Computer generated transcript

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

Oh, c can you also, uh, make sure you get the attendance? Yeah, that's no problem. Attendance. What do you mean by attendance? Like just the names? Yeah, that should be fine. Should be fine. No problems. Ok. Right. Right. Ok. So we're live now. So, hello, everyone. Nice to meet you. All the people who are online as well as people who have join us in person, both in Bangor and Cardiff. You've obviously got one of our delegate. Um, my name is Ronan. This is the co founders of the series and we've also got Ruth and Jocelyn who are with us as well. So you're meeting all the kind of staff who are involved and we have a few other members which you'll get to be introduced to on our presentation as well, which we'll go through with you on. Um, so we'll just get started. We'll sort of talk about what the series is, what we're going to hopefully be able to offer you guys over the course of the next couple of months in terms of teaching sessions and in person sessions and even some mock that we hopefully have planned for you, which should help you with, they feel more confident and better prepared for your final exams, which we know as kind of students who went through it, Cardiff, how kind of worrisome it can be. Especially not knowing how to prepare and what to exactly do in terms of preparing. So we'll go straight into it. So we're just going to share the slides for the teaching session just before we start. I want to make sure that everyone in Cardiff can hear us. Yeah, we can hear you and see you. Everyone in can hear us because we're here and everyone online. Can you guys hear us and we can hear you and see you guys. Yeah. Um So during the whole session, um there will be the Q and A uh where you can just stop questions on the chat and if you're online, Joselyn and Ruth will um answer it or bring it up and if in, if you're in Cardiff, you can just ask cat or Sara who will be there shortly. Um With Banker Log, you guys can ask us. Um Yeah. Um and are you guys able to see the slide? Yeah. Yeah. Yeah. Can you see it moving? Yeah. Yeah. Ok. Real good to go, right. So, um yeah. Um so that was Roan. Um I'm um we have four other people in the team, sorry, five more people in the team and we are all mostly from Cardiff Uni and we've done the C 21 curriculum. We've gone through the exact same phase that you guys are sitting in three years ago. We were there. Yeah, right there on, on the um and we've gone through the exact same stress, anxiety, whatever comes with Os practice. So we're here for you. That's the main point. Um So thank you for signing up, first of all. Um Just a quick intro to the session. So um we are hoping to give uh have a series run as a more of a guidance mentorship program. Uh We are accessible through our email, which you all have because I've sent an email through that today morning. Um Just email us if you have any questions or any problems, we'll be happy to help. Um We've been doing it for three years. So the guys about your yet and the ones about them and they, we've been helping them as well. So, um you guys are in a better position because we've updated and gone through feedback. We've actually improved 73 weeks. Um We're hoping to run. So we're hoping to have two mock mock ki sessions uh which would be based on the C 21 curriculum if any of you online or that were not from Cardiff and Banger, you are still more than welcome to join. That's fine. Um It just that we'll be basing it more on the Cardiff and Banger curriculum, but it is still gonna help you regardless. Um We are gonna have a teaching session every Monday. It won't be too long. We'll be short. Um, and it's gonna, it's not really teaching you what the contents because you guys have exams. I'm sure you guys know that, but it would be more on how to approach particular stations and the skills that are associated with and also, uh, uh, specifically to Cardiff. I'm about what we have noticed over the last couple of years in terms of what they like to assess you on. So every university is different, sometimes a year can be slightly variable from what the previous years happened. But the trends usually are that often certain universities like to assess you on things that they feel important in their students and their future doctors. And so that is something that we, we'll focus on and we also uh audit our, our data and how well our students perform from the previous years. And that gives us a clear indicator as to what we have taught you really well. But also what we feel you haven't necessarily picked up as easily from the teaching sessions, which from us is an illness to make sure that we teach you that bit better. The next time we teach you, um now most of the series are gonna run online. Um This is our first session trying to make it work face space and online because we thought some of you might have from face space if it's just more if you have any questions, it's nice to put a face to a neck. So, um well, I would like to also thank you. Um So plan now would be not next week, but the week starting in November, we're gonna start our teaching sessions, we will go through the schedules. Um We'll then we'll then also have uh Mo Markovski, which should happen in two weeks time. That would be over the weekend. It would be online as I said, everything is online. Um And yeah, if that, that would be a bit more limited in space. So that would be we'll send the email with a link at 8 a.m. tomorrow shot. So, um and if you have attended today's session, you'll have priority because show us commitment. Um And yeah, and then you'll have one more at the end of our teaching series. Um So that would be a lot more closer to your exam. Uh Both the osk sessions would be same, same ST standard as the actually we try our best to. So it should really help. Um And it has helped in the past from from feedback. Um Yeah, but otherwise just any questions, anything we've been through the same thing. So just ask us. Um um I know we've done our introduction, but that's right. I don't look as charming in person as I did then, but, you know, aging doesn't do well for some of us. Oh, stop it. You know. Um But yeah, it's lovely to meet you all. I'm co co lead along with you as well. So, as we said, we both started the, started the series when we were five years in med school and then we carried on made a full proper team. So, yeah, we'll carry on with the rest of the team. We're both doctors fy two S at North Wales at the moment. Um, and then we've got Ruth who is the logistic lead and yeah, um she's an F one right now. Ok, guys. Ok, that's it. And then there's cat who is also really good at teaching. I mean, all of them are good. Hey, you can't see me but um I am here although I'm under Hamish Hamish um account but I am here and you may, you glad you can't see my face because I look awful. You go. Oh, I totally say that. So Ruth and C are both from Cardiff as well. Um She works down in South Wales in, in uh uhw and Ruth. She works in one of the hospitals in England, but both of them are from Cardiff and then we have uh she works in a girl so I am here as well by the way. Uh Yeah. Oh and then there is who will be the one who will probably be answering most of your questions if you ask on Instagram. Um And yeah, Jose. Oh and Joly. Yeah. Yeah. Hi. Everyone. I'm Jocelyn. Um Yeah, if you guys have any questions just like um send it to your email or social media, we'll try our best to help you guys and then who is a local doctor in Manchester. She works in Scarborough now, but she does kind of pediatric locus. She would be classed as an F five now. So she's done multiple years in pediatrics. So she's a good person to ask if, I mean, we'll go through things like case based discussions and uh and history taking pes and, and diagnose diagnoses to think about. But uh with her experience, she is a very good person to speak to if you want information on kind of something pediatrics related that she's a good person to speak to and working alongside. We have s who is uh one in uh Cardiff at the moment. Um Hi guys, I'm with K on the Ham in Cardiff. Um I'm in Cardiff. So if you have any questions, just give me a shout as well and they'll both be sorting out the more for you. So um as you can see, we are a very friendly bunch. Um Yeah, so just have, feel free to approach ST um or not carrying anyway, right? This is a rough um time timeline for us. Um We might change things if depending on what happens, but we will obviously let you know um at the moment, uh we're gonna focus on history taking with specialty ones which will always come up. So, II don't know how much you guys know that you will most likely always have a psych, you'll always have an s and um, so you'll add some specialty in history. Either they say that the history will be that specific topic or it will have an element of that in it. So for instance, the one which has an element of it in is a child who comes in and has appendicitis. I would class that more as a general surgical complaint with an actor who will be a child. Um And that's kind of how sometimes they cross cross those elements. And so yeah. Um now I know you guys are if yeah, most of your four, the um I know Cardiff and Factor year two focuses a bit more on examinations because year four, you only have two that are exam based. Um So which is also the other reason why we're gonna do most of the sessions online because most of them can be done online. You just need to keep practicing once. Um Yeah, but we are hopefully gonna start trying to get the examination bit. Um But that would be a similar sort of session like today, which would be hybrid. So you can join us online or you can join us face to face and um if you're online, just find the body with you. Um And then we'll go through that and practice it Um, yeah, and the other things, yeah, as far and is very important to know. So we'll be focusing on the CBD station. I am gonna go through CBD very quickly today, but just so you get a head start and you know what, you're gonna look, what you want to look for when your own, we don't understand, but closer to Dec December, when you can actually think about something to write, at least for your form. Uh We'll go through it properly soon, we can help you with that. Um And then we're gonna mainly also put us through da data analysis, um which also as you are aware will be a very good part. But the whole point that I'm trying to emphasize is that it's about practicing and having a structure rather than actually the content. So if you don't know anything, I'm sure you do because you are right now. Um And you have passed or yeah, or third year, second years who I seen it. Um But you have, you have gone through PT. So you should be OK and do this with the ba basic knowledge. It's more about applying that basic knowledge to ask. That's the thing. That's, it's not necessarily, it sounds bad, but it's not necessarily quantity of knowledge you have. It's the quality of the knowledge. So if someone is managing a patient, if I'm examining them, I want to just see is that person actually managing them just safely, not beyond their competencies and trying to do something above and beyond great if you know that knowledge. But I just want to make sure that if that was a future doctor, is that patient still going to be safe by the time they've finished managing them. And that's all issues are in general, it's just safety and making sure you're being competent and working out standard in them. So these are, this is how these, these were, we were sort of just going to go over it in general. So you get two clinical examination stations, you then have two communication skills stations, ok? There's one interprofessional communication station. So this is one where you'd likely be taking an acute history and then we have to do something like an sbar handover and then assessed on perhaps being given some clinical information like an ECG or some kind of interpretation with that, which may either be done before you do the sbar handover. So you would include it in your sbar or be given to you after you've done your sbar handover. There will always be an sbar handover um at some point in the escape, ok. So that's why it's important to know how to do it. Well, you then have a clinical pharmacology station, ok. So this is like 50% of them will be a history where it's a standard history. And the important bit is picking up on a element of the drug history that is impacting that person's admission. So for instance, a patient coming in with a gi bleed, I want to make sure, can you identify that they're on warfarin? Ok. And it would still be the same standard approach. It's just we want to make sure you pick up on that key element. And the other aspect is you actually having to explain something to a patient. So explaining, starting a new medication or reviewing some medications and seeing how well a patient understands it. Ok. So it can be a 5050 but we'll go through those with you. And then the last two is an acute assessment. So this is just a sign of four minute history and then uh managing something acutely with information being given along the way. And then lastly, your CBD station, this has partially changed from what we've got, uh, got written there. So it is still a seven minute presentation, but now they sort of leave it a bit open that the examiner can kind of ask you more breadth in terms of what they choose to ask you on. So when you're presenting your CBD station, you have to have a bit more awareness about the case in general and just be prepared to just have a discussion with the examiner really as long as you know, your case and you know what's happened with them and have a general, you can usually just steer the conversation. It's more of a dialogue just discussing the case and the best place to get a really good idea of what they actually want you to do with all these kind of stations and how they assess you on is the handbook that Cardiff and Bangor provide you, which goes through things very detailed and I'll go onto that. So this is basically your Bible before you actually even start your course to doing your risk scheme. Ok? I went through this document religiously and I read it page to page because you need to know exactly what Cardiff and Bangle can examine you on because some students last year, for instance, didn't realize that Cardiff can ask some things like a thyroid exam and they quite clearly detailed it in the handbook that they can assess you on it. So anything that they write in that handbook that is free game is free game. OK? But this is a really good handbook for actually explaining how to approach stations, what Cardiff's Baseline and Bangs baseline is for getting their students to pass and what they want to see in their candidate. And also they give good resources which you can use outside of our teaching service that I would also recommend that are useful. OK. So this is actually from the handbook. OK. This details what they actually assess you on. So these are the domains of competence that they want to see in each assessment of each station. OK. These will vary dependent on the station itself. But the general principle for all of them is still there. So, clinical examination or communication, the process, the content. OK. The diagnostics and the clinical reasoning. So can you come up with a diagnosis? And do you have the reasoning behind why you decide that your clinical care and patient safety and that one is key. Are you just doing the standard stuff that, that is essential for you to do but keeping that patient safe at the same time? OK. And then professionalism, this one shouldn't be obvious, but I will say these things anyway, for your se you should be presenting yourself professionally. You know, you should go into it with an article on why you're like, OK, I'm a clinician. I'm going to take a history, I'm going to be respectful and explore the patient's concerns and conduct your, your a consultation as a professional would OK? And the good thing is you go on placements and you see how clinicians do it day to day. That's kind of the standard that, that they, they expect from you. And that's an element as well. And whilst we in stocking, if you're here thinking, I already know this about being professional. That's what we're trying to emphasize that you guys already know what you're doing. You just need to practice it and make it come natural. Now you don't have to think anymore. So this again is kind of the, the general pointers, but this was from the older handbook, I still have included it, but Cardiff technically assesses you on most of these. So as long as you know what the domain principles are, that's what Cardiff assesses you on, this is the marking. And I wanted you guys to actually see this because this is exactly what they categorize into a borderline and the pass. OK? So if you see what they are actually requiring of you to actually pass that element in their station, it gives you an idea of one actually. What, what is the baseline and how good do I have to be? And when I first saw this for the first time, it made me feel like it was a bit doable because they don't necessarily expect a lot. They expect you to be safe and to have good clinical reasoning on the most part. But I think this is capable of every student if you've got to year four and you've passed all your PT S, you will already have that knowledge behind you and all of you are pleasant. Anyway, I meet you all on placement. See all a lovely bunch. And you know, as examiners, you have to realize that the people who are examining you are people like myself, our other clinicians, you know, we're not me, we were exactly in the same position we just want to see. Can you just demonstrate to us that one? You're a good person, you're you've got some good clinical reason behind you and are you safe? Ok. Yeah. Well, quick lasting for the, um, what do you do if you don't actually know? This is a good one. This is a good question. I mean, we here lecturing about how you guys know everything. Yeah. Yeah. What else? What else? Yeah, that's the key for an OSC because you're, you, as, they're basically testing you to see if you're gonna be a safe, you're not expected to be a safe surgeon. You're not expected to be a safe, like consultant radiologist. You're just doing the f one job at that point. And there are little things that even um oh acute, acute exacerbation of like asthma and they're like very uncontrollable, like clinically very unstable. Are you expected to manage it? No. Do you call, who do you call? Yeah. Good shout. Um You call the CIA or? Yeah, it um A I acute intervention team. That's what I mean. So it's more about you being safe, not about you having to take the load and the stressing that you don't know what to do. Ok. Um Yeah. And then this was the last bit. So it kind of is just an extension and the last bit really is professionalism. So for the past element is, are they polite? Are they considered sensitive to the patient, respect and their dignity? So it's things that you would expect? Ok. These are the common safety alerts this was from last year. Ok. So it's things that really, you shouldn't miss so big ones is like drug allergies, you know, not putting sharks in the sharks bin, not exploring the really key elements. So, in a psych history, if someone's got a history of depression, you don't want to miss a suicide risk. So it's making sure that in all of these, that you're not missing really, really worrying things that could end up troubling for the patient if you do miss them. And these are the things that most likely could get you to feel. If you don't do, if you are safe, you should be ok but certain things um yeah, but hopefully during our sessions, we will be highlighting things that students normal commonly make mistakes in. And so that will hopefully be uh hopefully be highlighted to to all of them. So this is kind of just a general tip for us myself, Wismer and Cath, we actually practice together. We formed a group of three. I think a group of three is a good number. You can go maybe four. But I say once you start getting into quite high numbers, it is a bit difficult to keep that continuity and structure. We are the standard one person examines one as the student and one is the patient and it just worked. Um common is common for the clinical skills, particularly your handbook. I have read it and it actually tells you which clinical skills they assess you on and all of them are doable. The other thing I would say is some aren't going to be fully in your assessment. So a catheter, they wouldn't expect you to do a full catheter from start to finish. They might ask you to do bits of it. So don't let that throw you if they just want you to do the, for instance, opening of the packet and laying out the catheter pack because that's all they're assessing you on. Just are you sterile and are you doing it the right way? Ok. There also, I think were useful to GKI medics and they actually have, we all know GKI medics for doing the videos that was my bread and butter for learning them. But as well, they also have an app which goes through actual patient scenarios. I don't know whether it is something you now have to pay for. But I found that really useful as it did have really good patient cases that walk you through them, some of the, some of the stations they had. I was a bit like this is very unlikely to come up ever. But use your acumen to think. Is this something likely to come up? And is this not as you will sort of know um handbook, as I've said, make sure you read it and then other resources that Cardiff actually advise kind of are good to use. So Macleod's kind of examination. I didn't touch the book personally. I think I read a couple of pages, but that was just myself. I like Kiki medics. They also have virtual. So um I know some of my colleagues, they had used it and they said it was really useful. I didn't get around to using it, but it's something on your shared drive that actually walks you through what the IC will actually look like, what a station will look like inside, how they'll set it up outside the room itself and actually walk you through scenarios. I think they actually mentioned that these are stations that we actually did assess students on. So it is a useful resource to get an idea of exactly, you know what Cardiff set their risky up like. And then the self directed learning is perhaps all your clinical skills which Bang and Cardiff have and that's always useful. And I don't know if it's the same for Bangor, but I know Cardiff on Wednesdays, they always have someone in the room to actually go through clinical skills with you. So I know I'm not sure you might have to check, they might have a different day, but Cardiff I always went on a Wednesday and booked ahead to, to make sure that I got in with someone who was, you know, more knowledgeable. Um And even if you're on placement, a weight placement, for example, you will, most of the hospitals will have a clinical school room, you just need to talk to your undergraduate by. Um I didn't know this while I was away. So I didn't really make the use that now that I am an F I was an F one. I realize that students can actually use it. Um If anything it's ei it's even better because you have less of people like for. Um So these are the textbooks that I personally use. So this one on the top that had really good clinical cases that I like patient histories that you could use in practice with your, your peers. And the one of the bottom, I used to call my Bible because it practically was it what I lived with in my fourth year. Um I know there is an updated one now, which is this one? Personally, I really loved this book. It was really good, went through things really well and it basically detailed everything from histories, examinations, clinical skills, differential diagnoses, practically what we teach you just in a book format. Really, I'd recommend it. I'm not sponsored by these people. So I don't think I am. I just read the book. Yeah. And then this one as well. I know someone was telling me from the year below that this one is also good. I'm just putting out that I'm not sponsored by any of these people. I just, you know, I'm the messenger. So yeah, just personal experience. But um and then last things I would say most importantly, stay farm, you know, do all the things that you normally would to keep your mental sanity in check because that is actually what keeps you going in the year because it is a stressful year. The other thing I was saying, it's very easy for us to do is don't look over your shoulder what other people are doing because it only sets you off in a panic and makes you think that you're not doing enough, set your own goals, set what you feel, you know, you need to improve on because an examiner isn't looking at ex person in the other room, they're looking at you and whether they feel that you're safe, you're doing the right things. As long as, as long as you feel like you're doing those things, you're fine and most people, you know, most people pass, most people get, I don't actually know anyone in my ear personally who didn't. Um, not that I'm a loner and I don't know people but, um, you know, most people I know did, did get through and I'm not surprised because most of my peers, they were fine, they were safe. I would think they would all be good doctors and I don't see any reason why any of you that's any different. The main point though is start early and you're all here today, which means you have started early. Um, so you're on the right track. Just take it slow and kind of similar to what we're doing. We're doing like one session a week. We're, we're basically showing you what you can do at this point. Ro and me, um cat, when we were practicing back and forth here, we actually said, I think every Sunday three pm to six pm, we got together once every week. And that's literally how we practice. And if you, if you give yourself enough time, don't leave until April. Uh most people, I think most people on the go generally starts from January after the formative. Closer to formative, you could do that if you're very concerned about. OK, you can start earlier um again, so slow, but do not leave it until April, which is why most people will start. Actually. Um I think it's just a bit too stressful because when you start seeing kind of the content and, you know, I personally was always just, I'd rather just start slow at the start and then start and keep going slow. But know that I'm doing a little bit here and there um rather than cramming it all. And I know some people who are crammers and it works well. I was never one of them. Can I come in here? It's just because it looks like you're on the top tips slide. So, yeah, I agree. I think just adding on to what you said, I think we started, I was just talking to the guys here I think we started maybe like end of December 1 November. So, and we were actually very, very early in doing it. But like Roan said, we didn't put pressure on ourselves. We just touched base. We had a little bit of a chat and a catch up as well. But we still discussed is, and I think even just having that routine and that kind of getting it drilled in that, ok. On this day, we, at this time we do a and just like, like I said, I think group of three, probably three or four max, four max, I'd say, um just, just being up with it. And like I said, the fact that people are here already suggests they're already thinking about it, which is fab and yeah, definitely don't be a crammer because that for me anyway, that's not for Os I think for you if you can. But yes, os I'd say it is a different style of learning. It's not, you know, learning loads and loads of knowledge. It's actually kind of altering how you approach speaking and you know, structuring your history taking. And I don't think that's something that you just change instantly, you develop game and you just got to work the game and the more you do it, the more you practice it, it just like you say, you just have to keep on top of, right. Sorry, I to a but in there now moving forward, we're at the beginning. A October, mid October, if you haven't found a practice group yet, here you go. This is where you can find it. If you're online, just pop a message on the chart. I mean, we've got a perfect, so we're 33. There we go. But I know I know this happened last year and the year before as well, someone po posted on the chart because they were in, they didn't know anyone, they didn't have their group and then they found their groups on this session last year. And the year before there was actually a number of people who were made groups with the, the, the series, which I was that, that was why we set it up. We want you guys to network because you guys are, you can help each other, you know, you all just wanting to pass. So, yeah. Yeah. And if you're an introvert, don't know how to ask people. Here we go. This is, we're literally setting you guys up at this point. Um But yeah, if you have a group don't bother, it's fine. Um Also, I would say stick to one main group because there could be a time where people, a lot of people will ask you, a lot of societies will ask you. And then, I mean, I know I had a point where surgical society, people, my friends that and my flatmate just like there are just so many different groups and that tends to be a big thing. And obviously, yeah, more practice the better. You also need to remember. You're year four and you actually have to do self directed learning too and not just group work every day. So you just need to find the right balance. So just make sure you have one main group at least. And then if you have peripheral groups, that's fine, but that's my tip. Um We will do questions at the end. I'm just gonna quickly go over CBD. So you guys know what you can do right now. Um But the main thing is that you find the case for a knee replacement. Um It can be anything but my little tips. Um my, yeah, the big main tips find something that's not, not too complicated, so not like too medically complicated that you don't even know what the condition is kind of thing. Um But do um don't take patients like so much going on that even the consultants don't know what the diff diagnosis is. So don't take any patients that does not have a diagnosis in place, but also don't take a patient that I don't know. You, let's say you're in GP and you find someone with flu that's not really gonna help either. So you need to medically just find something that's balanced. But the main thing I would say is something that has more social side or ethical side placements that are best for this would be psych obs and di pediatrics. Um, and co partially because all of these things will have safeguarding issues. So that's one thing you can think of. Uh, I'm not gonna spoon feed you right now, but I'm, that is one way. So, you know what you're looking for, I also made notes about actually the specific things that you, that are not on your, on your CBD station. So you can't submit cases that are used in the project S les or any of your s from. Uh That's why if you have a really good case, don't use it for your uh practice. Say that for your, your main one. Um The specific parameters of it needs to be a four, it needs to be that font size. These are all things that are in your handbook, which I've just kind of uh reverberated there, but that we'll go through all of the spec specific these ones you find in your case. So right now just go place and look for a case that's socially interesting. Safeguarding can be multiple coma r disease. It could be um just medical management. I mean, for example, if you have a patient in um touch with this doesn't happen. But let's say they've been waiting for 24 hours and then that's a different approach that you can take because you can then talk about what we can do as a med healthcare, a sort of picture. So something like that, that where there is a bit of a not controversy but something you can actually discuss nonmedically. Uh, one thing about psych placement, um, the only issue that why I personally stay a bit further from psych, although it's a good one is because don't find the case unless you also have investigations going on or if you don't have investigations, which a lot of psych patients don't. So you won't have CT, you won't have MRI for side, you can, that's fine. If you don't know what and if you're using it, then know why you're not doing a CT, why specifically you're not doing any of those investigations. Um, but you need to have a section on investigations. That's a must. So for my, uh, CBD, just to give you guys an example. So you sort of have an idea of what to maybe look for. I used a patient from I 90 block as a patient who had, um, preeclampsia. She developed eclampsia and then a Hep syndrome. Um, so all complications from that she was a smoker during her pregnancy and it was likely that her smoking led to, to those complications. And this had a psychological impact on her because the baby needs to go for ac section. It was an urgent one and it could have meant a life threatening situation for the mother and baby. The other interesting thing was they had done a blood test which I've never heard of before. It turns out. It's actually a new blood test that they just started using. So that was another thing that I discussed with the examiner. So I looked at that case and I saw, well, one, I know the diagnosis is interesting. Another I know investigation and is one which actually I can say it's a new one. I know the levels of what we look for on it. I know the guidelines. Is it something that's new now? And then I also knew how we managed it and I knew what the ethical issues would be with that case. All the things that the examiner would probably like to talk about. And it was something which I found interesting and it meant that even if the examiner was asking me something that I've met and not anticipated, I had enough sort of intuition with the case that I liked it because I was happy to talk about it because they might open my idea to something different I thought about before. So it's more a dialogue with the exam and that's what I realized was, it's an assessment, but also find a case that you find interesting. It's usually a case you find interesting has all of these sort of things. Ok. Yeah. Right. Now, um, just have this in mind, go to placement, look for something interesting, even if you don't, even if you think it's a potential one, but you're not sure. Right. Get the history, get, get all of that, try really try not to make up cases. Um And I'm not saying this just cause of my dad. But also I think it, there would be a bit of a clear difference between someone who would make up a case and someone who actually was this patient. And if you are using a case, actually go through the case properly. So go through investigations, anything that's been done. You guys can just ask your doctors that you're shadowing or I don't know if you have access to clinical portal, but um just ask one of the doctors and I'm sure they'll be happy to help. Um and always ask this as well. Yeah, and the main thing, practice CBD multiple times, not with other people. I know I did say practice with peers for the this one basically practice with consultants or actual doctors because the more you practice, everyone's gonna give you input on different perspectives and that will help help you get the examiner could ask you. So the more practice you get. Yeah, just walk up to the ward, just find a random doctor. This is what I did. It worked. Um Just literally be like, II have, can I present a case to you? And would you be able to guide me through it? I, I don't think you're, I don't think you're listening, but I was a consultant in um Princess of Wales, I think where I found my patient and he actually sat, I'm very grateful he sat down with me for two hours over zoom and we, we literally dissected every little piece of that patient. And that was the case I used for my CBD. Yeah. So just practice, that's pretty much it. This is literally just one thing that I wanted to know was uh they want a case that you've been involved in that. So, I it sounds like something which is like is that really being involved? But I've done the urine test for this patient for my patient who is the pregnant lady which picked up the proteins wasn't exciting. I just dipped, dipped it uh a dip stick into the urine but it was involved and I kind of, I did something. Yeah, but then also you like, I'm sure he went through the case. So he was involved at the end like he, he knows who he's talking about. Yeah, that's the main thing. Um So that was the briefing before we can give you, you can go through that. We'll have a proper CBD case as well. I'm just mindful at the time. So that's my case. Um Yeah. Um this week of what the examiners sort of go with what they ask you. So I am gonna talk through it very quick. Um You basically what I've just said, you just need to make sure you know why and why not you're doing the investigations. Um and why and why not you're doing management. Most of these, you refer to guidelines and this is why your homework before your oscopy comes in. Um And what I would suggest is whatever patient you have go through guidelines. It could be nice. It could be um the OB 91 RC. Um Yeah, just anything. But you need some kind of a guideline because you can be like, oh what, so if the patient, if they go, why are you giving nitric your insulin for a uti you can be like, oh that's the antibiotics or that's what micro said or that's what my consultant said. No, you need to go through the guidelines state exactly which guidelines you have used, just memorize a bit, which is why you have time to prepare ahead for your CBD. Um If you and this is where you, they can actually figure out if you have prepared or if you haven't good. Yeah. And that would be the passing thing. Yeah. Um You can also use like cases from before like uh I'm not gonna reveal them too much about my CBD, but the one I use actually had a similar legal case associated with it. So then I brought up a famous legal article, medical legal article and I literally quoted it and I was like, oh, in 2005, this happened to that patient and the, and doctors got sued and that's why we shouldn't be doing it. And this similar to what what happened to my patient? You say that there's no, there's no doubt you haven't prepared that for that patient. So that's what I mean. Just make sure you say something that will make it very clear. You have done your work. Yeah. And you have plenty of time starting now. So you'll be fine. Uh Same thing I think. So. That's the medical legal bit that I was talking about. Um, just find the case early. Uh oh, you, you have, you have access to the slides so everything will be posted on so you can always go, you can even watch that. Ok? Um But anyway, find the case early reason why we are spending time talking about CBD right now is so you actually know what, what you can do starting tomorrow, make a list of patients that potentially you could have use. You don't have to use it but you don't wanna come to a point where is it? It's the time for your form to and you like panicking but you don't have any patients at all. Yeah, which is also fine. It happens and we will be there too but to start early. Um Yeah. Um Well, we're gonna end the session here and if the rest of the team have anything to add, feel free to, but just very quick important points before we wrap up. Um We're gonna send a feedback form um for this session and it would be very helpful if you guys do that. Um It, we also wanna know if you, what do you think about hybrid sessions and whether you want us to go back to just online or whether this is actually ok. Um Especially for like examinations and all that. Um And if there's anything that you want us to cover as I'll add it to the feedback. Um And the big thing Markovsky, which would happen in a fortnight, um We're gonna send the sign up link which would be separate partially because we've got 200 people signing up for this now and we can't accommodate everyone. So we're gonna go first come first serve. Um Four years will have priority and um people who come signed up for our actual series would also have priority. Um You can still sign up to that, that's not limited. Um But we'll send it at 8 a.m. sharp tomorrow morning. So just keep an eye out for the email if you are on our list. What we will say though is that we are hoping that we might actually have some more examiners this year, which we were able to cater to. I think it was 100 and 36 last year. And with some extra examiners, we probably would be able to cater to all of you. So we will still do it based off what business said. But if we can accommodate to all of you, I don't know who on this by the way, but we don't know how many there is. So, uh, but yeah, but just so sign up, we'll try our best to accommodate everyone who signed up. Uh, we'll probably close the, um, sign up for when it's full or within a week's time. Um, and then we'll get back to you. So we'll have two stations for the Mooy and it would be online. You'll be in breakout rooms. Um, it shouldn't take too much of your time, should last like 2030 minutes. The other thing that I ask is, please do not share the stations with your peers that, you know, might be doing the C series because it doesn't do any of you any favors. You know, I, in fact, I don't want a student turning up to the session and they knock out of the car because the first thing I'll say is you don't need to attend my series then because you clearly know everything and it might not actually be doing you any benefit. I want a student to come to the session where I can actually see something that I can help that student with and say, look, you did great here. This is something that you can do differently that can make you stand out that bit more because that is honestly what's going to get you to that next level that you want to. Um And I think that's about it. So if you have any questions um you can follow it on the chat, Jose and Ruth can pick it up. Um If not, if you, if you have any questions for here, um C uh C should be in. Is there any urgent? Oh, sorry back to the team as well. Is there any urgent things you wanna or anything anything students want to ask us? No, we're ok at our end there is there's one in the track. Can you see that guys do need to read out to you. Can you see it the week after that? We have a PT on the Tuesday. Wait, so not, not next week, the week after on the Tuesday. I don't know. When is the of November? Ok. Ok. That's fine. Ok. Um Yeah, that's fine. We'll look through that. I do. Yeah. Or your, your PT is priority. Um The only thing I would say is that the sessions itself will last for, for you if you at 10 minutes, 30 minutes. So it's 30 minutes of your day, which you'll literally turn up, do a station and see how you do and then you're free for the rest of the day. So personally, I would say it's not like you're giving up your whole day. I would just literally turn up do the stations and then go back to your vision because you might find that actually something that we go over that might actually come up. So it's still advising. Yeah, but we'll see if we can move it. We'll see if we can, but we are quite stretched with staff, like with us working kind of our jobs and stuff. But we'll, we'll see what we can do any other questions, guys from our end, we've just got for people who um are in person. Could you send the feedback form to them? So I popped a feedback form on me. That's not the actual feedback form. Um If you haven't signed up to the mailing list, um and if you haven't done your attendance, then do that. So the guys who sent the the list of who's come, you email them with the feedback form because obviously there's OK. Fab Lovely. Thank you. Any other questions? Any questions on the bottom? Yeah. Um We have our linkedin page set up and we've got an instant account where we would be updating. So just follow us that you guys have our emails, I think. And it's a good place to subscribe to because Joslyn posts regularly if there is a teaching session. So if you miss our email and sometimes these things go to your junk mail or something, then you, you might just see it. If you're on social media, you'll just see it pop up. So um the med all is the 101 page follow us as well because uh that's where you can actually go through all the videos and recordings. We have some from last year. But you guys don't worry because we'll be doing it for you. Yeah. Sure. Ok. Um I'll end it here. I'm gonna end the session. Uh Thank you all for coming and obviously if there's any anything that people want to ask, just that, uh if they don't wanna ask her on like the live stream, but just want to ask the delegates themselves if you're online, you can drop us an email. If you're in person at Cardiff, you can ask uh c or who are both there and obviously student, they can ask us in. But thank you all for attending and lovely to meet you all. Um And yeah, hopefully it will be a good, a good year for you all. Thanks guys. See you soon. Bye.