Intro to Final year - Recording
Summary
This on-demand teaching session, relevant to medical professionals, provides an overview of their final year along with tips and tricks to make things smoother. Akash, an F1 doctor, will take a look at the firms, applications, and post exam periods, and provide advice on how to prepare for and get the most out of the experience. His tips on practical skills, log books, and paperwork, as well as understanding the new AEL and DESR systems, will provide invaluable information to medical professionals.
Learning objectives
Learning Objectives for Medical Audience:
- Understand the key differences between Final Year studies and previous years.
- Identify tips and tricks to make the most of Final Year.
- Become familiar with the Final Year application process and understand the implications of the new digital system.
- Acquire knowledge of practical skills during Firms to prepare for F1.
- Master the techniques of recording the different FRCA clinical skills to complete Final Year requirements.
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The following transcript was generated automatically from the content and has not been checked or corrected manually.
Great. Uh Yeah, thanks everyone for coming. Um I don't know what's transcribing. Um Yeah, and thanks a cash for, for giving the talk. Um, I guess I guess it will be a brief overview of kind of an entry to final year. Um, some tips and tricks and if it's all right with you, Akash, maybe some, some questions at the end. Yeah, absolutely. Yeah. Great. Well, whenever you're ready. Yeah. No. Cheers. Hi, everyone. Thanks for joining up. My name is Akash and I'm not a medical student anymore. I'm an F one working in the Oxford Deanery and today I've been asked to give you a little introduction to final year with some tips and tricks that might make things a bit smoother. I think the event says that this is for an hour and a half, but don't worry, I'm too hungry to go on for that long. But yeah, after the talk, you can ask any questions and I've left my email there as well if you want to ask that way as well. Um So this is what my friends and I were like after fifth year and unsurprisingly three weeks of summer just is not really enough to recover from it. So, yeah, don't worry if you're coasting a bit at the moment and enjoying the very occasional summer weather. Thankfully, final year there is a lot more chill than fifth year, but your exams are going to be earlier than ours were. So, I'd say maybe at the start of September is probably the best time to, to kind of get back into the swing of things. But definitely at this stage of the year, you can still try to enjoy the summer as much as you can. So this is what I'm going to be covering in this talk. I'm sure you will know how to be a medical student by this point. So I'm not going to bore you with loads of revision advice and exam stuff. But I think the unique thing with final years that there's quite a lot of extra admin and life planning stuff and I know just general growing up, which can be a bit overwhelming. So I'm going to try and give some advice on those things too, maybe not the growing up, but certainly the admin stuff. Um So essentially final year is going to be split into three parts. You're currently in the first part where you're dealing with firms and also sorting out applications simultaneously. And I think for you guys that will finish um at the end of the year at Christmas, then you'll go into the whole revision and finals period, um, which, you know, will be the same as it was last year and the previous years as well. And then after that, you'll, you'll have the post exam period, which is, is genuinely amazing. You'll feel amazing, but there is still some stuff that goes on there and I'll touch on that stuff at the end as well. Um, so starting with firms, I don't really have much to say when it comes to firms. I'm sure you will have your own ways of getting the most out of firms by this stage of medical school, final year firms is mostly just revising things that you've seen before in third year. So I'd say that clark in lots of patients probably isn't the most important thing anymore, you know, like it was in third year. Instead it's more useful to see what an F one actually does, you know, in order to prepare you for, for next year. So watch how an F one assesses patients, see them, how, how they attend emergencies. At what point do they escalate to seniors? How they make referrals and an bleeps as well? Um Like this will help with your exams, but it's most importantly, finally is about preparing you for F one. Don't worry too much about learning to do TTS and discharge summaries and all of that. Um, generally most of the eons will tell you just go home, you're not getting paid to do that stuff anyway. And in any case, you'll have the opportunity to learn that in P FA. Um So really, you know, go in early leave early when you can find out your, your film, I would also suggest being proactive when it comes to practicing your practical skills because unlike our year, you guys, I think had your A&E in fifth year, which means you won't have an A E block this year, which is a bit dumb. Uh But that just means that on your other firms take all the opportunities to do bloods and cannulas and stuff like that because that will definitely help when you're in F one. Um So yeah, this is for me, what I think are the most important things to get out of firms in final year. I have no idea why these nurses are so happy to be carrying a bleep. But I think seeing how an F One deals with being bleeped and how they prioritize tasks is quite a useful thing to see how a good A three approach is just really important. It will save you whenever you're dealing with emergencies as an F one. And again, there's a whole station dedicated to it in your final year paces and also being able to do a good handover referral using the SAR method. Again, that's really useful to see in practice when you're in final year because again, that's one of the most daunting things of being in F one is referring to a, a scary surgeon or registrar. So, being confident with that is something that is worth getting out of firms. And then on top of that, you do the normal stuff that you would do to prepare yourself, for example. So obviously, along with that, I'm aware that you guys have more strict log books and stuff than we had. So do all of those things as necessary. And I think your dots are the same as what we had unless anything's changed this year. Obviously, you don't have a designated A E block anymore, but you can still rock up to A&E if you're really struggling. I mean, there are 50 years there but you can exert your authority. Just be careful in some hospitals. I think chaing across the the consultants a bit scary. So she might not let you in. But generally if you go to Ing A&E for example, they don't know who is supposed to be there. So you can definitely get your dots done there having said that you can also get these dots done in other places. So obviously blood taking, you can do anywhere. Cannulas Anesthetics is a great place. So when you're on surgery, just chill with the anesthetics team for an afternoon and you'll definitely get it done. Same with infusions. I mean, most wards you can ask the nurses and they'll tell you at what time they're setting up infusions, so you can do it like that. Catheterization is quite a tricky one. I think any surgery, especially major surgeries like laparotomies, they'll usually catheterize the patient. So that's a good opportunity to get that done. And also, I guess they are less stringent on how sterile you need to be when it comes to theaters because it's a short term catheter. Um, so they're more likely to let students do it, uh, local anesthetics if you're doing an ABG, um, some patients will like to have a local anesthetic beforehand. So that's how I got it done last year. Um In any case, you could still probably just say, would you like to have anesthetic? And the patient will probably say, yeah. Um So you can kind of get local anesthetic and ABG done together. Suturing is a really tricky one. But yeah, theater is the best place otherwise going to A&E and you'll probably get an opportunity to do it there. Uh A BGS again A&E um or most rest wards will do it and they usually have a designated time like 9 a.m. as part of the ward round is when they'll do all their A BGS. So just find out when it is and go at that time, subcutaneous injection. The easiest way is um pretty much any ward will have your throop prophylaxis injections in the, in not in the afternoon in the evening, usually like 6 p.m. So if you have a day where you're staying late, just ask the nurses when they're doing the Delta P injections and you'll be able to get it done like that. And lastly, blood transfusion is the hardest one. Or at least some people found it the hardest. Uh, because, you know, it, not most F ones don't even do it. There's a good place in Hammersmith Hospital called the Hematology Day Treatment Center or something like that where I think the sickle cell patients get like bed blood transfusions in a sort of elective way where it's much easier as a student to get involved with that as opposed to waiting for someone to come in with a traumatic injury and trying to help out in an emergency. So if you're struggling that Hammersmith He Day Treatment center is the best place for doing blood transfusion. And then finally, the blood culture and G tube should still just be a simulation. So I think you have a ac cleans skill session where you do that, but I might be wrong. So you obviously ask a question about that at the end if that's the case. So hopefully that clarifies where you can get most of your dot S done. So alongside firms, um you'll also have to start juggling applications during this first phase of the year. Maybe not at this point. But certainly once you go into September and October for the majority of you, this will actually be really straightforward this year, you'll just put your details into this horrible website called Ael and then some computer will decide your fate. Um But overall as scary as it is to have like so little control over where you're going. I do genuinely think there are a lot of benefits overall to the new system. You won't have to do the SJT, which is a stupid exam and already was like a random number generator. Anyway, the DES R system probably put imperial students at a disadvantage compared to some of the less competitive medical schools from a career perspective. Your F one F two location doesn't really matter. So stressing about an SGT exam for it was kind of a bit unnecessary. And the other thing and I don't know if this is for sure, but maybe you'll find out your location sooner now that you don't have to sit with SJT. I don't know if that's definite, but if you do find your location earlier, that is a good thing. So overall, I know it's scary but it will probably work out for the best for, for the majority of you with the new system and to put your minds further at ease. This is my glorious hometown of Telford, which is located in the West Midlands, North Deery, supposedly the least popular one. But as you can see, it's actually a beautiful place and quite frankly, you'd be lucky to get ships out here. So, yeah, nothing to worry about when it comes to air pass. But in all seriousness, location might matter to some of you for family or financial reasons. And so if you do want a degree of control, you can obviously go through the whole academic foundation program or SFP route instead. Although bear in mind, it will probably be more competitive this year. Um On top of doing it for location, you can also do it if you want to do research, teaching or leadership projects alongside your clinical training. I'm assuming there will be other talks on this. So I'm not going to dwell on it and some of you won't be interested in it anyway. But I've just listed some of the last minute ways of boosting your CVS if you're if you're interested. And I think just generally if you're on the fence, I would say that the experience of applying and doing an interview, for example, can actually help with finals. It really helps with the acute care station and just generally the experience of applying for something and writing, you know, putting in your CV accurately and doing an interview again, it might help with your specialty applications in the future, which all of you will be doing. So, it may just be worth considering if you are on the fence. If you are not interested, then yeah, chill, chill and enjoy this part of the year. And yeah, if you're interested, I'm happy to answer questions later on. Um So that's the first part of the year done. Um So now moving on to exams. Um so firstly, you'll have the written papers and all of these are written using this question bank called the Medical Schools Council Assessment Alliance, which I think it is like some general question bank that all the med schools now use and it's to prepare for this whole UK ML A exam which will start next year. But all of these question types will presumably be what they use in the ML A next year. So what that means is that at this stage, it's still the best thing to do is to work through one of the normal question banks, like pass med ques meed pasts, whatever. Um But use it just for learning the content, like go through all these questions and you'll feel all that third year knowledge coming back quickly. Um But don't really use it as exam practice. That's more just for learning the content in an interactive way. If you like flashcards, I'll put a link to the brains one in in the notes section um to the ones that I used. And I thought brains was good for learning things like Ortho ent and ophthalmology, which you don't really learn so much in third year, but they do test it in finals. Um But for some people that's not particularly useful and I, I don't think it's that high yield. Um And then when it comes to actual exam practice, pass med is definitely too easy, like the, the questions and the real thing require you to understand things rather than just relying on buzzwords. And you know, the difference between third year and final year is that here, you'll have questions where you'll have to work out the diagnosis and pick the management, the best management option within the same question, which is obviously much more than what you had in third year. You do need to understand the conditions a bit more. So instead of past meed when it comes to the exams, the most useful questions are anything that's come from this whole medical schools um alliance thing. So this includes your E fa S. All those E FA S are from that same question type. Um There will be some faculty marks which for once are actually useful. Uh I think they release four throughout the year and you know, some of these will literally be repeats from your exam and then closer to the exam, you'll actually find them, these questions that other medical schools have been using as well. So I think in the run up to my exams, someone put in our group chat, a full mock exam from Kings and that was like gold dust. They were all new questions. They weren't ones that we'd had in our mocks. But these were all really helpful for the real thing, both in terms of actually sometimes getting these repeat questions, but also just getting a feel of how much depth, you need to understand these conditions and and how um you know how the exam will actually look like. So, yeah, these are the main resources and don't worry, it is, it is the writtens are, are pretty chill. The PSA is obviously a new type of exam. So people do find it a bit daunting. I found it daunting. But remember at the end of the day, it's an open book exam that you just need to pass. So the majority of your work should still be directed towards your writtens and pieces. Um Usually people say that about three weeks of prep is more than enough for the PSA and actually, at least in our case, we have the PS A after our finals papers. So, you know, it, it becomes even easier. All the stuff you've learned for finals will make the PSA even much easier. Whereas other medical schools usually do the PSA a bit earlier. Um So yeah, don't stress too much about it as a starting point. The pass of the PSA book is pretty good and you'll find that on all the different Google drives that people share around. Um It's good for learning how the exam works and how to tackle the different question types. You know, some little tips that might just save you a bit of time when you're doing the calculation questions and things like that or even just navigating the BN F. Personally, I didn't like textbooks so much. So instead I use these lectures that I think the Bart Ed Society gave. Um So if you go on Facebook and you search for this, prepare for the PSA um Facebook group, if you go on that, you'll find all the recordings in the slides. And I think there were 4 45 minute sessions which were really high yield. And after that, I felt like I knew exactly what I need to do in, in the PSA and then after that, you practice. So uh practice questions, you've got the faculty monthly questions which are useful and then faculty release and mocks as well. And then after that, so that will get you, you know, that will probably make you more efficient at answering the different questions. Then once you've done all of that, the most useful resources are these practice papers. So firstly, you've got this prescribing safety assessment website, that's like the official PS A website. That's where you'll do the exam, that's where you'll do the actual exam. And they have a couple of mocks too, which is what faculty will, will sign post you towards definitely do them first. But I would say they are a bit easier than the real thing. You'll definitely find that you're able to get through them quite quickly, but that won't necessarily be the case with the real thing. So after those initial papers, then there's another website which faculty don't tell you about called the prescribing skills assessment website. Um, and if you go on that, you'll find some more realistic papers that, but maybe even a bit harder than the real thing. But certainly if you're able to get through them in time, you'll feel confident going into the real PS A and the only thing with that is that you have to pay. But I think it's like you pay to make an account and then you could just allow loads of people to use the same account. So find a group of mates split the cost and then yeah, it's, it's perfectly affordable but definitely the prescribing skills assessment papers that they are worth doing, they'll make the PS a feel quite easy. Um So that's the writtens PSA done and then you'll finish with paces. Um but it is much simpler than fifth year paces. So don't stress too much, you need to pass six stations out of the 12 and you can see four of them are your are stuff that you've done in third year anyway. Um you do get real patients for those four examination stations as well as the MS K one. So, you know, when you're on firms get used to recognizing murmurs and clinical signs and also something which people, I guess neglect is practice presenting patients that have something wrong with them because in third year, you'll just get used to presenting a normal examination. But actually here it can kind of muddle your thought process when you actually do need to pick up on a sign and present it and then formulate a diagnosis at the end of your presentation. So definitely practice that even when you're practicing with your mate, just invent that they have various signs and then get used to presenting them, um, when you practice that. Um So those are your, your four exams. Um, from third year, you've then got the MS K station, which is New faculty will tell you that it will definitely be a hip knee or hand exam. Or at least that's what am, is Sam told us. He is lying. I think in my ear, some people had ankle exams, some people had goals. So there is a full list in your, um, Sophia, whatever it is that will say all the exams that can possibly come up and technically any of them can. However, yeah, the hip knee and hand, those are probably the only ones that are worth practicing properly. And then for the other ones just watch the geek medics videos and you should be ok because generally the MS K exam, it's always the same of look, feel or move or whatever it is. So, you know, the, the hip knee and hand, those are the high yield ones, practice those properly. And then if you, if you're comfortable with those, as long as you kind of just know the steps of the other exams, you will be fine but just be aware that, you know, don't get caught off guard, they can throw in those other exams as well regardless of what a Sam says, um the breast and vascular exam station. Um So that's still 1 10 minute station, but you'll have five minutes for a breast exam, five minutes for a vascular exam. Or maybe it's like three minutes to do the exam and then a couple of minutes of questioning for that the patient should be normal. They won't have any signs and you'll be the same patient for both the breast and the vascular exam. So it's really just about seeing that you can do these exams in a normal way and like not be weird basically. So there's nothing to worry about with that and you can practice that to death with your friends. Um And then the histories are really calm compared to fifth year still 10 minutes station. So they won't, you won't have any counseling. So you don't normally have any proper like difficult counseling, no breaking bad news or anything like that. Sometimes you'll do the history, you'll have a discussion with the examiner. Sometimes they might just say, can you explain in lay terms to the patient what the diagnosis is, but it's never anything particularly challenging. So compared to fifth year, you'll find it all, you'll find it all fine, just again, practice to, you know, to retain that fifth year skills that you learn just practice taking histories from time to time. Um And yeah, medicine surgery GP history, they, they're all calm. The endo history is a very unnecessary random station which is clearly thrown in because we have a lot of endo uh people in faculty. Um But again, this is not a difficult station. They will usually give a very textbook presentation of hypothyroidism or hypercalcemia or, you know, DK, something like that. Um So there's nothing particularly random with it. It's just like the medicine history, but with an endo condition instead. Um and then the last two stations are the new ones. Um So images and instruments you have part of it, which is about interpreting xrays and um it, I think it's just chest x-ray, maybe ECG and Abdo x-ray if they're, if they mean, and I think maybe CT head as well. Um And then you'll have the next part of the station will be, they'll just point out some instrument like a chest drain or, or something like that and just ask you what it is, what is it used for? Um And then what the complications associated with its use? That sounds dorming. But it's very easy to dry learn. I think faculty put a list of all the things or put a set of images of all the instruments that can come up and it's just a case of sitting down and learning it and you'll be fine. It's just really boring to learn. And you will find that it is useful when you're on F one because even though you'll never put in a chest drin on your own, you will have occasions where a consultant needs to do a chest train and they'll ask you to bring it for them. And then you'll be like, ah, thank God, I learned what it looks like for this station. So it does sound a bit pointless but it, it, it will help. And then the acute care station again, it's not daunting one because it's new. But actually, it's just a discussion with the examiner where they'll give you, they'll give you a patient brief and some basic investigations like OS and some blood tests and then they will just ask you to read it for maybe two minutes, give a succinct summary, a presentation to the examiner about what's going on and then they'll just vivy you on what next investigations you would like to take and what management you'd like to do. So, the main way for preparing for this is having a good a to approach. And that's where if you do an sp interview or prepare for that, that helps in advance for finals. And then you also need to know the management of common emergencies. So maybe just like get some flashcards for that and, and learn the, you know how to treat a sty, how to treat a G I bleed and things like that. And usually they go for pretty common things. So it won't be anything completely rogue. Um, it's just a case of showing that you can be a safe f one doctor. So, yeah, hopefully that makes hopefully breaking down paces like that makes you realize that it isn't as daunting as it might look when you've got 12 stations, it's just quite long, but you'll be fine. Um, and then the post exam period is actually really nice, but like I said, there are a couple of things to do you, I think you're all going to have P FA first, which is great because then you'll, you'll get off for elective and have a really long summer, which is really nice. So um P FA is, it is annoying but some people actually have very valuable, very useful experiences from it. So it can be a bit hit or miss, but hopefully you, it will work for you. You get the choice at some point. They'll give you a form where you can choose between having a medical surgical or A&E placement. Uh I say the lowdown is that A ne is probably the most useful for practicing your clinical skills. So if you're, if that's the thing that scares you about being an F one, then then do that medicine is the most useful for understanding what an F one actually does. Um So, you know, things like the words take and post take and all that stuff, you don't really deal with it so much when you're on placement or you don't really bother. I don't think you ever really shadow the take doctor unless you're on an, a placement or something. So, um, yeah, that if you do a medic medicine P fa, I guess you can just become a bit more accustomed to what an F one does as the job. And then I say surgery is just a pretty pointless P FA, but the ward rounds are short. So if you just want to enjoy your post exam period, then do a surgery P FA and you can get out of firm sooner. That's what I did. But, um, but there is a log book that forces you to go in a bit. I think you have to get a certain number of procedures done and you have to, um, I don't know, do a reflection or some, something like that. But like I said, some people actually had a very useful time on P FA. It's a good opportunity to learn how to do all the F one admin. And again, seeing how to deal with bleeps referrals, et cetera. Um, you will learn all of this again. When you start F one, you'll have induction and shadowing. So don't worry too much. And yeah, I would say enjoy finishing exams at that point because, uh, it is a great feeling, um, and then electives. So I assume a lot of you already have a good idea. Of what you're going to do if you're elective by this stage, um, everyone has different priorities for their elective and they're all valid. So make sure you do what you want to do. You know, some people, it will be all about location. That's what it was for me. But some people will have a really cool project lined up and for some people, it will be about either seeing a new career option or seeing a particular specialty that they're interested in. So whatever is most important for you prioritize that and, and go for it and don't think too much about what other people are telling you or what other people are doing for overseas electives. Faculty are really strict with the deadline and I think it's earlier for your year, like maybe mid December. So just make sure you don't miss it. I think it's a case of you need the acceptance from the place you're doing the elective, you then need to send that to your personal tutor and do all the paperwork and the personal tutor has to have approved it by that deadline. So just make sure you're leaving enough time for that, you know, your personal tutor might need a week or so to actually check through everything. So don't leave it right to the end because if you miss it faculty, they don't, they don't usually give any leeway for it. Um So yeah, like I said, every option is valid if you're torn between options. The only advice I'd give is that there are some things that you would still be able to do as an F three or, you know, when you're a doctor. But there are other things that you can only realistically do on an elective as a student where the NHS is funding you and you have less responsibility. Whereas when you're an F three, you will be a but you will need to fund everything yourself. And therefore ideally do things where you can work as a doctor. Whereas a student, you can do very cool things where you're observing because the NHS is still going to pay for your accommodation. So I'd say that's the only thing to, to bear in mind if you're torn between options. Um You know, just think what can you only do on an elective as opposed to something that you would be able to do again in the future. Um So just some financial tips that I think some people aren't always aware about, but the NHS Bursary will cover up to 55 lbs a night for accommodation. Um So make use of all of that. Um You know, if you buy somewhere that's 30 quid a night, they will only fund 30 quid a night, but therefore you could get something that's nicer and go up to the 55 quid. And also that money will go much further into some countries compared to others which is worth bearing in mind as well. So, you know, 55 quid in London is probably like a toilet. But in South America, you could probably get like a a penthouse in in some cities. So um yeah, that's the first thing your accommodation, you could potentially be able to fund all of your accommodation through the NHS money, which is incredible. Um There are some school of medicine grants as well and not all of them are means tested. So some of them are literally for contribution to IM societies, which a lot of you, I'm sure are eligible for. So make sure you apply for that. I think they usually put the deadline in those week ahead emails which I was very bad at reading. So keep an eye on those and put your applications in even if you think you've only done a little bit, chances are you still might be able to get some money for it and they can be quite generous with it. Um And then finally, there are some other grants that you can look for as well um to check on med, learn otherwise look at the RSM website or depending on what specialty you're doing. Look at the particular college for that specialty because yeah, you do get these very random grants. I think someone was showing me that there's one for being associated with Worcestershire or something like that. So, you know, you could get money in, in all sorts of wacky, wonderful ways and it will really help enjoy your elective and finally just make sure you enjoy final year. It's the last year where you can be jobless and it is more chilled than fifth year. So definitely make the most of it. Um, for once you literally just need to pass and, you know, do, do enough. So you feel confident to be a doctor next year as well, but definitely make sure you go to all the final events and stuff and I'm sure you'll all smash the academic stuff. Um So yeah, that was very quick, but that is the end. Um Thank you for coming. If there's a feedback form which I couldn't hide with an SB a like I normally would. So I'm just hoping some of you will fill it out. But um if you have any questions, feel free to ask now or um there's my email and I'll try and get back to you there as well. Thanks very much, Akash. Really enjoyed that. Yes, guys, if you could please fill out the feedback form, once we get enough replies, we can then release the slides and recording and things. Um And if anyone's got any questions, feel free to us now, you can put it in the chart as well if you don't want me. Yeah, of course. Oh, we've got a question. Uh The NHS Bursary money for electives accommodation is only for UK home students, right? Yes, I think so. It is a bit of a shame. Um But yeah, I, I do believe so worth checking and I don't know if there's maybe something for eu students, but I think it is just, I think if you're eligible for the NHS Bursary normally, then you will be for this. But I think if you're not, then unfortunately they don't cover it fine if there's no other questions. Uh Thanks very much for taking the time out to talk to us. Oh, I'm sorry, can I ask one question? So, um, my question is, um, so if you have 10 minutes per station on year six basis, do the examiners communicate to you that, for example, now it is time for summary or now it's time to propose investigations or you have to measure the time yourself and go through all the parts of decision yourself. Usually they do guide you through it. I mean, some examiners are nicer than others. I had, um, Helgi the anesthetist who's obviously a really nice guy. He literally, as I walked in said, you'll have this much time and I'll give you a minute warning for your history. And so, um, when it comes to the, the viva and the stuff they'll move you on, like, if you're stuck on something, they will just move you on to the next thing. So you're not wasting too much time. Um, I think generally certainly with like the examinations, they will cut you off after seven minutes, um, or whatever it is, or six minutes and give you time to present. So you don't need to worry too much. Um, you won't be, need to be like, checking your watch to make sure that you're, um, doing the exam in time and stuff like that. And you said anesthetic, yeah, person, anesthetic doctor. Uh, so that was the one I think it was my surgical history station. I remember walking in and it was, yeah. Gi Doctor Johansen, I think. And, um, yeah, he just said at the start. Oh, yeah. Uh, welcome. You will have this much time and I will give you a minute's notice, but other examiners aren't quite like that. So it will vary. Thank you. And can I ask one more question? So, uh, so is the structure of your six pas similar to your five paces in the way that there are instructions written on the doors you come in and you start the station. Yeah, exactly. It's, it's like that. It's just, it's 10 minutes stations instead of 15. So they're not as intense. You'll do either the history or the exam and then the exam will just guide you through the viva. Um, and sometimes it might require some basic counseling. Uh, but usually it's just a case of discussing with the examiner, what investigations and management you'd like to do. Yeah. Ok. Thank you. I can see some in the chat. Um, So, where did I go on? Alexa? I went to Colombia, uh, a city called Medellin. Uh, and that was great for me. My priority was location and, and I wanted to learn Spanish. So, um, but, um, the medicine itself was also pretty interesting and that's why I meant that that's not really something I could probably do on F three. Like, actually do a medical placement there because I wouldn't be able to work as a doctor in Colombia. Certainly. My Spanish isn't that good. But, um, so that's why I wanted to do it as my elective um elective accommodation Bursary if you do split leg. So, um, so you should get it for both places. Um I think there's a limit. I think overall your elective has to be a maximum of what, six weeks or seven weeks. So I don't think you can claim accommodation money that extends for more than seven weeks. But the problem is that you only find out if you get your claim reimbursed once you fill in the paperwork after the elective. So I only got my money that came through like two weeks ago and until that point, I was kind of just assuming that it will come through, but usually if you have the necessary invoices that there are never any issues, um, it's just you'll only know afterwards once you've applied for the Bursary to, to get it back. Hopefully, that makes sense. Um But yeah, you should be able to claim it for uh split selective. Like if you do part of it in London and the other part abroad you will be able to claim for the London part as well. Um SFP applications. Um So how much time it will depend on which place you're applying for? So um some deaneries require you to do the White Space questions. Uh I didn't, thankfully, London doesn't require white space. Oxford, I think just required the first one, which was like, why are you doing an SFP? Um But some of, I think the Northern Dean you'll have to do all of them. And that's like, that's effectively like writing 1000 word essay. So that might take a bit more time to do properly in terms of interviews. Um that I kind of just instead of doing paces practice like I would in fifth year, I just did interview practice with, with one of my mates who was doing it and it, it wasn't really an issue of juggling around final year. So don't worry too much about um SFP applications suddenly putting everything into Oriel is just a case of reeling off your, like typing in your publications and stuff properly. Uh White Space questions will take time if you're doing one of if you're going for one of those deaneries and then interviews you just prepare for it just like take a break from revising for pieces and apply and practice for interviews instead um elective grants. So I think so. Like I said, the School of Medicine Grants, they will advertise nicely in those weak head emails. Just make sure you read them because I never really thought they were that important. And then you realize there's actually some useful information there. Um on there, they also have a section on MEDLINE which does signpost to different um organizations and stuff that will give elective grants. And then, yeah, aside from that, I'm not too familiar because, um, I did, in the end, I didn't bother looking around too much at the, the weird because I, I didn't even know which specialty I was going for at the time of applying. But if you have an idea of which specialty, um you would like to do your elective in, just have a look at like the Royal College of Surgeons or Ophthalmology or whatever, if that's um, the specialty you want to do and they will probably have somewhere on there, the particular grants that are available for that. But yeah, so I'd say medlin the college affiliated with your specialty and the Royal Society of Medicine, they sometimes have grants and stuff as well. Um So you can have a look at that too. Can I ask 11 last question? Thank you. So, uh, during foundation years, either foundation, one or two, do we have to do some exams? Some formal medical exams? Um, I don't think so. I hope not, um, if you're applying, I mean, some people will do like the Mr CS or MRCP, um, during their foundation years. Um, because at least the first part, some people will just do it because some of the knowledge is like, it's medical school knowledge, a lot of it. So they would just rather do it before they forget all of it. Uh, but there's no mandatory exam during an F one and F two that I'm aware of. So, um yeah, you can take a break from, from exams. If you're then going into specialty training, they've released some new exam called the M SRA A or MRSA or whatever it's called, which everyone has to now sit even if you're going, if you're going for GP training, IMT CST, whatever. Um There is that exam but that you do. I know in F two maybe so. Yeah, but for actually completing F one and F two, there shouldn't be any, there aren't any exams. You just have another log book. You have a just like form squared. You have this thing called Horus, which is a E portfolio and you have all these sign offs and stuff to do again, which is very upsetting. But yeah, that's it. Yeah, thank you. All right, cool. Cheers at Cash again for uh giving the lecture. No worries. Uh I hope you have a good evening and guys, if you could just remember to fill out the feedback form much appreciated so we could, uh, release the slides and the recording. Yeah. All the best, everyone, all the best cheers.