Computer generated transcript

Warning!
The following transcript was generated automatically from the content and has not been checked or corrected manually.

Hello everyone. Hello. Can you uh write in the chart if you can hear me? Is the mics working? Yes, perfect. Uh Good evening everyone. Thank you so much for joining our talk today. So we're going to start in like two minutes. Uh I will just going to play our MDU sponsored video for like one minute and then we will start. So if you can see my uh screen. Yeah, it's, it's visible, right? Ok. He's gonna pay. Hello everyone. So we have our doctor today. Yeah. Should I stop? Hello? Hi. Can you hear me? Oh, yes. Uh sorry II was hearing some noise. Ok, so we have with us our doctor. She's gonna talk about uh specialty applications so I'll just hand over to her. Hi guys. Um specialty applications. Oh, scary. Um I um I will go through the slides. This can be as interactive as you guys want. Um I'm really not someone who takes things particularly seriously. Um So feel free to ask questions, feel free to unmute um and have a chat with you and we'll just take from that housekeeping. Um It's a safe space to ask questions. There are no stupid questions. There's loads of things that we don't know. There's loads of things that I may not know. I might google it and let you know. Um There's loads of things that with this application process that's super new, super uncomfortable and it's just a whole new concept that most of us having studied abroad or being II M GS would just not know. Um keep MS muted unless you're speaking just because feedback, um weird noises, et cetera. If you can't hear me, let me know. Um feel free to use the chat box as well. I have figured out a way that I can use that too. So, um and then there's gonna be a link for the feedback form at the end um or I think through meal. So if you guys can fill it out, that would be really helpful for me because I can improve the talk for the future. And I think it would also be really helpful for grad scape so that they know what you guys want and what you guys like at the end of the day, it's a free organization, a free talk that is helping a bunch of people. So it's really important to for feedback and to keep improving and to be honest, it helps with my portfolio as well. There's a selfish aspect of it. I'm not gonna lie. Um A little bit about me. Um My name's Arne or Arnie. I graduated from Medical University. Of Sophia in February of 2022. I started my fy one job in March of 22 did a few months of F one through Gateway. Then I was fortunate enough to get into the F YT standalone program. So the training program where I did a year of that from August 22 to 3. And I've done a year of J CF at an I CE in two different hospitals where I also did some medical education stuff at UCL, which is really cool. And now I am a G PST one trainee in the east of England. Um More specifically, it's about a 20 minute commute from my house, which is the main reason I took it. Um Whether or not I continue with GP training is to be determined. Um But that's the story for another time. So, yeah, ok. We'll just get straight into it again. If you've got any questions, please um feel free to put it in the chat box, ask questions and I will answer as and when I can. So I guess just to make it a bit more interactive. So I'm not. So I feel like I'm speaking to an empty screen. Um I think virtual cha talks can be a bit nerve wracking if you haven't done them in a while. Um How many of you are looking to apply? What uh what, how, what are you looking to apply for? Are you looking to apply for GP psychiatry surgery. I MT A&E um, radiology. So if you guys can put in the chat, what your, where your interests are, what you're hoping to apply for. I can then tailor the talk towards that because there's such a huge variety of specialties and I just, I could go on for hours and hours and that's just not useful for you and it's not useful for me. So if I could have a couple of people at least put what they're interested in and then we can go through, I can then make sure I try and tailor that talk, tailor my talk towards those specialties. Wait a couple of minutes now. Yeah, by the way, guys, the mic is working so feel free to use your mic um and talk to a I think someone just say Ent or OB gy. Yeah, Irene. Um I can't type on the messages but um I wanna apply this year for pediatrics, pediatrics. Yeah, we can definitely have a chat about what to do for pediatrics. Um Ent OBS and Gynae. So we're thinking called surgical training or obs and training. Amazing. Um Anyone else someone mentioned endocrinology and GP. OK. So GPL I mt great. I keep forgetting that I have to scroll down the chat box. I apologize. I'm not usually that tech technologically in that. Ok. So let's get started. You've graduated, you've got your GMC license. You're doing some form of foundation training. Whether that's an official training program or you're doing an fy one fy two local program or you're doing some sort of locum job, you're doing Gateway, you've got a job. So firstly, congratulations, you're working as a doctor. You have made it, um, step back and take that in. There's a lot of negative press. There's a lot of negative media about being an I MG. There's a lot of negative media about being a doctor right now and how it's such a whole and you don't wanna be there and quit and run away while you can, if you wanna quit and run away, go for it. I personally would not recommend it. I think it's one of the best jobs that you can get. There are bad days, but every job is gonna have those days. Um So take a step back and take it in everything you've worked for for 678, 10 to 15 years has come true. Basically, you wanted to be a doctor, you're here. So during that foundation training, you'll get some portfolio stuff, you'll get a bit Horace and they'll be like, oh, make sure you do your tab and make sure you do AK and A Dots and you're like, what does all this mean? Like, I've never had to do any of that. I just had to go and mark off my seminar points and learn it and learn about pathogenesis and etiology. And it was like, oh No, that's useful now. So all it means is you're collecting evidence of competency. You are saying I can do this. I am a good doctor. A PSG or a TAB is multisource feedback. You're getting feedback from various people saying, you know, she's actually quite nice. He's not a twat, you know, he's quite competent. He's, he's decent at bloods. Um, AK there's a, or CBD. So there's a clinical examination, like, yeah, I can examine a tummy and tell you when it's rigid. I can tell you that there's something wrong. I might not be able to tell you exactly what's wrong. I can tell you there's something going on which is all you're expected to do. You're not expected to sit here and diagnose the most rarest glioblastoma and come up with a six point management plan. No one expects you to do that because it's just a bit of nonsense. You're a foundation trainee. So you're collecting all this evidence to prove that you're competent to enter higher training. So, specialty training and for that, there's two forms. One of two forms you have to get, if you go down the foundation training pathway, you're in an official pathway. So that's the F YT Standley, you're gonna get AF PCC and if not, you're gonna get a crest form which we're gonna go through all these later. I promise, I'm not gonna just give you a bunch of abbreviations and walk away. So you get that form and then you apply via oral. All the jobs you've been applying for so far have been by track or NH SS jobs or emailing a bunch of people and hoping that keeping your fingers crossed and hoping you'll get a job or via local emergencies. Once you apply by oral, they will do a whole process of long listing, shortlisting and they will check your portfolio. They might invite you to an exam which is the M Sra Multispecialty recruitment assessment, the bane of my existence or um you may get through your portfolio and they'll do all that. And then you might get an impact to an interview or you get straight to offers depending on what um job you're looking at. If you're going straight to interviews and then you'll have what we call preferencing, preferencing is when you get a list of all the jobs in the country that are available to you. And it's a long list of jobs and you preference them about the ones you wanna go to, whether you put 10 in that preference list because you wanna go, you don't mind going anywhere in the country, whether you put seven. I put very few because I was like, I've lived away from home for long enough. I'm not moving out of London. Um very much A London G and I'm not leaving. So that's up to you and then there's offer recycling. So just cos the first offer date says it's the 10th of March or whatever and you go oh I didn't get an offer. Ok? You didn't get an offer. That's ok. There are people who are gonna reject that offers. There are people who are gonna drop out. There are people who are waiting for other specialties to offer them. So those offers when they don't accept their 48 hours to accept, they recycle. So the week after another set of offers come, some people are upgraded. Some people who didn't get offers are given offers. So it's not the end of the world as in N Yeah, sorry. ST one ct one I mt one, whatever you wanna call it urine and then a whole other hog of exams and paperwork starts, which is not what we're going to talk about today. So let's get started, Crest and F PCC. So the F PCC is the foundation program certificate of completion. It all is automatically awarded to you after successful completion of your Fy two training. It's a certificate on your horse e portfolio. It comes up that you've had a successful A RCP and Fy two. They think you're competent. But all of this means that you've done the correct number of mini texts and CBD S and dots. So, and you've got a tab et cetera, the more, that's one way, the other way which I think is gonna be more um relevant to more of you would be Crest, which is the certificate of readiness to enter specialty training. This is a paper form when we first started. So when I first graduated, the form was five pages long or six pages long and you had to get a consultant to sign it and they'd forget, or they'd, you know, it's hard enough trying to get a consultant to come and do a ward round on time, let alone chasing them off on papers. Um, but they will do it keep at it. Um, so it's just now it's a two page form and it looks at your competencies. Um, and competencies are like not competencies that you shouldn't have. It's like fitness to practice. It says that you're in, I'm looking at my phone because I've got the form on my phone. I apologize. Um It's an accountable, capable and compassionate doctor and you can act in a variety of clinical settings. You can know when someone's appropriate to manage someone who's acutely unwell. You can give clear explanations. It's, you're a valuable member of the healthcare. You can work confidently within a team you can present and teach and this is all stuff you're gaining in your, this is all stuff you're doing in your day to day life as a doctor. It's just about remembering and telling them. Oh, by the way, can I get feedback on that or do you mind if I send you something to prove that I've done this and demonstrate professional practice and developing your one self. So coming to this, it's a CPD approved talk. There you go. You're developing yourself, you know that you're attending, teaching, it's learning hours and you get a certificate prof for your portfolio. Um So all of this you collect and you sit with a consultant, usually your CS or your EF and they may speak to registrars or other consultants being like, what do you think of this person? Um And I'll sign it for you. There are some caveats. They must be signed by a consultant who has worked with you for three months full time. It cannot be in a kind of observer ship. It has to be a paid role and it has to be in the 3.5 years prior to apply. So if you get this form today, so let's not do it today because it was six months too high. So you got the form June of 24 you've got till the end of 22,027 to apply. And if it don't apply in that time, that form is no longer valid, you'll have to re for get the form resigned. It's also a case of make sure you find the most up to date form because hee aren't really great with telling you what to get they want. So, trying to get the most up to date form just means that you're gonna be able to see which one. get it done the first time. That's all. Um That's your Crest and your PCC. It's basically just paperwork. This whole thing is just paperwork. Um The recruitment timeline, you've got two rounds, you've got August entrance or the February entrance. So the August entrance is round one. It is the round where most jobs are available, everyone starts together and um, yeah, the third entrance is usually when they've got jobs left over, people haven't taken those jobs. It's a bit more competitive but also not as many people apply because you've not got the people who've got Fy two training or um Fy two training hasn't completed it or still in training program. So they're waiting for an ACP in August. So in that sense, there's not as many people applying to the third one, but there are not as many jobs. Um So for August 25 so you're looking to apply. Someone was saying pediatrics for August 25 your applications are gonna open on the 24th of October this. So literally like eight days. Um, you've got a month to fill in that application form. And then so for pediatrics, there is no MSR. But for the other ones, you've got an MSR window in December, we'll send you when to apply for the MSR. Then you've got the exam in Jan results in Feb interviews are usually fair in March for both for all specialties and office start coming in March. I'm gonna say I haven't put specific dates because as with anything else, the, he aren't great with telling you exactly when they're gonna send you things and then you're gonna sit there and refresh constantly like I did. Um, but yeah, so that's the recruitment timeline. These timelines, these deadlines are very strict. This isn't, uh, they'll close it a day later, they're gonna close it on time, get the application in as soon as you can. Um Each job, I'll go through the application as well in a minute. Each job has a person specification. Um, a personification that is very specific to that specialty. So if you've got someone who's want to do GP, I'm just gonna say GP, it's easier. It's easier for me to explain because I looked at it yesterday. Um The basics are usually like medical registration. So you've got a licensing, you should have worked 12 months, post licensing to apply and for you to be eligible. So don't think you finish in February, you start working in March, you're gonna apply in October for, um you're gonna apply in July for the February because you wouldn't have had 12 months of experience. So 12 months of experience is in central and I think anyone who wants to go straight into special training, you need a rounded experience. You need to learn the NHS, you need to learn how to be a doctor. And I think those couple of months extra, they're not gonna hurt you if anything will help you and it means you can get some los on the side if you wanted to. Um, you've got your F PCC or press fitness to practice. It's good medical practice. It's about. And then there's the stuff like the stuff that everyone tells you for any job, good communication skills, good teamwork skills, good person level skills. Um, it's competent as a doctor in clinical skills in a range of acute and no acute settings. And all of you gonna be like, well, how am I gonna show that? It's a damn application for your application form will ask you what text they'll, there'll be questions where they're like, how did you demonstrate this? And you have to say it at the same time, there will be um references, they will ask for references from consultants, so speak to consultants you've worked with and get their emails in your pocket now because I know I worked with some great consultants in F one. Didn't know that I was meant to. Well, no, I think I did know subconsciously that I should speak to them, but I left and I was like, oh, I should have got their email address to um ask them if it's OK if I put them down as a um reference to my next job. II didn't even get their email address. I got their whatsapp like numbers so I text them like they're gonna send you a reference if that's ok. So it's about creating those personal relationships and I didn't know about you guys. But I found it really hard, I find it really hard to, like, speak to a consultant or a reg as like a friend. I'm like, I'm not used to calling um you know, my consultant Mike by his name, Mike. I'm like, oh, I'm doctor AO and he's like, oh, just call me Mike. I'm like, oh, ok. But you're a consultant, I can't do this, but that's what you get there. You will get there with time and you start calling him Mike and his name's not even Mike. It's like Michael something, something. And he's like calling me about my nickname and even if they don't, if you call them by their first name and they're like, no, my name is Doctor Patel. You're like, ok, cool. Sorry Doctor Patel. That's fine. They're not gonna hold it against you. But by creating those relationships and talking to them about something fun and being that person, they're gonna remember you. They're not gonna remember the 15 trainees that came in and the 415 trainees that left, they're gonna remember the couple that, you know, made a joke with them or like brought chocolates in that one time or, or on the opposite hand, they'll remember the ones that make really bad mistakes, which I'm sure none of you are going to do. I'm gonna say it. And if you are, that's ok. As long as you're gonna learn from those mistakes and you're willing to put your hand up and say, OK, I made a mistake. I'm sorry, how can I improve? Cos the worst thing you can be is a dangerous doctor. I will die on that hill. If you're not asking for help and if you're not willing to improve on yourself, you're dangerous. And that's gonna come across in application form that's gonna come across in interview that's gonna come a come up at appraisals and A R cps. And I think it's really easy to get caught up in the moment and try and be a hero in Grey's anatomy about it. And if you're competent and skilled do it, if you're not take a pause and think about it, but everyone's around to help you and all this stuff I'm saying like I'm getting a bit off track. I apologize. Um All this stuff I'm saying with the person's investigation, it's look at it, take it off one by one if you're not, if you're like, oh, you know what, like I'm actually a really good communicator. I've got nothing on my CV, on my portfolio about breaking bad news. Next time there's a bad news. Speak to the consultant or the reg you made friends with and be like, do you mind if I leave it and you're with me to fill in so that I can send you a ticket or I can add it to my portfolio, please. And you've got something to take that off it. If you don't ask, you don't get, and I learned that very later on in the NHS. So off the worst they'll say is no, um your oral application. So the oral application is a bit of af I won't lie to you. Um So you can apply to as many specialties as you want. You can apply to, I go back to the GPI MT Ent OB and G and pediatrics in one round. No one's gonna stop you. It's a little bit more work for you, but that's what you wanna do. That's what you wanna do. Um Props to um each specialty application form is a little bit different. So the GP form is just um personal like um information, employment history. The A&E form had whitespace text where they were asking me about what teachings I've done and what presentations I've done that comes up next with the portfolio. Patient. Um pediatrics is very white space text heavy. It's asking you about what experience you've got in pediatrics. What publications you've done? What teaching you've done, why you're interested in pediatrics? Because that is the only way in pediatrics they are assessing you to get an interview. So that White Space text, it's very important you write it well. And there'll be questions about how do I write it though and it's the same way you wrote your tract job applications. It's about selling yourself being like, I'm confident I'm self motivated. I've got experience in pediatrics and you may be someone who actually I've not had a pediatric foundation job and that's ok. I act proactively sort out pediatric case series. I proactively came in and sat in on pediatric clinics. I um chose to clerk in pediatric patients when I was on my surgical job and help consent, my reg for um an app appendicectomy or testicular torsion. Um So it's about wording it in such a way that you come across as like, you know, the most pediatric frenzied person in the world, but also not coming across as a bit crazy and being like, oh, I in my spare, they might ask you what do you do in your spare time? And you're gonna be like, why do they care if I'm sitting at home watching Netflix and not really moving from my sofa for the day? Well, they do care so about work life balance guys. Um So it's about changing it to being like, oh, in my free time, I'm a movie enthusiast and regularly watch films with and um write a blog on movie cri like cri like critic, whatever or it's about being like I say this in every single one of my application forms. I say that I am an avid baker and I'm constantly trying new recipes to improve upon my baking skills. Xy and Z I haven't had an oven that's worked for about six months. Um, and since we got an air, I'm like, why do I need an oven? So I'm not really a baker. I did bake, I can bake brownies, but that's about it. Um, I also say that there will always be baking goods in the, um, baked goods in the coffee room. There's never gonna be baked goods. I'll buy you some donuts. I'll buy you some biscuits, but I'm not gonna bake it. Let's not poison everybody. But showing those interests, um, shows that you're a well rounded individual. And they ask and they do care because no one wants the robot. Ok, maybe like, you know, orthopod, you know, the one that only cares about bones, but no one wants the robots that do nothing and know nothing about the NHS co it not the NHS about life cos at the end of the day, the people you're, they're hiring. Yes, it's for a training program. Yes. It's to make sure that these people aren't gonna quit their training program because there is such a, this is such a massive number of applicants right now and the competition ratios are as high as they've ever been. And this isn't to be disheartening. This is just the fact. So, so many people are applying because they're like, I don't know what to do and they apply for everything. So they're trying to ease out those people who are like, actually I'm just applying and seeing what I get. I'm just gonna take it and move on. Um, from those that were actually passionate about it. So it's about coming across as passionate, but it's also about being an individual that other people want to work with. You're someone who they're like, oh, you know what, I'm working with her on the ward today. Like, she's actually quite funny or, you know, she's a bit of a weirdo but, you know, she, she makes me laugh once in a while. So it's not too bad as opposed to the girl that kind of sits in a corner with her headphones on and just does ward work. And whenever she speaks to me, it's about patient in ward three. I don't even look after ward three. Do you know what I mean? Um You might not know what I mean. You might be like, oh my God, she's such a weirdo and I apologize if that's the case, but you're stuck with me for a few more minutes, I'm afraid. Um So that's a white space text and then there'll be a portfolio submission um area. I'm gonna talk about the portfolio in this, let slide. Um And we'll explain that if you meet the essential criteria, which is called the long listing, you are invited to the next stage that next stage may be M sra which is like part of the shortlisting criteria. It might be um just that they are accepted you as eligible to apply, which is basically that, you know, you've got a quest form, an F or an certificate of completion, you've got a GMC or a license of some sort and you can practice and, you know, you know, a person with an assault charge with the police. Um And so that's usually the longest thing then and then you've got your shortlisting, which is stuff we'll talk about all the M SRA, I don't know what I got that. Oh The M sra so multiple specialty recruitment assessment. It is the bane of my existence. And you guys might think I'm overreacting. I'm really not. I hate this exam with every bone in my body, but that's because I think I started studying for it after having not studied for two years and, you know, enjoying life was working and doing my lines and having fun doing intubations and art lines and central lines to having to sit down and learn about C YP 40 inhibitors and SSRI uptake and I just didn't care. Um So I think this exam is aimed at, it's a GP exam. I'll be honest, it is an exam that has a wide breath of information that they asked you and it's not something we're used to. Um I don't know about other universities, but I know for our universities, we barely had any MC Qs. Um We barely had any written migraines are oral. I would speak about etiology, pathogenesis, pathophysiology, symptoms and management and that was it. I didn't have to think outside the box. I didn't have a, uh, ok. So these are M CQ exams. I'm not used to it. The specialties that use it. That's basically everything. Pediatrics don't, um, I mt don't, they are solely portfolio and interview based. So, yeah, it's a three hour exam. It's a long exam. I take some water with you. Um, it's done at one of those case and view centers. It's like sitting your driving theory exam. Um It's two parts. You've got your clinical problem solving and your professional um dilemma paper. Um As much as I would like to start with a clinical problem solving, they start with a professional dilemma paper. Um because that's what they start with. It's 50 questions in 95 minutes and it's all questions based on um things like ethical scenarios. Like you would think. It's like the scenarios you try like, um sorry, I've lost my train of thought. You would think it's like, oh, your colleague comes in drunk. It could be. I had a question in my exam where it was, I was the sho on a Gynae ward and it was a Friday evening and a Jewish man's wife had just given birth and he asked me to get him water and then open the door for him because it was she um shaber and he couldn't do it. And it was like, what's the most appropriate action and it's like, tell him no, because you're a doctor and you have better things to do. Um, tell him to speak to the nurse in charge because she can help him and you can't, um, tell the midwife that, you know, that they should do it because it's their job because they're less than you say, they're less than you in my head. I added that in because that's what they were thinking when they said it. So that was not the answer. Um And it was also like, I'll do some of it and then explain to him that, you know, you're really busy so you can't actually help him much. Um, cos then he asked you to like, dial the numbers on his phone to speak to his mum and hold the phone because he can't use electronics. And then it was like, oh, explain to him that religion shouldn't matter at a time like this. Cos it's more important that he's there for his wife and kid again. J none of those seem particularly appropriate. Um And it was a bit like, I don't know, I don't know what the rules of sheat are like, I'm not, I'm not Jewish. Um I don't know what gives it away, but I'm not Jewish and I, we sat there it, to be honest and then this is a really bad thing to say guys. And because there's only a few of you, I think I'm gonna say it and maybe sound like a bad person for today. Um, don't judge me. I honestly hand and my heart would be like, ok, these are all crap. What wouldn't I do? Like, what's the, what's the least objectionable thing? And what am I like? Out of the two that are least objectionable? What am I more likely to do the more likely to be to do the work myself? Um, the less likely of the two that are least objectionable will be to escalate it to the nurse in charge. So I put escalate it to the nurse in charge and that's the right answer. Um, now I sound like a bad person but it's not. So, it's about thinking everything they say, it's about patient safety. It's about working as part of an MDT. It's about that chain of command at the end of the day. If they have to wait it to the nurse in charge, they can handle it if you were to then do the stuff and then someone gets a septic shock or a major hemorrhage call and you're stuck, you know, holding this guy's phone, it's weighing up the risks and benefits. Yeah, that was, I had another one like, oh, this is really funny. Um, you had a 29 year old who came in with back pain. Um, and he was a teacher and he'd already self certified for a week and he asked for a sick note for another week off. And because, you know, he was barely getting out of bed and he couldn't move, et cetera, et cetera. And then you're driving home from work and you see him in his front garden, um, with like a massive leaf blower thing doing all the yard work and you're like, oh, what do you do? And it's like, stop in the middle of the road and have a go at him for lying, but he was in pain. Um, call his work and tell him that you revoked the sick note because, you know, he's actually doing some work. Ignore it and drive off, um, me make an appointment with him to see how his symptoms are and then say that you've seen him one that there's, and you have to like, I don't remember what I put for that one. But the co, the main thing I'm going at with the professional dilemma, it's not exactly what you think. It's not a, this is what it is, this is what I'm going to do. It could be very varied. So do practice it. Don't be like, oh, like what's the worst that's gonna happen? Don't ignore it. Um, the next part is your clinical problem solving. It's 97 questions in 75 minutes and sounds like a lot of questions. It is a lot of questions. It's a mix of what we call extended matching questions and, um, ba single best answer. I've got some practice ones at the end. If you guys are interested though, I think the answers are actually already in there because um this is a PDF. So it doesn't have much animations, but that's ok. Um If you guys are interested, we can go through some questions at the end. Um Just let me know and or if they have time, we can set up another talk or another small group session where we talk about just MSR stuff and just do MSR revision and practice together if that is again, something you're interested in, if it's not cool. Um You may be taking my voice already and that's fine. Um Yeah, so it's extended matching questions and the single best answers, the single best answer, it'll be like you've got a six month old baby who's come in with XY and Z choose the best antibiotic and they'll give you five antibiotics, two of which aren't appropriate for Children, three of which you could actually treat, use it for Children and you have to choose the best one. So in this, when you were learning these M CT s and stuff, it's about um when you're picking up keywords. So it's about picking up words like bag of worms for the test cause of renal cell carcinoma. It's about picking up like a three week history of fever with a non blanching rash. Um Kawasaki, it's about an ascending limb weakness as Guillain Barry. Um So it's like key words that they'll like pop out at you and that's how you study for this exam cos everything is gonna be wrong. Your management is not gonna be wrong and clinically you can be sat there like, yeah, but I don't know if he has a fever. I don't know if he has lymphadenopathy. I don't know if he has allergies and it's like, but I'm afraid, um, that's your single best answer, the extending matching questions. It's like you have like five things. They'll, you'll have like a man who has a two week um history of night sweats and he has um weight loss and a cough like it'd be like the three most um next best steps in this management, probably like chest X ray and you know, a man test for tuberculosis because we have a recent travel history and a bronchoscopy or be like the gold standard investigation. Um And it may be that you get a case scenario like a six month old I was talking about and be like, oh, what do you think the next step in management is or what do you think the next step in his like, what do you think his best treatment is? What do you think his best investigation is? That's your E MQ resources. There is plenty out there. Um I don't get paid for any of this. So I'm gonna just say be honest, truth about this. There is past medicine, past medicine has a lot of lot, lot of information if you are dumb like I am, I use past medicine because I was like, I do not remember any medicine whatsoever. Um And that was really helpful to get me some basic knowledge but, and it's quite cheap. Um and it has a lot of questions. However, the questions are not similar to the exam. The questions have a lot of detail. They have a lot of information that is not how the exam is based for either part. Um However, it had a lot of knowledge. So if you had the time, I would use it others M CQ bank again, it's a little bit more expensive, but they recycle questions from the exam itself. They're a little bit more similar than past medicine. They are a smaller bank of questions, but they're not so really good. There's E Medica E Medica I think was the most similar for me for clinic, both the clinical and the professional dilemma. You guys are like, oh my gosh, you use so many. I'm act I actually didn't. I had my friends bought one and I bought one and we shared logins um because II panicked near the end, it got to like December and I barely touched, made a dent in past medicine and I was like, oh my God, I'm gonna fail. And I had three sets of nights that month. And anyway, you don't need to hear me having a breakdown. Um So that was a really good resource. The other resource I use, I'm gonna look really prepared to, but it's just cause I'm studying again is The Pocket M sra book. And it was a really good book. They say book one. I am yet to find a published version of book two. If anyone finds it, please, please email me. It would be so helpful. Um I basically, I don't think you can use this book on its own, but I use this book and like I added to it and it was really useful because I think it has the basics of medicine in it. And then I used other resources for my ups and going in pediatrics, um surgical knowledge. Um There's Samsung as well. It's another MMC K bank that's um apparently is good. I again haven't used it. It's again a little bit more expensive. Um I've heard that it is very similar to the clinical part. Um There are courses that you can go on. Um if you wanted to, it's a r medical course and other ones how useful they are I think is very much based on how you are as a person. If you feel that you study best in courses and you're willing to spend the money and go care free. I personally didn't think those courses were gonna be much use because so just doing the questions that you've already got on the Q question mark. Um Yeah, the MRI for you um guys, please feel free to ask questions. Um If I'm going too fast or I'm, you know, talking too much, feel free to be up, up up. This is how the M SRA contributes. So for a CCS emergency medicine contribution of M SRA is 100% to invite entity and then the final offer is 4060 anesthetics. Um Again, anesthetics, you can apply for core anesthetics or a CCS anesthetics again, 100% to get an interview and then it's 85% interview versus 15% M sra radiology is 100%. Um They actually haven't confirmed how much MSR they want. Um It's a, I think they just base it on the year because you know, people apply and they're like, oh, we'll just increase the score and make it harder because why wouldn't we? Because none of us are human. Um self assessment. Again, that's your port failure. I do I should have a slide on board failure. Um And then your interview score, psychiatry is purely MSR. There is no interview, there is no portfolio, there is no white space text. It is purely the MSR same with general practice, purely the MSR um see course surgical training. It is. So you need to get the M SRA 100% and then it's 10% of your final score. Um If 30% of your evidence that you submit and 60% is if you guys can't tell interviews are a really important part of specialty applications. They are, we talk about um, obs and Gynae is great whereby if you're in the top like 5% of candidates you miss the and in the MSR you miss the interview completely and you get offered a job, you get ranked as the top five. Which so is, I guess initiative to make. Mm, where is this table from? I got it from uh, a um website. I will tell you when it comes to me, I will tell you, I can't remember. It was from one of my many um deep death dies. Hee have a similar table, but they've got it on like you have to go through each one. but if I remember, I'll tell you, I'm really sorry. Um ophthalmology again, if you've got a low score, you're rejected and then it's further assessment and portfolio. How the MSR is given to you is um how the MSR is given to you is you get two scores, you get a professional dilemma, paper score and you get a clinical problem solving school um and you add them together and that's your total score. So for examples, um schools last year of 546 got their first choice in G uh in GP. At the same time, a score of 560 was a cut off for anesthetics interview. Um for surgery. I think it was for radiology. I think it was 565 for surgery. It was 552 off the top of my head. And then as we cycled, I think it came down to the lowest score was like a 540 something to get an interview in general for all of them. So they are equally balanced. They are both just as important as each other in terms of how you face them. Also. Really war of time. So I apologize. I'm gonna move on port failure. Most specialties need a port failure. There is submitted evidence. So surgery I mt I think are all submitted evidence. You need to give them proof of presentations and clips and audits and talks and learning and teaching and taste weeks, et cetera and then the self scoring um or just talking about in anesthetics is just talking about in emergency medicine. Um It's a mix of both. It's a and I MT. So it's a self scoring pattern for I MT, I've not got a table on here, but if you go on the, let me get the website's name. Um uh So if you type in I MT recruitment.org dot UK, I'll put it on here or if we share these slides out, I don't know if we do that, but if we do, I will add it on. Uh we can share it afterwards. No problem. And we'll have the recording as well available. OK. Amazing. Oh, so sad. You guys are gonna see my face constantly. Um It's called www dot I MT recruitment.org dot UK. And it's actually got a table of how you can school yourself. And it's based on postgraduate degree presentations, publications Q I teaching, these are like the five main domains over any specialty. The other thing I know for anesthetic, often I need pediatrics that they're interested in is um interest in specialty. I don't think you can share interest in specialty for I NT because it's everything basically um other than cutting someone open, but even then you probably need a lot of medicine for it. Um So yeah, um and it can be like they've got very, so I nt have very specific conditions you have to meet for each of those things. Um And it's like you can get five points or four points, three points and one point. I'm gonna say it. Now, not everyone is gonna have five points on every single one of these things. So if you don't have something, don't sit and cry and have a panic attack cos that's what I did. Um I was like, oh my God, I'm never going to get ti didn't apply for I NT but um when I saw when I got into a rabbit hole and I saw I was like, oh my God, the self score, like you had to get 17 points to get an interview this year. Whereas the year before it was 12 points, you will have points elsewhere. And if you don't look at it now and see where you can get those points, a teaching at your hospital or a presentation at an M and M, that's an easy point for you. Um And so it's about collecting those things and if you post graduate degree, you're not gonna get a PGD or APG cert or an M se now cul degrees no longer count. So most people, unless they're like, you know, super, super, super, super amazing and have multiple degrees aren't gonna get any points in that postgraduate degree presentation. It's Finding conferences. It's finding if you can't get a conference that's international, that's OK. Um Life, you can do one at your local hospital and that's local loads of places have like deary conferences that you can do. So it's about asking TPD S or asking supervisors being like, is there anything that I can get involved in that I can present um post presentations sometimes but not the I MT one where you have to be like first author or second author. If the way you sell it in an interview you like. Yeah. So I was part of the team where we won first prize for a poster presentation on um how quick our uh D DH A&E scans patients for a CT trauma. And if we're meeting a one hour target, I was like fifth on the list. I literally added a couple of words to a paragraph and I got my name on that but it's how I said it. I made it sound like I was the main person in charge of that. Um Palpitations. I think I have one. I, lots of people don't have. Its easy publications are in the B MJ um BJ A. Um It's easy for Royal Colleges who send out newsletters to write for them for GPS, like red Whale gps. I'm gonna be honest and I know this is gonna sound really bad. Your copay doesn't count for anything. You, you don't need a portfolio to apply for a GP training because you just need to get the NSR, right? Um So yeah, Q I, you are gonna be better off doing one good Q I and closing the loop ie auditing something, introducing a change, re auditing it and making a presentation on it or a presentation or a poster is gonna get you the maximum points than doing 10 different qi projects and getting you fit into all of them. It's just a waste of time. It's not gonna add anything for you. So one or two good qi projects where you close the loop, try and be first off. It can be something as simple as um if you're in surgery, it's for getting it right the first time. It's the dream target. It's about whether Op Notes mention drinking, eating, immobilizing within 24 hours is part of the enhanced recovery program. Um I did an audit on that. And my change was literally I audited two weeks and um not even I sent out an email being like, hi everyone as part of the getting it. Right. First time dream project. Can we make sure that we're mentioning these on the I then in hindsight, audited like two weeks in March of all the surgeries and how many were auditing it and obviously sent this email out. I waited a week and then I audited following two weeks um to see how many people auditing it and it had increased by I think like 30 35% or 45% which I showed a significant um improvement in documentation. And then we looked at like, um how long it took for people to be discharged and that showed a marked improvement in discharge days times from a week to three days and a reduction in complications. So that was a really easy order. It was super simple to get the data and it was a closed order. Um that was surgery for IM for I MT S. It's really easy for you guys to do everyone does this but like people are diagnosed with um pneumonia cap or cap, like honestly, they're diagnosed with ha and cap like you get the flu um in hospitals, everyone puts that as a diagnosis. Everyone puts that as an impression document. Look through how many people are diagnosed with like um pneumonia and how many people actually document a official curb score and then put up a poster in your meth or your ward being like, can we document Curb 65 and the importance of it and like the management of it and that's your change and then you can reaudit it a month later, uh looking at it and you'll, you'll see an improvement because people just forget same with like BT prophylaxis or um well, school documentation for um DVTs or P ES. They're really good for Q I projects. Um If you're interested in anesthetics or ICU, the RCO A actually have something called an audit book. So they've got like, it's called Audit Recipes and it's on their website where you can download it as a PDF and they've got like 20 different audits that you can do that RCO A are interested in and they've basically got everything that you need to do and how you document it and how you analyze the results. And then you can go submit that into any conference that you can find online. And there's always like shooting conferences and being or you can go back and to wherever you studied and present it there at, I don't know, I CMS or whatever else I can't remember. Um So it's an international presentation teaching again, guys, your IM GS you take to your advantage, sign up with grad or whatever other um um groups there are sign up with your local OSK society present to a bunch of students and you've got an international teaching presentation that is the maximum number of points you can get. Um not many people are gonna have that. So that adds to your portfolio. So it doesn't matter if you're not scoring highly on every single one of those, you can score max marks on one and then try and get one point on the others and you're probably still gonna meet the minimum cut off for or even surpass that. Um I think a lot of this is about how you sell yourself and how you confident you are. So it's really important. Um Again, I'm really wary of time. I apologize. Mm. Interview is the most important part. You've seen the numbers, you've seen the table um Revised M SRA. That's where I got it from Revised M SRA. It's a website. They've got some really cool resources. They've got a free guide and they have that um table on them. I apologize. Just come to me. Interviews are the most important part. Um You would have probably all done interviews to get your first job in the NHS or wherever you're working and they're very similar. There'll be a question about, tell me about yourself. There'll be a question about some clinical scenarios and there'll be an ethical scenario who have got a child. Um That's me. I just put the name. Um And yeah, that's basically it. However, these, everyone's gonna say everything and everyone's gonna be like, oh my God, you know, saying I want to dance, aesthetics is the best in the world. And I've done this and I'm so exci it's about standing out, it's about showing them that a, you're interested. B you're a good person. C you're not gonna quit and you're resilient. Um And it's about hitting those points. So if you Google it, there is actually an interview scoring matrix I for each of the specialties that S and G A CST. And they're not gonna ask you, tell me about the time you've been teaching, especially for public. I feel like CST or anesthetics or em where you're or pediatrics, you're not submitting evidence, you're not submitting a portfolio. Again, guys, these are things that may change in the next couple of months. So always keep an eye out on updates on hee or whatever rural college you're applying to because um application processes change. So this is just what information I have at the moment. Um They're gonna, they're not going to be like, oh, tell me about the time you were teaching. Tell me about the time you work in a team. They don't have the time to sit and tick through each of those questions. I'll ask you two questions and you have to bring those questions in and those answers. So, oh, tell me why you're interested in anesthetics. So you could very easily be like, oh, I did an anesthetics job. Um I got really interested in like the procedure and the physiology of things. And so I developed my interest in anesthetics and that's why I applied and that's a perfectly fine answer. Or you can be like, oh, I've been a keen, I've had a keen interest in anesthetics starting from when I did a taste a week in my fy one for where I was involved in an audit for anesthetics that actually got presented at a local conference. And we won first prize for, and then I got an Fy two job in anesthetics in ICU. And I saw the transferrable skills of itu um in anesthetics and how they work uh close closely. Um And I under I appreciated the trainees pathway through anesthetics in ICU. Um and how um it's interlinked XY and Z. And through this, I was able to also do some local teaching about ITU admissions for my colleagues in Fy two. And this progressed further as I did an fy three job in ICU um in intensive care where I developed my medical education skills by doing a fellow job part time with that job. And I present II was part of a project on organ generation that actually won a poster prize in Spain Spain this year for um is IC whatever it was, I can't remember the name Xy and Z. So in that three sentences, I said I've got experience in athletics in ICU. I've got um I've done a taste a week. I've done a job in it. I have proactively searched for it. I did an a which was a poster presentation and I did teaching, I've take half of days off in three sentences even though they didn't ask me because they're not gonna ask you. Interviews aren't just about being, this is what I'm gonna say. This is how I'm gonna pass. Um This is I'm just gonna say my two sentences and be quiet. Interviews are about twisting that to be your benefit, you take control of that room, you be in charge. So for Obs and Gynae, oh How do you know your interested in Obs and Gynae? You might be like shit. I don't know. I enjoyed it in university. You could be like, OK, I enjoyed obs and Gynae in the university. I knew I was keen in it. So I was part of the Obs and Gyne Society at university and I did my elective there following this. I proactively searched for an fy one job and, or joined in on clinics as a taste a week. Um You can talk about how you got experience in a variety of jobs of postnatal antenatal and um care as well as early pregnancy unit as well as like Gyne clinics, um or Gyn onco Gyne oncology and looking in surgeries. And you realized that you were interested in surgery. So you went to a surgical conference to develop this interest further xy and Z um, or you gave a teaching on gynecological malignancies to, um, uni students. They could be like the fy one, like the medical students that come onto the ward. You can take them aside for half an hour and talk to them about absolute nonsense. Get some feedback and that's a local teaching. It's about selling yourself. It's about a confidence. Do not lie, but a little bit of exaggeration didn't hurt anyone. Um That's my type for interviews. And I think many of you would have done the ethical dilemmas if the interviews and do some great mock interviews and CV checks. So I'm sure that if you guys could message and ask for some help for an interview prep following that you can ask colleagues, you can ask consultants, most of your consultants are probably gonna be interviewers. So they probably have an idea of what the question is and how to school. You use them, get that feedback from them registrars and senior Sh Os, they've done the interview. They know what they ask. I remember in my F three job, I was like, oh, should I apply for GP? Should I go for a circumstances? I apply for GP, those have changed. And I'm thinking I'm gonna reapply for anesthetics, but that's my life story. Um They would sit and drill me and they'd be OK. You've got a 6029 year old who's um normally fit and well had a surgery for you. The anesthetic FH her blood pressure's like, what are you doing? Ok. Yeah. Ok. Her HB is low fine. You're gonna chance to, oh, she rest. You're running the arrest and they would drill me and I would sit and cry because I was like, I don't know what I'm talking about, but at the end of the day, that may mean that my interview technique before I decided supply was very much on it. And I was very fluent in how I should answer a question. They showed me how to c make concisely answer an A to E assessment. And it may not be an at E assessment. You may be asked about management, you may be asked about, you may be pushed straight into the sea aspect of an at E, you may go into an A algorithm. Um but you won't know that um you might have a major obstetric hemorrhage, you might have a surgical emergency. And then your ethical scenario is usually gonna be something similar like say again, anesthetics, it's the wrong side of block for ENT or C CST. It might be that um they operated on the wrong hip. It's happened guys, there are never incidents. So it's always about, it's a never incident. It's um duty of candor. It's apologizing to the patient, it's writing the wrong um glad um data that's really important too. And learning from this mistake to make sure it never happens again. Um and Gyne, it might be a scenario where you have to explain to a mother who is like, adamant you treat your her child to save her Children over her, be like, oh, we have to do what's in the best interest and we can save one over the other or one twin xy and Z it could be about a gynecological malignancy and terminating the pregnancy because she needs chemotherapy. Um So it's like communication again, all those soft skills that you just don't learn at university, but you pick up when you're working. Um someone else had pediatrics, it could be like a patient who needs a blood transfusion but parents are refusing and they're critically unwell. Who do you act because they might be Jehovah's witnesses. Um So it's about learning the scenarios and learning what to do and picking up on how you would answer that. Your clinical scenarios may be a patient who's in diabetic ketoacidosis ps. Um That's interview. Um We've talked about offer recycling and preferencing and the last thing is alternative pathways. Um But before I say alternative pathways, I want to say guys, it is, everyone thinks it's a proper rat race to get into training and yes, like it is very competitive and it's very hard and it's really sad and you know, it's hard to get a job and the local markets drying out. That's ok. Everyone is on their own path. You don't need to go f one FT, maybe an F three, maybe not an F three and go straight into SD one. You could take an F four, you could take an F five, you could build that portfolio. You could be like, I don't actually know what I wanna do. I know people who have stayed in an sho for basically since I was started med school and they've just remained as an sh A. Um, so if you don't get in the first time, that's OK. Most people don't, it's not gonna be marked against you. You can try again. You're not used to these exams. We're not used to these interviews as IM GS or even as a UK grad. It's about learning those skills and trying again and not giving up and not settling. So at the end of the day, it's an extra year or two years to get to where you want to get to and you don't want to sacrifice 1/5 40 year career and settle for something you're not actually interested in. Um So just gonna add that back also with the interviews just cause I completely lost my track. Um thingy stand out, my cousin who got his um reg training post. He spoke about LEGO and he bonded with his interviewer about how his they both have kids that wake them up at 6 a.m. to play football and you know how that they used, he used LEGO to understand the respiratory physiology and compliance of the lung in um relation to the gamma when they extubate a patient. Like it's utter nonsense. But his feedback was, oh, this man, this gentleman talked about this, this and this and it was a very unique way of interpreting Xy and Z stand out. Put that little bit of flour in. It's, I mean, don't sit and talk about being a serial killer but have a bit of fun with it. Like, tell them about the time you were a boxer. Tell them about the time you, I don't know, went skydiving off a cliff and that's what made you realize that your true passion in life was s and guiding. Um It might not be the case but it's gonna make you stand out and they're gonna remember you. They're ex. Exactly. They're interviewing 100 people. Um So it's not gonna mark against you unless they're, I mean, read the room if there's someone who's like, got a stick up their butt, maybe don't. But yeah, and then the last thing is alternative pathways. Um There's not a lot of knowledge out there. I know there's a lot of things about SAS doctors and CSA pathway for consultants. There is also a similar thing to get a reg post. You can work as an sho in trust and they may help you get what we call ACR E HST. So it's a certificate of readiness to enter higher specialty training IU R training, certain hospitals do it for surgical training and I MT. Um, and if you get one of those jobs it's a great job. But you get the surgical hours, you get the same, the training thing. Yeah. Having to go through all this nonsense. But you will have to go through this nonsense when you apply for a REG number. Um, and in Norfolk Park do it in London for I MT and CST. I know Lister and Stevenage do it for co surgical training. I know Kings in London do it for I MTI know Southampton and Portsmouth do it. But again, they're very competitive. They come out on track in NHS job at different times. Um I don't know much about it but those are there. It's just to say that there are other options. Um Thank you. I've also got a couple of questions like M sra questions if you guys wanted, I don't mind going through them. But, and if you have questions, we can go through that like it's completely up to you. I am very easy with whatever you wanna do. Thank you so much doctor A it was very helpful and informative and guys like uh if you want to open your mic and ask her any questions, feel free to do. So, I think Osma said, sorry question, please. Q questions, please. I'm sorry. You want me to do some practice questions? Yeah, I can definitely do. I see um what I'm so the answers are gonna come up. Mhm. I might read them to you guys and then you, and then I can explain it. Um I'll put it in the, I'll put it in the chat cause I don't want the answer to come up. So we've got a 69 year old lady who has af and she attends for an I NR Check her I nr is 1.4. Despite good compliance, not food compliance, good compliance with her Warfarin. She was recently commenced on a new regular medication, select the single most likely causative drug allopurinol isoniazide, ketoconazole, phenytoin or Ciprofloxacin. Um Feel free to put your answers in the chat guys or on me and tell, tell me we can talk about it. This is a real and sorry question that came up, I think not last year, the year before you might not know and that's completely fine. Feel free to say. So I'm just giving you example questions. Um I've only prepped two or three questions um because I didn't know about time and whether you guys would be interested again if it is I sr small group revision sessions or something you're interested in. Let me know. Um we can try and arrange it through escape if they're willing to call or I you can email, feel free to email me and um we can get a group together and study. I don't think my email is on here but, and I'm gonna try an answer. Um, 69 year old with af she's on Warfarin her, I nr is 1.4 new medication. What do you guys think? Which one is probably, has she been started on? It's ok. If you don't know, please feel free. Yeah. Why do you think ma'am? You might, it might just be a guess. I'm just gonna say you are right. Um It is, it's because it's ac YP 4 50 g. Um Yeah. Oh my God, great. That's exactly it. So the um PC Bras are all C five C YP 450 indus and they enhance. So that's phenatoine, carBAMazepine, barbiturate, Rifampicin um PCB Ross alcohol, Saint John's warts and smoking. Um So yeah, that was great. Um Well done. Uh The next question I have is this one. So it's a 63 year old man with headaches, tinnitus and pruritus, which is worse, worse after bathing his blood show a HB of 100 and 92 and an elevated hematocrit serum erythro levels are low. She's the most single, most likely diagnosis, essential thrombocythemia, co PD, cerebellar, hemangioma, polycythemia, Rve and hypernephroma. Wait a couple of minutes. Also, you guys can feel free to be like this is not useful for me to stop. Um Polycythemia polycythemia. Yeah, well done guys. Um That's exactly it. Um And again, like we said, the key words are he has a high hb high H CT he's got pruritis after bathing that. Is such a key sign of polycythemia. Um And like if it co pd you'll have this like cough, you'll have the oxygen that you'll have if it's um I think like you've got those key words, you guys got that right. Amazing. Oh I feel like I should have chosen harder questions. No, that's a bit. Me, I wouldn't do that to you. Um I can do it to myself but not to you guys. Um The next one is a 17 year old with a rash um and severely sore throat. He's got cervical lymphadenopathy and bilateral tonsillar enlargement with a whitewash, exudate. His LFT S are also deranged, single most likely diagnosis. Um Cytomegalovirus hepatitis B, infectious mononucleosis, hepatitis A and primary HIV. Yeah. So that sounds good. Infect infectious mono. That's the one. Yeah. So for that, it's the bilateral tonsillar enlargement whitewash out. Those are your key words. Also R CS get deranged in infection or nucleo for GP. You don't have to treat it. Supportive treatment is ok. Um And initially anyway, um yeah, well done. Um I only have one more question that I've prepared. I've got a few more in my phone if you want me to do them. Um But I don't know what the timing is like and it, it wasn't an MSR question uh MSR talk. So I feel a bit like some people might not need it. Um The last one I had was a 71 year old gentleman with Parkinson's attends with an itchy rash on examination. There are symmetrical patches of flaky skin around his eyebrows and nasolabial folds. Single most appropriate management clotrimazole cream, fusidic acid yate, hydrogen peroxide or hydrocortisone. I'll wait a minute or so and then go to. So hydro lumps could be ok. So hydrocort can definitely be used. But the answer is actually um clotrimazole cream because it's se dermatitis and you know that because it's symmetrical and it's flaky around the Nasolabial fold and the eyebrows. Those are your keywords symmetrical, flaky and Nasolabial folds. So your most appropriate management is kind of coming up. You can definitely use hydrocortisone. It is definitely an option, but this is how these questions catch you out because it's all of them are kind of right? But there's only one that's the most right. Um But you know what, like you guys got basically 75% which is insane. And if someone had told me to do that, um when I was, that was definitely a guessing game for me too actually to be fair most of me. But um if someone had told, put me on the spot with a bunch of questions, I'd be like, oh my God, she's trying to like this is where she tells me off. Um So you guys did amazing, well done. Um I think der is one of those, I think high yield topics for the MSR. I'm really sorry. I'm like chatting a lot of nonsense. It's definitely dermatology. It's definitely like, um, coughs and colds and inhalers in pediatrics. It's definitely contraception in obs and gynae. Um, really high yield topics. They like, come up all the time, cardiology, drugs come up a lot too. Um, I'm gonna say everything comes up a lot but these are the ones that I notice coming up a lot. So, yeah, that's what I have prepared guys if you want me to do more questions, I can, but I'm also very aware at 745 and I know it's probably late for people who are in different time. And um yeah, um you guys had any, yeah, we have to send you the feedback form. So please make sure to fill it up before you leave. Ok? Um If you have any questions, um I'm here, let me know if you um want to do more M sra stuff and um short small group sessions. Um I can give you, I can drop my email in the chat if you want help with interviews or applications. Um Let me know too. Um I'll put my email in the chart for you guys. Thank you doctor and also guys just say thank you everyone who joined today and we'll have more talk next week about examining uh E CG and also like a cross. They're doing like B LS in person as well, so you can check in our Instagram uh for those dates. And um yeah, thanks again. And uh if you can see the feedback from, just let me know if, if it's in the chart visible for you guys and I'm sorry about it. I think it's a couple raj account. The main one, my name is, I'm not the cofounder of the president, but mistake. I think I logged in with his one just to clarify. So we'll leave it for like few minutes if anyone have any questions or just filling out the feedback form and then after we're just gonna call in a day, thank you very much, everyone again and thank you, Doctor Rainy for taking the time out and sharing the information with us. I happy to help. I apologize if it was a bit of rambling. Um I've had a long day at work. No, it was very helpful giving the tips of your personal experience. So don't worry about it. Thank you. Thank you guys for letting me talk. Thank you for listening and thanks for grad. You got these guys do amazing stuff. So check them out. Um Thank you so much for the talk. I thought it was really good. Um I've learned a lot. Um I just wanted to ask, I started to work um in the NHS from February after graduating in December. Um I got my crest form signed off and I actually wanted to apply for my pediatrics training um at the end of the month do you think I'll be eligible because I just saw from your time of the 12 months of post licensing. So, technically you would have got a license in Bulgaria before that. Right. Yeah. I didn't know where you graduated from. Sorry. Yeah. Bulgaria. That's right. Yeah. So you were in f one there for your final year as your pregraduate internship? So, as long as you put your intern? Yeah. And your employment history? OK. Um That should count. OK. So, so, yeah, so your employment history would start. I don't know which unit would pass. I was so, so I just started um from March of, well, last year. OK. And then the UK stuff would have started March of this year or whenever you started, April May and technically you would have 12, hopefully you'll have 12 months by the time August comes along for when you want to start. Oh, ok. So I would put the start date as in my first day of sixth year in Bulgaria your um first day of state? Ok. So that would be the same as sixth year. Um Were you in Sophia? No, I was based in Van. So did not, was the first year of sixth year was when your state exam started? Yeah. Yeah. So then that's when it would be for you because we didn't have that. We had three months of um normal sixth year and then state started six months after. Oh, is it OK, fine. Um Yeah, so it would be that and then by the time, let's say if I did get successful, it would be fine. Yeah. OK. But make sure in your employment history, you put each rotation as separate rotations. OK? And in my, because I want to apply for peds in the blank space that I have because I haven't really done a rotation in Pedes. Could I talk about my state exam experience? So I was a pediatric fy one who was clerking patients and realized that um the importance of family history or um collateral history from parents XYZ. Um so that would count and that's when you got interested. I'd definitely try and get a taste a week in pediatrics already. Yeah. Yeah. Um What rotation are you in at the moment? So at the moment I'm doing a general medicine on call ROTA. Oh, fine. Ok. That's ok. Um So pediatric um great Ormond Street have some really cool pediatric conferences that they do in November, December time. Oh, did they again? Which is just before interviews. I and I know they also have a summer school. So you can say that I've applied to do the summer school before August. I missed that one. Yeah. Mhm. That's ok. Um They've got another one coming up and then um you can also do like another way to show interest is doing um advanced pediatric life support. Yeah, which is really good or even like pediatric intermediate, like pills. Yeah. So that's another way to show interest. Um, and then I don't know if you have s TT days. Uh, yeah, I do. Um, yeah. So, your STD T days would you could ask to go and sit in on pediatric clinics? Oh, ok. So that's all, um, counts as interest and enthusiasm towards specialty. Oh, ok. I didn't know that. Oh, II, yeah, I guess I could do that with my days. Yeah. Yeah. Um Who does summer school? Gosh. Great Ormond Street. They do a summer school in June, July. Yeah, they had one in July but um I think it just got filled up by the med students so I couldn't go. That's OK. And so, and then someone else will my undergraduate degree that I obtained before coming to count towards something called? I think it could count towards your be in your portfolio for I nt. Um I would double check cause um oh no, I think for I mt it's post graduate diploma so I don't think it would count. I'm afraid. Sorry. Um That's OK. Thank you. That's all right. Happy to help any advice for um third year medical students in Bulgaria regarding practical skills. You know what it's like here? I'm gonna be honest. I actually ended up asking in my, I MT uh not I mt in my internal medicine. Uh Third year I actually asked one of the doctors if we could come in and do blood um to our practice bloods. That way grads have a great NHS essentials workshop that is in person um mini plug um that do some really great practical skills. They do suturing cannulation cat stuff that I would have never known. And other things is I just want to add it um for you. So, until November we'll have lots of like uh urinary catheterization, like IV cannulation, venipuncture is gonna happen in Sophia Medical School in person. So you're welcome to like just check it out. We'll post it near the time. Yeah, sorry to interrupt. Just to want to add to it. Yeah. So those are all great. Um Also I know this is gonna sound a bit bad and I'm not taking away from anything. Don't worry, you're in third year. Enjoy university, get the knowledge that you're meant to get and you will pick up practical skills like there's no tomorrow you're gonna be thrown into the deep end when you get here. I will be honest, I had never done an ABG before. I came to my first job in the HS. My third day I lost doing a BGI failed miserably. I got the sh he got it in like one go made it look easy. Had a bit of a cry in the drug cupboard because I thought, oh my God, I'm such an idiot. I can't do an ABG. Um I then had a day last week where I had to do an ABG on a patient where the F one had, um, had, um, hadn't got it and another h had tried and hadn't got it. I got it in last time and I was like, wow, look at me. Um, I came crashing back down to earth the next day when I couldn't get the A BB. So you pick up these skills, you will learn them. No one's gonna expect you to come in and be a master at Canu. I still really mock up cannulation sometimes but you'll pick up those skills. There's not anything to worry about. Um but going to these courses um watching GKI me videos and I think once you're 40 or 50 I would definitely try and get some observer ships. Um I know there's loads of places that do them and they will help you do bloods and Cannulas and you'll pick up those skills. Um I know what it was like in Bulgaria and I came out feeling very, very inadequate for my degree. I felt very inadequate at my job. Um And that feeling passes sometimes it doesn't, but most of the time it's not there anymore. So I promise you'll pick it up. Um But being proactive is the most thing if you don't ask, you don't get any more questions guys, I'm glad you enjoyed it. Um I, yeah, I can do whatever you guys want me to do. Uh Yeah. Um I've got my I left my email if you guys need any help as well. Thank you. Oh, I'm getting shot. I'm gonna stop now. You're welcome. I might leave if there, if there aren't any more questions, I might head of guys. All right, guys just don't forget to fill out the feedback form so you can like tell us what to improve and how, what do you like about this talk and everything? Very important. So please do. And yeah, I mean, we, I think we can call it a day now if anyone doesn't have any questions and uh I will upload the sites from Doctor Aron. She will give me and I will upload it here in me. It will be available for you to like visit. No problem. Ok, thank you very much. I'm just going to end the call. Thank you. Goodnight. Goodnight.