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um, So, yes, we'll introduce our first speaker. This is Doctor is asking carcass. Do it. She is a course of course. Surgical trainee. Aiming to become a general surgeon. She was teaching on some of you may remember last year she was He asked me, teaching fellow. She became regularly involved with the Xs are surgical skills Flop tutor. Um, Sascha is founder also to UK. Um, the national program providing undergraduate surgical skills education to everyone. And she continues her work as an underage itching fellow at the university on is really passionate about surgery on vacation. Just part of what you have here today. Thank you very much. Task. Yeah, I'll stop sharing now. And whenever you're ready, you can take it away. That's what they find very much Diana. Think just as I'm sure my screen that has command you guys. Really? When I was a student at age and rub, I was certainly not as aware of the surgical application as you guys are especially know, even near gathering point. So well done. Everyone who has signed on tonight on was taking part in your CD's because I think being informed about what the opportunities are as well as where you congrat points towards. Your surgical career or application is great and it's it's no secret. And I think where I really start the sometimes it seems like I've been on top world looking at surgical career and put four wheels and things Onda. I almost was just a student. I can a pale back from asking questions. I felt a little bit ashamed because I didn't know the answer. And I feel like everyone around me I had a bit more were with a little bit more interesting than I did. And so certainly I think by doing things like this, you all have to be commended. This is a really great initiative, and because the answer is no one knows everyone's that seem questions. Some people may be a little bit more confident in streetwise when it comes to surgery as a career, but I think that the main thing is there's everyone's got some questions on does so much you can do as a student to start to build your surgical career on all of your opportunities. So hopefully tonight I can share with you and a few things I wish I wouldn't name, and that will certainly you're good to five years ahead of where I was, because I was saying to the team there before we come on the the coal I certainly was pulling back on a full eye, one doctor ourselves your first year level before I find that most of this stuff. So let me share some of my lessons learned. So I called this scrub into surgery. I wasn't sure what tol it's and because I really want TomKat, a Jew, into surgery as a career, but certainly to get the most of all of your surgical placements. And because I know that even though surgery does have a candle, a cerebral through the embassy to be certainly in a gym. But, uh, I want to show you the different in policeman so you can get what you get Total of thumb. So and I'm currently on Kourtney. I'm in. It'll be at the moment on did it, but certainly when I was a medical student or when I was a junior doctor, but it came to putting my portfolio together. I realized that I could have started a few years earlier on here. Some things I really wish I had known about. So how to access surgery in general. And I'll talk about some of the different ways in that you can get, whether it's the mandatory ones to yours, your placements as a medical student through the other opportunities that are there for you. Heads get the most out of your placement, so we'll talk about that. And, um, and going above and beyond the schedules and time tables that you have, how can you prepare yourself? So again? That's something that's not really explained to you. And there's a lot of expectations placed on medical students know, But I don't think people really tell you what was expected. Okay, how can you look all of the various experiences that you're getting so again? That's something I I sadly didn't know until I was. And if I doctor and But how can you log these experiences on reflect on them? Because reflection is such an important thing these days, then, ultimately, what it all leads up to is how you demonstrate your commitment to surgery, and that is the buzz freeze. Is this commitment to surgery. It's got its wouldn't eat a in the portfolio in terms of marks that you can get on is actually only can have been in the last couple of years. I think was the kind of commitment to surgery part of the portfolio. So I'm gonna hopefully tear doing the body or so that and explain to you how you can get It was points. So how to access surgery from the beginning. So there's opportunities throat the NBC be. I'm a new on the list because you guys, I imagine I'll be baby. A stage is between your first year old way through to your six year on. I looked. The surgical specialties are the monitor strip are old back, So the things I can certainly remember was doing told mine orthopedics. That may be one of the first placements. I got one of the first clinical surgical placements I had obstetrics gynecology. Of course, the got surgical aspect of that general surgery might my favorites am and then you got urology ent in Pete's. It may looks like the different what you guys do know, but something that was for the surgical but the surgical placements that I got a part of my NBC HB I think one of the most important things I should say to you is you guys will certainly Ms start maybe a year, maybe slightly longer on actual clinic replacement. So, please, if you've missed any of these, do not feel like you will never gets expedience until you're and graduates. If you really want a placement or sometime in any of those specialties, contact university or just contact a surgeon in that specialty, whether it's in any of the local hospitals or hospital is in your home for you and just see how can you are and that you want to come in and explore this and certainly using prove it is a bit of an excuse me. I missed this placement. Can I please commit injured at the taste, recession or some work experience? Everyone loves the key. Medical shouldn't. So if you can put together a nice email or introduce yourself well, that I'm sure someone will be very happy to help you along as the season work experience, a really good way for you to get further experience in surgery and some of the other specialties that suddenly I didn't get access to a student or vascular plastics, ophthalmology, surgery on also new to searching. So those were things I experience more. Once I was a foundation doctor. Um, so using your essay Cesaire. Really good way to explore different surgical specialties. So have a look at those, um on. It's a good way to explore. So those come or and some special taste in surgery. I think the key message from the slate is to explore surgery, and it's broader sense. I had a lot of colleagues and friends going to university who direct every single part of their life. And they're surgical exploring into one specialty. No, that's okay if you are born to be a pediatric surgeon or a notice urgent. That is great for you, but well done. But do I would see keep things broad because it is natural to change your mind on. But I know a few colleagues at this stage night, so I'm five years graduated who have built everything there hopes and dreams and one surgical specialty, and for one reason or another, the between to their mind and they're know thinking, Gosh, I need to start to the beginning again you're doing, but I would definitely encourage you guys to look at things broadly and because there's so many great surgical specialties out there, I always get asked. What do I look for in a medical student before is the best we that medical student can portray themselves. What can they do to really get engaged in their placement? So I've given a few ideas here and there. I wasn't the back to medical student. I wasn't the perfect medical student, so I probably can't say I can't preach too much. But here's the things I know work and I look for medical students. Come to my ward, Simon. So actually show up because is your are so privileged to be able as medical students. Is the trainees to be able to come along towards want to see patients on look after people, So make sure you remember that privilege will show up and show up on time, mostly on time. I mean a really. So when you're coming on to the wards, make sure they're ready for the start time ready to go treat your schedule as the bare minimum interdepartmental to any of your placements, so look to be going above beyond. Whatever is that you're given that day or that week, I always say so. Anyone that's come around urology recently when I've been changing inductions, I always make sure everyone has access to their schedule. They opened up and they go around the room in nature. Everyone know was weird is that they're going without a very first morning. You wouldn't get Teo halfway through your placement and thank Oh, I never really knew what to do when I was going to clinic or never really knew so to find theater, Where do I find scrubs? Make sure you know these things before you start. I will talk a little bit by that shortly. But make sure you understand what your schedule means. And if you don't know, ask someone has sent it to you by email or someone has physically given it to year. I get induction, so make sure you look at it and you understand what it means. Okay, these are goldust opportunity sometimes, so make sure that when you're given schedule, you know where to go for theater. You know how to find and videos different opportunities in the department. This is our obvious fun, but sometimes it doesn't need to find it. Know you're learning outcomes. So the very beginning of the year. I know because I went ahead and took that you're giving. You're learning. I come. So make sure you get to enter your like Cherries. You tend to to treat Orioles. And you know the basic kind of knowledge and understanding that underpins back placement. Because when you come into the world, we want you to apply that knowledge. We want you to apply it in the uterus. We want you to be applying it in clinics and older patients that you see one of the questions I always ask when I was student that trains up to whatever it is that I'm doing that day is great port. You want to go over today? Because if you're already designing well, let me know. It comes for your sales. Then you're naturally more invested in what you're doing, and you're likely to enjoy it much more and get more. I talk it. So we then kind of look at that for the Dean thing, right? How we're gonna get student teach those learning outcomes how we're gonna make the most of it today. You won't always find the registration is have that time. But if you're enthusiastic, I would really struggle not to help you with. So that's really key. Know that learning it comes, be prepared so it doesn't mean just come around with your sex Coke ran genetic in scrubs on If your time teo your two cases or Ward joins there things that you guys conduced students that no only make you look super prepared but also make you get much more of the learning opportunity looking at your two cases, for example. So let's say you have got future tomorrow you look at your schedule, you'll be told which theater is and you may be told which consultant since beautiful issue is's, well, plan ahead. So what? Trying to find out without uterus, Find out we can get your scripts. So you know that in the morning, often the future consultant, like the Consultant name, is attached to it, you'll be able to access that list a swell, so sometimes consultants could be hard to find. Every consultants got secretary on go. Often. The secretaries are much easier to find on contact as well. Severe should be able to give you a copy of the list that's coming up. And then all it takes is you to be able to go in track and that make you buy a the trainees there on the ward or the junior doctors. But you might have your own. Logan. You can actually read everything you really need to know on track, um, about patient, about the preop, planning on reason why they're having the operation, and immediately you're invested. In that case, you're not just going in and seeing a bit of anatomy. You're finally getting to see who the patient is, why we're offering that operation, and then you can community the operation and then it gets better. You can see them after the operation, and then all of a sudden you got whale right into's expedience on your so unlikely to forget that experience and have such a better understanding with that condition on the operation. So try and get that whole, like coal circle expedience. Another thing that I was always really intimidated by in surgery is the department houses at work. There's so many different rotors who's responsible for what? Where do I find the team that I meant the shot shadowing, and that fear can have traveled with me as a medical student all the way through to being a junior doctor. So ask and often the people to ask the people that have been there the longest, which tend to be charge nurses or nurse practitioners, and sometimes the registrar's have been there for a while. The bill to give you a bit more kind of insight into height department works, but sometimes you'll find this it tends to be a good nurse, has been there for a long time that can share the working ways of the department and all other opportunities that are too so like to make friends and department professional friends. And you're all of a sudden find that there's so many more opportunities than the schedule suggests. This is an obvious one, but be engaging and enthusiastic and ready to learn. And again, it's very hard not to him not to teach a medical student. If you're there and you're ready and you're enthusiastic building report with surgical team again that say, easy to say it would mean I've been to treat me, but come in introduces. I'll be nice on time on very quickly. You're finding the opportunities. We'll just arise. You will find yourself in theater if you work. The consultant. You baby spent some time with our registrar him and you've been very engaging. They might say, Right now, I don't You get scrubbed and right. Have you ever closed the wind before? But let's teach you how to do some structuring. Or why don't you hold this for us? And all of a sudden he just showing things you'll be talk more and it is really nice because it's a you can just see how all of these little things, like not the end up with a really good learning expedience. The last thing I mentioned is very briefly is furthering opportunity. So again, if you find that you end up with a computer port with surgical team, you might end up getting involved in Cuba projects and older. So those are an essential part of training on guard, the support specially specialty you go into. So I definitely encourage you to, especially if you find a department that you like in some team members that you like, asked me if they got any projects going on on dimes sure they'll be very quick to start off you for some work, So that's something else I recommend. So how do you then log these experiences that you are quickly gaining? So, of course there's mandatory things. Be the university will have you. Do you know I walk? Not bad. It's myself pacing how long ago it was I was a student. But there are a number of things that you have to get signed off him. When I was a student, I hot case report, but I had to do it. One of two case reports pair placement, which is really again bare minimum you could do. You could do much more than that, but you'll be able to record things like that. So some interest in case reports and you might have to get signed off for particular things that make you some particular procedures and things. You have to get signed off for an attending basic things like war drains and clinics, Surgical or Vicks. So I'm going to hopefully unpick all of the secrets of the logbook for years, and I am well, that's a really key way for you to log everything you're doing and It's a really good resource for reflection. A swell case reports so again, whether they're mandatory for your nose, I think these are a really nice way off, essentially practicing for your higher trainings to have to do them all the time. But it's a really nice way for you to see. Some things are interesting cases. Take a history, examine the patient presented to someone when it's seniors and then get some feedback on it and then recorded. All of that's on. It's a really good way to shore home in cottage do being with your learning on. But it's a really good way to consolidate your learning. So there's a few different things there. What I'm going to tell you about now is the log book. So again, this is probably the biggest thing that I wish I had known. I'm just gonna take through it, and we're going to do a little kind of walk through how it works Now. There are different low books over there on most them are free. I'll be honest and say that I don't know the other kind of official ones, and if it's a quick Google search will find some talks other surgeons and that being trainings, registrars ask what we use. And this is certainly the one that I know. All of my colleagues are using them. So that's why I'm not aware of any other ones. A are official don't need to exist. So this is what you're looking for here. I'm gonna quicken and talk you through that. So I'm just going to take all of this screen so you'll see up at the top right hand corner, just move my books on my face and I'm just gonna disappear. That it's well, what we want to do is register. So course you guys are medical students. What you wanted to do is you can island here on, then. You're great. So this is important. You wanna make sure that you're registered as a medical student here, Don't forget to change it. When you then graduates, that's important. So your medical school So you want to put that in on their second brother here and then proceed. And then it's all just very basic registration stuff. My, the poor thing I want to exercise here is your email address. I would really recommend you don't use your student one. And because what happens is once you graduate and bringing him are fairly quick to pull your email address away from you and never give it back. So I would try and country not to use things like this that you're gonna use through your career with an email address that is going to disappear in a year to this time. So I may use, like, another gene. I think I use a Gmail account for my came. We just fine. I'm just gonna come back from here and then sure you have It actually looks so I would encourage you to make this tonight register tonight if you haven't done it before and so that it's there and then you're ready to add cases to fit more. One writes. I'm gonna look in addition, we will, it looks like because they're as we were talking about, just that where the cold started. It doesn't look like the official surgical open. It really looks about Rituxan and Treanda times. So once you graduate, you can have your GNC number, which is used in in sex was popped up there for me. So it's Logan and I will show you how to how this works. So what we have is the two tabs you're going to use and exactly use anything house on best. I use the add operations and rose operations. So how do you look? And operations. So let's school, you click add operation, and then you get this page here, pulse up. The first thing to flag up to you is you can change the specialty that you are adding procedures for so anything from Cardiff Draft exposure to heat and tea. It's just urology. I'm on a urology, folks. Just nice. Let's click and see if that looks like So I'm gonna hit change because you see, it changes the page very slightly and don't worry too much for it that just it's more just formats him for the different training programs. So what asks you for a patient? I d This is the kind of over. So hopefully most you know what kind of bread, but it is Ah, 12 digits. 10 10 digit number that is given to everyone in in Scotland who's registered with a GP on it is formed of the DTaP birth. So the first, like the six digits of the of birth and then four round only allocated numbers, and some numbers will tell you whether the gender is with patient. I can't remember what the configuration is, but just know that for six or the date of birth. So you then put that in here on, then patient age and then the date of the operation you can. Also, it's an option for private work, But I don't think anyone unless you're going work experience in a private hospital, you won't be doing those. This is one of the main questions I get about the log book, and it is the C chord category. No seaport stands for something, and I always forget. And but essentially it is looking at the urgency off the operation. So we have got a scale going through the elective procedure. So that's things are done as it says at a convenient time when the patient is really optimized for the surgery. So it's no Argent procedure. It can happen really at any time scheduled and which coming like a release surgery. So if you've got any cases where their cancer que says whether being done and expedited that those would be scheduled urgent. So that's kind of most things that come in like an acute surgical take. So, for example, an appendicitis that would happen and within certainly 24 hours of the patient being admitted or a bad call this a status or something like that, the marriage and see. So those are kind of like one threatening procedures, which you guys will definitely get to see him during your med student career and beyond. So you hopefully be able to gather a kind of collection or these through your time, the next one, which is a little bit, uh, and other than one Christians, that is a so you'll hear me since it's so. But the essay all the time on really is talking about if it patient is that kind of force, their physiological construction, what other hostess that already? But the someone who's talking fitting Well, no underlying health problems. Is it someone who's maybe God, that COPD or bit of hypertension or diabetes significant systemic disease. So since someone who's maybe it got kind of moderate, severe airways disease through the life threatening disease is on those who come in essentially very unwell who aren't expected to survive 24 hours without improve surgical procedure and more medical care. So again you will naturally collect a variety off these different and see grades the consultant responsible. So certainly I managed to find every consultant that I've worked with in a gym bra on this on this program. Here, you can munch my consult list and you can add the men for privacy of not going to bring up all the consultants over Ward with Exacto. Older names. Look here, but you'll be able to click on this option here on day crowd. The consultant, If you can't find them, doesn't matter. Just put consultant on one supervision. So this is certainly one of the eight is that genuine wanted me to mention and it is really about your involvement in the case. So if I drink the right track this down here, you can see that babies from observed through to perform and then you treat me. They do have little descriptors and what these are, but very quickly explain them to you. So if you guys are in a case and you're standing in the corner watching what's happening, unscrew uh, but you're observing, So you might find that the vast majority are pitching. You're observed just night. That's okay. You're in future. You're getting used to that environment, which hopefully is going to be the rest of your life. So observing a case is great. It's a super full when you're starting nose. Once you are gets uncomfortable being in theater, you might then get to learn to scrub, and I encourage you. Also learn describe a sin is con him on one shot at the table. As soon as you hold something you were assisting, I'm untrusting. When it comes to the cases, your hands are very quickly used and when there's someone that's able to hold something to make the viewer that best areas. So you may start out by retracting him with the instruments to help the surgeon gets better. Look, you made them get to cut a stitch, which is the next progression on. Then you may get to place a step and you make it too cause of and so there's lots of different and kind of professional steps that you can get to do. All of these come under the remit of assisting don't want you to much, but other ones because they're kind of more for when you're actually in your surgical training, we're supervised trainer scrub. That means that you are. Let's say, for example, I was doing in Appendicectomy. I'm not the CD, four mg and appendicectomy in the room alone. Hives definitely got my supervisor there scrubbed as well meaning there at the table with me. And then when I get that better at them, I will be doing it with my trainer in the theater, just with their scrubs on, that know, going and loved. And that's the next progression and then performed means that I'm drinking kind of sector means the middle of the night. My boss, is it home and it's just me. That's what performing, then when I'm happy that I could do appendicectomy is very well. I may get one of you guys in and teach you how to do it. So that's then, when you put training a tree so that hopefully unfixed what was forming. I'm I'm just a zit was reused earlier on. It doesn't matter what you guys are doing just now in terms, or I would encourage you to get scrubbed and comes to the table here and get involved in assisting, but any involvement with cases. If you're in the room and you're observing, that's you involved. So those are the two main ones that you'll be categorized and you'll be either assisting were observed. I'm not looking for you to be doing supervise trainer scrub procedures as medical shouldn't. So any of those two is more than adequate at your stage. That's enough about that. You can see here there's a large kind of charge with all the different operations to These are the standard, or something was common operations in neurology so and you can start to free text. So, for example, you can find anything. So let's see. We're doing us. That's the pecan. See all different variations of cystoscopy here. If you're not sure how to called it, then just ask. Okay, you'll be able to hopefully get a copy of this, and you see exactly what the name of the operation is, then asked you for the hospitals. You can see my most recent hospitals in the West in general, and then it's it's and Jones even recall still in UK here operative notes, and I don't what you were not asking you to prepare the operational, but you'll see often. That's one of the pink paper or bitten on track. But how you go at putting some details down? What was this scenario of the case? What was this surgery being done? What did you do? Did you scrub? Did you called the surgeon? Did you cut stitches? Did you do any stitches? So put all of that down there because it's a really great way to look back in cases since your progression and also try and a consulting your knowledge for why cases of being done for the indications the surgery complication. Old story too much. But unless you're on ward in your weight of complications and you can record these, that was about in a whistles doctor of the the topic, and it's hopefully bit more straightforward to you. It does. It doesn't look like the right thing. It certainly looks really a rid of entry, but that's is it in the flesh ground. I definitely encourage you to Logan to it's night and get registered, and because you can look everything that you're seeing and during and even some medical specialties will have some procedure for work that you could look so get started now. Then it comes to the application. So how can you show case the commitment that you have mean to surgery? So what done is I've just done a screen grab off the application rib Rick. Now, this will change every year, but I think it's quite a good thing to be looking at as a medical student. And again, this would have been, ah, mythical creature to me at medical school. I had never looked to this until I was a junior doctor, which is fine. But at least if you're having a look at it now, your weight of the kind of things that score points on D. I don't want you all to think about surgical applications. It's just the game of points. Sometimes it can feel like that, but it's no. There's no harm in having a bout of skewed towards picking things that are going to score a bedside because it's a better use of your time, I think just no him, certainly until you get into your training and then you can relax a little bit about the points and because you're in training and you've managed to get through it. Try annoyed. The first part is talking about postgraduate examinations. You guys have more than enough exams still to come specially final, so don't worry too much about these. There's no expectation or no ability to sit professional exam until you are a doctor. So that is, say something to take over for a night attendance and surgical courses. So this is, uh, this changes quite a bit. When I was applying, you got points for every horse that you attended up for a maximum of six or eat, I think, which to be honest, usually just how much money have you got to throw it courses? And I think this is a little bit better now, so you can attend to a maximum of two for four points. One course gives you two points, and then, of course, it's obviously and it's nothing again. You guys is medical students. You may already know that spot medical student rates for courses are so much cheaper, they're still expensive. But there's so much cheaper than postgraduate. So do you. Try and get to some of these courses as a medical student and exploit the fact that you can get a cheaper rate surgical expedient. So this is really the the log book and not shell on there, only asking for 15 cases, which is, I think such a shame that could be could really award you for more cases and because I think you should giving points for cases that you've been engaged with rather than courses. And I close it good even since with the three. But the application runs. This is one of thumb, but you guys should all be able to get 15 cases between now and the end of your medical school, and curriculum is easy done on days. You should always get those three points. It should be easy points to get. And completion of surgical taste are so that is, um, again typically postgraduate. One surgeon, your doctor, and you can look a taste a week when you're on, if I want or in a fight to, I think also, your work experience should paint for this, but you'll see here this little buzz words that we see a little off is reflection, so make sure whatever it is that you do, you've given a really good index reflection of what you did, what you saw and what you took away from him. What did you learn that really am? Interested by that sniff in reflection isn't good. You won't get the points. I'm not gonna talk about the search collective, because I understand. That's the next day it took was coming. But that you can see there is an easy three points. Even if your elected hasn't been 100% surgery, See if you can get a little bit of surgery and you're elected on. There you go. You got your three points. I'm not gonna go through this in detail, but it's just a sure you bought my can. Commitments to surgery. Looks like when I came to do with my application, somebody may have more than less you something you may have less than this. That's okay. I was off if I do. When I had this put together and we're happy to do it every there's just usually there's a whole array of things that you can do. So I had my search log, book procedures and my love big operation report that I generates it off. This members member of some surgical societies. I've attended some conferences and meetings that year, and here's some of the surgical courses that I did, Um, all we don't hear on then my surgical elective and some research projects is well, so there's lords of ways that you can demonstrate your commitment to surgery and on, but my advice to you to start fighting things well, they eventually you want to be doing and because it's not going to work in the time that point, it's something that you just aren't know invested in a few more ideas just about videos, courses, conferences and committees that you conjoined. So these all are showing your commitment. Have a look at the College of Surgeons I've signed, so the road called Surgeons England and Bra, displayed here on Glasko when they have gone up. A ring, of course, is some of them are actually dedicated towards medical students, and the price is, unless a bit more medical student friendly. So have a look at those because all of the Road College of Surgeons courses are accredited in the in application. Some courses might not score points, so you're pretty safe with college. Another really good one for surgical trainees is the weeds and asked me program. So again, if you go into the college surgeons and enroll, it's that you'll see the weight on us. Keep programs being advertised easier, like intense of days of a nasty meet the and when I attended were held in the medical school Really good morning and afternoon. I couldn't not mention such UK. And if anyone hasn't heard of it, that's national undergraduate curriculum for surgical skills and the completion of which we are hoping to have a credit it by the college. And that's a really good thing for you to put in your application as well. Surgical conferences I put a little link here for you understand this talks being recorded, so you were able to find it again. It's found out the Enbrel in the website, on the clinical surgery Peach and under the news and events that got a list of all the upcoming conferences and again conference. These are cheap resume tickle students, which makes me very jealous on even that included Eat up. There's so many more and things made available online, so cost. It's nice to go with Barcelona for a conference. We've not got the money for that sometimes so you can attend online, which meets the accessibility conferences even greater than it used to be. Other things are surgical society memberships. I could sit down in there that's in association of surgeons in training, a PSA, really great already under and society. But there's so many different surgical society so there that you can join as either a general member or joint committee. Um, and also there's a number of undergraduate research groups and a number of communicating bras whales. So get involved in things like that because it's all just demonstrating how committed you are to surgery. I've got a couple of last and treaty tips for me, so I really hope that there's been a few little secrets there for you to get so much of your placements. Why she can. I think the he's He's fidgety, that is asked, So be present past the treatment. He's how you can get that other opportunities that are you to be doing him, and you should have this so much more to just that there's much more to the placement than just was on the schedule for. You think it's an obvious one, But no, you'd anatomy. And I know it well, because it is an easy question for surgeons. Task in theater. So if you've already, you know, the case is coming up, you know, the 80 of the body that they're gonna be all pressing on have a quick flick through rays or something that I did before so that you're aware of they relevant basals and muscles and things. Because you be able to answer the surgeons questions again, they're going to let you do stop, Think Well, okay. They know their stops. Another an ostomy. Let's see what else they can do. So it's a real good way in. Start your log books know as a doctor by Magister tonight and then from tomorrow, get look in. Your case is I've mentioned it before. Take advantage of the troopers genetics that you get, or conferences, courses and memberships. There are always points, and they're all really good in general to be partial. And there's so much you can learn and be a weight off from conferences, courses or grates. And there's lots of thumb, but ultimately do what makes you happy because you've got a long hard for the year ahead of you. So you've got to enjoy what you do. And so go get scraps going. Get yourself involved on. Enjoy your surgical placements on. Hopefully you've inspired to that. I'm going to get Korean surgery. I've like my email there, and it's it seems to kick in just old Italian. This is the one that is currently running. I'm more than happy to elaborate and think, brother, back down for some questions tonight. But please don't be lying if you got anything else you want to know is, Well, thanks very much for listening. Thank you very much. Last year after that, very, very important to talk. Um, a great breakdown of the surgical portfolio and on a great tip, I hadn't realized especially about the conference in the student prices was a great great Um, I'm just gonna introduce our next speaker. Um, so next to speak is Doctor Julian Camilleri Brennan, who's gonna be talking about certain collectives. Um, Dr Cavalleri Brennan is enjoying the started his general surgical room for as ST One and vascular surgeon Edinburgh. He graduated from Edinburgh Medical School in 2019 and undertook his academic foundation in Northeast Yorkshire. His interests lie in colorectal surgery and surgical education. On was president of the SS Well, at medical school. In his spare time, Julian could be bound play school. I'm gonna stop sharing. And Julian, whenever you're ready, you're going to take away. Hi. Good evening, everyone and personally. And thanks for asking to speak. They're secondly, must reiterate Sascha's comments about the log book. I think really important to start early and make sure every specialty that you, even a mistress in two or three operations that you get him signed up. Because when I applied for my job this time last year, I was frantically sending out emails to consult into. I didn't really remember me on, uh, absolute devious emails of Yeah, definitely a system in this operation. Do you mind putting your signature on the bottom of this piece of paper on? I didn't get any response. So they make sure you go up to them on them. A physical copy on then scan it in and save it in the folder ritual. And But this email me talk about certain collectives, just share screen. Great. So and little bastard electives. And I I must say that I got a bill, A disclaimer with this collected in the in the store in that actually, my opinions are but person actually on you could ask 100 different doctors, surgeons, medics regardless and lessen why they pick their elected in certain manner on the have completely different reasons why. And so hopefully I can talk about a few points which you may never thought about, and maybe some ways to start thinking about in elective. And then at the end, I'll briefly talk about my own, elected on what I got after. So I think, uh, no sure years, three audience are in. But certainly when I started medical school started hearing about selected, you travel far and wide on. You could do whatever you like on, but it wasn't really give it much thought at all until keep it about a 3rd and 4th year. And I have friends who were going up to their elected me doing really interesting things, and it's still I don't really think about it then, and it was about maybe 14 or 15 months before I went to my left it in which mine colleagues in my year, where second planet elected. Okay, Right. But it is such a broad copy and you condition do pretty much anything you want. And, um, it's very difficult to start planning to do so. Subdivided talking, walk playing where Why were special. So what is elected now? The form of GMC The mission is that it's, um, education experience and who were in medical student as an individual and organized by the medical student. In some cases, they were thick place who receives? Um, certainly, I'd see the majority of my your group went to throat, but there's absolutely nothing wrong in, you know, staying local or stinks that you absolutely not. And you can get a lot more after that. Um, but obviously there is current going around on that has indeed a lot of electrons. So them a general thing who be like, So you've been April May next year by there probably get rich, but I'm I just based it on your med school on Animas guidance as to what a base suggest. And, you know, personally, I've been thinking about holidays in May on be opted against it. But as to how long that uncertainty is going to go on. So is the S a C six quibble int six weeks long on. It's mainly clinical and you have about research interests on your quite keen on continuing them. Then you can look into that at a few friends who you have and gone, gone to the other universities with PSC. And then they continued a research for the record completely up to you. If you are going to straight away from something binder like clinical work, then right through election coordinator, because sometimes they could be. So when is it so firstly is after finals on? No question when that changed him to place, it used to be all spread throughout the year. But now they said, Look, finish your finals and then you can go on collected on the year spread into two groups to pain could be. And I've got this right around that group A. Go straight after finals. So that's around the proof and then Group B, and six weeks later, it'll that's around the end of May on, but it's completely random as to what your allocated. Unless you're on one of these number partnership programs or you have sort of special circumstances in bruise up your computing. It's from the games or something really important certain time and and it's completely random. And you know, everyone is reaching for the allocation because they want to get looking flight and everything. And then you send the spreadsheet and then it's after kills because there's an argument to say that maybe one group is slightly better than the other. So if you're in Group B, you have to do a cyst in shit. Just reactive finals, which could be a bit, you know, depressing because you just worked really hard. And then you got to do some more work. But then you can extend your elected into your samples on. You have quite a long time about it because you don't have to start go obvious as the so that is second. And so my younger we had lots of swaps on it was quite good where now this is the world. Is your oyster on oxygen? Discussed depending depends, but and there are some countries which are adverse, which is red list in which they're politically unsafe to go to work and you hire some natural disasters, they should tell you these details closer to so well. Why are we doing on Elector on dot? So what exactly do you want to do? And there's a lot of factors to consider on this definitely new erectile wrong. So firstly, there's definitely an educational CD benefit, too. You can give medical school. Did you get exposed to the general copies of a lot of the stocks be missed out. So especially that you really want Teo GameWorks project to this is a good opportunity, but also their second. I think if they're spectum on, you know, topics were skills that you might want to train developed an awesome superior opportunity. For example, a couple of my friends went to use a half canoeing that you they were going to be very hands on in any sort of doing a lot of practice skills, which is medical student's here. And really and importantly, what are you friends doing on your time elected together? Onda? Uh you know, actually, I didn't I'm elected with anyone. I'm, uh when looking at a combinations messaged around, he was going to I went thio and he was going to talk. And before my little group, we all stay together on know we're best friends down. So doing this to go away someone, something better costs. Okay, screw this often isn't really, you know, it's a really important factor. A lot of students are paying for you for the education in at number on that racks up a lot of debt. And then you got this selected you need organized flight. A really expensive conditions, expensive. The proven itself costs a lot of money. And you know where you go and I can really rack up and just thousands of soup and, you know, do just make sure you research an idea that really doing their costs. Who need jump into? Because in quickly escalated, Of course, when you're there, you want to do through touristy things to a lot of sites in which cross and the two main categories has to where you can consider greens. I'm going to develop country or developing country and expose the antigen developed countries. You he there's techniques consultant, be been more developed in sense that you will be leaders over practically feel, and equipment will be a bit more high. Spec. A swell, um, off in Georgia, the countries are English speaking. So there's new language barrier. Um, however, there are a lot of that eventually going to developing country love no more hands on experience and probably feel a bit more valued as a team member because and you're to do maybe needed a bit more just to help with him. Um, actually, you to be honest, a lot of these factors depends on where where you want to do it, then sort of geographical locations more important than what what you get and regardless of where you go, is quite nice to have a comparison of healthcare. And I must say, having just went down in Yorkshire every couple of years, even going to include take, um, created This is in this question and other interests. So I don't know You want to go to safari or you want to You go hiking and protect that area, you know, important things. And it's a really good excuse to go and do them once they're balancing bit of work. Whether so important, if you go to Southern Hemisphere, remember, seasons are completely It's what you were a cop. Come to bed too late on down is are there any places on your back a listening and and, as previously discussed to Do you have any research interests which my entire two seconds okay, Shin. And but also, actually, you can if you're working closely with the research group, you can always see if they got any international links on Deacon. Go across the money from you first, if you work hard s So that's always something on Dem a foot doctor. Because I'm sure going other factors to consider. And you probably come across the room. It's a very individual and taylor experience with the suit with a lot of factors. And there's a lot of flexibility. Okay, so this is a talk on surgical elected. Not really spoken about that yet on dice. Oppose. Doesn't really matter if it's search for No, I'm That's an interesting question. So I think, you know, I always saw, uh Well, I always wanted to be certain. Put a few years on. It was a new green, and I want to do something now. I didn't really know what I want to do in my life. I want to be cooler surgeon. I probably thought that when I was putting my active on down I that that I wanted to talk. Then they didn't have any surgery. And the only surgery, especially, especially. They have this best, and I remember and apply to you grants many supervisor to send him. And my supervisor, he was a good surgeon. Said, Why are you doing your best there? Elected you Do you know, I thought you wanted to correct This is a stabbing it back and you're making a sign of reflected in your I said, Well, you know, I just want to go talking. Didn't you know I want to do something sexual? And then her response was, Well, I suppose there are a few blood vessels and cool answer emails. Well, you pick a few skills and I don't think it really needs to be a surgical specialty. It's all about what you intend to get out of this on how you apply yourself, However acyclovir is that recently well, as of last year, they've introduced that we get a few points on your CST application. If you have done surgical elected, um, which, you know is quite interesting, because a lot of people do a lot of people. The sites do surgery and well after they done their medical active. Um, so you can bear that in mind. But I think if you got sample really good opportunity elsewhere, you should take that. And similarly, you If you have food in any department in some country, he get a lot more hands on experience than you were to have to search for specialty somewhere else. And I think, really, Oh, girl has a little impact on your chorea and try narrow it down to a few specialties. And don't be. You're upset. If you don't get you talk to us. You can always ask to make a deal. We want you there in especially, and there's a bunch isn't dispatchers and doing a really specific black to be doing. You need me to cardiac surgery versus just It's a German. Funny. I just talked to you briefly. Talk about this. You. There's absolutely nothing preventing from applying funding from your time and try and turn your elected in something interesting Fund and you're applying to the Royal College ist was a money. Fine. You do make a sound quite interesting. Always. Applications are a lot earlier than you think on, but sometimes in the small print. They say we're not accepting applications for this year. Got to wait for them. That's going to be too late. So always email them, always asking you apply on if you think some bursaries close for applications of foods just, you know, on TV and also give you are successful this and then country to your appointments for CST. And this is just a brief list off here. I had looked who I had sort of researched or bursaries from the old offer something I believe. And there's sort of a lot of charities out there. Well, for some and other ways of funding, in part in trouble, differentiating started bartending under their elective and or you could possibly use your student room. So there's really briefly talk about my elective inoculum. So I did have sexual or six weeks on be just a few pictures of what I brought up. Just so this is, uh, Mom do from a lot of range, too. Okay, we did this amazing high constant. This is the second, uh, well, where the uterus used to live through it home, gym and seek I we went to this meeting Vinyard one night. This is the walker doing to the Emerald Flakes with box itself person at the bottom of them. So if you write that and then this was a sort of a panic experience, too, and at amazing time on. But, uh, my weekends were absolutely packed on. I always went back. You are on a Monday morning really, really tired on, But it was on stuff. However I did way high, you probably start learning about 16 months before and on. There was a lot of that. Okay, so you go your applications, you have to sort of all the paperwork personally, first three applications, immunizations, sweating or that appointment. Oh, really? On the cost of things. So it wasn't cheap, and and I worked my heart actually. So the team I was with where, you know, amazing best team. They had sort of international renowned surgeons in their ranks, and they expected a lot after you. And even though you were there, elect a student from UK, he was probably here just to, you know, traveling. But, you know, there were a lot of people in that department. So there were to gauge the students. There were lots of registrar eyes on do If you wanted to do things you need to show that you're interested in enthusiastic and ready to work to ward off Started putting my seven on I was there every day on that. Luckily, I was only 10 minutes away and but it was very tired and was in theater, you know, every couple of days of otherwise happen on the war it on and really tell us Yeah, four ish and then just use the dictates for And I remember joining and they said, You know, we do expect you to be around and then so we I after six, I think I asked for her ideal. And then they said, Oh, yeah, why? Why haven't you ask for more table? We've been getting the right and pressure, but But it it was very rewarding. And I said, And what was his profession? The X and this one's to list what I've gained after bit on, you know, you can get the same amount things out of it, sort of in any elected. And but it's all about your mindset, what you're prepared to put in so of may loss of surgeons in Oakland. So when I want to do my mother ship, but I've got the dressing and for my CDs the applications I persuaded the leaves us with certain to write me. The reference letter on also signed French six cases, which I assisted. I also felt a look and go and research skills so help with the little research project. And I think that's probably what allowed me to get my our CSE diverse three and so just a little twist to the standards to set. And, of course, I had a really fun time. I've made some lifelong friends on Do have discovering New Zealand, which is really thinks, and I recommend that everyone is it so and has anyone who I suppose we're going to accumulate session soon. But here's my email address. If anyone has any questions elected, thanks very much, Julian for that very insightful located surgical electives. I think your points definitely raise up the point of socioeconomic barriers being huge problem for those pursuing medicine, especially. They want to have those kinds of experiences diet and I are gonna trap. But, um, medical students and how we can get a shattering experience are stage. I'm just a change screen real quick. Um, can you see my screen? I'm just looking at the moment. Yes. Then we can. Perfect. Excellent. Excellent. Right. So you're a medical student. You're interested in surgery? Where to start now? Well, first decide. Well, especially you're interested in, um, obviously a lot of people or it's not on any sexually at moment. Um, so making a list of the ones you are interested just helps narrow down yours or pull a little bit. Then you go on to find contacts. And these could be teaching staff because when When you're university faculty lest. But my favorite resource is definitely older years because they have gone on rotations they, you know, have experienced. They know people that comes a good teacher who's not so great. Um, and in general, there's plenty plenty of resources where you can find contacts for people that you could potentially shadow. Don't feel the need to pick or contact big names. What's more important if their willingness and how while they teach and engages, I find that the best people to shadow are actually registrars because they're a little more close. Your staging consultants and so they have a lot more useful in applicable advice to give you, um, whoever he picked a shadow was. Well, isn't the only one You're shadow on your day, so I don't feel obligated to stick to that person all the time. Next, you've major list of specialties. You found surgeons of that specialty on where you go from there? Well, somebody now, um, introduce yourself on a clear what you want on. Make sure it's brief because no one's gonna want to read a paragraph and paragraphs even if you're super super keen. Um, you may have to follow up. What I tend to do is after you email them were for a week. If they don't reply, you know them again. If they don't work again for a week, then give up. Move on. There's plenty of others. Um, one thing to notice is that when do you ask for shadow experience on Know that shadow for a few days or a week is much where you spoken shattering for one day. You could build better reports. You can see a lot more. You could pull up when patients throughout their journey as well, which is all incredibly useful, especially at our station. Um, so you your surgeon, they have said, Oh, you can come in for a day. Our week. Um, what do you need to do before you go? Well, first of all, obviously read up to you before you're showing things like basic surgical educate or the anatomy. This is obviously especially specific. You know, usually the most common presentation is etcetera. If you have that background knowledge one, it helps you understand what you're looking at better, but also gives a better impression. That's all. The specialist. We start quizzing you. Um, make sure you pack your bags. I tend to do it the night before because if you're trying to get there for eight AM, you're running late for the bus. You don't want to be worrying about whether or not you remember to bring a note path. Eso pack your bags the night before. Um, also know your way around, so turn up earlier. Especially if you don't know your way around. Um, exactly where you're going to meet your supervisor or where you're going to meet, um, or, you know, where the ward's Aricept etcetera. You don't get lost or your first day, especially, doesn't make a good impression. Especially if you're late and obviously eat breakfast just in general. But especially in when you're shadowing, you're gonna be on your feet for a long time. You don't want to be fainting or us. We've got, you know, two patients, and that's not good for anyone. And obviously stand a dress code. Your medical students, you still wrecks a question of the profession and so casual form. Oh, clothing. Um, I recommend no jewelry or something. I just have to put it back on it all. Um, if you got long hair, time it back on, do you remember to bring stock? Steiner will definitely remember about that. Especially you're wearing, you know, for most shoes, and you don't wear sort of them. And then you have to go borrow someone else. Clothes. You kind of want to be wearing socks when you do that on all these little short nails on do full snails just so you can probably clean your hands Now that you know, you you prepped. You ready? Your supervisors expecting you. You're at the hospital. Once you meet them, you'll probably be totally changed. Um When you go into the surgical changing room, there's it's likely that you won't have access to get in. But if you just know, it was almost always someone in there who let you. And if you just explain high on the medical student, can I please get changed somewhat? Will let you in Scrubs cloaks Mask of the Intracapsular. Oh, provided one thing to know about this, though, is if you're borrowing someone's clothes, don't or of someone don't wear clothes with someone's name on it. Worse, you're gonna get chase down for it. Bother. Was any clothes without the name? It's free territory of taking it. Obviously. Don't leave valuables. You have a weak pocket in your scripts. You can pull up your credit card phone. Little note pad in Penn State. Down notes. Different people were okay with different amounts of, and some people don't like it when you take out your phones during the operation. Um, so just talked away. So taking a pad and step to take notes before you actually go in shadow. Any surgical cases, make sure you sign in the usually all we know pad if you don't know where it is, just ask someone someone, Would I write you the right way? This is just for, you know, fire safety. They want to make sure that you're not left behind on also attend Surgical Brief, which is a pre op list briefing, including all the members of the surgical team. That way you can learn what surgeries will be happening and when he introduced to the rest of the team, build reports from there and make sure that people know who you are. So you're not just some random stranger that's looking in. I'll leave it to Diana to finish the rest. Thank you very much. So yes, something that's when she can do just messages supervising your develops and ask if you could just try to win the war drowned as well before the surgery actually started interest rate that you're, like, really keen, interested to just see the patients through and especially good if you're shattering for a couple of days and you can see the same patient that you saw operations on the previous day just recovering and changed to you. So that's really good, Um, in the theater itself. So, um, here's just a simple way out of the part of the operating theater you can see, like the main operating room. And then there's several ways to get I/O. I found that often the easiest ways to go in through the prep room, because often there are like surgical scrub nurses. They're just getting prepared. So that's where you can just introduce yourself. I'm medical student confirm his operation is is until that well asked me if it's all right for you to go in shadow. That's often the best way to do it. Um, in terms of who is in the theater, you also have the primary surgeon on the existing surgeon. Hopefully one of those one that you are meant to be shadowing and those governors is helping prep for helping us is the surgeons and then the any cysts that's behind the, um, behind the sterile person. Um, the clinical surgery might have more people like different members off another disciplinary team. A profusion ist etcetera. Did you feel moved? Thank you. Um, there's several opportunities you can have in theater. Um, like the most distressing one is ask describe in know, all surgeons will think about the medical student once this carpet and me know offered stopping to you unless you ask for it. But once you do the most often will like like he's grabbing a swell. So it just allows you to do a lot more things within the operating room because to the patient and generally learn how scrubbing is well, which is good. Once you are shadowing, ask questions are interested, and that's good. If you've got prior readings, you know what to ask about. On Dalser, you might be quizzed as well, so that's good to have prior reading, too. Um, if you are still been close to a patient, might get hand instruments to hold, which is really good to comment on your league long because, well, on again, if you've built up poor and trusted, start having multiple times they might trust you enough to like give you in a pretty into like close the wound in the future. So that's really good about the note on that is the honest about your experience. Like if you've never done it before, I know if they don't feel ready to do it, be honest about that. Until that to the surgeon, no one will think less of you. Um, and if you just say that right now, you don't feel comfortable to see you. Sure you don't want to endanger the patient? They will respect that as well. Um, in terms of treatment to take it actually feel the correct PPE. So, like, right now, I think thoracic surgery still have to wear like the full face visor and a special FFP three mask. Did you get a cup? It's safety. So make sure you have the correct you eat. And if you're not sure, that's the governor's, and they generally just put you towards where you can get it, be there on time. Surgery often start early anyways. But, um, as a medical student is good that you know how to like, stick to your schedule. Um, introduce yourself, tell them that you're the medical new medical student and ask again if it's all right for you to shadow just so that everyone doesn't. He doesn't know who you are initially, then moves that year. You're going to be there, and you're there shadowing. Want your script that's putting on your like, sterile Gangluff, so never put your hands below your weight's. That's considered on sterile area on Also, um, just keep a look around where your gallon is. Make sure your gown isn't accidentally touching a nonsterile surface. And again if you're not scrubbed, do you don't touch any of the sterile services or any. It's sterile gallons. Insurgent wearing Just keep back. Um, here's a website just thinking two more future at to get points that you had done. Get access would get slides in terms of scrubbing. I've included a good link on how to scrap. Unfortunately, we don't have the time today to go through it properly. General minutes, though. Oscar Scrub nurse resurgence supervisor, especially if it is your first few times both for your sake to learn how to do it properly, they're safe to know that you've done it well on this are safe to be touching the patient and obviously the patient state. You don't want to increase the risk of infection. Um, lost years grubbing. Keep her hands above your elbows, too, like the water is trickling down from the hands that you're trying to keep clean. Don't your elbows and again always wash on dry it as well for my hands to your elbows. I never the other way up. If you actually touch on the M still objects. Unfortunately, you must risk rub on it. It does happen to everyone. It's all right. Just go just joined back in, like, five minutes later. And then finally, after the future, make sure to follow up. So like, well, you're in the hospital. No done patient kind, um, for, like, ask a surgeon if it's all right for you to do that. Until that, it's too like your experiences in the log book. Ask ask. You mentioned, um, built a report. So as engines have previously Children for a few days, like a week in a row is more valuable than just going in for a day. You'll see more diverse surgeries. You'll know the team more, so that's really more valuable. I'm just out, of course, to see an old surgeon again at the end. Just thank them for like, Ah, like when you come in the few days, also keep them a future contact if you want a network in the future with them. And also, if you are falling on the ward rounds full upon the patients, like asked them like quick history taking questions, see how they're doing Generally, yes. And then also read up on in your knowledge that you like taking down on your Nope. How did you go through the day at the end of the day is going to just keep a review on all things you've learned. So moving onto topped, it's I guess my top tip is gravity opportunity that comes to you. Basically, you may be, you know, attached to one surgeon about date. But if you hear another surgeon talking about another case or any interest in patients, go go meet the patients who take a history. Go learn more groups, want another case. Opportunities will not come to you. You need to go to them on, but you won't be given anything. So ask. Um, I think I definitely know full along with that, um, so short person story. Well, I was shadowing. I just those were before with the registrars there, and just like they invited me to the right job, you know, we're just chatting. They're on Registrar came in and said that he was doing a cardiac case out. He had only done like once, um, once previously in his career, and another red short jumped up. Like he said, he'd never seen one of those and osteo scrub in. And I was there and I was like, Great, a medical student, Can I? Please can imply that it's covered with you on there were totally all right without so definitely be proactive with changing said and seek out opportunity or as many opportunities as you can. Oh, no. Shadowing better is lots of lots of fun. It's actually our state. When there's so much to learn. I'm so highly recommend going to do it, whether or not you're sound a search for clear or not. Either way, it's a valuable, valuable experience. We're going to move on to a