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Hopefully, this doesn't erase the one which I just did. No. Otherwise, I'm gonna be I can do that whole talk before. That's fine. Cool. Um, yeah. There's just a recap video recording for, um what we did last time, What we did last week on just an Inderal and have to prefer for escape. And also the CBD preparation. All right. Yeah, I'll go for it. So, um, uh, I presume were doing it the same way we did it last time. Okay, Um, so we're just going to quickly give a breakdown of what this series actually is and what we're going to be helping you guys with. So Wednesday we're doing your teaching sessions, so that will even be done by me or Wisma. I know that we are putting some on on the Fridays. Um, this is more just to fit in kind of the teaching, which we really want to go over with you before you've finished for the Christmas break. Um, just so over the Christmas, you can possibly consolidate some of that learning that we've done. Um, we will also distribute to you a learning document. Um, I will type up kind of in a more summarized format. What I talked today, for instance, Um, so you guys have a cheat sheet, if you will, Um, And if there's something that you want me to to add to it or or alter slightly or some extra details, then let me know. And I can always add create an extra one or something if I when I have the time. Um, most of the teaching will be about kind of either the history kind of stations. If we are around in Cardiff, we may also do some teaching on examination, but examinations. But that will, uh, be we haven't. I think we haven't planned for the week of 15th. The timetables next on the next slide anyway. Yeah. Yeah. Okay. So the other thing that we were going to give for you guys is on Saturday sessions. Um uh, focus keys. Uh, we had a bit of kind of organization, um, that we need to do before before the Christmas break. But we've kind of done that now, so we should be able to put on a good Marcus key for you. All which will have about which will basically be as real as close to the real thing. Eight stations. And hopefully we'll be able to get a decent number of you into that. Um, it won't be or 60 of you. I don't have the capability nor feasibility to put on that much. Um, but it should still be a decent size that you'll all have at least one. Uh, if not a couple of markets skis before you're really thing, Um, and that will be us liaising with certain societies even to get the examining numbers up and also to, um, get some specific contributions from them. So that would be something after the Christmas that we sought for you want if our own exams go well, so this is more on a personal basis. We kind of finish our examinations and assessments more towards the end beginning of February, middle of february. If all goes well with those, um, we're hoping to do drop in 1 to 1 sessions, um, can like, quite frequently each day, um, either in the evenings or even during the actual day itself, dependent on our own flexibility. Um, that will either be a CBD drop in session that you want to do. So go through your CBD case and will critique and give you feedback and, uh, doesn't even have to be put it together. I I'm happy to kind of help you structure the actual case itself, if that's what you want to do. Um, so it'll more be what you want to go through. Um, or you can do, uh, 121 s k session. So we give you a station, will go through with you will be an examiner. Well, the patient in the case and then we'll also be your examiner as well. So very personalized feedback in this, um, this This is the tentative timetable for the time being, um, and we have covered 22 sessions so far. Um, we are gonna add to Friday sessions before December, uh, 11 to go or how to structure a CBD. Um, which would be useful after you watch the whole watch this session happening right now. Basically, um, and this Friday will also go through psych and recreational drugs and alcohol history. Um, yeah. Um, we'll have, uh Yeah, well, then hopefully go through s bars and acute stations and have to present, um, next week on Wednesday and yeah, and then there's Christmas break. Um, after that, we'll go, uh, interesting stuff, like data interpretation and pharmacology, uh, to be aware as well, because I'm sure you'll be watching this series. Um, my dad, uh, orthopedist, He's an orthopedic surgeon. He's agreed to do a session. Um, that will be going over. Um, uh, orthopedic X rays, basically, And how to interpret those and go through them. Um, still arranging it. I mean, I have reasonable contact with my dad, so hopefully I'll be able to get that sorted. But recently, he said he'd be happy to do that. So hopefully we can get a specific specialist in to do that session. Um, yeah. And then we'll have three weeks of break, and hopefully in that break, um, you get time to revise for your PT to, uh, and also for your market market ski, which would be the week after, so that that was the week I was mentioning about examinations because, uh, your fives will also be in Cardiff. Um, and that would be after your PT to before you're risky. Yeah. Oh, and yeah, um, if you just let us know later on, uh, If you need any more sessions or any more help, we'll we'll be happy to add more things depending on how much time we have. Um, and regarding CBD, um, as we mentioned last slide, uh, we're happy to have 1 to 1 sessions running parallel to the timetable. Uh, but I'll send you all a calendar and white. Um, so you can, uh you can basically enter your name on this loads. But this would be after Christmas. So, uh, to me now, So, uh, can you actually show them all prisma just to have them all? So this is a breakdown of really how the risk is work. Okay, so you have eight stations and then you have rest station after that. Ok? Sorry. After that, you can have your rest station at any point. It just really depends on luck. Where you're kind of in the chain of your station. Basically, um, they're broken up into two clinical examination stations to calm skills ones one into professional communication, one clinical pharmacology, one acute assessment, and one C B D station, the CBD stations, a new one that they've added recently, and that one's a bit more specific and we'll go into more details of that. So your clinical examination stations, it's a seven minute examination. You always will have one that is dedicated to either being a G. I rest cardio or, um, uh, neuro examination. And then the other examination station is a bit more luck of the draw what you get. So for mine, I had a card cardio exam. So one that you can predict and then the other one was a lower limb neurological exam that one was meant to be, the more off the cuff one after the examination, you then will summarize your findings, and they'll then ask you ask you questions about the care of the patient or the patient's case. You have to Communication skills stations. These are seven minute histories. You'll then present your findings. You're most likely interpret some data, so this can either be some blood results a e c. G recording an X ray that they'll give you, um, or if they're wanting to be a bit more unique, they might throw in something more specific, like an A B G result or something. But the principal is the same that you're interpret the data you'll follow a former and then, um uh, come up with your most reasonable conclusion for for it. And then you'll answer questions on the case or and also maybe the, uh, data that you interpreted as well. You have one inter professional communication station. So this is a four minute history. You'll then, uh, you won't normally summarize this to the Examiner. Examiner will often give you a summary of the patient's case, So this will either be them telling you what you found an examination. Some results that you you got after you do some investigations, they'll allow you to make some notes on a piece of paper. But quite often they'll also give you an OB chart as well. Um, sorry. Observation results. I'll correct myself that. Then you'll be asked to do an s part presentation over the phone to a particular colleague. Okay, Sometimes they'll tell you the colleague you're doing an s part to Sometimes they'll give you the choice of who you want to. Uh, give the s party almost always. If you're the F one, which you will be in cases or the fourth year medical student, you'll usually be giving the s bar to your senior Reg. So if you're in medicine, you'll be giving it to the medical Reg. If you're in surgery, you'll be giving it to your surgical Reg. If it's not those, then they'll probably be more specific. And they'll say, Give it to the consultant, gastroenterologist or the consultant cardiologist. Whoever it is, you'll you'll do it that way, and then you'll follow the S bar format. So set the situation. Set the background, the assessment and then what you're recommending. That's what Esports stands for. And then you'll answer some questions. Once you've got to the 11 minute mark on the case, you have a clinical pharmacology station as well. This is seven minute history, and this can be, uh, This can vary, but it will be something relating to medication. So it will even be like a med review history regarding the side effect that the patient might have got from a medication that they've recently started, or on um, or even explaining a new medication you're starting. You'll then summarize your findings and then answer questions. You have an acute assessment station. This is a four minute history. Examiner will then give you uh, findings. This is the one where they'll most likely give you a news chart. They'll ask you to give your differentials and how you're going to manage them. And this is the one where you're you're you're a bit more kind of going down your route of I'd like to take an eight hour we approach. I'd like to call for senior support all that jazz. Um, and at the end of this, you'll always be asked to perform a clinical procedure. And usually, if not, definitely they always like to stick to the basic ones. Very rarely have they ever gone for something rogue like show us catheterization or something. It's it's normally like Show us how you take capillary blood glucose readings or give an injection or something like that. Um, and then finally, you have your CBD station. So that's you're presenting, Uh, for seven minutes, you're presenting a case that you've come across that you, uh, prepared beforehand so you'll have an actual sheet in front of you that you've kind of written your your case up, and the Examiner will have that same sheet in front of them as well. So there'll be two copies. After you've done your presentation, they'll then ask you about three things. An investigation in your case, a management, a procedure in your case or a treatment that was given and something like an ethical dilemma relating to the case. And we'll go into that in more detail, and then we've kind of just given you a brief breakdown of when the alarms are in the actual lists. Case you get one when you're going in one at seven minutes. One at 11. 1 at 13 and 1 15 when you ended. So I'm sorry. Um, our bad just wanted to clarify. It's actually meant to be two acute stations and one calm skill station. Um, but yeah, I just wanted to clarify that, um, and one other thing was, uh, in terms of clinical skills, you 10, you will have to stations where you have clinical skills, and one of them, with one of them will definitely be a needle based clinic skills such as, um, injections or, um, blood glucose A B G, all of that. And the other one would be non needle based on, um, and the other thing we were mentioning we had a big discussion when we actually had the live session with, uh uh, You normally tend to have, uh, stations which are specialized, so that that would be obscene. Gynie Pete, psych and neuro slash of town. They always come up. Um, and those four would fit into either of these. Basically, it could be common skills. It could be acute Inter professional that those four topics will will definitely be tested. Yeah, cool. Uh, on to the next. So I've just put, like, a brief breakdown of what the examiners actually used to assess you. This is a breakdown of what is assessed on each station. You don't really need to be familiar with it, but it's basically just kind of stating what we've already said. Where where are they assessing your examination skills? Where are they assessing your communication skills and how many station is a dedicated to each domain? Um, that's not as relevant. The next sliders. Um, if you can move on this. Yeah. So this is exactly what the examiners will actually have in front of them. This is, uh, luckily for you. This is my actual feedback for, uh, my worst performing station on the day. So, um, this is kind of to give you an idea of what they'll be putting in the boxes and stuff so they'll have something for examiner feedback and then also something for the patient feedback. Um, they don't They don't really get the patient to fill on the feedback thing. If anything, they more kind of do it themselves. Um, at least that's what I've gathered. Um, but in effect, they'll note whether you have a safety alert. The most common reason people fail a station is because of a safety alert. Normally is, it just kind of stands out, and it does taint the overall consultation. Doesn't mean you can't pass a station if you got a safety alert, but it makes things a bit more difficult. Um, in terms of what they kind of right after is what you've done. Well, what could be improved? So feedback really going forward. And And that, to be fair, is your own kind of, uh, you know, clinical improvement. But it can also be useful if you know you ever go into the research format. But that won't be any of you. You'll be fine so you don't need to worry about that. Um, and then you have the actual things that they specifically basically pass. You're not on. So this is a This is why I wanted to show you this station in particular, This is my worst performing one. And I came out of it and didn't really know what I was doing for it. Um, it was a vaginal prolapse. I didn't really know. I I got I had a rough idea what was going on, but I'm not an X. As I said, I'm not an expert in gynecology, so it wasn't my forte. And, um, I kind of just some extent winged it. I got some anatomical diagram that I didn't know what I was looking at. Um, they asked me about management, and I suggested a couple of things that seem reasonable, but it was best hunch. Um, and yet I still still passed it. Yeah, so you don't need to be brilliant on the day. You don't need to be out of this world as, uh, you know, looking like the perfect clinician. You just need to be safe and reasonably proficient as literally. What they're stating is whether it's a pass for that particular domain or not, Um, because you can see what they're actually marking you want Most of it is based off how you presented yourself and how you formed a relationship with the patient. You can even see. Relationship is one. Nonverbal communication is one exploring patient's perspective. Verbal communication. Overall satisfaction with the interaction. The only one which actually assesses your actual ability was the provider is the providing structure there. So if you're nice on the day you're smiling, you're, you know, creating a conversation. You're asking kind of the patient's, you know, ideas, concerns, expectations, and you're addressing those. You're reassuring the right places. You're using nonverbal cues. You know you can't really go wrong. Um, so, yeah, on the right, I've basically just stated what the most common safety alerts were in our risky. So these were what they assessed because it's specific to our risky. There might be some which you're looking at, and it's like, How is that like That's very, very specific. It's because those were things very specific on the day that we're just safety alerts, Um, but it does still identify you know, those big ones that apply to any station and apply to most of the skis. Those being, you know, asking about allergies, asking about what they do for work. Uh, you know, you like your your technol performance and using the right kind of equipment for things missing, like, very important, uh, symptoms that you shouldn't. It's all those kind of things that you just want to to make sure, Um, just for kind of your own reassurance, you need to pass six out of the eight stations. So, you know, even if a stations got absolutely terrible, it doesn't make any difference. Because you've got, uh, seven other stations that you can pass and be absolutely final. So it's, you know, you go on the day you see how it is. If one goes absolutely terrible, that's one station. Forget about it. The exam is not going to go to any of the others and see how you do just, uh, white wash it from your mind in effect. So this is kind of a general advice for how to start practicing. So, uh, groups of three is particularly good, too. Is a bit more difficult. Four is a bit of a crowd. So three is a decent number. Um, I would suggest kind of practice just once a week, Get some consistency going. So find a group, set a particular day and just say for for an hour a day will do it over zoom or something. What is going to do? A Hislop a station and we'll all get one chance. So if you set an hour, it's 20 minutes for each of you, and you can get some good practice in that way. Um, common is common, for the risk is particularly for the clinical skills. So no, your common stuff, they're not gonna chuck in some von willebrand disease is a presentation for a station. It's going to be classic things like a classic heart attack coming and coming through the door or the more niche things don't really come up on the day because it wouldn't be fair to assess those because as an f one, you're not going to be managing those anyway. So that's why they'll assess you on the common things because those are things that you need to pick up on, um, and then a good resource just for, um, having particular actual, um uh, stations to use. I used the geeky medics. Risky website. It's just been open. Just been started last year. When when I was practicing. That's really good. It has example stations, both histories, uh, examinations and also interpretation. And, you know, there's a lot of interpretation stations on that. So, uh, you know, have absolute have have fun away with it. I mean, it's it's a brilliant resource. Um, yes, we are in no way being sponsored by them. Yeah, I should have said that we're not sponsored by any of these people. So, um, you not think I'm getting commissioned because of this, but, um, I was going to say you guys are actually more luckier than us because they're more companies starting more risky, risky stuff. Like I know Quest Med has a, uh, has it perfectly Yassky bit, but medicine has it. Um, yeah. There's a lot more resources for you guys out there compared to what we had last year, so yeah, just use it. Okay, so, um, these are two other books that, uh, as well as many of my of my colleagues used that we called the top one. The Rainbow Book. It's brilliant. Has loads of it histories that you can use for it. It is a bit pricey. So, you know, if you want to chip in with others, if you found that group of three, you know, split it between the three of you, it's it's what, 889 quid. Um, 99 quid. Um, so that's that's pretty reasonable, um, or even can buy a second hand One, Uh, probably not as many being sold at the moment. But, um, you could find one on Amazon, which is secondhand. So yeah. Uh, and then this other one called the Rosky. Uh, stop book. This was really good. This became my bible. I graffitied mine loads, then, um, so I would recommend it. But again, we're going to be giving you quite a lot of, uh, resources. All these, like, cheat sheets, if you will, which will cover a lot of the information in this, um, and we'll also be supplemented with, like, uh, extra kind of more more. Uh, nicotine. Uh, I guess I don't want to do our own home, but just good detail in it. Really? Um, and what you will need to know for the day. Um and things that we've kind of learned over the experience, so you can definitely go out and get it if you want. Um, but again will also supply supply you with good resources to use as well for that. Unfortunately, I can't generate uh, an exhaustive list of histories like the Rainbow Book can so that I'm a bit more stumped on, uh, but anyway, most importantly, what we were going to say is year four, there's a lot going on SK sk does seem quite important, but please make sure that you look after yourself because, um, yeah, mental health is quite important. And, um, please eat, sleep, exercise and just stay calm. You guys are already looking into revising, preparing for risky now, and it's. And if November started December, you guys are like, literally you. If you start now, you're fine. Just make sure you go organized and just don't crampy at the end. But otherwise you'll be fine. Uh, but at the end of the day, please look after yourself. And also look after other people as well. And your friends and, um, we were saying How if you guys want someone to talk to or have any more questions or need SK help Feel free to message one of us on Facebook, And, uh, I have no one messaging me because I'm quite lonesome. So, uh, if you want to drop me a message, I'll see it straight away. I haven't got many messages to read through. Yeah, I play that violin music in the background. Yeah. Uh, yes. Uh, we will. We will be giving the presentation from today as well, so we'll send that out to you. Um, but we'll also put the recording up for you all to see as well. I think I've emailed everyone the slides that if you haven't just emailed me. But I'm pretty sure I e mailed this like because we have two of you here. Is it possible If you could just check to make sure you have received that presentation? Um if not, then let us men. Uh, one did. You did. Even if you have any questions from stuff that we've gone over just now or any other general questions, Yeah. So the one from today have you not received that? Oh, no, we'll send it. We'll send the one from today. We send the one from last in commerce. Okay, so, no, I thought Wissmann was saying the one today. Yeah, we will send that later. Yeah, sorry. I'm mixing the two up. Um, right. Um, the 2nd 2nd part of the session was CBD station. Um, the main thing is that your you need to find the case from your placement and, uh, make notes of it. And then the idea is that you present there on one of the stations on your actual escape. Um, what we were going to say is, you are actually expected to find two cases because you can't reuse the same one as your uni Mycoskie um, station. So, um, just make sure you find to patient's, um, leave the better one to the end. But Roland will tell you why in a bit. Um, and the main thing is that you cannot use the you cannot use a patient case that you have submitted on. Turn it in, for example, patient pathway or oncology project. But you can use your s a lease. And I think a lot of people end up using long cases from your year for replacement. Um, my personal opinion is about regarding finding the best case. Um, use something from year four, then year three, Partially. Because, um I think by the time you're on, you're now in year four. You probably know a bit better in terms of medicine. And you know what you're looking for as well. So that's just a personal opinion. The the main main key key things to remember with CBD cases, find one that's interesting for you. Um, so I'm quite interested in neurology and neurosurgery, and I managed to find the case that was very much linked to neuro, so that that would basically keep you going and make sure that you are interested in reading around the topic. Um, so find an interesting case for you, Uh, find the case that you either you have been involved in or no? Well, enough about the patient. You You don't have to be with the patient the whole time, but just make sure you know enough details about the patient. Um, and the main other three things are find a case where you have enough in your differential list, as in Yeah. Just make sure you have a wide range of differentials. I mean, by wide range. I mean, like, three main differentials, but not, like just one differential. Um, and the main two things are find something that has a good investigation, um, list as well and management list and some and something where you have something to talk about in terms of ethics or psychosocial concepts. In my opinion, in my personal opinion, uh, psych is a good placement block to find patient's where you have a good ethical psychosocial concept. However, I don't think it's the best in terms of detailed investigation because, um, unless it's about eating disorders, I think a lot of psych patient's don't tend to have much investigations. Um, much organic investigation. So, um, I would personally stay away from psych, but if you can find a good patient, go for it. Um, where do you have investigation? My personal, um, preference would normally be obs and tiny or pediatrics, partially because you have a lot of or even geriatrics, actually, because you will have a lot of investigations management that's not not an issue. And then, in terms of ethics or psychosocial, there's so so much in terms of safeguarding or, um, consent. Um, family, relatives all of that. So there are I I personally think those three topics are Those three placement blocks are good places to find cases for CBT. But just let let us know if you need any help with your CBD anyway, so we'll probably do you want to what we'll put. In fact, if we're doing the 1 to 1 sessions, I guarantee I'll probably see each individual one, including Wisma as well. So we'll be giving you the go ahead. Um, obviously very dependent on things going all right for ourselves, but, um, we haven't had a bump in the road yet, so hopefully we'll start seeing seeing them come February time one was injection. I'm not familiar with me. Do you want to take this one? Uh, sorry. I'm just gonna read the question. So it's on the recording. Um, earlier you mentioned that their skills are always one injection. What was the other one? You said, um, it's just one needle based and one non needle based, um, for example, catheter. You don't need an eagle. So that would be the other. Um, what else? E c g? Yeah. Setting up an E c g um, CPR. um, any other clinical skills that doesn't involve sharps would be one station, and then clinical skills, annual sharps or needles would be the other. I don't know if that makes sense. I think that makes yeah. Um, this slide was literally just there to say everything's on the handbook because, uh, literally screenshot of the handbook for CBT We we put it up just so you're aware. But to be honest, Christmas done quite a good job of, uh, basically going over, um, that the only important thing is when you're putting together your actual CBD something to, uh, state. And, you know, I I would say, try and tailor it to what they are looking for in the CBD. If you haven't been involved that specifically in the patient's care, Um, that that might not be the case. You might actually have. You know, um, participate in something. It just needs to be some point in which you were present, at least. Who? Uh, so this is, um, just an example. This is my own CBD case. Um, it has to be done. A Microsoft word document. It's basically an a four sheet that you and the Examiner will get a copy of this. Um, the best way is to use up obviously all the space, and you can use a box format making it easy for the Examiner to to read and work through as you're presenting it is key. Um, and it's basically the same as how you would present a case really on placement presenting complaint and, you know, your your whole history kind of how you would take it anyway. And then what? You found what you would find on examination what you did find on examination and then, um, investigations, investigations and management and what came up on those and then a different diagnosis. Now for mine, mine was a pre eclampsia case. Um, this, uh, was a case that, um, was quite interesting because it sort of developed, uh, it became it became a case which basically demonstrated the use of a particular investigation being done. Um, and also had a very interesting kind of development later down the line. So going back to the whole, the examiner will ask you questions on three specific, like subcategories. One is your, um, investigation. So in, for instance, in this case, there was a blood test that was done for this patient. And wording is quite key when you're putting together your whole kind of case, and it's very important and directing the examiner to what you kind of want them to ask you about. So if you look in the investigations and management box, there's the statement, which we seven percentile growth factor level, which is a new blood test. And the wording is hints at something which is a new blood test for preeclampsia was less than 12. This is considered very low and indicative of high risk of developing dash having preeclampsia. Okay, they'll often ask, Why why did this actually inform the patient's care? And this was this was a really good way of demonstrating it, because in this case, the patient had already actually been diagnosed with preeclampsia because you can diagnose it based off a BP level and a protein level so you don't need the PRGF. But the reason why it's done, or why it was so good in this case is because if they hadn't had it done, and this is where you kind of develop a good way of, uh, answering the questions whenever you, uh, answering question. You should always have a guideline to support it. So have one on the back of your mind. If the if they followed guidelines based off the BP and the protein, she would have been able to go home and just kind of been safe, given safety netting advice and possibly seen in a week or two. Because the P L G. F was very low. It meant that she had to be admitted and monitored. And this was incredibly important because this is where I stayed in the box underneath 24 hours Post management. She developed a very, very severe complication of preeclampsia called help syndrome. So she needed immediate c section emergency. Um, you know, it was it was changed very quickly. Um, this is where I kind of say something, which kind of is for your own owners only when you're putting together your, uh, you know, case just because you need to tailor it in a way which helps you on the day. And, you know, this is your own patient. So if something needs to be worded in a particular way, or adjust in a particular way, that allows you to answer to, kind of answer the question and give you a bit early way when you're answering it, then adjust it to what it needs to to to be if if you see what I mean. Um, so that's that was the investigation in this case, the management was, um, a bit, uh it kind of varied. The person could have even asked me about the BP medication in the investigations and management box. Or they could have asked me about the magnesium sulfate in the 24 hours post management box. They asked me about the magnesium sulfate and again I had a guideline for the magnesium sulfate. Why that was given. And I also had a guideline for the labetalol on. And don't be afraid. If you're finding that all your guidelines are from nice or your guidelines are from, um, Royal College of Gynecology. That's fine. Just have something which you can say work up to College of gynecology says if person, if the person is going to go into labor in 24 hours, they need magnesium sulfate. Why it protects the baby from getting, uh, newly developmental problems. That's brilliant. It supports they're manage, it supports the management. It shows you understand the logic, and it shows you an evidence based or you're thinking about evidence based medicine. That's what the CBD is trying to get at with those guideline cases. And then the final thing that they'll ask you about is some kind of ethical dilemma. In this case, the woman was a smoker during her pregnancy. Why was this, uh, so kind of important? Or because she developed preeclampsia and a massive complication in the because of the pre clumps? Yeah, smoking being a massive risk factor in pregnancy, it's obviously very bad. And it allowed the Examiner to basically ask me about smoking and what we can do, um, to support mothers. But also what are the obviously the disadvantages of doing it during pregnancy? But what are the difficulties you can face? It's more discussion about some kind of ethical element that you can sort of sink sink your teeth into, and with the ethical dilemma rather than it being a guidelines that support guideline that supports something instead, what they look for is something called an ethical framework. Okay, and you could I literally, when I was doing my search. I just put in smoking during pregnancy ethical framework. And, um, I came across this really good one. It was the first one that came up. It was kind of like a study, but it, uh, it was just a very eye opening framework kind of thing. And it talked about the whole pillars of the four pillars of ethics and medicine. Um, and it allows you to kind of talk in great detail to the Examiner. The most important thing I can state for the C B D K cases. You'll have your seven minutes to present. I actually had a script that I learnt. So it was fluid. I wasn't reading off the piece of paper. I used it if I needed to remind myself of something. But I had a script in my head and it allowed it to flow, and it meant that it was fluid. It looked like I was confident, and I knew what I was saying. And it it kind of sets the tone right off the bat. If you're speaking clearly and you look confident and that you know your case, then I mean, the examine listens to like 100 of these in the day so they could drift off. And if you're sounding like you know your stuff, they're going to be like this person. Yeah, they've They've passed the station, so it's an easy one to pass and get right. It just means prepare it. You know, uh, prepare it in advance. Be confident how prepare beforehand. Because it's the easiest one to pass on the day if you prepared. So this is where I stay is you know, you can guide the, uh, station how you want to in some respects. So investigation, You know, the wording for that was quite important. And what do you know? The Examiner picks up on it, and they want to know about that investigation. The management they asked me about magnesium sulfate. They only had two. Really? That they could say, Why did they do this? Or why did they do that one they discussed about magnesium sulfate and then the ethics one smoking during pregnancy. I mean, it stood out like a sore thumb. So these are the actual questions that the examiner gets given on the day. Um, you'll you'll have these slides. So you're You have them Word word for beta, but they'll literally be told, Say, with respect to investigation, why was this testament taken in this? Or if you don't have a case that has investigations done the last? Why not? I wouldn't recommend this tax because that's a bit more of a difficult one to approach or justify. Um, but if you have a case like that, then fair enough. Um, and then this is where the guideline bit is important. So how did it inform their care? Is the next question. So, yes, they may have done it because they came in with abdominal pain. But how, like, how did it actually inform the care? Um, and having a guideline is good to to support that. This is the management questions. So regarding patient management, what are the risks and benefits? Um, so the magnesium sulfate one. That one was quite easy because I could go into risks and benefits for mum risks and benefits for for baby. Um, so if it's a medication, you know that your big better risks are going to be the side effects or even the complications. The benefits are going to be what it's treating um and then they will literally verbatim ask for some guidelines to support it. And then the ethics one, they'll ask you about issues. So this is kind of a Broadway of them saying, uh, is it an ethical problem? Is there a social scientist you issue and you should have a case that has something that you can, you know, sink your teeth into, um And then having an ethical framework or guideline for this is good as well. So my own personal advice would be find a case relatively early. I mean, I'm saying it's very early days now, but find a case in, um, full time. Don't use the best your best case for the Markis key. Okay, If you find a really good case and you've got nothing for the most risky, then my advice would literally be find a random SLE that you did, uh, this year that has nothing, really, in terms of an ethical thing or whatever hot spot quickly put together some case, don't spend much time on it. I'll lose any sleep. And if you get it as a station on the day literally counter as a station, that's a knock off that. You know, you're just going to disregard because, you know, you don't want to use a good case for the mock because it's wasted. You know, it's the only station that you can prepare an advance. And if you have a good case, then why waste it for something that you can't use it again for? Um, yeah. And I was just gonna say, uh, practice, practice, practice. And if you can Yeah. I mean, obviously you guys can practice with us, Uh, practice with your friends and but also practice with any doctors you can find. Um, I eat in the wards. Um, my my own personal example. I literally went up to the pediatric consultant on the ward. Asked him if I can present his patient because I was his patient, and then we just sat down and went through the whole CBD. Um, just literally just go up to the ward, find a doctor, tell them that you have the station where you have to present a patient for your risky, and I'm sure they will help you out. Um, yeah. Um, and as I said, find patient on the ward. Um, what I would actually recommend you do right now would be write down any of the patient's that potentially could be interesting. And then just before your placement block ends, just go over the investigations or, um, find any more details because you will then have an idea of whether there is any patient you can actually use. But I used to have a little book for a placement where I used to write down any cool, cool cases I used to find. Yes. Any other advice, Rona? No, I think that's, uh I think that's good. Yeah. Uh, that was the end. Um, yeah. If you have any questions, Um, just let us know. Cool. Um, yeah. You guys have our emails. So, um, just message is if you can, uh, feedback Good. Yeah, they did.