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OK, good evening everyone. Welcome to today's event. I'm so sorry that we have some technical er uh errors and welcome to today's event. It's gonna concern uh working in the NHS. My name is Olga Taman and I'm currently the education leader of the preclinical education team. And I will be hosting today's lecture today. We will let, we will tell you everything you need to know for how to pursue a career um as a doctor in the NHS, what to expect as a doctor in your foundation here and all the interview process. Well, we're gonna go through it together with you. It's my pleasure to introduce you to our speaker, Doctor Haza Mahmoud, who is actually graduated from Charles University first faculty in Prague in 2022. Doctor Haa was a foundation doctor then she did fellowship in Genital the Oncology and is currently a doctor in fire department in the NHS. And without further ado I will hand it over to doctor, have to share with us all the knowledge on the top. Hi, everyone. Um So my name is Hafsa. Um I graduated in 2022 just like Holger said, um from Charles University, First Faculty of Medicine. And I'm just gonna go through an overview of the process of applying to the UK, then uh what to expect in the interview process and then what to expect as a first year doctor. Um So I'm trying to keep it as brief as possible. But if you'd like me to explain a bit more, please don't hesitate to ask any questions. Um And I can explain that bit more if not understood as well. Um Also like in the future, if you'd like any more lectures, um explaining a specific topic in more detail, we can also do that. So I'm gonna start by telling you a bit about myself. Um So three years ago, I was a final year student um in the first Faculty of Medicine. There's a thing about pediatric exams being the block that you have to get over to get your medical degree. So I was most anxious about this exam. I was just like wondering like, oh, wow, how did I get to the sixth year? Um It was a lot of hard work. Um But also some luck. Um I'm sure everyone knows it depends on the professor you get as well. Um And I made a lot of really good friends um while being there and I'm still in contact with them. So that, that was amazing. Um At the same time, I was looking forward to moving on to start actually working as a doctor. Um, and I wanted to finally practice medicine physically rather than just read it in books. Um, so I did start researching about this a little bit before sixth year, but majority of it was um at the start of it, um, there were a few lectures just like this one by ex students who were now doctors and they were doing lectures like this for us. Um So from graduation till now I graduated. Um so the pediatric exam was ok. I got past it, um Obstetrics and Gynae was my last exam um in June 2022. That's when I um graduated as a doctor. Um I got my GMC registration in July. Um And then I started immediately as a trust grade F one. I think I only had a month really of holidays afterwards. Um Then after that, I continued on to F two in the same hospital and then did a clinical fellowship in Gynecological oncology. Um That was a separate post that I applied to. Um And now like I've finished that post in November. Now I'm working as a bank doctor because I just went a little bit of a more easier year before I go into training um as a specialty doctor as a GP. So this year, one of the things that I really remember that remember well, and I feel like I achieved was um one of our presentations, there was an audit. We were doing um in robotic gynecology surgery while I was working there, which was presented at an international conference um in Madrid. So that was really nice. And I saw a lot of really amazing um doctors consultants and leaders um of the robotic surgery team in Gina. Um I've applied for GP training now, which will start in August next year. So what I'm gonna go through today are roles that we can apply to um as international graduates, how to apply for them and the interview process if selected um then life as an F one. So there are two different ways that I know of which are standalone F two and trust grade posts, um standalone F two posts. Um You apply through an online channel called oral um applications opened in January of the year of. So after sixth year in, in the January, after that would be when you would apply for this. Um Ielts is another requirement for everyone who's applying to UK, whether it's this route or a trust grade route. Um Just to demonstrate that we, we can speak English even I had to do it even though I was schooled in the UK. So um it's a requirement just because um the clinical aspect of our degree tends to be more in check rather than English. So like taking histories and clinical examination that tends to be more in check. Um So that's why we need to do Ielts the dates for Ielts, it tends to range from December to February also in the sixth year. Um you can do it one year earlier as well because it lasts, I believe two years. Um So with the standalone post, uh you're required to do an additional exam called the Situational judgment test. So the way it works is you start with the application, um you submit it then afterwards they will invite you for um S TT to, to book it with them. Um This would be around March after that. Um After sitting the situation or judgment test and its outcomes being released based on that score, you will be invited for an interview um around April time and then they start offering you positions from mid May till the end of June. Um Then you start work in August after a brief induction period. It depends on the hospital. So some places they'll give you two weeks, some places um one week, sometimes a bit longer. It completely depends. Um I just wanted to show you the recruitment timeline that I found, which is quite helpful. So this is more in detail. So from what I've read, um I don't think we need to do the plan. Um I know definitely like when I graduated, all I needed to do was the Ielts. Um But yeah, basically, I've been reading about it and on the GMC website, it says that EU graduates don't need to currently say either the PLB or UK MLA. Um but it could change. So it's just keeping an eye on that and just making sure that it doesn't change in the upcoming time like few months before you apply. Um So this was quite helpful, this is more detailed. So I've given a rough guideline on the timings, but this is more detailed. Um It also has when to start applying for GMC registration on here. Um Here. So in May would be when you should start applying for that. There's an online portfolio called IC, which you start with and they just ask you for validation of who you are. So passports ID, documents, things like that. Um And usually it's about a two month process getting the GMC license, but again, it depends on what documents were sent, whether you have all of them or not in time. Um So yeah, this is, this is a nice guideline. So we'll go back to the slideshow trust grade person. So this is the route that I took um to get into a hospital called Arrow Park Hospital. Um It's part of the rural university NHS Trust. So the way you apply is through track jobs, you just keep an eye on vacancies available and apply through there. They have their own application form um which is quite um it, it's extensive a little bit. Um And there are some paragraphs that you might have to write as well as a personal statement. Um I'll go into it in more detail a bit later. Um Another way you can apply is NHS Jobs. Sorry. NHS. Jobs is the one that I use more, but track jobs is linked so they tend to have the same jobs on the, you can send your C vs directly to hospitals. I know a couple of, um, Im GS who did that. Um, they may not have gotten the job straight away but a few months later when they had a vacancy open, they interviewed them and they ended up getting the job. So that's another way. Um B MJ careers has jobs other than those in the NHS. So like private hospitals as well are on the. Um So there are specific hospitals that I know who employ international graduates more often than other hospitals. So there's Western Hospital um which is near Liverpool, Rural University NHS Trust. So this is the one that I got into um Royal Surrey, Great Western Hospital in Swindon. This hospital also offers internships um in between 5th and 6th year. I believe it was um I did this internship as well and it was, it was very helpful because they cover also um the emergency department where you can see a whole variety of cases. Um Then there's Plymouth University Hospital, this one I believe. Um this professor still takes the C vs um because I think I've seen him still doing some lectures as well. Um So Plymouth University Hospital is another one um how to apply. So, sending your CV versus track. Um So this is the one where you send C VS personally to different hospitals and just ask if there's vacancies, please consider yourselves um in your CV. It would be helpful to have a personal statement just saying a bit about yourself and what you aspire to do, make it more relevant to the job that you're applying for um education qualifications, clinical experience that you may have. Um For the UK, it is important to have a clinical attachment in the UK itself because they will ask you for evidence of that. They want you to have exposure to the NHS before you get in. Um Then there's teaching as well. Um That's a very helpful um skill to have and to put on your CV anything about research or audit. So for me, um I didn't do formal audits while I was in UNI but I did, I was part of the mental health team. Sorry, I was part of the mental health team and I took part in um hiring a new counselor at the time. So I wrote that down in my application and that counts as a change that you might have made. So there are formal audits, but there's also things that you might have done in uni as part of a society where you implemented change and that will do very well on your application because it's, it's a big thing in the UK, if you do audits or like quality improvement projects, um leadership and management. So any experience you might have had in uni you can just write that in your CV presentations that you might have given um awards, any certificates, you got any extra courses. So you can use also your elective courses in this um interests. Um Any hobbies that you might have, um you can put that on your CV and then you need some references as well. Um On track, it's quite similar. But um on the track um form, there's a section for supporting information um which does, which is quite extensive where you need to write paragraphs about yourself. So it's a bit longer than a personal statement. Um They read, they do read this and certain words will flag up the system and you'll be more likely to be selected based on what you say. So in the supporting information, you can say something about teamwork, for example, like I worked in a team and giving examples of that, like what you learned from it um in personal statements, sorry, in supporting information, you have to make sure that you do uh evidence each sentence after each sentence, you say, give an example of how you achieve that sentence. So every sentence has to be like informative with an example. Um So on the track form, they will also ask you for a declaration of practical experience. Um This would be certain things you've done um as in, in uni like me measuring vital signs, catheterization, venopuncture, things like this. Um So I think you tend to have a white book that has a list of all um the practical procedures that you've done. So make sure you keep that safe with you and you, that will be your proof of practical experience. Um They didn't really ask me for the proof later on to be honest, but it depends on each, um, trust that hires you some may ask. So this is a rough guideline on the timing when applying via track. So in January, you would need to do the Ielts. Um So between December and and February like earlier states in December and later State sign Feb so you need to check, they offer ielts in loads of different countries and the timings are different. So, um, it, it might be worth looking it up. Um I think the dates are up already because I was looking at them prior to the presentation and they were there. Um So you can see what would suit you if you are in sixth year and wanting to apply to the UK. Um Then February to March is when the application starts. So February was when I saw the job offer for Arrow Park Hospital. Um, then March to May will be when they do interviews and then some places will give you an offer within two weeks. Some of them will take longer. It depends, some, some will put you on a waiting list. Um And then you'll get it. If another person before you on the waiting list declines their offer. So it could take up until June for you to know if you have a position or not. Um Then you will start your work in July to August. Um So induction period in July and then August will be the actual work. Um So does anyone have questions at this stage? Let's see if I can the comment section? Ok. So I'll continue. So the interview um is split up into two sections. Um First of all, there would be about two examiners. Um One would be either the lead of the um educational department or um the lead of the hospital who is in charge of hiring and then there will be another consultant who could be from any specialty. Um It's worth um researching about the consultants who will be interviewing you beforehand just to get a bit of a background of what they might be into. Um And then you'll get the response approximately two weeks, but sometimes it could be longer depending on whether you're on the waiting list or um just the hospital itself and how organized they are. Um So to prepare for the interview, I found these two books extremely helpful um guide to CT ST and Registrar interview. So it sounds like it's above our grade, but it's, it's not like when you read through it, um it's very helpful. It gives you some structures that you can use to answer questions that they give. And then for clinical scenarios, the Oxford handbook of Clinical Medicine is amazing. It has a section at the end called emergencies. So those are like acute scenarios like asthma attacks or um CO PD or epilepsy, seizures or meningitis strokes, um heart attacks, like it has a bunch of um acute scenarios that you can read through. I still use it to keep my knowledge up to date now. But of course, like depending on the condition you have, you should compare it to guidelines as well. So nice guidelines are the best ones to use, which is widely used in the UK as well. Um So the F one interviews, so the there's like it's split into two different sections. Basically, one is just information about yourself and um just certain things about teaching experience, asking questions about audit difficult colleagues, confidentiality, consent, things like that. And then there's like a clinical scenario um part as well. So like I said, the book that I said earlier, this has a lot of information on how to answer these questions. Um It also says everything that you need to know about clinical governance as well, like what it is, there's seven pillars um and also about difficult colleagues, how to answer questions like this. It tells you about confidentiality, consent, capacity Um So I personally was asked about capacity. Um how to obtain capacity, what are the different ways? Um And I got difficult colleagues as well. Um So, yeah, this, this is always gonna be there background and motivation questions. Tell me about your CV or tell me about yourself. So for background and motivation questions, the book has this structure called camp where you can talk a bit about clinical things. Um So what you've learned clinically, what you hope to achieve um clinically um academic um background. So like I'm into teaching, that's something I aspire to do. Um I've done it already um management as well. Um How I manage certain issues, uh how I managed a group of people to get a certain outcome and personal reasons, like I like the area. That's why I applied things like that. Then there's a star structure for questions asking for examples. So if they say, give me an example, when uh let's say um you saw a colleague and they sorry, that would be this one. Examples of when you ha ha did teamwork, for example. So you can give like the situation um II was in the basketball team and then um there was a time when um I don't know we had to score so I had to pass the ball um to someone and the way um that team's work, we ended up scoring. Um So I've learned to do certain things. So it's a bit wishy washy, but it has this structure. So it helps you answer these questions when you, when you get it and then they have a spy structure. So one thing that um when I was practicing interviews with a senior, they told me about patient safety being a very important thing to say, like it's one of those words that gets flagged up in interviews. So if you say, oh patient safety is a priority. So I would make sure they're safe first. Um in difficult colleague questions, then they will, they will love that they have the clinical scenario questions. All they're essentially looking for is ABCD E. Um And then if you look at like specific treatments for through in the book that I mentioned earlier, you'll have more of a guide on what exactly to do when you find certain things and then life as an F one. So in my first year, it took me a long time to get over imposter syndrome because when you go from being a medical student to actually seeing patients and actually being responsible for them prescribing things. Um It's quite a change, a big change because now you have so much responsibility for that patient. Um But as an F one in the NHS whatever department you work for, there will be loads of help around you. The nurses are very experienced, they've seen those presentations multiple times. Um they help, they, they can help you and the system tends to be different. Like, um, every trust uses a different system. Um, there are, there are a few that are similar but within a trust, like all the hospitals, they use the same system but different trusts can use different ones. So getting used to that, um, there is help nurses, there's pharmacists as well. So if there's any medication errors or they will flag it up to you, um, and you can change that, they will advise you on certain medication. Like if a patient just came into hospital, the medications not prescribed, they will tell you about that. So there's plenty of help. Um There are different specialties you can call as well if you need certain advice. So like if you're worried that someone might be having an M I and you have an ECG, but you're not quite sure you can call the cardiology um registrars and be like, could you please have a look um and help me out here? Um So there's plenty of help. Um So what's expected of you usually as an F one um you do all the jobs of the day. So you have ward rounds every morning, they're consultant or registrar led. So you always have the senior with you in the mornings who um come and see patients with you and then you tend to do like the documentation and writing the plan and then doing the, the plan itself as well, like the plans can involve ordering tests like blood tests, for example, x-rays. Um Ec GS pardon? Ec GS tend to be done by nurses um in the NHS. So you could ask a nurse, like could you please do this uh an E CG on this patient? Um Referring to specialties, there are usually bleeps. Um some computers use online systems to refer um prescribing medication discharge letters that tends to be the F one's responsibility. Um You end up learning a lot of clinical skills. So I remember I was really nervous about this because in uh when I was in uni I didn't really get a chance to practice these skills, venopuncture, cannulation, ABG S catheterization. They were all things that I was nervous about doing. Um And the first ward I was assigned to was a General medicine ward which had a lot of elderly patients. So it was quite difficult. Um But you pick it up quite quickly and some hospitals also offer clinical skill sessions. Um I think every hospital does have a department where you can self register yourself to practice clinical skills outside of work as well to improve on it. Um So again, there's always help available um around you. Um But yeah, you, you learn quickly and I know like a lot of international graduates who picked these skills up in the first few months. Um So yeah, don't worry too much about it first. Um Yeah, you'll have your first clinical point of contact with patients. You'll be the first point actually. Um, and with relatives as well. So sometimes a patient might tell you. Oh, I have this issue, like there's a rash on my skin. I'm not sure. Um, it, it's itchy and then you will need to do something about it. Usually here you just find out what might have caused it first and then there's like chlorphenamine as, as long as they're not going through a massive anaphylactic shock. Um, you can give like antihistamines. Um And if it's worse than that, if it's progressing or if you think that they're getting worse, you can speak to a senior, like an sho should be around senior house officer or a registrar. Um, then there's, uh, you're the first point of contact with relatives as well. So sometimes like during visiting hours, relatives will come to you and be like, can you give me an update on? So, and so, um, and you'll be in charge of doing that. Um, you always have the notes available on your computer system, so you can always read through everything that's happened since they've been in hospital and what, what to convey to them. Um, it's important to prioritize jobs. So, like if someone needs imaging or blood tests do that before doing discharge letters, for example. Um, then, like I said, there's a lot of support, um Sh Os registrars, consultants, nurses. A NPS are advanced nurse practitioners. So, um, in the UK, there are a lot of nurses which are basically like registrars, like they have a lot of knowledge. Um They're amazing with communicating to patients because they were once a nurse. Um they, they're like, really helpful, especially for junior doctors. They're very helpful. Um, pharmacists, occupational physiotherapists, they tend to be in charge of discharge. Um then you have your portfolio um which you need to build on for specialization and there are weekly teaching sessions where you can improve your knowledge uh as well. Um So there's something called handover as part of being a junior doctor because NHS care is 24 7, 365 days of the year. So there might be some things which weren't done during the, during the day because it was just too tight, like um some bloods were taken a bit later on in the day um that you might need to review, you might need to review scans. Um Again, there's always help available, there might be patients coming, becoming a little bit unwell um out of hours and you might be the first one to see them. The only thing you need to know is whether you're able to help them yourselves or whether it's something you need to escalate um to somebody who's more senior than you. Um So there are, there are different types of duties you can have um which are non standard. So standard, a standard day would be the one on the ward where you complete jobs during the day, 9 to 5 or 8 to 4. Um, and then there are on calls, like, where you work in the evenings, nights you hold a bleep and you get called to do odd jobs during the day and out of hours as well. Like prescribing things. Um, like a patient might say, oh, my patient is having a little bit of, uh, back pain that they used to have even before hospital. Can we prescribe some paracetamol and that would be safe to give? Um So met calls as well. Um That's a thing where um there's a medical emergency team who come uh when you put the call out because a patient is deteriorating. Um then you can receive and give jobs during handover as well. Um There are other jobs like clerking jobs. So if you're in the acute medical unit, then you can uh take the history of a patient come up with a diagnosis. Um post take ward rounds is when you go around with consultants and you um again, it's like writing a plan and then um doing the plan, then there's an ee portfolio, which is something you need to work on during your foundation year. Um where you have meetings with uh two different supervisors, one's a clinical supervisor who's so each rotation has a different clinical supervisor and then there's an educational supervisor who who looks after you the whole two years that you're there. Um And then you have to put in certain things, so build on your portfolio, like put reflections, case based discussions um minis um dot s which are procedures that you might do like catheterization. Um Yeah, and then you also do audits and quips um which are quality improvement projects um taking part in data collection and things would be, would be part of audits and you put that on your portfolio to build it so that um can be used when you are trying, when you wanna specialize. Um So that's it. Um Are there any questions on any specific topics we went through today? How important is it to have an attachment in the UK prior to applying for a job? Um Is it mandatory? Um So considering how many people you're going against it is, I would say it is mandatory. Um It's extremely important. Um because literally, when you even go into the job description, they'll say that you need to have prior experience of some sort. So it's important. Um I don't think there will be many jobs, especially like if you're against so many other people um who do have clinical attachments, they will be prioritized over you. So, yeah, I would say it is. Um I think I did basically, I was doing some research about where you can do it. Um There were basically Swindon Great Western Hospital is where I did mine. Then there was um Yeah, there are a few other hospitals as well like Imperial College. Um, they do one but that one's paid then there's, uh, Glocester Share. Um, II just saw an ad today. Um, they, they seemed quite friendly for Im GS. They were inviting people to come over. So, I think that would be a good one to apply to. They had an email. Um, yeah, I, if you're just typing broadcaster share, um, Im GS, it will come up. Um So that's, that would be helpful. Um How long an elective placement should be. It doesn't matter if it's just three weeks, no, three weeks is fine. I think minimum two weeks. Um the, the longer the better. But as long as you have something like where you can say that I was exposed for three weeks, I know if you can demonstrate what you learned from it, I think that's more important than the length of time. Um If you, if you're able to like go to different departments in that three weeks as well, that would be the best thing to do. Um But it's just like making sure that, you know how the NHS system works. So like um certain ethical questions as well, like um capacity assessments and what you would do in certain situations. Um So that, that's something that you need, you should pick up and talk about. Um Can we do O ET instead of, yeah, you can do, I think there was, yeah, there, there's O ET and then there's Ielts so you can do either or, um, whatever you prefer most. Um, I personally did Ielts myself. Um, how is trust grade F one different from low F one? Ok. So trust grade F one. So you tend to be in a specific department. Um, so you get more support if you're a trust grade F one. So trust grade F one means the hospital has hired you and they're responsible for you. So they will make sure that you have that support. You have um like extra pay if you're working longer hours or you get more annual leave if you're working longer hours. Um Locum F one is a bit more individual, so you're responsible for yourself. Um Like it's a bit more difficult being locum if you haven't worked before in, in the NHS, I'd say. Um and you are less protected. So that's what's different about the two. Like I would suggest like just to be safe, trust grade is better. However, saying that like locum F one, if you're in F one position, there will always be support regardless. So if you do ask, like if you're more careful as a local F one you speak to um like sh Os registrars. If you're unsure whenever you can, then it's fine. Um And yeah, in F one year, I was able to rotate specialties. Um So I did general medicine twice and then colorectal surgery uh the only thing like being an I MG because they're taking on um extra um trust grade F ones. Sometimes you get less choice than people who are there already. But then in your second year, you'll get better choices. Um Again, it depends on the trust as well, whether there are more IM GS compared to uh national graduates. So, so something that I did was I didn't complete my F two. I started applying for junior Clinical Fellow jobs. Um So you can apply because we have full registration, we can apply to Junior Clinical Fellow jobs as well. Um If it's a specific department, there will be support there as well. So again, that's when the trust is responsible for hiring you. Um So if, if you're not getting the rotation you require, then you can just apply for those jobs separately as a junior clinical fellow. Um But yeah, the most important thing is getting in and getting some experience. Um So yeah, I rotated in F one and then as F two, I started ed and then I did gyne oncology. Um What is the Crest Form? And do you have to ask one, ask for one during the interview or after you start working? So the Crest form. Um So most trust grade places. So the place I was um a Park hospital, they already knew that they were going to expect a lot of people wanting Crest form signed. Um However, you have to have some certain requirements. So if on the Crest form, it does talk about quality improvement projects and audits and how you've demonstrated those things. Um So if you fulfilled all those in your first year, you can get it signed, you just need a consultant to sign it for you. Um So if you build a good rapport with someone, uh you can do it. Um I got mine signed at the end of my junior clinical fellowship. So, and during your interview, you can ask as well, like would you be willing to sign my crest form at the end of the placement? And you can ask um when that would be or like would they do it at the end of F one or would you have to finish till F two for them to do it? Um So most of the placements offered to IM GS observer ships. Is this also considered as elective? Um Yeah, so I I'm aware that they only let you observe. I think it's the, it's the same with medical students even from the UK. So it's the same. Um You, you don't get hands on training. Um It is considered as elective. Yeah, so you can do that. Um And that's what most people did. Like when I was in a great Western hospital, I wasn't able to um do it straight. Um Sorry, do any clinical stuff, but they took me still. Um As long as I had a knowledge of how the NHS works. Um, thoughts on straight into F two, stand alone. So, um, F two standalone, technically you're doing the same jobs as an F one would be doing, but you're a bit more responsible. So, like if there is an F one there and you're an F two, they may ask you for ques questions about how to approach certain things. Um, I think it, it's definitely doable for me. I just needed the safety factor because um I was already feeling like, oh, I'm an imposter. So I wanted to do F one first to get a feel of it. Um Like more than what I did in my internship cos I didn't feel it was enough. So I wanted to start with F one. But if you feel like if you feel confident, if you've done a few internships, um then you can do F two. But I just wanted that safety net. So that's why I didn't do F two standalone. I did F one. Um I know somebody who graduated from first faculty who's now doing F two, stand alone. And basically, it's a bit of a steep curve. So she's, she has, she struggled in the first um month or two, but now she's getting, get be, she's getting better. Um There's always a reg around so she's OK, like, and it also depends on the team around you, but it's a little bit more of a responsibility and it's a bit more intense than F one would be like as an F one, they don't expect you to know anything or make decisions as an F two, they expect you to somewhat make some decisions. Decisions. Um Are UK graduates prioritized when it comes to applying for different positions and just having a UK passport help when applying as an I MG. So being completely honest, some places do prioritize UK graduates. Um So we're all prioritized UK graduates. But other places like Winston and um Great Western Hospital, they, they didn't care if you were a UK graduate or weren't like they, they took you um regardless, depending on what your application was, they gave a fair chance. Uh Plymouth also, um they, they were fair like they were like anyone is welcome. Um It doesn't matter about the UK and I think it might be based because of whoever's at the top and the expenditure of sponsoring someone for a role. So it's a bit of a political one. Um So what else beyond clinical experience can help secure a position? So, apart from that, so the things that I mentioned, so on your application teamwork, um evidence of that leadership skills research can bring you up as well. Um Making a change is a huge one. So a change could literally be like um in your like in the uni you just create a society because you felt like it was missing um, and even if you, like, do a couple of meetings and, but have evidence of that, um, that would be a change, for example, or, um, I don't know, like, um, I think with me it was the mental health thing where I just realized we needed a counselor. Um, so that was my um, thing also, um, if you get like certificates or awards that would help, um, if you present some work internationally, that would be quite cool. Um Just, just things like that presentations um taking part in change. Um Even audit, you could even start an audit, like where, where you're studying, you could just say, oh people are using these uh resources. This is the outcome of the exam. They got this grade um making it anonymous of course and collect data and then just be like this is the best resource to use. So it's like that something like that would help um secure a position uh any more questions and we apply directly to the standard to your management instead of having to go through the trust grade route this question. Um I'm not sure of, to be honest. Um I would have to do more research. Um I personally don't know anyone who did, who did do uh use that route. Um because most of them I think got in through the trust grade route um or standalone f two positions or they uh emailed um places. So I don't know anyone who did that. I know there was a girl who was looking into it. I can ask her and get back to you if you like. Um but II don't know, no worries. Um Any more questions, any topics that you think would need like another lecture that you would like to know about a bit more. Ok. So I think that's the end. So if you could just fill in a feedback form for me, that would be very helpful. I think we still have one more question, doctor. Oh, ok. Sorry. I'm so sorry. Uh Let me just go in here. Roughly. How many trust grade rules did you apply for before landing a job? Um I applied for four. So there was um we University Trust Hospital. Uh I applied to Swindon. I applied to Royal Surrey as well, um and Plymouth. So I got accepted to both Plymouth and a Park Hospital. Um Yeah, so I picked our park. Um because I think II had already got it before I got the Plymouth job. So I had accepted it already. Um So I four of them any more questions. No worries at all. Um So I'm just gonna put up the feedback form again. Thank you, Doctor Hasan Mahmud. Then it was a very informative presentation and we truly appreciate you taking time to inform us on the topic and we, we all hope that you find today's topic valuable and as the doctor said please take the time to fill the feedback form um that you can see it also in the chart if you press feedback. Thank you all again. And we wish to see you in our next events.