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So they're quoting now on is just started. I'm sorry. So, for those higher bumper, those on the recording. I hope you enjoy this. Talk about a career in urology. We have two fantastic speakers today. Doctor Morris on Doctor Ross Russell. Um, I would introduce their careers, but they're gonna talk about what they've done. So let them talk about exactly who they are or what they've done so far to get to where they are. So without further ado, we're not tomorrow. Studio, share your share your sides. Sure. So, yeah. Thanks. Service much that introduction on D. I will just, uh, sure my slides with you. Say I now I kind of lose a lot contacts, visible contact with you. So somebody will just have to confirm, Can you Can you see my slide? Yes. We could see was, like, great a k Say, um I'm really, uh, Morris. I'm a consultant urologist at Southampton Hospital. Some of you may have met me before. I I am also specialty lead for for neurology, undergraduate, clinical teaching. And I think that's why I perhaps I was invited to speak with you this evening. Eso the first thing to say is thank you for for coming on. Do where Amy and I delighted Teo to speak with you and be given this opportunity. And we really hope that even if we mentioned some things you already know about that you will take home something useful that you you didn't know about before. I'm going to talk a little bit about my journey to becoming a consultant, urologist and hatefully Do some myth busting along the way on. Then I will talk to you about few useful resource is you can look at if you are thinking of seeing a career in new allergy on DPaT. Some tips on how to enhance your on it folio on Do your neurological knowledge and clinical skills. So without further ado, how did I get to where I am today? So this's a picture taken by my colleague who started the same day. Is me a second Sultan's and who have shared an office with ever since. On D is a fantastic colleague, doctor slaps, and some of you may have also met him a swell. And so I started my undergraduate training in Cambridge University on that was for my pre clinical so spent three years there. And then I went to Imperial College of Minutes and in London, and that's where I did my clinical s. Oh, I spent three years there is well, and then following that was in the very, very, very old system where I did a pre registration house off the jobs. That's when they were one year, six months, medicine, six months of surgery. That was pretty much how it was done for everyone on It's kind of the equivalent of your perhaps first or second year is a foundation year on, then forming that I went on to do. My seat showed which would be the equivalent, I guess of a CMT or now I m t um Andi, I had a little break before that. I'll tell you why in a minute on, but I did a total of three years of that on, But then I went on to do some research. So I guess, uh, some things that I wanted to kind of mention at this point is that I I didn't come out of the womb knowing I wanted to be a new neurologist. Some of my colleagues absolutely did on day eight. Absolutely wonderful that you guys already thinking about maybe pursuing new ology. I guess the reason I'm mentioning it is that it's it's okay to to change your mind. Okay, if you if you, uh, going to be spending something, doing something for the rest of your life, you got it. You've got to be confident that it's the right thing for you. So I'm not trying to put you off a tall, but I'm saying it's okay and it's okay to kind of, you know, think about a few things. When I was a medical school, I kind of knew what I didn't want to do. I didn't want to be a surgeon. I knew that for sure. On Done was a handsome. So I kind of knew that I did want to do medicine I didn't want to do. EDI didn't want to do on a static, so I didn't want to be a GP. I kind of thought about neurology, but I didn't really know anything about it on because because of my house off the job in stroke, that sort of really gave me an inkling on. Then it was really my my thymus an S h o r rated stroke and and the new, uh, rehab dope that really firmed up, that this would be something I wanted to do. But I haven't actually done a neurology job. This part of my rotation on that's the second thing to say is that I didn't do the most prestigious, you know, House of surgery on S H O jobs. I wasn't in a teaching hospital. Um, I didn't win all the prices at medical school. I That's why I wasn't there. You know, I wasn't the brightest a best in my class, is it where I didn't win the London gold medal? Um, I think to the actually see you need to be a neurologist over intellect is I think you have to be able to think kind of logically. I don't think the to necessarily equate in terms of being until a chewable and and being able to think logically. Um, often they do, but not always. I I think you have to be incredibly good at listening and want to listen and speak to patients. And I think you have to be really observant on and on the A B and use this system that you have to have a sort of psychological mindedness about you and I love that phrase When I read it, I think that's that's really true that you kind of want to get in a little bit inside people's minds as well. You know, I went in in in understanding their symptoms and what they're talking about, because a lot of neurology is about, you know what? What somebody's experiencing there. Experiential phenomenon say, um, I think I think those those are important so you don't have to. You don't have to be the best and the brightest. That's one with the bus. You don't have to have worked in the back, most prestigious institutions. But obviously you do have to have had some experience of neurology and and that's what I did. So when I thought I wanted to do it, I went and got a six month in urology. Shh. A paste funny enough in Southampton on. But that points you. It was sort of felt that really to progress in neurology is a career. You have to have a higher degree. Things have very much changed now. I think you know, for the better um, Amy, Um so we'll talk a little bit about that, but certainly when I was at that stage, it was kind of expected that you would do research. Either was an employee ID or a PhD align a new. I wanted to do it in strength, which was kind of unusual for neurology. It was kind of more seen, perhaps, is the care of the elderly specialty, but I was really interested in straight medicine on, but I was fortunate enough to did find a funded research placed once again in Cambridge. So I went back to my old college Jesus College and and spent 3.5 years they're on during that time was I was successful in getting a training number, and I started off in the east of England. Dina re So I worked in, Nor Itch and Romford and and in Cambridge before transferring my training back back to the West six. On day after my five years, I was successful in applying for a consultant place here on by Been doing that now for scarily over eight years on D. Obviously, my learning and education has not stopped it all on, but I've done all sorts of things. A zone urologist working and not only in this country but abroad. A swell on deviously got heavily involved in teaching in terms of any breaks in my career. That seems like a very sort Steady running through thing, doesn't it? My I actually had six months off between being a House officer and then shh, A on. But that was because when I went for my essay to into the they said what we would really like Teo offer you a paste. But actually, we've filled up for August. Would you consider actually coming in February? Instead, which is when the next rotation started Onda. I'd save that money for a car and I decided that I blow all the money and I would go traveling for six months instead, I'm super bad that I did because I don't think I would have had the confidence to get off that career training path of the y's. Um, and I think the other thing I really want to say is that don't be afraid of going off that beaten track. If there's an opportunity for you to do something that you're really keen to pursue, a really interested in. Obviously take advice from colleagues and your clinical supervisor about whether it would be a really bad move. But you've got years and years ahead of you. You know, being a consultant, you may not realize it at the time, and there is a very competitive nature to medicine about getting on and doing your exams and get into the night next stage. But somebody who schools on D looks it's applicants for for training posts in urology. Um, it's not all about the speed that you know. It's about what that individual has done. So if you don't something interesting for for six months on, you really want to do it, then then you know don't don't be too afraid of doing something like that Anyways. That's my journey. Everyone's journey is different, right? There's no set pattern. There's a broad theme. I would say you have to jump through certain hoops gets your exams, but you know training is changing all the time. It's changed numerous times since I went through, and it may change again on Amy will talk to you about the latest updates on on how shape of training is influencing things. At this current time, all my colleagues have had different journeys. Some did come out the room knowing that they wanted to do neurology, but that there isn't a sort of a set path. But there are definitely sort of lots of resource is that you can look at to decide if it's the sort of thing for you on but what we do and I'll talk a little bit about those. The picture is to remind me you will. But if you haven't bought a tendon hammer, then you really should Okay, because I think one of the things they want to talk about talk about is in hearts in your clinical skills. If you have a tendon hammer of your own, you can always do a sort of a brief new reluctantly examination on any patient on do, then lots cheaper than a step escape. So you want to get for a Queen Square proper tendon hammer. I think they lost about 15 lbs on do. If you haven't bought one, you know, treat yourself on diet will just make things a lot easier in terms of when you're under graduate glass of when your regime, your doctor as well. Anyway, that's my plug over. Say Useful Resource is other than buying a tendon hammer. So some of these have already heard off, and I'm going to more depth. So association of British neurologists I'm pretty certain that most of you thought about doing urology will have a DCed heard of them. Then there's Nonsick. So that's the neurology and nearest surgery interest group. He may not have heard of those, Um, for those of you who were University of Southampton students in your fourth year, when you do your Neurosciences Specialty week, there's a particular section in Blackpool gonna Careers Page and and that has up. They upped the most up to date information on how to pursue a career in new, resurgent and urology, and you'll find that page it for pretty much every medical and surgical specialty on Dove Course, the other useful resource that you shouldn't forget about it. Other new roller jests so we don't bite were really very approachable on. We may not be able to teach you that day, but we will definitely make some time Teo, try and talk to you and ask you any questions or if we can help you try and point you in in the direction of somebody who can. So that you know the door is is always, always open. And and please don't be shy. And even if you're not from a sub hunting university, then they will undoubtedly be neurologist in in your medical school that will also have that the same same approach is assigned. Do so there's always somebody to talk to, so going into those in a little bit more debt. So the Association of British Neurologists that gets the website any any new urologist is generally a member. Andrea will payoff really subscription on. But there are various meetings we can go to and updates and say forth but on you can see on their website that there's a specific area for education and research, and there's a even more specific area for undergraduate on. This is where you want to get it right. For your information about becoming a neurologist, it will tell you what neurology is. I'm sure most of you know that, but it just talk to you about a little bit in depth. Then it gives you on idea of of what we do and how very they are jobs are actually between person to person. Say I do a mixture of acute straight medicine. Acute neurology, Onda, um, outpatient clinic workers. Well, so on an outpatient clinic, I see general patients. I see straight patients. I see first seizure patients. That's really quite varied. Some of my colleagues don't do any acute work it all over there or call on base pendulum their time in the outpatient clinic. Um and that suits then wouldn't suit me, but suits them. Some people have a particular interest in research and a sort of part time based on the university is well, so we like. We didn't will have the same journey. Well, don't have the same job, but the, you know, assume urology consultants either on, so there's really, you know, different skill mix between the saw and obviously that that works really well. Um, it this website also allows you to click on specific links on what you can do and what you can expect from a career in neurology. And I I don't need to click on them for you. You can do that yourself. The other website I mentioned with Nancy so This is the neurology and new research respectful interest group on. But you know, here again you could find more details on careers conferences, and they got a few more sort of learning resource is a swell on, but, uh, I think they meant to have a university rep, um, for each university. So I've got to say terribly, I don't know who that is for South 100 Um, other is not myself. But it might be one of the new resurgence, actually, Is whom I think it's Sam whole. Oh, Sam ago. Yes. Yeah. Okay. Yeah, he's one of the newer surgical trainees. That doesn't surprise me, actually, that it's him on day, even though he's, you know, got new research. It'll Pattani's got a huge amount of experience and knowledge about training in both and about teaching as well. So he's definitely not speaking to, uh, for those of you who are from Southampton, that's sort of a blackboard. Web page Will will look vaguely familiar to you. And, as I said, Berries this area on the drop down menu in careers, which is the bottom left. Only if you click on that, then Sam's written actually something about becoming a new research in and name is written that the neurology equivalent and I will give you names of consultants and people. Teo, approachable and and you can go and speak Teo. Obviously, that that's not Ms applicable. Today's you're on from Southampton. So spend some time looking at those on speaking to people on If you think Oh, yes, you know, I'm I'm definitely a keen tea. Pursue neurology. Then you've got to think about well, Well, how am I going to do that? So I think it's an undergraduate there. There's loads of different things you can do on. But it's not all about your sort of a week or few weeks in in neurology on, say, most of you certainly Southampton, you'll do a student project. Some of you know all of you will decide to do an interplay to a degree. Um, I think you should try to do something within the neuroscience. His fields that doesn't have to be neurology could be new. Resurgent could be clinical pharmacology with, you know, a sort of new religion. Khaled feel to it could be something with the neuro radiology could be something to do with neurology rehab could be something to do with basic Neurosciences. But I said, I think something with a kind of new row flavor would be preferable. Um, I definitely think you should join the AB. And for student, it's 12 lbs a year. So what's that? The price of the sort of average pizza about, or a couple of sort of Monday afternoon cinema tickets on Defer that you get access to all the you know, members section of the A, B and website. You'll hear about the meetings on really, importantly, get online access to Practical Neurology, which is the monthly publication on. That's a really digestible way of hearing about the latest updates and progressing in the field of neurology on It's Not overwhelming and it be really, really accessible. Teo, a medical student on D, is aimed trainees, registrars. But all the consultants read it as well because it gives us an idea of what's going on in in fields that we know less about. I would also think about, you know, registering your your interest with Nancy Gazelle. Well, in terms of exposure as an undergraduate, if you get to do a special, especially selected module or an elective and again trying to that in neurology or straight medicine. I think that's equally as good straits becoming a huge part of neurology training on do. Also, there's lots of people that will be seen in straight clinics or referred to strikes. You haven't got strokes and have another new neurological condition. I think 50% of patients who attend a T I A clinic do not have a t a T I A. And having alternative diagnosis. So that's another way of seeing sort of patients with neurological conditions and getting to examine people and enhance your skills. Um, in terms of getting points on your scene, be. Then there's lots of different prices on do all those elicit on the A B and website. On There's a Baby and Student day meeting, which you can register for, and even if you can't attend because it's inevitably going to be when you're doing some other module and you know your your attendance is required to be elsewhere, then you can watch on demand, and I'll show you where to access the previous meetings to watch on demand. But if you register, it demonstrates your interest and That's the key thing right about when you're applying Teo for, you know, training as a neurology registrar. It's wonderful that you think you want to do neurology now because it gives you so much more time than perhaps somebody like me. He was quite sort of interested a bit later in that the training path Teo demonstrate your interest in and start, you know, doing things like this because that's what we look for when we're scoring people. For their for the training numbers is, you know, what's their suitability on and on and, you know, have if they demonstrated there interest in pursuing a career in neurology? So it's all these sorts of things, but note it's not about getting the gold medal. It's just about showing us, uh, you know what you've done to explore the specialty, and you know why you think you'd be suited to it? Last thing to say is that some of you predictive you've not from Southampton perhaps wouldn't have heard of the South Hunt and brain hub on Do. This is a great resource that was partly created by some Hall on, but it's not only a resource about, you know neurology and, you know, great for revision, and there's quizzes and what not, but loads of the teaching resource is have been developed by medical students, So it's a way of you getting involved in teaching rather than being the person being taught on. It's, um, peer to be a teaching, and it's been shown to be really successful. If you were kind of interested in getting involved in that, then sounds the person thio and and that's their website. So this's just a list of the competitions and prize is that the AB and have put on their website? You'll find this yourself. Obviously, if you're watching upon catch up or we reviewed the slides, then you'll be able to see them in more detail. And then the student days I've mentioned you'll find these under events in the past events on do. Then, if you can click on the A B and student day for 2021 or 2020 then you will actually be able to review the videos that were made among a me. Speaking at one of thumb on it, talks about you know what to do to become a neurologist, but it also shows these videos talk about some of the progress that's being made in neurology and so again gives you a bit of a flavor about what we actually do and the brain help Web page. So it's got those cool links because the studies got great stuff about actually testing yourself for exams and revision, and it's got a YouTube channel. This well, somewhat be something you didn't know about. Um, if by the time you graduate and you're still interested in haven't changed your mind and decided you want to become an orthopedic surgeon instead, then what should you be thinking of doing at that stage? Well, ideally, you need to do some Post, which includes neurology. So no, every hospital were having your sciences sent to, say, Perhaps try and get something involved in straight Benson and again try and do some a little some teaching with the new row flavor to them. Definitely another reason to join the ABN is, you know, get get up to date knowledge, impractical neurology. One of our questions that we ask interviews is asking about a recent development in neurology that is interested in the candidate on. That's really good way of knowing what's going on in in the new neurology world on the A B N also has this mentoring scheme that's open to June your doctors as well. So that's one of the things that you can do when when you've qualified, if you're still interested. And again, go and speak to your local neurologist and every dhe we'll have one. Even if they're not based there, they will have it sitting neurologists. And that's when I did when I was you know where in my S h o years. I went and spoke to people on it and the guy didn't. We appointed me in the right direction, so hopefully you would You would find the same from from wherever you are. Well, um, I I'm gonna finish up there. I'm happy to take questions at the ends off the Emmys. Bacon is well on. I think by that time it's well, we will be be needing a cup of tea. Say, I just want to take the opportunity to say thank you very much for listening on, but I'm not stopped showing my slides and all hands a bitter a me now. Thanks. I'm just going to load my Not well. Sorry. I think there might be a bit of an echo. I hope that's coming across. Clearly. Could make two minutes. Nothing funny to reload this. Okay, Just give me a shout when it's coming. When showing for you. Well, the echoes gone. It was just probably like second her that it looks like it's reloading. Hopefully, that's coming up on your screens. Now, can you see that one you're seeing is the slide. Are you seeing it? You know, weirds presented mode? No, we're seeing there's a slide. Perfect. All right, I'll talk to it at that. Okay. Thanks very much for having me on back to Doctor Morris for a really fantastic talk, which I think a lot of what I say is going to echo, but hopefully consolidate rather than on board. You might use a mirror. Russell. I'm an ST six neurology trainee in West six. I'm currently on maternity leave, so I'm pretty won't vote. Relax with the on the ward's on go up until August off last year, I was the ABN associating British neurologists trainees chair so, so familiar with a lot of the three a day and website bits that we mentioned, and I'm very happy to take questions on those as well. But I talked just a little bit about what neurology ears and what it's not. For those of you who maybe on the fence and just to sell it a little and give my reasons for for choosing it, um, on I'm where, how you know whether you know whether it's the right career for you. Um, and then similarly, I'll run through my story with again, I think, the Ms busting and maybe some point along the way that were important to me on then. I thought it might be helpful just to talk a little about the current changes to neurology training, what shape of training is and what it means and what it will mean for you if you do pursue it a career in urology on, then probably quite similar tips about getting a job and enhancing your your chances for applications along the way. So when I was asking the talk, I had a think about what it waas that I love about neurology and what it was that that brought me into it and why I would sell it and this is what this is, what I came down to. Neurology is diverse is developing, but it is demanding. And for me, that's a good thing. And I hope I can sell that to you, too. So what I what I mean by divers? I think a lot of people think of neurology is having a very limited patient range or a limited repertoire. It's all outpatient clinic. It's all boring or it'll very complicated or or it's all old people and it's really not. We see a huge variety of different people with young people. We look after, um, people who were transitioning to adult services. You have complex neurological needs and childhood. We look after women through pregnancy. He may have multiple sclerosis or epilepsy. We just really sad and challenging things and deal with people the end stages of their life. And we also do a whole ah, huge amount of rehabilitative medicine as well. So post stroke rehab and things like that, but also the investigations that we use a huge vary so MRI scans EKGs 11 your A physiology. There's a huge range of investigations on that's ever expanding, so it's a really diverse specialty on day keeps you interested. I think when I was in medical school, like I was already thinking about neurology, and I remember saying to my friends at the time, You know, it's gonna be great in about 50 years, isn't it? Because you could do stuff on just over the last sort of 10 years, even they have been these huge developments. So the down on the bottom left, you can see the number of Estrog just completely exploding over recent times up in the top left here. This is demonstrating the new treatments that we got for acute strokes, which which have tiny numbers needed to treat. So with just a few patients, you could make this huge difference and that really exciting. They're really changing urology. I won't talk about one of these, but there's there's genetic treatments that are now coming in, and there's hope for people with with really terrible genetic diagnoses on. There's even drugs coming for migraines. So So there's hope for everyone and and that's really exciting because I think normal is going to change a lot over the course of your careers on. I think that's a really exciting place to be, and it's a demanding specialty, and I say that not to put you off, but to encourage you. I like being busy. I like being stretched. But I think one of the really amazing kings about medicine as a career is that you're always learning and you always developing on be whilst that brings with it. New challenges on gets difficult times. T Learn to do advice over the phone and to balance your clinic load and your admin and everything else. It's hugely rewarding to do, so it keeps you young. It gives you options for changing over the course of your career. Um, but the real thing about it is is that sort of sense of satisfaction and looking after people in their end stages of life is a really armor. But also using your mind is just really satisfying. So so that those different ways in which it's demanding give huge career satisfaction. On the two main things that I've been told across. You know, when people find out urologist on bit of science, you and say, Oh, gosh, you don't do anything, you're anyone or oh wow, you're very clever, aren't you? I think I would echo this summer things Doctor Morris has already said and say, That's not what neurology years, and that's not what urologists are. So I think I demonstrated by in the developing slide ALS these incoming treatments that are really exciting for neurology. It's not all doom and gloom. We can do huge things for people's lives, whether that's end stages of life or or more and more, whether it's altering the course of their disease. And it's not only recover people, I The thing I say to medical students often when I'm teaching is, is neurology's a map on Do you know a lot of people will have experience in living in London or friends who live in London, all of whom are pretty confident that they've got the entire London underground map within their head on. You know, you learn these things really quickly. Within about three months of living in London, everyone I know likes to give advice to everybody on which to journey they should take home, and it really doesn't take very long to learn a map when you're familiar with it. And so your allergies like that, you learn your roots, you learn your rules on, then it's about using those and applying those, and I'm thinking logically through a problem. So how do you know if it's right for you? You don't. I think Doctor Morris has made this point as well. It doesn't matter if you take some time coming to the decision. It doesn't matter if you're absolutely sure it's right for you and then you change your mind and you'll never know that something is 100% right for you because there is no right answer that it's just choices. And you have the ability to try different things and to make those choices but things that help. So try before you buy. I'd really encourage people to do taste weeks or assess use on be Keep thinking about those opportunities you go through. I think theophylline unity within medicine to try other things and, uh, have a go at a different area. I did Ah, a couple of weeks of infectious diseases when I was making my decisions about applications and there are other things that I would have really like to try to. I think it's really helpful to immerse yourself in something and see how you get along do projects, not just because they give you CVP points, but also because they give a chance to see if you like something. And if you really hate doing a project, probably not the right thing for you. Similarly, course is going to stuff you're interested in on. See if you like it because it's fun on do. It's a really nice way to do something that you like that also gets you some two extra points and talk to neurologists because the end of the day you're going to spend a lot of time with the other people who are doing your job on gets quite important that you like them. And I think an awful lot of people make it to re a decisions on the basis of who they get along with as much as the specialty itself on. Then you learn things on the way on. Do you improve your chance of applications? But you also start to like stuff more the more you do it. Eso this is me. This is my journey, and what I thought I would do is just highlight some of the important points in that and things that you got me interested, got me hooked or were really good things to have done, so I was. Oxford University has been six years there. That's the underground. You're on clinical. Put three stars there because there are three stages of neurology. My first experience of neurology was near sites in my second year on D. I absolutely loved it from the very word go. I just found it. The most fascinating subject on there was absolutely no hesitation for me, with our limited choices of an integrated degree that that I was going to do. Neuro in that on does quite clinically minded. So when we then went on to to our third urine screen, I was a bit nervous about last natural that I'd like it was really quite keen to get medical school on. I just absolutely loved it on beings surprise you. I loved the the opportunity to get immersed in the research on the background, to learn about cutting edge neuroscience, and I just found it completely, completely fascinating, completely immersive. So I did mine my projects and sensory processing, lots of higher visual processing, learning and memory, and they're sort of hypotheses around that I really love that. And then the third starred there. So so then it was clinical neuropsychology. And one of the massive advantages off the clinical school in Oxford is that you get a long block of neurology. I think it's it's no surprise that a lot of people who are studied with it onto do neuro because having that prolonged time just gives you an opportunity to consolidate your learning gives an opportunity to get good at it on. That is one of the things that makes you love it. So I would really encourage you to to spend some time on the water. I think you get a really short chunk of time on your Oh on gets incredibly difficult to learn to confidently do a neuro exam within a week or a couple of teaching session. So common spending time. As as Husband said, We're all friendly. We love to have people along and and do try and just extend the the opportunity that you have maybe do an SS you to spend a bit more time on the ward's eso. Then I went off for my foundation training. I did, and so I wanted to in the seven Diener E, which is my first choice. I was delighted, and then I was given my 52nd job choice and I was devastated. On bit turned out to be an incredible set of jobs in a really fantastic place. So I I did the general surgery. Any new room and cardiology say three months of neurology in my FBI one year on, I could not have been lucky that with the department I worked with, they were encouraging. They were inspirational, helped that the consultant I worked under was the president of the Aviane at the time, but I was interested on. They just rewarded that so, so much. So I I wrote up a case reports of a patient that would seem during that time on they sent me off to Shanghai. To present some of the work that they're done is a poster, and it wasn't because I was phenomenally bright or anything else. It was just because I was keen on. I liked it on the picture in the top, right there with me and in Chile. 10 years after my foundation training with the Parkinson's nurse, clear, who is a very, very close friend of mine now. So you also make some really good friends through a neurology. Um, I've been taking it for three, and I went on which South Africa, which I had been wanting to you for a long time on it. It was one of the best years of my life and definitely the hardest. And that's for me that really consolidated for me that I want to do medicine on. But, um, I had thought about surgery. I thought about Tetrick. So I thought about pediatrics. I really hadn't narrowed it down. But the combination off and acute medicine job and if we to where somebody I really like turned around and said, Well, you're just a medic. I'm working in a resource limited place where I just knew what I loved doing and that was diagnosed and managing those sick patients with medical problems. And I think you have to do a bit of it to know what you love. And that was when I knew I love medicine. So I came back to London on I did my call medical jobs in London. I had a rheumatory in HIV and acute medicine job, and then I had a cardiology, neurology intensive care on my second year on, but I really loved all of those are particularly loved My my HIV medicine Having spent time on South Africa and seeing a lot of it on, I really, really enjoyed my neurology placement. I'm not sure I enjoyed it so much more than a lot. The other medicine that I saw but combined with my interest on down on a lot of the aspects and urology that appealed, that was one of them and on to apply for. And, um, I, uh, got my national training number first in the cancer in Sussex area, and I worked in down valley for a year on that was again just one of those absolutely fantastic placements where you find that you love something on. But I was really lucky with my supervisors. I was really lucky with the hospital, which was really welcoming on, But I just felt for the first time I'm being treated like a grown up. I'm being appreciated for my input. Patients are really, really grateful to me for my help and developing special skills, and I I really love to that year. I then because, um uh I wanted to do my training Wessex in large part because my other half was already here. I reapplied to national recruitment to get my national training number, and Wessex on continued my training since then. And that was hard because there were several job applications. Um, there was an interview that I really royally messed up. Um, Andi, it's really, really upsetting Teo not get things when you want them, But sometimes it takes a bit of time and it is absolutely worth it on. Then I have continued minority training itself humped in with one year out in pool on. During that time, I've become more involved with the ABN and the A BNT. So first step of that was was taking on the liaison representative Roll on. That was largely sort of be m a n a multi specialty. Ah, the A don't say problems that people have a cross specialties and talking about neurology and how they represented on sort of bit of pastoral care. But what it meant for me was I made new friends. So in order, trainees cross country I her different stories about training in different areas on on guy really got started to get involved in the ABN and the national presence of neurology, which was hugely rewarding. I've entered your maternity leave 2018 to 2019, which was fabulous Andrea life and just, well, a blessing for me on. I went back to training part time after that, and it's probably a long way off for a lot of you thinking about things like that. But I would just say that lesson fulltime training is an option to everybody. It's changed recently that everybody must be considered for less time to eat less than full time training. If they apply for it doesn't need to be child Carollo to didn't need to be health related. If you have a reason for wanting to train lesson full time at any stage of the training, that should be considered Onda on not stigmatized. Um, and during that time I took on the chair of the A B M T, which again was was unexpectedly wonderful on. But I met some incredibly inspirational people within the ABN on got to understand the structure of neurology, neurology, provisions and service provisions and training, and worked with some really wonderful people so just a sort of plug for for getting involved, I suppose, and not just with the clinical side of things, but but maybe with the more managerial social or networking a little within it because you can really make a difference and then a stroke tomorrow said. Nowadays, fewer people have PhDs when they apply for the retraining, although still the majority of trainees do one over the course of their training. Do it your higher degree. Of course, they're training, and I haven't had much research experience up until then, it was really keen to some my particular interest. It probably won't surprise you to Here is in neurological infection on do um, until I was really keen. Teo build my infectious diseases experience. And so I took a post within the South Hampton Research facility as a clinical research fellow in infectious diseases last year, spent a year mostly working on the code vaccine trials but also writing up the neurological complications that have been reported from Kobe. 19. On publishing that with a group around the UK Uh, then left, and I'm still currently on the turns to leave with my number two, um, on Ben I've got a few options When I go back to finish my training, it might be helpful just to recap for you guys. So this is what training and urology will look like in the future. Polyjuice Eyes It's a slightly blurred image. I lifted it from the J A R C E P T B, which is the General College of Physicians Training Board. It's the Royal College website. Seen Urology has changed, um, effective already so that ultradian in urology will also train in general medicine. That is utterly unavoidable. Now that's training in urology and general medicine will include training and stroke up to a consultant level. So everybody, when they finish neurology training, will be trained to a consultant level in general medicine, neurology and stroke. It's a big ask, but it it is an absolute requirements for everybody goes through training now, so you would finish your medical training. You do your two years foundation training. You then do three years of internal medical medical training, which is an extra year compared to the old on on on Theo. Expectation is that towards the end of that, training or acting is a junior registrar, but certainly increasing your your abilities there, and then you go on through selection to hire specialty training. And in most medical specialties, that is four years. But in urology, that is five years. So where it says, indicative four years that actually five years of neurology training to incorporate the stroke training as well on then afterwards. After that, you would be a part of your consultants posts. Now this post CCT credentialing is likely, I think, to be a developing field on you may have noticed that, um, my previous line I mentioned a post E C T chemical fellowship. I suspect by the time you come through, there will be, um, or established set up for post training. Credentialing is one phrases that's used but post consultant skill development. And that may look like fellowships, which is going to surgical model that may look like integrated training towards the end of specialty training. Or that made it like integrated training within consultant post. And I think that's still being worked out. But I suspect there will be a slightly more structured post C C T, which is your certificate when you finish training a slightly more structured, ongoing training program. So how'd you get your number? So the's in my top tips, you need to play the game a bit. I have never been a game player. I cursed myself for it. You've got to take the boxes. So the easiest thing to do is to go to your application websites. You ST three Recruitment website on the road College on a look at what you need to take in order to get your number because you want to get the maximum of points that you can before your interview. Then you look at your interview school sheet and you want to get the maximum number points that you can get at your interview. Um, and then you can take the boxes start early so well done. You're all streaks ahead because I didn't totally designed on urology until about three months before the application, and it gives you low this time, and it gives you lose the time to make those friends to be that keen junior doctor to go along with the restless you and say you got anything interesting. I have a gut writing up or have gone order that just need somebody to put in a few hours and get the name on the poster. Um, so that's great Practice practice for your interviews. Practice for your presentations. Spend a bit of time to get things right so that when you do something, you do it well. Jake three counts, which I've definitely been guilty about doing. But keep calm on. Do you remember that you don't have to be sensational. You just have to like it and work a bit hard for it and sometimes get lucky. I'm gonna put at the bottom date. Restrict yourself unnecessarily. My point with that is there's a lot of things that influence your decisions on, but they can be life. They could be help. They can be people. They can be work environments. But everyone's different, and they have different motivations. They have different things, and I don't think that you have to follow a particular training path. Don't make your decisions too early about what exact subspecialty. You're going to end up trading in and and limit your options to something else that might come along as a curve ball. You know, don't say, Um, I only want to be an epilepsy doctor and not have the opportunity to learn that you love stroke or or similar um, on. Then finally, I'm going to show you the same slide that Doctor Morris did already. So this is a page that I wrote for the IBM website a few years ago on, but again, it's just giving you some some places to go to for advice, but in particular, if I put it on there, Well, we didn't put you on that. Um oh, it's because I skipped a slight. Here we go. Sorry. I'm gonna jump back to that in particular, winning a prize, which is one of the things up on that, because this is the list of things that you can do now. So I said already is starting early, which is fantastic. Like use the opportunity to make some friends. So talk to people at the local neurologist part mint. Talk to trainees talking Sultan's talk to junior doctors who were there. But make some friends on Show that you keen. We're all very approachable. Room. Very nice. Normal. Just very nice doctors. I'd say nicer than a lot of other specialties on Berry. Very welcoming joint national bodies to join the ABN on. Student groups follow people on Twitter because it's a really if you if you don't use Twitter than them. Fine. If you do use Twitter that follow people and see what they do, because it's just a really nice way of seeing what's going on on on what the sort of wide in urology environment community is like, I've said already find Find yourself a project so you know, call your own it's department or your local geriatrics or acute mention or stroke or education department. But find a project that's got a hint of neurology and then do something that you want to do. Enjoy it or see if you enjoy it, get it done, which is a really important thing. Um, get on your TV when a prize, if he can sounds harder than it possibly is because there are lots surprises. There's lots of national competitions on D. Obviously, only one person can win any one of those, but they're often aren't that many people who apply for prizes or verse. Aries, and you've got to be in it to win it. So So give it a go on, then keep learning being interested. It gets north a lot harder as life gets more complicated, I have to say, with two Children now, under the age of four, I find it much, much harder to find time in the evening where I can sit down on deflect through practical in urology for for interesting articles or two. Just log onto that webinar at seven o'clock in the evening, she says. It's seven o'clock in the evening. So so you know, life is busy, but it does get harder to just do stuff because it's interesting. But it really opens doors and you'll meet people. I've I showed you the picture of me and Claire and chilly, but that same conference I remember meeting to other trainees and burning in hell. I'm still still in touch with and and the more friends you make, the more fun it is along the way, but also the more doors that it opens to you. Um, because having friends give you a network on, I'll leave it just on that page just for giving some details of those things. But mostly these are a list of of sort of prize opportunities and and societies that you can join or get involved with. I would imagine all of those have Twitter feeds, but they certainly will have websites. And they provide Maurine Formacion on. I appreciate I have absolutely rattled through that talks. So please, do you feel free to fire any questions? I'm sorry. You can't see my face, Teo. Answer them. Thanks. Thank you so much. A me and, um, tomorrow's and those to a very berry inspiring talks. And I think really given us, um, ideas about how we can move forward and things that we can do a medical school in early on and foundation years and moving forward. Teo kind of improve our knowledge of it. Is this what we want to do and also enhance our understanding of neurology itself, but also started to take the boxes of what we need to do for later on. But it's really, really interesting talk. Thank you so much. Does anyone have any questions? They want to show? Hey, we have a friend. You off? No, no, no. You got you Both have achieved so much, but it definitely find itself that it's inspiring. See what you can do and what you can achieve in the career given the right work ethic and help along the way, I think is a me says, you know, you you you find what's right for you on. Do you kind of know You know what fits with you and your you know, you how you want to work and thistle skills that you you have, um you know, some of you will inevitably decide that it isn't few and and that's okay. But, you know, I completely echo what we allow those things that Amy said, but particularly the ones about, you know, if you think you you've got a bit of uninterested now, then then you know the key things are exploring mawr. Don't don't let it shut off other doors, you know, have a have a bit of confidence and be bold in in the path that you take a supposed to. You know, the persons that next to you on day and things things have a weird way of working out. I haven't told you about a lot of, uh, you know, things that happened that I thought inevitably it was a disaster at the time for me. But, you know, But it wasn't. It didn't turn out to be a disaster. And sometimes on Dwight, often those you know, these dark clouds do do. Do you have a silver lining on day? So, uh, yeah, it be be be encouraged, because this, you know, low to lose of opportunities out there for you. Well, whatever you choose to, you know, you end up doing, um, out of interest is the most people from Southampton Southampton students. Um, from what I considered most of them are. Yeah, most, um, come up with some from to the Yes. Okay. On just a toe. Haven't idea, really. And and, um, most of you in clinical, um, your clinicals off training years now off. Yeah, right. So say your three. But that's wrong, isn't it? If you're being zero, were a bm full student off of this, so I don't know. B m six b m zero existed, so yeah, most of you in 12 clinical years. Now, where is there anyone that you know, what if it's perhaps still in their first or second year? Um so I myself, in the final year, I can on a couple of others are finally years Charlotte and simmering. And Joel is Well, I can says, if a few names that you know that really the same position is you Okay? All right. Well, yeah, I really hate that. A me and I call my reality. And so it seems very weight whenever, uh, um, you know, way don't bite a society. And, you know, if if anyone's to come and speak to me or, um, you know, or indeed only any of my colleagues on the careers page, there's some other colleagues as well. He, uh, will be worth having a chapter. So definitely sort of put you in touch and And the doors always able not. Maybe not in teaching week, but any other times Crates. Um, okay, So if and if nobody's got any questions then, um, I I'd like to say thanks for listening to us on day and, you know, whatever. Wherever medicine takes you, I I wish you a lot. A lot of very, very best. It's a It's a wonderful job. Very privileged on. But, um, it, uh, it will, uh, yeah, we'll be forever. Be rewarding and fulfilling. Thank you. Thank you so much for taking your time in the evening and coming to talk in a me sort of how childcare and things like that way there's background noise, any point. Thanks very much. And I think society, a society that Amy and reality mentioned was Nancy. And they actually have, Ah, an election that with the deadline on Monday. So if you guys wanna sign up for a roll on the Nancy committee, then that is an option as well. So, um, I thought I'd let you know before before we finish today. Great tip. You okay? All right, then. Okay. Thank you. Very, very much. Like leaking. I thank you.