Computer generated transcript

Warning!
The following transcript was generated automatically from the content and has not been checked or corrected manually.

I'm not able to upload it. That's okay. We're alive. Hello everyone. This is your mind, the bleep team today. We're just gonna wait a few minutes for people to join. Hello, everybody. Um My name is Sandy Knee. Thanks. How do you like? How do I make it? Okay. Sorry about that. Everybody, technical difficulties. As per usual uh My name is Sanda me and I'll be speaking to you about the foundation program. Um So first of all, we need to understand what exactly is the foundation program. Essentially, it is a two year training program which is, which works as a gap between medical school and specialty training or G P training. Um And uh it is equivalent to the internship that is required by GM see for full registration. So essentially in the first year of foundation training, you will be under provisional registration. And upon successful completion of F one, you get full registration um to apply uh for specialized foundation program or the foundation priority program, you have to first apply for the uh normal Foundation program. Um The Psychiatry Foundation Program previously used to be the same application, but recently has been change and now you have to apply separately for it. Um And you apply via the Royal College of Psychiatrists. Um There is a website for foundation training. Um and I have put it here on the side which hopefully you can see and then give it a read. It's a very useful website. Um So the foundation program office, which is the U K F P O uh website is what manages the application process. And um if you guys have any problems, you have to email help desk, just me. Um So the F one ear basically allows graduates to begin taking uh more responsibility in the hospital. It's an introduction uh to being a doctor and you learn the patient care and consolidating the skills that you learned in medical school. And again, once you complete F one that is, you get a certificate of completion, you get moved over to full registration and then your F two where in F two you start taking on more responsibilities, starting to come up with management plans uh for the patient and you start working with other members of the team and maybe teaching less experienced doctors or medical students or nurses and things like that. And once you complete F two, again, you need a certificate of completion, you're able to apply for specialty training or G P training positions. Um The UK Foundation Program offices, what does the recruiting, recruiting? And um again, it's uh provisional registration and full registration in F one and F two respectively. But also there is a program called the uh foundation standalone training program, which is where doctors with full registration who have completed an internship are able to enter into the second year of the foundation program and go through the cycles of the normal foundation program and are able to get the training uh just for one year. Um So they get to try the different placements and they get educational supervisors and clinical supervisors and they get teaching opportunities and learning opportunities as the same as f two doctors in the traditional foundation program. Um So this flow chart is a screenshot of the official document that was released by the foundation program office um which shows you the process of eligibility applications. So um when you are an international graduate, you have to apply for this yourself, whereas local graduates will get nominated by their medical schools. So, uh basically, uh even if you want to go to specialized foundation program or the uh priority uh foundation program, you have to do the eligibility applications. And there is a very helpful document on the internet that you can check, which gives you the timelines for uh and the deadlines for everything that needs to be done. Um And then uh basically, what happens is after the eligibility program, you uh do your uh sorry, you have to rank your Dean Aries um when you apply and then after you do the Dean Aries, you apply, uh do the uh you have to secure a seat for the S J T examination. And once you sit for that, you get an examination mark, which uh is something called the P M, which we'll talk about later after that. Um You will get specialized program office after which you get foundation priority program office. And then eventually you get to the normal foundation program office. And then once you get your offer, you're able to uh preference between group and program and matching. And then at in August, at the end of the entire year, you start your foundation training. Um Mr first of all, we'll talk about eligibility applications. Um There are certain people who will need to apply for eligibility. These individuals will uh not have graduated from uh will have graduated from a non UK medical school or have graduated from a UK medical school prior to uh second of August 2021 at the time of making this presentation. So um when you apply the dates maybe different um and if you are a non UK settled national studying for a UK medical degree at a campus outside of the UK or one of the above applies to you and you applied in a previous recruitment cycle and your application was unsuccessful. So if you withdraw your application and or you did not begin the foundation training program previously, you do not need to uh submit an eligibility application if you are a UK medical student and expecting to graduate by third of August 2023. Or you graduated from the UK Medical School on or after August 3rd, 2021 or you are a UK or settled national studying for UK medical degree at a campus outside of the UK. Um So these uh this is exactly uh flow chart showing you exactly how um your eligibility application to go about. Like I mentioned earlier, the UK medical school graduates will get nominated by their medical school, whereas I MGS will have to apply for eligibility. So um the date and time of eligibility is here and you apply on oriole. Um the outcomes will be published on the ninth of August apparently. And um eligible applicants are able to apply for the foundation program during the national allocation window, uh application window and then you get your results. So this is a flow chart about how to apply, you know, for the whole foundation program. So, um what you need, first of all is proof of I D so your passport or like an I D or your driving license. Then you also need something called the Dean statement which changes yearly. So you need to download, you need to find on the website, the Dean statement template for that particular year and you need to get it signed off by um your university's dean. And during this, they will uh during this time when you get the reinstatement, they will give you diesels where they rank um your final grade compared to that of the rest of your cohort and then give you a diesel score. Um Also you need a medical degree which is recognized by the G M C and you need this degree by the start of the UK Foundation program. So by August or if you don't have a degree, you need to get a letter of recommendation from your university which basically mentions um this is the date that you graduate and you are eligible to apply for the foundation program and you have completed your final examinations. You also need to get a registration, provisional registration for your F one. You do not need to have this at the time of application. But throughout the process, there will be deadlines by which you will need to get it. You need to get your English uh language competencies which people usually get via I E L T S or O E T. However, if you have learned with in English during your medical degree, you might be an exception and we'll talk about this a little bit uh later if you graduated, you know, before the second of August 2021. So like a while back, you will have to do an exam called the Clinical Assessment, which my colleague will speak to you about later on and you will need right to work status um by the time of the commencement of the foundation training program. So what this means is that uh you know, you're right. Uh you will get sponsored by health education England or, you know, it depends on where you're Dina Reiz and that will most likely happen, you know, as the process goes on. And eventually, if everything works out, you get to start work in August. So um we'll talk about the English language requirement again. Uh So your dean can uh confirm that your primary medical degree was done mostly in English including patient interactions. I think it needs to be 90% or something like that. Like there's a very specific number of patient interactions, no translations and all of um the classes and lectures need to take place using uh English. But for most of us, uh English was not the primary language of our degree. So, so we need to do either I E L T s or O E T. So I personally did I E L T s and with I else you need to do reading, listening, writing and speaking. And apart from the normal G M C registration, you need to get 7.5 in each domain for I E L T s and for O E T 400 in each domain. So normally I know that you need a total of 75 7.5 and you can get a minimum of seven in each domain. But the requirements for the foundation program are slightly higher um compared to that of normal registration. And even if you do already have G M C registration, you still need to uh redo, well, you need to prove that um your English language is of the required level. So 7.5 academic aisles um in all domains and 400 in each for O E T. Uh So um after you prove that you have I LTs, you're able to put in your eligibility application at which point you do not need to have done club one or two for that matter you can have, which is hopeful. But if you don't, that's fine. Uh once you well to apply for the eligibility program, you need to have your Dean statement and your I E L T s or your English well competencies. So once you get that, you submit your eligibility application and the confirmation of eligible, like uh applying for eligibility can be used to book a seed for plaid one. So you get priority seating um and you are able to apply for this via the G G M C um in terms of preparation for plaid one and two, it has been discussed previously um in other webinars. So I do suggest that you uh go back on them and give it a read. But um yeah, so after you complete, so as the process goes on, as the ear goes on there are deadlines for each lab one to and to get your provisional registration next. Um after you've, you know, through the process, there are many exams that need to happen. So, um by the time you get to the SJP, you have already um been on your applications for the foundation program, you've completed eligibility and you've been deemed eligible and now you are within um the same cohort of students that are graduating in that year from UK medical student uh from the UK Medical schools. So now you will be sitting for an exam called the SGOT, also known as a situational judgment test. So um the SGOT is an exam where it is a series of work related scenarios which asks you questions, um ethical questions about how you would respond to them. So um it can be multiple choice questions, rating questions, ranking questions. And sometimes there are uh you know, it can be using video format. So sometimes uh your questions will be in videos and you have to watch it for an immersive experience or sometimes there are evolving dilemmas or speech dilemmas. And this is charity examination. Um you will be given points of up to 50 total 50. So like whatever score is 50 within 50 and you are, we also talked about how earlier you're going to get ranked depending on uh your total E P M scores. So this score essentially now consists of 50 points from your medical school diesels, which we talked about earlier in the Dean Statement where you get ranked from 1 to 10 depending on your uh results compared to that of the rest of your cohort that plus your situational judgment test score equals 100 and you get a total score which is out of 100 which will then be used to rank you against the rest of the foundation program applicants. Um Previously, this used to be different. It wasn't just medical school and S J T uh you had extra research papers and publications and extra degrees, but recently they have removed this. So um um it's easier to get a higher mark um for the E P M score. Also, I for, in terms of preparing for the S J T, there are various um question banks that you could refer. Uh But also um the website suggests that you use their own passed papers which they release um a few weeks ish before the exam and they suggest what I read on Reddit, Reddit forums and things like that, but that you need to practice your papers and just like making sense of these scenarios with other colleagues that might be in the same situation as you. And you can also get question banks if it makes you feel better. So practice is what's really important. Thank you for speaking. Uh listening to me. Um I hope you guys enjoyed it. Does anybody have any questions Cool. Um Thank you. Hello guys, I'm Patricia. Um um the one in Scotland in Air or just fix some slight some technical issues and we'll continue talking about clinical assessment exam and, and I will tell you a bit about ranking Din Aires as well, so, right. It's just a talk on foundation program um and, and some aspects of application. So as sending a already mentioned clinical assessment exam as one of the exams that a candidate needs to take if one had more than two years um uh break between graduating in the start of uh foundation program. So this is an important point. So if you qualify from medical school, two years or longer prior to the start of the program, so it started the program, it's not the date of application. So you need to be aware whenever you graduated and you uh we're not doing your internship throughout these two years. Um And you start two years from uh your graduation, you are likely um to need to undergo clinical assessment exam. Um And this exam helps gm see, actually, it helps UK feel more than GM see to determine suitability to start foundation programs. They look at how your clinical break could have an impact on your knowledge and skills and this is done by Manchester University. So there's only one center in the UK that does clinical assessment exam. Um The exam is valid for two years. So if you take an exam, you pass it, but something happens in the way of your application and you cannot uh finalize your application. You can still use it for the next year if you're required to present it. Um, the date is fixed, you have no choice in what month or what you're going to take the exam. It is going to be given to you and it happens around end of October, beginning of November. Um, if you fail the clinical assessment exam, your unfortunately deemed ineligible and your application is withdrawn from foundation program, it costs around a 850 lbs and it needs to be paid by August. And if you fail the exam or if something happens, it's unfortunately uh non refundable. Um And if you go through Club Road Plug is not a substitute of CSA. So if you graduated over two years before the start of your program, you didn't have any clinical work throughout this time and you go um through the Club Road, you still need to, you probably be required to um take clinical assessment exam. And so C S A is required for U K F P O while Plalab is required for GM. See. So these are different exams even though CSA is very similar in it's format to plan to, it is an Oscar type of exam you still will probably require um to take this exam in your circumstances are like listed. Um the people who are on the exam, they are professional actors uh and they simulate patient's and it has an Oscar format like mentioned before. Um So this exam helps, as I told you before to assess levels of skills needed to start a work as an F Y one doctor. So it's basically a level of final year medical student. Um It has uh some components like platt too. So for example, focused history taking, uh this includes um uh talking in difficult circumstances um in general history taking from patient's which is simply Yassky format. You are required also in some station to examine patients' with stable chronic diseases. Um It it has a safe prescribing component. Um You need to also be able to assess acute illness. So you need to be aware of BLS uh of how to act in acute situation. Um There can be cases on surgical and peri operative care. You need to be aware of how to do discharge planning. Um And there are other uh most communication components like teamwork, challenging communication and ethical um aspects as well as practical procedures. So what practical procedures are required from you? All the information, by the way, you can find on official website. Um uh U K A P O. Um you can be referred to, to information concerning clinical assessment exam but things like any puncture, arterial puncture, IV, cannulation, um taking bloods, uh intravenous infusion of medications, uh perf forming E C G um even use of defibrillator, but mostly on the on the level of BLS um basic respiratory function test, things like suffering uh urinary catheter. Some of them are more common than the other ones like you're in a catheter, for example, or many puncture. But still this is the list of wired practical procedures at are listed on the website. So how to prepare for the exam? Um I would highly recommend to find a study partner. So I personally had to take this exam on my way of applying for foundation program and I found it very valuable to study with another person. Um We, we started online um uh this uh study partner of mine was in a completely different place. However, we're able to practice at least theoretically and practice history taking stations there also study groups. So um it's good to practice with different people not to get used to one person too much. Um It's helpful to use plant material. So we use a lot of plant materials because the exam is very similar as I mentioned and communication I would say is one of the most important aspects of this exam. Um There are also academies like for plat too and courses. Um However, official sources like U K A P O don't recommend um buying courses for academies. Uh I personally didn't attend any academies and I was able to prepare well for this exam. Okay. Um So what resources can you use? So, number one I would say is Psychemedics, this is a place where you find all your history, taking examination skills. Um Many telegram groups for clinical assessment exam that people pause valuable resources. Uh There's a book serving around as well so you can find it on telegram group. Um uh the things you can use. Uh for example, Socrates, this is a way how pain assessed or eyes this stands for. Um So when you're finishing um your history, taking your checking patient's um uh concerns you're checking their expectations. Uh This is what's required from you. Uh in terms of communication with patient, um they want to see your answer being systematized. You want to show that you're summarizing. Thanks for a patient to understand and you remember about follow ups to continued patient care. Um Also acute assessment is an important point and new score. So as an I G I wasn't really aware of new score before I started working here. It's a big thing and I was asked on my exam and I was struggling a lot. I remember and, and things like cardiac arrest, tickle major hemorrhage pathway, they're all mentioned in geeky medics. Um And again, you can get back to it to refer and be able to know all these basic things you will be required to use okay and prescribing. So there is one station on prescribing in most of the exams, just one, but it's uh time pressure. Uh it's pretty difficult So in prescribing stations, you will be required to prescribe medications or IV fluids, IV meds. Um you need to be aware of basic medication interactions. Um You need to know how to prescribe fluids based on patient's weight and based on their electrolytes. Um, medication review is also also a point that you may be asked for. So you need to look at patient's uh medic medications and decide what needs to be continued or what needs to be stopped and things like pain ladder. So when you're required to prescribe an Algeria, what do you go for? The other things are handover. So um effective handover, an effective referral, mostly an S bar um is used. So that again stands every letter stands for something you can find all the description, get geeky emetics and maybe some stations in psychiatry. So basic communication history taking of patient in for example, acute psychosis, um generalised anxiety disorder and etcetera and big things and stations that repeat almost every year are things like angry patient. So how do you manage talking to on the patient's? How do you break that news? So you may be asked to break that news to patient's who is uh finding out about their cancer diagnosis for the first time or about lifelong chronic disease, you may be asked to counsel patient's. So this means explain to them um how Warfarin is administered. And uh for example, a patient it's started on Warfarin for the first time. Um So you need to talk them through it or they started on insulin for diabetes um or they can come to you to speak about alcohol, about smoking. So all these are mostly communication stations um procedure counseling. So this is talking about the procedure before it is performed. So getting consent, explaining procedures to patient, um you may be required to perform mental state, examination or assessment of mental state of the patient. Um and there can be even a stational difficult colleagues. So for example, uh um an example is that your registrar comes to work after the influence of alcohol. What are you supposed to do? Okay, and um marking of the examined results. So every station has different past mark and what's important examiners when um they mark you, they are unaware of what is the past mark. So this is called an Angus Met. So they, they don't know what the past mark for particular station is. So they just um marking based on what your performance is. Um result is sent to you via email and there is no possibility for appeal after the results sent. Um and there are reasonable, reasonable adjustments available for this exam um last night that I will talk to you about. So if you go through all the exams that are mentioned by Santoni, if you're required to take A S A and you do and you pass um later on in the application process this is around five months before the start. Um you are able to run the sceneries. So then you already mentioned to you before that you're scored, the scoring is made based on situational judgment test that was already mentioned in the previous talk and um your primary medical qualification. Um there were a few things uh previous years like additional degree, however, this change this year. So this was taken out from the score, not sure what it's gonna be in in the following years. So um based on the point you get, you later are able to rank Dean Aries. So this means um you can choose we each area you are going to train in and based on your choice and the number of points um there is an offer given to you. So ranking dinner is, is mostly location based as an eye MG I didn't know how am I supposed to round ordinaries because I simply didn't know where I want to be where I want to practice. It didn't matter for me. What mattered more is the rotations I um was going to have at that point during my foundation program. However, ranking dinner is, is mostly location based. So I recommend you thinking about where you want to be based for two years of your foundation program if you're applying for to your foundation program, because this is the first point you need to run this dinner. So you run the main dinners as the Scotland, for example, is one common dinari. However, London has a few dinner res in it. So as you can imagine, Scotland is a very big dinner itself. Um when you rang a bell, your areas and uh you're given an offer and when you go through it, you can rank um areas inside the primary dina re you were allocated to. So as for example, for Scotland, after being allocated to Scotland, I was ranking areas west of Scotland, east of Scotland self from other. Remember there were four areas inside the Scotland. However, other dinner is like uh dinners in London. They don't have the second step of rankings. They just passed through the third one directly. And then the third step, you rank uh programs itself, they give you uh different specialties going to go through and then you write, write based on what, what you think is gonna be the best for you. And a final offer is given at the end. Um It's hard to get a specialty rotation um of for the specialty want to do a rotation in. However, it's possible. So if you're aiming for um let's say cardio surgery or neurosurgery, so you want to do one of your four month rotation in this uh specialty, you can do it. However, you need to research before where this uh specialties are available to have a rotation in and most competitive Dean Aries or for example, northwest of London and the previous year ratio was 2.89. So that means 2.89 candidates per seat. Um The second one is uh North Central and East London. Uh So this is a 2.24. Uh Then we have West Midlands, central Oxford, seven north west of England and Scotland and then the other uh the aires follow after it. So as you can see, London dinners are pretty competitive, get in. Um So if you're thinking about ranking sceneries, uh the first and foremost is location, hospital jobs, what uh what do you think about finances that so you can look at the cost of life in particular areas. What is the lifestyle you need to see? What is your priority when you're ranking Dean Aries? Um If your priority is location or your priorities, something else. Um And that's the order of job matters. Uh Well, some people say no, however, um if you want to apply for a particular speciality, it's better to have the rotation of the specialty early on in F two because then you can apply for a specialty. You've approved that you did uh an experience irritation in the specialty, but mostly the order of job doesn't matter. It's just the only case. Um What if I don't like the job? So if you, for example, have a job in, um let's say geriatrics, you have four months in geriatrics and you don't like geriatrics. Um The only thing the, the only idea I can give you is it's just four months and in the same time, you can actually find it enjoyable. Um You can realize that you can do some research during this rotation. Maybe this rotation is going to be a bit calmer than the other rotation. So um it's difficult to swap rotation for some other one, but I would say give it a chance because you may eventually find out that you enjoy this rotation. Thank you so much guys. Uh Just have a look if there are any questions in the chat booked. Uh So if you're applying for have to stand on, we don't need the eligibility application. Um So that's a question to Santoni. Uh But from what I remember, we don't need eligibility application, I'll just read another question. Is there any advice on I M GS from you universities who are also UK citizens? Which pathway can we choose if we have completed an internship already? Is their program to bridge the gap between F one and F two, the other didn't apply directly to have to stand along. So that's I think a bigger talk. So I'm just from the universities who are also UK citizens and have completed an internship already. So, if completed in the internship, um uh the uh you are going to have full GM see, registration of your internship is accepted by GM see. So this means with full registration, um you can take different jobs. Uh, so you can, from what I know you can start from F to stand along. You can, um, do a C T F or C D F jobs. Um, and I'll appreciate if any other speaker is able to add a little bit to it because I'm not sure if I have enough information on it. Thank you so much guys. If there are any other questions, I'm happy to answer as well. We'll have another speaker, Sara. Thank you. Hello, good evening, good morning. Wherever you are watching from, uh My name is Sarah. I'm a clinical fellow. I work at the Queen Elizabeth Hospital in King's Lynn in the Department of Medicine. And I'm going to give you a very brief talk about clinical attachments. Uh Okay. Right. So we're gonna talk about what is a clinical attachment? What are the benefits of doing one? How do we get one and how to really make the most of it? So a clinical attachment is really exposure to the system um as I MGS were coming from different parts of the world. So the system here is quite new and quite different. Um they are hands on. However, this was something I discovered in my attachment. Um You can actually brush up on skills you have or even pick up skills that you don't. So for example, when I came in to do my attachment, doing bloods wasn't a bit big thing where I came from. Um So you can do little procedures things here and there it is important however, to outline that you are not given any clinical responsibility. Um But having said that we'll talk more as we go through this, why it's important to take them seriously and be responsible? Okay. Um Okay, let's move on to the next slide, right? So how can we land a clinical attachment? So I put that funny photo on the left because that's how I felt. I was kind of looking for an attachment at a time where it was quite difficult, it was around COVID. So hospitals weren't very keen on, you know, bringing anyone in for clinical attachment. Um but there are very general um tips that I can give you, you can obviously go on Google and you'll find so many different advice on how to get a clinical attachment. I really like this one that was on the savvy I MG um to give them credit. And the first one really is for you to find a place that hasn't established program. There's a lot of these that you'll find online if you just do a very quick research, um they'll have some form, they'll have a designated email that you send the form into and then you just sit back and wait for a response. Another way would be for you to just contact consultants. This can be a bit tricky. So you would need some sort of personal connections really. Um you know, or asking friends, people that work here, um that consultants that they work with and so forth. Another way would be to just start sending random emails to hospitals. It's a hidden myth, to be honest. Um Sometimes they're busy, sometimes they don't have um an attachment program. So you might be wasting your time emailing the wrong people. Um And that's really it for the attachment's I would like to say here though, that some attachments are free of charge. You would only have to pay for your cost of living for the duration. Um But sometimes you are expected to pay and you can expect to pay anywhere from 1000 lbs per week, which I know sounds a bit insane, but I did find a hospital that required you to pay up to that amount per week or you can expect to pay as little as 6, 600 to 300 lbs per month. So when you are looking for one, I think it's good to um consider those costs, consider your budget, how much you're willing to um spend. And we're gonna talk a little bit about how long you should aim for your attachment to be in the upcoming slides, right? So when should I do my attachment? How long should it be? It's a very common question. I think off my head, I would personally say do it when you get the opportunity. So it's not always easy. To find one in the first place. So I think if the opportunity came up, the hospital, some hospital offered you an attachment, you can go for it. But the ideal situation would be after your plop to exam. And I'll explain why. Sometimes it's a requirement. It's a requirement that you have finished your platter exams and you've passed your plaque too or you're even registered. Some hospitals will ask for your G M C registration. And also I think the best time for you waiting for your plaque, two results to come through and you're sort of just waiting, instead of just waiting, doing an attachment, applying the knowledge that you learned. And then once you do get your results, it could really work in your favor. If you're already doing an attachment at the time you get your result, ask for how long should my attachment be? Try to do it for as long as you can, but no less than full weeks. And now that's important because if you are going to attempt to seek out positions in this hospital that you're doing an attachment in, they're gonna want to know you. And if you only do about a week, it's not as someone who spent about four weeks with them. And may I add that it's best if you do it in the same department. So you can sometimes do a six week clinical attachment and then you do one in medicine, one in surgery. Another two weeks in pediatrics. So you've never actually stuck around a particular department for them to get to know you enough. Which I think if that's what you want, obviously, then that's different. But if it depends on why you're also doing your clinical attachment. So sometimes people do clinical attachments because of the gap that they have, they have not been in practice, they want to brush up their knowledge. But if you're doing a clinical attachment to increase the chances of you finding a position, it's always better to stick around a particular team or department for as long as you can. Okay, let's go to the next slide, right? So these are just a few tips um for when you do find that clinical attachment, right? Um It's very important that you really reflect who you are in this new place that you're starting in. So coming in on time being punctual being kind being Kerr Chua's and really getting to know this place that you're in. It's not just about the clinical experience. Of course, that is there, you're getting to know the system, you're interacting with all the healthcare members. So nurses, doctors, dieticians, physiotherapists, you name it and you're going to see how the flow of work is. But really indulge like coming in asking about the routine of the day, you know, where is hand over. Sometimes there are things if you don't ask about, you're not going to know and show up and really show who you are. It goes a long way and you never know who is actually looking and watching, seeing who you are at the end of the day. Yes, you're not given clinical responsibility. But if you were to apply for a job at this particular place, you did your attachment in the, the most they have to go off of you other than your CV. Of course, is what kind of person you were when you did that attachment with them, which is why I go back to the duration and the time that you do a clinical attachment, it makes a lot of sense to do it for at least four weeks. Okay. And okay, we can have any questions with regards to clinical attachments. Okay, I see. No questions. Thank you very much. Hello. Hello, everybody. So good, very good evening to one and all for joining from the UK. And as Sarah did mention good morning, good afternoon or even good night for those of you as applicable for those of you joining from around the globe. So I will also be talking about clinical attachments and I'm I'm let me introduce myself. I'm I'm Jaqen Prabhu JP, people fondly um call me J AP at work and that's because it's much more easier than to pronounce my very, very long name. So yeah, so before I begin, I would like to, I would like to offer my sincere thanks to uh Libya for having invited me to deliver a talk on political attachments and also to raise and mind the bleep for, you know, for all the support um for which made this presentation possible. So I will be talking about clinical attachments, right? So they might be a bit of overlap between what Sarah spoke and I'm about to speak, but I will offer a different perspective to this clinical attachments in the UK and I'll try to make the most out of your time. And if you've got any questions at all, please please please feel free to drop it on the chat box. I will, I will try to check it. I will check it at the end of this presentation and I'm happy to take any questions at the end of this presentation. And remember there are no, there are no stupid questions, there were only stupid answers. So if you have anything in mind, please feel free, please, please do not hesitate. Please fire away. Right. So I will start with my experience before I deal with clinical attachments, right? And thereafter, I will briefly explain as to what a clinical attachment is and how to secure clinical attachment and what are the relevant documents that you can have um when you're applying for clinical attachment and what to do in a clinical attachment and to make the most out of your experience. Right. So uh speaking about my experience over, as can we switch to the previous. Yeah, so sorry. Thank you. Thank you as for helping me navigate through my slides. So speaking about my experience, I did my training in India. And after completing my training, I did work in a private hospital for about 10 months or so. And they're after I decided that I need to go take up this plaid route. That's when I did my aisles plaid one clap too. And after which I got registered with the G M C and I, I think I can relate very much to Sarah and what she said because she did mention that that was a time um that was during the peak of COVID, right? My, my, my, my, my plan to exam got cancelled three times. Uh my, my flight to Manchester got cancelled three times and eventually I did manage to sit platt too and that was, that was in the middle of COVID. Yeah. So and they're after, after successfully passing plaque to that's when I got registered with the G M C. And this is a time when um I wickedly remember I was applying for clinical attachments in many different trusts across Great Britain. And it was, it was, it was turned down because of COVID because they were not quite keen on having many people in the hospital. So it was turned out really because of their COVID, right? That was when I decided to pack my bags and leave because I had a job to go back to in India. So, um so that's when, you know, uh really remember it was just 10 hours before my flight. I did get an email from writing to Wigan and Leigh NHS Foundation Trust. That's where I've been for the last two years and that I've been accepted for a clinical attachment program. That was, that was one of the happiest moments that I've ever experienced. And then I went on to do three clinical attachments and in the same trust, I started off with a and a and then went on to do an attachment in cardiology and did an attachment in E N T. So I was, I was, I wasn't really sure as to what, where my interest line, I had a bit of an interest in surgery as well at that time, but not now. So I did. So that's why that's why I wanted to do a clinical attachment in ENT as well. All of these attachments were for a month long each. And at the end of my attachment in A and E I got my first successful job of uh in the NHS, right? And that's why I did the trust grade ST one. So there's a trust grade non training role that I was in for about 12 months. It was in a rotation in medical specialties. So I spent about um I started with the ENT it was a brief job and after that, I went to A and E and then cardiology respiratory and stroke unit. And thereafter I sat my MSRA because that's when I started, you know, wondering what I have to do. And that's when I decided. So I will probably do G P training and I don't regret it and enjoy every bit of it even now. Right. So that's when I sat my MSRA and started my GP training and now I'm in my jobs and guy in replacement, I'm doing a full time obs and I need role for up until August, right? So next up, we will be going into the clinical attachments bit if I can have the next slide, please. So yeah, clinical attachment is uh right. So it's a shot. It's, it's, it's this is how one of the top NHS trust in, in, in the U K describes clinical attachment to be clinical attachment is a short term unpaid placement for a qualified doctor who needs experience of the NHS, right? This is an observer only road, right? And you're just gonna be observing. So a clinical attachment is an experience. It's basically an observer ship. It's, it's designed to give you a taste of how the NHS works. Like to, to understand the intricacies of how, how, how, how different departments work and how the work in the NHS is, right? Moving on to the next. So uh eligibility. So this is for the British Medical Association. What what, how, how um so in order to do a clinical attachment, there are a few basic uh eligibility criteria that you need to specify. So you sorry, you need to, you need to, you need to okay meet. So that is the first successful completion of a criminal records check. Yes, that is known as a DBS check here. That is a disclosure and barring service. So you don't need to worry about it if you, you don't have to worry about it if you know what I mean. So, so yeah, so then after the answer, you will have to submit the proof of identity. This could be your passport or your Reza or how they call it in the UK to leave to remain, right? So if you're not a native English speaker, so you might, you might need aisles or oh, et cetera, forget at the level of 7.45. And thereafter you need what is known as the occupational health clearance. It's basically, it's basically the set of bloods. They do a set of bloods and when you even you accepted in a clinical attachment program to, to, to, to test for communicable diseases and, and you know the bits and Bobs that they usually do, right? And also the most, most important thing, please, please make sure that you have right now is a satisfactory references from Rafie. So what is this? So if, if you are doing a job after your okay training or after mbps make sure you are in the good books uh of your employer's good books of your consultants, you know, just get a reference. This is you can get it in the form of lateral recommendation, right? I did get it as a lateral recommendation. But if you haven't worked in a uh after your after your training, if you haven't worked after M B B S, you don't have to worry, you can still get a lateral recommendation from your university dean or college principal. Um whichever, right? So I'm made to believe that this presentation will be recorded and made available. So if at all, you need to revisit it, so you can always check mind the blew up. And uh so yeah, next stop is um finding a clinical attachment. So as I think, I think I recovered this a bit, so I will, I will try and every emphasize so that you know, for better understanding. So we wanna, you, unfortunately, there is no universal two in the UK to land the clinical attachment, right? So you need to do a bit of a hard work really. So there are clinical attachment program. So what do we mean by this clinical attachment program? There are different trusts across the UK, we which offer a clinical attachment program as in they run this once or twice a year, right? So you need to look up on the web websites, you need to look it up online. So there are trust which offered this attachment programs. And sometimes it's advertised even on track jobs or NHS jobs as an attachment program. So how I will go go, like how it works is like, it's pretty much like they recruit you for the clinical attachment program. And at the end of this program, it's usually a six week observer ship, right? And at the end of it, there will be some sort of an exit interview after which you will be offered a job if you're successful. And if you try, if, if, if, if you know, if you qualify the interview and all of that, so there's a brilliant way, there's a brilliant way to get into the NHS but do, but unfortunately not many trusts do offer these, these sort of programs. But it is, it is, it is, you know, it is getting increasingly popular, should I say? And thereafter, the most, most popular way as to how I applied and as to how many of my friends applied is approaching energies hospitals. And how do we do that is like, you know, you, you, if so before you do a clinical attachment, you need to figure out where your interest fly and what's whether you want to do a clinical attachment in medicine or surgery or whereabouts do you want to do a clinical attachment if you're based in Manchester or you, are you looking for opportunities in and around Manchester or south of England or where just decide where and then do look up online as to in a way you would want to. So if you're living as is take, for instance, if you, if you, if you're in Manchester and if you are in and around Manchester, you need to look up for these hospitals across Manchester. And usually when you navigate through the web page, you will find a contact to the HR department or a medical education department. And that's when you can request the clinical attachment. Having said that I will, I will explain in the details as to how you go about requesting for an attachment in the upcoming slides. And the next stop is uh through the NHS consultants if you know any near and dear ones, friends or family, um your your seniors um just you feel free to approach them, send them an email, you know, request a clinical attachment, which I will specify how to do it in the coming slides. And also as as did um as was mentioned in the previous presentation, there might be a fee for doing a clinical attachment, right? This varies, it's usually an edmund fee. It varies from a couple of 100 lbs to you know, 1000 lbs, thousands of pounds as well. I know a very popular hospital in the south of England where in the clinical attachments, uh the top thousands of pounds, you have to pay a few 1000 lbs to do a clinical attachment. But having said that there are certain other trust which do offer, you know, clinical attachments for free. So usually um it's usually the admin fee they would like to charge, right. So moving ahead, so we will be at the next stop, I will be dealing with tips on applying this. There's a very important. So because what I strongly felt or because I've, I've been in, in the NHS for nearly two years now and I work closely with consultants who except clinical attachments. But most often we do notice that people write a lot right. When applying for clinical attachments, please, please please please be brief in what you want so that you know, they, they they can help you. So help them to help you in the in shops. That's what I would like to say. So if you attack, if you're applying for a clinical attachment program, there will be an application form that you need to fill that straightforward, just fill it up and then that goes up. But it's this is not the case in most of the other trust, right? So when you will have to approach the trust, you will have to email the trust. So how I did is I looked up on these energies trust online and I navigated through their web pages to, to you know, to find the contact details of the Hedgehog or medical education department, you can even try and call and you can ring the hospital, introduce yourself, very brief introduction and also be connected to hedge our our medical education department and see if they're offering a clinical attachment program and they will guide you as to how to go about with it. So when you're requesting a clinical attachment, when you're speaking to someone where you're sending an email, the the the key is to be as brief as possible. Guys, please please be as brief as possible and just give a brief overview about yourself, right? And then also please mention the status of your club or GM see registration. Please do mention you passed your club too or you you set your club to, you're waiting for your results of your already registered with the General Medical Council. Just do mention that. And thereafter, you will have to specify the department or feel in which you're interested to do a clinical attachment because more often because I having worked with the consultants here, I've seen people across the globe request a clinical attachment but not specifying which feel they're interested in, right? Just like they do go about with saying I would, I'm very keen to do a clinical attachment. Yes, we do understand you're very keen to do a clinical attachment, but we also need to know which department or feel that you'd be interested in. For instance, you can specify I'm willing to do okay clinical attachment in acute medicine, any or cardiology. For that instance, give them a range of 1 to 2. Okay, wanted to dip apartments, a couple of departments so they can work out something for you. And also the most important thing is to mention the time period you're looking for, right? So say for instance, you've sat your lab to in March and then you're with the expires in June. So you would ideally be looking for clinical attachment opportunities between April to June. So because there is a huge waiting list because clinical attachments have become extremely popular, it is a huge waiting list. My advice is to try to plan this as early as you can at least plan it six months before. Ok. So that start thinking about it initially in this conversation, I have a chat with your friends about the clinical attachments and then, you know, start looking for all this and I'm, I'm, I'm, I'm happy to help or you in any way if you want. And then like if you, if you have any doubts, I wouldn't drop in my email in the chat box. At the end of this presentation, you can always get in touch with me. And also the most important important aspect is the C V you need to attach your CV when you're sending your email and obviously and see we please, please please be brief. It shouldn't, it shouldn't be more than two pages, two or three pages. There is a very, very good, they're uh if you can go up and look up on British Medical Association. It's a trade union which represents doctors across the United Kingdom, right? So there is, there is a fantastic, fantastic resource and uh as to how you have to structure your CV, right? So I'll try to be brief and tell you how you to structure your CV. Please please just mention what are your, what are your work experience and thereafter what is your objective? Then do your, you know, work experience and your professional qualification, your registration, you're a words or you're if you're presented a poster and thereafter, so all of this is available on British Medical Association Guards. Please please please do look into that and let's move on to the other useful documents, right? So you need to be prepared if you if you want to do a clinical attachment, isn't it? So you, you can save yourself a lot of time and a lot of efforts by you know, by having these documents to hand while before, before flying in to to to London Heater or Manchester or John Lennon or whatever, right? So it's a useful documents is, yeah, they obviously you were not going to get into this country without a passport. So it goes without saying always have your passport and they leave to remain and please do carry because some of these trusts because of court with all of this is virtual. So you can do you, you can you can certainly send it across. Okay. Send it across, virtually. Send it, ok. Scan a copy of your okay certificates and send it across. But sometimes they might be occasions where you might have to present these in person. So always, I will always, always carry this around. So, yeah, get your oil certificate, your primary medical qualification or your medical degree. Right. This is the something which you, you should have framed it okay. So just get that. Yeah, and a letter of good standing. So if you've been registered with the Medical Council right in your home country or wherever you did, wherever you did your primary medical qualification say um say just request a letter of good standing, right? So you can do it. It's it's it's a bit of a new procedure from what I've done. I did it online. I did get a letter of good standing. So because I I did three clinical attachments in the same trust and I was also accepted for two other clinical attachments in south of England and uh most of these trusts where you know, we're asking for one of like most all of these sorry, right. And reference letter as I mentioned earlier, reference letter, I cannot stress the importance of reference letter. Please. Please do get a reference letter from your previous employers. University Dean of Principle. I did get it from my employer. I did get it from my uh college principal, right? And the next thing that's going to make your life a lot more easier. Uh Excuse me is a vaccination record. So if you, because this is quite essential because this will move things faster, right? And it will help you land in a clinical attachment and it'll help your application to be processed much more earlier than the rest. But if you have got a vaccination record and that would be very helpful. But if you haven't got it, please do not worry, please do not worry. So they can do there, there are ways that you can get around it if you have it, it's good. But if you don't have it, don't worry. Right? So those are the useful documents we are done with the useful documents that we we can um you know, you you can have in okay hand, right? So what can you do as a clinical attachment? I think, I think Strattera did mention about it. And then uh there are a couple of other things that I would like to add as well, right? So clinical attachment, I do, I do, I do terribly miss my you know, time is a clinical attachment. Three months of just observing it twisted to say it was absolutely. So yeah, so I do love my job. Yeah, but so what what you can do as a clinical attachment is observe and shadow. So guys please be professionally curious. Please be curious, the aim of this clinical attachment is to understand how a different healthcare set up such as their National Health Service works. How, how you know how, how, how doctors go about with their everyday work, how wardrobes are performed and how, how they interact with patient's and liaise with multidiscipline routine. Be professionally curious, you know, have a look out for everything that happens around you and also and be all years and just to observe right, as was mentioned earlier, please please do ask questions, please be professional, curious if you ask you do stand a chance, ok? To finances. But if you don't, you don't really stand a chance to you, right? Please please be do that and participate in war drums. If you're doing um award based specialty, participate in war drums. What I did when I did my clinical attachment in A and E I used to shadow F one F two S or S H O s because you're going to start at that level. There's no use shadowing a registrar or consultant unless you are planning to become one, right? So please try to follow airfone actors and SHS. So what I did during my attachment in any, I used to introduce myself to all of this. Like one of the S H O S I took turns I shadowed different sutures like I used to shadow one person, ok, on Monday and another person on Tuesday and so on and so forth. This gives you, uh, this gives you a different perspective as to how things are done. This gives you uh this gives you good exposure to how different people go about with doing the same job quite differently and as effectively as and then you can, and you know, you can, you can, you can pick up what suits you the best and please do observe the execution of ward round plans. See how the ward round plans are executed, how, how the juniors have discussions with family and also how they liaise with different specialties. What? And there will be so many other specialties, there will be so many other healthcare professionals, right? Um There'll be so many other healthcare professionals wherein okay they will have an interaction with and please do observe and also teaching sessions and they will be departmental teaching session when I was in A and E they used to do a practical demonstration every Friday. So you need to, nobody's going to come and invite you for these teaching sessions. You need to have a look out, you know, for all these things, check the noticeable uh check, check, you know uh in track with win track with in track with the people who are working in the department. So you will get to, will get to understand and please be a part of these teaching sessions and that will give you a bit of an insight as to how these sessions are held and and which will be very useful as well. Next stop is uh uh audits and Q I projects, right? So a typical attachment will last for about four weeks and it might trust um the attachment's uh are restricted for four weeks because of the huge volume of app medications that are coming in because maybe and I was doing a clinical attachment, there was hardly anybody applying. So they were happy enough to accommodate us for longer periods of time, but usually clinical attachment last for about four weeks, right? So audits and Q I projects really. So just ask yourself whether you have the time, right? Whether you can devote yourself to all these audits or QR project? There is there is it would be extremely difficult to finish an audit or accu I project within the four weeks of your clinical attachment, right? But having said that please do not be disappointed, you can be a part of an audit, like you can do a bit of data gathering or you can, you can, you can do, you can even do crunch the numbers, the ones that data has been gathered. So eventually you did contribute to some of this audit or Q I project. So that will go down very well when you sit for your, you know, when you apply that jobs henceforth. But but do, but taking on an audit all by itself can be a bit daunting, especially when you haven't done one before. I would strongly recommend that you tag along with, with the OSHA or registrar who is doing an audit and then that will give you a bit of a, you know, a bit of a uh that will give you that, that will offer you more help, isn't it? Right? So having said that, did I do an audit, did I do a QR project when I was doing a clinical attachment? No, no, no. So is it, is it expected of you to do a clinical Q I project? No as a clinical attachment? No, no, no. But if you do it, it's good. But if you don't do it, it's fine, right? And uh so because clinical attachment is just designed to give you an exposure as to how the NHS is, right? But if you, if you can't do get around to do it, but it's fine. So you will be a point to the clinical supervisor. So then you start your attachment, just sit with your super wiser and tell them what you're expecting to get out of this attachment. And most often than not, you will be very new to the NHS. So they will help and guide you. And also as you as you're progressing through your clinical attachment, try to meet with them at least once before you finish trying to keep them updated, try to keep them in the loop as to what you're doing and then that will help them guide you better. And also the other thing is you can collect proof of sign off for observation, right? These are not sinus for practical procedures. I did mention in my slides if you remember observing clinical procedures. And hey, I know it was mentioned, I'm not, I'm not quite sure. But as a clinical attachment, you can say, I don't, I don't think you can do any clinical procedure on your road. You have to be supervised and and you cannot do a clinical procedure unless less. I think when I did a clinical clinical attachment, it was clearly mentioned that I'm cannot do a clinical procedure because you're not covered by indemnity. You're not covered when you're doing a clinical attachment, you're just an observer. So please be careful on that front. I would, I would, I would I was very careful because when I started doing clinical assessment, I was clearly told not to do any procedures. So you're just, it's just an a observer rule, right? So just be observed, be observant, keep your eyes open and be professionally curious. So what I meant about collect proofs of sign off is I I was handed out a sheet of paper. So I just used to uh say observe DNA CPR discussion's observed IV cannulation, observe blood culture. So I used to get it signed off just as it is approved. So nobody's going to ask you for this. Nobody will ever uh nobody has asked me for this. But then it's good to have a proof just in case if they do want to see what you've done in a clinical attachment, it's always always good to have a proof. So I think, I think with that with that, I've come to the end of my session and I try to be as brief and as fast as I could hopefully. Mm mm ready to take any questions. I will drop my email in the um in the chat box. So if you have any further queries, you can please feel free to email me. Right? And I'm happy to take questions. Thank you J P. Um If all of the presenters please leave your emails in the chats for any questions, that would be great. Um Right. I think right. I've got one question. Can clinical attachment only be done by doctors? Can finally medical students do them? I think clinical attachment is is usually done by uh okay doctors, qualified doctors. So when you're a medical student, it becomes like a work placement, but I'm not entirely sure, but clinical attachment is only for doctors because I if I've answered your question, so if I can add to it, um I did clinical attachment as a medical student. Um I actually did two of them. It was a bit different than what you said about JP concerning clinical attachments, a doctor already. Um So uh different hospitals have different rules for clinical attachments as a medical students. Um And I did mine in Belfast. I chose this place primarily because for Belfast, you don't need to have aisles as an eye mg medical student to do a clinical attachment. So you're free to do it without a language requirement. And actually they advised me to, to purchase um indemnity cover and I could do some procedures like cannulation, like blood, taking a medical student. So if anyone wants to ask me concerning the medical student, clinical attachments, I'm also thanks. Thanks Pat for Aragona. I was uh since the apologies, I was not entirely sure about this. But then as I have mentioned, please do go through okay if there are attachment opportunities open for medical students. And uh as she did mention, please, please make sure that you've got indemnity cover and make sure that you are like you're okay to do clinical procedures before you set off to do all of that. Lovely. Thank you. Um I know part you answered said earlier about the eye MGS from EU Universities. I just want to point out that our previous um webinar, the first one, Pat had already spoken about MGS from the U Universities. So if you can watch that, they would be really helpful. But what I can say for because currently U E U Universities and anywhere else, it's the same, isn't it? Um But if you're a UK citizen and you've got a completed an internship, then you've got a full DMC registration. Um And in that case, you can, you cannot do the, if the foundation program, if you want, you can just apply to a trust grade at a F one or F two level or you can apply just for an F one or if to um job. But you, there's no, there's no bridge between the two. You can either just do a trust great job or do that. Um So that is, there's that and I'm just going to add that for the clinical attachments. Um uh You are given patient's to see that, that those are medically fit and a senior will see them after you, but you are given some ground to be a clinician um in a safe and controlled environment and you are under supervision, of course, but things like taking blood um you can do. Um So yeah, these, these things that do happen in attachments uh in the UK. Any more questions? Yes. All right. Um If that is it, um then we'll be ending our webinar tonight. Thank you guys for watching um and watch the previous one as well. If you've got any questions about the EU or the GMC registration one, we'll see you in the next one.