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Yeah. Hello, everyone. Thank you for joining us this evening. Sorry for the delay. So far, we're just having a few tech issues. Um, but it's great to see so many of you joining in the chat and engaging with us. Um, it's really nice to have you all here this evening. Um, so just while waiting for a few more people to join, I just thought I'd, um, introduce myself. I'm just checking that I've got everything working click play. Can everyone Sorry. I'm just looking in the chat. Oh, that's fine. And so I'm Kirsty. I'm the instinct Insight lead. So I've been organizing this lecture series for you all this evening. Um, just while we're all waiting for a few more people to join, it would be really great if you could just scan the QR code and fill out the pre scheme questionnaire, and it should take you less than a minute to do. Um, and it would just be really grateful to help us get some feedback and to improve the event in the future. Um, so just a bit of a summary of what we'll be talking about this evening, so we'll let you all know who in sync insight is and what we're planning to do and give you a bit of a background about the committee. Um, and then we're going to hear from four of us this evening. So, um, Jabbari is going to join us and talk about what it's like to be a medical student. I'm going to give you a bit of a summary of what it's like to be a junior doctor. Um and then we've got, um, Georgia, who's going to talk about being a cardio thoracic strain e and Professor Batty, who's a consultant cardiac surgeon. So hopefully you should get a really good insight into what it's like to be a doctor all the way through at the different stages of training. Um, so without further a do, I think I'll I think we'll kick off. If you've got time to fill out the questionnaire, that would be great, but I'll not hamper you too much more about it. So who are we as a committee? So s C. T s stands for the Society of Cardio Thoracic surgery and in sync stands for inspiring students in cardio thoracic. So essentially the the group of us on the Instinct Committee or a group of university students. And now some of us have qualified as junior doctors. Um, and we're here to essentially inspire you to be the future generation of heart and lung surgeons. Um, so we run a very variety of different events. Mainly they're kind of events mainly aimed at medical students. So we do some student engagement days where we offer workshops and forums and practical structuring skills, workshops and things like that, um, lectures about different advancements in the field. But more recently we've also host of the events for some six warmers, too. So what was really great is our event hosted in Leeds and in Hull. Um, in the last couple of years, we had some six warmers attend to hopefully be inspired about, um, what it's like to become a heart and lung surgeon. So that's who we are. Um, we're putting on this event in my role as the mentorship officer. We thought it would be really nice to extend this out to medical students, and it's, uh, sorry six formers, and it's really great to see so many of you here this evening. Hopefully, it's going to be a really jam packed week. Um, and it's going to be something that's really exciting for you all. Um, I think what would be really great? It's been really great to see so many of you commenting in the chat and things like that, and we'd really encourage you to ask questions as you're going through. So please feel free to pop them in the chat. We might not be able to answer them all, um, immediately, but they'll definitely be time at the end for us to go through some of them. So please feel free to ask questions as we go along. We want this to be a really interactive event, so that would be great. So without further a do, I will pass over to have area, um, and see if she's able to just share her slides and she's going to talk to you about being a medical student. So you've areas are widening access officer on the committee, and she's a finally a medical student, uh, in Leeds. So hopefully she'll have a really good talk prepared for you. It's just showing my insides fingers. This works. Gosh, just slow down. Yes, So, as Kirsty said, I'll just introduce myself a little bit. So I'm Deborah. Tarik, I'm the final year medical student. So I've been through the full six years of medical school. Um, I don't like loaded and participation officer on the in in committee, which basically, as Kirsty stands and as Kirsty mentioned, stands for inspiring students and cardiothoracic six. So we are like the students subcommittee and my slides are still loaded. And I'm also, um, write for the leads and B B C H B program basically fully medical school. So if you have any questions, um, specifically a about leads and probably, um, should be able to answer them. Uh, so when I was at this stage, I don't know what n b ch b means. So I'll just talk a bit about that last time waiting for my M slides to Lord, so N B, B Bs and NBC be both just mean a bachelor in medicine and surgery, which is the degree you have to do to become a doctor or a surgeon. Um, and the difference between the two m b ch b is just the definition of Latin, So that's, uh, that's the only thing. Um, can anyone say this like, Oh, yeah, Not yet. Okay, Because if I just send an email to you for my, uh, yeah. Mhm. Okay, Never mind. I start showing the screen, um, while while you're doing that Javari a high everybody prof batty here. Really excited to have so many people. Um, logging on. Um, it sounds like some people are having problems with the sound. Is that correct? Or and if it is, too who I know you're helping us in the background. Um, yeah. So people are having problems and sounds So is there anything you can help with? Can you not hear at all team, Um, or the The voice is lagging. You can hear me. OK, thank you. Feel nice to Oh, hi, Phil. So good you can hear me, but yeah, Vera's connection seems to be a bit of an issue by the sounds of it. How you doing, Djubera? Or should we move on to Georgia? Come back to you. Um, can you see the slides? It's a blank sheet. Uh, now. Okay, let's go for it then. OK, thank you. I hope this sound is sort of working at the moment. It's not lagging behind too much. I'll start. So I'm just going to talk a bit about being a medical student. I've done six years of medical school now, so I'll just talk about my experience and sort of recommendations and things that I found useful. So first of all, thank you all for joining today. I know it's PM on a Monday and you probably had sixth form to appreciate you all being here, so Yeah, this is me. So my name is Joe? Very a tarik. As I mentioned, I'm a finally medical student. I'm on the S C. T s committee, and I'm also rep for the, um, NBC HB program. And, um, just about passionate Children's heart surgery. Um, the C s C T. S is heart and lung surgery. I'm going to be talking to today more jelly about medical school out with a day in the life of various. Okay. Again, do a B. Can you? Oh, that we can hear you again. Yeah. Yeah. So 6. 30. As you wake up during the hospital for about a nine o'clock ward round Between joining the hospital in the morning and the ward round as you read up on a few patients that I find interesting, um, that I sort of want to learn about. So, um, if they have these that I've not heard of before Oh, I'll do some reading around this 12. 30. There'll be a lunch break, which will be, like standard a half an hour or an hour, and then the afternoon There's war jobs such as taking blood going. Patient's just trying to see how they are. Simple stuff like that. Really? And then fourth tr go home. Um Chavarria. Sorry. Is there anywhere where you're slightly better? WiFi. I think we're really struggling to hear you. Yeah. So what I'll do is I'll rejoin because my wife is 10, I think, um, while Djubera is rejoining, should we move on to the talk from me as a junior doctor and we'll hear back from the very I think Can everyone hear me? Okay, I'm assuming so I can I think. Kirsty, I think what we should do is hear from you, which is really except which is next stage onwards. And we can always come back to Djubera when she's got a better connection because we want to make the most. We don't want to sort of detract from people's times. And then if it doesn't come back, we'll go to Georgia and then myself. So sounds good. Um so essentially, I wanted to try and not overlap with anything that Jabari was talking about. So it's a real shame that I am. We haven't been able to catch up with her, but I was a junior doctor. I've only started as a junior doctor in August, and so I was a medical student. You know, 1/5 year student like Chavarria is now not so long ago. So if you have any questions, please feel free to direct them my way at the end. Um, and I'll do my best answer to the best of my abilities. Um, so I didn't want to go too much into the detail of what I do on the ward day to day, because I think, you know, um, some of it is quite repetitive, and I wanted to try and focus on the things that I've really enjoyed the difference between being a medical student and becoming a junior doctor. Um And so I've summarized it into the good, the bad and the ugly. And I think when I was thinking reflecting most on what has changed since I've since I've started work, I think the three things that really stood out to me are the responsibility, the teamwork and the learning. So I think the responsibility is is multifold. And I think it's something that you can't really prepare for. No matter how you know how much studying you do at university, something that really hits you when you start your first day as a junior doctor is Oh, okay, I'm responsible for you know, these patient's the colleagues that are relying on me and also, you know, the patient's family that are hoping for updates and things like that. And I think, yeah, all of a sudden you've been spat out of med local school with all of this knowledge, and nothing can really prepare you for that feeling of, uh, I'm a part of this team now, and and people are relying on me, and I think that's something that gives you a real sense of achievement and a sense of fulfillment. Is that feeling of responsibility and something that definitely I've really noticed. since I've started work and its responsibility for really small things, it could just be, you know, documenting something in the notes or ordering a chest X ray. But also it's responsibility, like things like communicating with patient's family. So quite often, you know, we have more senior doctors on the ward that my boss, so to speak. But actually from the day to day things, quite often we, as the junior doctors, are the ones that get to know the patient's much more closely because we're on the ward all of the time, and that's a huge responsibility. And so it might mean that I'm the one that has to update their family on how that patient is doing or why they've come into hospital. And I think that's something that's really changed for me since he started work and that you can't really replicate as a medical student. Um, and then I think the teamwork. I think I really, really enjoyed this, and it's again, something that's not the same when you're a medical student and everyone talks about applying for university and you know you're getting ready for your interviews and everyone's got an example of a scenario of when they've worked in a team, but I think you don't really feel it until you actually start. Work is how great it feels to be part of a bigger team and quite often as a medical student, when you go into a hospital, you're you're shadowing people, and that's great and it's really exciting. But you can often feel like a bit of a spare part. Um, and since I've started work, you know, being part of a team and being able to help my colleagues, and, you know, that's doctors that's nursing staff. That's pharmacists, that's everyone. And and being a part of team is something that I've really really enjoyed in having having that sense of self and sense of belonging. And then, um, finally it's the learning and I think it's a huge, momentous day when you finish your finals at medical school and you think you've learned it all and you're ready to go and start on the wards and all of that, and then you get to work and you realize, Oh my goodness, there's so much more to learn and and actually again, I think that really helps with the sense of fulfillment because I don't go into There's not been a single day that I've come home from work and thought, Oh, I haven't learned something new today. Um, I've really enjoyed that. So next I guess if we move on to the bad and the ugly and you'll notice a bit of a theme here in the I'm I'm cheating and I'm repeating the same things again, Um, but it's the responsibility which is absolutely terrifying. And I think you know, you prepare yourself as best as you possibly can when you come out of medical school. But nothing can prepare you for the fact that on that, you know, your first week or couple of weeks or even actually it's a little bit later. Down the line when you've settled into work is nurses that have been in the job for, you know, 5, 10 years longer than I have. And I've literally just started work in in August and they come to you and they say, Oh, you know, What do you think about this doctor and what what would you like me to do? And should I stop this medication? And I think I don't know and I think nothing can really prepare you for other people coming to you and saying What should you do? And I guess this brings you on quite nicely to that aspect of teamwork again, in that there is always someone you can ask, which is really lovely. And there's always someone more senior that you can say, Oh, can I just run this past you? Because I'm not quite sure, and that's really great. But also, working in a team is really, really hard, and we all talk about it as you know, being a good team player as a as a positive attributes, and it really is. But no one talks really about how how difficult it is. And I think one of the things I found difficult since starting work is how often you're constantly communicating with people. And that's, you know, a whole different range of people. It's it's your colleagues in different roles within the hospital. It's patients' families that are concerned and worried about the fact that their relatives unwell or it's patient's that are confused or distressed or agitated or upset. And I think working as part of a team is really, really difficult, and it really tests the lengths of your ability to communicate with people. And that's not just communicating with a variety of different people. It's also communicating with people when you're not having a very good day or you're really tired or it's been really busy, and I think teamwork is hard. I think it's my summary of that. And then I guess in fine. Uh, finally, it's that idea of, um, it's the idea of the constant learning. And again, I don't think anything can really prepare you for that. And it's learning in a way that you've not encountered at school and you've not encountered at medical school. It's your ability to adapt when you're on the ward, because you know you are communicating with a patient that's confused, and you've never encountered that situation before. And also, I think you feel so proud of yourself when you finish medical school and and like I said, you you feel like you've learned a lot and then you start work and you think, Oh my goodness, I've got so much to learn and I don't think I think that's quite a daunting aspect, and it's amazing that we're in this career that you're learning forever and things are constantly changing. But I think it's something that's also quite daunting of thinking. Okay, well, if I want to become, for example, a cardiothoracic surgeon, what do I do? What do I need to do before I get there in the end? And I've got to do this exam and that exam, and I think that's something that is quite daunting, and I think, something to be aware of in that are you someone that wants to use their brain and learn all the time because everyone loves learning. But there is a point where you think I'm not sure I want to learn that anymore, or I'm I'm quite happy with with what I know now, Um, and I think the last thing I kind of wanted to touch on as I'm rambling slightly here, but I feel slightly hypocritical, sat here. You know, saying Come and be a junior doctor and and and telling you all the sixth formers that you should come and be a doctor when there's so much stuff in the media at the moment about the junior doctors going on strike, and it's quite poignant because I think when I when I was applying for medical school in 2016, that's when the previous junior doctor strikes were and I remember reading every news article and thinking, Am I going to get asked about this the interview? Or is someone gonna tell me about the ethics of doctors going on strikes? And I never quite thought that when I started work that that would be something that was, you know, being considered. And I think you know it doesn't take it doesn't take much to go on Google and see some negative stories about what it's like to work in the NHS at the moment. And I think that's as a junior doctor. That's as a nurse. That's as a physio. That's as paramedics. And I think Covid has made things really difficult for people. Um, so I wanted to kind of address the elephant in the room here, but then I think I wanted to finish on a positive note. So I've entitled this the good, the bad and the honesty. And so I am. I live with other junior doctors, and I was mulling over what to talk to you all about tonight and I said, Okay, can you all give me a quote about what you thought when you started F one and what it's like to be a junior doctor? And I promise I haven't staged these, Um, and none of them are actually mine. But these are the things they said about how they felt when they started work and what they wanted to share with you all this evening. So I'll just I'll read through a couple of them. But hopefully I've touched on that already. But it's that I never go home and feel like I've not achieved something. And I think that's something that I've found. You know, when I've had a really hard day, I've come home and I said, Well, I did this today and I did that today. And I think the really important thing to remember is when you're having a bad day and you're in the hospital, probably there's patients that are having worst days in you, and actually it's a really, really privilege to be part of that patient's worst day and to hopefully make it a little bit better. Um, and then the next one that I really liked is this job is really a privilege. And now that I'm in it, I couldn't see myself doing anything else. And I think no matter what you read on the daily mail about what it's like to work in the NHS, I think the people that it attracts and the people that are in it and the the teams that you will be working in is what makes it all worth it. Um and yeah, like this challenging, varied. And even on the worst days, I can imagine myself doing anything else. So I'd like to finish with that message. I think I've probably not told you too much about what I actually do on my day to day as a junior doctor. But I thought, Those are the things that I found difficult or found different since since I've graduated and and started work, Um, so I will. I'll pass on to Georgia now who's, um, further down the line and her training? Can I Can I come in Kirsty, before you pass on to it? Thank you very much for that. And if you don't mind, I I did tell everybody to maybe leave their questions till the end of your talk so you can fire away. But I have seen in the but slowly so I can catch them all but one of the questions that abdomen algae. Uh, Alan jar. Sorry if I've got it wrong. Correct me later asked, Is it a big you jump going to uni from doing a levels And personally, I can say yes, of course, as it is because a levels, you know, you do everything you're you're you're guided a lot at school, etcetera, and suddenly you're on your own. You might have never lived away from home. Well, I guess most people haven't. And you have to do a lot of work yourself. You are guided, but a lot of the responsibility is on yourself. So maybe Kirsty, if you want to take that, how big a jump is it? Two a levels, and I'll try to read all the other questions that are coming through. So thanks everybody for your questions. Yeah. Um, yeah, I think I would echo that. I think, um, it is a big jump, but I think the thing that I found hardest when I started in first year was learning how to learn, and that sounds really cliche it. But I think, um, actually, it's something that I didn't really learn how to learn until I got into fifth year and I was sitting my my final to medical school because it's a really difficult thing to, I guess, be, um strict with yourself and teach yourself things, but also if there's a temptation to just write notes and try and learn absolutely everything. But you know, the first time I ever had to teach myself something and and teach it to actually understand it, to be able to apply it two different things. I think that's the biggest jump, and it's not necessarily, you know, it's a gradual process that yes, OK, it's very difficult in first year because you feel like you have so much to crown. But it's It's something that gradually gets slightly easier at the end of medical school and actually is something that's adaptive. You know you don't you're constantly learning new ways to remember things or understand things, and I think that's probably the biggest jump is like you said. It's it's your tour a lot at six form and you're not quite your hand isn't quite so much held when you're when you're at university. Um, can can I suggest that? Just follow him. From what you've said, that something you can consider is the kind of medical school curriculum or teaching style that you want to pursue that can be quite useful. So, um, there's two general types. There's lecture based, and then there's problem based learning. So the lecture based you tend to go more to be taught and be told. This is the information you need to learn. Whereas problem based learning is slightly more, you get a lot more time to do your own research and learn your own way. So looking into that and knowing your own learning style can be quite useful in determining what medical school might be right for you, because they can be big differences and how they how everything is talk to you. Thanks, Georgia. That's really important. Different when I sort of talk to people about what which you need to apply for or what I think, you need to consider the university, the course and the city. Those are the sort of my sort of It doesn't really matter if you're doing medicine or something else you've got to figure out, and in some ways getting into medical school. It doesn't matter which city you end up to if you, you know, really A. I think a lot of it is being hungry for what you want to do. But you do want to consider the city the course specifically and and the university what it might offer. Now I've sort of made a few notes on a couple of questions, which I want to try and catch up. And I know there's lots of questions and I know Kirsty will diligently go through them all up. Uh, we will reply to everybody, but, uh, Reena asked about how you prepare for medical school and is it difficult to prepare for medical medical school? And I think over the course of the week, we'll go through different things and, of course, uh, and a little bit in my talk a bit later on, I'll be talking about what your priorities are because it's great to see what how you will end up as a junior doctor. But I recognize we will recognize that you guys have different priorities now before you get to these stages, so we'll cover that later. Natalie has asked about why. How do you choose between being a doctrine nurse? Both are amazing careers. It's a personal choice. You, you. It's what you aspire to be. None is better than the other were, but we're all helping the patient, but it's what you feel like and what you feel you can go on. You can do nursing and then go on to become advanced nurse, practitioner or specialist nurse. It depends what you want to do. Clearly if you if you become a doctor, there's more in depth studying at the beginning. And so that's that question. And has Imam Meds aunts asked. Is it all like Adam Cane? Is it all terrible? Etcetera, etcetera, I paraphrase know. But there are some truths in some of the stuff you see on TV. Um, and the dramatizations. It is hard and it is tough, and Alice was asking about about mental health. We do all need to protect ourselves. It's not all wonderful. We're trying to tell you the good stuff. We will be honest with you about the difficult stuff, and it's really important to take care of each other. And I'm going to stop now because I think it's Georgia's turn to speak. So Kirsty, do introduce Georgia. Yeah, so sorry. I'll just stop sharing. My, uh I am going to share mine. Thank you. Okay. Um Good evening, everyone. My name's Georgia. I'm a cardiac surgery registrar, and I'm going to tell you what that means in a minute. Um, I also spotted a question. The comments about research. So, um, I, um, also currently doing a period of researching a PhD And I would love to answer questions about that later or or another time. So, um, that's a really great question. I was really happy to see that. So, um, what is a registrar? So a registrar is basically a doctor in the middle of their specialist training. They're going to be, um, anywhere between five years out of medical school, all the way up to 20 years out of medical school. So, as a minimum, you will do medical school. You'll graduate. You'll do a minimum of four years of your your initial training. Um, and then after that point, once you decide what area you'd like to specialize in, you can start thinking about applying to that specific area, so that could be general practice. That could be cardiothoracic surgery. It could be, um, you know, respiratory medicine. There's there's, I think there must be about 40 50 possible ways you could go and you're going to be a registrar for the big bulk of your training. For the majority of your career, you'll be a consultant, hopefully or, you know, fully qualified GP or specialist. But for the majority of your training, you will be in this middle area where you've done your initial basic training and you're gradually building up your specialist knowledge to become a specialist yourself. You, your your role is going to vary depending on what where you're working, what area of medicine you're working in. But generally speaking, it's the time when you start taking on slightly more senior responsibilities and you've had in your early career, and gradually it tends to increase the longer time you spent as a registrar. So in terms of responsibilities again, they're going to be really varied. But broadly speaking, for me as a cardiac surgery register, I am looking after patient's before they've had their surgeries. So I am seeing them. I am assessing that they're fit for an operation. I'm checking that they have all the information that they need to make a decision to have an operation, uh, and that they understand the risks, the benefits, why we would recommend it or why we wouldn't recommend a certain intervention, uh, procedure. And, um, also looking after patient's who maybe need to be treated and become more well to them be well enough to undergo a major heart surgery because ultimately, heart surgery is what I'm specializing in. Now, of course, then a big part of our job is looking after patient's having surgery. And, uh, for as a registrar, particularly as a registrar and a specialty where you're training to become a surgeon, that usually is a very, very slow amount of releasing responsibility. So you start at the very beginning, just, uh, watching. Then you will start. We call scrubbing in for cases. If anyone's watch Grey's Anatomy casualty All those TVs, you'll see everyone in their gowns and gloves and so on and so forth that's scrubbing in. And then as and when you gain the knowledge, you gain the skills and you've demonstrated that you are, you know, responsible for the patient's and that you take it seriously. You'll gradually gain more opportunity to do slightly more in a very kind of controlled and supervised way, and ultimately progressed to doing procedures completely independently. And then, of course, a big part of our job is looking after Patient's after they've had an operation, and that's gonna be whilst they're still in hospital, but also once they've gone home. So, um, seeing patient's, you know, months or years down the line after an operation, seeing how things are going, dealing with any potential problems that may have arisen. So an average week for me? Um, an an average week, I would say, for most registrars and surgery is going to be, of course, spending time in the operating room assisting and hopefully doing parts of operations for patient's. We spend quite a lot of time in clinic, so clinic being when patient's are not in hospital to stay, but they're just visiting for an appointment, and this could be again before, after surgery after surgery, um, to the whole to sort of oversee the whole journey of having an operation from recognizing if somebody needs an operation all the way through to hopefully sending them home fixed or better off than they were before they had that surgery. Seeing patient's in Hospital When we see them on a hospital ward, we call that a ward round. So we go to usually have all your patient's in one area or a few small areas, and then you will go, and we see each of the patient's that were responsible for check everything each day that we need to check to speak to them, see how they're doing and hopefully get to a point of guessing home. Um, there is quite a lot of admin in our jobs relatively day today, So that's going to be things like writing letters to patients' or two colleagues for second opinions. It's going to be dealing with just the the paperwork or the the online work of bucking scans or looking at test results and that side of things, I'd probably say I spend at least half a day of a five day week during admin. We have something called MDT, which is multidisciplinary team meetings, and this is where we have the areas of medicine where you need more than one specialist to really look after patient's well, and that's going to be so for us. For example, we will have, um, regular meetings with the cardiologists. So if we're the surgical heart doctors, the cardiologists are the medical heart doctors, and we will get together in one room and we will talk about a patient and their experience and what they need or we think they need. And we come to a consensus. So we come to an agreement between everybody to determine what our recommendations would be to make sure that we're looking at things from all angles. And it's not just an opinion from a surgeon who, of course, is probably going to be a little bit biased towards offering operations. Um, and vice versa, to make sure that patient's aren't missing out on surgery that could really benefit them. And then, uh, you know, a significant chunk of odd job and ultimately it is my job to learn, and it is my job to be prepared, and that's going to involve, you know, reading is going to be involve, uh, practicing my skills, going on courses or, you know, looking at videos of operations to make sure that if I do have an opportunity to do something in during an operation, that I understand how I'm going to do that and be as prepared as I can for doing something I've never done before, which ultimately is what we end up doing. And I think a lot of the things that Kirsty mentioned before definitely echo all throughout your training. Um, specifically, it is hard work. You can't understate that. You know, plenty of people work hard. We certainly are not the only people in the country working hard, but generally speaking in the NHS as a doctor, as anybody in H s. Really, we work long hours. You know, we frequently we'll do 30 in our chefs day or night, depending on what your rotor is. And don't get me wrong. You are compensated with time off before and after. Um, it's not just working 13 hour shifts seven days a week, but it can be challenging sometimes to balance your time. You do have to be very motivated, self motivated, enthusiastic throughout your entire training because it is challenging. It's a big responsibility, and so you do kind of have to take responsibility for This is what I need to learn. And this is I'm going to learn it and and making sure that you organize that you're managing your time appropriately and to to achieve what you want to achieve. But as again as Kirsty said, it is incredibly unique. You know how many people can say they've touched the beating heart? Not many. And that is something that you cannot beat. You can't get that anywhere else. Um, and we are hugely privileged because, you know, I one of the things that really strikes me and patient say this to me regularly, and I wouldn't It worries me if sometimes they think I don't understand that you know, every operation. If we've done it 200 times before then we've done it 200 times before, and we've probably seen 500 but they will only ever have one, maybe 23 major operations in their life. So what becomes sort of routine to us every day is, uh, you know, once in a life experience for them. And so that's why it is such a big responsibility for us to make sure that we're doing the best we can always and that responsibility. It is not something that everybody wants to have a day to day in their life. So, um, I'm gonna draw it there because I think perhaps I'd rather just answer your questions and keep talking at you. But please pop any questions in the chat. If you, you know, want to, um, send me any questions specifically if they're not answered throughout the course of this week and the Q and A on Friday, which is highly unlikely because everything is going to be covered. Then please feel free to thank you so much. I know, Um, Kirsty may come in, which is fine, but I've been sort of keeping an eye on the chat as well as listening to your great talk and I've got I've got a few questions from various people. I've got my own opinions on the answers, but it's not all about me. So Sultan Mehmood asked about nurses spend more time with the patient. So how do doctors who spend less time come and make decisions? Well, of course, we ask our nursing colleagues we when we come to do the ward rounds, we do. Listen, we talk to the patient, the nurses, the OT, the physio, the rehab nurses. And we make our decisions based on that. So it's not all about time, but continuity is important. Vivian. I think it's Vivian. But my writing is terrible. It might be somebody else. Uh, it might be someone called Vera said, How were you personally reassured that you wanted to do medicine? I think it's something that comes from within. I know sometimes people may be convinced to do medicine by, uh, look, heck, I come from an Asian family. I don't want to be. You know, my my parents wanted me to be a doctor, but I wanted to be a doctor before they told me I wanted to be a doctor. So sometimes people encourage you. But if you like medical stuff there many, many others, uh, areas to go into. Um, so you have. I do think, as Georgia said. And Kirsty said, It's hard work. You don't go into it for the money. You have to go into it because you want to do it. It's something inside you. Um, two more things. Uh, Geraghty asked about if you are exposed to different specialties in cardiothoracic Siew in your foundation jobs. Years one and two. You may experience different specialties. Been cardiothoracic straight after that. In some specialties. You then do two years, of course, surgical training where you get exposure to different. Um, surgical's. Um sorry, I I might have offended Cyma, Uh, my sister school Cyma saying my parents were Asian. They don't want me to do, doctor. And I'm sorry, I I did not want to offend. I was being a little bit cheeky, so I apologize. Um, so but in cardiothoracic, you go straight into the space specialty straight after your foundation jobs. So you're exposure to other surgical specialties may be limited, which is why you need to make the most during medical school of attending and doing courses. And then Allen asked about how do you practice and prepare for interviews personally, You need to practice saying things out loud, in my opinion, rather than in your head, because when you say things out loud, it doesn't always sound as fantastic as it sounds in your head. So practice makes perfect, And I'm gonna stop after Daisy because I think this was really a really important question, which was Daisy asked about, um, How being a consultant? And what about your social life? And I guess that's about work, life, balance. And of course, you you have to sacrifice a lot to spend the time and the commitment to do your exams etcetera. But it is really important not to lose sight of the fact that you do need your friend and your family and your support. And we all talk about work, life, balance. And sometimes I think it's a pendulum. You go one way and then you go too much the one way and you go the other way and I haven't fixed it. Um, maybe Miss Booth, who's my co lead for the We're really proud we we saw sort of lead. But people like Kirsty and Georgia run a sort of student committee. Miss Booth, who has managed to do what I have failed and has Children and is a consultant surgeon and a heart transplant surgeon, might be able to talk about a little bit about work. Life balance, Thanks for I don't really I don't really know what to say after that, but it's, um yeah, it's a challenge, isn't it? I think it's a challenge when you do something that you love and what you want to do is balance out with having work life balance, and it's really important to stress that it is important and it's not something that you shouldn't consider. I think the issue with cardiothoracic surgery is mainly that you have to travel so much for work that you are unlikely to be able to do it in one unit for your entire career and you're more likely to have to move around the country, and that becomes difficult when you've got little ones to consider as well. But my muscle is always that. You know, if the boys can have it, then so can we. And I think it's really important that we all support one another to be able to achieve that. And that's about training in a different way. And it's about working in a different way, and it's about being in a supportive environment where that is okay and I think that will come. I think it's just a very young specialty in medicine, and so there was always an expectation to sort of be in work 90% of the day. All the time, and I do feel that is changing, which is really healthy attitude. So I think, um, there are still lots and lots and lots of questions coming through in the chat, and hopefully we'll have some time to answer answer at the end. But I think, um, Javorius fixed her tech issues. Hopefully, and I want to leave time for professor party to give her talk as well. Um, so I think, um, property, are you okay to start? And we'll come back to do very a. Is that all right? Uh, fine with me. It was a very Is happy with that? Very already. If you're ready to go, you go. I'm just testing testing the waters. Okay. Well, then I'll go. And in fact, Kirsty is going to do my slides. So I feel a bit like Professor Chris Whitty. I'm not going to do a jam about it. So, um, so write. My name is I'm not slim. Shady. My name's Rob Batty. And I'm a cardiac surgeon. I'm really delighted to be here. I think I've already reduced myself and, um, Miss Booth, we we lead on the student engagement committee. I'm really proud of all the work they've done. My day job is a cardiac surgeon to do various things and we'll talk about it later. So next slide, please. Kirsty, I've already said that so delighted to be here. So why cardiac surgery? I know we're talking to a lot of people this evening, and I I know most of you are six formers. I'm so pleased to be here because I think we really need to get to people early to to explain how wonderful our specialty is and how we all want to attract you in. You know, like the child catcher in City City. Bang bang. But you're probably too young to have seen that film. So to me, Morgan, you get to be a medic as well as the surgeon. Hands on surgeon, you get to. I've just mentioned you get to use your hands manual dexterity. Uh, and it's really beautiful to be able to do something practical. It's a challenging specialty for all sorts of reasons which we can go into later. A lot of the stuff is time critical. If you're on a heart lung machine, so the heart is stopped and let's be honest, most most places of your heart stops, the patient stops. That's the end we actually take patient's who are very, very sick and actually stop their hearts so that we can work on them and put them on the heart lung machine. But once they're on the heart lung machine, if something happens to that machine, we and you stopped, uh, the heart has stopped and you're supplying the heart, the body with oxygen and blood and the machine breaks down and I've been there. This is not a theoretical thing. You've got four seconds or four minutes before the patient becomes brain dead. And I was in a situation, was a very early consultant, and the power went out and we were on the heart lung machine. So the heart was stopped and the power went out. We do have a hand crank you can, actually, and then eventually the batteries in the generator comes on in the in the hospital. But it's frightening. We have patient's life in their hands. It's time critical. We make life and death death decisions. Not every day. This is not hold the city or casualty. Let's be realistic, but we do make those decisions. And, as Kirsty said, there's a lot of responsibility, which is good, and it's also quite scary at times, but it is extremely rewarding. So if I'm trying to sell the specialty, hopefully I'm not, and lots of you will want to do it. But that that's my pitch, Um, and But I was asked to talk about the consultants week. So if we go on and talk about, of course you're going to be doing operating. You're a surgeon. That's the main gig. And for myself, I have most surgeons do cardiac surgeons do between one and two operating list. So I do two operating lists a week, Mondays and Thursdays, and that means my week starts on a Sunday because I go in and assess my patient's. I'll know who's coming in. I'll have done the operating list and printed it out. Well, not personally, but my team will have done it, um, on the Friday But you have to go and reassess. You know, the patient's you're operating on, you know their history. You've looked at their investigations, but you go and see them yourself just to double check that there's nothing else going on. My and my morning. It's very, very regimented. On an operating day. I have sneaky lions Occasion when I wake, don't wake up at 6 30 but 6 30. Get up the usual stuff. Breakfast. I have ready Breckel porridge or musically because I don't like breakfast, but you've got to be powered up. You go in, see your team, see the patient, say hello and it's a real. It's a team sport. Um, you you rely on the people around. You have the anesthetist Perfusionist, who runs a heart lung machine, your scrub nurse, your assistance and nurses who are getting you all the instruments that you need. It's a really big team method, so my days you tend to do to operations a day because they're big operations. You might do bypass operations. You might make someone's valve, might do something a little bit more fancy. And two of those and the day ends about 6 37 and then you hang around a little bit because it's not just doing the operation and all the glitzy stuff. It's making sure the patient's okay afterwards and stable and intensive care. And by the time you get home in the evening. I'm ready to sort of have a snooze, but you're always on high alert because if you're not on call, you're always on call for your own patient's. So if anything happened at a complication, you jump in the car, you answer the phone, and as you're putting on your your genes and T shirt because you're not dressed in fancy stuff at night you're and you're running to your car, you're you have to be always aware. And of course, so that's the glamorous, exciting, etcetera stuff, and we're going to talk a little bit about that later in the week. But of course you've got to know your patient, so I'm going to see if I need to say, next slide, please, Kirsty your heart. So and we have. So I operate Mondays and Thursdays on Tuesday, Tuesday mornings. I tend to have a sneaky lion till, well, I ring in in my bed at about sort of seven, because I need to make sure I bring in on the evening when I go home. If I go home about seven, I probably bring in about 88 30 when the night shift has started to check how my patient's doing our ring in about 10 30 before I go to sleep. And then I ring in at 6 30 the next morning so that the patient's can move out so we can have some throughput and my patient's will go to high dependency and somebody else will come in the bed will be ready for the next patient's operating. Then I have a sneaky lion after that and I come in. My Tuesday morning is admin, but of course I'll do a war drag. Go see. My patient's and outpatient clinics are quite a big thing. You do one or two a week, I do one where you see your POSTOP patient's. You see your new patient's half our new patient. Some people will have seen in the outpatient clinic, half coming through the door the next bit of so that's quite a big chunk of your time. So in, in addition to that, you do ward rounds now. They don't on my timetable. It might say I do one a week, but I'll go in every morning, and I'm sure this is same for young doctors like Kirsty and Georgia. I go in in the morning. Uh, I'm sorry. Some screens might be blank. I'm sorry, I I hope someone can hear me. Um, And we go in in the morning and evening afternoon to give instructions, check on our patient's and then usually late afternoon, I always round again and make sure that if I've ordered some blood tests that people like Kirsty have chased them up and then we can act on them, there's no point ordering a blood test and then not doing it. So ward round. They're they're a bit in my timetable, but I do it. Morning. Afternoon, Evening. If I have a sick patient and intensive care, I'll be going around and annoying them. You know, 345 times a day. The next bit that is really important. It's a little bit of a buzzword. Is M D T meetings now M d t means multi. Um, somebody is asking if they get married and the husband leaves and takes the kids because they're never available at work. OK, that well, that's a tricky one. So M d t meetings means multidisciplinary team meetings Now. Multidisciplinary team means all all the people you work around, I already told you theatre was a big thing. You know you can't do operating on your own. If I say scalpel, please. No one hands it to me and that nobody's put the patient to sleep. So we have lots of meetings with cardiologists who will talk about patient's and what's the right. And as surgeons and cardiologists we meet to see what is the best thing for that patient. Is it a cardiology thing? I don't. You know, we don't need to be the big I am. Say, person needs surgery, we use evidence based medicine. M D T s includes. So we have a couple of those a week to discuss people with the coronary artery disease. People with valve disease, people valve infections. Uh, we meet with the physios, etcetera. The next part of the day job as it were, is, um, the next slide, which is clinical governance. Now, that's a little bit of buzz word as well. That's, uh, it's, uh it's a big concept about how we look at our own work, how we reflect how we look at our results, or we all meet once a month. Usually most hospitals to review deaths. Uh, complications, etcetera. So that's just an idea of something that we do with that time. Um, in addition to that, we teach and train. I'm ahead of Kirsty now. So, um, I think my next slide will say teaching and training. We do that on ward rounds. We'll be teaching the nurses, the young doctors. When we ask questions, we we explain why. Why? Something is important if I'm obsessed about, uh, I I want to know the potassium. It's because if I know that is the low potassium, a patient may develop a complication postop called atrial fibrillation. You don't need to know about it. And then, um, and after that, the BP may go down, and that might cause other complications. So it's important to explain to people why they're doing these results. Because being a young doctor, um, it is hard work. And, of course, we train in theater. We we teach and train other people in the M D t. And we have to do one call. Um, that's part of the job. Not just being on call for, uh, for emergencies. Thanks, Kirsty, but also for our own patient. So yes, I do. One in five on call where anything through door something melodrama dramatic like a stabbing or various other sort of emerged procedures may come through. But we're all on call all the time, for for our own patient's, because our young doctors will ring us first. Me first. If one of my patient's is in trouble, it's not disrespectful to the person who's on call, but sometimes, um, somebody was asking about continuity of care. It's, um, sometimes we know our patient's better. But of course, consultants do. Thanks for the other things as well. So that's sort of the day job. Um, reiterating on Monday Thursday. Operate Tuesday morning, sneaky lion and a wash and a shower and, um, admin. Then clinic Wednesday. I do a bit of teaching Thursday, all day operating and various 70 teas. Uh, I do some other work. I'm a council member, the Rock of surgeons of England. I do this for the S. C. T s. I'm a professor at my local medical school, and I teach and I also do some stuff the Royal Society of Medicine. But if we go on to the next slide, I just want to try to relate it back to you guys and, um, what I would think if what I wanted to know. Oh, so apparently, the reason I did cardiac know that's good reason. I did cardio. Not Apparently, it's true. I was obsessed with the heart. I think I saw a picture of the heart and lungs and a mock up of all the blood vessels and reading that the law lungs covered a tennis. If you laid the, uh, some Djubera doesn't know this. In case it's if you laid out all the blood vessels end to end or something, it would cover tennis course. So I learned that at junior school when we went to a trip to the library in town and I asked my teacher, Can we have that book? And he said, I don't think other people would be interested. But anyway, I had other things. I had personal reasons work as well, and I think it's perfectly good to have a personal reason to want to do a profession. It's nothing to be ashamed of. So I was obsessed with the heart. So next. So I was obsessed. This was as as as a sort of, uh, school kid. I went to university. I was lucky enough to get into a good university. All luck and the It was very preclinical clinical. And when I went to CLINICALS, I walked into surgery, was general surgery, and I walked into the scrub room and scrubbed up and all that. Maybe it was all I went to all girls school and I quite like sort of strong women. And maybe it was a scrub nurse. So But I fell in love with surgery. I fell in love with doing something practical. You walk in, you scrub and you're doing something. So I absolutely fell in with surgery. So all I knew I wanted to do something with the heart. As an underground in Clinicals, I thought surgery so logically or illogically, Kirsty will press the next button and tell you I decided to do cardiac surgery. It was as naive as that. I did not know anything about it, and I just decided I do it. So the next stage of the thing is, how did I do it? So I guess you have to pass your medical school exam. So I did exams to pass medical school. I did lots of general surgical stuff which will get you your MRCS in these days. And after that, um, I still didn't Thanks, Kirsty. Um, I still didn't get a job. I didn't get a training job. I was like, Okay, I've done a year at the Brompton. I'm problem. I was Magdy Yakupov, Yakubu's first female registrar. It was easy to be the first in those days because it's so long ago, there weren't many women. It was not No accolade. It just shows. I'm old. Um, and I was despairing. I was not getting any training job, So I did research. And I'm being honest with you. Some people are really desperate and keen, like Georgia who really clever and want to do research. And I was thinking, Oh, my God, I'm not got a job. Got to do something. And I ended up doing this amazing research job impact within transplantation. So I got an MD from Cambridge as well. It's found it's on my bookshelf there. So, um, and in Cambridge University, and then eventually fax Kirsty, I finally got a training job in Manchester, so I become and and that was really weird because I'm a Londoner and all many, many years. My parents started off in Birmingham and I was born in Birmingham. But I'm a Londoner. For many years, we used to go up in summer holidays as as Children, too, and it said the North Birmingham. And then when I got a job in Manchester, it became the South Birmingham. Anyway, that blew my brain. But I got my training program and eventually I became Thanks, Kirsty, a consultant, uh next slide piece, Kirsty. And I think I got my dream job. I think I did. I'm in Swansea. It was it where I would have chosen to come when I was a school kid in Croydon. I wouldn't have heard of Swansea. It's where the job was, and I'm really, you know, excited. And I've been here 15 years, and it's turned out to be amazing and I get to save lives. I don't do that every day. Mostly, I improve people's quality of life. People come to us mainly breathless or in chest pain, and they can't do normal things that they want to do. And that's a big thing. I get to use my hands, which is quite nice. Can be challenging and all the other things I talked about and life and death decisions. But, you know, as I said, it's not hold the city. That's not every day, but is extremely rewarding. Thanks, Kirsty. Um and I get to hold a heart in my hand, which is pretty cool. Um, sorry if you're squeamish, but and, uh, these are just some of this is an old slide, and it's a bit blurry. It's just some of the thank you cards I've got from students and patient's and And I still have people who contact me, attacked me, you know, years later saying, and I get to give back people who might have passed away back to their families, And that's what I didn't have as a child. And that's what I wanted to do because I've done that job done. But it's always, you know, job doesn't stop. So thanks because it for the next slide, please. But this isn't about me is my husband always says to me, It's not about you. So this is about you and how you can have your dream job and how we want you to come and join us when, frankly, in for 15, 20 years. When I need my surgery, I want the best people to do it. So I want the best of you to get through and all the other specialties are fine. But come and do cardiac. Come and join us. And, um, and curses going to show you in the next slide. How you can do it now. You guys are sixth formers. Okay, You're so we've got to set it at what someone said. Is cardiology better than neurology? These questions are freaking me out. So your main thing is, you want to get into medical school. That is your aim. At the moment, the rest will come. You know, it's you've just had a head start on on what you will do later. But you want to get into medical school and next slide. Please. I know people are really, really worried about work experience, and I know and most hospitals it's quite limited at the moment. We, unfortunately, had covid away. A lot of people limit a lot of hospitals, limit you to the local schools, and I know some people do have an advantage because your mother father, you know, cousin, is a doctor and and which I and I hate nepotism, mainly because none of my cousins, brothers and uncles were doctors. So but try and be creatives. You know, try to maybe spend a day with a G p or an optician or do something, and all of that will count. And things like attending this course will show that you have an interest. Um, in in medicine, you know, you can attend. I don't mind if you attend other virtual courses about other specialties. It all shows that you're interested and you're using your time. And the next thing is, you can read around stuff. You know, you can guess a lot of stuff that might come. Uh, interviews read about what's happening in the NHS. Curses mentioned strong. We all know challenges. Long waiting list. You don't need to have a PhD in this, but you just need to be aware. Think about ethics. Think about questions you might be asked at medical school. Abortion, right or wrong. Euthanasia. Right or wrong? Those are just two things that that popped into my head. And of course, um, what's my next thing make a plan, But the next thing is more important. The plan doesn't always work. Okay, you're going to have a strategy. You're gonna have a strategy you're going to revise for your A levels. You're doing this and that. Some of you be lower six, some of the up six. Um, I know those are old fashioned terms. I don't know the years these days, but the plan might change. You might be doing five a levels. You dropped to four. You might be doing four. You dropped to three. You might want to go to Newcastle because that's the furthest away from Plymouth where you live. But you might not get it checked. Plan to change and you need to be flexible. And the next line, what does that say? Keep going because you will do it. If you're hungry enough to want to do something and determined it, w will do it. And that's a great attribute to have. And I think finally might take home. Points are I hope I haven't bored you. Um it's There weren't many pictures here. Normally, I have a lot of pictures and there might be a few more tomorrow, but is an amazing career. It is hard work. We're not trying to say, Oh, it's wonderful, It's easy. Anyone can do it. It is hard work, but it's so rewarding. I don't want to. And if I was 6.1, we didn't have the Internet then. But I would have not ever believed in France said, You're going to be a surgeon and you're gonna be a prof, and you're going to do all this. I wouldn't have believed it in a million years. So you believe it in yourself and you can do it. And I thank you, Kirsty. I think that's my last slide and I'll let you take over. Thank you so much, Prajapati. We have a few questions. I think everyone's been curiously typing in the chat, so we have a few specific questions for you, if that's all right, Um, I think a few of them you've answered kind of along the way about what's been your inspiration to go into the job, Um, and also been a few questions about how long has it taken you to to get to being consultant. But I think probably the answer to that one is it depends on the path you take along the way. Um, but I think one of the questions that was quite thought provoking and I think is, um, to see the other side of obviously it's it's great to be able to help patients' and send them home to their families and all of those kind of things. But how have you dealt with kind of losing a patient or an operation that hasn't gone so well? And have you got any recommendations? I guess for people coping with that in terms of their mental health and absolutely thanks. So I'll go, I'll sort of wrote down. So why, personally, For me? Um and this is very personal, but I'm going to share it with about 5, 400 students. So, um, my father dropped dead in the street and I don't want to get emotional when I was 14 and, um, and I and I don't want to talk about it too much, but I didn't want that to happen to anybody else. So it gives me such pleasure when people rig email me or write to me years after and have had many things, so I do not think it's a bad thing to really want to do it for a personal reason. Uh, that's me. I I always respect that. How long did it take me? I don't want to say and say bloody, but it took me quite a while. You know, I meandered around. Everyone thinks that trajectory will be This mine was this this this this And it took me a long while. I I went to university. Now I don't want to shock people. And I know I look quite old. I am quite old, but I went to uni. Maybe I shouldn't share this too much. I went to uni in 1980 for I qualified in 1990 1990 and I became a consultant in, um, 2007. So how many years is that? 17 ish. I can't add up, so But I did research I but that was full time. But that was doing lots of jobs. To get to the job you need to do, which is a training job. So it's a long while. But the what was the last one? Which I was going to come back to the question that you had dealing with patient patient deaths. Really important question. It is hard. It is so hard. And I think there's a book by Henry Marsh called First Do No Harm. Uh, he's a neurosurgeon, and I think he talks about. I think it's him who talks about in every surgeon is somewhere in their brain. There's a graveyard of all the losses you've had, and I remember every single death I've had as a consultant. Thank God they have not been many. And you think about it new mull over, and you have them as trainees as well, even though you're supported and it's hard because nobody goes in want. You know, some corporations, you know, and they're salvage and someone's been stabbed and, you know, they're almost dead before you start. Some, uh, come in routinely, but in cardiac surgery, you have to accept that when you're stopping the heart, things can go wrong that you don't expect and there is a mortality. Uh, you know, if you're doing different surgery, no less important, maybe hand surgery. You don't expect a person to die if you're operating on their hand. But if you're stopping the heart, there is always that thing, and it's very hard. It's really important to reflect and debrief with your team. It's important to take it on. And then at some point you have to gird your lines and I guess get back on the house and it's hard and it's important to reflect. But it's also important to move on. Uh, acknowledge it, take it in, learn from it and move on. It's not easy and that whoever asked that is a really important question. So thank you. Thank you so much, bro Fatty. So I think I'm very conscious of the time. So I'm really sorry we didn't get around to hearing formally from you Chavarria, but I just wondered if you had any kind of closing remarks for our for our students. Um, yes. So I think the common theme themes surrounded sort of work experience. UK cap beam up. I think the best advice I wish someone would give to me when I was applying to medical school is that there's 32 medical schools in the UK I regard to each of their websites, and there's a admission's policy, and the admission's policy is quite a thick booklet, and it tells you sort of word for word. Very transparently. How the medical school scores things like personal statement. UK can all be map. It talks about their learning style. So I'd research things like whether the courses PBL integrated or traditional course. There's different types. Um, so use that resource and apply tactically to the medical schools where you score higher, Um, in order to get an interview and also tells you what types of interviews that they do. So there's things like MMRs versus panel interviews, so that would be my big top tip. And in terms of work experience, just to reassure you all, Um, I didn't have any hospital based, um, work experience. Mine was at a hospice. Um, a charity shop is actually the British Heart Foundation. Um, and I just done sort of things around, um, six forms. So things like leadership roles, um, asking teachers if I could help out with anything, um, being the school council. So just to reassure you that you don't need a medical sort of placement in order to get a place at medical school, um, and your interviews, it's all about reflection. It's not. What you've done is what you've gained from it. So they would be my sort of top tips. Yeah, yeah, and I think, I think, just to echo what Chavarria said about the reflection aspect, it's, uh, again. It's not what you've done. It's what you've got from it, and that's something that is carried through. It's not something you're expected to do just the interview and then forget. It's something you're expected to as a medical student, as a junior doctor all the way through to a consultant. The ability to be able to reflect on your experience and show how it's improved you as a person and how it's going to improve patient care is really, really important. And I think everyone really stresses about getting work experience. But actually, if you can show that you, I don't know, helped your granny every week do her shopping and what that taught you about caring for an elderly person, I think it's again. It's what you can take away from it. So I think, um, probably we'll finish. We'll finish their thank you so much to everyone for joining and thank you very much to all of our speakers for your insight into into your careers. Um, I think that's been a really good start and some really, really engaging questions. Um, if you wouldn't mind filling out the post scheme questionnaire, I've left a QR code there, and I'll, um, send it back in the group chat again. Now you'll be sent just a few admin things. You'll be sent, uh, an email automatically from medal as well. I promise. This is really short. It's literally just Yes, I've completed the feedback. And, yes, I've attended this event, and then you'll automatically get sent a certificate for attending tonight. Um, and you'll get sent a certificate for every night that you attend this week. Um, I know there was lots of questions we didn't get around to answering. Um, but Friday is essentially dedicated two a Q and a session and a bit of a quiz to end the week. So if there's anything that you really want to ask, then I think Friday is probably the best opportunity tomorrow night. Um, just to give you a heads up for the rest of the week, tomorrow night, we have a heart dissection. Um, so hopefully that should be really exciting. And again, Professor patty's gonna talk you through, um, cabbage. So coronary artery bypass grafting. So it's going to be a really clinically focused event tomorrow night. Hopefully something beyond, um, your A level biology, and that should be really exciting. So hopefully we'll see you all again then, Um thanks so much for attending and have have enjoy the rest of your evening.