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Super brilliant, right. Hello everyone and welcome to this first, I think club exam prep session um outline being idea being that we'll go through the outline of the exam we'll do, we'll have a look at some recommended resources and I'll give you a bit of tips as well in terms of how to go about preparing for the exam. But really, the crux of this session would be to have a facilitated discussion and que and a towards the end in terms of what you would like to get out of your plaque preparation. What are the areas that you feel like you need support with? And also I will touch on our upcoming plans with in's as well. And in terms of those, what other things that you would like most support with? Um quickly to introduce myself. My name's Adrian. I'm currently an anesthetics trainee. I am a UK graduate. So I graduated you. So in 2019, but I do have a reasonable amount of teaching experience, but also these critical cases in stimulation teaching as well. And hopefully towards the end of the session for Cumin and maybe I'll have her do her um a a good Brendan colleague joining as well, who's an international graduate uh finisher I M T three earlier last year and is now undertaking the Junior Clinical Fellowship with intensive care medicine. So she, she has firsthand experience of the plan. So there's just very quickly to reiterate, we'll have an overview, will look at some resources, go through some tips and then really, it's just on two Q and A any issues you guys would like to bring up. So what is the plan? A lab sensible professional linguistic assessment board? It is effectively a benchmark assessment and it should be, it should prove that a candidate saying the plan is at the equivalent of where a doctor is expected to be at the beginning of the second year of practice. Okay. So this is going in with the expectation that someone already has a year's worth of clinical experience, post graduating medical school. It's made up of 2.5 which is written examined factor which is a practical exam. And if you want to gain registration with the G M C to license with practice, uh sorry to practice with license, um Then you have to single plan and it is aimed with doctors who qualified overseas. So it's not uh for UK graduates. Uh I have one. Uh So this is the written paper, 180 multiple choice questions in three hours. It's quite fast paced, made up of the scenario. So a bit of blood. And then the question where your choice of five answers or sometimes referred to as some multiple choice questions. And MCQ sometimes as SBS as best answer for single best answer. So the idea being that more than one answer is correct, but which one is most correct? But essentially same idea. It's not online. Is that in person. So related advice from the GMC on the G M C site, is that weird transition back onto the pen and paper format, which was obviously so there have been phased during COVID when it was online, but it's back to an impact now and there's sort of the upcoming dates for this year. The part two is what's known as an opposite Rosky exam which stands for objected structured clinical exam, 16 scenarios with 96 seconds to rotate and read the next uh between the station East Asian last eight minutes. It is hosted in person in Manchester. The dates really running throughout the year become available through your G M C log and once you've passed one very quickly to make note of the UK MLA, so this is new, this is, this will be the UK Medical Licensing Assessment and it is being introduced this year now. Um So far, the UK didn't really have actually uh an overarching exam. So some of you who know about a bit maybe about the US will be, may be familiar with the term of the U S M E S O the US medical license licensing exam. And that's kind of where the similar idea of the Nuclear Monday coming and being this standardized exam. So if any point in your preparation throughout 2023 you start hearing by the UK and, and they, that's because the plan will, is that to be replaced by the family. This really shouldn't affect very much your preparation at this point. And the G M C will be sending out of data valgus in due course. So don't panic too much. Um There will be sort of a transition over from the plaid syllabus onto the UK MLA syllabus. But at this point, this really shouldn't affect your preparation very much plaid resources. Okay. So that was the overview of the exam. Now we're until having a look at what resources you should use. I will say that the single most crucial resource would be the plan blueprint. So essentially this is this is your syllabus and you can go to the PMC website. I have known all the links as well. You can download it as, as an excellent file. So this, this should be sort of really the really cent piece I should say of of your revision. It goes through pretty much everything that you need to know. Domain Biderman tick topic by topic, the plan blueprint and the G M C also make a lot of reference to the UK uh foundation program for the foundation year one and foundation we have to. So these will be two years that everybody who graduates in the UK completes uh following medical school prior to them progressing into specialty training. And essentially because you're required to be at the level of an F two doctors is second year deployment on there, Thursday or practice. Um It is something that is very, very heavily drawn on in terms of the plan. Furthermore, there is a lot of GM see guidance, lots of interactive tools cases. There's welcome to UK practices. Well, soup information around uh and they're also powered courses out there, but just to make you aware, none of these RGM sandals or regulators and the Gemzar very clear about that on their website that well, they exist, they do not offer an opinion or endorsing to be these courses at all the blueprint. When you do look at it, it's quite a big document, but it raise out three main domains of good practice who's being domain one non the skills and performance, going to second quality demitri communication partnership. I mean, where can inform trust? So already based on that, there is very much an idea that it's not all just clinical sciences, medical knowledge is. So it's it's even more capacity to come onto that. And uh in terms of pad one specific resources. So I would say definitely revisit your finals revision um and attending cr reflectors is also a very good way of going about getting that revision in loads of question banks available specific to the plow one. So here's some that I have listed um personally not for the plow one, but just for a medical finals revision. And also for the for the assessment that I sat when I was applying for anesthetics. I used past test and passed medicine personally, I've heard good things of MCQ Bank as well, but essentially uh take one and stick with it and, and both of them and just being systematic. So I can't really recommend one or the other. So I have a bit of a bit of rape, but just work through sort of a good of all the questions to, to cover those topics, overall tips for the plan. So definitely start early on, give yourself enough time to revise enough time to keep them, do a good, a good number of questions. I also a 3 ft performance seems to be what most people recommend have that consistency and study schedule, especially if you're working, you have other commitments, it can be very, very challenging. But if you set yourself a bit of a plan, I I think that's always quite a good thing to do. Um I cannot emphasize this enough. You use the blueprint because it's literally Pantic through, through it as you go along, do practice on the time pressure. So 180 questions in three hours is literally one question per minute that has fast. So I've sat, but most of my exams have been roughly that place or maybe just ever so slightly slower and it goes very, very quickly. So make sure that you're able to, well, do you know, do questions in the space for me? But also have the standard is connected and do that for three hours because it's nattering and just to just to clarify, there's no negative marking on the exam. So please just attempt all questions, make sure that you've got down once of everything. The part too, right? So this is your essentially bosque practical exam um resources for this. I would really, really recommend the week Medic Medic Sadosky Band. So this is one that um there's the studying the UK doing medical training, maybe medical school me, they used to death and the only it's an amazing resource, it's frayed. Um They do mark schemes, they do over these, they uh they clips as well. So like um youtube star clips, they, I have I think over 500 stations to practice. So uh it is fantastic. Uh Ski stop has become a subscription based uh ski bank also very, very good. So I I also use this but like I say, you know, doesn't have to be death by resources, just pick one that works for you and, and stick with it in terms of then books. Um from what I've been been able to gather in terms of the, the plan blueprint, previous stations that that sort of previous themes of previous stations that have come up. The Samson handbook of plan to and clinical assessment. It seems to be really excellent toys. It's it's very comprehensive very flora offering mark schemes as well. Um not, not quite pap specific, but again, the next time because the Oscar cases, the mark schemes I use this book to death. I literally fell apart by the time I was finishing medical school. So really, really detailed, probably the most detailed mark schemes that I have come across, which is very helpful. And then obviously there are risky specific clinical examinations from especially in clinic series as well as essential examination. Um Again, you don't feel like you have to use all of these. I've highlighted the two, I think that having had a exclusion um in terms of how they align with the foundation you in the curriculum, I think uh if you stick with the geeky Medic Soskin against Samson Kreinberg, those would definitely put you in a very, very big place courses. Again, like I say they're not endorse, but you can go and um so again, just a few listed there, passport to and or top tips would be um so engaged very much with the G M C guidance, especially the interactive cases. So they do have these cases and they're very, very good in terms of those as we discuss the more sort of soft skills and also building knowledge, the rounds of working with concepts, medical ethics and and so just laying down principles of good professional practice um do attend some G M C medical ethics training. So there are sessions that room uh quite regularly. So please make sure that you engage with this uh um news mark mark schemes and definitely find friends. So in from personal experience practicing more skis with a friend or even small group of friends, it's just so much better because you can get that immediate feedback and you can, it's quite a nice sort of can be quite a nice protected environment, quite nice confidence with. So definitely the same party, your point friend, um decent, practicing together, new time practice. So there are eight ministrations, but like I said, there's typically quite a lot to cover. So you there are sometimes the temptations sort of bath word there, at least for me, like I know that um I sometimes fall into the trap of spending too long the beginning and then not having time to finish up appropriately towards the end, summarize. So just make sure that the pacing was right. So do that time practice. Um as you already mentioned, not to estimate underestimation of skills. So verbal, nonverbal communication, um so definitely in terms of smiling, just going walking into into the station with the level of confidence coming across is very protocol. I think the body language, all of these things are also very much about um keep patient safety and dignity of the Port France and make sure that if you do have an actor in that station, they're comfortable at all times. Um They can listen to and obviously, because it is time pressure situation often that will be in the formal sort of verbal views of uh you know, I understand, you know, just expressing, you know, it's a benefit. You're like, oh, I'm sorry to know. That sounds simple. And importantly, it's not about knowing the other thing. It's about having that structure. Um So this is definitely something that we'll be looking at in subsequent questions, questions how to structure different types of bosque stations. Um It's about being safe and it's about being professional and in an off ski if you don't know, that's absolutely fine. It's better to say you don't know and that you'd like to check with a senior or would you check with your consultant than trying to like, for example, make up something on the spot. So it's, it's really like just think about your everyday practice how you are as a doctor. If you don't know something, it's fine, you know, nobody knows everything. But in, you know, skis again as part of that professional practice, they look for that kind of and they, they looked at your ability to say, oh, I'm not sure that I check, um brings us onto then our future events. So, um 28th of March, we have our first lab to Makowski Day. Okay. So the spaces are limited. It is very much a first kind of first serve basis for my understanding being that there will be a waiting list. But if you do sign up and then please, please please make sure that you do attend on the day or either as know in advance if you can't make it because obviously it's quite limited on, on spaces. We're still working out numbers depending on facilitators in space on the day. We will also be running virtual preparatory sessions for the part to specifically any in advance off the plant to Makowski Day. So the plan is that over the course of the next couple of months. Um So next couple of months, yes, very much. We would be running virtual sessions as well so that when you do come on the day, you can get the most out of that in person practice. So like I said, it's not going to be death by powerpoint, hopefully. Um So at this point, I would really like to open up the floor to you guys and for the question to you, what would you like covered? I'm happy to take anything on board right now. I'm happy for you guys to make up my email address and send me emails with any requests, any thoughts and concerns that you have. So it's really about trying to tailor these sessions to what it is that you need. So just going to open up the chat on the side here and see as some going potential messages. But at this point, like I say, base shot away or pop it in the, in the chapel me in terms of what you would like covered. Yep. All right, of course. Uh How does this uh new exam, like you said after the club to do K M L A? Uh I was just willing to change the edge of them compared to how it's obviously done. Uh So how, so the question is how is transitioning from the flat to the UK MLA going to change the exams? Well, uh the G M C haven't quite confirmed the details yet. So I would suggest keeping an eye on, on the G M C website. Further information, their current advice is that right now where they are at the very beginning of 2023 there is there should be no impact as Sophia on any preparation that's being undertaken from having looked at both the plaid blueprint and also the UK and a syllabus. There's obviously going to be a huge amount of overlap there. So I, from what I can see the two curriculums, it should be a reasonably seamless transition from one to the other. I will say that one difference between the club and the UK MLA that I I can make out at this point is that the UK Emla is designed to be set at the end of medical school. So it is is sort of the finals of medical school. And at this point, you will not have been expected obviously to have any clinical training as a doctor was a plaid is designed such that you were already expected him to have had that one year. So I would say that that my might be a bit of a step to consider that. But other than that, it's just to wait and see whatever it is that the G M C published in their official guidance. So because because for us as the students uh phones, labs, for students who are studying in UK, they give plan with the medical experience such as they finish their second year, they get lab one and then they finished their 40 they give lab fruit and with this new new exam after finishing lab will be with, you came in from this, you know, so the UK MLA will completely replace the lab. So it's either the one, okay. It's not okay. Okay. It's not definitely not. So, so at one point, the lab in 2023 as is the current plan will stop existing and instead it will be the UK MLA, but that transition hasn't happened yet and they've not confirmed that's exactly when and how they're going to go about doing that. So the advice for now is carry on prepping for the lab as you've been doing so far it shouldn't affect how the exam, the exam structures that we went through just now. So what, what, what would be the cost of the exam as uh lab which was just pay around? What's the, like, how much bounce the administration and attempting the exam? Just 10 problems? Oh, the, I'll leave you to look that up. I'm not sure about the cost of the exam, but I put in all of the links with the sort of the information regarding the lab from the G M C website. So I can't tell you how much it cost. But if you follow those, those links to the information about the lab on the G M C website that you should be able to have all the information about the, the logistics and payment and setting up GM see upon and all of those wigs. Okay. As a foreigner students, like I'm from India and when our country you do tend to focus more on the place where you practice your specialization if you call residencies. Uh As a, I have heard that lab doesn't give the guarantee of job, it just gives the license. It's a, so what after one, like it's not, I'm not saying that I have clearly one after clearing like if, if it's, if there is a lab soap, lab, one is complete, lab do is complete. What's the next step when we want to go in a certain specific? It was a specific health institutions such as some, some might go for like some might aim for the prestigious colleges or universities, some might well sort of normal hospitals which might have a specific field which they are interested in. So how the further process for whether they sign an application or letter that they are someone who has completed foreigner, who has completed the licensing exam and now they want to pursue certain specialization in specific feeling in their institution. Well, hospital or uh thing is okay. So I think we're sort of jumping ahead of ourselves a little bit here, but basically there is not, not really. So you can then apply, you can sort of okay, so you can apply for individual jobs. All right. So you can, so and hospitals will have standalone um F two equivalent jobs that you can apply to. You can apply for a junior clinical fellowships at the level of an F two doctor as well. Or then you can apply sort of for a nationwide f to sort of placement. So there is a number of different rules that you can take once you have that G M C licensing in place. But um the way to find out about jobs would be, for example, through Oriole, which is your advertising site or looking at individual trust and hospitals and seeing whether or not the jobs that they have an offer are met by your experience and your qualifications to date specialty application is then a whole separate thing. But I would say that you would definitely have to complain one year of F two or after equivalent before you would be eligible to apply for specialty and specialty in the UK. Specialty application to specialty training in the UK. Very much happens as a, as a national application. So, so every specialty has a slightly different way of doing it. But just to give you an example, when I was applying for anaesthetics, it was a nation wide application. So first you specified if you wanted to go to England, to Scotland or to Northern Ireland. So I I picked England and then within England, when you went through the application, you literally had a list of however many 100 jobs and you would rank them. And then when you went through the interview, the application in the interviewing process, you then get ranked as a candidate. And the idea is that the top ranking candidate gets any job they want. So they get like first, it's the second uh medical. But I, I think that's kind of going a bit beyond the scope of this tool. Let's just give you a bit of information. Really, the, the idea today is to focus on what you guys would like in terms of club too. But uh it's just one year junior clinical class or just just after finishing these, uh like I say, I don't know very much about what happens beyond the, the exam. Other than from what I have heard from, other people are sitting the supply where they would definitely have to do that one year because you have to show equivalence in your F four F to whether or not that's something that you can carry over, depending on what clinical experience you already have from the country that you're coming over to. Again. I think that would be a case by case discussion with the G M C and saying this is what I've got evidence of, I'll send the plan. But what you know, what, what that does that make me eligible of in terms of job applications. I'm just going to pick up a few questions from just spotted in the thread. A few questions coming in. So uh one question about study of Spain, do I need to write the pipe since I'm coming from the eu uh my understanding is that the answer to that question is yes. So again, you would have to check your own position with the G M C and see what qualifications you need. But I know that there are a lot of universities operating in um in, in, in Europe. That was they do have G M C recognition as such. Um One of the requirements in transitioning over to the UK is still to sit the plan again as, as as so as to show that you have the appropriate level clinical acumen for the beginning of uh to so again, please clarify whatever your personal position is. But I would say yes, question. Can I do the plan last? I am still being my final exam or do I need to finish my degree and then register for the plan again? From what I've seen other people do is that they would finish their own medical studies first to finish, finish their medical degree and then set the plan. So that's what I've seen being done in most cases. Can you tell us a little bit about punishing program? Yeah, absolutely. So the foundation program in the UK is made up of two years F one and F two, as they're known, essentially, um if you're going through the entire program, uh then you will spend two years rotating, rotating through six different placements into it. Also six placements um or four months each. If you're doing the standalone of two, which is possible, then you would be obviously just doing three rotations in the space of the 12 months. The idea is to experience a variety of different specialties. So most foundation, most all foundation doctors in the UK would do medical placements, surgical placements, a community placement, be that either psychiatry or G P uh typically either an obstetrics and gynecology or a pediatric placement. And then something in terms of acute medicine or emergency medicine as well. So six different jobs in, in the space of those 24 months with different teams. And for every single one of those blocks or placements, you would have to undertake a portfolio. So you have a running portfolio in which you then record cases that you've discussed examinations, um procedures that you have done. So you carry out sort of a clinical almost diary or log of what you've been doing. And a lot of these are often submitted to consultants or a more senior trainee to be essentially signed off, you have to do reflective work, so reflections or something that you need to engage with them, right? So again, there is a very specific way for writing reflection based on the UK, we tend to use the gifts Reflective cycle and that's also something that you're being wanted for. You have to engage with quality improvement projects and audits. So you need to pick essentially project and have a look at how well certain guidelines are being appeared to, for example, in the hospital have or identifying issue within your work and environment that you would like to improve on. Be that patient safety, you be that data, how you going be that whatever. So you can do something like oxygen prescribing rates are quite poor. Uh Is it possible to, you know, run equality improvement project on that would help with improving the rates of oxygen prescribing as sort of uh for example, um you have to get feedback. So you do 3 60 feedback for both years. So if you're doing both back one of two. And this means that you gather up some sort of open up a feedback platform and you send it out to about 15, 20 people. So you need to get that feedback. And this, this feedback is partly on how you are as a clinicians and your clinical accurate knowledge. But a lot of it is about your sub skills, how you have to work. But there's a person if you're approachable, if you're safe, if, if you know, if you maintain patient safety and dignity, how you are as a colleague and so on. So that happens every year, you have to do one of these um Clarence Thomas, any types of uh feedback. So that's kind of roughly your portfolio. And then if you're wanting to apply to uh specialty training at some point, then you have to engage with the, with that process as a whole separate thing. Um So you would have to look at the portfolio that specialty that you need to build. In addition to your foundation, your portfolio, you would have to look at any specific requirements, you would have to look at sort of any research publications that you might be required to do. Um And that you would have to sort of undertake that in addition as well. So um in summary, the foundation program is a steep learning curve. You have to engage with many teams from of course the hospital to gain a better understanding of how hospital and community medicine in leaving pay work. Um, it gives you, uh, and it gives you sort of uh history of different specialties. So you might get a better idea of what you like and what you don't like, what sort of specialty you might or might not like to apply for you. There's no obligation to apply for specialty training at the end of foundation you to. So I, I know loads of people, those are colleagues, we just carried on doing that sort of uh found year three and four years. So these are more required, but some people do carry on just working in sort of almost add that foundation to grade until they decide that they already for a specialty application until they take up sort of unemployment and government job. So that's absolutely fine as well. I think that's all the questions in the chat for the time being. Um Is there anything else at all? Um I would specifically like, um like uh like the plaque to please uh do attempts count like if uh you're trying to pass the eggs and then we fail and we try again again and again, attempts, counts get counted. Yeah. So, um the most recent advice is I think that you can fail the plaque up to four times and then you get one last attempt at it. So I think uh current advice is that you get five attempts on on the plan before, uh, you're sort of excluded from the exam and how long is the exam is past, how long the marks is valid to the company? So I just need that here. There's, uh, like it just really for two years or three years. I don't need that politics, deathly disturbance. Uh, again, in terms of the delay between gaining. So once you've, you've gained your license to practice. Right. So what, once you've gone through that process, how long that last before it expires, that would also have to be a question put to the G M C. And I imagine that would also be sort of a case by case assessment as uh lab one is fast, then it's then the dose is too platte too. But the plaque to his uh the stewardess feeling that pain by the time that he's using the he or she is using the marks great area of the lab one again that he has passed and failing and then we've been so it depends on the case of the case might be changed. Yeah. So again, I would, I would just for the Practical Inns. And now, so the exam, I would just recommend that you go through the G M C website for with all of those links and all of the information that I have posted. Um the, so I goes through sort of what to do after the example too. So I, I will say just please go through the G M C website for all of the logistics and practicalities of the exam. Um What I would really like to bring back the attention to is a preparation for the plant to particularly in, in light of the sort of Kaskey format. And what preparation is that you guys would like to undertake the logistics of the exam is not really the focus today. Um The other, another question we've had through um on the chat is how long does it take? Uh how long does it need to prepare to pass the exam? So, like I mentioned for the written, I would leave it 34 months, definitely uh reasonably regular daily practices. It would be my advice, looking at the scope of the exam and having that a similar exam in the past myself as well. That's how long I left for it um for the for the plan to, it's a bit more difficult because it really depends on what Noski experience you're coming into it with. If you've got no Osti experience really at all or not very much, I would say to again, give yourself about 56 months that leaves a regular practice because it takes a while to get that routine together. Timing's right to make sure that there's many, many marks schemes and many many stations that you have to be familiar with sort of properly sunk in. So the plan one is a bit more straightforward in that sort of his core clinical knowledge. Um It's quite fundamental across any and every medical school. But the plateau is a bit different in that the or skis are a bit more of the nuke. A specific example mats, it would really depend on how much experience you already have with that exam format. Next question I've got on the chat is, is it possible to see the plan before applying for the G M C or is the application required? Is to say the um have you family? Well, the setting, the plan is part of becoming G M C license and that makes sense. So the so in the course of of gaining that registration with a license to practice the plan is essentially part of that process. That makes sense. So it's going to be either the plan or later on this year, the U K M and A that both on part of that process. So they don't happen in isolations. So sorry, I didn't understand that one because the question was like once you've finished your exam, say for example, you're studying somewhere else and you wanted to register with the G M C. Is it after the registration with the G M C that we sit for the plan or you don't need to register with the G M C to sit for the lab? You, you do need to have an initial registration with the G M C because you need a G M C account to be able to sit the exam. But it's so G M C registration is different to being able to then practice with the license of being GM see registered to practice with the license. So there's almost like different levels of being registered with the G M, see if that makes sense. So there is just baseline, you've registered with the G M C, which is what in the UK we all do in our finally a medical school at the beginning. But then obviously, it's, it's a whole separate process of in transition to then having a license to practice as well because with the international graduation, it takes a bit of a time to register with the G M C and uh by the timings of the plaque abtlab, as you said, it's the last one which I've seen on this um screen was the second of November 2000, sorry 2023. So by the time we get our certificate and register the G M C and etcetera, I think we will be shifting towards the UK MLA. So I don't know whether to, you know, like go for the lab or you came. Really? That's where the confusion is coming. Now, I understand and all I can say at the moment is because we haven't had any more precise information released from the G M C as A yes is to basically just keep an eye out on what their advice would be. Um, you can always contact them in writing as well and say, when can we expect an update as to what's happening in terms of the transition from the plan to the MLA? But if you look on their website, there is nothing sort of specific in terms of dates or timings released yet, I will say if you start pra paying for the club, like I said, that the transition to the UK Emla should be reasonably seamless with majority of the syllabus being well, very much overlapping. So I don't see it either either. Which way I don't see it being wasted effort if you start your preparation now and then at some point in mind them become the UK ML A. But like I say, the content of it would be very, very, very similar. Okay. Thank you. Um Next question we've got which comes first the plow one or the plaque too. So like you said, plow one first, then back to, yeah, fine. Um Next, as I understood and experience the GMC website registration is needed to apply that one requires us to complete the account information. Exactly. So as we mentioned, um you need to have that account to be able to apply to sit the exams, um includes information about primary medical qualification. And then once the account is created, if you require English, English language test, obviously they need to be added. So the plug doesn't incorporate English language testing and then you quite the platform. So that is very much. Yeah, my understanding of it as well. Uh I, I don't uh understand that's behind hospital. So while giving the private would also be required as someone's uh civic as us in the check, that would be that give any English assistant exam. But as someone who has come from an English speaking or who is studying the medical school, which we just start in English, do we need to give the English system? It takes them such as islets or uh again, like I say, uh please please check with the G M C. It's often decided on a case by case basis. Um If typically, if you studied in English, then you don't have to get. So if your medical degree was in English and normally there is no requirement for an additional English exam. So, so long as you can prove it. And then again, as a gross generalization, if you haven't studied in English, and you may well need to um sit in the English exam. So again, uh case by case, please clarify anything that might pertain specifically to your own application with the GMC when you do register with them. I'm sorry. And the GM see what I read is like if you, even if you studied in uh English medium for medical school, but if your clinical um contact is in their language, because normally we speak if you're in a different country, we speak their languages. Patient's, then you still have to do E L T S. That's what I heard. So I'm not sure about that. It's basically got to do with the percentage, what percentage of your medical training was in English essentially is the crux of them? Okay. Now, I like to sort of just direct the discussion a little bit back towards the plan too. So, um out of interest in, in terms of our audience today, is there, is there much in terms of exposure to ask you that you have had um in your medical training so far with, with COVID and stuff like that. It is not that much what we expected a little the prior to COVID was just a okay. So, yeah, I, I imagine that might be the case for a lot of people that unfortunately COVID has definitely impacted the ability to have those practical sessions. Um seeing some comments coming through some but not a good amounts um internships. That's, that's good. I expect everyone will have some done some manner of placements and, and got to give so sort of basics of history, taking clinical examination and so forth. The so far from what I've also seen and heard that there was obviously the impact of COVID which may have curbed opportunities. And then there is also just the fact that or ski is a little bit different to just sort of doing those clinical placements. So it's, it's a very specific way of approaching them. So, um what uh my thoughts would be is to when I sit down and plan those sessions leading up to the practical day on the, on the 20th of March, which like I say, please, if you wanted to attend, book you slots earlier rather than later, because spaces are limited is that I would be structuring it around the domains for the plan too. So yes, there will be some clinical knowledge base stations more in terms of my history, taking management and providing information to the patient. But there would also be elements of ethics, uh elements of uh professional practice, pro uh probity um Candida and also then bits of clinical skills again, just to tie in with the clinical knowledge and managing things like emergency scenarios, managing a well structured ABC the approach. So um what again we do in the UK when we do our Rosky exams are is that we divide them up into types of exams and domains and then we practice a set of um or skis for each of those domains and that gives us a good overview. So my current itinerary, but they would include essentially eight stations um undertaken by student, a student be in their pears. And that would give exposure to total of 16 questions, 16 stations throughout the day. Um Part of that, like I say would be more about clinical skills and part of it, more about soft skills, medical ethics and so on. Um question through the chart that's just come through uh in my internship in hospitals. Will it be online as well? The plaque to Markovsky day? Know, so the plaque to Markovsky day as you can see hopefully on the screen right now will be in face to face help in London at the BMA Paus. So that's an in person event. So this is a chance to come and practice in person, Markovsky full day as you would sort of sit it at your normal zone. Would it be possible to record or stream the plaid training for those outside of the UK? Um There is a very good question. I don't know whether or not we would have the ability to do that or in the lease for G D P R purposes. So that is something that I would have to check with doctor Sharon Raymond who's in charge of the CRF initiative. What I would say is um for plug training again, if you watch, if you engage with the geeky medic Kaskey videos, that's probably one of the best bits of virtual online practice that you would be able to, to do. And yeah, absolutely, please um do um filling feedbacks. It's just been popped into the chat now as well based on this session. And like I say, if there is anything more that you would like specifically with respect to the plaque two sessions. Please feel free to email, only put my email on the screen as well, the logistics of the exam itself and what is specific to you and what might welcome down to case by case decision. Those would be best clarified either on G M C website or by contacting GM see directly. Well, it's good to know what sort of the baseline is for these plat two sessions that will be planning. Uh We'll be posting out about them shortly after this session. So basically, I will go away and um do some planning around it, decide with sessions to run and also decide what will be the level of content that we would be able to deliver to make it as high yield really as possible. Equally one more thing. Um If you did want to copy of these sides, I am happy to um um I am happy to send them out, but contact me via email or if you get in touch through the CRF groups as well. And I'm happy to make sides available again because I've added a lot of quite useful links. Question from the chair. Could you also arrange a virtual session for the plow one? We're not currently planning on doing this. The reason being is that the PAP doing a virtual session on the plan of one, the bad one syllabus is enormous. It's literally the length of a medical school curriculum. So if there are any specific questions about it. I'm happy to sort of take F A Q s. But the reality of the club is that it's going through the blueprint, like I said, it's going through final year revision and it's attending to see your reflectors. That's kind of the best thing that you can do for the pub. One. The reason I've not planned a session around it is that I don't really see what it would add because it's such a vast amount of material that all I'd really be doing. And I thought about this is giving you guys sort of a list of things to go away and prep. And I just didn't feel that that would be as useful, which is why I designed this session, which would be an outlet, which is an outline of the plan, but resources for you to go away. And obviously I'm happy to then take any questions like I said, I FCR or directly to email, right? I'm just going to give it a couple more minutes and then if uh there are no more questions and I'm happy to uh wrap up a few minutes early. Uh But yeah, essentially engaged with the G M C um Both in terms of the logistics, uh anything that's the case by case decision uh including language testing. And in terms of if you do feel like you wanted to get in touch and what I would with myself, then what I would ask and recommend is that this, this pertains mostly to the contents if there is anything that's specific to come across. Um, when you're looking through the blueprints and you feel that you would like to get a bit more confidence with and please let me know about these because I can incorporate them into, into the sessions, both the virtual ones and then they will cost you in March. Uh There's another machine does, doesn't make any sense to regarding to plan, but the current condition of the NHS is not going to affect the lab. Oh, the current situation of the energy is, is not going to affect the lab exams with anyway, I think. Yes. Uh Sorry with the, the question question was the current condition of the energy s where it's, there are some crisis regarding workforces. Yes. And we strike of the nurse's, it's not going to affect any anybody Plavix since in some way or the other. Uh Well, I don't see how would the plan is run separate too. So it's not done sort of in, in terms of NHS premises, it would be done separately and I, I, I don't say how the one would affect the other. The one is sort of the exam and licensing body and um it's not done in real time clinics if that makes sense. So I don't, I, I don't see that being the case. Brilliant. Thank you very much. Um, like I say, thank you. Uh for attending. Thank you for joining and giving your thoughts on, on, on the plan on what you've covered so far, especially with respect to your skis. I've, I'm happy to receive. Um Was there any questions about that via email and any requests and in the coming week or weeks, um plan is about the agenda regarding the virtual sessions and please do sign up for the Markovsky Day if that is something that you're interested in attending. All right, but I think we're going to wrap up for today. Thank you very much and I hopefully see you guys again soon. Thank you very much, Doctor.