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Um So for, for Paul and for Fred, if you hang about, kind of hear, it does help, help pick things up. We'll do some people join us online as well. Um Which is great to see you. Thank you so much on behalf of G P society for coming along, especially to the folks who have come along in the room, really appreciate it. It's nice to see people back, face to face and I know with the time of year and with progress tests and with various bits and bulbs going on that, uh it's perhaps not the best time of year, but nonetheless, um as I've checked with their speaker's, we are going to record tonight's event, which will mean that that people who weren't able to make it for one reason another are still able to catch up. So just a few little bits of information from ourselves, a couple of dates for the diary just um coming up for G P society, um it's coming to the time of year for us to hand over um to next year's committee. So I've absolutely loved being um as presidente this year, but my time's coming to an end as, as things do we move on. So our elections are going to go live next Monday. Um And you can keep an eye out on social media for the information and links for the roles that will be making up next year's committee. Then on Thursday of next week, we'll be holding our A GM over in the new Students Union building. We have one of the rooms uh the drawing room booked there at seven o'clock as well and it would be great to see some folks along. We will do our best to run that online as well for those who can't be with us. Um But it can be a little bit of a, of a challenge when you're trying to host that type of meeting where you're taking votes and doing stuff like that. It can be tricky, but we'll do our best. And then Saturday the second of May will most likely be our last event of the year. Um And that's going to be our Makovsky is for third years and forth years. Um We ran mccloskey's for final years after Christmas and they came back with some fantastic feedback and how people found and they're really useful in preparing for Oscar exams. Um And again, we'll be posting about that social media over the next couple of days. So you can see some of our feedback and decide if that's something would be useful for you. Year threes. We were running in the morning and year four in the afternoon. One little note to say about that is we are asking if folks would be willing to help out as a simulated patient for the Oscar that you're not going to. So if that's, if your third year perhaps, think about helping out as a SIM patient for fourth years in the afternoon or vice versa, would really appreciate that and we will provide free tickets for your oscopies for that. So without any other faffing about, I will do my very best to switch over presentations um to pull which should be up and I'll just check it's working here as well. Yep. So folks online hopefully be able to see G P A Jack of all trades and I will pass over to Poll. All right. That should just be left, right. Should, so if I go. All right and how do I change? How do I change slides? Uh Oh, I'll work for you. Yeah, I have this, I'm just gonna double check it. It's actually working online. I do get live on my end. I it is up here as life. So hopefully it is working. I will double check um at my end on my phone as well, but that should, that should be free. And uh good evening everybody. Good evening someone here and too those online. So my name is Paul. Doctor Paul to my patient's because Doctor Banda Vest is not just too short, too, too long. So it's Paul. Um I am a GP who has quit the NHS and I'm here to talk to you about how multiple and diverse a GP career can be. One of the key themes of my talk will be this Fraser Jack of all Trades and it's one that you would have all heard before, but hopefully, I will give a different meaning to it to see them. I'm gonna ask probably the ones in the audience because it's easier to kind of discuss with you guys. But I'm going to ask you what attracts you to GP, just a couple of phrases would be helpful. So, can I ask you in the pink? What, what attracts you to GP? Just be okay. So kind of that uh that intimacy, uh patient. Yeah. Just Bursary. Just think uh that Dave diversity. It's a good freeze. Can I ask you to politics? Uh anything uh work like bumps? Yeah, that's a very good point. I will highlight. I think that will be another theme, but I think I know that will be other theme this season and the behind on it. What attracts you to G P? Why did you come here tonight? I've already been said to be honest. Um Well, yeah, it is interesting. It's interesting. The interesting. Yeah, that's good. That's good. Thank you. It's just nice to hear what, what would you guys are thinking because we'll summarize at the moment. So those are all very good points. So we've, we've highlighted that it, the, the diversity, the interesting aspect of it, the work life balance. I'll ask you some more questions. What deters you from GP? Because it is okay to have things from Jeep about GP, deter you. What deters you from GP? Lack of specialization, lack of special, lack of perceived specialization. I'll rephrase it okay. Yeah. Anything. OK. So maybe that Groundhog Day aspect of it. Do you think anything that deters you from GP? Nothing that tells you keep is great. That's good. We like to hear that but the media, yeah, it's hard. Yeah, G B is always the eminent the enemy we'll hear from Dr mcsorley shortly. I'm sure he seemed a different decade also. A GP was always the enemy. But yes, I agree that the media is hard to do. The reason I want to ask that is because there are some facts that I think are relevant to GP. Some, I love some I don't love but uh you ought to know some of these facts and we've highlighted a couple of them. So the first phrase is this Jack of all Trades. Does anybody actually know what the full phrases? There's more to it, you know what a bit after that is. Yeah, good enough. So the full phrase is a Jack of all Trades but a master of none is oftentimes oftentimes better than a master of one and I think that's William Shakespeare. Is that correct? Correct me if I'm wrong. But that, that, that's, that's the full phrase. Okay. So I think that's a fairly good reflection of GPS. So the Jack of all trades trades, but that speaks for itself. You've got this varied skill set. G P is wonderful for building this foundation of your skill, your pyramid skill set if I can phrase it like that. So it is varied nature. That's where the jack of all trades comes from. The humbling side of it. Is that next phrase? You're a master of none or a perceived master of not. So you need to be entering GP happy that you will not be referred to as a specialist in a particular area. That's, it's, it's quite humbling. I believe people go into GPR humble individuals. But that last phrase, I, I'd really like oftentimes oftentimes better than a master of one. And again, Doctor mcsorley's practice for a lot longer than I have, but hopefully he'll agree in saying that you are the one that ties everything together. You're the center of that spider web of, of management plans and investigations and it's you, the patient comes back to after they've had their hospital consultant appointments and some of their additional investigations done. So you bridge that gap. Some other things that are relevant to GP that you might love or you might hate is you are probably deemed an expert communicator. I would argue that is a bit that you are an expert and certainly compared to some other uh specialties within hospital. So to give you an example, you might be the individual who has to explain to her mother, why her child as well and why she should perhaps not be worried. You'll be the one that will explain to a distant relative why they're elderly mother or father needs to go into a care home when maybe they're perceived to kill two things. So far away all the time wants them not to cross that, that final step. You'll be the one that will be communicating with people in their last days of life. Those are very hard communication skills. So you are an expert communicator, don't undervalue yourself that way. Another great thing about G P is you are not boxed in contrary to what you might think the very nature place to your advantage this evening is a great talk was a great example of how we're talking about special interests. So you can do that with general practice. I think the new term is cheaper is not what has been termed as GP with extended roll, supposed to G P with special interest. There is a good earning potential to GP too much like all hospital specialties. If you climb the ladder and you get to your, your, your, you know, uh if you get to your point of autonomy, it's good earning potential, not, not exponential if you want that, you go into business. I've got plenty of colleagues and friends who are in Citibank in London, they get their 60,000 lb bonuses every year. That's not what happens in GPS, not what happens in medicine, but still you always have a roof over your head. You'll have your job security, you'll have a great tension if you live to see it. Okay. And I would argue the best thing about G P is it's the quickest route to autonomy. It's the quickest way to get to independent practice. I've got a brother in law who is currently S T A million in anesthetics. He would be the first to tell you that I've attained autonomy far quicker than he has. I've got another brother in law who is a pediatric intensive. Ist, amazing, amazing. I'm so proud of what he does is an honorable degree, an honorable career path, but he doesn't have the autonomy yet either. So NGP is the quickest way to autonomy. Uh huh. Does anybody know what film this picture is from? If it's obvious to shout it anyway, it is. John Wick. Yes. Do you know what, which John Wick? Does anybody know which John work? No, there's nothing. You know, it's don't make three parabellum. It's the dog has to give away. Okay. Okay. Um The reason I've got this picture up is because I love Connery's. Does anybody else love key arteries? Well, the internet certainly looks kind of reached. Yeah, there is a famous quote going around on social media that most of you have probably seen if you're on tiktok or youtube shorts. And that is one where Stephen Colbert on the late show interviewed Keanu Reeves. And he asked, you know, Quiano, what happens when we die? Did any of you, do you know if you know the answer to this Chiana? What happens to us when we die? A key honoree says, those who love us will miss us. And then he sits back and get an applause. So those who love us will miss us. Now, I would say that should be your motivator for carving your career path career is important. But who, who do you love and who loves you spend time with them? You can be replaced at work but you cannot be replaced at home. So that is my motivator with my career. I was thinking what would be helpful to you this evening? And I think a brief overview of how I got to where I am now would give you an idea of which checkpoints to go through, maybe which ones to avoid, maybe which ones just stay away from. But just to give you an idea of how I got to hear it all started in Bristol Medical School. I did not go to Queens. I went, I was over in England. I did not intercollegiate. It was long enough, the degree so smash out the park. Bristol. Fabulous City. If any of you ever want to go, then north of England. So that was home for me at the time. Uh, I did my foundation in Newcastle and Middlesboro. But then also thing and nonetheless, and you are a few of you anyway, are heading to foundation. So, really good luck. It's a hard time but you can do it. My, um, rotation's during F one was general medicine. general surgery. Well, technically gastroenterology, but general medicine, general surgery and general psychiatry. And then in foundation year too, I did rheumatology. I did A and E and I, I see you. So that's h do you and uh intensive care. But that was a very good rotation because it required you to be the first responded to cardiac arrests in the hospital. You were on the team that had to attend to them all. So it got you over that fear factor of attending someone who's arrest and perry arrest rheumatology. But in hindsight, now I'm extremely proud and lucky to have had not many people get that opportunity. That was in the capacity of a foundation year too doctor. So that has translated extremely well to G P because you get involved with demarche medications, demarche, monitoring chronic disease. That is a key part of general practice. But after foundation, I was exhausted, I wanted to take a break and I was craving some autonomy. By the way, something that doesn't get told to you. Often enough is in foundation, you are entitled to a taster week. So I used the taste the week there during the latter part of foundation. You one I went to Shetland to shadow a remote and neural GP. She was actually the mother of one of the finalists to The Great British Bake off in 2016. I think the guy's name is James Morton, but in fact, checked me on that. But anyway, so don't, don't neglect your taste the week, use it to advantage. But yes, I needed my break. I was craving some autonomy. And what better thing to do than to do a full time masters degree, a full time masters degree at the weekend locum in A and E for some cash dollar. So for my master's degree, I wanted to do sports and exercise medicine. Why? Probably because I'm a sports person and an athlete's through and through to my core. I always had an interest in rugby and then it became athletics and at the moment my madness lies in endurance sports. So I'm doing half. I am at next month in Galway for my sins. But that's where I find peace. The reason I mention that to you is the sports medicine masters was wonderful for opening my eyes to what else you can do with the medicine and how it can complement the G P or G P can complement it. They're kind of always way you look. So to get onto the sports medicine course, I did a lot of, I would say the sexy side of sports medicine. So I did pitch side cover for the youth academy football club at Belzberg at the time. They were premier league football club. I checked last night, I think they were relegated five years ago. So I was very shortly. But anyway, so I did the premier league football club pitch side. But for the youth academy, I also covered the uh rugby league's and Newcastle Falcons was a semi professional rugby team and did their pitch side cover as well. So that led me to get onto this course and that was a Trinity College, Dublin. This course was in credible. You got taught by experts in the field. So if you ever get a chance to do that sort of course, do it really good fun. Uh I get taught by experts in the field of orthopaedics, rheumatology, occupational therapy. I have a profound respect. Now for physiotherapists, they retain their anatomy far better than us because they use on a daily basis. So value your colleagues like physiotherapists. Uh but also you get taught by high profile sports and exercise medicine consultants within the field. So we got taught by Kieran Cosgrave who is the rugby, the the rugby union doctor for the Irish rugby team. And you often see him around the pitch really, really nice guy. The course is extremely helpful if you want to learn about how you can carve a career within sports medicine. So I have a friend. Her name is Eva. She did her sports medicine masters in England, but did it part time through Bath University. Whereas I did it full time 3 20. And she has complimented it now with GPS. Oh, by the way, she's a G P in Cambridge and she now works as if the female, she works for the female rugby union team for England. So how are facing the under eighteens? But uh the female rugby squad? So that just shows you another really cool thing to do. A sports medicine. I had always envisaged I would use the sports medicine masters to after GP enter the sports medicine consultancy, higher specialty training route. And that's where I'm going. I can't ask them, can answer some questions if people have questions about this at the end. But it would have involved going to England for four years. And then, uh after you see C T and G P two then ultimately become a consultant. Sports medicine. Fast forward. Three years, I did not get on that training program. I did apply. It's extremely competitive, but when one door closes, another one opens. So with my current mindset, I'm so glad it didn't pan out because actually I was settled in northern Ireland, my wife and I would have required going back to England for, you know, for reasonably semipermanent. But nonetheless, So that's what I envisaged. What I actually ended up doing then was as planned. I did uh did my GP training and just a brief summary that's, that's a year and a half of hospital rotations and a year and a half of being in general practice. The different thing I did is at the end of my or the last year of my GP training, I did a Sue Nimda uh medical Leadership program. And I felt that was important because as doctors in healthcare, we are leaders, whether we realize it or not. And this type of cause really highlights the power of your voice as a leader and the positive impact you can have within the wider team and organizations such as the NHS. So that was, yeah, that's G P training. August 21. I was let loose. I started my work as a locum GP cross the whole spectrum of locations in northern Ireland. I did do a shift to a Doctor mcsorley's practice. I working out along for a good bit kill kill were on point in Lisbon ported down all over the place. And that's really important because working at all these different practices shows you how many different ways you can do the same job and how different practices are run and then you start to work out what type of practice suits your character and personality. One. But the other thing I started that year, which I've continued up until now, which I would argue is one of my special interests is I work in the G P out of hours. And that's for this, for the, for the Southern Trust, the Urgent Care Center. And as I said, I've continued that to date the year after. So it was summer of 22 I secured a G P salary role in my dream practice. This was the one I trained at Nestea three. This is one point Summerhill surgery, wonderful, wonderful people and role models as G P partners, great receptions and wonderful clientele. That was also the year that I started another one of my special interests and that is working here in the anatomy department in Queens. So I teach anatomy as one of the demonstrators, I'm sure you were all taught, taught at two demonstrators too. But I'm not one of those demonstrators who teaching that to me. The 1st and 2nd years, most weeks, generally on a Friday, I can't make the Wednesdays that I still continue. But I said you at the start of this talk that I quit the NHS uh during COVID, I witnessed the evolution of digital health, I witnessed the evolution of how aspects of healthcare can be delivered virtually and tailored to the individual. I wanted to become part of that, that evolution just grabbed my attention. So Christmas gone, I decided to quit my dream salaried GP roll. I quit that and I moved to working in industry now I've joined a direct to consumer company. So this is corporate. We always hear that word corporate. What does it mean? Well, I'm now in that corporate, what I'm now learning is how businesses outside of the NHS are on how teams in corporate companies work together. And I learned about the organization and the leadership structure within the healthcare company. Southside, the NHS. And it is exciting. There is a lot the NHS can learn from these companies. So as a little summary, that last line in the yellow box highlight what my so called special interests are now, but it's essentially a portfolio career. So I work in digital health most days of the week I work in the general prac G P out of hours. That's what my, my, my clinical aspect and it has its own slant on JP compared to day practice and I teach anatomy here I quit. But there's one more special interest that I value and that's life and it is okay to have an interest outside of your career. It's okay for your life to be a special, interesting. So these are aspects with in my life that I value and you will all have your own cause that you value. So I value my wife and she's supporting her in the, in the audience today. A beautiful wife. I value my family and I'm lucky enough to have a family I get on with. I'm actually friends with them. Not everybody's not fortunate position. But for me it's something I value. I value my dog. She's emotionally unstable and she embarrasses me all the time. Rhodesian Ridgeback. But I value her and I value of an endless vat holidays we've had. Hopefully I'll show you a picture in a moment if it loads. Right. But I value that actually run a little youtube channel. I'm not gonna plug it here because I'll be unethical. but it's, it's in its infancy. It's just for a bit of crack. And as I said to you earlier, my form of madness is probably the exercise. So wish me luck next, next month in my half iron. But we have a baby on the way and that was another special interest that will hopefully come our way. So my wife's 20 weeks pregnant and I'm dead excited. Actually, I'm gonna smiling face for those two council. Come on. And these are some pictures of us like being a special interest. That tough picture is us trying our hand as a family growing potatoes this month last month, actually, we harvested do ton and I think that's pretty good. Two ton of potatoes is not bad should have brought. So I would definitely have had enough to give them in the audience tonight. Bottom pictures of us enjoying our Camper Van holiday in County Formula. And there's the picture there baby all being well, I want to bring it back to Keanu Reeves and what he said, those who love us will miss us. So spend time with those who you love and those who love you or you don't have them yet. Spend time finding them. Thank you. Yeah, thank you. Thank you. Thank you so much Paul. Um Any questions in the room for Paul on sports and exercise, on having what I think, I think we quite, quite quickly perhaps forget, especially in the being wrapped up in five years of medical school that there is a life outside the job um as there is with everything as well. Um Anybody get any questions at all. How did you find your latest job? Like how did you fall into that market? So the question was for those who are at home, how do I find my latest job? So I such on BMJ careers. Um Lincoln and these places are important platforms through which to look for these things. But it's also you learn about what, what else is out there and you learn about how to chase and carve your career accordingly, but it couldn't have happened without GPS. My foundation. So I am by Traded GP. But I now work in digital health. Yeah. Yes. In industry. Uh like for us, even whenever say you are an industry, you're practicing aesthetics for seven years and you're still ever considered an expert. And when you get the industry, even though you've been in G P for a relatively short period. Of time where you still seen as like qualified not to be given in film. And he's always been this like to be thought of leaving it. And she has, we always think of ourselves. We don't really knew that much outside of healthcare. Yeah, I think that last bit that you mentioned is a good point. We don't know much outside healthcare. And uh it's sadly, we can be indoctrinated to think that the only route we take is this conveyor belt within a specialty and you end up at the other end, your consultant or your partner. And it's, it's like these are honorable career paths. And I, as I said, I've got family members who are in these respective career paths and I would want no one less looking after me if I was ill in one of those ones. But there is a big, big, big world outside of the NHS as well. So, are you deemed an expert within that? Well, depends what role you're going for. Ultimately, you're not gonna walk out of one job within the NHS and straight into a company they want experience. So this is where linkedin is extremely helpful. You start to learn, what are they looking for? Oh, have you got a years' experience working with pharmaceutical? Have you got a year's experience of working with a director consumer company? Have you got experience in B two C and B to be? These are not words? We, we're used to hearing, but it's the experience side of things. So I was lucky to land on my feet with this particular role with where general practice lends itself extremely well because of the varied nature. But that's why I'm such a big believer in general practice. Still being a very, very good route because you've got that great foundation and you're very broad. We do have skills were big skills just, just root for yourself under our uh academic called The Blessed because an industry, it's, we're always are efficient and you want to do that sort of thing of phds also prerequisite for love things. I've wasn't as much. Uh hmm So the question is about, is it prerequisite to have some of these additional like phds or additional qualifications? Yeah, like a medical degree. Uh It certainly is and it, it depends again on the, on the avenue you're going down. So when I say industry that is in truth, an extremely broad umbrella to so my little subset of industry is within digital health, but you've also got the pharmaceutical industry, you've got the marketing side branding side, you've got medical writing is big parts of that. And some of them might not even require you to be within a certain field because ultimately, it's what the experience do you have, bringing, bringing to the role. And that's why yes, you may be a consultant, but you're not gonna walk out of being anesthetic consultants straight into being a senior member of one of these companies because you don't have the experience they're looking for. So a lot of the times those qualifications certainly help. I wouldn't say that they are a prerequisite, the experience. That's where it lies the experience. Any other questions in the room or all night? Just double check online. Nope, there is one uh have you have within this digital health company? I'm going to become the sports lead, particularly the endurance side. So this is a great example of how the sports medicine masters, it's not going to waste. It showed me, I love anatomy and now teach anatomy. It showed me that I enjoy uh sports science and exercise prescription and that's what I'm not going to try and develop within this company more the sports lead. Yeah. Thank you so much, Paul genuinely, really appreciate everything you've said to us both from a career point of view and also from a holding onto an aspect of life point of view as well, which is something that is certainly very, very important. I'm just gonna get the computer up and working here again for our next presentation. Super with me. Two seconds. All right, check. That is sure online. Hopefully, folks can see presentation entitled General Practice at large in my working life. Um And from, from polls um, career that is looking at so many different specialist interests and having so many different strings to his bow. So early in his career, we moved to Doctor Fred mcsorley who has given me the instruction to mention a 40 year career in general practice. Um And we're really, really looking forward to hearing from you, Doctor Messori. So, come on ahead, Fred. Thank you. Certainly. So, yeah, for sure, for sure. Good evening everybody both here live and obviously um streaming for their field.