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tonight. Um, so finally, before lunch, uh, we have an honored guest. Um, So I'm proud to introduce Fill McElhinney, who is the founder? Uh, and CEO of Medal and Medal is an educational platform who we have collaborated with this year. They are effectively running are hybrid conference. And without them, none of this would've been possible. Um, and I won't say anymore, but I'm actually so proud to to work with Phil. He's been absolutely amazing. He's a great guy, and even more importantly, a person who is revolutionizing medical education around the world. So thank you very much. So I've got t minus 20 minutes to lunch. So, uh, I'm going to keep this short. But thank you for letting me explain a little bit about why we do what we do. And I think you've kind of seen what we do over the last couple of days and tomorrow, and I'm just gonna focus on our why over the next couple of minutes, because actually, that's much more important. Our mission is to make healthcare training more accessible for everyone. Why does that matter? Well, we need to train 18 million more healthcare professionals by 2030 the World Health Organization has called it a workforce crisis. In healthcare is one third more healthcare professionals than we currently have on Planet Earth, but it takes 15 years and up to $700,000 to fully train a doctor in some parts of the world and The Lancet have described severe institutional shortages in our healthcare training capacity around the world. So we've got to train a third more healthcare professionals. But we don't have enough resources to train the healthcare professionals that we already have. It's a bit of a toxic combination, and when you combine that with, um uh, looking at some of the resources around the world, you find that where the need is at its greatest resources are. At their least, there are 11 countries on the continent of Africa which do not have a single medical school for the entire nation. Over 20 countries only have one medical school for the entire nation, but it's not a problem that's confined to somewhere else in inverted commas. These are headlines from high income countries around the world. From the last 12 months you can see in BBC news, the NHS in England is facing its worst staffing crisis in history. And when you look at this slide from the Association for Surgeons and Training again, you can see why that becomes a bit of a problem for us here in the UK as well. The average surgical training is spending in their post graduate surgical training. Between 20 and 26,000 lbs on their mandatory training costs 1300 lbs of that every single year on courses, conferences, travel and tickets, 41% receives absolutely no recourse from their study budget. If you're working in oral and maxillofacial surgery, which I don't think any of you are, that's up to 76,000 lbs. It's massive. And when you look at the real term buying power of medical salaries over the last 10 years, they reduced by 10% or up to 20% against retail price index. Since 2008, according to the British Medical Association. What does this mean? This quote from Maria Prial, who heads up the widening participation medics, networks events says this as a widening participation Doctor money isn't always has been tight, and I know the court surgical training application, uh, check has just check box has just changed, but this is really interesting As a widening participation doctor, money isn't always has been tight. Study budget covers one big course or maybe 2 to 3 small ones. So to meet CST needs the wealthy can easily treat the application as a paid tick box exercise with little actual development. It's not a problem confined to somewhere else. It is a problem. It's a global problem. But it's not a problem confined just to somewhere else. And for us as a team, we find that intolerable. As a team of clinicians, as a team of technologists, our goal is to make healthcare training accessible, but not just to do it for the people right in front of us. How can we do that at scale? How can we begin to teach and train colleagues around the world? We have a massive problem as a healthcare community that we need to solve, and it's only by working together that we're ever going to be able to do that at scale Pretty bald. How do you start to solve that problem? Well, when you look at how healthcare training courses, conferences, events has been happening over the last couple of years. We saw some beautiful stuff happening. We saw colleagues being able to join us from some of the most remote and some of the most resource per settings colleagues who have never been able to join us before. And that is amazing, truly amazing. But when you look at the tools that healthcare organizations on our wonderful colleagues that they're using to run those events, it's a bit of a tip together. Smorgasbord of insufficiency. People are setting up an eventbrite. They're biting people to a zoom call in the zoom call. They're pinging in a Google form link to collect feedback. A. Ubiquitously, There's someone in an office called Steve who copies and pastes names from a Google sheet into a Microsoft Word document template for certificates. The email amount to 200 people who attended. They download the video from Zoom because they only have a gigabyte of story John Zoom. They upload it to YouTube or Vimeo. They add the same Google form link to the YouTube Vimeo description so that they can collect feedback for on demand, which is now a thing, and then Steve starts all over again with certificates for on demand. 30% of them land in people's junk meals, and they all reach out to Steve to say, I've got my junk meal deleted after 30 days. Please, can you send the certificate again? What are we doing? We've got 18 million more healthcare professionals to train, and we ain't gonna do it like that. And so we started to look at that process. We've got the tech skills to actually solve some of those problems. We took registration right through to on demand content. We made it easy for organizations like button like acid, like British Association for Pediatric Surgeons like E N T. U K. Just to set up their event, run it end to end and automate it. It saves ours per session, But even more interestingly, we can begin to do it together as a community so we can begin to share our teaching training courses, conferences with colleagues internationally. When we do this together, why? Well, this phrase inspired me at a tech conference in 2020. It's from Dr Tedros, who needs no further introduction, and he said this Ask yourself every day If your technology works to help the poorest in the world and to reduce inequalities. This can't just be to solve Steve's administration problem. Some of the buyers to allowing people to join teaching and training are, uh, ingrained in the tools that we're using. Zoom List, licensed limit of 300 people means the organizations are actually hesitant to make their teaching and training more accessible because they have a remit to teach them. Train the 200 to 300 people right in front of them. We have the technology skills. We just lifted the limit so you can host up to 10,000 people on a medal event with actually worrying about limiting it to the 2 to 300 people in your organization. For free and open access training. We actually made our technology completely free and open access. We only ever charge. If you're charging for your event, what does that mean? Well, there's so many colleagues around the country who actually run free and open access, teaching and training, and they actually can't afford to pay a huge sum for a 10,000 person license. So if we really want to put our money where our mouth is, we have to make this technology accessible, and so we threw ourselves behind that. Make it free and open access if the event is free and open access. And for those organizations who do have to charge, what can we do in that space? I'm so proud that Botha have backed this scheme called Fair Medical Education. They've used it on their event over the last couple of days. It's enabled colleagues from 20 lower middle income countries to join completely free for a paid for event. It's something that organizations in healthcare wanted to do, but they were faced with this bureaucracy. So we want to make our event accessible to people in lower middle income countries. But Steve's busy making certificates and he can't check their I D cards, and he doesn't want to trawl through all of their 200 emails and check that are from a lower middle income country. Do you know what that's a problem that tech can solve. So we just built built the technology so that the person can automatically verify whether they're from a lower middle income country, and they can join for free the the organizations you see on the screen at the moment have backed this and use that scheme to make their events available for free or significantly reduced cost for colleagues in lower middle income countries. We have the tools available. This is just as important as the bamboo plates at lunchtime. But life is not a magic bullet. We've seen it in countless events, Right? Internet connections are not ubiquitously available across the world if you live in a lurid or setting, actually being able to watch at a time. And much more importantly, an Internet connection that suits you is really key if you live in a high resource setting. But you just live in Northern Ireland like me, it's equally as important, right? And so, with one click, the organization can make it available on demand. Uh, for colleagues who cannot attend, available who are not available to attend live, they can give feedback. They can claim a certificate. They have as much right as those people who do have a good Internet connection. This is the result of that. This is what happens when we work together in this space. Over the last 18 months, we've helped 1600 healthcare organizations make almost 5.5 1000 courses available to colleagues in 171 countries. Those organizations come from 20 countries. So got 20 countries worth of organization here, collaborating to share their teaching and training with colleagues in 171. We are stronger together. Does it work? I'm going to skip over this paper. It's really interesting is from the test for Avery. One of the senior authors is David not dated a face to face versus a virtual surgical skills course, and they actually find that the outcome where outcome was equivalent really interesting. Check it out. They taught 553 surgeons in 20 countries in a single day. In their discussion, they talked about how this sort of technology has the opportunity to scale up. They might have surgeons that we can train as planet Earth, but it's not a high income too low income country thing. This cannot be an imperialistic. Uh, I think it has to be, uh, focused on the global healthcare community and one of the beautiful things we saw in November. This is the vice president's of Kosek PSA the College of Surgeons in Eastern Central Africa. Actually delivering a course from Nairobi. And they welcome to colleagues from around the world to their course in Nairobi. That's what this is about. And this is not about one country doing something to another country. It's about all of us working together. Uh, this is a really amazing video. First and foremost, my name is Tom. I'm from Kenya, So medal has enabled me to be here, so thank you for that. Uh, so my my question, uh, my question is, Tom was a colleague from Kenya. He joined an event using the fair medical education scheme. And it was the only comment in a to day hybrid conference that got a round of applause. Not the smartest research. Not the best question, the accessibility and the power of us working together. I had goose bumps on my skin when I heard him say that I'm gonna leave you with one final story and then I know lunch is waiting for you outside. I just want to talk about the impact of this. When we collectively work together, we can really make a difference. We actually verify people when they're joining a chat. It means an organization can actually make their event really accessible without worrying about the safety of the event. So we verify people as healthcare professionals when they're joining one or two times per week, we get people reaching out to say I can't verify myself for whatever reason, they don't have access to their email addresses or their I. D. S. In a single day in the spring, we had high tens into the hundreds of people reaching out to us to say I can't verify myself. When Sue and our support team reached out to ask why the same response came back. I don't have access to my institutional email address at the moment, and I didn't think it was that important for me to get a letter from my dean to say that I could access medal before I fled the country. Thanks very much, quite right. We had hundreds of colleagues from Ukraine who were joining and an NGO in London had actually recruited 250 doctors from around the UK to deliver education virtually for Ukrainian medical students in partnership with the Ukraine Medical School Council seven times per day, every single day for two months and again it wasn't sort of an imperialistic UK teach Ukraine thing. They were doing that because they wanted to free up clinicians on the ground who were delivering face to face medical education, to instead provide face to face patient care and to bolster the medical resources of a war torn country. Together, we are stronger. That's what one of the professors in Knee Pro said. Thank you for everything you're doing for knee Pro. And for the people who are trapped in this situation, we need to train 18 million more healthcare professionals by 2030. It's only by radically collaborating like we've done with Buddha today, like we've done with 1600 healthcare organizations that we can ever begin to make that happen. Thank you so much for letting us be part of your day. Thank you so much for welcoming colleagues from around the world to your event right here in Liverpool. And I really hope that that you enjoy lunch. Thank you. Yeah, I think it is