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Yes, hello. Can you hear me? Hey guys, sorry. Can, can anyone hear me before I um start talking? Ok. It ok. Yes. Hello. Can anyone hear me? Yes. Ok. Great, great, lovely. So, um hey guys, uh my name is Rosales. Um and I'm gonna be speaking today about the, how did you get into training the A CCS emergency medicine pathway? Um If you've got any questions, just pop them in the chat box. Um I'll keep going in and out of it um to answer them. Ok. Right. So I'm gonna speak a bit about my background and where I've come from as an I MG. Um So I graduated from Sudan in July 2018 and completed my internship in Saudi Arabia. A sort of a year after 2019. Um and then sort of did just like a teaching job and some charity work between them. Um and COVID time until I got my first NHS job in December 2020. Um But really it was the last two years where I was focusing on my training um and what I want to get out of them, which was my time in ICU in Southampton. Um I applied twice to training. So I applied the first time when I was in ICU. Um and I didn't get any of what I wanted. So I applied to a CS emergency medicine anesthetics and IMT and then the second year around, I only applied to anesthetics in emergency medicine. And I got my emergency medicine and we're just gonna speak a little bit about what I did basically in these two years. Um, now the MSR exam, uh, is not a fun exam. 50% of it is clinical. Um, it works quite nicely with someone who's newly graduated because it's, it's just a mixture of everything. It's obstetrics, it's surgery, it's pediatrics. Um, and so, you know, if you've been in a, in a specialty for a bit, um, then, you know, it might be a little bit harder getting back to the basics. Um, but if you've sort of newly graduated then, then you probably came across them quite of quite soon, at least. But the other part, which is the S JT part, it's a situational judgment test. Um, that part is the difficult part and the people that the one that people find hard because these are the question banks, some of the question banks that are out there. Um, and a lot of people having done multiple. So I've personally, I've done past medicine and I've done email editor. Um, and I've looked at the official official MS ra past papers, um, the first time I took the exam, I think I scored 480 maybe. And then the second time around, um I think it was 510, something like this. So 510 back in when I applied was, was a fine school, like, you know, you could get into training with it. Um Now, what I'm seeing is that most people are requiring to score like 5 45 50 to, to actually get into training. Um And so it's becoming more and more competitive each year. Um I, the, the, the thing that I wasn't aware of on, on my first attempt, um was that without the exam, it doesn't matter how your CV looks, it doesn't matter how hard you've worked. None of everything that you've tried to achieve this year from teaching or research or none of it matters. The exam is the first point of entry and unless you get that score, none of everything else matters, which is, I thought they just look at everything together in my, in my first attempt. And so II don't think I tried, I tried as hard as I could have. Um because I thought my cvs, OK? And I, you know, I'll be fine but that's, that's not what the exam is about. Once you pass the exam, then um or you become, you know, appoint then you, they look at everything else that you've done. Um So that's why I thought we should start with this this should be your main focus. It doesn't just ignore everything else in your CV until you get a good score in this exam after that. Um These are, these are some of the things that um I personally did for, for my portfolio. So A LS is essential. You need to have it as someone in emergency medicine. You, you need to have all three, your A LS, your ATL S, your A PS, but most likely you probably don't need to do all of them while you're in training. Um, so I did my A LS and ATL S prior to training, they were funded still by the hospital as part of your study budget, but they weren't in training. The only thing that is in training that I've done will be the ATL S. Um, and if you're, if you're applying from outside the country to your training, from outside the UK, um, then, and if you, you know, you've, you've got some savings, um, and you wanna spend it on A LS, it's, it's a good spend, right. But if you're, if you're not in the country yet, if you're not working yet, then obviously they're not gonna reimburse you this money. You know, if you're in a, in a service job, all of this, you'll pay for it and they'll, they'll give it back to you. Um, so II don't want people to know, to spend thousands in, in these courses before they, they actually have an NHS job. Um, and because they're not gonna be the one thing that gives you the job. Um, and it's, it's a lot of money to spend sort of 607 100 lbs. Um, but once you are in, let's say you're in a, in a, um, nontraining job, then all of this or most of this can be funded by, by your deanery or your hospital. Um, now again, procedures or simulation courses. A lot of the time they either this is something that happens departmentally or something that happens across the hospital. So they will have like um a CS procedure days. Um and a lot of the time it is for trainees, but a lot of the time there's, there's a lot of spaces left. Um And so like in our last course, there were a lot of um, a cps who are with us in the course, a lot of um pa s because there's, there's just space and so you can apply to these courses and they're not, they're not. Um probably the people who will know most about them will be either the secretaries or actual trainees. So if you know a trainee in your hospital right now where you're working, who is an AC CS trainee, they'll probably get all the emails about the different procedures or courses or things that are going around. Um And it's not, it's not exclusive to them. Obviously, they have to attend for, for you know, if you're not in training, it is optional, but it makes your CV, just that bit better. Um, now all of, all of the rest that I've done was, um, stuff that I thought would make, would make me a better doctor and therefore, would improve, like would also improve my CV. Um, essential radiology for junior doctors was, was a course that I've done from the Hammersmith Hospital. Um, and again, as someone who had just started her, I thought, you know, um it's a, a really good idea to have, it was like a two day course looking at abdominal x-rays and uh CT S and MRI S and just to get the basics of everything as a junior doctor, like what you should know. Um and then I moved on to do some ultrasound and that was my, my start with ultrasound. Um and I think everybody should know how to do ultrasound, guided vascular access. And again, as someone who is an I MG, we're not used to doing ultrasounds. Um like as, as I said, I did my internship in Saudi. When by the time I came to see the patients, they were all cannulated, they, they all had, you know, catheters if they needed or whatever else that was needed, that wasn't something that was required of us to do. Um And so coming here and trying to learn this as someone who's, you know, an s when you like, if you're Junior couldn't do it. You f one then you should be technically the next person to be called. Um, and I found it quite embarrassing feeling like, oh, like, you know, I should, if the F one couldn't get it, I should be able to get it. And so II really VD into ultrasounds. Um, again, they're ICU patients, they're all, uh, most of them are intubated. They, they don't really have good veins and so ultrasound made everything that much easier and made me feel like I was more competent to, to do the things that I wanted to do. Um, then so some of the criteria looking at some of the criteria from, um, the requirements, they talk about patient safety a lot. Uh, and that is different dries will have things like that. There will be these courses about either communication skills, patient safety, they're usually free, they usually don't cost anything. Um, and it's usually just like a one day course that you'll get a certificate for, but it will, it will show that this is something that was of interest to you. Um, and last, but not least, uh, I think you should do a course in something that you're particularly interested in. Um, something to show your either commitment to specialty if you will. Um, and so I, I'm interested in, in doing emergency medicine and then I see you along the line. And so the basic course was something that I wanted to do because it, it taught you, you know, a bit more about ventilators and the ventilated patient. Um So that is something that you, of course that you want to do. Uh but is specific to something you want to advance on to. Ok. Um Teaching. So there's, there's two bits to teaching, teaching, um how to become a better teacher and the things that you've done during this teaching time. Um So again, these are courses that I've done during the two years that I was uh an ICU clinical fellow um teach the teacher course and mentoring skills. They, they were both from Oxford Medical. Um I did the mentoring because I was mentoring some medical students as well. So I thought having that extra certificate to say that II can do this um would, would just look better in my CV. Um Both of these were paid. Um Don't quote me on it, but I think they were both around three h like together like 350 or something like that. Um But it was during COVID time, it, they were both online. Um And I don't know if I, if they were as useful as I would like to think, you know, you'd like to think they were um they obviously they give you points for certain uh so certain um you know, they look good on the CV and they, the ACC is not by points. Um But because I apply to both I mt and ac like the I MT one is by points, you know, if you've done courses, you get a point. So that gives you, that gives you that point. Um Tomorrow's teachers is a he course. Uh and I think is an, is an excellent course. There, it was a two part, it was face to face, we taught each other, there was different topics. Um and it was very active, very like a very interactive course. Um uh it was free as well. So that is, that is one I would definitely recommend for everyone to try and get into. Um OK, and then to, to actually doing the teaching. So if you work in a teaching hospital, you've hit the jackpot because you've got medical students that want to be taught. Um If they don't have something in their hospital already, they, they most like more than, more than likely will do. But if they don't, that is something that you can start. Um But more than likely they will. And so in Southampton they had two things running for medical students. Um They had a medicine in practice module which basically just meant that you taught them uh examinations, uh cardio rest gi neuro. Um and you just did that, you know, you met the same two students for four or five months and you, you know, taught them this and then they're ready for the oy. Um And then you had the acute care module which was a little bit more advanced fourth years and it was like a combination of simulations and procedures, you know, cannulations um and some lectures as well. Uh And so these were, these are things that again in your hospital will already be happening. So if you find either the depart departmental heads, um the the consultants who are interested in teaching, they will be able to guide you to who the person is to speak to, to get involved in this. Um And if you do it just once, obviously you'll get the certificate for it and that would be great. But if you do it multiple times um in your year or, you know, in my case, two years uh of being a clinical fellow, then you will get the long activity of it. It shows how committed you are to teaching. Um and again, it looks better and it gives you more like more points or, or a better uh CV, because you've been doing it for a while. It wasn't just something that you've, you know, done once and forgotten about. Um they also sometimes want, they don't want just the teaching to be you to undergraduates. They want it to be peer to peer teaching, which is gonna be your other junior doctors, which is the basically the departmental teaching. Um And that's something I think everyone should be able to get into because you know, your department and you know, who you're working with you can prepare a topic in advance, um, and do it. And if you do it more than once again, it shows that you're committed towards this. Um, if your hospital does have students, that is again something you can volunteer on the OS examinations. Um II generally just enjoy doing the SK examinations. Um, and through volunteering through them that took like a different career path to actually doing it with the GMC for the clubs. But that's like where it started was the, was me volunteering to do it. Um The first course that I did was the mind the bleep F I one course a couple of years back. Um And that was, that was my first international teaching, which again gives you more points because it's international. Um But it was only something that I've done once. Um I haven't done it since then. So there's no, there's, you know, it, it balance, it balances each other out, but it's not, it doesn't look as great as something that I've been doing for a long time. Um So that's for teaching for leadership. Um Again, mind the bleep is a place where, you know, there's lots of, lots of doctors who are doing different, various things from webinars, like what I'm doing now um to writing articles, to creating handbooks or booklets. Um There's, you know, different, different things that people can do here that can show your leadership. Um But again, within your hospital before I was the IMG lead formidably, I was uh representing the IMG S in the junior doctor's forum and that's something every hospital will have a junior doctor's forum. Um, where it's normally, I think it was like once a month. Um, me like a, a teams meeting where, you know, they talked about either the rota was particularly bad for someone at that time or, um, like resting facilities or working facilities, not enough laptops, it was different problems that came up every time and, you know, we tried to sort them out. Um So if you have a particular interest in a sub subgroup of people like IM GS, um that could be something that you work on as well. And that again doesn't cost you anything and you'll get a certificate at the end of your year or two years. Um where you've been doing some leadership now where you can get some leadership skills is the Edward Jenner program. Um It's a free program. You can literally Google it. Um uh And, and get it done. Uh It does take, I think it takes a little while just because like a couple of weeks. Um just because there's a lot to the things they require from you. Um But at the end of it, you'll have a certificate that you can say that, you know, you can put in your CV and, and talk about rather than just being in a leadership position. But actually having the skills for it. Um audit and research. Um There's different things that are always happening in departments, audits, research wise. Um if you want to start something from scratch, you can, but more than likely you're not actually going to finish it because things just take so long to get approved and to get, you know, the right um like the the right templates for things and to get enough people to do the data collection, et cetera, et cetera. Um Audits obviously are a lot faster than, you know, actual research. Um But again, you probably want to do more than one cycle um of the audit just for things to, to, to improve or to show the improvement that you've done during this time around. Um I find it a lot easier to join an audit that's already happening. So usually as soon as I move into a new department, I find they, they normally send out emails to say, you know, we are like the, you know, the research lead or the audit lead. Um And this is what we're working on right now, but if they don't, again, you can find out who that is. Um and see what they're working on. Now, if they're already working on a topic, collecting data for it is super easy and that's, you know, e an easy point of an audit that's in your, in your um bag. Um And also if you're, if you're not starting the audit, it's better to finish it because when you finish the data collection or you finish the project, then you've got a, a finished project that you can now put out somewhere. Um So you can make a poster or a small powerpoint and talk about it in regional conferences. So we had a mind the bleed uh conference actually just a couple of weeks back. Um And that's something that you can easily just put here. And that would be an international conference because people are attending from all over the world for this. Um And so, but again, so it doesn't, so mind the bleep is one of the places but in so in, you know, in Southampton or I wasn't even at the time, uh an, an aesthetic trainee or not that I am now, but II presented one of my um audits in, in their department because I was doing ICU and they all, you know, they feel like they're sisters. But um we did that just, it was just, just a, a regional anesthetic trainee conference where, you know, they came and all the trainees came uh and presented stuff that they were doing in the year. Um So you don't, you don't have to be a trainee in that place to, to, to actually apply. Um You can apply with things that you've done or things that other people have done because if you are ending it, usually the people who have started are no longer here. Um They've all usually have moved on to other, other hospitals, other places, other posts and are not really looking at this anymore. Um Their name obviously will still be on it, but you will be the one making the poster or doing the presentation because you've finished it. Um So I think, I think this is AAA good way to have um to put posters out there. Sorry. Um Right. So the Associate Principal Investigator scheme from in I hr um during my second year as an ICU clinical fellow, I was doing 50% as a research fellow and this is one of the things that I did. You don't have to be a researcher to do this. Um an I hr is, is pretty much in all hospitals. Um And what as an associate principal investigator, what you just need, you don't actually, there's not really a requirement like you're a doctor, like in the hospital in a clinical setting, that's enough. Um As long as you're not actually an actual, like you're not doing a phd, like you're not actually like a, a, you know, an actual research person. Um you can become an associate principal with P I. And what that means is again, these studies are already happening around the country. Um and they want you to, you know, either collect data um see like recruit the patients. So, you know, you'll have, let's say I was looking at patients in ICU, for example, and you'd had specific criteria for uh a research that a patient meets. They had to be this age, they had to have come in with this condition. Um And we had to have done something or other for them, right? So, and then you recruited this patient, you need to speak to the family because obviously the patient is intubated about your research. Um And if they agree, then you put them on it, sometimes you uh do some treatment uh specific to, to, to the research. Um Sometimes you collect samples, et cetera and that like you, you could do this for six months and that again looks very good on your CV. Um It, it looks like you've, you know, you're quite involved with research. Um part of the associate uh principal investigator is the good clinical practice and that's a certificate that you get. Um and it as a, as a written agreed international standards for conducting clinical research. Um It's like an online module, you do it, you get the certificate. Um and again, looks very, very good in your CD um personal development. So they normally want to see that you didn't do anything like in this year, you've done stuff to improve um prior to your training. Um And I know some people take time out of training, do like a nontraining job to relax because actually you're not, you don't have to do anything in your nontraining. Um no one's no one's looking at you and, and wanting specific criteria from you during that year. Not like when you're in training, you have to attend your ACP, you have to show that you've been doing things all along this year. But if you don't do it when you're not in training, then you can't prove that you've been doing it. Um So that, that's my personal take on it. But attending departmental teachings, um that shows that, you know, you are growing um conferences again, we do some conferences in mind bleep, but um it doesn't always have to be stuff that is abroad or stuff that is expensive um in the hospital. So Southampton did like an always improving conference once a year which just basically highlighted all the um you know, innovations that were happening in the hospital and that was free. Uh Again, that was great. Um urgent care conference was something that I went to just after I started ed because I thought I just need that extra like broad looking at things. Um And it was like a two day course, a conference that divided things into illnesses and and um injuries um which is everything you need to know, you need to, isn't it? Um And then per my own personal development was in ultrasound during these two years. Um I really, really wanted to get my heart and lung accreditation. Um And so they were consultants and they were registrars who were accredited for this and I spent time with them, um, and uh asked them to teach me how I, how I can get accredited and how I can get better at ultrasound. Um And again, that's, that's every because that's for each one of these. So the fus requires like a 50 scan, uh 50 scans and the lung was 30. Um And so it shows that you've been, you're consistently doing this and improving um and managing patients based on information that you found from your um findings. Um And last, but not least, the e-learning for healthcare, I think it's a fantastic website because you can find anything on it and get a certificate from it. So you can look up anything about leadership or audits. Um uh You can look up stuff even like now this is my rotation of anesthetics. So there is an anesthetics module there that just talks about all the novice stuff that's all new that I'm, you know, I don't know much about. Uh So I think it's, it's a fantastic resource to get anything that you need done that you need a certificate for. Sometimes you just need to tick a box, you know, patient safety box, you will find it there. Um Logbooks and CBD S and Micex. Um Again, people say that they take out the time out of training, so they don't have to do CBD S and mini and not books. But if you've never done it before and you just come into training and you start doing it, it will, it will become overwhelming because there's a lot to learn. And so I think it's a good year to just learn. Um, if you're not in training to learn how all the things work, um I didn't wanna pay for it because anyway, when you're in training, you're gonna pay for it and it, it costs a lot. It's not cheap for all the, all the um E portfolios. So what I did was I just printed off the E portfolio pages. That's all I did. Um So for the case based discussions, I just printed them off. I wrote them and I gave them to the consultants to sign um same with, with everything. Any, any paper that was evident there either for um CBD S Minix teaching. Um any f one that I taught how to do any procedure, I'll give them a, a paper to and, you know, I get to get feedback on my teaching to see how I was doing. Um I just kept all of these um and then logbooks for all the, not just all the procedures but all the patients. Um I kept the procedures one separate, the ultrasound, one separate and then a patient logbook of the cases that I've seen and how involved I was um obviously not, not naming any patients and keeping everything um as a like a number like 1234. But even though it may cause they're not gonna particularly ask you for a logbook to get into training, like there's no part of that in, in your, um, oral application. But using that, um, so in AC, in the A CCS path pathway you are, there is um, six months of ICU and I've done two years of ICU. So I felt that I didn't want to spend that time doing ICU. And so I've showed them all the logbooks, all the CBD S and Micex and that time just got counted. And I didn't, I don't have to do it again. So I think just keeping a logbook wherever you go, whatever you're doing of the patients, the procedures, ultrasound, if you're into ultrasound that you've done will just help you along the way, even if it's not an immediate help to get into training, it could be help afterwards. Um, self reflective practice is, it's very difficult. We all do it. We all do it. We all see a difficult case, a difficult patient, someone who died. And we think about how we could have done things differently, how we could have improved things for that patient. Uh how, you know, we could have maybe escalated maybe a bit earlier. What would have been the outcome and how we can improve and prevent this from happening again, but just writing all of that in words and documenting it um is, is what they want by the self reflective practice and what you've learned from it. Um And usually if you can link it to like a teaching um event, like the chem website has got um the Royal College of, of Emergency Medicine has got just little bites of learning about things. Um if you write chest pain, you'll see, you'll see like 10 things that come up about it. And so they want to see that when you and you said you went and read about it, they wanna see that link of, oh, this happened and then I reflected and then I felt I should have learned more about the A CS pathway and then I went and learned and so that sort of complete your, your work, um, membership exams. You don't need them for prior to starting your training. It doesn't give you any points at all. Um, so, II don't think it's something that, uh, anyone should waste money on, um, prior to training. Um, if you've got the money you can do, as I said, things like a S or a TLS, but it, it doesn't add anything. Um, there's three exams, two MC Qs and one s and you should do them in, in your three years of A CCS. So before you're done with your ST three, you should have finished the exams. Ok. So these, this is the requirements from the H CS website, um, that I'm just gonna quickly go through. So the main requirement is that you need 12 months of medical experience both to your full GMC registration and the quest form. So it doesn't say that it has to be NHS experience, but it does uh you know, it's medical experience after the full GMC registration. So, so they expect two years of working clinically before you start your ACC. Um And again, people, there's different, people have done different things like I've done two years of uh 2.5 years of um clinical nontraining job in the UK before I started my training. But some people have come directly into training. Um And I, I'm, I'm not gonna say there's a better or worse way, but it's def definitely more difficult to come straightly straight into training. Um because obviously you don't know the system, you don't know the country. And so you spent time getting to know these things, but suddenly you're faced with the ACP and the requirements, but you're still adjusting. So I think it's just more difficult but it is doable. Um And because of the current job market, it sometimes it, it, it has been for some people, easier to get a training number than to get um an a nontraining number. So it's really whatever you can get at this point is probably good. Um So they talk about clinical skills, uh an essential and the desirable criteria, the essential, they talk about your knowledge, uh your prioritization and safety. And again, we talked about how we can demonstrate some of these things with some of the courses of the ele modules um that we talked about and then desirable. They speak about the, basically the ALS course. Right. So they don't put it in the essential, they put it in the desirable. Um But then if more than one person applied, um and they all didn't have it. I suspect the person who has the A LS will have, you will have, you know, a better chance of getting the job. Um then they speak about academics skills. So again, we're looking at the essential. Um the essential is, is very small. There's not very much, but there's a lot in the desirable. They want you to understand, they don't even ask for you to actually do any audits or research, but demonstrate an understanding of the basic principle of audit, clinical risk management, evidence based practice, patient safety and clinical quality. So all of this can be demonstrated with e with e-learning stuff. Um You don't actually have to do any of it for this central, for the desirable. Of course, they want you to have done um academic and research achievements um and doing publications and presentations. Uh So any audits, any audits, any um uh uh any research that you do, um you can put in a poster, you can put in a presentation and do um and do something about it. You know, even as I said, here, in mind the bleed. We just had the uh the research conference just a couple of weeks back. Um And then they speak about teaching. So evidence of your interest and experience of teaching. Um If you are working in a place with uh medical students, as I said, you can literally just keep doing, keep teaching and get certificate after certificate for this. But the most important bit is the feedback somewhere in that certificate. It needs to say that the feedback was really good and all the students enjoyed this immensely and learned so much and had so much fun. Um Because without the feedback part, it's a little, it's the certificate is lacking. OK. Um And then they talk about, they talk about personal skills. Um So I'm not gonna go too much into this but communication skills uh your Ielts exam that should have, that should have been enough for communication skills, problem solving, decision making a should have been enough for that. Empathy sensitivity, uh self-explanatory um managing others and team involvement. So supervising the juniors leading audits organization and planning your time management, your own workload. Um So again, even some of the, I don't know if any of you have attended the F fy one course. Uh But in it, there's things like prioritization, um time management and all of that could be, could be stuff that you build on um vigilance and situational awareness. I think that's a little bit difficult to to, to say how you've achieved it. Um But again, monitor developing situations and anticipate issues um coping with pressure NHS values and then they talk about the desirable criteria. Uh They want management and leadership skills. So management involvement, understanding the NHS multisource feedback, the multisource feedback. Again, the portfolio, you can just print them off. I printed just 30 off, put them in a file in the middle of like the doctor's room and then ask people to fill them as, you know, as and when um so that was that uh sorry, um it skills. Uh and then they like to talk about achievement outside of medicine. Um Anything that you like to do outside of medicine will, will look good. Um I mean, you should do charity work or voluntary work because you want to. But it's the bonus that it looks good on your CV as well. Um And my, if I'm actually I got asked about this in, in, in one of the interviews uh in my Southampton I ICU interview pretty much 10 or 15 minutes of the interview was spent talking about the charity work and, and the work that I was doing uh in Sudan at the time during COVID um with, with a charity organization, they, they asked very little about anything else um commitment to specialty. Um So you can do this by attending teaching day specific to the uh Royal College of Medicine. They do lot, lots of stuff on their website. Um If you're not actually doing ed, you can um do a taste a day in or a taste a week depending on how much time you've got. Um And that will also look good. Um, attendance of organized teaching. We just said that and then self reflective practice again. So, and that they've put that under a central actually, um not even under, under desirable and then extracurricular activities, they like people to have a life outside of medicine, something that you do that will de destress you. Um So, you know, you can talk about, I like doing yoga and I like doing kickboxing, which are completely different opposite of the, of, of the spectrum things. But they help me get out of my stress and keep calm. Um And so they will, they will sometimes in interviews ask you questions like this, what do you like to do outside of medicine questions? So be prepared for them? Um And then finally, I'm just gonna speak about the interview um that I've had for the training interview. I went through medi body um because it had a lot of medical, just medical questions that I thought would be good. Um But actually, I didn't get asked any medical questions. Everything I got asked was, was nonrelated to medicine. So it was uh the first one was run me through your CV. Um So in, I mean, this is an easy and a hard question as well. A lot of people I think start speaking from when they graduated, which is not what you should do because you don't have, there's not a lot of time. So what you should speak about is the more significant period of your training that is relating to your current training. Um, so I just said, um, I've spent the last two years doing, you know, intensive care. I've spent time learning how to look after critically ill patients, which is, you know, what I want to do in when I get the job. Um And I've, I've become really good at doing uh procedures and, you know, uh doing central lines or arterial lines or chest strains. Um And I've spent this time as well learning about ultrasound because that's something I'm really passionate about. And I think the ed um is a, is an excellent time to, you know, put a probe on someone and see if they've got a cardiac tamponade or, you know, whatever it is you're thinking about. Um And that's literally, that was it. I just focused on what would I bring to the table in my Ed role in from the past three years. Um And then, then they asked me to talk about a mistake I've made and what I've learned from it. Um You should always have a preprepared answer for this question. Um It should be a mistake you've made. Yes, but also not, not one that has caused any damage. Um Someone where somewhere where it got, you know, between the mistake happening and actually damage happening to the patient. You were something happened in the middle and someone stopped it from going wrong. Um And what you've learned from it and how you improved it, that's, that's how you should frame that question. Um And then I got asked about a difficult colleague and how to escalate it. I can't remember the exact difficult co like what type of difficult colleague it was. But um in any type of difficult colleague situations, you need to speak to the colleague first and tell them your concerns because they can just come back and say actually, no, that's, you've got that all wrong. That's not what I meant. That's not what I did um before you escalated. But obviously if they come and they're, you know, I don't know, they come to work drunk or they do something silly like that then for their safety and the patient's safety, they need to go home and someone seeing you needs to know and that someone needs to have a look at their patients again because obviously they were not competent enough to deal with the patients at this time because they, you know, they're mentally uh not competent at this point. Um Then I got asked two questions specific to emergency medicine. Um which is what's uh what's the current emergency medicine problem. Um And I talked about the, the bed problem. Uh, because, you know, the, the, the ambulances are always outside, there's not enough beds to keep the patients in. And then there's, even when you see the patient, they stay in the ed for more than four hours because there's not enough beds to transfer them out. Um, uh, that, that was really what I've talked about. And then where do you see the future of emergency medicine? Um, and there is a, a, well, it's not very recent but a AAA what a guide that they've released last year. The Outcome Acute Inside Series where they see they talk about um how I think 45% of the work workforce of em is trainees. So it's almost half and half with half as consultants and half is trainees, which is obviously, it's not great. Um And almost 30% of the consultants are over the age of 50. So will probably be retiring in the next 10 years and we need more trainees. Um So that's what I've talked about as well. I've just said that uh we need more trainees and we need to make the, the, uh the training more lucrative um maybe reduce the working hours to make, to make a, uh a be a nicer training. Um I think, yeah, that's all I have for um this webinar. Do I have any questions? Uh Yes, I can share this. So it's not, it's not really a scoring but um I will send you the Yeah. So for, for, for e it's not, it's not a point system. Um like the IMT one. So let me show you what the IMT one looks like. Um mhm This is the I MT one. You can just use it as a guide and like I just looked at it to see what other specialties are scoring. What would I score if I, you know, did if I taught some students one time, if I taught them over a period of time, like they, they are a lot more specific than the A CCS one about what they would give marks to. Um and I just wanted to score the highest in all in everything if I could. Um And so just looking at it made me more aware of how are people being scored. Um but it's not the, the A CCS one is not actually like that there's no numbers or scores to it, but it's just useful to know any more questions. The cut off part. So I think this was a couple of years back. Um but to get an interview, I think it was sort of in the 500 marks. Um as I said, so my second score was, I think around 510 something along those lines and that was around that mark. So I think it was 500. Um but it's, it's a lot more, it's a lot more competitive now, like everyone is just talking about a minimum of 540 to get anywhere with, uh with MSI, at least to be on the safe side. I think min minimum is 540. Um Yeah, not immediately. So the feedback scores um were released maybe two weeks later. Um Yeah, potentially something like two weeks later there, it wasn't an immediate um release. So there, obviously there is a standardized system. Um But I, I've always found interviews to be very different because even when, because there's normally more than, more than one interviewer. So you'll probably have maybe two or maybe three. and they'll each have their own sheets and you'll see the marks that they've each given you. And sometimes, like I felt like the, I, my, I mt one I remember was very varied. Um, like the numbers were as if these two people did not agree at all on what they thought about me. Um And so it's, I think it's, even when they say there's a, a standardized scoring system, I don't know how standardized it is. Um I think I only had two for the em, 12 interviewers and they were fairly similar in their scoring. So one would give a 31 would give a four and so on. Like, they wouldn't be too far off from each other. It wouldn't be a one and a four, but still, oh, before the interview, no, like they give to us. Um, no, no, not something that's available out there for like for us to see what they, what it would be like. Yeah, it's not a problem. Well, I'm glad you guys found it helpful. No problem at all. Um We'll hopefully be doing uh more of these, you know, the next couple of months. Um My other colleagues will come in and talk about their specialties and what they did and what was specialty specific, let's say. Uh So hopefully that will, will find that helpful. All right, take care everybody. Thank you so much for attending today. Um I will make sure that this is available on the mind, the blue website, the recordings so that anyone who wants to watch afterwards can find it. OK? Have a good night.
