might do. I mt, um, one is if you're dead set on doing a specialty. Um, for example, I know I want to do oncology so I have to do I mt to get to get into higher specialty training for oncology. Um Or if you just know that you want to be a physician, but you're just not quite sure which specialty to be in because I MT gives you a chance to explore many different medical specialties and then hopefully you might well like one and then you can apply to high specialty training. Yeah. So, yeah. Um and then I'll give you a bit more flavor of what the training pathway looks like. Um Essentially, I imagine if you can see my cursor, hopefully you guys are probably all about here as a foundation training or probably just after. Um And so then there's a selection process which we'll talk about a bit more detail. You do I MT which is this purple uh section here. Typically it's three years. Um And then there's another selection process for you to enter higher specialty training. And then at that point, hopefully, once you've done your higher specialty training, you can end up becoming consultant in that particular specialty. So there are two sort of two groups of specialties. Group one which is shown here, you have to do all three years of I MT. So you have to do stage one of I MT and stage two. Um those specialties are like cardiology, gastroenterology, endocrinology, and diabetes. Um And effectively you end up training in the specialty that you're doing as well as internal medicine. But there is something else called group two specialties, which I'll move on to. So you only have to do two years of I NT for those specialties and those specialties are like oncology, dermatology, and hematology. So you do two years of I MT and then you can leave I MT and go straight into higher specialty training, um which is probably a bit more of an advantage because you're saving one whole year and you're not, you're not having to work as a medical registrar, which is also probably a good thing. Um So, yeah, just talking about the application process. So the application process is actually fairly straightforward. Um It's quite similar to the foundation one that you guys probably have done. Um, you sort of start well, you the applications will open in sort of late October typically and close sort of early November, mid November. So put a schematic um just literally just taken from the website, um which tells you all the key dates. This is obviously for this year cycle for people entering I MT in August 2025. So it will be out of date for you guys, but it just gives you an idea of when things start and when you should start submitting things. Um you don't have to do the M sra unlike a lot of other specialties thankfully, but you do have to do an interview. Unfortunately. Um The deadline for applications is, is a firm and it is a hard deadline. Um So they do close and I think it even specifies like it closes at 4 p.m. on one specific day. So I would recommend that you probably start your application early as soon as the application is open and submit it a few days before. Just so you're not thrushing around right towards the end where you might forget to submit it and then that's your chance completely gone. Unfortunately. Um I MT is becoming more and more competitive like all of the, like all of the other specialties, unfortunately. Um almost, I think it's almost about 9000 applicants supply this year for only about 1600 jobs. Um So I'll talk you through the application process and hopefully give you a few hints and tips about what you could do to try and improve your chances of getting it. Um So essentially during the application process, you'll have to score your score, your well self score some of your achievements. Um And there are a few set domains that they want to score, they want you to do a score for. So those are things like postgraduate degrees, um presentations, teaching experience Q I projects. Um I'll not go into too much detail about all of these individually, but because I think it'll get quite boring. Um But just to note that for postgraduate degrees intercalated degrees don't count unfortunately, and the M RCP doesn't count either. Um But I think it's a good idea to look on the, uh, look on the recruitment website, um probably fairly early on, um, and just look for any gaps that you might have that you can try and address in the next few months. Um I'm sure it'd be pretty difficult to try and get a phd in the next few months. Um, but you could quite easily do AQ I project and hopefully try and do one or two cycles at least. And that would get you probably four points for.