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Okay. Thanks for joining this evening. My name is said on one of the leaves from one of the sleep, and I'm here to check the session in the careers talks. Thanks for joining tonight. We've got kids can kindly agreed to give up a time to get the tool corn, a central trading call, surgery and further training pathway. I'm just going to invite you to stage now. Okay. Come up on your screen to join guys. Just decision was to get anyone. Any questions? Just put in a box and going through all the questions, Okay? Yeah, but Okay, guys, something is better than two seconds games. Just having an issue with the connection. No being sound yet. You just have seconds until you have it. It's not really no, I can Hello. Hi. Like everybody for the first time. Nice. No problem. And Pledger And it still sounds on like Vogel voice from my end. I didn't really hear you very well. Yes, I don't know whether it's my complete. It's only just my computer. Yes, it was just me. Can everybody here and you'll right? Just made me think Well, alright. That's okay. Can you see it. The bone in your screen be in option to present now. Yes. Uh, get my slight. Oh, I see. Yeah. Sorry, I I think that's my okay. I'm gonna tend like microphones. Camera on. I'll come back on the end of the questions. Is that showing on the screen? Okay, get stuff. Welcome. Tonight's mind. Oblique Cario bad. Been a Siris minus skin on. But I will be talking about courses Were training or the latest and knowing, improving surgical changing for the last few years. Onda Just for the content to night be talking about why concededly and surgical training and why not? On your good day on back in surgical training for the first two years on the training structure, the application and selection process is on how to prepare allergies, how to be path medical student or junior doctor before entering your specialty training and we will have a Q and A anybody school. Any questions? So, uh, the Ms quote from and sir and asked me, Could a surgeon must have a hopes I alliance heart on a woman's hand. So, Drew, until you enter first year off your surgical changing on done again, My supervisor once told me that anybody can be a surgeon, you can train a monkey to do surgery. So which the court is sure, I don't know. Why did you their surgery training on Why not? So this few points to concede that on my personal experience is changing. I'm going into outpatient clinic shadowing your and supervisor or your consultants surgeon on the Monday then going to theater either elected lease or emergency list on a Tuesday or Wednesday on, then going on call in some off this days to see patients in any GP What referrals, depending on who and which part of the job between your registry. So you're basically is on house Officer. What the traditionally cool and or ah, uh, junior surgical changes and that you might be expected to attend trauma courses, both going down to a any and see some exciting on drama cases. Or you might be called by your f y doctors to attend some Really Only Well, so just on the wart on what round is your bread and butter? You want your lives? Just seeing me the first line, right? Okay, so they're getting seconds right now. Are you seeing the second slide, so I can see. See ST ST? Uh, no, no. Shell it. So electing you Just slide. Show that you may have to keep it. Yeah. Is that is that better? At least you can see the content. Okay. Yeah. So speaking about and so basically this other content that would be going through in this one hour And then this was a cool twice and mentioning about. And then, um a typical off how? Surgical training. It's like for the first two years ending on your department. You might be asked Teo, attend on D g and shipping on certain patients that you've seen throughout the week, and so is a pretty a sighting rotor if you're if you look at it. But it varies between different trust. Um, you know how much training in each aspect that in with first two years, inches in and they told me it's obviously a huge topic. You can't have a surgeon who wouldn't appreciate and tell me because you know, that's what you are working with. Mostly in Quetta. Um Then I put this next point just because that was once when I was in theater, assisting in on above the invitation, and that was this nursing and student who went faintish looking at, you know, the leg coming off the patient. And then I realized that, you know, it's no for granted that everybody can weakness, you know, or the gruesome things that we do in theater. So this is, uh, an aspect that somebody who is interested or considering surgery should be and thinking about before going into training. How much among the spectrum can you tolerate? Or are you and really to undergo to see on in theater for you to become a a surgeon? Um, demand or physical and mental strength in theater is something that has been on my mind for a while. I'm know by any means person. Five picked up strength, strengthening, chaining recently just because I don't want to be, You know, somebody who's and not with really achy muscles. By the end off my my and training on imagine you have to do this day by day until you are 8 55 60. On it is a huge demand for both and mental and physical strength. I have had a really experience surgeon who went in theater at 10 and Kmart four AM in the morning for one huge case. Basically a marriage, um, fear for unknown and adversity is something back to you is constantly our bread and butter, as you know, medicine generally, but especially so in surgery. Because everything we do is based on our decision on the spot in that moment, with the and available information that on, Do you know it's It's stressful. It's just, um, inevitably stressful on on, you know, days that you are in theatre making decisions and whether to take patients into theater or even when you're seeing patients within your complications. Post surgery in your location clinic. It's It's something that you have to be mentally prepare for before you even consider on being a surgical treatment or, eventually, a consultant. So what is a good day light for a surgical training? And basically one of the best days for me would be if I were given the opportunity to go into theater and to work on. You know, simple cases know overly complex cancer cases on that, or bit shocked consultants work on. And but, you know, something like Appendix at told me, or even still lesions, um, you know, and vacations and patient the tool that I've got to do most of the procedures on day two or three off this procedure, they would make my day on. Do you know outside the Attar doodle? Any opportunities? Some consultants who is reeling to spend the time on your teaching rather than, you know, focusing most of the art attention to the patient on this would definitely make you know your day of really fruitful and productive learning experience that they to be honest, we're like something like, you know, you be extender on the ward, not doing much because, you know, or your call it cis out in theater somewhere and there's no more slots for you to go or on. There's no plan it ongoing not enough cases for you to see. And you just feel like you know, your waist of a space there, um, throughout the whole day. So that would be and soft my that day. Um, occasionally, you get really busy days that you have to go home and our later than you know, you're at designated working our But you know, sometimes, um and contrary to, typically, you feel really You feel the sense of achievement when you make a difference in some of these life. So I wouldn't call that a bad day. It would just be a stressful day. But you learn something off this on core days. Mostly this happens doing on court days when you're seeing patients and really on, well, patients and going to the next and to go training structure on deprecation and selection processes. So in the UTI, after you finished of your foundation training, then you apply for and basic surgical changing is cool. Either thesis, yes, tea or the I S t. So I stay something that it's an action to improve course surgical training because we identify certain limitations to the conventional traditional way off meaning mainly because there were too many times dedicated toe service provision know enough supervision on. But you are not with a bunch of trainees who complain that they're not making the competencies in the first two years off their basics as you go training on. Then they got a lot this, you know, gap training get when they are known to be registered in the year or, you know, subsequent years off surgical training. So I s t has certain criteria where they just your working pattern or working a location so that you get more training and more money to me the and two year program. Um, so you got two years off basic situation, meaning on. But it can include either for six off 12 months off and placement in one specialty. So it's like your foundation placement. You got to choose different program or different tracks in either off the specialties that you're interested in. And there are general surgery, um, upper GI I lower GI I and HEPATOBILIARY. Um, your orthopedic sometimes on and urology plastics ent. So I'm so forth and sometimes it get and I see you or conduct a wreck sick in the program itself. That's why I depend on which trust and which programs that pick on. It can be a couple and uncouple watching, I think last year, and they took up most off the couple training program. When it's a couple in means that you get the full seven or eight years off contract where you are best in Teo, commit to one specialty already by your first year, so it's a long trip program. That means that if you want a general surgery band, you know throughout the whole year, the whole eight year your training would be designed. Teo, cater you to your general surgery. Um hum couple means that you will have to go through selection process again to get the national kidney number after two years off your, um core or improving sexual training on. But it's more or less the same thing that you have to go through to obtain the CSTO I ST. It's just more competent if this time So just a brief introduction to ST Tree Selection. After you finish courses retraining you would be expected to on, you know, portfolio, an interview on for the National King number on. Then after you finish your, um, highly surgical training, then you will have your certificate off confession off training or sometimes and people go down, depending Republi, which is thesixties, a pathway where you get less supervision on DNA. Know some t a r c e p p. Things that you get like a pre so every year to make sure that you need the competency s your what you meant to achieve in CCT I will answer further questions if there's anybody who is interested in knowing the details about this on application process for caution, complaining, Oh, I ST on starts, um, in November every year, So they should be in November 2022 on you apply it to do all real, like how you apply through your matching and foundation training on. But you will be, uh, CIO give a self assessment school. Um, according to certain criterias, all the documents are available on a well, or if you Google it, I'm sure it will be out there on the application. That line would be start off these under every year and then from the Xanadu, January new will be asked to submit on. Put for the evidence is in the form of soft copy, and latter's certificates, too. Backed up your self assessment score. So an assessor, which is normally a consultant surgeon, will be going through your pdf up loose or in a designated on a website on. They will verify your score and then give you either a new score or the same score that you've given yourself, Um, and that by you going to longest acting and shot listing in the process. Um, Andi, if you Nick, if the very fight score makes the benchmark for invitation to interview, then you get a linked. So you get a slot to picked, um for your interview, which normally happens between January and March. And that is, if you meet the bench, much school or the interview and then the interview. What happened on then? If you happen to be an eligible for appointment and then you be invited to rank on different programs on the matching process will happen on if you get the job done. Congratulations. You will know it by April. Normally, um, in 2021 they were 607 posts on the competition ratio was 4.16, which was rather high as compared to the previous year and recently getting more competitive for now. Selection for CST and I ST So what do they look at for portfolio or self assessment schooling so that this is the latest one last year on? They look at your commitment to the specialty, where you have to complete your and past you and Marcia's part a to get the ball mark on a 10 a few surgical courses, and it has evident for it on then. I'm going to be a lot, a lot with our It's a free registration process where you just get a credit. It, um, lot online that you can watch or your and the attorney experiences where you scrub in, either as a medical student or a junior doctor or follow. You can attend surgical conferences and it it gets you right for last year, so there might be a bit changes of the year, but more or less, the out frame is a sport. Um, surgical, inactive and placement gets you a few months as well, whether your medical student or left my one. But I think they take into consideration. Over the past few years, there were like up opportunity to do elective, so they have been a bit and flexible with that, um, post graduate degrees or clarification or additional decrees gets you on some score as well. If you have prices are a war from your medical school or, um, you know, regional International conference is that those will get you some march as well on quality improvement or clinical Audie Project it's mainly you just need one. But I would suggest to go for a surgical thing on a good one, if you can, doing your f y one or f y two year because you will have to do one as part of your OCP assessment anyways and picture and spin and says you won't need fit back for that. You will need, um, community teaching, I think for at least a few months time, rather than just occasional teaching without any evidence is and changing in teaching. Um, who sat short term or, uh, Post graduate and the poem a course in teaching that earn you on some marks in that aspect and presentations visional loco nationally on publication as well. And last but not least, some medical or non medical need a ship pose for six months. You have to demonstrate that you make an impact. Normally, you get this evidence is through a letter sent by your consultant eso. The tip here is to gather your evidence really rather than by November or Xander just so that you have everything ready to bull rather than scrapping through the last minute. It can be a bit annoying going back to your consultant when you worked a project with him or her a few years back because some of them won't be able to remember. So always gather your evidence as you go, even when you start out. First year medical student. If you're king on surgery, so on. This is for interviews. Eso The interview for Matt is a 20 minute line virtual interview for the past two years. It used to be a face to face, but nowadays I think they appreciate a virtue interview more just so that I can get more capacity on so more people can go through the interview stations. Um, so the former is very similar over the past few years and we got a management station, which is 10 minutes and you've got the clinical station, which is 10 minutes as well. So in the management station you are expected to deliver a three minute uninterested presentation normally on the leadership talking. So they want you to talk about how you demonstrate leadership and how you can apply leadership in portions, you know, shrinking or I s t. And in three minutes and then they will follow this up with two minutes off curing any sex session. After that, you will be given a question on the the whole station is five minutes of mini station is five minutes where they will give you a pretty difficult scenario. There's no like, although answer to the station about you know, management and leadership. Ethical problems sometimes on you are expected to answer, and they will have a question that follows up to see how you react and how you present yourself on. Clinical stations are pretty similar to Austin stations, but just verbally. So basically, this are mainly acutely, surgically on, well patient or a TRS station all sometimes just a simple ABCDE stations. So this other ones that we are more used to, um, uncertain, you know, just five minutes very similar, um, flock questions on. Do they just want to see how you manage in those off and emergency scenario? So all together for the management and things those stations you will gather 144 months all together for the full marks, and that will add up with theseventies to march from your self assessment or your portfolio station score and then all together, and you will get the score to rank and match to your desired and proved nationally. So normally you got to rank a post nationally too well. Scotland and England on do Know Northern Ireland on Ireland itself has a separate system, so it's a different matching system. So how to prepare as a medical student or junior doctor? Um, so they are a few suggestions. So when you are a medical student, take advantage off your surgical placement. I really expose yourself, introduce yourself to everybody on the ward and then attached to you know, your favorite senior or consultant even better, and then try to get some projects out off the placement because it will be very helpful. We can be a simple S and a simple audit one cycle audit. Or you can go for, you know, cure I progestin collaborate with seeing as if there's opportunities. A proactive, being proactive is key on When you are left, my one there's no it's always, you know, there's always opportunity to up for a surgical placement, and you can work, you know, with your surgical trainees, you know, course is the trainee I ST or your registrar on some projects as well um, study for MRCS, part A and part B, and it's always not too early to start your and Marcia's relation. Obviously, your finals take priority, but you know, if you finish your finals, your possible finals and you have some at time. It's always and recommendable to start revising for MRCS, because on my personal experience, there is very little overlap between under graduate teaching and Marcia's, and it is a challenging and for some, so you can take. You know it's recommended out that you take at least 4 to 6 months to study, but I feel like that's intense studying, and it's even more difficult when you start working. So use your time well as a student, and you can start revising for your part A. And when you are in your you know that 4 4/5 year, depending on your universities commitment on. But it's not too early to start your poppy. Once you've done your part A on by feel like the continuities am off. Studying from party to pop me gives you an advantage if you know you're you're committed to surgery on. But I do know people who passed their party even before starting surgical training. And that's possible. And that would give you much more time to do something else during your condense to year off. Surgical training. Um, final supervisor Shadow a supervisor. The idea is to train yourself as a consultant, and you can do even when you are. You know, like in your vision, change if you have time but normally surgical department and you it's a it's very busy for as the foundation doctor working in a surgery department so I could understand that, um, other is to I projects research, general cops and anything at the MC. Um, you know, expose yourself, go and see how people do the project lease and talk to people on. But I started out on, you know, and as a magical student, I didn't know how to start this project. But it's very helpful to 10 conferences because you see how people do and in their own ways, and you can learn from that. And you can sometimes, you know, get a seat back to yourself, manage something but projects in your students elected to components as a C programs on be just fine opportunity to present them, um, forces can be helpful. There are certain courses on that. I'm in victory in your surgical training, back being your basic surgical skills, and you're a TLS on the critical, really ill surgical patient course. It's no technically mandatory, but it's recommended. But that's a later stage. So just clear off your basic surgical skills and those are the in Kiev US first, and you can do it right off the graduation. I think, maybe know and tell us, but basic surgical skills you can do it right off the graduation. It is a lot of money. You can ask around your foundation trust, whether they have study budget for it. Because I didn't get I got mine sponsored from my foundation. Trust of some off them do sponsor. But if you haven't got it, take off. By the time you enter courses, you're getting over I ST. It's fine because they normally sponsor for this mandatory courses as well. Um, is up to you the timing. It can be difficult to put on two courses during, you know, a few months before, just because of dependent, but nowadays it's It shouldn't be too hard to become, too. This popular courses and surgical cops on society. So if your university has one join it just so that you've got more explosion practice on such excuse how to hold me, the whole the whole, the whole of forceps on do this can be very helpful in terms of boosting your confidence once you're in theater. So you know that you're not doing something that is not right. Um, start early. Be proactive. I couldn't have that more. Um, if you want a surgical carrier, that's no other way. You have to be proactive. I can't afford any off my collie in the surgical field who are not proactive. And that's how we got that in the first place. Um, prepare for interview. Obviously it, um it stands for two thirds of your and march, and that would determine your ranking to a matching process. Obviously, you have to, um, pick priority off your interview so you can prepare it by that. The best way is to get a college who is also attending the interview, and then just practice with the college, Um, as frequent as possible. If know if you have a very supportive senior, get them to give you feedback um, Andi, if anything, it all fell is just practicing for with a mirror or record yourself especially, You know the three minute presentation. By the time that you will and attend the interview, you need to make sure that you can remember memorize your speech and back to back by heart, because you what you want to allow starting off area, just in case you're panicking. So essentially, that's a lot I have for this presentation on this. Other references are most off the documents most outdated, updated killins and would be on all really once they release and the they opened the and application Onda. You can check up some in in information online. It's well, so I I welcome. If there's any questions. Thank you guys available. That has any questions. Just put them in the box and we'll go through them. Came. Thank you so much for your tool. I actually have a question. And do you think by the time you get into your goal surgical training, you should have a good idea what specialty you want to do on if you don't question. Yeah. Sorry. Is there a whale? Yeah. I couldn't hear the last part of your question. And they're not doctors. That that was it. Okay, right. That that's a really good question. Should we have a clear idea of what we want to do before and two in courses? You're dreaming? Uh um, I think there is good and bad, to be honest. Um, so the do side is it gives you time to prepare and part get your portfolio on do training do. It's a specialty that you're committed to that you see yourself doing for the next 30 years that say, if you want to do general surgery, um, you know all your courses or your you're kidding achievement and everything it will be tailored to with general surgery. And you're not wasting time that's going around. But the risk off that is putting all eggs in the basket. So what happens if you go into course? It'll training and realize that I might not want to do or the only cause I might want not want to be cool. And in the middle of the night, most of the night, just to attend some general surgical and emergencies, I might be able to do it at the age of 30 and, like not being able to do it at the age of 55. So it's that a lifestyle, the last life so that is suitable for you on long term. So a lot off the problems with and the run true programs they have realizes. And some of the training is pulled up, um, from the program from the training from the eight years training program in the first or second year, just because they realize that you know that specialty is no for them. And they see the do in other special please, like Yankee or plastic, which has last month or call long turn. So there is due and at. However, on the other side of the argument is, if you go into courses, you between not knowing what you want to do, you might be stopped in the lingual after the two years of your surgical treatment whereby you couldn't get the number that you have to get no, no training post or take a gap here. And then some specialties do penalize you for taking more year out of training on the most renewal, Um, general surgery and also so far so that is, um, Disc, which ever where you go. But essentially, I think you want to stay through yourself to yourself. And if you feel like you're not committed to any of the surgery, you need to explore a line it to use out your taste of weeks on to go to different specialties and see how a consultant working life. It's like you want to see the consultants working like no s h a knee as a Cheney. Because if you can't see yourself as a consultant, don't don't do Don't be you consumption don't raise eight. Oh, eight years off your life changing to be a consultant. Absolutely. Thank you. Way Got another question in the comments from, uh, he was asking you How is your work balance? So what, like balance as a trainee is, um, no. As a matter of mystic, as some of my friends in other specialty, I would have to see, um, you are expected to cover on course, and you are expected to do so. This provision, even though they have introduced the I s t a pilot program a few years back, Um, my rotor depending on the department. So I so far I have been on 100%. I'm working in Scotland, so I think on 100% anything so far that means that we are working a seeding. What's recommended it on day? It's a busy, busy and department to be illness. I would have a period of time where I'm working nights every two weeks and then every night shift would be 12 hours shifts on. Then most of the time, if I'm not working nights, I'm working too. If I wish If the time this well, doing the on call on six weeks P v it, then you will have, um uh, another six week period where you just focus on your training and you're working. You know, my personal trust words. We were 10 hours shift on the shortly, So those are the training opportunities, so it is quite on vigorous on, but it doesn't get better when you're ready destroyed. The registers covers their own core. And the the months for them are even higher than us as issues so and the coming eight years would be gruesome. Um, lack of what life balance if I'm being completely onus as a surgical trainee on, But I wouldn't know somebody who would, you know, say otherwise. So this is just my person know Ambien. Okay, Okay, So we're gonna question can you please explain the concept of a couple of aspect of the surgical training structure? Slide again on the uncouple and aspect off surgical training. It's It's basically just the difference between a couple and uncouple joining. It's mainly just whether you get a two year contract or a 7 to 8 year contract for your surgical changing. So, um, the CST your I ST itself is a two year program. If it's uncouple, it means that you will have to undergo selection progress, meaning you know, the whole and selection I'm going through all your again on. Then I'm showing your portfolio, going through the interview again by the time you are in the middle off your second year courses were training or ST, so you will have to go through a selection process again. Whereas a couple program means that you don't have to go through three interview or the portfolio a second time, you have a number already. It's a wrong to program, so once you get the first year, it's a contract for you to train seven years or eight years until you are consulting on. But But unfortunately, last year they pulled out most off the wrong two programs from England, and the only ones remain the run true ones that we names are the ones in Scotland. And then I think there were only 10 around 10 1 true post last year. I don't know what happened this year, but I imagine it's very similar. Um, this year, Time way. God, what are you working out? So and it varies. So when I'm on a training rotor for the six weeks, I would work 10 hours, five days, so money to fight a $10. So that's around 50 always per week on, you know, get to cock in car out blowing eight and then come out at six on. So life is good. You get the weekends off on when I'm on a non call. A tough on. Then it would be Sometimes I do work and 70 to 80 hours a week. Unfortunately, you do get very cruel. They working and rota, um, where you have to work seven days continuously and you know you can shipping today and night, then that's day. It can be very, very tiring on doing those period on. But like I said, it doesn't get better when your registry only gets worse. Question is, is your experience from a general surgery CST? So, um, my A program, um is kind off? Um, it's no. Ah, typical general surgical team placement. So I spent my first six months in vascular surgery than going into general surgery and then going to also on then general surgery again. So it's no a typical general surgery thing, Um, a placement. But it is what I upped it for. Onda, the placement in Scotland on England varies. I do know in England. You got to do you know it's very normal is common for you to catch in our surgical placements on, then going to also and then going Teo other unreal, eat less related specialties on. But some off The program is very nicely designed where you get you know, if you are interested in plastics than they would give you, like ent placement and our states and then something very relevant to your interest. And so mining interest is general surgery. So I would say Yes, but it's not just general surgery. It's a a bit trauma. A bit, you know, vascular. So it's It's a pretty exciting program, in my opinion. Thank you. I tell you. Got the question. Do we write nationally nationally? What do we have to choose? England. Scotland. Centrum on. It's Ah, a list. You rent everything together. You rent on the jobs between England, Scotland and Northern Ireland. Wells. So you rank than, um, you ran all 600 jobs and in the goal. I think. I think that's all the questions came. Thank you very much. No, thank you. Thank you. Thank you. Thank you for attending, I think. Okay. And you can email asking you feedback on. Then you're going to sit. It gets Well, um, if there are any issues with that, just drop drop in my Facebook or something. Okay, Thanks. Everyone with presentation. Okay. Yes. Thank you.