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Welcome everybody to um this fantastic session uh joined between the Dukes Club and early years consultant network as part of ACP GBI uh which will be the first part in a two part series, discussing the transition um between sorry from er senior sort of registrar level all the way through to early consultancy and then expanding beyond that until later consultancy in our second part. Um In this first part, we'll be discussing in the early years. And for myself, I'm Osmund Cud, I'm one of the um so um uh colorectal um robotic fellows currently at Saint Thomas Hospital and one of the EY CN um members dealing with mentorship. I've also got Joanna who introduced uh as part of Dukes Club uh and then will be introduced the rest of the panel. Hello and welcome everyone to this webinar, which is um a joint um kind of adventure between Ey CN and the Dukes. Thank you very much, Osmund. Um Just a few ground rules. Uh Sorry, my name is Ian, I'm the VP for Dukes and just a few ground rules. You, if you have any questions throughout the session, please put them on the chat is um gonna be a very interactive and dynamic and hopefully you'll have a number of questions for our panel. Um We will go through some questions but feel free to pass them as we go through. And um I'm very pleased to join the rest of the panel today and thank you for your time and hopefully you will give us a bit more insight in that gray zone of transition between reg and uh consultant. Please. Um I would allow everyone to um introduce themselves starting with uh Miss a pa any questions? Sorry, uh mute. Um Sorry. Um So I'm Abby Patel. I'm a colorectal consultant in Coventry. Um I got CCT in 2019 and have been a consultant there ever since I have done a 12 month fellowship in IBD in Oxford prior to becoming a consultant and in a place where I worked previously doing an MD research project, but I had worked for a five year period when I took the consultant job there. Um So that's just a brief overview of me. I'm currently um and I really looking forward to tonight and future collaboration with You Club. Thank you men to Hi, I'm Danny Bin. I'm currently a local consultant at Mast and to Wells. Um My training as a REG was in North West Hes um and I was a core trainee and uh F one F two in medical school at seven. I did my P HDI here at college um in social demographics of anal cancer. Um And then I cta year to the day home today. So, last year, um and after that I did um, a six month scholarship which I arranged based around research for six months, looking around for jobs. Um, and then started my local job in October 24. I'm busy. Hi, I'm Lizzie. Um, I trained in the East Midlands North rotation. Um I did a phd in surgical training and education um with NIH Ri did do a um post CCC fellowship with Abby. Um I went off to Coventry for 12 months and did robotics and some IBD there. Um I did not do a local consultant job. I went straight into a consultant job after my fellowship. Um And uh we made a move halfway across the country down to sunny Devon. Um And I'm now a consultant down here in Devon. Um And my interests are robotic resections and then taking an interest in training and developing training pathways in robotic surgery. No. Hi. Uh I'm Noel Finn. I'm one of the colorectal consultants at the North Middlesex Hospital which is in um the north part of London. Um I trained actually in two de I started off in the West of Scotland Diary and then I transferred into the North Northeast Thames Dery. Um I did some research prior to my ST three number. So uh that was in the Royal London. I did an MD research on pelvic floor disorders. Um I did two fellowships, uh, one in Oxford for 12 months and also one in Ashton Saint Peters, um which is different aspects of colorectal surgery. Um, then I became a local consultant of North Mill Sex during emergencies and colorectal. Um and then I gained my substantive post as a uh kind of more formal colorectal consultant in May 23 subspecialist interest, laparoscopic colorectal benign and malignant resections. Um and any kind of other colorectal work. Thank you. Do. I'm Philippa. Hi, I'm Philippa. I um trained in the Southwest Deanery at around seven. So the Bristol area, I didn't do any formal research at all. Um and no post CT fellowship either. I did do as part of my training, a kind of 12 month educational fellowship for which I got APG cert but otherwise, no formal qualifications I CT in March 2022. And uh a few weeks later started as a local consultant for nine months in a place that I did. I trained to do maternity leave cover. And then I returned back to the hospital. I completed training in as a substantive consultant where I am uh E GS and benign colorectal. Thanks for. But I think the reason why we decided to go through this was just to highlight there's so many different ways each of our members on this committee uh have sort of reached consultancy and it's a difficult time period and I think we'll discuss through that, um, as we go through this meeting and the different ways everyone's going to consultancy. Um, if you don't mind, Abby, I was, I was gonna start this off, start with yourself. Um, some people we've had done fellowships, other people haven't done fellowships. Um, II know that from my own experience when we, uh, you know, at the end of your training you sort of to get your CCT and then it's off, you go into the wilderness and everyone talks about getting fellowships or not. So I guess the burning question is, do you need to do a fellowship? Um And what are the views on that? Um So I II think I can sort of see the side of the coin from both sides. So II was quite keen to develop a subspecialist interest in IBD. Um And at the time during my training, um there hadn't been an opportunity to really consolidate it. I'd sort of worked in lots of places where I'd done a bit of IBD but not really had time to dedicate to it. And I think one of the real advantages of doing a fellowship at the end of your training is you've jumped through all the hoops, you've ticked all the boxes. So you're kind of, the pressure is off a little bit with respect to that. And then it's really 12 months to really focus and hone down on whatever skills want to build um and also have some time to really reflect back on your training, so you're not rushing through. So I think it's a pause in, in sort of the journey between becoming um going from a senior sort of registrar to, to going off to being a consultant. Um And then the flip side being the person who's having post CCC fellows I II think that, that that's the real focus of the fellowship more than sort of, for me, it wasn't particularly about learning new skill, it was more about learning about some complex decision making um and having some time in a tertiary unit and being exposed to things that I hadn't really had the opportunity to, to sort of delve into. Uh and also to have a bit of time between um the, the transition phase which I think can be a period of uncertainty. Um And so I was quite keen to do a fellowship and I'm also quite keen to support post CCT fellows who want to have a bit of time out to sort of consolidate things, but also to sort of mature and, and sort of act up, have opportunity to, to do things where you don't have it when you're doing it, being a registrar because you're too busy focusing on how many anti resections you're doing and, and how many, you know, tick boxes you have to, to get through. So, II think it's really positive. Um I'd be interested to see what others think if you go through the different uh panel members and you can tell us if you had some of us of you told us if you had done a fellowship. But um for example, Danny, I know your fellowship, you kind of tailor it to your needs if you can tell us more about that. Yeah, I mean, so I trained in Central London hospitals, basically the whole of my registrar training. So I have lots and lots of exposure to tertiary hospitals. Um And you know, the sort of things that people are looking for on their fellowships. Um And for me, um I had quite a bit of a research journey and a personal journey about um projects related to anal cancer and prevention of anal cancer. And there was only really one place in the country that sort of provided that sort of care um to a national, to an international standard really. And that was the homi. So, although the ho you know, a small DGH hospital in East London, um I decided it would be a good idea to go work there for a bit and actually learn the skill because I'm involved in writing guidelines and things and it's important for me to be able to do the skill if I'm going to tell people to do the skill. So I effectively organize my