Clinical Paediatrics - A Career in Paediatrics
Summary
Join pediatric registrar Leon from the Whittington Hospital for an insightful session aimed at inspiring medical professionals to consider a career in pediatrics. Leon will provide key information on what a career in pediatrics involves, the application process, his own experiences in the field, and what a day in the life of a pediatrician looks like. This session is vital for any medical professional contemplating specializing in pediatrics and wanting to learn about the bit of the day in life of a pediatrician, the rewards and challenges, the flexibility, and the training programs involved. You'll also have the chance to ask Leon any questions and gain valuable career advice. The session offers a unique opportunity to hear firsthand why pediatrics is an ever-changing, exciting, varied, holistic, supportive, rewarding, and hands-on specialty.
Learning objectives
- Understand the unique nature of pediatrics as a medical specialty and the key reasons to pursue a career in it, including its multidisciplinary nature, variation in practice, and the emotional rewards associated with helping children.
- Gain insight into the application process for speciality training in pediatrics, including the requirements and scoring systems, and how to effectively present oneself in written applications and interviews.
- Comprehend the structure of training in pediatrics, including its seven-year duration, run-through nature, and division into ST 1-3 (SHO years) and ST 4-7 (registrar years).
- Understand the competencies and skills required in pediatric practice, such as practical procedures (e.g., lumbar punctures and central lines), managing the emotional challenges, and working closely with a multidisciplinary team.
- Aware of the role of continued professional development and lifelong learning in a pediatric career, including the need for ongoing exams and maintaining a portfolio of competency-based achievements.
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Great. All right. So my name is Leon. I am a pediatric registrar at the Whittington Hospital. I hope you can hear me. Ok. I'm gonna try and log it in from here. We can see your screen. Great. Thank you. I just want to take it off there. I don't know why it's doing that. Ok. So I wanted to, I've been asked to talk a little bit about a career in pediatrics. So I'm a pediatric registrar currently working at the Whittington Hospital and I hope to be able to inspire you a little bit um into why pediatrics is the best specialty that you can do. Um Please ask questions um throughout so that I, so that I make sure that I'm targeting this. Ok. And obviously I'm very happy to be contacted afterwards if there's anything else that you would like to know. So the outline of the session, what is pediatrics? Why do pediatrics? I'll have a little chat to you about the application process and some top tips. I'll tell you about my journey so far and I'll cover a little bit of what it's like um to be a pediatrician. So a bit of a day in the life and then I'll answer any questions that you have. So, pediatrics is the branch of medicine that deals with Children and their diseases. Very simple, very straightforward. But why do pediatrics? So this is my favorite quote from a slightly grey's anatomy obsessed person. And I actually used this quote at the end of my, when I, when we used to do written portfolios for your interview, which you don't do. Now. Um I use this is the quote that I used at the end. So in the words of Arizona Robins, these are the tiny humans, they are Children, they believe in magic. They play, pretend there is fairy dust in their IV bags. They hope and they cross their fingers and they make wishes and that makes them more resilient than adults. They recover faster, survive worse, they believe. So I just love that and I think it really kind of encompasses the beauty of peds. So these are really some real reasons why pediatrics is, is a fantastic speciality. Children are incredibly strong, they're very, very resilient. They can take a lot more than we can as adults and really they're the future. So it's really is an honor to be able to look after them. It's also general medicine, but with a kind of speciality of its own. So you can remain um as it, so you can remain as a general pediatrician or you can subspecialise within it. But pediatrics is, is very general and I guess, but it's also a speciality within itself, which makes it exciting. So you are kind of a specialist even if you do remain kind of within the general pediatric world. And it's an ever changing and developing speciality and it's very exciting and varied. It's very holistic and we use a, we have a lot of focus with the multidisciplinary team. We have close contacts with nurses, physiotherapists, occupational therapists. And we, there's lots and lots of teamwork that goes on with pediatrics as well. It's very well supportive and everyone really cares and you'll find that most of us will go above and beyond for our patient and families and more so than I think in quite a lot of the adult medicine world. It does attract enthusiastic, motivated and hard working doctors who are generally very kind and overall is a very lovely working environment. Um It's definitely a nicer, it's very busy, but it's definitely a nicer environment than when I used to work on the kind of general medicine and surgical wards. And it's a lot more color and fun and you definitely can bring some fun and a sense of humor to pediatrics. I think that's what gets us through and you're always, always learning and which, which is really important. You're not stuck in your, in your very kind of small niche, you're always going to be learning and it's very hands on. There's lots of practical skills involved in pediatrics. So, if you like that, but you don't want to be a surgeon, then Pedes is good. You'll do lots of cannulation, which is a whole different ball game. When it comes to pediatrics, you'll do lumbar punctures and the neonates will do central lines, um and intubation as well in the neonates as well. So it's a really, it's a really kind of hands on speciality, but of course, um as with a lot of medicine, it can be emotionally tough. And as with most, it's a very, very busy job with very long hours and years of training, but it's incredibly rewarding and all worth it. So I'm not pissing you off by that. So if you are interested in a career in pediatrics, this is what your application process will look like and what your journey would, would would look like. So at the moment you're here in, in medical school and you may or may not have done a BSC, you may have integral in pediatrics and child's health and then you'll go on to your foundation training. So you're year one and year two and from there, you may or may not have a pediatric placement and that's ok. Um You, then we'll have the decision of whether you want to go straight into speciality training or whether you want to take a kind of year an F three, which I will talk about at something that I did. Um to get a bit more experience and then apply. Um But it's a na na national recruitment process. Um and you can enter ST one or ST three and it's a run through training program, which I think is a huge plus in pediatrics that you, when you apply and you get your initial post, you don't need to keep reapplying and reapplying, which is I think a really a big benefit of pediatrics. There's not that many specialties that do it, I think and gynae do it. But for medicine and for surgery, you will apply for your sho years, which is your core years, ST kind of 1 to 3 and then you have to reapply again for your registrar years. So you may be moved around, whereas in pediatrics, it's run through, you will stay in that generate for your whole training. It's a seven year training program. Now, that's just been cut down literally from this from this year and it used to be ST one to ST eight, but we just, it's just been cut down on the new curriculum to a seven year training program. And obviously, the end goal is for you to um become a pediatric consultant at the end of it. Um And along the way, there's lots of different diversions you can take that I will talk about, but you're going to keep her portfolio as you do with um which you will continue to do throughout the whole of your medical career. And as soon as you start F one and F two and a loss of its competency based and portfolio based. So it's a written application via oral, which I think is the same system that you will do for your foundation application. Um And it's all a scoring system. So this is, you can, you can access all of this um as a link at the bottom and I'm happy to share that um at the end as well, just to have an idea of the kind of things that they're looking for. Now, this is all just this is just you don't have to go out there and publish lots of research and do lots and lots of quality improvement projects at all. It's not that it just gives you an outline of the type of things that you will, will, will, will score you high um in your application. So obviously, if you've done ABC, which you will all have done through UCL, you will have had lots of clinical experience and clinical skills not to do with pediatrics. And that's, that's fine. I had no, I had very, very little pediatric experience before that are all transferrable skills and quality improvement projects. Any leadership roles you have that certainly doesn't need to be medical related. That can be anything you're captain of the football team, anything, any leadership role, any academic achievements. So anything like um posters you've done or projects that you've presented or any research you've been involved in and then any teaching that you've done and you during your foundation years, if you're interested in teaching, you'll definitely have the opportunity to take medical students under your wing, which is what hopefully you, you see us doing at the moment. And that's certainly something that, that will, that will put you in good stead. We like teaching pediatric and teaching. They like that. And then a personal statement, why do you want to do peds? So then you'll go into your interview process, which is essentially now all virtual. It used to be face to face and used to come with a physical portfolio that was like 10 pages and you have to show yourself off in that, but it's not that now post COVID. So now it's um kind of two station multi scenario. So there'll be AQ communication station where you'll have a role play, an actor doing some role play, role play, then you have to demonstrate your kind of motivation for wanting to do pediatrics. And then there'll be the option for you to reflect on a significant event in your career. And again, that definitely does not need to be a pediatric case if you, you've not had that, that opportunity and that's fine. And then there'll be a clinical question as well to work through. Um And there'll be a panel of consultants and kind of judging it and it is competitive pediatrics is competitive. I found these um rates from 2023. So there was just over 1200 applications that were made for ST one last year for only 506 posts. But the final fill rate, it was pretty full. They had 96% with 48 um 485 of the posts filled at the end of kind of round one. But I think if not all the places are filled, they would, they would put out some more opportunities for people to apply. But it, but it is competitive as with most things in pediatrics and obviously certain areas are going to be more competitive than, than, than others. So you'll rank your posts and your de after that and hopefully you'll get placed and I've put on the side, all the different places that you can go through within the go be placed within the UK, some of the deaneries, it's very similar to foundation and to your, where you can be placed during your foundation training. And it's very similar and London is split into three, Northwest, North central and East and South London. And as I said, it's run through training seven year training program and it's now a two level training program. ST 1 to 3 being your kind of sho years and ST 4 to 7 being your level level two registrar training, there's three. So exams exams will never, you, you'll not get rid of them yet. Unfortunately, regardless of what specialty you go into, that's, that's certainly GP included. You're going to have exams pretty much until, um, certainly until you're, you're a registrar and then you'll have more of a kind of exam panel and interviews when you become a consultant. But there's three theory exams to be passed before the end of your sho years and then one clinical exam. So, just bear that in mind that the revision is not going to go away. Um but they're not, you have to work hard, but it's not like in medical school where you're where you like, you have a job as well. So it's, you have to be able to find that balance and it is possible. Um We all do it and we do all get there and you'll get study for that too. And then you can, you can choose if you want to subspecialise in pediatrics if you want to be a pediatric cardiologist. And from about to five, you can kind of subspecialise within that and that can be something where you're, where you're a spin trainee. So you've got a special interest in something. So mine is oncology. I have a special interest in oncology, but I still want to be a general pediatrician. So I will be applying for a spin um to do to spend some time in the tertiary centers, doing some, some Great Orry in UC H doing some tertiary oncology. But, but the end goal is to work more in ad GH and be the lead and kind of linking consultant with the tertiary hospitals. But if you want to do grid, that's, that's um when you're, you have, you will only ever subspecialise in that, in that area and you will only be working in the kind of tertiary centers. And the more you go through your pediatric training, you will suss out what is for you and what, what's not for you. Um Grid is very competitive. So for example, for oncology, there's only three grid posts um in the whole of London. Um and I think there's only one in Scotland and like one in Yorkshire and Humber. So it's very, it's very competitive. But if that's what you, you, you'll figure out what environment you would like to work in um as you progress through your training. Um And then you can also take time out of program as well. And I will talk a bit about that because that's what I'm doing at the moment. And it's because it can feel a little bit like a conveyor belt and it's very long, but it is important to get off that. Um and, and take time to do some something else, some out of program training. So my top tips for you guys, if you're thinking about applying to pediatrics, um if you know that you're already interested, then get involved. So for example, try and tag along in a quality improvement project or, or a research project and think about if you want to do your elective in pediatrics as well. Um because that's all that's all going to be useful for your application and also will help you maybe cement the idea that, yeah, this is something that I want to do. Um And I've had some of the medical students who've come to do placement with us at the Whittington and I've helped them get involved in some projects. So I'm very happy to be contacted if you, we've got loads of projects going on and we're always very happy for people to get involved. And so if you want to do that, then do, let me know and it doesn't also your projects as you go into kind of F one and F two, you'll do lots of quality improvement projects and they certainly don't need to be in pediatrics. Any presentation or any publication is useful. I was ii did like a case um a poster presentation on a very interesting stroke patient. And when I was on the adult stroke wards and that ended up being presented and they were really interested about that in my interview. So it certainly doesn't need to be pediatric focused. If you can get an F one or F two job in Peds. That's great. But it's certainly not the be all and end all. I didn't have a pediatric rotation. Um And it certainly didn't hinder me at all. I, when I was on my A&E rotation and F two, I did a lot of, um, I did mainly pediatric A&E because that was my interest, which was great because I got to avoid adult land. Um, but I also did my elective in pediatrics too, so I always knew I wanted to do it. But I think in your F one and F two you don't, you certainly don't. It's not the be all and end all if you don't have it, it doesn't, it really doesn't matter and continue to maintain all your hobbies and extracurricular activities in pediatrics. We like all rounders. You will see that all of us have still got life and, and a lot of us have lots of hobbies and other things that we do. And so it's so important to still have that don't let it completely take over your life and the interview. You certainly don't need to be a pediatrician at all in the making all you need to be is show that you're a safe clinician and that you and demonstrating some good communication skills. That's gonna be a big part of pediatrics. And F one and F two is a really big step up. Um I don't want to scare you, but it is, and it can be overwhelming and to even start thinking about applying for applications for what you want to be when you grow up at the beginning of F two is really daunting. So I would certainly consider taking an F three. These are getting more and more popular. Um And you can use that time to gain a bit of experience if you want to do a clinical fellow job or just locum, maybe set the first exam or do your advanced pediatric life support course. But I don't think you need to rush into it at all when F one and F two is gonna be a big, a big step for you. So I took an F three and it was the best thing that I could have done um before entering into pediatric training. Um And I think a lot of people are needing that time out after foundation. So my journey so far, um I thought this was quite fun. So I thought it was gonna be smooth sailing. It definitely wasn't. Um But it's some parts have been smoother than others. It's more so been filled with ups and downs like this man on the ski slopes. Um But definitely more ups than downs. And I've loved the fact that it makes me think every day, I'm learning every day. I use my brain every day to think about. There's always an interesting patient or an interesting case or a challenging communication or difficulty getting the, the bloods. There's always something that's making you think. And I like that. Um And it also has been filled with exams that are all thankfully out the way and passed now. But you're always gonna, you're gonna be using that brain. So that's kind of how I felt in my journey. And this, I've made amazing friends and there's been incredible teamwork, but I've also made lots of Children happy at the end of it. So I thought that one was cute. But the Pacman by, by the end of my kind of ST four year, I was feeling like I was stuck in a game of pack band being chased by that Yellow Globe coming to eat you. And I felt like I just needed a pause. I needed to take a break um from the night shift from the weekends um from the intensity of some of the jobs. So I have, I decided to take some time out of training, which is what I'm doing at the moment. And I just thought that was a nice little kind of metaphor for how I've been feeling. I'm just gonna check your chart if there's any questions. I don't know if there's anything in there. No. Great. I'll keep going. Um If there's any questions, please interrupt me, put them in. I don't have a huge, we can kind of discuss other things at the end. So this has been my journey. Um I studied at the University of Leeds. Um As I said, I did my elective in pediatrics. I went to Uganda. Um and I did two months working there. It was an incredible experience and I loved it. Um And I think II just always really liked pediatrics. I loved my pediatric placement as a medical student and II knew that that was something that I wanted to do. Um, so then I wanted to move to London as well. A lot of my friends had already moved. I didn't want to stay in leeds. So I applied for London and I got North Central Thames. So foundation the deaneries have all changed. Now, as far as I'm aware with you, with you guys applying and it used to be the North Central Thames, it went way, way out to kind of Luton and Watford. It doesn't do that anymore. That's now a, a separate Dery. But when I did it in 2016, um my F I one was at Luton and Dunstable, which was an experience, but I learned a lot and then I did my F two at Barnett, which was, which was great. But during my F two, I really was not in the headspace to be thinking, ok. So from August, I'm gonna go, I'm gonna go straight into training, so and straight into my pediatric training. So I took an F three. Um so I didn't apply for pediatrics. And if two at all, I finished in the August and then I took on a pediatric fellow post at West Middlesex Hospital. So there's loads of these going, you have to sho jobs just to get some experience and, and I did some pedia, I did covered the neonatal unit and I also covered pediatrics during that six months. And I gained a lot of experience, I got to meet a lot of the trainees who just started in their, in their um pediatric training. And that was really helpful for me and, and I think that that was, was very, very useful for me um taking that time and taking that job. I also didn't do that full time. So it was really, it was a really nice job. And then I sat my first exam that was a bit keen bean. You certainly don't need to do that. Most people sit their exams um in the front of ST one, ST two. But I knew I wanted to do it and I just thought why I, I'll, I'll, I've got the time. Um I'll do some revision for it and I did my advanced pediatric life support course too. I then applied. So the applications I think are like, I think maybe December, January and then the interviews are now, I've just been helping some trainees. So interviews are now and then you get shortlisted in, in March. So my six month job finished in March and I was fortunate enough to get my pediatric training post. I wanted to stay in London and II got um North Central and East London and that was, that was a good relief for me. So, then I did go away and do some traveling and also did some locums to be able to fund my traveling. But I did, I really, I loved that F three. So II can't recommend that more. And then my pediatric training started in September of 2019. Um I've summarized where I worked, but generally you'll do your first year in a, in a district general Hospital. I was actually at the Whittington and then your ST 2 to 3, which is now overlapping a bit more with the shortened training. You, you'll work in some tertiary centers and you and, or you might still stick around in the District General Hospital. So I worked at the Royal London Hospital and doing some pediatric surgery. I didn't do surgery. I just covered the kind of medical aspect of it and I did some tertiary neonates at UC H, um, which you have to do so, neonates is another big part of pediatrics that I don't think I realized it was such a big part. So that's all your premature babies and your, your sick babies and the lots of different congenital abnormalities. It's a whole other world of pediatrics. You should try. I think you do during your pediatric placement. Certainly at the Whittington. Anyway, the ones who are with us and you do get to do a week in the neonatal unit, which is, which is nice. And then I worked at Great Ormond Street and did um a hemo hematology and oncology job. Um and I worked at Saint Mary's pediatric intensive care. So I had an amazing first three years of training. I loved it all. Um I wanted an oncology job, so I was um I was fortunate to get it actually without um needing to kind of work my way to get it. But if it's something, if there's say you've got an interest in respiratory, then you can try and ask um for a respiratory post and you would, you would, they're often quite accommodating um the the program directors to be able to try and accommodate you in your specialty that you want. Um And I passed my exams and I achieved my Mr CPC H. So you'll get some more letters at the end when you pass your exams. And that means that you're fully affiliated with the Royal College of Pediatrics and child's health. And then I started my life as a pediatric registrar in Barnett Hospital last year. So as you can see, I kind of stuck around the same hospitals in, but it's not always like that. And that was a big step up to become a pediatric registrar and you're the most senior person there at night. Um You're doing a lot more decision making, you're giving a lot of advice to GPS over the phone, you're accepting referrals. Um but you're ready to do it by that stage. But as I said, I was a little bit tired. You were working a lot of nights, a lot of weekends you've sat a lot of exams and it's actually encouraged in pediatrics to take a bit of time out of programs. So, it's called an, which is an out of program experience. So I'm always been interested in education. So I'm currently doing a pediatric education fellow job at the Whittington. So if you, if you come to the Whittington, you will meet me and see me. I run some of your sessions as well inside the undergraduate fellow. Um And I'm also doing APG cert in medical health and education at the same time. So this year, I'm having a lovely 9 to 5 Monday to Friday job and I still work one day a week clinically, but I'm not on the on call rota, but it's just been nice for me to find my feet again and kind of gain some different skills that I not had before. But what's next for me? Will I need to get back into, onto, onto my training? Um From September, I need to do some community pediatrics for six months, which is an area that I've not done yet that you do need to do. And then I'll continue um to hopefully CCT over the next few years. Um I likely will apply for oncology because that's my, that's my interest. Um I like neonates too, but I think it's oncology and I don't work full time. That's the other thing with pediatrics. Um, obviously a lot of people have families and Children and, um, other commitments, but you don't actually have to have, you don't have to have reasons to work part time in pediatrics. So it's really nice and although the hours are long and, um, it can be, it, it's, it can be a bit of a slog. You don't have to work full time. You don't need a reason for it. And I work at 80% which makes not, not in my current job, but when I'm in training and I started doing that for my ST four and that's definitely helped my work life balance and helped me to enjoy the job a lot more. Um And I plan to continue enjoying my pediatric world. Um I'm, I'm, I've loved it. I've learned so much and I'm excited to get back into training in September um and get back into it and work alongside the team again. So a day in the life. So for those of you who have had your pediatric placements, you'll know how this works and it works very similar to adult medicine, but it also depends on where you're working. So your district general hospitals work slightly differently to your tertiary centers by district general hospitals. I mean, you know, if you, your Barnett Whittington, North Middlesex, I'm just thinking my North central London hospitals and then your tertiary hospitals are great Orman Street. Um UC H Royal London, Evelina down um south of the river. So your shift pattern is pretty much the same though. Wherever you work, your short days, your normal days are half 8 to 5, your long days are long, um, half past eight till half past nine, but that's handover. So handover starts at half eight in the morning and then you hand over at half eight again in the evening and some places handover can be very long and that can take up to an hour. So you're paid for 13 hours, but you're not on the shop floor for that length of time. Some hospitals do twilight shifts, um which will often be working kind of 12 to 8 and it just helps to bridge that gap in A&E when it's really busy and then your night shifts will start again at half past eight and then you'll hand over again the following morning at half, um at half past eight, but you'll be paid until half past nine. Even if um, handover doesn't go on as long as that in general, you'll work one and three weekends. Um And some of the, well in tertiary NICU, that's your level three super specialist neonatal units. You will work one and two weekends and in some of the specialties. So for example, when I was at Great Ormond Street as an sho I worked one and four weekends and, and in some of those jobs as well, you don't work that out of hours because so, um, in grade or, um, an oncology as an sho you don't do any of the long days but you do work some of the weekends, but again, they were short. So you do work hard and you do work long hours. Um, it's how you learn, it's how you'll get experience and it is doable. It is manageable a lot pretty much if you want to work in hospital, hospital medicine is like this. But as I said, the things that can help is pulling back your hours slightly. So being 80% for example, obviously, you take a pay cut with that. Um And also they've tried to incorporate, they're now bringing in new Rotas that are very much. They're not rolling Rotas anymore. They're Rotas where they're gonna slot in with your leave that you already want. So they're trying to make it more flexible for you. And I think they are and I think they are achieving that. Um But it, it's, it is long hours and they will, they will be there throughout your training. So generally what will happen is you'll come in in the morning and there'll be morning handover, you'll then do a ward round, be that on neonates or general pediatrics, you then finish the ward round and have a huddle with the nurses usually about lunch time and then the afternoon you'll spend doing your jobs, there'll then be an afternoon handover at half past four who to the on call team who are covering the long days. So typically that's gonna be a registrar and an sho some hospitals will have another sho as well during the twilight shift. And then it'll be that long day team who will then hand over to the night team and then the night team hand over in the morning hospitals don't close. So it's a continuous handover situation going on. Um If you're in a general pediatric job. So for example, at the Whittington Hospital, then you're going to cover A&E that's pediatric A&E, you're not gonna see adults, pediatric A&E that will come through as referrals from A&E or referrals from GPS who are worried about Children who um will send them in from, from the community. You'll also work at the children's assessment unit. That's where we do a lot of, if we need to do kind of urgent reviews for Children who can't wait for clinic, then they'll be brought back to our kind of day unit and you'll cover the wards, the general pediatric ward and also some clinic time as well. And so you'll have the opportunity as registrars to run your own clinics, but also as sho to sit in with, with them, the consultants and then on neonates, you will cover the neonatal intensive care and the special care baby unit, you'll also be covering the labor ward. So if there's any high risk deliveries, any emergency sections, instrumental deliveries, premature deliveries, you will be attending all of these, which is an amazing part of pediatrics. Um And I don't think you actually realize that it's such a big part of your, your job pro when you start, but you are are there obviously for the baby, not for the mother. So at any baby that they're worried about that may need some recess or obviously the premature babies, then you will be there. So you will attend a lot of deliveries whilst you're on your neonatal jobs and you'll also cover the postnatal ward. So that's any of the babies who are well enough to stay with their, their um mums on the postnatal ward, but still need some input from pediatrics, for example, jaundice or they're got sepsis, but they don't need any support on the neonatal unit. They just need antibiotics and you'll also review them on the postnatal ward. So it's very varied specialty drugs will have much the same outline and great or street doesn't have an A&E and C NH does. So it just depends where you work. Um You spend also a lot of your time when you're working in district general hospitals liaising with a lot of your tertiary centers and not every hospital. So there's only a few hospitals in London that actually have a pediatric intensive care. So if you've got very, very sick Children, then you have to speak to the children's acute transport service. We call them cats and that's north of north of the river. Um In South London, it's TRS is the transport team. So you've got sick, kids, worried about kids and then there's, you'll spend a lot of time having those discussions with the kind of tertiary centers and the specialties within pediatrics. It's not like adult medicine where you can just admit them to intensive care if they're needing intubation and, and, and um pediatrics and district general hospitals, they need to be transferred out. So that's a whole other side as well. And that's interesting. So in addition to your clinical work during your day, you'll have lots of teaching and we're very hot on teaching in pediatrics. Um You have simulation teaching and often once a week they'll do a teaching handover. So the consultants will do maybe a presentation on a topic that's come up that week. Um We have in North Central London. So the Royal Free UC H and the Whittington, we have protected pediatric teaching every Wednesday afternoon. So that's really nice. It's bleak free the if you're on call. So you then you, you cover for that afternoon. Um And everyone else gets to go to teaching, you will also have in some hospitals. It's that you have morning teaching after handover pretty much every day. But in some hospitals, it's all squished into one afternoon. You'll also be presenting at things like Journal Club and you can definitely get involved in medical student teaching as well. You'll be able to take study leave unlimited budget, which is lovely. Um So, courses or study days that are of interest to you and you'll also be able to attend some safeguarding MDT S and psych social meetings and xray meetings. So, alongside all of your kind of day to day working, you will also within your working day, you'll also have all of these opportunities as well. So that is pretty much what I wanted to cover for a little bit of an insight into how you get into pediatrics and what it's like to be a pediatrician. And I'm very happy to take any questions. I'm just looking if there's anything in the chat, um If there's any questions at all, I can stop when I'll bring my, the feedback form and if there's any questions at all or you want to contact me for anything, then you are more than welcome to. But I hope it was not information overload and I hope it was semi useful and insightful to know what goes on in the world of pediatrics. Has anyone coming to the Whittington to do their placement? Yeah. Yeah. As a student, how do I get involved in general clubs? You, where are you, where are you based? What hospital are you based in? So for example, at the Whittington, we do journal clubs, we presentations at journal clubs every single Friday and if it was something, if you were on your pediatric placement at the Whittington and you wanted to present at a journal club or come and see how it works. And then we would be definitely happy to, to do that. I am a second your box right now. Um So if you, when you start going on to your clinical placements, a lot of specialties will do, will do weekly journal clubs. So it's just worth asking your when you start, It's worth asking two. I'm gonna stop sharing this now and you can see my face. Um you can, you can just ask when they run it and then you'll be able to get involved. Maybe with our help with the doctors who are presenting at. It would be my advice and most hospitals will run journal clubs. Um and it will help you to learn how to critically appraise articles, et cetera. But I think it's going to be more relevant when you start your clinical placements, how can we get involved with research in pediatrics? So every we will all we're all involved in quality improvement projects or research in some way. Um And through your, mostly through your clinical placements, we are able to put you in touch with, with consultants or, or and kind of the nurses who do, who do do the quality improvement projects and the research. So again, it's all about contacts. But if you, I don't know where you're based, but again, if you're, if you're wherever you're doing your pediatric, to be honest, if you're at UC H and through U CLI can certainly put you in contact with some, some people there if you want to get involved, but it's, you're gonna, these opportunities will come to you more. So when you're on your pediatric placement, you ask around and people will certainly be able to direct you. Um, I'll put my email in the chat and you can tell me a bit about, um, I lie, I can't, for some reason, send a message and I'll get you to send my email out to you guys and I can try and help you plug you in if there's something in particular that you want to get involved with. But it will become clearer when you do your placements as well and you'll, you'll need to, you'll chat to people and they'll, they'll be able to get you involved in some way as well. Any other, there you go. Any other questions you also don't have to. So I don't know in leeds. When I was a medical student, we did, um, we did like a, it's called an SRE project. It was like a project, the research project for um, yeah, the research project and I chose a kind of pediatric spin like a genetics one. And whilst I was in medical school and that was quite good. That was useful for my application. But when you come on your placement slash email me I'll try and help you get involved in some research. I'm thinking of doing a placement at, gosh, any tips for the application process for your medical student as in, for your elective or what kind of placement, I think for any applications. Remember you're, you're not qualified, you're preclinical, you've not qualified. So I think it's really, it's not really about kind of patient safety or experience. I think it's more about your transferrable skills in your application. So kind of showing that you've got an interest in pediatrics and you're very enthusiastic about pediatrics is probably the best, the best way to do that. So, yeah, if you've done AQ I project, but what do you do any volunteering? Do you do anything, um, that's really made, if you've done your peds placement that's made you absolutely love it. Have you, have, has there been something that has motivated you to think? I want to work with Children in some way? I think it's just showing your enthusiasm and, um to, to, to wanting to gain more experience in, in pediatrics. Um And often that enthusiasm will, will come across if you're really excited about it and that you've maybe got some examples to, to prove that you, that you are. Um, so anything from, if you used to when you were in school, go and volunteer in a nursery or help on summer camps or anything that's just showed that you've got an, an interest in, um, Children and adolescent health um, are in just to kind of, that makes you think. Yeah, Pez could be for me, I think just enthusiasm and, and passion for it for you. Applying will go a long way. Definitely in summer. Oh, excellent. That sounds so good. Same thing. Yeah, I think you, yeah, you a reason for why you want to explore pediatrics more and you can even kind of say things that you, you know, you've, for example, you've been to a talk like this and you have an insight into what a career in pediatrics will be like. And you would love to be able to at some point work at Great Ormond Street and having an experience and a placement there at the moment would be um would be, it can be useful in regards to giving oral present. What advice would you have for someone that wants to try writing abstracts? Isn't sure where to start? Uh What do you mean for a, for a project that you've done or? So if you were needed to write an abstract about a quality improvement project that you've done, for example, um an abstract, just that kind of short summary for all the things that you've done. So the aim of your research, um the question, the results, the discussion that's having a nice structure like that. Um To write an abstract, you, I don't actually know, I have to think of any resources that would be useful to help you with writing an abstract. Um But usually structuring it in a way that you would, with the project that you've done literally just breaking it down and summarizing it, I would say would be the best way. II think that's what you're meaning. I'm not entirely sure. I'll see if I can find any resources that would help you to help take our previous project further. Um Yes. Who, so that's gonna depend on what the topic of your project was. And have you, did you have a consultant supervisor or registrar supervisor who oversaw that project? Um And if so they should be able to guide you further. Um It just probably needs to be somebody who is in that field to be able to. So for example, when I was a medical student and I did my, my, this research project, it was part of like my 4th and 5th year and it was a genetics project, but there was a consultant supervisor and we said to her, we want to present this, we want to take this further and she kind of went away and figured out what um journal or, or, or presentation that this would be appropriate for. And then we, and we said to her, your name can obviously go on it. She wouldn't be first author, but her name could come on it. And that definitely motivated her and then we just submitted it and it was, it got accepted and we presented it. So I think you just need to, if you've already got supervisor or a point of contact on a project for someone who's over overseen it, then I think you approach them and you say I'm interested in, um, we want to take this further. Can you guide us on um any, any kind of platforms that we can do this and they should be able to help you if it's pediatric specific. Again, I can, I can help. Just let me know. But if it's not paid, I, I'm not, I'm not going to be absolutely sure any other questions. So a lot of hospitals will also have like a research team. It's usually a group of nurses who are always happy to be contacted to be able to help you. Um So definitely when you're on your placements, ask the junior doctors if they, if they know of, of any research team within that area of our field of medicine you're interested in and then they would be able to sign, push to them and then we're always, always happy to have um, medical students involved. So we've done, I've done, helped to hook up um, one of our, my previous er, students into a project. Yeah, if there's no other questions, should we finish up? If you, I can share my screen again if you want to get the QR code. Um, but if you, yeah, kindly for them, the feedback and I'm very happy to be contacted, email me if you've got any other questions um or you want me to help to try and plug you into some projects and get you some contacts or you want me to read over any application.