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you hope you can all have me right now. Um, if someone could quickly post in the shop if you can hear me. So I know not just speaking to myself. We are using the tech on medal for the first time today. So hopefully we get through this without any major books boats. Presenting the whole thing without anyone actually been up to here would be a pretty massive mistake. So someone could quickly person that shop if you can just have a I can send me a bit that anyone that's all accident. Thanks, Jessica. Okay, so I'm Christian. I am the lead ambassador for the F three Siris of what has been spawning and posting about this for the past couple of weeks. Tonight we are having the first episode of the F three Syria's The clinic left three number one with dots and attaches, who is very kindly going to tell us all about her three experience. Also joined tonight by shift, who is one of the founders of the portfolio clinic. Um, which is kind of the umbrella that all of this comes underneath. Shit. If you want to just tell us a little bit about the puffer other clinics to stop. Yeah, sure. So you get the next slide. So yeah, I'm shave. Found is the portfolio clinic. The portfolio clinic is a near peer mentor ship organization which delivers mentor shipped junior doctors looking Teo going to especially training, but also to meet the foundation requirements for the CP. If you're interested, please check us out. The w w dot the port, really click dot com on even. Just have a look at Some are mentors were a social enterprise. So our mental ship is free at the point of contact on do. Yeah. So feel free. Check out and register and book in your initial consultation. If it's something you're interested in back to using up. Great. Thanks. Shift. Okay. So I'm gonna hand over shortly to Natasha. We've still got a few people joining here and there, but it is going up to five past seven on. We'll probably crack on sooner rather than later. Um, a saying it's actually will be having a talk with us today. Um, i'll be asking some questions as well. Shift. If you guys have any questions, you can post some stuff in the chap and we will keep a better eye on that. She was also going to take some dynamic notes. I think through the talk through just put link on the chat. I'll just be continuing to update that throughout this talk on after the talk and I mentioned this is the end again. But after the talk, we will send out a feedback form, which is obviously really helpful. Both girls to plan future talks also for Natasha, who has very kindly given us her time tonight on do this whole thing will be recorded. So anyone who wants to go back and listen again or if anyone wants to recommend it to someone else, they can always pop back in the future on watch you again. So been a very quickly. Now, just hand over to Natasha, who's going to tell us all about her work in the clinic. Left three, but may see if I come go. I never I'm I'm one meted. So if you could give me that hand today, okay? Wouldn't present myself. There we go. Hopefully ever go? Everyone can see, you know. Okay. Hello there, Obviously. Evening. Even hyper ones doing well. Um, so I'm attaches on, but just to give you a bit of an introduction, I am currently your GPS t one. I, uh I was raised in 2015, um, for quite a while ago. And it's taking me quite a long time to get to specialty training because I really struggled with career choices. Um, so after my F one. So I did also my, uh, after graduation, Did my left one, um, take a bit of time out after my half one, which is quite unusual, um, to to go abroad, came back into my have to on after I have to decide to do a a clinical f three eso. Yeah, I think. What? What? The time I got to have two new I just really still have no idea what I wanted to do. I had kind of hated everything, hated most fertile teas. Nothing was really nothing was kind of attractive. Uh, after was hollow. Does I know quite a rubber TGH on it was been miserable, but actually, one of the little tease that I ended on was palliative care on. Did it felt like, um, it felt like a giant hug home. It was really. It was lovely. It was a warm, welcoming environment After going through a rough time, I don't know if that influence my kind of love towards palliative care now, whether it was just the circumstance around or specialty itself. But I've already decided to do that. Three. I land on the specialty, and I was kind of enlightened. And I was like, Okay, this is I think this is what I might want to do, but wanted to kind of It's very different when you do enough to and I specialty compared to when you're doing it as a trainee, yours are kind of grown up, doctor, on my fucking you have it on. But it actually proper experience, a bit of time, the specialty to get to know it a bit more. And it just so happened that the hospice I was placed that had a specialty grade opening on. So I put for it and, uh, I got the job. So, um yes. So I sort of my special degraded up hospice on. I was there for two years, two and a bit years, actually home. We can come on too wired and stayed in the state hospital for that long. A bit later, if if parts of interest. So that's a bit of context in background as to how I landed on my clinical f three. Um, yeah. Yeah. Great. So it sounds like you, as you say, the experiences that you had in your F two year really influence what you then did the referee. So what did you How do you kind of go? You said you found out about the role. Where did you find out about the role from? Sorry. So it was very internal, Um, within. So you know, your left to your F one F two place? It's a former Florence Long. I think within one month, I was kind of really liking it, and I knew that I wanted to try and get some sort of extra experience on. I was sniffing around and kind of figure out whatever else is doing and trying to be quite smart about it. So I knew about the specialty great time with applying for training, and she'd be leaving on so immediately one month. And I was kind of making from making friends of all the nurses and all the doctors and um, being extra extra kind of making extra cups of tea. Um, so it was kind of internal. I knew it was coming up. They moved to the job online on, but, you know, they have to make extra on a fair. So it went on NHS job, and I think when I when it got to you interviewing it was myself from two other people. Um, you interviewed another, another person. He was applying for an F three on, then another doctor you had qualified. And in a junky from a while. I think, um and I guess I just I guess I should Cups of tea paid off. Uh uh uh, Yeah. So in terms of the interview itself, I mean, are there any tips or how was your experience interviewing? Because everything you could say to people who were going to go for a job. Uh, I think if you want a place like this is true for any any, any job in any career, in any, uh, position. Great. If you find a place that you like and you know that you want to be there for longer, it's about being at the extra mile in so, um, be inclined to people making the effort to get to know names of nurses and doctors. Receptionists, Um, really embedding yourself within the institution I took up Would it's and keeping a quality improvement projects that in the four months and make sure that I have delivered and presented what I found, Um, just, I don't know, just being extra enthusiastic on. And then when it came to the interviews, I huddled this stuff that I had already done for the hospital done with the hospice that I could present say, Well, you know, I did this for you and, um, yeah, the the interview itself has was pretty boxed under the interview stuff. What? You know, White on the job. Why do you think you got a good for it or your skills? Your weaknesses told me about something. You're proud of me about the Lord. It work. You've done very, very books under stuff. I used the the medical interviews book. There's there's one that I think has no one uses the medical specialties. Make sure I can dig it out and send a link. But that was useful for preparing. But I really did probably prepare. I, um, create a port for their folder to put all of my have cord. It worked. And, um, any kind, of course is is to figure out that I had on I was the only person to bring a little poor for portfolio with me on. But the president to feed me told me that they were impressed that I had to kind of put the time and to bring something to the interview and that thing that's in that little tip. If you have the time to just show to show that to prepare and sure that you had prepared for it. Yeah, it's very impressive. I would never thought to do that for the jobs I was going for. Um, I have three. So sure, I think so. You are expected to have a port failure. When you're playing for specialty train from most better training programs. You know what, So you want you're just getting yourself up. And when it comes to you actually applying for jobs, it's already there. You've done the hard work of putting a lot of things together, and then it's just adding to folder that these the days of paper haven't paid propagation. That doesn't help. It's changed on been terms of again. You kind of said that you were quite interested in you had a good experience of policy of care. What kind of swayed you to pursue the clinical fellowship role instead of something like low comming or going into training? Or was it kind of as you've explained that you're a little bit unsure about things you want it to more time? Yeah, I think. I mean, firstly, there isn't really alert coming role in palliative couch. Most has committed. Hospice is staffed by the specialty trainees, the the GP trainees that the trainees, that kind of Yeah, and then the staff. Great doctor. So that wasn't an option, that kind of local massage on then choosing whether to do the local needy versus that kind of specialty job. It's just that I knew that I like that, okay? And I wanted to You want to see that a bit more on. But I think maybe at the time, the idea of both May may be scared me a bit. I think I wasn't ready to kind of know, have they're not have a kind of proper proper job thing that's really coming. Yeah, actually, you know, place one difficult with and fell a bit more confident, but I think the other thing we can talk about a bit more is beating. And especially great job. You're institution. Invest in you. That there your every day while that continuity, where are between years ago ing off and helping to, um I don't remember working part time or splitting the roll between two different specialties. And then you are that continuity. So they they like to keep you happy. They will do CBDs and taxes and SCDs for you. They will treat you as much as possible like a trainee and give you training opportunities. Where is that? A locum. You just want to know. People don't know your name most of the time, right? Fair enough. So when you were in the role, just tell us a little about what was your typical kind of day Like, What was that? What was the typical week like on? But again, this is very specific to positive care. But I'm I would scorn in at nine or quarter past nine on my knee, but five and there were some days where I left past point that they were rare on, but it was a venous. It's a nice positive care job on, but I would do it by the end of my four month placement. I kind of felt like I was confident of starting my own would rounds on as I could have stayed for longer. It's probably because they would have Don't want want the unit, which is quite nice. Kind of having that responsibility. Um, yeah. I'm talking in new patients to hospice, leaving at five. I would do one evening on call on it was a resident on call which felt really grown up, So I would be a, um I would have the phone and I would answer calls and queries on I do a week and every month I think on what was really nice about the job. Is it? I know it's not a disease. Well, a slocum rates, but they matched on, but what great I would have been. So they must 81 job. And when I went on to my second year in the hospital, they much the CT two salary. Sorry. Um, so yeah. Yeah. Great. So it sounds like that was really good for what you were looking for. Exactly. I'm a bit of time to think a bit of time to get stuck in and get to know the specialty. Um, a lot of time outside of work, too. Enjoy my my hours, maybe evenings. My weekend. Yeah, it's good news. Reason why a lot of people taking, uh, three is a break from training and something maybe a little bit more relaxed or, uh, just pursue some other things. I mean, were there anything outside of work that you're doing along side, or was it of ever mental break? Um, hum, I kind of halfway through my 200 years, whatever. I got stuck into some of the research things that interested me on. So I spent some of my evenings being, like, even getting some your quality improvement projects done within the hospice. And so it gives you that bit of time to also offer you other academic interest. All we even need a social hum. Yeah, I just It really depends. On what specialty urine and what there are. I know how I was in a part of catch up in. It was a 95 on That might be different if you're an orthopedic specialty doctor and you're expected to be on the all. I don't interest me but him. Yeah, good. And you also mentioned already, but it sounds like from the clinical fellowships you're one of the benefits was that you felt part the team. So you were there a lot. You've got to know people. And, uh, yeah, I think that one is going to really got to have a team very well. And I would say I was going to touch it in touch with something kind of old. A nursing staff, even that lovely. Also, when you're doing a specialty training job, whether it's an F one F two s t one you spend half the time trying to get to know the job and the the process how to do it the three i t u r quasar referring or whatever and all this kind of admin stuff on by the by the end of your protection, you just started to get to grips with. Then you weren't. You respect to move on, whereas with the drop like this, you actually start to really pick up the skill of a specialty itself. I Yeah, I felt really confident in life. My call Cascade is by the end of the two years, As I said, I, um we were having GPT trainees, and you daughter's coming into you never take it because I have been for a long time. The consultants trusted me. Kind of trusted me to manage some of the some of the the trainees and sort of, Yeah, wrong one, the kind of unit. And, yeah, you have that chance to know anybody relationship ships. But if you're seeing is to build trust in you on back on and learn those managerial skills, you never really talked and otherwise, and that's pretty, that's pretty beneficial. Well, right, I think what you said there was actually really important attache about the foundation program and how four months just doesn't feel quite enough time to properly progress and getting confidence in the specialty on that, I mean, that's, I think, a reason why many people do after a F four clinical fallot rolls to really gain confidence in one area, and whether or not they end up specialize in that area, you gain tremendous amount of skill, whether that's sort of broad skill base in the clinic, especially that you're working in or managerial skill, your eye or order. Having that more than four months, even if it's 6 to 12 months in one place, means you. You conduce more than one cycle of an order it you can do a full quality improvement project. You can actually get embedded in a research project without feeling our while in two months I'm gonna actually leave their specialty and I'm not able. Teo, have this great a tie with the warden and the and the nurses and patients on the doctors there. So I think I just echo what you said entirely. Um, I think I have one question. It's slightly going back to what you said earlier, because you you sound like many other three. If three's a sense that you're very proactive about what you did you although it was an internal job, you made sure that you did everything in your capabilities so that you get that role for people that don't necessarily have access or won't won't message have an internal drop will be applying externally. Do you have any tips about how to prepare best and how to make themselves come across well in applications or it or like yeah, how to prepare themselves, I guess, for the application to maybe a more competitive F three role, it's really hard. It's really hard. I don't have a good answer to that question. I can give you examples of jobs that I have a plate to. Not specialty training, but interim jobs. And I haven't got them on big been an institution. So I haven't worked or them. And you get the sense of that putting out that the hiring internally if it's really hard to know what kind of it. Intentions off. Um, I would if you have the time. I think Taster's You know, you'd be saying, Can I come and observe the unit for a couple of days and see what it's like and see if I like it on that gives, you know, one opportunity to get to those on, bake some connections and do that kind of horrible networking, and it pays off in the interview. Um, I actually did that time. It's seven. When I was, um when I stay in my my F three, my five interim is I. I would be to get some history in some of the institutions and kind of yet So if you can go and visit him a few days that I otherwise I don't know, it's really hard. Yeah, I agree. It is quite challenging when you you feel like then maybe necessarily sway towards internal applicants. I think you know, the the idea about tasted eight is great on Bear in mind to our views that a Zantac said, You don't have to just do it today in the spascitiy, you can do a taste a day in the specialty at the place you want to apply, so you can specifically request we'll send out emails, contact the department, say I would like to work here, because is that any opportunity for me to your taste day with you? Um, likewise. You know, when I was applying for every roles, I sent out emails pretty widespread Teo intensive care departments just to ask, What do they look for in candidates on? Actually, it was very, very honest on day. Told you about the kind of qualifications kind of background, kind of all the experience they want, so I think that I think it just comes back to, I guess, that product idea of going out and then trying to find what you need to get the rolls like this. Actually, one thing I did do was the person I was taking. 1000 his job I was dying for. I just went in the evening with her and ask her what her process of applying for the job was on. But I think I asked her. She even look at my application answers on D and see where you know where I have been. Pretty. I'm also on the NHS jobs, um, application form. It's done if you have any of you like that. I think it's the same form for every single job, and it's huge, and you're expected to write this long essay quest answers on. You never know whether they're really going to read it or not, but I just treat that as the real thing, and I gave it to you. I was doing I t rotation of the time. I gave it to one of the registrar's to happen. Look and come back, um, answers and critique it. Uh huh, That's always helpful to just get some feet, but yeah, I think that that's the exact idea. Um, I think having that out outer perspective on things I think sometimes you think something is worded quite quite well. We're having someone t look up for me to perspective from someone who, I guess maybe has more experience or my actually see it from a different you know, different perspective is good. Yeah, for them. I don't think we're going to questions in the shop yet just to remind so ever on. If you do it, we'll ask anything. Just post it on there and we can keep an eye on things and try and ask them when it fits in eso, it sounds like the lows of benefits to the job that you did. Is there anything that you think there any negatives to being a clinical fellow, as opposed to doing something like a locum job? I guess so. The other a couple of things that come to mind in First of all, I guess it's the flexibility. So you are on a contractor drop and you have a set amount of leave. As with any job so unlike low coming where you congested. I'd when you're working and when you're not on, Do you know it was actually people, that seventh profession, and that leaves on. My second thing is that you're there for sepsis provision. So, yes, they were lovely And offering to do the DS and Texas and, you know, invite me to teaching up I It was hard for me to get study leave to attend things if there wasn't enough cover because they were prioritizing the trainees studying it on. But you are there as a service and continuity. Um and so I found that quite hard towards the end when I was into get interested in with all the areas and I actually needed more time in the week to to go up on your courses. Whatever it was that I find a lot of my daughter gave the quest. They weren't they were being very kind, but they they weren't always approved. So yeah, you know, invested in the same way has a trainee. So I think that's the main thing that that I during the specialty, but during the few years always work as a specialty grade. I was like, This isn't this is it. This is me. Now I'm going to be especially great for most of my life. I may do a seizer where I don't actually go through the training program that I use it on. Then game my competencies on, um, CCT in college of care was a specialty grade. Um, but very soon realise. Actually, I'm not. I'm not in those teacher in training opportunities. And I like I like the invested in, you know, like, um pushes. It's annoying type. See all these poor failure, um, things and go through a RCPs. There's a reason for it. And yeah, so I think that was one of the main things to me. Um, I guess the pain is not as good as his load coming. Depends how much that much is to you. Um, that's a those. And those are the main Who's the main kind of dance? It's Yeah. So you felt comfortable with the job and how you getting along with things at the time, But after a certain amount time that, like a progression Did that start to become a factor as well? Yes, exactly. Exactly that. See, I think about two years I felt like I was due for that stagnating. But I thought I also think medics were reported to feel like climbing on ladders all the time and should be progressing on again. It's it's completely down to you how much that means to you. So for me, it's like, how big is my eager that I need to feel that I'm getting? Can I just be happy with this easy job, easy lifestyle and progressing somewhat? My pain is improving every year. It doesn't really matter. It just It depends on the kind of person you are until how you not competing of success, whatever, whatever success means. Team, I think we like to think that we don't care about the progression and the stepwise ladder, but I think it's in a sense it's quite ingrained in us from medical school. We always told it has he said, a stepwise progression so suddenly when we take that step off, Um, I mean we feel happy for a while, but then there's an element of itchy feet and should should I be doing there? Should I be doing it for longer? And as you said, I think that's entirely apart. It's a personal question. But I think the general team here is quite I think the reason why we're doing this is we're trying to, I guess promotes taking that extra step off the ladder. And I mean, we can see from what you're saying the amount of skills you developed from that time out training, you simply just wouldn't get that same experience from being on the training ladder. It's very, very unique toe what you've done on and talk many other people have done. It's interesting if I see someone said that they thought the environment work doesn't make it supportive to feel like Teo not be progressing. Um, I think like you can get a second. This could be an entire like therapy session. You have to. I really like this. But the last year, really wondering what success means to me already digging deep to figure out what matters to me And if you can think of it, I'll I'll you know, your one in your life. I think, yeah, it will be happier people, but such a ton gyn Nobody's ready, but nothing. That's a really important part of why people take after is certainly in my own experience. It was a huge part of it was just a break from the ladder on. But as you say, you go through medical school for 56 years and you talked that this is apart and then you go into a half one and then you do have to and progression is built into the system on. Do you need a break from? Not every now and again, whether that is for 123 or forever. You know, um, and I think it's really important to make that more acceptable. And I think it is becoming more assessable now, and everything is it's. It's more common for someone's taking, uh, three nowadays than it is for them not to. So the recent data says it's between 17. 18% of people have no entering specialty training. In terms of what I may have said, I think to an extent it does still exist. It is normally the older group of consultants and doctors who tend to sort of raise their eyebrows when you say you're in F four and five. But I think coming back to one and said, I think there's an element of having a thick skin on. Do you know if you could ignore that side of things and be happy and be confident that you're getting the schools that you need and not yourself with the people as well? I think that stuff is well if you we all have medic friends and you see other people progressing and sometimes that also triggers the thing of should I be going that wrote that route as well? So since you didn't last you No, not at all. I think you know, we're all it sounds like. We're all quite passionate on the topic of our mayors mentioning a swell on, I think, having bean do it, I took I totally appreciated. And Santa I felt the exact same thing of that culture difficulty. And I think it does without a doubt. Regardless of how much you try and block out, it does kind of get under your skin to an extent. Um, so I think, Yeah, I told you the agree what may have said And there is a change of culture, but it isn't. It isn't totally changed. Just Yeah, it was still a lot of work to be done with that. And you're right, I think, from the non training grade work force point of view on that service provision. It's a central for the NHS, and I think, in terms of the long term plan of energy, yes, I think they're putting more work into supporting the non trading great doctor on, but make them sort of equivalent, if not, you know, very, very similar to what the training great post should have. Um, have you guys got anything out? Sound that We also have a question from Jenny that we've kind of you. It's going to be my next question anyway, Going already been mentioned times it was, I don't know if you saw it. It's actually just about portfolio maintaining portfolio in your after a year. Um, I'm going to scroll up to the exact with a condom. That's a really good question. There are two things to say about thank you for asking. First of all, Um, yes. So I decided to keep a port failure on dijo. And so that's quite the J. J. Are you know what? I'm not sure, but it's be it's what the core medical trainees use. I don't know if you're 70 or I am teasing out, I think got some bad support for you. That's all guys by the more college. I actually have no idea, but it's it's anyway support radio and I had to pay 50 lbs to have access to it for one year. I treated it into my year as an equivalent of a CT one palette of catch rainy on. I. I made sure I basically work so that I was was entering log so that I was achieving the competency of a CT one on. But, you know, actually, I have that point. I was kind of one C's a ring it on, but that would have meant something, you know, and I it doesn't actually mean anything, but I think it's still it still nice for you to show that you're just to see that you're learning and engaging with a port for the process, because that never leaves. Um, secondly, when you were out of training, you do still have to have appraisal. So, um, you we will go through a RCPs enough one enough to and then built into the system, and you're kind of shepherded through it. But if you're out of training. You're doing locals, Whatever you have to have. I don't know if you guys funds, but I didn't have to do my own appraisals to show that you to keep my gym's your registration, I guess to show that you were still keeping up to date with patient safety and quality improvement feedback from patients going consultants know that, um, on that port for your help to kind of bulk up my appraisal system. Um, I was out of training for so long, and I actually did a revalidation my foot, my first five year revalidation on. So if you you know, if you are planning on being out of training for a while, you may come across the rebounded Asian process. And I was really stressed about it because, you know, you have to have basically asked the gently to rebounded a human it was must be done if you're in training programs that keeping a port fairly really helps to show that you're, um, engaging doctor and you're still keeping up with competencies and all that. Um, and I think if you end up applying for that specialty, then bonus there, You know, it shows that you're you're ahead of the game and do keen, so I I would. It's high one if it it's it's a locum here and you want to check now and have a, you know, have a jolly try and say Try and keep a portfolio and, you know, did a minute them, like three CBDs to Texas in the year or whatever it is, it will pay off. Did you get your portfolio for free? Or did you have to pay for it for your fellow Said it was 50 lbs too? Yeah, I think I signed up Isn't a I don't like non training associate something, but yeah, it was 50 lbs for every year. And you said it was like a was equivalent of the I am t port for it. Was that what you were saying? Call medical training, if one does not. So that that's the it's called it. And among some, some unabomb of J a c o T JC a Jake Yeah, T o u and 50 lbs for a year. And dvf? Yes. Okay. You know, just you're you're paying for your MD um PS insurance? Yeah, that's good. Yeah. Who did you go with your insurance is right. Did you kind of way up different ones, or did you carry on the one that you talk to previously through training? I think I just got I haven't I haven't put much thought into it. I think I just want to pick on it was whatever. I still don't. I just carried on with them. Do you think it was this one? Yeah. There's another question from Jenny Assuage. Well found. Well, you guys read. Did he? Is the Jiamusi and every what you need to stay for a pretzel. Oh, so the appraisal is an online system. You when you start a job anywhere, even if you look, you'll be part of a trust on over kind of overseeing the safe, the end of the GMC and, you know, kind of competence. He's open gym C e. I don't know of a doctor. A serous ponsi Bill Officer. So, for every site, every aspect, every trust, there is one person called a responsible officer. He will oversee everyone. A r c a three validations everything. Um so you once you once you start a job, whether it's like me, where is a specialty great job. Find out who find out what trust you belong to on a responsible officer. Log onto your GMC he on account online and make sure that you are affiliated with that trust. And that's that's changed. That's gone through on day and then next you then I think what you do is you. You email that kind of revalidation team of the hospital so there will be someone that will be a team that's in charge of appraisal. Sort of praise ALS. I basically e mailed them to say, Can you add me to the appraisal One line software platform? And so I get added and I finally got a log in and a password. All that look in on that you you were given. It's a form. I think. It's broken into teaching on be feedback, a quality improvement. But there are busy five or six domains on. You need to just kind of free type what you've been doing to make sure that you're keeping up to date with all those domains on. But there are options to upload, you know, certificates, presentations, whatever, Um, it's not the process, so you don't need to go to the, you know, need to cut the gyms, me guidelines or anything. It's kind of set up for you, and you just go through and take through it. I wouldn't mean it's right. Um, see, I wouldn't worry too much, but I think the main thing is, once you start a job wherever it is, make sure that you are affiliated with it, and it's it's been changed on the TMC on your gym, see account on. Do you know what that little processes is that that just made it to you guys? I don't know. Yeah, you explained it really well, and that's the same for basically, any fellow job or low income job is well, if you're pretty much like a long term low from somewhere, you can organize your own A R C E p or your appraisal. There, as opposed foundation doctor, you typically have to pay for it yourself on it could be, you know, a couple of 100 lbs if you're awoken, but if your fellow you tend to get that service for free. But yeah, you just easier exactly is, Natasha said. Just email the revalidation team. It's a it's a the process is a bit, it's just that long winded. But, you know, this is the NHS, I guess, but, yeah, So if you email or your validation team on day tend to give you the information, the email address is quite easily available. Just speak to your clinical educational supervisor. We can fight for you. I don't know why people don't talk about that step or it's always like a weird puzzle. But you have to work, work, how on your own and definitely, yeah, it's kind of, um, Nick Mode Getting your phrase. It wasn't as a foundation f three F four doctor, but yeah, it needs to be better disseminated information, but it's it's not. They don't it's less rigidly inspected than where our our CPU expected to have. You know your number of STD's whatever. That's kind of whatever you pulling it, um, you can get by with not very much, so I wouldn't stress about it. Three. Uh huh. Thank you. It's good, lets people saying Thanks on one thing I was, um, no one's mentioned it, but white few questions that some some pop over about the pension scheme on. But what? Whether it's to stick around with it when you go into a local job. Oh, uh, three jobs. I think that's quite a personal choice. Um, I have another whole kind of worms that we could probably talk about for hours. It's very good. I like that. I started on Sunday, and I think I I think mine is inbuilt s. So that was that one of the night like that about not being self employed. But being employed by an organization is that all the curve, the tax and pensions will sort it for me. I don't have to think about it. Um, and I kept up. I think you could opt out with pensions if you wanted to, but, um uh, I don't know why. I mean, you might offer you might choose to for a couple for a year if you want to save up for a big trip. But today that you stopped scares me a bit, and I just continued with the pensions on, but I'm pretty sure even if you're low coming, I'm pretty sure that it's probably, um, built into your bank contract as well. So I don't think you need to think about pensions. I think it's automatically deducted from your pain and it goes in. I'm quite I think it says, Yeah, yeah, I think I probably would. Second, one cashier said, In terms of the allergist pensions, chemo, unless you're looking for fast cash to go away or to buy a house or something and you're low coming, where is that? Actually, actually, that money would make a difference When you're working is a fellow. I mean, I don't think taking a pension pay is probably going to make that much of a difference. But I think if you're low coming and you're like me pretty hard, it could. It could be quite a lot on. That's probably mean without giving bad advice. I think personally, that would have been the only way in which I would have opted out question, Did you? I kept in purely for the same kind of reasons. I don't know enough about it on, but very vague information I got from it was any Chip Espenson is the best pension around. You should probably stick in it, Um, and like I say, I did lose a local, and I probably would have made a significant chunk more boats I had it off money at the time for why need needed then. And it just seemed Yeah, again, I think is one of those things. That's very complicated. And unless you really want to find out about it in way, all the pros and cons, it's better in easier just to stick with it. I did just want to go to get your opinion. Because I know it's a question that comes up a lot when people I do take it after in things and let's see what you did. I think, Yeah, I think it is possible choice. I my my opinion is No, never gonna grab paying into attention. I don't think that a chest constant. Yeah. Yeah, it depends on what you're doing. The leg coming, I guess. Yeah. Okay. So is there anything else about the going back together? That the job that you did in the clinical work? And I think you wanna talk about that? You said that you got involved in choir live audits and research things. Um, did you do any courses or anything? Kind of further academic stuff while you're in there, Or was it? You're one thing I thought I'd do it, but I didn't do in. The end was I was thinking of a thing for palliative care training. Um, I was going to do so. Specialty has its own specialty exam. So I think, for instance, if you were medic on, But, um, you you will have the new MRI C p one to whatever it is on that I think most specialties have a kind of exit exam. It's called the ski that specialty. Think it examination something of doing the ski for patch of excites in it. My mind is what I used for school thing. But I think part of that was maybe and don't need to feel like we're doing examined getting sued in a while. My doing what we think it has. Uh, yeah, I mean called did go on a few. I didn't have the study budget. So that's the other thing. When you were in a training program, Do you get your, you know, from a GI study? But I didn't, so it was kind of out of my own pocket. Didn't didn't do that many. Um, what was really nice about being there for a long time, and I talked about you. I I was there long enough to start from Q Y projects on. I got quite attached to them. And I'm actually two years on from leaving the hospital. I'm store involving his Q I projects and starting up some the new pathways And, um, that stuff that you don't get to do because it's such a kind of stuff that consultant Stuber kind of higher up on a cheerio. But, um, I guess I was there long enough that I got to get got stuck in on dust, got attachment, have continued to help help prevent it. But, um, yeah, I I think that stuff for weeks looks quite hopefully looks compressive brilliant. Yeah. Thank you. Yeah. Again. I think it just speaks to the flexibility in the benefit of s three. Get involved in things that outside of the immediate job that you want to to pursue, Um okay. I mean, there's no more questions in the group at the moment. Um, she was there. Anything else that you want to ask where Come up to 10 to 8 now. Um, but, you know, I think what I think the five if we come into the clothes, I think is the key thing really is stirred creative to take home points. I think we've talked really a lot about the port for your side on. Do you know the stuff that you've been doing outside your clinical work as well? But, um, is there anything that you think you've gained from those two years? I mean, we talk back of the things, but anything that you gained that you think you just wouldn't have done if you go straight into training, um, you know to So it's there are two things that I want to stay in terms of, like gained 1st, 1/10 of what I would have done wouldn't have done otherwise. It led No, no, we're little rabbit hole. So part of Canada me, to my interest in public health on deny, ended up doing a masters somewhere. I think I would have never even thought it in a masters in public health. Like I didn't didn't even know it was until I came to kind of rely thing. That was through my work, the hospice on. Now, as a result, I'm, you know, having interest. I'm destined for time that I spent into percent doing my GP training in one day a week. I'm doing a complete cetera. Also, that wouldn't have happened to find done that a year. The second thing to say is, um just see amount of confidence he gained from during those extra few years. So when I went back into doing my asked, he wonders if I went with your medicine like, been out of hospital medicine for a good three years. That point I was really nervous on. But I was speaking to the consultant. He's in charge of the trainees, and I was like saying a coin. I was back in hospital and doing hospital medicine and keep medicine, and he's like, I don't worry, you'll be there with if one's enough twos and you will know so much more than them. You already done what I see. I haven't done much medicine, so that was I. I don't want to surgeries on how much medicine and I found that I was still looking up things like, You know, what investigations going to do if someone's got renal failure and, you know, urinary Crafty. I mean, I still you go that stuff, but you gained this confidence in this kind of inmates. Like, Okay, I need to be worried about that patient. I don't I guess that just comes with time. Um, on that stuff, you know, you can't, man. It's just experiencing kind of getting a feel. Um, yeah, I think it's that. I guess it's like that honing of the clinical acumen that sounds me ponsi that way just that that experience it. Even if it's a specialty that you never go back to again, you will have gained this kind of build this innate kind of sense of what you think you need to do with Yeah, I think what you said is gold. Us is something you don't know what to do. But you know how to go about working out, how to do it. If that makes sense, you get you get the house, He where is I think during the foundation program, you're sort of just running around head of chicken and eventually you find out the way to do it. Eso I think that there is an element of efficiency that you just seem to develop from your time in the clinical environment, independent of whether it is, um so yeah, I definitely agree with that was reintroduced. I'm not just me is a really, really June your dog. Thank you. Think about what the keep friends and all that kind of really old GI people on, Let's give no, you know, they seem so aloof and you're like, Oh, God, your dinosaur and dif not been I don't know, just we're good on, really just have this kind of urge to 67. It's like they just know having done it for so many years. You get a bill. That's kind of I don't know. It's difficult to explain, but as you say, you do kind of inherently know when you to be worried about and who not to be. You get this kind of feeling in your stomach, they're only comes with experience and just seeing more on, well, patients. Really interesting. We've got any more questions, I guess I guess it'd be final questions now. Really. Um, you know, I guess with wrap up and get people, you probably had a long day. I mentioned this is the start. But if anyone wasn't there and is joining since I'll be sending out of feedback form. Uh, when we sign off from this would be really helpful if everyone's got further in. Obviously it's really beneficial for myself and shift to organize future talks. But so it's really good for Natasha. He was given a time to us tonight. Uh, the recording of this whole thing again will be on the events page so anyone can access that. After the time, nothing would just go a message. Come in. Sorry for me. I'm just excellent. Uh, yeah, you're a plug. Next week's one. Is it? Is that one next week? Yes, there is one. That's week. Next week will be the local math three, which is kind of the polar opposite. Off this talk, it will be host by That's a craft and also myself. What kind of picture? In a bit, because that's why I did for my f three talking about picking up at Hawk a zoo well, as agency locum see and kind of alleviates. And some of those fears that you mentioned attaches, um, about taking a year out on not having a fixed dose and just picking things up as and when, um, I absolutely loved it for the flexibility and thing, but would go into all of those benefits. And the, uh, is well, assume is the problems as well that can arise from it. So that will be the same time. Seven o'clock next Wednesday, the ninth of March. Again, We'd love to see you or there. Thank you, Natasha. For everything's and I was really interesting. You did? Really? Well, um, I think we could all say that we've learned I'm gonna fit from it. Yeah. Great chatting, Tasha. Honestly, it's been great to hear about your experiences. Good luck, everyone. Great. Thanks. Ever. Onda. Uh, hopefully we'll see you in this week. Five room. Right, Okay.