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Hello, everyone. Um, thanks for joining us. Can you? If you can hear us and see us, could you please put a message in the chat? Great. Um, so my name's Keegan. I'm from the education team, and I are juniors. Uh, we're going to be joined by free radiology registrars this evening, um, talking about their experiences in in important aspects to consider when choosing a radiology training scheme. So if you could please put any questions that you have into the chat box, and towards the end of the session, I'll be selecting some of the questions to ask the registrar's. So So please keep your questions going in the chat box. And at the very end, there'll be chances to to hear from them. But without further a do, I'm going to introduce the first speaker. Um, so, Tanya, if you like to get started, Yeah, so I'll just present my my slides quickly. Can everyone see my slides? Oh, yeah. So my name is Tanya. I'm a ST one in Mersey at the moment. Um, so I'm just gonna talk through the academy scheme because the Mersey So the northwest scheme is a academy scheme. Um so I'll just do sort of a brief overview of the other academies. As far as I'm aware, these are the academy's. But I think there's always new ones that are coming up because the Northwest one is quite new. Um, so there's Peninsula Norwich leads, which I think it's sort of the biggest one and has the more established academy scheme and leads. And then Wales Northern, which is sort of the North Northeastern Candrea. And then I'm in the Northwest School of Radiology, which includes Mersey, Lancashire and Manchester. Um, so just a brief sort of idea of why they were set up. So obviously, I'm sure you're all aware there's a quite a shortage of radiologists in the UK Um, so there was an initiative by the department health to sort of give more money to health education England. And that led to setting up the academies and essentially, the reason why it's helpful for training schemes to do it is that because you're in the academy for a certain amount, amount of time, they're able to take more trainees because you can take them out of clinical environment, so it means you can have more trainees within the whole scheme because you can then sort of accommodate more people. Um, and I guess the benefit of them is that you can kind of do more academic teaching for trainees and take them out of the clinical environment. So it's a very sterile, um, sort of safe environment to learn about images and imaging and and and that kind of thing so more specifically about the Northwest, cause that's that's the only one that I know about, obviously, because that's where I am. Uh, so the way that it works is you have eight months of clinical, so four months in two different hospitals, and then you also have a four month placement in the academy, which is what I'm doing at the moment. So I'm currently at the academy, and I think in future sort of years, they're planning for it to x, then beyond S T one. So currently, we get teaching throughout ST 12 s. T five or six, um, regularly, but they want to integrate the academy more so in other years. But at the moment, it's only s t one that you spend a dedicated block in the academy. Um, so you're out of the clinical environment, as I said, and then it's you go there sort of Monday, Tuesday, Thursday and Friday and then in the Northwest every Wednesday we get teaching from home. It used to be in person, but obviously because of covid, it went online and then they just kept it online. Um, but just going back to the academy, Uh, so it's a mixture of sort of heart seizing, which might be something that you're not particularly sort of aware of what that is. So heart ceasing is essentially where you'll get a lecturer coming in or a teacher coming in. A consultant, Um, and they will, for example, put up an image. Let's say a CT head and they'll ask you to one of you to go up and interpret it in front of everyone and in front of the consultant. And then you get feedback based on that. And the reason why it's good is obviously later on, when you have exams like the to be and things like that, it's very similar to that. So that's why they like doing that. Um, so, yeah, so you get hot hot seating, you get didactic learnings of literally just learning about how to interpret images and, um, sort of like with MRI, the different sequences and things like that. We also get ultrasound simulation teaching once a week at the academy, um, and then case based learning, which is similar to hearts eating, but just going through cases and and understanding sort of pathology and what's normal as well? Um, so the Northwest Academy is based at McGill University. So that's just a picture of the campus. Quite a nice university, actually, Um, which is based in arm skirt. So you get trainees from sort of all these areas all coming in, and I think there's 13 of us at the moment at the academy. Um, so it's quite a small group is quite nice. Um, the the university is quite nice as well. So, um, it's it's it's quite good. So just thought I'd sort of give you an example of my week. So this is kind of a amalgamation of my week last week and this week. So on monday, I'm at the academy, um, to do in the morning we had GI radiology, which was, uh, CT interpretation. Um, predominantly, um, sort of malignancy. So identified the malignancy, um, and any other findings on the scans and then suggesting sort of management and then ultrasound in the afternoon, which we do on each other. Um, so just doing ultrasound on each other and learning how to to do that. Tuesday, we had neurology all day, which was, um, sort of combination of, like, CT and MRI heads and just going through pathology. As I said Wednesday, we have teaching from home in preparation for the part of one exams. Uh, and then Thursday, we did some pet CT interpretation and, uh, some learning. So that was didactic. About sort of lymph nodes, the lymphatic system, um, and interpreting images. And then on Friday, um, sort of going through ct pas and palmer and ramble I and each of us got to kind of go through a ct, uh, and explain to the lecturer what we were seeing and just teaching based on that, um, so the teachers are consultant radiologist from across the northwest, and not all the different sort of Dean Aries within the northwest. And then we also get clinical lecturers who are sort of S t four s t five more senior trainees who come and teach us, uh, and then also other allied professionals. So, like radiographers doing things like plain film, uh, reporting with us and then Sinaga firs, obviously for the ultrasound. But it's it's mainly sort of consultants that do the teaching for us. Um, and just sort of lastly, just talking about why I chose it. So I wanted to stay in Jersey. I did F one F two in Markazi. Um, so I wanted to stay so that that was the main reason for picking it. But I think I also liked the academy system just because, um, you you do get sort of a very nice pure learning about radiology, about interpreting images. Um, and Edgell is a very modern university. As I said So there's lots of amenities like subway, lots of good food and things like that. And it's just quite a nice environment just to be quite relaxed and just learn rather than being in the clinical environment. Um, I guess the negatives of it are that you're out of the clinical environments. You don't get any acute scans. Um, so you don't kind of get that that experience in the academy, But it's only four months anyway. And you are very much back to being a student. I think going into radiology, it's just so different from clinical medicine. Um, so that's something just to be aware of, that you kind of go, I guess, from F one F two to being busy in the environment. And then if you go to academy scheme, then you are literally back to being a student, going to school, essentially in learning. Um, and then it's just a lot of information to take in. But that's the That's radiology. Anyway. You're not going to have much experience of it from, like med school or even F one F two. So it's just very different. But I I quite like it, um, and it's quite nice that it's just a four month placement. So I'm going back to clinical Um, after after this these four months? Um, so that's the end of my talk. Thank you so much, Tanya. Um, it was really important these, uh, the questions coming in about radiology academies in general and about northwest Dean ary, um, in the chat. I'm sure there'll be lots of questions about academies in general Tonja later on. Um, but without further ado, let's hand over to Niall to talk about his experiences. Is that okay? Yeah, that's all good. I'll just, uh, start sharing my screen. Hopefully. Okay, so hopefully you can see that. Just let maybe give me a shout if you can. Yeah, I can see it. Great. Uh, so my name is Niall. I'm one of the ST ones in the South East Scotland training program, which is mainly based out of Edinburgh. And I'm just going to talk a little bit now about making the decision to kind of to to go to Edinburgh for training. And I guess the factors that that kind of came into the decision making process and then a little bit about the actual training scheme up here as well. I'm actually quite glad to have Tanya to speak The speak about the academy based system because the South East Scotland one is is more of a traditional type training scheme. So it's it's useful to hear both sides of this from from your perspective when you're trying to make this decision. So I guess the first thing you and we can see your screen share rather than a presentation. If you were present, if you were doing a presentation, I don't. Okay, okay, let's see. What about? So what are you seeing now? You've seen the pro the Yeah, a screen share. If you press the light, you're the present. Now, button, it should be next to the camera icon. Oh, I'll stop and start again. Yeah, that's great. No, sorry about that. No worries. I hadn't gotten very far, so Yeah, so I guess the first thing to say is I hope everyone will be in a position where, you know, you get through the MSRA, you get your interview and then you get the opportunity to to be ranking things. It is a very individual and challenging process. And I don't think I was maybe, uh, informed enough about that. It's And it was a very tough decision making process for me. The actual ranking part. So you think you've gotten over all the hurdles that are kind of coming at you with radiology applications and actually ranking the jobs can be can be one of the more difficult parts. So I'm going to talk about my experience and Hopefully there'll be some insights that you can take from that. So just to kind of give a bit of background about myself, just cause it. I think it is kind of useful to get that bit of background because everyone will have their own unique path to radiology training. And those are the things I guess, an interview that you're going to want to talk about yourself and make yourself stand out and make yourself unique. So I was a radiographer. Initially. I trained from 2009, 2013 is a radiographer before working for two years and then going back to Edinburgh to do my medical degree. I then left Edinburgh. I was really happy in Edinburgh, but I decided that I wanted to try out London life and see what it was like to work in London, had this idea that that was kind of what I wanted to do, kind of, you know, live that London life, as I said, and kind of, you know, moved down there and see what it was all about. And then I moved down to London, and in July 2020 which I think we all know, everyone has been working over the last few years, I imagine. And, uh, it wasn't the best time to go down to London to try it out. Even having said that, I guess the 2021 2 22 year was a bit more normal. I got to actually get a feel for what it was like to live in London. And, um, you know, and also obviously be an S h O in Southeast London, which was it was it was quite an informative process and maybe a little bit scaring at at times as well. But it was that I guess, over the courses that I still wasn't completely convinced that I was ready to leave or that I wanted to stay on. And that was, I guess eventually lead to me going back to Edinburgh to start the radiology training program. But how I got there, I guess, is the the important part. And that's just a picture of me in 2013, when I graduated, when I still look very young and I had the whole my whole life ahead of me. So my ranking experience was January, February. So about this time last year. I was very conflicted. I was really between London and Edinburgh. I was actually so much between London and Edinburgh that I had decided that if I didn't get either them, I was more than happy to just take an F Y three and not take any other trading program. I didn't really want to move to a whole new city or a new part of the country. And maybe that comes across, as you know, a little bit, kind of, you know, out of touch with with how difficult it is to get into radiology. But I just kind of felt I was. I was kind of ready to take a break if I didn't get what I wanted as well. Um, so I had a lot of discussions family, friends and a lot of radiology mentors between registrars and consultants that I had a chat with them Eventually, I guess the main things that kind of came came into my decision making process was I'm very keen on interventional radiology, and that's that's where I want to go. Eventually, this new I r s t one kind of stream this kind of run through IR training, which had been introduced the first time last year, and I had just gone back, obviously, and done seven years of training from being a radiographer. And I are too being, you know, applying for radiology training. So everything seemed to line up for me. I was like, Well, this is perfect. Radiology, Interventional radiology ST one. It comes the exact year that I'm applying for training. It's meant for me, but then found out that Scotland, we're not doing I r s t one. So that was something that kind of went a little bit against going coming back to Scotland. The cost of living in London was, um I was a massive factor. And that kind of trying to project that forward for the next four or 56 years of living in London on an NHS salary was was a reality that I had to kind of factor in as well. And I guess when if I was being honest with myself, I don't think I really, ever did settle into London. So obviously that kind of swung things back towards Edinburgh again. Um, so you're obviously location is going to be very dependent on yourself as the first speaker just mentioned, you know, people will be kind of will want to stay in one part of the country that they've done their training and so far other people will be ready for a change. I just kind of felt moving away. To start a five year training program was just a bit too much of an ask for me. I had already kind of made those moves in the past, moving to Edinburgh, moving to Dublin, and I just I don't know, Maybe it was I was that little bit older. I was like, I'm not really interested in starting over again somewhere new. My conference experience there was actually I was speaking to a few registrars at one of the national conferences before ranking, and I had said that that kind of my sentiment was I'm applying for London and I'm applying for Edinburgh. And if I don't get either of them, then I'm not going to do radiology this year. I'm just happy to kind of leave it. And they were absolutely shocked and they asked me, you know, do you actually even want to do radiology? Uh, and I kind of felt like you know, particularly with the background that I kind of outlined already. I've kind of been in, in and around radiology department since 2009. That's 14 years. So I felt like above anyone, I think I I kind of did know that I wanted to do radiology, but it wouldn't it I didn't. At the end of the day, it was still a job I wasn't prepared to, you know, just kind of pack up and move somewhere else. And then with regard to deciding on how to rank those two things London And then a lot of people were like, Well, just rank all those London jobs first rank everywhere in London. They'll all be more competitive. And if you don't get London, then you can go. You know, you'll get the Edinburgh job. Hopefully, you know, if you rank rank high enough and that kind of caused because I was trying to project forward and think about, you know where if you ended up ranking high enough to get one of these London jobs and then you got a London job and you, you know, potentially weren't happy with that. How how would that kind of work out. So eventually I had to kind of figure out about where I was going to put Edinburgh above or below London. And in the end I did put it above London, which I was very happy about, because if I hadn't, you know, the ranking ended up going quite well for in terms of my ranking relative. The other applicants went quite well, so I would have been in London and I think I don't know how happy I would have been down there, to be honest with you. And obviously I'm speaking a lot about Edinburgh and London here and as we've already had heard from the other speaker and obviously you know, so hopefully other people that you speak to around the country and your own your own interests. There are some great training programs around the country that aren't just in Edinburgh and London. So this is the traditional versus academy slide and the the academy based stuff I'm very glad has been addressed already. But with regard to the traditional kind of more apprentice style apprenticeship style training, which is the traditional one, Uh, that's that's essentially what what Edinburgh is based off and it's the only one that I can speak for. It was the only one I was really interested in in going for as well. I didn't really even look into academies that much. Um, I again because most of the places that I was thinking about applying to weren't academy based. It is more one on one teaching. It sounds like, you know, for those eight months of the year in the academy that have just been described, it's going to be very similar to that. You get one on one teaching sessions with consultants. You're essentially assigned to them for a session. So it's usually about, you know, to cross sectional sessions to plain film sessions to ultrasound sessions than maybe a bit of flora and a bit of intervention or something like that kind of thrown in through the week. It varies a little bit, depending on what site you're at. I just I really enjoy it and still do with the idea of kind of working alongside all the other registrars and building relationships with the consultants. At this early stage, they keep talking about it in Edinburgh. I don't know if it's the same in other places, but they talk about it as a five or six year interview from the day you start, which obviously can be quite intimidating. But it's actually quite a nice, you know, not a really nice environment I found so far in Edinburgh for that. And you kind of get that feeling that you're clinically involved from quite early in your training. You're involved in the acute sessions or reporting acute CTS. I was on CT this afternoon, so any anyone who's coming in through the door downstairs, you can kind of jump on and form a preliminary report before the consultant goes through that scan with you and helps you to make sure that you're picking up all the relevant stuff, which seems really daunting as well. If I project back even four or five months, I wouldn't have even known where to start putting a report together for a CT. But it does amazingly come together with a bit of time. So that's that which I can answer some questions on at the end. I'm not gonna dwell too long on this, but I think if somebody had approached me at this time last year and given me some sort of a framework to approach a decision like this, it would have been quite helpful. And if you go to the life in the fast lane website, which is, you know, good medical website, you can look at this rap approach about like because I think I was very set on having a plan in a Plan B so London or Edinburgh. But if I I think if I had maybe tried to broaden it out a little bit and think about other options that potentially would have made the decision making process a little bit easier, I probably still would have landed on Edinburgh. But I think, you know, widening things up and and looking at the pros and cons of a few different options is quite useful. Speaking to those who are close to and those who have experienced so obviously hearing from us who've gone through the process recently, or if you, you know, have a particular training scheme that you're interested in trying, speak to somebody who's who's who's there and get a bit of kind of firsthand experience of what it's like, Um, yeah, don't make the decision on a whim, you know, Oftentimes when you're ranking these jobs and Oreo, you'll rank them multiple times. So kind of rank them kind of take a step back and settle with it in the same way as you. You know, a lot of us would have ranked foundation jobs. This is very similar, so just kind of like rank them, make sure you actually, you know, get the Excel document. You can produce the Excel document of all your rank of all your rank jobs and make sure that fits what you meant to do. I always think back to when I was a medical student and there was this guy over in Dumfries and Galloway in the West of Scotland, way out in the West Coast, and now it's a lovely place. Don't get me wrong, but this guy really, really didn't want to be there. And he whatever had happened when he was ranking his jobs, he like I was trying to drag Dumfries and Galloway to the bottom, but it flicked up to the top and he was stuck there for two years. So that's all I always think about that when I think about Auriol, just really be careful because you can think you spend all this time trying to decide your rankings. And then if you, you know, don't act if it the computer lets you down, that's the last thing you want. Um, a big proponent of lowering my expectations with everything I do in terms of applications, job applications, bits and pieces like that. I think, you know, uh, that doesn't mean that you have a low threshold for quality in that, But I think if you can kind of, you know, project down the line and think about what if this didn't go right or what would be the reason that it didn't, you know, go the way that I had expected Or, you know, And in general, I guess if you lower your expectations, you're more likely to be kind of, you know, positively, positively surprised. That's just a little bit of a framework. It's not really relevant. But I said I put something in just in case that is useful for people. Maybe don't rely on a magic eight ball. So Scotland a little postcard for you all here. This is what Scotland looks like in the summer. Not right now. South East Scotland, Dina re. So this is where we are essentially down here. So you have Obviously you're very close to all the rest of Scotland. You get to see all that if you want to, but this is the main area that you'll be based out of in South East Scotland. So Edinburgh being the base for it all. And there's a few hospitals scattered around. So I got the borders General Hospital, Fife Hospitals. So one in car, Cody in one in Dunfermline. That's another potential site you'll be in. And then they didn't have it here but forth. Valley is up this side and then you've got the Western General and the Royal Infirmary and Saint John's out in Livingstone. Most of your time will be spent in Edinburgh, but there are obviously some placements some D G h placements, just a little bit outside, which I'll come onto now. So the training overview in Edinburgh is for ST One. You do 2 to 6 month blocks at the two large teaching hospitals in the city. So I'm at the Western General at the moment, which is north kind of northwest of the city, and then the Royal Infirmary which is more kind of south of the city, down where the the Edinburgh Medical School and all of that is you do one day a week at a D g. H. So at the moment I'm in Fife. So I'm up in Kirkcaldy at the moment on Thursdays. Uh, and that kind of switch is a little bit through the year. You kind of you do a block at one of the D g. H is that one day a week, and then you change over after a little while. We do know on call in ST one, which is not a unique thing to to Edinburgh, but it it does have that kind of hit in terms of pay. Then that urine banded and then in ST to an S T three, you move on to kind of more specialty block. So you do four month blocks of the ones that that are written there. So chest and I are Nuke Med and M s K pediatrics, neuroradiology Breaston oncology, and then your another D g H blocks. You actually do quite a long a four month block at one of those G h s. You start your own calls in ST, too. So it's ultrasound weekends and they're just introducing it now. So a little bit of extra evening cover, mainly kind of helping with reporting CT heads and doing a bit of admin and protocol ing in that and then the proper on call starting s t. Three. So there's no outsourcing, so we do nights and all of that here as well. So there's there. I know there's some training programs where there are no nights, for example, in London, and there are other ones where there's kind of a bit of a mix of Reg cover and outsourcing. But we don't outsource any of the on call here yet. Uh, I don't know if there's any plans for that to change. S t four and five are obviously your subspecialty blocks. And I'd say this is quite standard across the country, to be honest with you. And then obviously it'll be s t 4 to 6 if you're doing I R. So Edinburgh itself is obviously a very beautiful city. Um, these are all photos I took myself, and I'm not actually that great of photographer, so it lends itself quite well, uh, to taking photos and just some some of the areas. I guess this is Calton Hill. This is Arthur seat. This is Princess Street Gardens and the Castle. This again Princes Street Gardens and the Scottish Monument. This is the beach out in Portobello. This is this is the University of Edinburgh's George Square Gardens during the fringe. That's the auto academy in Edinburgh. There's obviously plenty to do here. So the draws for me were that it's a lovely city and I already knew my way around. There's always something going on here between the month of August, the fringe festivals on all month. And that, to be honest with you, was actually in itself a major draw for me to come back here. I had some friends up here. Scottish people just, uh, in general, just get on really well with, and they're all very friendly. Uh, the University of Edinburgh is obviously based quite close by and has good links with NHS Lothian, which is the major kind of health body here in around Edinburgh. So there's good teaching and research opportunities, and the radiology community had got to know them through the years I used to do a bit of radiography work here as well. So I knew a lot of the department and found them very friendly. And that has continued to the case. Even an s t one. Um, it's really easy to base yourself in Edinburgh even when you're on those d G. H placements, like none of them are that far of a drive way. You won't be driving for any more than 40 50 minutes to get to any of those places, really? And then, obviously, as I mentioned, you've got the rest of Scotland on your doorstep. Mhm. This was a tough one, to be honest with you, because I was I was actually chatting to some of the other registered a about, you know, what are the cons? What are the negatives of of training in Edinburgh? And I think the main ones that I've I've kind of mentioned here the cost of living, the fact that it's an unbandaged salary, which is not a unique thing to Edinburgh really at all, I guess the cost of living is the fact you know, it is quite expensive and similarly expensive to London. Maybe not quite that bad. But there are plenty of cities around the around the UK that you can move to and not be paying the the, you know, cost of living that we pay here. So that's just something to maybe bear in mind night life outside of August. It's There's obviously a great kind of pub scene, and you know there is. There is a night life here at the other times of the year, but generally for clubs and gigs and that kind of stuff, it's It's more Glasgow, which isn't that far away. It's only about 45 50 minutes on the train, so it's easy to get there. If you do want to go across for a night out, the weather is the weather is the weather. I guess that it's quite nice in the summer. Here, it's it's very cold at the moment. I don't know if you can hear. I'm a little bit shivering myself at the moment, Um and yeah, for me. I guess the lack of ST one I AARP referencing was something that kind of came into it. And that's just something to be aware of, particularly for yeah, for I I are training is obviously available. Uh, But, you know, you just it is worth kind of having a chat with people who are training in the that area at the moment. Is that something you're particularly interested in? Just to kind of see what the opportunities are like and what kind of intervention they do. And that's just something to kind of bear in mind wherever you decide to apply. That's it. So she is Irish for that's it. And yeah, so we'll obviously take some questions at the end. And if anyone is particularly considering Southeast Scotland feel preach out or I'm happy to answer any questions now or at that email there as well. So hopefully that was okay. Thank you so much about the for mistakes. Um Will be Lots of questions are final speakers joins. I'm just gonna invite uh um that's, uh Essure, if you can hear me, I just invited you. Are they lovely? Hi. Sorry. Was it me you were trying to invite her? Thank you so much. So I just as I was connecting my camera that it cut out, so I wasn't quite sure, but hi, everyone. I'm Isha. I'm an s t three radiology Reg from Wessex. Um, I was going to talk to you a little bit about how to go about choosing, uh, Dean Re to apply for and then a little bit of information about Wessex. So I'm just going to share a poor point. Give me one moment, right? I hope everyone can see that. Let me just take it back to the beginning. Um, yes. So just let me know if there's any problems and you can't see that, but otherwise I will crack on so just a little bit of background about myself to again to just introduce myself and give you guys a bit of context. So my name's Alisha. Um, I graduated from the University of Nottingham in 2013, and I did my F one and F two in West Midlands. Um, I took an F three and F four, which I kind of split the first year. I did a bit of low coming and traveling kind of ad hoc to just get a bit of experience and get a bit of a break. And then I actually ended up doing an F four in Australia out in Brisbane at this point, up until this point, I thought I wanted to do surgery. So I came back to complete my course surgical training and during my second year started having doubts as to whether this was where I wanted to go. Actually took a further year outpost, my CST to kind of decide if I wanted to stick with surgery or go to radiology. And I jumped ship applied and then began my radiology post in August of 2020. So I've progressed through I'm currently s t three. I did my first years of training full time. And then from August this year, I've gone part time down to 80%. So I'm now working out four days a week, Um, and with 80% pro rata on calls. So things I thought generally to consider, um, and I'll kind of go through further points when I talk about with specifically as things you might also want to get a bit more information on. But generally, when just approaching, kind of looking at a map of England, Scotland and basically the UK and thinking, Where do I want to go? It's like we just touched upon on the last talk is are there any family friends that are drawing you to a particular area. It is a five year training scheme. I know of a few people who have moved between training schemes. Um, and Dean Res kind of a process that points throughout their training, But it isn't easy. And you need good reasons to. So you are committing somewhere for five years, and you've got to think is Do you want to really be away from kind of your network for that long? Um, have you worked in the area before? So I did my corsage being in cancerous Sussex, which was a neighboring area to Wessex. Now, um, and I was debating whether to stick within that region because it was a friendly region. I knew a few hospitals in the area, So it's something to consider if you've enjoyed working somewhere before, Or perhaps you want to break and you want to change, you want to move to somewhere new. Um, and then again, the type of scheme that the actual Dean Ary offer. So is it an academic versus the traditional scheme? Is it teaching hospital centered or not? And I'll touch a bit up on that because Wessex kind of is theme that way. But some Dean Aries you're actually spread between kind of similar process of D. G. H s and some you'll centered around a teaching hospital and then you'll get put out for placements. So that's something to also consider as well. Do you want to be spread out kind of between different places? Or do you want one central base? Um, so talking a bit about Wessex? Like I said, already Wessex is split in Wessex is centered around kind of the tertiary center, which is Southampton, however, saying that were being split into three schemes Originally, it used to be to, um, up until 2022 where you'd either basically have your base hospital as Southampton or Portsmouth. But now they've introduced Dorset as well, which is kind of the board meth pool hospitals in the area, Um, and they allocate trainees to this. When you choose your post on Oriole, you can put a preference as to which of the three you want to be put into, but it's not always guaranteed. So you may get Wessex, but not the Wessex portion that you decided to go into, um, throughout the five years here. You do rotate through a bunch of district general hospitals up a list up shortly as well, but you're on calls are always done at your base hospital. So this is again something to think about kind of geographically. Are you able to drive? Are you able to get around to all these hospitals? Because sometimes the trains aren't great in the area. So that's another thing to think about when you're choosing a Dean Ary. Um, yeah, they then within, uh, Wessex. We can provide all subspecialty training as well. Most sceneries are able to, but for some I know you may have to travel quite far if you want a particular sub specialty interest. So that's also something to think about. I went into radiology not knowing at all what subspecialty I wanted to do. But some people do go in with um knowing what they wanna aim for. And it might be worth checking kind of. How is that provided within that, Dean Aree um so on calls is another thing to think about with choosing a Dean ary. The encore commitments can vary quite a lot between different Dean Aries, specifically for Wessex, which I know doesn't happen across the whole country. But it it can be quite common, is that you don't have any on core commitment in ST one, which is quite nice. But then you do remember that you've got an abandoned salary to combat that with, um, we split our own calls, then as ST two and three into a junior registrar and s t four and five is a senior registrar, and this happens across both Southampton and Portsmouth in Southampton. Because we're a tertiary center, we do have to provide night cover as a senior registrar, but in Portsmouth, this isn't a thing. They work till latest 10 PM because then everything is outsourced after that. So that's also another thing. If you want to avoid nights for the whole of your training, then you can in some certain Dean Aries as well. The way that the on calls work is the Junior register evenings and weekends. And like I said, the Senior Register kind of provide senior support on those same evenings and weekends and then cover nights as well. In Southampton and Portsmouth. They do the late evenings on their own, So yeah, the hospital placements. So, like I said, you're based around your central hospital, which could be born meth, Southampton or Portsmouth. But you can get rotated to all of these other hospitals as well. And it is worth remembering things like this because a couple of people started our training program, they weren't able to drive. It's been quite difficult for them to get trains around the area. And you do. You will get put out more frequently as we're recruiting more trainees now. So it is something to consider. Um, just a note as well. On the hospital placements, though, I saw questions popping up. You do get reimbursed for mileage over a certain amount, Um, but you don't get sort of accommodation and things paid for. You can ask for sums of money, and you'll get some help with that. But again, it's another cost to factoring that you do need to think about, um, teachings. Another big pool. Um, all radiology programs seem to offer quite good teaching, Um, throughout the five years, but some seem to be a little bit more supportive than other, and again speaking to trainees and seeing how they found that experience or how good the teaching is within their program can be another attraction for a Dean ary. So particularly in Wessex, we have, uh, for ST Ones, uh, physics and anatomy theme teaching course to Amy for you to pass the pot. One f r C r. They also now have joined with cancerous Sussex to provide a Southeast imaging academy, and they get ST one specific Wednesday afternoon teaching. So there's a lot of ST one teaching support to kind of get you stuck in and get you past that first part of the exam. We then have the Southeast, um, imaging Academy to a sessions. So these are specific kind of a few hours in an afternoon where they pick a topic and teach aimed at the level of the second part of the exam, and it averages a bit sporadic, but it averages to about two sessions a month and then particular in Southampton. They're very quite focused on the to be teaching, which is the final example. We get quite a lot of small group Viber sessions led by consultants and see registrars, and they're quite focused and tailored in the exam, so there are quite supportive with their teaching program here. Also in Southampton particularly. We get sort of specialty themed virus teaching pretty much every lunchtime where you can log in three teams. Even if you're in a d. G. H. You're not at the base hospital. Um, so they're very supportive and there's a lot of kind of consultant facetime, which is, I think, a big pro with the West 16. Very. Um, overall, it is a great place to train. Um, with Wessex, we've got a large intake of registrars across the Dean Ary each year. So this year they have increased and we had 14 between Southampton, Portsmouth and Dorset. So it does mean you've got a lot of people around, which is really nice. It kind of reminded me a little bit of like going back to uni. You've got your first years, your second years, and then each year that was sort of between 8 to 10 registrars to talk to kind of get advice from, um and because it's we've all kind of got our little year groups, you've got to know each other quite well, and it just was a nice support to have. The consultants are quite involved. They've always been used to having a lot of facetime with us. So you do get to know them and kind of gave and that rapport with them, especially if you're considering subspecialty. They tend to be really supportive. And because we've started now increasing our registrar intake, we're going out into the district. General hospitals more and those consultants are quite keen to teach, and they're very supportive as well. So it's really good from that perspective. It is rapidly changing at present because we're joining with sort of cancerous Sussex in this academy, Um, and also they're trying to increase our registrar intakes, and more of us are getting put out into District general hospitals. It's a kind of pro and con at the same time that things are up in the air. I can't guarantee what I've told you is going to be the same as what it will be next year. But on the off chance of that, they're very responsive to any feedback we have at the moment. If things are aren't working and they do really appreciate that, too, um, we've got good exam pass rates, which is always a bonus as well and most of the registrars are pretty much all of the I've spoken to would definitely recommend Wessex as a place to train. I think thinking of negatives as well as again. It's the same as the last talk we had. You are an, um, banded, um, salary in ST one, which I think isn't uncommon, to be honest, Um, I think you can be quite spread out now because we are increasing where we go to in district general hospitals, but because there are so many of us, you usually there with another registrar to help support you and kind of share that experience with you. Um, and like I said before, it's kind of a double edged sword with a changing program. At the moment, things are gonna work. Things aren't but to remember that you've got a consultant body behind you that's quite supportive is really good. Um, so yeah, I'm just going to stop sharing my screen. And yeah, if there's any questions, then feel free to direct them in the next session. Um and yeah, I hope that was helpful. Thank you so much. Isha, there's a free really useful um talk. So thank you again for your time. All three registrars. We're going to move on to to the questions, so I'll ask the questions. And then, um please carry on typing the questions in the chat. Um, so be great if we could get all three of your perspectives on some of the questions. Um, so the first question, um, I suppose it's a It's a general question. Um, someone's asked how the ranking works on Oriole. Um, if could someone advise how that works? Perhaps now you could try. Try to remember. So it's It's essentially, I think somebody was asking if it's similar to the process for foundation in foundation. You obviously ranked the area first. So I remember, you know, Scotland was a whole Dina Reefer foundation in or a whole. You know, you initially rank Scotland, and then you you get accepted to Scotland, then you rank jobs within that in the ranking for the radiology jobs is essentially you're ranking the training programs. So, for example, again just to use Scotland as an example, you'll be ranking Southeast Scotland Tayside Aberdeen, west of Scotland, and that will be the actual training scheme your then attached to If you get that job and similarly down in London, your ranking. The training schemes, which you know for an example guys in Saint Thomas is the training scheme. Kings is a training scheme. Imperial, your that's there. That's what you're ranking. It's not like you have to rank London first and then and then you know, within that rank after that. So it's it's the training schemes, more specifically that you rank this time, which is a little bit different. Do you know your ranking when you're choosing your preferences? Can you remember? No, I don't think so. Okay, what's your question? I just I just on that, I think which isn't a bad thing, because I don't I Obviously it is useful to have a little bit of insight into where you're going to rank and that when you're making these decisions, But I think sometimes you can be overly kind of swayed by where you think you know where your ranking related to everyone else and not make a decision may be based on what's right for you in terms of geographical location, all these things because you're going to be in this city for five years or this place for five years. So I think maybe it's it's a good time to kind of use those external factors and where you would like to be for five years to when you're making that ranking instead of, you know, having an actual you know, a number where you're ranking amongst. Thanks, doll. Tanya, There was a question about holidays in the academy. Um, could you Could you answer that for everyone? How how it works about taking on your leave. If you were in an academy, it looks like there's a little bit a little warning. Yeah, it might be gone. That's fine. Isha, Uh, someone Stephens asked a question about I don't know if you can see in the chat is FSC are teaching across all parts of line available to Southampton. Portsmouth, Endorse it. How does the training differ between Portsmouth and Dorset and Southampton? Given that Southampton is a tertiary center, Um And now I'll ask the same questions you afterwards, about the sort of District hospitals and Edinburgh. Um, as well, if that's okay, but issue if you'd like to go first. Um, yeah. So with the part one teaching that the ST ones from both Southampton and Portsmouth and Dorset all part the same teaching course. So you all do that together, the sort of daily Viber sessions I was talking about that actually, at the moment mainly delivered to you, South Hampton and Dorset. Portsmouth is historically Portsmouth and, um, Southam quite separate. So when it comes to the to be kind of more personalized teaching, they do have their own as well. But it's not the same as Southampton's and we don't get really attend. There's and they don't really attend us. Um, Portsmouth Trainees can do placements at Southampton, and when they do that, they sometimes attend our teaching as well. But it's not mandatory for them. Dorset trainees have only been introduced as of this year, so it's not really they're not that separate from us yet. They kind of run the same as the Southampton trainee. So they even do their own calls at Southampton at the moment, still as well. But that is something that may change in the next few years. Um, whether to change for next year, I don't know, but it's something to consider. In the next two years. They may be more separate, but I think they're teaching would still be combined with us. Um, it's all on teams, though. So if you're out on placement or anything like that, then yeah, you can still access the Southampton and Portsmouth teaching relevant to which is your base hospital? Um, how does the training differ? So really between Southampton and Dorset at the moment? Not much, because it's not really that segregated yet. Um, Portsmouth, you're on calls are different as I mentioned. Um, but essentially, if you have a subspecialty, that the training can only be provided at Southampton. So, for example, the one that springs to mind is neuro because we're the only hospital in the Dean ary that provides neurosurgical service. So we have all the POSTOP neuro imaging that you need to be able to report as a neuro trainee. You will do a placement in Southampton, so it's really your core. Training is provided at your base hospital wherever is needed. But if your subspecialty training can't be met by your base hospital, you will have the same access to the same hospitals as the Southampton do or such later at Portsmouth, and vice versa. So, like not really There's not massive amount of difference between them. It's just your base. Hospital will be different, and so where you'll do your placements will be different. But you're training. Needs will never not be met because you're treated as one Devery when it comes down to it. Thank you, Chef. No is. Is that similar to the experiences in Southeast Scotland with Yeah, so it's It's, uh, maybe not as similar, because the the amount of registrars at any of those district general hospitals that I mentioned So the you know Saint John's in Livingston are the borders or forth valley. There's there's never a massive cohort that you know about two, maybe 2 to 3 at any one time. So the court teaching and all of that that happens at any stage in in training is always going to be Edinburgh based. So whether that's kind of the and the way they divide up Edinburgh itself is the west sector. So the West West Sector takes the Western General and Saint John's, and then the Royal infirmary is kind of down that has, you know, the the D. C N, which is the the big neuro hospital in Edinburgh and the sick kids and the Royal Infirmary are all kind of together in a in a group together on kind of the more south sector. I guess so. Sometimes, if you're on a block in the Western General or in Saint John's, you'll be able to kind of over. The teaching that's available in the West sector is available to all the registrars there. But you wouldn't necessarily tune into the trip the teaching that's happening in the Royal when you're back in the royal, uh, or sick kids or the neuro. That's kind of when when you're back in those sites, you kind of tune into the teaching that happens there. But a lot of it is quite general. You know that there'll be a day a week where there's a bit of hot seating, or one of the consultants will will have a topic that they'll speak about. But the more core teaching like the F R C R stuff. So part one, for example, At the moment we have a day a week where we do teaching. It's the NHS, Lothian or the South East Scotland trainees and also the the Dundee, the Tayside trainees. So we come together And, uh, that's kind of organized for both of both of those training programs together. So that's that's kind of protected time that we've got this year. And as, uh, to be honest with you, I'm not entirely sure how it works from there on out, you know, for the part part to weigh in part to be. But, uh, there is protected time for that as well. But it will depend, I guess on what site you're at. Because people will keep rotating between those four month blocks that I spoke about. Thanks. Now, Tanya, can you can you hear us? I don't know if the, uh, connections. No, it's like I think she's she's probably going to try and rejoin. Um, there was There was a question from from a few people about specific Dean Aries that that we haven't got registrars from, um so I'm just wondering if if if either of you had any opinions about how people can find out sort of specific questions about any denials they had that we haven't mentioned tonight, and also if there's any way that they can find out if they don't have on calls in ST one or anything like that. How would you suggest people can can find out? I think the best thing to do is try and find someone from that Dean Ary Um like there's no real website that I know of that will outline kind of the information that you'll get from a trainee, and I know it's hard to kind of find that. But I think if you're keen and interested in the area that or there's a particular dean ary. Usually there's a radiology manager and you can like ours is really good. You can send him emails, he'll circulate it to the ridges, and someone will hopefully come back and respond to you. And you can just get contacts that way. So trying to get in touch with someone from a department that your interested in is probably the best way. Um, but yeah, I can't I don't I can't really think of any website or anything. Particular don't know if any of the others. No, I don't think there is. Uh, you know it. It probably probably would be no harm, but it would go out of date quite fast, I guess. With things changing even in Edinburgh. The the on call structure is changing a little bit now, but yeah, I think it's the best thing, as you just mentioned, is to try and try and get in touch with, you know, further. You know, top three or four. If there's something that you're that are one of those training schemes, that's kind of quite high up, and you feel you don't know enough about it, just try and make contact with somebody you know at the Department of Register will be more than happy. I'm sure to help you. And if it's not, obviously not one of one of the ones we've spoken about tonight, Great Tanya, Can can you hear us? And then if we can hear your your mic, um, perhaps you could. If the mix are working, perhaps you could type your answers in in the in the box. The questions were a little bit about if you can take holiday, um, in the academy, how that works. And also, if there's any differences in exam pass rates between academies and um, the more apprenticeships style schemes. If you knew if there were any differences, um, it would be great to get your perspective on that. I think, by the way, I did read that, like, last year. Um, that the exam pass rates are better in academies. Um, that's something that I've read. Like a study was done into it, but by how much? I'm not sure, but that. Are there any other questions? Um, I see one there about the i r s t one jobs. Obviously, there's a few of them around, and I know there's one in, uh, there was one or two in in, uh, in Wessex there last year. The the idea behind that and I think it was very much a pilot scheme last year was this idea that the i R community could say that they were recruiting people directly from ST one. What that was what that would look like is not very different to a normal s t one, because everyone still has to pass their you know, their part one in in their ST one year. And, you know, obviously go on then and do their part, too, as well. I think the only thing that was going to be different was you might get a dedicated session or two a week in intervention and that might, you know, that would kind of be something you might even have to advocate yourself, you know, for a little bit as well when you got there. But the plan is to try and bring that in a little bit more, and try and structure make make a little bit more of a a structured job plan to that. But I think at the moment, even this year, it's it's still, you know, they're trialling and trying to trying to make, uh, I don't know if if issue you have any experience or you know anyone who's taken on one of those ST one I our jobs down there. I think one of our trainees from the Dorset side is a I'm not 100% sure because right now he's doing exactly the same placements. Everyone else, um, I have a feeling that he is. I are themed, but when we've spoken to him about it, even he's not really sure how it's gonna work yet. Um, because normally we interview at ST three. If you want to progress to IR for S t. 45, any of the trainees that are interested, um, interview and usually everyone gets it. But it's just if there's a particular year where a lot of trainees want to do it, there are limited spots within the Dean ary, and I think the main things he bypasses, that he's already essentially got one of the spots for his year. So I think that is the main difference. But all of his core training will be pretty much exactly the same as what ours is. Up until the same. And somebody's just asked a question there about just something I was going to pop in is if you did get one of those ST one IR posts. Uh, it was it was fairly clear from chatting to people who were involved in kind of getting these there, you know, on the on the road at the time. Uh, it was that if you did, then at ST three did not want to do IR anymore. There was still that option two, obviously cross back And do you know just do diagnostic as well that it was just, um it's not that you're you're committed to IR for S t 4 to 6. It's just that you get that extra experience and potentially bypass the interviews. That s t four. Yeah, that's the same with us as well. I think there was no pressure for him to continue with it if he didn't want to. Um, I've seen as well, like a couple of questions about ST Paul moving Dean Ary and interviews and stuff. It's It's not, um so moving. Dean Aries isn't really something that is common. Um, it's only really happened in exceptional circumstances with a couple of the trainees within our dean, Aree. And it's quite a lengthy process. So pretty much you are committing to run through training and it will be. And even if you do have a Dina you want to move to, you need to check if they've got space or they want you first so I wouldn't go in thinking it's easy to move over at a C four. Um, and no usually, well, within Wessex, you just kind of click a subspecialty. Um, and I've not heard of any Dina re so far where they interview you for your subspecialty pot from I r, um, where they might just say that Yes, we want you as a trainee or like no, or there's not enough space for you. But usually within Wessex, you just literally send an email to the T p. D, saying this is the sub specialty I want to do, and it's not written in stone. You can also try that subspecialty, and you may pick to to initially drop one. Once you've kind of tried out both and see which one you prefer, you can switch. Um, obviously, it just means you miss out on a bit of that subspecialty training and may need to make it up. But it's not as regimented or set in stone is like, say, taking the hurdle from CT to to S T three and others Great Tanya, I don't know if you're If you're Mike's working, I can see you put some some answers in the chap. So I encourage everyone to to have a read through. Um, we probably have time. Time for one more question. Um, so if anyone else had any burning questions to put to put in the chat, then we can We can ask our Panelists and then we'll finish this evening's talk. Um, see, Rohan has just asked a question. There about If Aldeen Aries have IR, I would say at this stage aldeen Aries would I think it's kind of part of the curriculum to get some X exposure to some version of IR. Um, I think the, you know, the spread of of procedures and maybe the amount of work that they're doing will vary quite a bit. So I think that's just something to to look into. If you're particularly thinking I are just kind of get a get a feel for the scope of practice, you know of IR that they're doing in the Dean Aries as well. If if that's something you're particularly interested in, he should know. Tanya, thank you so much for your time this evening. On behalf of everyone I want to say thank you so much. It was really useful. I hope everyone that's joined found it as useful as I have. Um, and thanks for your time. Um, we just before you leave, could you please complete the feedback form, which I'm just sending now in the chat? Uh, this is is really important for the speakers. They've given up their their time. So if you could please, um, complete that um, some of the speakers have given the email address is so so pleased to contact them. And please, also, we're running a few more talks as part of the application series. Um, follow us on medal and stay in touch with our junior. There's lots of opportunities to get involved. So after you completed the the feedback form, please feel free to to leave. But thank you again for joining. And thanks again to all of our speakers. Thank you, guys. Thanks.