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Ok, guys, I think we'll get started if that's alright with you. Can everyone hear us, by the way? Could you probably yes in the chat? Amazing. Thank you, Mara. It can everyone hear us or is that, is it, is it just more who can hear us and no one else can? Ok. Fine, perfect. Thank you. Can I get started? Yeah, so welcome to prepare for practice. Um This is another teaching session and today it's gonna be on the E portfolio and career planning. So it's split into the two sections. The objectives are basically how to use portfolio, which is something that you're gonna have to get used to when you start F one F two and beyond. Um And that's something that's gonna discuss and talk through. And the thing that I'm gonna talk through is talking about pathways and training and other career options that you can do with your medical degree inside and outside of medicine. Um So basically, yeah, so what do you know about what you wanna do? Do you know what you wanna do after F one F two? Is that something too far ahead? Is there anything that you want us to specifically touch on, just put anything in the chat whilst we're discussing and we can always go through and go through the questions at the end. Cool. So I'm ZA, by the way, this is Chloe, we're just going to start by talking about the process of building your portfolio. Um This makes it sound a lot more dramatic than it is. Um It actually, to be honest, there's always going to be a little bit of a mad rush at the end where you try and make sure that everything's all, you know, all done. But to be honest, a lot of it happens relatively passively over the course of the year. So I don't want you to panic. Um You're probably pretty familiar with the process of filling in your portfolio from medical school. Does everyone here? Have you had portfolios at medical school or is this a new thing for you? I'm gonna see. Not then um basically you have to document everything, not everything, but a lot of what you do and achieve while you're an F one doctor. Um It's obviously great to have all of your achievements in one place and then you can use it, you know, it's good to have yourself. You can download it at the end of the year and you can use any of that useful information when you're applying for various jobs later on. But also um thank you Danielle. Good to know. Um But also to be honest, the long and short of it is you have to do it. So it's good to get used to doing it. Now. Um Is everyone familiar with terms like mini CC CBD tab? Does that ring any bells or is that all new terminology? Cos I'm probably gonna bring them up a bit in the session. Ok. Cool, fine. Um So the brief summary is that a mini CEX is basically when you interact with a patient, you know, you take a history, you know, you patient contact is important with that. A CBD is discussing a case. So something that happened, but it is not necessarily happening now and you discuss it with a senior and then things like cabs are you get feedback from other members of staff. Essentially, it's just a way to collect data about all the different things that you do uh as an F one doctor, these are the basic pillars of portfolio entries. So kind of like what we've just talked about. But also those things called dos, which are where you perform a clinical skill and the supervisor watches you do it basically and then signs off a dos. So that could be anything. You do a tricky cannula. Nice. You do a not tricky cannula also. Nice. It depends on who your supervisor is. Um cool. Um But essentially any clinical school you do if you know if you have a really nice S HL one senior and they want to let you on surgery. I mean, and they, and they let you do an incision and drainage or something like that. That's a great option to get things like this. Uh Oh yes. These are the portfolio requirements for F one. It's pretty horrible to look at, but it's important to remember that you do actually have 10 months to get all of this done. So, although it looks like a lot and it is a lot, 10 months is a long time. I promise you can get it done. Um It's overwhelming like there's no two ways about it and I'm not gonna pretend it's not. And on top of everything else that's new and scary while you're starting a new job. Um It's not something that you want to go about. Um All we want you to do basically is have a skin get familiar with the portfolio requirements and then don't think about it for the first month or so when you've started your job, because you want to be dealing with all the other things that come up. When you're starting a new job, you want to get used to the process, you want to get used to your seniors, you want to get used to the environment, all of these things and then your portfolio can come later, but it's a lot easier to get your portfolio done properly if you're focused about it. So understanding what you need to do is really helpful. I'm not gonna cover it all in extreme detail. Cos you'll get familiar with it over the course of the year. Um But there are three HL Os basically that you need to demonstrate that you've achieved and all of them are split into several subsections. I literally can't remember what HL O stands for. Can you remember what HL O stands for? I think it's something learning objective, it might be higher learning objective. Cool. But essentially the HL OS are the big families of competencies that you want to demonstrate. And then within all of the HL OS are FP CS which are smaller individual things that you need to demonstrate your competent with. Um HL 01 is basically want to demonstrate that you're competent. Uh So you have the skills, the knowledge and the experience to be a good doctor in a variety of different clinical scenarios. HL O2 is you want to prove that you're a valuable team member so you can communicate well with your colleagues and you can maintain standards and that includes your own standards, but it also includes the standards of your team. And HL 03 is just being essentially being a professional. So you're committed to a career in medicine and you're willing to spend time planning both in work and out of work and what you're gonna do. And that doesn't mean you need to know exactly what you want to do. They just you want to just demonstrate that you're exploring. So that might be taste days, that might be um going on just doing some ele that might be going on a little course. There's all sorts of things you can do to demonstrate that. Um And like I said, all of these are cut down into a bunch of little FP CS, there's 13 FP CS total and I'll give you a brief overview of all of them. Now, er don't worry about committing all of the details to memory. This is basically just to make you aware that there's a variety of things that you need to contend with. Does that all make sense so far? Co perfect. So, HL 01, you want to show the examiners that you are competent. C one is you want to show that you can assess, obviously, assessment is a massive part of the job. You want to demonstrate that you can assess patients in acute settings in non acute settings and community settings. And that means assessing them medically. So things like history and examination that you're all very used to, but also exam, but also assessing them holistically. So you want to demonstrate that you understand um their sort of wider needs and whether they have sort of spiritual social needs as well. Um Probably the trickiest thing that I found in FBC. One is the commu is demonstrating community focus. A lot of people don't have community jobs in F one. So you have to get a little bit creative with that. You need to sort of do things like maybe I don't know, discuss a discharge summary with a GP or work out or work with um whoever is organizing discharge be that like OT S or whatever to, to work out what exactly a patient's needs are. And then that can count as assessment in a community setting. F PC two is you can prioritize and treat, which leads directly on from F PC one. You want to show that you can identify patients who are unwell if that's the biggest thing in F one. But you can also initiate the basics of treatment in an emergency situation and you can escalate them appropriately. Part of that is going to be sort of in vivo at work demonstrating that you can do these things, but also um they want you to demonstrate that through um simulations as well. So chances are you um uh your Deanery, whichever hospital you're going into is gonna, is gonna offer some simulation sessions as well. FB C three takes that little holistic bit from F PC one and kind of blows it into a whole FBC. You need to be able to understand that each patient is an individual. You want to make an effort to understand all of their sort of non medical needs as well as their, as well as their medical ones. So you can do a nice little CBD or a mini about a time when you, you know, a patient came into hospital, you know, maybe a geriatric patient comes into hospital and you kind of realize that it's not really medicine that's brought them in. It's something social that's quite common and jobs like AM U and A&E in particular, but you'll get opportunities to sort of demonstrate holistic understanding a lot. Um F PC four is basically, you can explain things to patients and you can offer advice as necessary. Um You need to be able to explain treatments in a way that's accessible to patients. Uh And you need to be able to explore the rationale behind new treatments. Patients are gonna ask you why they're getting yet another pill all the time. You have one of these discussions and you get that signed off. That's F PC four and then FP five is F PC five is maintaining continuity of care. So handing over taking handovers, things like that, that's a big part of the job, but essentially just ensuring that all your patients, the quality of care is maintained outside of working hours as well as inside them. Does anyone have any sort of burning questions about any of those? Do any of those not make sense? Cool. I'll take that as that everyone's happy. If anyone comes up with a question at any point point, just pop it in the chat and we'll get to it. Uh HL O2 is the sort of second family of FP CS. Um And you just basically wanna demonstrate that you're a valuable team member, which is as fluffy as it sounds, it can be quite difficult to demonstrate this, but there are some concrete ways that you can do it. So you want to demonstrate that you can maintain standards and that means correcting your own mistakes, identifying mistakes that happen, you know, that other team members make and sort of dealing with them in a sensitive way. You want to demonstrate that you can communicate with your team members and that you can take charge and lead when necessary. I know it feels a bit silly because you feel like the baby sometimes on the ward is an F one, but people will still look to you for advice and for suggestions and to take, you know, leadership roles on at certain times and doing that will be F EC six um F PC seven. I can look after myself. It sounds stupid and to be honest, it is difficult to demonstrate this. Um But essentially it's more of them trying to prove something to you than the other way around them. Putting this in the portfolio is meant to be then demonstrating that they care about F one's kind of mental health and things like that. And you just want to basically show them that you've made a bit of effort. It's a hard job and um you want to show them that you're making an effort to look after yourself. So whether that is by doing a bit of e learning about your own mental health, making sure that you're aware of your limitations, you're looking after yourself and so that you can better look after your patients and by reflecting on difficult experiences and building on them, that's all in FBC seven. F PC eight is working in line with the values of the NHS essential also very fluffy and very similar to F PC six. But you basically want to demonstrate that you can work effectively within a wider system as well as in your immediate team. So F PC six is all about how am I interacting with my team members on my ward or in my team? Uh And F PC eight is um how do you work within a wider system? Like I'm off ill, how am I going to arrange safe cover? Um You know, some errors have happened, maybe that are more sort of systems issues than individuals issues and you can incident report those and you can use resources efficiently and stuff like that. Uh FBC nine is essentially your Q I that you actively work to improve quality of care. So everyone needs to do something Q I related in your F one. I haven't completed AQ I during my F one, but you just need to demonstrate participation in one. So that will go in there but also, if you, I don't know if you provide some feedback about something that you don't think is working and then something's implemented that improves it. That also goes in F PC nine and then F PC 10 is basically just showing that you can teach. So I don't know if this is true everywhere, but our hospital gave us the opportunity to do a little teaching session to our peers. Um And that was a good way to get that signed off. But also you're gonna have your own medical students on the wards. Sometimes they might want a bit of teaching if you can get some feedback off them or you can get a senior to sign you off for, for delivering some teaching, then that's also a great way to get a PC 10. Um Everyone happy so far. Great. I know it's a list. I'm acutely aware that it's just a list and I'm really sorry. Unfortunately, the reality of it is that it is a list. Um, it's a big checklist of all the things you need to get done and it's not the most exciting thing in the world. Um But I think it's useful to have at least heard of it once or twice before you start the job because, you know, we've just been through the last month portfolio and if you haven't been on top of it, it does suddenly occupy a lot of your brain. Uh I'll tell you that So HL 03 just has three FP CS in it. Basically, you want to demonstrate that you're a professional, um which means, you know, you're doing, you're committed to a career as well as a job if that makes sense. Um So FBC 11 is, may be the silliest of all in my opinion because doing all of it demonstrates that you work in your portfolio. But FBC 11 is basically, you've got to demonstrate that you engage with your portfolio and you provide feedback when asked for it. So for example, towards the end of the year, there's the big, what's the word, the GMC survey that you have to fill in that where you give feedback on what's gone well in F one and what could be improved and you know what's going on with the training and what differences could be made and that goes in this section. But also you can put in things like your meetings with your supervisors and stuff like that to demonstrate that you're engaging with the process in F PC 11, F PC 12 is you're responding well to feedback and learning through experience. So things like your tab, you're going to get probably decently good feedback by and large because part of it is that you're kind of selecting people that you think will give you good feedback, but you're going to get feedback all the time, people are going to constantly be going. Oh, well, that was good but you know, this could change next time. Or maybe you need to work on this a bit and you basically just, you can get CBD S and minis and dos and things signed off where seniors give you feedback and you maybe write a little reflection about how you're going to take that on in the future. And that all goes in F PC 12. And the PC 13 is basically, you just want to demonstrate that you're not coasting. You don't need to know exactly what you're doing when it comes to a career in medicine, as we're gonna talk about in a minute, you definitely need, don't need to know exactly what you're doing. You just need to demonstrate that, you know, it needs planning. So if you do a couple of taste days or you again, do some ele or you attend some teaching sessions about career planning, that's all great that can all go in F PC 13. Um So the good thing about this all is that it's not just one F PC per piece of evidence. So actually all of your evidence ie every CBD, every mini kicks, every dot S can be linked to three different FP CS. That is a maximum, you can link it to fewer if you want. But I recommend all of your uh all of your piece of evidence be linked to three FP CS, which is why it's so useful to know the FBC S. You know, relatively back to front because then you can, instead of just doing random CBD S and trying to allocate them later on, you can go, right? How can I get an efficient CBD here, which covers a few different FP CS. So for example, you see a deteriorating patient on a surgical evening shift, you do what you can and then you escalate your sho and then after your sho is given you a plan, you enact it and then hand the rest of the plan over to the night doctor. That's FP CS 12 and five. So you've demonstrated that you can identify an unwell patient, you can um uh you can escalate them to your senior, you can treat them appropriately and also you can contribute to uh ongoing safe care outside of hours. Does that all sort of make sense? Can you see how that fits all of those? And then just another very quick example, um if you, for example, witness a medical error at work, you discuss it with one of your seniors and then you put something in place to prevent it in the future, ie you put up a poster or you just have a chat with the staff, um to sort of say, oh, like I understand how this has happened and the way to fix it is by doing this, then you get a sign off for it that will cover FBC 68 and nine cos you can demonstrate that you can maintain standards, you can escalate appropriately, er and you can put, and you can improve quality by putting something in place to prevent it in the future. So the long and short of it is because you can link to three different FP CS with each piece of evidence. You want to make sure that your entries are focused for those of you who did portfolio work at medical school. It was definitely for us. I went to Bristol. It was kind of basically all about numbers. It was like, right, how many CBD s have you done? How many mini texts have you done? Et cetera? It's not really about numbers anymore. It's about evidence. So you want to link to each F PC, maybe seven or eight times minimum maximum of 10. But sort of you want to get a decent body of evidence for each F PC, which means it's really helpful to know what you're looking for. And before each CBD mini text dot reflection DCT, whatever you're signing off, think about what you're evidencing. Go. How can I make this situation work as a CBD mini CEX, et cetera. And before you even ask for it and before you even write, sit down and write the CBD, try and work out how you're gonna link it high, what would you say is a good level of evidence for an F PC? Um So it really depends, well, to be totally honest. With you. Um I'd say for HL 01, you generally need a higher quality of evidence than you do for HL OS two and three. Essentially, the quality of evidence gets, you know, gets worse is the wrong word, but needs to be less focused as we go forward just because HL one is kind of all about being a doctor. It's like this is how I do my job. So for example, a good piece of evidence from FBC is you detail a patient encounter, you explain exactly what the presentation was, what you did about it. Um And you know, the tests you ordered, why you ordered them um not in extreme detail, but you know, give an outline of the situation of what you did. And then that will be good evidence for, you know, FP CS one and two. But then as you get down to sort of FP CS 1112, it becomes more about maybe sitting at home and writing a reflection about a situation and trying to work out um how to wrangle it basically. Does that sound fair or not really? Yeah, I think so. It's really hard to get evidence for a lot of things um near the bottom. And I think that's where reflections really come in. Um especially for things like proving that you're helping yourself. And like you're looking after yourself, most of mine were reflections really for that about situations where things went wrong and what I did afterwards. And there's also um E LF E LF where if you go on horrors in the portfolio section, if you click on a button that says E FH and you link it, if you have any evidence for F PC that I'm missing, they recommend teaching sessions that fit in the F PC. So that's a really good option where if you're looking at an F PC and you're like, I've only got four pieces of evidence. I need to pad it out. You can do one or two teaching bits on E FH link it and it will count as another bit of evidence to just pad it out. Yeah. So the long and short of it is there isn't a correct answer to that and I wish there was, it would make our job a lot easier when filling in a portfolio, but essentially give as much detail as you know, as you can without giving away patient information and you can't really go wrong. II definitely don't write down names and M RM and all of this, but essentially just outline what you did and what you learned from it and that's going to do you for every single F PC. Does that make sense? Uh Marwa, I'm gonna go straight ahead and say I'm gonna, the II don't think I personally am equipped to answer questions about specific residency programs. Um I am a not very surgical and b definitely not very neurosurgical um but there will be list, there will be checklists online about in terms of applying for surgical specialty training and what kinds of things you need to complete for that. I know that for example, they're not very keen on time out. They're also very keen on getting taste todays done. They want you to see a certain number of surgeries and participate in a certain number of surgeries. So scrub in as much as you can. Um ta days are going to be big for you in neurosurgery, I think because there aren't many foundation neurosurgery jobs. Um but just get your name on Qis like Hound Neurosurgeon and see if you can get just be an eighth author on a paper, just stuff like that. Just try and get yourself in there in terms of effectively networking when you know what you must know what trust you're going to at this point, just start sending emails it. I think it's that simple. Just start sending emails. Yeah, that's fine. That was a much more focused way of saying that what I was saying. Thank you so much. So, the summary basically for this section is it helps to be familiar with what's required of you. Um It's not um it's not always simple and as such, you wanna get started early but don't get started straight away, you've got enough to think about, you've got a lot to get used to and you've actually got a lot of time to get this done. Um filling in your portfolio right now when you don't understand it fully can create a lot of work for you later. So, what I recommend you do is you spend a bit of time now, maybe familiarizing yourself with Horace if you can. Um There's lots of information about the different FP CS and stuff online, get used to what they want from. You get used to what kinds of things you want to be looking for to get checked off and then forget about it for a month. If you're really keen, forget about it for two weeks. Let yourself get used to the job. It's difficult to move across the country. It's difficult to start working. It's difficult to take on the responsibility. Remember that, cut yourself a little bit of slack and then when you're in the job, when you kind of understand the basic processes of it, then start portfolio hunting. Yeah, I know, I know medical students quite recently was one and you're all maniacs and you want to get on top of it right now. Breathe, it will be fine. You've got 10 months to do it in, let yourself settle in and then start hunting. Yeah, cool. So, um, we're gonna move on to the second part of the, um, teaching session, which is on career planning. So basically this is the progression pathways and I'm sure some of you might have seen this diagram before and basically it's how you get from day one medical student up until being a consultant. So here you have your medical school, you go and do 464 to 6 years of that. And then afterwards you go and do your F one and F two foundation years. So that's quite rigid. And we all have to go and do that after that. That's when we get into specialist training and this is when you split off and do what you want to do. So here we detail the progression pathways, but obviously, you can always do an F three and F four, take time out, do whatever in this time. But if you were to progress, you would be going through three pathways, three main pathways. So the first one is, it says at the top ST one to ST eight, run through training. So what this means is that some specialties offer run through pathways um which are detailed on the side, on the side. So things like ops and Gynae ophthalmology, public health radiology. Um obviously, we're doing this in 2024 and when you guys get to go into specialty training, it could be at various years. So always check and do your research before cos it, things might have changed by then. But essentially with run through training, you apply for the pathway, you get an interview and then you get selected and once you get selected, that's it, you're gonna go through the training and at the end of it, you will be a consultant if you pass through all the years. Um So that's quite attractive, obviously, because you only apply once and once you get it, you get it. Um The second one at the in the middle one says GP training. So GP training is a lot shorter. It's 1 to 3 years and that again is run through. So once you get your GP post, that's kind of it, you just have to go through the training and you get to be a GP at the end, the last one is split into two and this is not run through training. And most specialties actually fall in this category where you have your core training first and then you go into a specialty training after. So what this means is that you first apply for your core training, whatever that is I MT surgery A CCS um and other bits. And then after that, after you do your core training, you have to apply again to go into further training into specialty training basically. So this means as you're going through two rounds of application processes, two rounds of interviews, you might not get a job straight after core training into specialty training, you might have to take time out, do other things, get trust grade posts. So with this sort of training, you might take longer than eight years because it might be harder to get that job first time round basically. So all in all what this slide means is that if you have a specialty in mind, then you're obviously gonna go through that training, but do be aware that there is run through training and there is bits where it's a bit more segmented, where you have core training, specialty training and that could be a bit more stressful. So how do we build up specialty portfolios? If you've got a specialty in mind, it's really useful to actually search up what the requirements are to get and score that interview. So what I would recommend is if you type in the specialty that you wanna do and then type in self assessment criteria just on Google, it will come up with loads of resources. So I've linked it two of the main ones for medicine and surgery. And if you click on these links, it basically tells you the domains that you are ranked against and how many points you will get for each thing. So the main things that they look for are things like, have you done any trust grade posts or any jobs after foundation training? What were they? And how many years you'll get points for commitment to specialty? So, have you done any taste todays? Um Have you done any projects um audit secure projects also get points. Sometimes they give you points if it's specific to the specialty and in other specialty portfolios, they don't care as long as you've done something. So I would read up on that just to make sure you don't put all your effort in audit or qi project and it turns out you don't actually get points because it's not specific to that specialty. So have a read on all of that. Um You can also get points on teaching. So, yeah, different teaching levels. So if you teach on a very small scale, you get a few points. If you teach on a very large scale, you get a lot more points um and also leadership roles. So something that's really easy that you can do is try to apply to be a president, that would be a leadership role and that would get you some points on your application as well. Um For surgery specifically, you need to start getting scrubbed into surgery, assist in getting involved in cases and a good way to log how many cases you've been involved in is a logbook online and it's called E logbook. And the website is E logbook.org and this is the logbook that all the, all the surgeons still use. So you can use it now and you'll use it right up until your consultant. You'll still log in all your cases. Um Sorry, President, what can you repeat that, please? Yes, of course. So, um a good and not easy but quite um a straightforward leadership role that is quite doable and manageable has been a mess president. So every hospital will have a doctor's mess and if you haven't active doctors, well, every hospital should have an active doctor's mess and they will have different roles and that's how you can like run the mess. So for example, get events for all the doc, all the junior doctors, social events and also getting food for the doctors. So when they do out of hours, a lot of the times on weekends they organize food. Um and yeah, a lot of social events inside and outside. So you have payday parties as well. Um So being a S president is a great way to be involved in a leadership role and that could get evidence and you can get points for your portfolio when you try and apply for specialty training as well. Does that make sense? Yeah, perfect. Um So basically this is just how you would go through it if it wasn't a run through. So there's different steps and stages and unfortunately there's applications and exams at all of the stages is rubbish. It doesn't go away, believe me. I wish it went away. Um But essentially like Chloe was saying most of the time you're going to have to do a couple of exams. Yeah, that actually reminds me of things. Um So for example, if you wanna go into um A CCS training to be in acute medicine EDI tu anesthetics, they give you loads of points. If you do one of the exams, the M sra so have a look, um, and see what, what would give you points because in exam it sucks. You have to do it but it'll get you points and it'll get you there. Um, and a lot of the time if you score very well on those exams, that would also give you a good chance at having an interview, even if you haven't scored 10 out of 10 or whatever on all the other um rankings. So it's worth doing those exams. So what are the positives of going into specialty training while you'll be consultant at the end of it? Um It's also a very straightforward, defined path that loads of us go through and all you have to do is once you get that post, you just sort of go through and do what's expected of, you get all your skills signed off and you will get to the end of it. It's a very clear level of qualification because it's that defined path of going down. And with specialty trainings, you get, you get protected clinical and teaching time as well in built in that program. The negatives are because it's so well defined. It does mean that it would be inflexible and you can get quite constrained by rotors because you have to do what's expected. You will have to, it will be inflexible. Um A lot of them are competitive. Um And I think everything's getting competitive now, even GPS competitive. So I wouldn't really consider that as much in your application um as well as having the protected time. Obviously, clinical need is more important. So patient safety is more important than teaching time and clinical time. So even if you have protected time, that could be taken away if you are expected to um help out on the wards and things like that, um It's also getting difficult to get signed off through depression hospitals. Um But that's just the reality of the NHS at this point, there's not much you can really do about that. And I think that's kind of a problem everywhere rather than just some specialty training. So GP um and psi SGP with a special interest. Um What's good about it is that it is the shortest training pathway. So it's quite attractive in that and it's also very flexible. So you can, if you have a special interest, you can merge your GP with whatever you like. Um whether it's sexual health cardiology, anything like that, you can put in your special interest and implement that as well. So you don't have to wave goodbye to whatever specialty is that you love. Um You can work anywhere. Um You can work remotely which is also very attractive as well. You can work as an acute GP um and you get different contracts as well. So being a GP in 11 practice in one area is going to be so different to another area, you can locum, you can be a partner, you can go into more of the business side of GP as well if you're more business oriented. So GP has a lot of freedom and avenues to go down. You can really make what you want out of GP. Basically. So those are the options that you have in medicine and it can be quite overwhelming and it's very difficult to decide. But what I'd say is keep an open mind and you have a lot of resources there for you to use. So use them. Um you get given taste a day. So in F one, you get five SDL study days and you can use them as past a days. And in F two you get even more. I think you get up to 20. And what I would say is use those days. If there's any specialty that you like, then you can just email anyone and well email the person or the, whoever it is who's doing in that specialty, the consultant and the voter coordinator and just organize those days in that specialty. You can even do days outside of the hospital as well. So if you have another hospital that does, I don't know, pediatrics, something you're interested in. And there's a great pediatric hospital, you can do taste of days in that hospital as well. It doesn't have to be in the hospital that you're currently working in as long as they're happy to take you. That's something that can be organized, um, with taste days, they also count towards points because that's evidence towards, um, your commitment to specialty when you go through your specialty application. But I would read what counts as commitment to specialty because some applications say you need to a minimum of three days in a specialty as ta days for it to count as points. So make sure you read exactly what gives you points cos you don't wanna do, I don't know one day in one specialty and then you try and get that as evidence and they say actually you don't meet the minimal requirements, that's no points. So I would read up on how you can maximize your taste days to get you as much points as possible for your application. Um You can also go to clinics as well. So I know that on my rotations, a lot of consultants were saying that if you had any spare time that they'd be happy for you to join clinic and you can see exactly what it's like to be a consultant in that specialty. That's some, that's something great that you can do as well. OK. Just buying it. Um And you can also do locum and trust post as well. So as an F one, you're gonna be limited on how much you can locum, um, locum and trusts is better for F two and beyond. So you can locum as an F three, for example. Um And that would be great to get into specialties that you weren't able to do as an F one and F two. So for example, anesthetics or pediatrics, they're very limited for F one F two roles. So that's something that you can do beyond that. You can also do time out of training. If you need the time out of training, I would go straight to your Deanery website and look at the requirements to do time out cos it all depends on what deanery you're in. But if you need the time out, it's there for you to take. Um and you can also go abroad. So some deaneries, for example, our Deanery and seven, they let you do an F two abroad as long as you meet F two requirements. Um Also an F three in Australia, New Zealand is very popular that will always be there. And I think the main thing is just talk to your seniors, you're gonna be meeting loads of people when you start working and you'll see people in all different pathways, all different specialties. If there's someone in the specialty that you're interested in, just have a chat with them. And I'm pretty sure they would love to help you out and give you some advice. So that's all the training in medicine without alternatives to training. So again, locum, you don't have to, oh, locum, we kind of touched upon it already. So you are your own boss. Basically, you have freedom. You can locum for six months, travel for six months, you can do anything. Um you can think about different specialties, locum in, in different areas and it gives you more time for yourself to think, to enjoy your life and also to bulk up your portfolio as well. You can also be a trust grade doctor. So these are roles where you don't progress and you don't. Yeah, you don't progress through a pathway. You're not progressing up the ranks to say, but you are working in a department and you're able to negotiate your own rota, which is great. You can negotiate a lot of things like clinic and theater time and you can also do trust grades in especially like. So I know a lot of people that I met in AM U in acute medicine who was doing a trust grade post um whilst they were waiting for their specialty, training applications to go through and things like that. Um There's local work, harm specialty training application as may seem less committed. So I think it depends on how you play it. If you're lo come in in a specialty that you love, then you can talk about how you've got more experience through low in, in that specialty. For example, for surgery, they don't like it if you take a lot of time out. Is that correct? Yeah. Yeah. Yeah. Um Essentially William. The answer is if you're a surgeon, yes. If you take more than a year out, then you start getting docked points, which is a ridiculous system. But unfortunately, it's the way that it works. I think historically, surgery has been quite ridiculously competitive, so they just need anything that's going to differentiate between applicants. Sorry. Um, but, um, like Chloe said, if you do some, everyone is now recognizing that it's stupidly competitive to get into everything Apart from surgeons, surgeons still aren't recognizing that. But everyone else is recognizing that it's really, really difficult to get into special training. So doing locum work, if you demonstrate that you're, for example, applying most years or you are using that time wisely to, you know, get exposure to whatever specialty that you're, you're looking into, you using that time to go on courses or do exams or whatever, then no one's going to be fussed about that. Yeah. So echoing that if you're low coming a few times a week and then partying the rest versus if you're low coming and you're welcome portfolio doing Q I projects, doing research, doing teaching, they're two very different applicants essentially. Um But yeah, surgery is still quite old fashioned and quite fixed in their ways. Um So it's that importance of looking at that self assessment criteria. Um Knowing how many years does it take before you start getting doc points is very important as well. Um So yeah, that's trust grade doctors as well. Here any questions about that, if you do drop questions at the end of the session, and then we also have the Clinical Fellow post. So there are different types of clinical fellows. When I was a medical student, I always was being taught by teaching clinical fellows. There's also research clinical fellows, there's different types. So it's really good because you have clinical time and you also have nonclinical time to do the other thing that you love where it you research or teaching et cetera. So it's a great experience. You can bulk up your CV. Um it's 9 to 5, you can get in clinics. It's just great. Um A lot of people who do clinical fellow roles really do love it. And it, I think it is really great for application. I know that with teaching clinical fellows, a lot of them can get APG cert at the end of it. And that would count for a lot of points on specialty applications. So it's worth considering as well that you don't have to pay to do that if you're a teaching fellow. Yeah, sure. I paid for PD. And this is just this slide basically just is meant to tell you that you can do anything. So you don't have to go through the path most trodden on or walked on whatever you can do anything. So a lot of people go and work abroad. They actually want to go into academia and medical education people want to work in health policy, die of medicine. There's no limit to what you can do. So if any of those options, you can explore those options, you can explore more, you can explore things that no one else has explored. Basically, you can do anything that you really wanna do with this degree. So in summary, yeah, start taking off your portfolio early but not too early. You maniac and give yourself a little bit of time to settle in, but then start slowly and surely chipping away at it. If you think a situation would fit a couple of FP CS, get a CBD signed off if your sho runs out of the room and you don't see them for the rest of the day as sometimes happens, send them an email, it's worth chasing these things up. You've got loads of time, but start chipping away at it and you'll have a chill year also. Um the importance of just researching that self assessment criteria and that's for your specialty applications in advance. You can start almost using it as a checklist um and planning what you wanna do and achieve by F one by F two by F three, take an F three year, for example. Um You can also consider alternative routes. You don't have to go straight into specialty training. In fact, you don't have to go in special training at all if you want to just stay at EO 405 plus loads of people are doing it now. Um And you can even consider time out and I would talk to your educational supervisor, um, which you'll get allocated, um, about that and also to your deanery as well. Um, if you're considering taking time out for whatever reason, personal or health reasons, um and it says evidence, I'm assuming that is collect evidence for your portfolio. Yeah. Yeah. Again, you don't need to know exactly what you're doing. But part of the technique is wrangling the experience, you have to make it look like you had a plan all along. So get exposure, you know, go over a couple of taste, try, try and use your taste todays. Um Even if you're not sure what you want to use them for use your taste todays, you wanna do a medical job but you're not sure which one just do rest or gastro or cardio. No one it doesn't matter. Lots of internal medicine is essentially the same. You wanna do a CCS, think about anesthetics, think about A&E there's lots of different options, just get your day days in, it's a waste not to use them. Um And yeah, just pick up the opportunities that that um you're confronted with. Um because you can essentially put them towards any application that you're gonna, that you're gonna use. Cool. Any questions, we've probably got about four or five minutes worth of question time. Um I don't know what's going on outside. Uh But if you have any questions, then please put them in the chat and we'll answer them over the next couple of minutes while you're thinking, you're more than welcome to fill out your little, the little feedback form that's just come in the chat and apparently you get a certificate for attending. That's nice. Um So that's something you can pop in your portfolio. Yeah, and it would count um considering a medical like web of career path. There you go. F PC 1313. There you go. You're very welcome. Thank you. If there are no questions, we might leave it there. But um I'm sure if you contact the Facebook page, then they'll forward any questions you have onto us or be able to answer them themselves. So, thanks everyone for coming. Um I don't know about the slides, maybe message the Facebook page and see if they can get a hold of them. They should be able to. Thanks everyone for coming. Thanks.