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Are you guys able to hear me now? OK. Amazing. So I'm sorry, the screens going a bit crazy. So what I said is we'll give it about, we'll give it two minutes to just allow as many people to join as possible and then we'll just start. OK, guys, I think we'll start now. So thank you very much for coming to join us for our um F one webinar that we've started this year. So my name is Priya. I'm currently an F one at Kingston Hospital and I'm also part of the committee on a junior doctor wing. Um uh I've also got Pujo who's in the audience who has helped us um with the webinar today and will be able to just um let me know if there's any questions and she'll be able to answer any as we go along. So please do put any questions in the chat or feel free to just take your microphones off. So today I just wanted to start off with a little bit of an overview of what to expect from F one. I wanted to introduce the webinar a little bit and um just give you some helpful tips and hopefully um guide you as to some resources on what to help you to start off with. So let's start with what foundation training is. So f one, it is a really big thing because you guys are now like starting to work or some of you are now starting to work as your first job in the NHS as a doctor, fully qualified doctor. So typically it's the first year of a foundation program. So a foundation program is a two year program that bridges the gap between you graduating medical school and starting specialty training. It typically consists of 34 month rotations in different specialties. So you may have most, most people will have like a general surgical job. Most patients will have like most people will have like a general med job and you may have like another specialist job as well. Now, the general aims of F one initially is to just get you used to working as a doctor in the NHS. It's to build your competence on the, on your basic clinical skills that you've already started developing in medical school. It's to allow you to practice and provide safe clinical optimal care for patients that's either by yourself or with the assistance and supervision of seniors. It gives you practice every day to manage acutely unwell patients and manage and investigate different conditions. And it also allows you to sort of develop optimized soft communication skills like teamwork. Uh developing empathy um between uh your colleagues and patients and family members. So that's like a general overview of F one training that will vary dependent on what sort of training you're doing. Um But this is just um a little overview. Now, when you start F one, you guys will always start with a provisional GMC registration. So you guys would have applied for one by now. Um And you would have heard back hopefully. So you'll receive the certificate. Um You'll receive the certificate that will allow you to practice in F one following the completion of your 12 month placement in F one, you'll be able to apply for full registration. That's if you meet the requirements. Now, with a provisional GMC registration, there is some limitations that you guys have to be aware about when you start F one. So you have to undertake an F One approved program as part of the UK FP O or as part of our um like the national training program for F Ones. Furthermore, when you locum, you must only locum in posts that your foundation school or your trust has um been involved in and is part of the program and also has approval for medical schools. So you basically can't really well, you can't locum in other trusts in the specialties that you in the specialty that you're not trained in and as well in um hospitals that are not based in with within the UK Foundation program. So a provisional registration can only be held for a maximum of three years and 30 days only. There are also some like clinical limitations that you hold with a provisional GMC license that will also get on, um, get on to in the next coming slides. So what to expect when you start F one initially? So it really varies on where you're gonna be starting F one. But for most, um for most of us, um, you'll always have like an induction period or induction week. And within that induction week, you'll hopefully have a shadowing period. It may be separate, it may not be incorporated into your induction week. Your first working day will typically be the first Wednesday of August. So the first week of August now during your induction week. So prior to your induction week, you'll have your ID checks, you'll have like a load of paperwork to sort out. Um, and you'll probably get your cards, your ID cards as well as your smart cards. If you're using um, electronic systems, sorted for your trust during the induction week, you'll just need to make sure all of that is sorted before you start. So all your admin, but you'll also have like a trust introduction. Um, hospitals will do different tools. They may um, er, tour you around a wall that you're working on, you'll get um, electronic patient, um, record training. So, depending on what sort of, um, uh network you use for patient documentation or prescribing. You'll have training on that. You may also have like an exam which is not serious, but it's just to make sure that you know what you're doing and if you need some extra support, they'll be able to give you some support. But that varies and trusts. Um you may have like an I LS course, you may have sim training to just get you like back into clinical practice. Get you like knowing your a to ease and um practicing that during your induction week, you'll have like things like your medical hr surgical hr talking Road to Talks, Garden of safe working talks. You may have different specialties that come and talk to you about referrals, um specific requests. You'll have wellbeing resources, you may have to do mandatory e-learning. Some trusts may tell you about the ele before your induction. Um, to allow you to get started on that first. You may also be given like a, a workbook to complete before your induction or to just have a read through. And then you'll also be told about like other stuff like car parking, transport, cycling, finances, um accommodation and things like that. So everything should be covered in your induction week. And if you've got any questions from that, um you, you can always feel free to talk to your foundation program director in your trust, your F one lead, um your supervisors and things like that, which I'll get onto, um, I'll get onto in the other slides. So, following your induction week, you'll have a shadowing period which like I said, may be in your induction week or may be separate. So a shadowing period typically for my trust when I started F one, I was given an F one that I followed for like two weeks or a week or so, it might vary on different trusts, but you will always typically have a shadowing period where you'll look, you'll go get onto the wards with the F ones that are already there. Now, the tips and tricks for your shadowing period. So the shadowing period will be for your first block that you start on. So when you s when you start, always attend earlier, introduce you to the team, introduce yourself to the team. So this will be like the nurse in charge the ward managers, the other doctors on the ward, the other F ones, um the consultants and anyone else use this period as the time to sort of get a grip on how your ward works and what sort of things you need to sort of know before you start. So this may include patient lists. So you may have, your ward may work with through patient lists where each day you come in have to sort out a patient list to organize which patients are being seen. And by who then you'll also um work out how your ward functions So is it, will you have like a morning handover in the morning? Will you be guided on which unwell patients are to see first discharges? Um ward rounds, making referrals, how to write a discharge summary, how to write a ward round where your local ABG machine is. Um And I would use this period to try and do stuff. So maybe on your first day, like try and get to grips on how to do things. But then on the second or third day, ask the F one if you can actually document um document a ward round, for example, with them looking over you or make a referral w whether that's through like an e referral system or like phoning someone using s but or writing a discharge summary cos that will get you practiced and when you start F one, it will make you feel a lot better. Now, in the shadowing periods for me, I didn't have a shadowing for an on call period. So like if, if I was on call the first weekend, I was just sort of thrown in the deep end. But everyone usually, like everyone's aware that you're a new F one. and you'll have loads of support to guide you. It may be for other trusts where you will have a shadowing period for an on call. But if you don't, then I would use this ward shadowing period to also get some information on what on calls are like and how to sort of how to bleed, how to put up peri arrests, cardiac arrests and escalate unwell patients. It's a really good period to really get a grip of what you sort of need to know and you can always, you know, spend as much time there as possible if you want on a board. So a typical day in the life of an F one. So this is just a normal working day. This is a really broad overview. Um and it's not really on a specific um rotation. Um So you're always at 10, your ward at a specified time. It may be 730 or seven for surgical placements, it may be nine for medical placements or 830. Um try and get that early, especially on your first couple of days just to sort of get grips of what you're doing. Introduce yourself to the team of people that you don't know. Um Sometimes you may have a morning hoddle or like an a handover where the nurse in charge or the ward manager will make you aware of sick patients overnight and also escalate any discharges on the day to just make sure they are done timely and they are some reason TT OS are done and so that they can be screened by pharmacy and a patient can go home on time, then you will typically have like an allocation of patients. So on a 30 day, on a 30 day on a 30 patient ward. If there's about what four doctors around you may have like seven patients each, you may have eight patients each. Um Typically when you're an F one starting out, I don't think you'll be able to see patients by yourself. Um But it depends on the consultant. It depends where you're working on. I would probably discuss each patient with a senior whether that's an F two and sho just to make sure you're not missing anything. Um But most, most trust I do believe will, will get you to see patients with a senior on your first couple of days just to make sure um that you've got a grips enough time to sort of know what you're doing. Um Then you'll start prepping your ward rounds. Um You, some people prep it before they go see the patient. Some um some people will prep it as they're doing a ward round. Um It, it's something that you start seeing what works for you as you go through the placement. Um One thing I will say when you prep ward round documentation just to make sure whenever you start like prepping, just make sure everything's up to date for the patient as of that day and as of that morning. So some, some people, if you're especially doing if you're using electronic systems like CRS or something, you, you, you may be tempted to just copy and paste ward round like entries of their issues again, but just make sure that it's the same sort of, it's actually up to date to the patients, um, on the day. So then they may be on like an extra day of antibiotics or their clinical state may have, um, deteriorated or improved. Um, usually with written notes, it's a lot difficult to do that. So, um, you, it's easier to prep patients as, as you go along. Um, usually starting ward round, so you'll start it, you'll start it around half an hour an hour after you come in. It depends on where you're working. It can, it can vary on how long it takes. Usually for a medical ward, it'll probably take the whole morning usually for a surgical ward because you start early, you're done around 1011. Um but it depends on how many patients you see and how sick they are. If they're unwell and the ward round, you always deal with that as like there and then if they need escalation, they need escalation after the ward round, you typically will start doing your ward round jobs. Um You may have like a, an MDT or a rag meeting with physios and occupational therapist, especially on a Jerry's wall to help with discharges and help with things like package of care or discharges. Um Usually during this time, you just have to give like a short medical update and then the physios will, will, will give, that will give an update on where they are with their goals. Occupational therapists will give an update on like how like if package of care is sorted, if they feel package of care is necessary. Um, it usually does happen on medical wards, but you do sometimes have it on surgical wards like weekly, then you'll do your ward round jobs. You may also have like a little handover in the afternoon just with like seniors to just make sure there's no current issues or no issues before. Um everyone goes home to just make sure they're stable through the day. So in terms of ro and annual leave, so you should be given your rota at least six weeks before your start date. As an F one, you're entitled to about 27 days of annual leave a year, which is about 99 days of annual leave, four month rotation. It varies on whether you can um transfer days if you're take, if you're like, haven't taken them on one block. I um it varies in different trusts like, so for my trust, I couldn't, but just make sure you know that before you start. So you know how to use your annual leave properly and start planning and requesting early um and know how to access your rota and request annually. So it may be electronically, it may be uh on paper, um documentation. Um We've also, we're also gonna do another talk next week um looking into and annually in more detail as well as looking at the different types of shifts that you may have on an on call period. That um that link is also really useful um for your entitlements on annual leave and doctors and pay and contracts from li A. So for your ward rounds, um ward rounds will be like bread and butter of an F one like you, you basically will be doing ward rounds every day. Um So consultant ward rounds typically occur like twice or three times a week. Sometimes they may occur once a week. But again, it depends on what specialties you're on and how eager or how the ward is really run as an F one. Like I said, I wouldn't really start seeing my patients or see your patients alone in the first month um or the first couple of days unless like staffing doesn't permit. Um But I would just make sure even if you see it, even if you do see them by yourself, just make sure you do discuss any plans and things that you're concerned about with a senior, um always ensure documentation is up to date. And as an F one, you shouldn't really, well, you shouldn't be discharging patients by yourself. Um You should always determine if they're surgically or medically fit for discharge with senior input um and support from a senior. So it can be an F two and above. But as an F one, you shouldn't be making that decision by yourself. So, jobs what will typical an overview of jobs that you encounter. So you'll often have taken bloods in certain difficult Cannulas. You'll have other clinical skills like catheters, male catheters, um, ABG S venous blood gasses, um, things like that. You'll be making referrals. So a lot of them to specialties and action in their plans, you'll be ordering investigations and following them up. So, CT SX rays, all of that stuff, you'll be writing a lot of discharge summaries and TT Os, you'll be prescribing a lot of things. Just make sure when you prescribe things that you double check it, um, especially with antibiotics, um, and opioids and like high risk medication, like pregabalin stuff like that. Just make sure you check what you're prescribing twice. Um Next of kin updates family discussions, you may have difficult discussions, but um, as an F one when you're starting, I would just, if you are planning on having a difficult discussion, um, try and get a someone senior there as well, you'll be managing unwell patients through the day. So it won't be by yourself, but you'll be like escalating to different teams and making sure the right things are done and you'll be facilitating, facilitating discharges with your team. So with your physios, your occupational therapist and your other medical teams. So as an F one, your support networks, so like things will be difficult, especially at the start. Um, like you're, you're gonna be working, you're gonna start doing everything by yourself. It's gonna be a lot, it may be overwhelming but everyone's always there to support you and everyone in the trust knows um that F one start in August and that you guys have just started. Um But just discuss anything with your colleagues, start off with your war teams first. Um A lot of trusts do, do F two bodies which are really helpful. Um You can message them and if they in the same trust, you can just organize to meet up one time, you've got your clinical supervisor for each block which will well should be a consultant on the war that you see. If you've got any concerns, you can always escalate to them. You've got your educational supervisor, who's your supervisor for a year. Um You've also got Guardian of Safe in um of admin staff, medical education coordinators and foundation program directors when you do escalate, just make sure you go in like a stepwise manner dependent on the severity of the situation. Um Yeah, but just just um just know that there's always people to support you in the hospital. So apps. So if I'm honest, I only really use induction, but that's just um that's just my preference. A lot of trust do have trust guidelines. They may have local policies and antibiotics guidelines which I find myself using more. Um But it depends on what works best for you. Induction is the app that I think like I use, like it's really good to find bleeps for everyone in your trust as well as well as trusts nearby. Um meal is also good micro guide. But obviously use your local antibiotic guidelines because things vary on micro guide and your local um guidelines use the BNF, especially if you're prescribing for Children. Um use the B NF for kids just to make sure you're doing the right doses, especially also with fluids just to make sure you're doing the right things. Um some hospitals will have local apps. So just try it in your shadow and week or induction week, try and get to grips on what they are and see if they may be more useful for you. So E Horus, so this is a really big thing. Um I'm going to do another talk on this um within the webinar, but here's just a little overview of what E Horis is in ACP. So when you start F one, you're gonna have a portfolio, you're gonna receive your login for it. Um And it's basically called E Horus. So when you have with your E Horis, you're gonna have a clinical supervisor for each placement and an educational supervisor throughout the year, you have to sort of log meetings with your educational and clinical supervisors through the year. So it will be at the start of placement and at the end of placement and you'll have different um notes or different uh forms that you fill out, that they fill out to show that you're meeting. I would probably give yourself a month to settle in to know what's really going on and start your portfolio in September or end of August. Um Just to just so that you're not overwhelming yourself at the start. Um When you, when you start your portfolio, you're gonna have loads of supervisor learning events. So these are gonna be mini texts, CBD. S um clinical teachers uh forms stops, leaderships, leader forms loans. Um It's similar to med school, but um they, they're slightly different in what specific form are like are are for. So, a CBD will be similar to med school. So it'll be like a case based discussion that you can document and it'll be with a senior. A mini CEX is also a mini clinical examination that I think a lot of you guys in med school would have done. That's also similar docs again, is similar to med school DCT is a teaching form that you guys do. You only need one each year and it's something where you do like a teaching for someone for med students or it may even be a presentation at an audit meeting or something like that. And um a senior like a consultant will fill it out for you. Um You'll have specific numbers of each of those supervised learning events to fill out each year and I'll go into that in a talk, you've also got reflections. You can um literally reflect on anything. Um You can make them personal to yourself or you can make them public where your supervisors will be able to see them. You need at least six each year, personalized learning log. So you log every single teaching. So you have mandatory F one teaching. Um It varies. Some people may have like a whole day every month. Some people may have it weekly. Some people may have it twice weekly. It varies. Um But there's a certain required number you need for an F one for mandatory teaching, which is core teaching and then for one core, there's another, um you just need to reach like 60 hours of teaching each year, your educational clinical meetings, um supervisor meetings that I've gone into. So they will vary. You'll just meet them at each placement at the start and at the end tabs and placement summary groups. These are things that you fill out one per placement and these are things that you send to others and they'll document feedback on you and then your supervisors will read it and just make sure like you're ok. And then you've got your extra curriculum that audits teachings, publications presentations that you can also um log if you, if you've done them, but we haven't got any requirement for that. Although in my trust or although for me, I did have to do an audit but the GMC survey, which you guys will have every year, it will come out. And if you fill that in, that can also qualify as an audit. But some trusts will also give F ones an audit to do through the year. So it will vary. Um, but yeah, just have a look at what your local trust and local guidelines are for EHO as well. So general in essentials. So just always be on time, wear a clear name tag, try and get them yellow name tags. I think a lot of people are, um a lot of trusts are getting you guys to wear them. They're really useful and introduce yourself all the time. Always bring a pen paper instead of scope. Um Those are really important, know where to find your trust guidelines and policies, um especially your antibiotics guidelines because it varies for each trust, know how to put out peri arrest, cardiac arrest and bleep, um how to bleep other specialties and things like that and how to refer, know how to escalate unwell patients and when to escalate patients as an F one honestly, just escalate as early as possible because your, your, you're more likely to, it's better to just escalate and then be OK, then escalate really late and then not be ok. Um And they know that you guys are starting out. So um we're always, everyone's always there to support. Um ask for help, always ask for help if you've got any concerns, voice, any concerns and always escalate appropriately if you're worried, don't feel like just because you're on F one and we started, you can't do any, like, you can't voice any concerns, especially if patient safety is at risk. Just, just honestly do it privately or go to a supervisor or someone that you can talk to like your education, educational coordinator. Um and just voice any concerns you have, even if it's by yourself or your portfolio not being completed or something like that. So tips and w what I wish I had known um document everything honestly as an O as an F one, I do think you overdo or like when we actually do overdo but it's better to overdo and under document and something happens and then it's not there. Um get to know your fellow F one socialize. Always go to the mass, um sit, sit with each other at lunch, attend the mess events, take breaks, drink water, um er, take snacks if you're not sure, always ask for help, know why you're referring to another team um, before you refer, just try and do the sbar before. So you're not um like stuttering on the phone. Um Some, some people can be, some people can be harsh and some people can be mean over the phone but don't take it to heart, just use it as a learning and guide and um just know that not everyone's like that. Um start your EHA early check, medication, prescribing twice, um, to try and avoid mistakes. Um, when you prescribe things like opioids, um, always give like anti sickness laxatives. Um, be nice smile and do your best. Right. So that comes to the end of our general welfare talk in terms of the next talks for our webinar. So we've got a general welfare talk which goes into the roar different on call shifts, finances as well as international student living. For those of you that are interested. We've got a talk after that on, um, what the F one job role involves. So it will specifically go into a ward rounds, discharge, summaries, TT Os reviewing unwell patients, what to do things like A to E and escalating. Um, I'll be doing a talk on EHO and A RCP requirements a lot more detailed. And then we'll also have a talk at the end on the specialized foundation program just for you guys that are doing, um, the S FP just to have an overview of what that involves as well. So that's it for me. Just let me know if you've got any questions and I'll get back on the chart so that I can see if there's any questions. Right? Ok. Yes. The induction app has switched to a QR switch. Yes, you're absolutely right. Sorry about that. Um, yeah. So TT Os are, um, medications that we give to patients when they're discharged. So typically you'll just do att O, which is basically prescribed the medications for discharge and then they'll be screened by the pharmacist to just make sure that all the medication doses are right. And you're not like, you know, giving them more than they need and then, um, it will be ready for pharmacy to collect. So the ward managers will go and collect it and then the patient can go home. I, I still not see my letter. Ok. Um Han, sorry, do you know what deanery or where you're going to be based at all? Because if you do, I would and if you know the trust, I would try and get on to contact firstly with the trust, the voter coordinator of the trust. Um. Ok. Ok. So try and get on to hold of like the Med Ed department if you're starting on a medi medical job, if not try and get on to hold of a um, of the general surgery voter coordinators at your trust. You, you can also put a message into your dean tr into your deanery, whatsapp group to see if anyone has like a direct number or email to the rota coordinators of the jobs that you're doing. Um, but you should, you should really be receiving it because it's coming, it's coming close to six weeks now. Um, and another thing is when you guys receive your contracts, um, get it, try and send them to the BMA just to make sure, just to check it and they do a contract check and then they'll let you know if there's any concerns on it, right, guys. So, just to remind you guys, the next session will be next Thursday on the fourth of July. Um, and it will be looking at rota different on call jobs, um, finances, so payslip things like that and also, um, international student living and any tips for that, um, for that as well. Ok, guys, I'm just going to log off the event. Um Let me know if you've got any questions. If not, we'll be sending out the link for the next event or next talk um for next Thursday. Um And we'll also put out a feedback link sometime next week as well. Ok, if you've got any questions I'll stay on for like in the next one minute. Um, but if not, thank you very much for joining.