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you are suing for MRI. Welcome to our first metal hybrids, IBM. See that we have amazing group off colleagues in the studio in Belfast. On we've got 100 something people joining online from wherever you are on each and every one of you is sue warmly. Welcome. I'm Phil Michael Day. I'm finder off metal. I'm medic by training on our mission is to help make great health care training possible for every health care professional everywhere. We're really honored that you've joined us this evening. You're able to join in the conversation while you're in the room or whether you're at home. There are cure codes on the seats. For those of you are in the studio, there are is restart box on the right hand side beside me on on the screen for those of you who are joining from home. And both of your questions comments that while you're in the room or at home will be in that chap books, you can see what the folks at home are saying that for those of you in the room, you can see at what the folks and the rumor saying for those of you at home. I I love the conversations that people who have been having on posters already on, but we're gonna have a little bit of time later on for you to continue. Teo, pitch your poster to other delegates. I gotta hand over to someone who has bean helping us metal. Since we really did our first virtual conference way back in May 2020 on do a medical student called Aqua. See if she has been passionately pursuing our mission alongside us, which is making great health care training more accessible. I was going to be at your host a certainly for the first half of the evening on good hand it over to talk when I thanks for joining us on. Enjoy the evening. Uh, hi. I am Aqua and my God, that was such a wonderful introduction. But I'm honored. Teo, introduce our first speaker tonight. Doctor Julio Male, who was joining us all the way from Madrid, and his topic is going to be the future. Oh, off social media in medical education. He is a general and colorectal surgeon, and he's currently working as chief medical and innovation officer at Hospital Clinical San Carlos in Madrid hope you enjoy. Please join us in the chart as well. Um, thank you very much for the introduction. Is Warner a privilege to be here with you and first? Well, I would like to apologize for my English. It is not as good as I would like it to me, but I would try Thio and you hear me? Okay. No, it's better. Um, I would like to show some ideas about the future of social media in medical education. In my discussions on discovery of the beach Yes, society in the media and innovation senator of of surgery, I would like to speak about the sociological basis of social media, social media and learning and the limitations, some of limitations and next steps. Um, you know, it's a take advantage of social media for medical education. First of all, I would like Teo set with you this idea this of sentence, um, by my mentor, Jeff Matthews says that, uh, surgical practice, it seems, mixes truth with to thinness what is true and what we want to be true in unknown proportions and how we access that knowledge and how we learned and then practice surgery This is kind of a mystery. And, uh, uh, it is possible because a suspicious humans can do something that no other spaces can do. We are able Teo, incorporate large scale, flexible corporation into our social interactions. We are able to tell stories that makes us work better. Ah, in social groups and learning is also accelerated. If we do that, compared to other spaces like chimpanzees or or beers, chimpanzees can cooperate very flexibly, but not at launches. Scale and B's can cooperate a larger scale, but not very flexibly. And that's because we are able to communicate. And communication is the process of starting information, especially when this increases understanding between people or groups. So communication is essential if we want to improve and accelerate learning and training. And that's how three pictures show how it used to be off course. He was social learning. It was, uh, surgical in and saw. A good occasion was social. Um, we see one, we do one with each one. Um, but this is not efficient, and this is not affordable. Nowadays. We need to improve this methodology. Of course. Uh, we advanced with some technology. Like the scientific publication. We were able Teo, let's keep borders on limited or limits and we were able Teo share knowledge at a larger scale. However, there are several barriers, and the Bob primary barrier is our prime it brain. Uh, problem number. The British anthropologist described the number's number, which is the point being joined. Members of any social group lose their ability to function effectively effectively in social relationships, and that number is 150. Be John. That is very difficult for us to communicate effectively and to take advantage of the social interactions. And there are more barriers when we try to share information and to gain knowledge, geographical distance, time differences and time that we need to invest, learn income, high income countries have more opportunities or surgeons, and training is in. Our high income countries have more opportunities that does in a, um, low medium income countries. Culture language, if you don't speak English is more difficult. And of course, now we can see that endemic so are also important barrier when we want to share knowledge. But there's some technology. Teo tackle that complexity and, uh to a boy barriers, and here's a potential solution. Social media and what is social media? It's a conversational distributed mode of content, generation, dissemination and communication among communities in order to, um, facility in order to enable large scale flexible cooperation. And that's how we learn Foster and better off course. This is the size of our social networks of our online social networks is related and associated with our brain, a structure he has been shown that all life social networks size is correlated with the density of great motor in your amygdala. So So there's some, um, atomical correlation between, um online social networks, size and, um, and brain structure. But social media cannot overcome uh, the limitation of our prime it brain social media is necessary, but not enough to geun rubbing. Dember, uh, showed that, um, there's also a limit. You said 22 different groups. He showed that the UK that our brain candles function effectively with over 150 connections, notes people we interact with, you know that you'll become that primary barrier we need to work differently. We need to create global systems because at a ninja visual level, we cannot change our brain structure. Although it is related to um, all right. So she'll never size a did individual level. We will not be able to overcome back limitation. We need to cooperate. We need to build this global equal systems on. In order to do that for any other information processing system, we need more connections, more diversity, more than city of connections and off course free flow or five years within the social network. And, um, the opportunity for so me for social media in order to advance medical education is through it's used for, uh, scientific publications. Many did detailed journals now have ah, social media account where they share and information. They share knowledge, and they also interact with others in order to improve into fine tune ideas. Virtual millions Like this hybrid system today, Beach is a learning environments in serious games. Enough's how that's the following question. Rebecca Grass man And describe this in the B. M G innovations describe the social media problem, the framework that works in order to activate, uh, social media for learning. And this is to, um, connection for elements connection, contagion, feedback, an impact. The creation of her cohesive online surgical community may alot of flattened Cherokee with increased engagement between surgeons, all the healthcare professionals, researchers and patients. That's what she concluded. And we can take advantage of this in order to transform medical education through connections in conversations that now we can identify, we can investigate and we can enhanced. It has been shown that during the pandemic, surgeons have become more engaged, um, social media in our actively participating in global conversations in order to improve our knowledge dissemination and education. However, there are many things that we don't know already. Um, we know that, um leaking that liking and return it in It's important, but we need to understand Prowling Ristic, digital afford Is this in social media? If we want to take advantage of the, uh, the technology and the social interactions Sorry, Um, because our behavior on social media is related to, uh, a reward learning mechanism. Our brain interacts with rewards with likes and retweets with obviously with appreciation, buy orders in order to accelerate learning and to improve learning process is. And that's why Social Media has become the biggest research conference in the world. And students, trainees, insurgents should take advantage of this. Um, it can help us to acquire explicit knowledge. Explicit knowledge is the knowledge that can be God if I did, but also to enhance personal research for nous and to develop skills. And I will show you some examples Interpersonal skills, competitive skills in cycle, motor skills up. First of all, we can use YouTube videos. Uh, two, um, learned Although there are some questions about the ability and and we need to develop some kind of post publication peer review on social media Teo, be able to correct it constant into, uh, use the best available, Um uh, media, in order to improve learning and education at the same time, we have to take advantage of this. So so many of these social media proud. I'm, um because we need to, uh, to develop cognitive training. It has been sold with top certain about surgery that it can be very useful for cognitive training assessment of laparoscopic cholecystectomy back. It's not only the ab we need to, um uh, and has the social interactions, the social aspects of learning if we want to improve. Um, the process is in addition to that, there are other tools to, uh, uh, accelerate the acquisition of psycho motor skills. For example, this AB from the Royals Relation College of Surgeons. We can turn this into a serious game that promotes the acquisition of some skills in order to improve laparoscopic surgery. And, of course, there are some challenges, like fake news echo chambers. But remember, uh, surgical training has been an echo chamber for many centuries. There's another challenge. Social Media for Dig. When I ran this poor on Twitter, I asked. Social media fatigue is defined as a Caesar standin see to back away from social media participation when she or he becomes overwhelmed with information. We live in a. T. M I r World. Too much information. Are you experiencing social media fatigue? And, uh, 48.6% uh, suggest so. We need to be aware of this, and we have to be aware of ah, need for the preservation of soluble professionalism in social media. Um, we have to avoid been judgmental. We need to be, um, more collaborative and try to understand people in order to make the most out of it. What's next? That's, ah, important question. We need to merge two different problems in two different environments. The social media environment in the academic publishing environment. If you look at this, uh, of this grabs, you can see that basically, the social media paradigm and the academic publishing part of my protime are closely related and sometimes overlap. We need to merge both of them to take advantage of the opportunities course there challenges about the opportunities of merging the whole academic publishers part time with social media protime Teo Improve into advanced medical education There are many opportunities for AH post publication review in four new infrastructures for research and education based on social media research techniques such as sentiment analysis, constant based trend analysis, new metrics and, most importantly, data for advanced analytics, data mining process mining, an artificial intelligence, natural language processing machine learning and did learning. This is an example of how graph analysis can be used. Teo Link Physicians to medical research in order to, um, take advantage of, uh, uh, knowledge and information search on social media. Um, just to finish my presentation, I would like to remind you that communication and relationship building has always been a part of the human condition. As David Margolin said, with each technologic advanced information can be disseminated foster easier and sometimes even better. But we need to be aware of the, uh, too much information, Uh, problem that we're facing right now. We need to do that to better form. I'm careful, patients. It is important to embrace this advance. It advances. Bet it is also important to embrace this advances to improve into, um uh, more, uh, to avoid inequities in medical education. I would like to acknowledge all this Ah, global legal system of people connecting through different aspects in order to build a community that is focused on making surgery better and safer on a global scale. Thank you very much. Wow, that was amazing. If you have any questions, please put them in the chat. But now I would like to introduce our next speaker, Doctor Helen Souls Free, Who is a columnist on an honorary senior clinical lecturer in communication skills at Oxford. Her discussion is going to be on the patient perspective in medical education. I hope you enjoy. Hello. Uh, I think that's me. My turn to start now and say Sorry. Only just got some sound on high. My name's Helen. Salt free on dime a GP in oxygen in the UK Um, Andi, I was for quite a long time the lead for communication skills teaching for our medical students on. Also, I was in charge off a joint. The judge of the patient in public involvement program for our medical school. Um, that's what I want to talk about to you today. A little about patient involvement in medical education. I've just got a few slights. Um, and then I'll tell them off for just talking to people. Um okay, so, uh, I'm just gonna share my screen. If I can work out how to do that, just bear with me one second. You we go. So patient moment in medical education. Um, well, the first question is, why wipe over? It's a relatively recent thing that we're trying to do. This adult involve patients? Uh, there's also sort of very good reasons for doing this, which I will come to. But one of the first reasons for why bother was because we were told we have to s o in 2000 and nine. The General Medical Council, in a document called I'm trying to get my, um, my slice move on and I don't want to move on. So just bear with me. No. In a, um, a supplement to redocument called tomorrow's doctors started asking us to involve patients in the public in all parts Earth undergraduate medical education. Um, on. They wanted us not just to think about patients as teachers, and that's mostly going on talk about today. But patients in all sorts of areas off medical education. So actually deciding what it is that medical students need to learn so some correct from setting, actually having a say in which people would choose to train those doctors. It's a big decision. You know who's gonna be suitable until Hatcher having patients on the interview panels when when students get admitted? Uh, also a very big growth for patients in teaching students. And I'm going to talk a little bit more about that on D in. Under making assessments know, have do the students hands the required level of skills to proceed. Next day, you'll qualify completely on patients. Fall soon, have a role in governance of the whole institutions that training medical just actually seat up the top table to to work out how medical school should best run. Um, when this set first of I, there was a little bit of a positive then the skepticism. Some educators on basically a bit of a power struggle. Really. Possibly some duck in this. This the thing which might have seen Ah, on various right earns And basically doctor really feeling saying to the patient, Don't confuse your Google search with my six years of medical studies. So it's a patient. Very, um, sensibly replies. Don't confuse your one hour lecture you once had in medical school in my condition, with my 20 years of living with living with it, really showing that that actually, patients are the experts in in their condition. Um, so if you are going to be work with patients on, they were going to your balls in the teaching in your institution. What sort of things? What sort of ways might they be involved was quite a have academic literature on this. This this next time is taken from work of something called Angela Towel, who's a Canadian, and she can't go through different levels at which people patients might be involved on. There is a sense in which you could say, well, patients have always involved. I mean, even if you doing pathology and looking down a microscope slide, there's a patient involved in this somewhere. But in terms of actually live patients being involved in the in the teaching, you could go from a bit where they're just a story, uh, through to whether I given assigned Rolls to maybe another step for on where the patient talks about, um, his or her own experience within a defined, um, part of the curriculum that on the back of his decided what they will talk about. And then you can move on to parts where patients and teachers are actually in full in. In the deciding what teaching years and evaluating students, you go through these various levels with curriculum where you get to patients being equal partners on be teaching. Um, I think I mean, we we need to have some. None of these is intrinsically better than another on, you know, um, it don't matter. We will inevitably have a lot these different things. Well, we left. We have the lower ones. That question is time. We moved to some of the higher ones. That's well, some some of those ways where patients can really add, Uh, I think it's worth starting to think about in what ways, um, papers that what sort of teaching we're talking about. So I'm going to start showing my screen now because I ran out of slides and they weren't very interesting anyway, So let's stop doing that. Just look at me. So when I when I was in medical school, most of the teaching was on an apprenticeship model. So you kind of high around and you joined a team on Did you hope? But being there, you would learn enough to pick up enough. And if you're really lucky, then you would find some willing doctor take it to a patient on day, show you what he did to learn the patients themselves, a passive in all of this. And if you wanted to learn cardiology, you really, really hope some some kind doctor would take you to see the patient. You have the murmur that you needed to listen to, uh, and you would ask the patient very nicely and you could see on my face that you were the 18th patient student that day that had asked, um, but nevertheless, you did get a tear. Hear it? Um, and things have changed quite a lot. I think there's a change. Partners, because patients are in hospital very much less time they used to be impacting stays are are much, much shorter on. Therefore, it's very possible that students just won't get a chance to hear and see on talk to all the patients they want that they need to, um, I think we can also just do it better. So instead of doing lots of old rounds and get some clinics and hoping that you will, that students will eventually have gathered all the information they need, why not from a clinic to start with where you invite, you are teaching session where you invite patients with a range of different conditions who are stable on you. Give them some training on. Then they, um, help teach the students they tell the story of their symptoms. They help the students learn how to examine them properly very rapidly. Get to say no. You need to put the stethoscope here, nor there on. Do you want to listen to my lungs basis as well on the stoop that the patients become teachers on work collaboratively with you. Um, there are lots of other ways you couldn't you couldn't do. This is well, you can have some. Sometimes we have. We have patients coming to work shops with us, where they talk about their own experience, this question of things in medicine that if you're a junior, it's difficult to work. How do you ask those questions? You really want a bit of help and actually having somebody with a condition who's very happy to sit and talk with you and answer questions on There's a student. You get some of those questions wrong, and that's fine. And they'll explain to you why. What languages is more acceptable of the lovely patient that I worked with? Who, UH, AST Parkinson's and 11 of these sessions with the medical students on? I remember talking about how do you ask about whether somebody suffers from excessive celebration with Parkinson's? Actually, that's not a great question. Do you have excessive celebration that say, Do you dribble a lot? That's also not great. So she would have teach them t o ask patients about whether they woke up in the morning with a very wet pillow which is a very much nicer way of talking about things on we have. We have some patient lead workshops. We have a neurology. Ones will have some in women's health with subjects like menorrhagia on pregnancy loss, UH, which can be difficult talk subjects to talk about that the students get a chance to talk with patients who, ah Prejean willing to talk about that some length and to answer questions and to give students a bit of guidance. I'm I think the there was. There's more than one quickly. So I strongly believe that the students can learn more from patients and then from doctor. They could build a lot from other doctors, but they aren't other things from patients. So there's a really good factual information they learn on. They learn how, Oh, ask questions of patients on all of that is really, really useful. There's another better curriculum, too, though, which is about the relationship between students on patient on their four future doctor and patient. And there's something about having the patient in the teaching role to start with, which subtly alters that eventually relationship. And I think, also is it towards something more collaborative In the end, least that is, that is the A when, when students have started to value patients as people from whom they learn things rather than, um, merely the substrate of their learning, which is a phrase I have heard being used. Um, I I think I also just quickly like to talk about the role of of patients in assessment, because I think that's a very fundamental question that we should always ask is about what makes a good enough doctor on who gets to make that decision. Who decides what is good enough? Um, clearly unique conditions do existent to There's no for lots of technical stuff that needs to be judged when you're trying to side. Has the student met that standard? Do they know enough? Do they reach the right conclusion is all sorts of things that actually the patients may probably not be able to judge, But then again, there are some things that are also really important that maybe the patient is the best judge off, which is what it felt like to be in the patient's shoes in the in a clinical examination. Sometimes that's just the verbal that if the patient says that I found the manner of that candidate really be patronizing, or I know they have not to inflation. But actually, the way they spoke, I didn't understand what they were saying. Didn't work. A communication may That's really important. I'm very fundamental thing. But the Examiner can't tell is what did it feel like to be examined by that candidate? That is a purely subjective thing, but surely must be important. You know, in our institution, we we've made huge strides with this. I'm actually for Well, we were able to you have our gynecological examination skills actually examined by trained lay women who were worked who were assesses. They taught student skills on the assess their skills. And actually, who could tell you whether a gynecologic examination is skilled? It's the person receiving it. So that was a really interesting A project. I did. I didn't think it would ever work. I didn't think he could do it all, but it did. Um, I think the other thing that we've done more recently during Kobrick lock down our students were really deprived off critical contact because the hospitals weren't allowing anybody in. That wasn't 100% necessary immediate care. So we set up some zoom interview. Some remote interviews with our, um with us are with willing patients on's students so that they make these are very junior students just to give them a chance to practice their history, taking skills, practice, talking to patients and also here that's a little bit longer length sometimes did in the hospital, the whole patient story, Um, on some of them found that really wouldn't helpful. I think, um, we still look quite a long way. Todo and I think there were many medical schools that her head of us, um on the patient in involvement to do it well, you you need a lot of good organization because it doesn't just happen by my magic. You need to recruit patients. You need to train them. You need to support thumb. You need to pay them, definitely need to pay them. They'll be doing the job of work and teaching with There were different roles and different worlds, mainly different levels of payment. You need some sort of structure to say this is how we're going to do with it to do it. But we feel that working with our patients. A Z partners are the training. Cross Street has definitely improved, and they've learned not just about the disease, but about how that disease has affected patients. And that, I think, improves the knowledge would also improves their empathy and makes them better doctors in Thank you very much. Hi, Doctor Salisbury. We've got a couple of questions that have come in. You're in the chat time on, but we've got time for one question, if that's okay. Our way. Okay, so I think one at random. What patient lead groups exist who seek to organize, have on have involvement in patient or healthcare education. Oh, that's a really interesting question. Um, I think there are. There are some There's a There's a very good group called the Lift Experience Network, which particularly looks after what's with I think, the patient with disabilities. And they could be a really, really good resource for helping but for coming and talking with students and sharing their experience outside the actual clinic to just talk to students. But what it's like, what their what their experience is like. Okay, there are tons and tons of questions. So if you can join in the chat and try to answer them as well. Okay. Thank you so much. Yeah, Thank you. Now I'm going to introduce our Thank you so much, Doctor. I'm going to induce our next speaker. Um, our next speaker is the wonderful doctor, Rafael Rusman. He's a surgeon, an innovator. He's exploring the tech on medicine and looking at digital health for more humane healthcare. He's gonna be talking to us about the future off surgical and medical education. Please do interact with us in the chance and also fire questions away, cause I think we'll have time for a couple of questions as well. I hope you're enjoying the day. Um, please. Hopefully a doctor Salisbury also will engage with us in the chest. Thank you so much. Well, a hello. I hope that you can hear me and, uh, see me well, and I see my background somewhat. Hum, I'm sorry. It is everyone seeing okay? And can you give me okay? Yes. Okay. And you see the background. Okay. Okay. Sorry about that. A Well, man, it was rough goes fine. And I'm a surgeon full times, and I have a passion for using technology in a smart way to improve what we do in healthcare as we, uh, talk about healthcare, we need to remind ourselves that we do six care that we really do help care Too late. And there are many reasons for that. And one of the reasons is that we're not using the technology that we have a mail in order to improve too, um, and enhance health. These are the tools in the background that we're using today in healthcare a zoo. See the be our controller there. You know, it's not really a gimmick. It's not really something that is a somewhat a a experimental. We have come far and things are becoming. Really, if you look at the vices like like this, right, the first issue itself not smart from itself. It could take a 30 phone numbers in the memory. A martyr. Cooper was inventor of this a wonderful device in the seventies, and we have gone far two devices like the super computer that we all carry in our pockets. You know, you can see in just a few years ago, we finally came a life with a life streaming off video, right with facetime and that changed in a way, the way we connect and way we communicate and, you know, from FaceTime resume too many other things. A now into a pandemic, right? The disruptive a global problem to make us engaged with technologies that we had already in our hands for a number of years in order to connect and to communicate. If you remember devices like the a Google card right, which is a device invented for play but has become a device to really engage us in education and way we have seen doing the banana a terrible the reports of burn out in the difficulties community if called disconnecting difficulties learning difficult. This teaching. And all of those are the tools that we had available a some years ago. We started using them, you know, um, or more intelligent in a smarter if you see a more than our operating room or operating theater. Because in the UK, with all this incredible machines that technologies to do six care in a way, and we have to re imagine right how we do medicine and how we train the next generation off providers, they remember that by the time you finish medical school residency or your training, you're gonna be already a behind devices that you using your daily lives, right? Like like a smart watch. Try like an apple watch your Fitbit or on, or a rain or or Haywood device. All those, uh, vices are becoming tools off care told off medicine. If you think over the over still viable hng machines essentially machines and you see a device like that one like like like like the cardio device that I showed in there that can give you a six lead EKG. And then you see how the things are becoming more and more common, but we're not integrating stool into the medical school curriculum on that is a somewhat a a problem. I am into a revolution for the medical school curricula, a revolution on how we teach our next generation of providers it use those stools that they use in their daily lives in order to improve a care in order to improve the medicine surgery and any other specialties A out there a You you know, you've heard of artificial intelligence and it's in the mouth every talking about a I, uh, griffins and machine learning algorithms and natural language processing algorithms on all of that is becoming today a reality, a reality. So behind the scenes I've been talking about this things and me and many of my colleagues as well. We're into exponential technologies. How we're talking about this technology is becoming now it tools that are really helping us a make medical decisions on improve the patient's outcomes on We are not there yet with artificial intelligence, but we're getting very, very close because the algorithms are becoming much, much better, much, much faster and really, really helpful in In in medicine A If you are trainees. And if you think of the operating room and how you have to stand behind a surgeon trying to see what the surgeon is doing so that you can learn, you can probably imagine the benefit off a something like a virtual reality right on demonstrating. In there. A device called the Value Headset is the most advanced virtual reality headset. You probably seen the Oculus. A headset Nicholas Request to which is a virtual reality, immerses you in a vegetable in reality that you can make it whatever it is in that they are chronic several platforms on there that proof how we learn and how we teach in virtual. Yeah, A. Yeah, you probably will have a laptop laptop with a desktop. You know, I comes in that that is computer as we did it in the past today Computers space, you have a device. Is that simple? The magic leap right? And this is a, ah show off The Magic league, which is a a mental reality or Mex really have meant the reality that you can interact with. So these devices are in the special computer and really, where you can make your best stop right this space around you in the imagine submerging patients in specific situations that somewhat check or modified the making use of the plasticity of the presence brains in order to use virtual reality as a tool to heal, to hill, to prevent pain who are talk to a medicate. Imagine learning the step of surgeries because this is with them. They have to be our platform from the mental A surgery, a learning the steps of surgery before you even touch a patient, that is something radically different. That is, with the future. Surgical training is gonna be like a surgical theater off the past, right is no longer a viable is no longer past. There is a A, especially in the times like now when we can connect and communicate and be physically in spaces where we were before. We have to make use of this technologist in order to enhance our connectivity in Has are learning our connectivity among humans on our connectivity with a data and places that don't have the capabilities because of the inequality in the access of health care or inequality in the axis of medical medication. We use this technology in order to enhance that access on make those healthcare tools. It does a the current A 21st century. Then we're gonna be able to a somehow a decrease that this stuff divide we all talk about. You probably heard of medical reality. Is that my good friend Shafiee? Um, it is one of the first companies in that virtual reality, in a way has, uh, a taken over a vacation in general, especially medical education. Back in 2013, I did the first operation with Google Glass on. All I did was stream the operation that I was doing two, a group of students situated a nearby, and they were watching from my perspective exactly what I was seeing. They were seeing and they were listening. They were, in a way, transported virtually to where I was. I could best them. They could ask me questions. They could see the perspective. They exactly a focal point of what I was doing on that in a way, established a change in the paradigm of how we connected in the operating. If you see devices like they night in the hole in stool right, which were demonstrating in there, that is the ultimate device for X are for extended reality, which is being used clinically in order to a make use of that special computing, and that is being used in surgeries being used in surgery to maximize how we connect with the distal data. How we do an operation, not a like in the old times when you had to go and look at the computer or look at the image or distract yourself. You can in a more better a good anomic a human factor way. You can actually make use of these technologies in order to make surgeries potentially safer. And if you add a artificial intelligence algorithms and you have those algorithms be somewhat off your concierge or your guy during surgery, then you know the results are going to meet A you know much, much better. And all this technology is are becoming a very slowly validate mawr on more stories on a mental reality on virtual reality on extend the realities of being produced in medicine. You know that validated date so that we can use the stores really to learn, to teach, to diagnose and to keel or to treat patients. This is a device, a platform called Novedex in France, and they're using a mental reality in order to enhance the way the paramedics communicate from the field. Using a very low bandwidth up to even five G or a WiFi technology, they can connect the patient on the less expert person to the very expert person. So this is again way to a use technology in a smart way in order to do a healthcare, not a seeker. So this is just that to me. Fascinating, because it's a device that was created away for play on now is becoming a device off work is a device that potentially is a going to be saving lives right, And I love you. A seemingly new This is the new the floor device, which basically it's a completely a detached, and it brings a virtual reality into a mobile fashion. You can have everything you have on your phone you can have on a device like this, and you can learn on on the go. So this's again. The Magic leave device, with an application called Brain Lock Brain Lab is one of the if not then most common application for a surgical A navigation and be able to a vessel lives, images and the guide surgeon's nurse surgeons or two peak surgeons during surgery. Well, you can bring all of the radiologic images to spatial computing with the way of, by the way of magically and enhance the user experience and prevent some What a. The mistakes that you might it make a otherwise. So this is something that is being used clinically in a flu plea in a few places, but it's actually becoming a tool in surgery in this very complex what we're adding the stools that are improving how we communicate amongst ourselves and how we communicate with the digital. We are with the data that is so important in patient care. So a this's journey for me has been a very a fun, you know, from a 20 years ago when I started doing robotic surgery to see how the robotic surgery take non scientific, Simple has evolved to. Now we have an explosion of devices on explosion off options to do the different robotically assisted surgeries, and some of them are empowered by a a eye on Williams. So the future of surgery in the next five years or so is going to be really like science fiction on. We need to remind ourselves that all these technologies make help her better, but we cannot forget that the focal point of health care of medicine is the patient on. We need to make sure that this technologies do not separate us from the patients like we have been in the last couple of decades. With just a half, we need to make sure that these technologies are used in order to a rescue the time and the quality of the time that we have with patients, so that is very, very important. A. The EMR electronic medical records have been way separated us on the basis and that we need to make sure that that is not the case with this type of technology. This is a rendering off. A proof of concept. Usually hold hands for homecare. Imagine the potential for bringing the hospital to the homes and the congestion be clogging in. The hospitals are somewhat and you bring everything you need from the hospital, including the provided a physician of the nurse. You can bring it to the home and improve the experience of that patient, avoiding the costly trip or the difficult trip for the painful trip to the hospital. Simple from the nursing home or from the from the place of the patient lives. So that is, using technology in a smart way and also rescue in that user experience. For me, that is the most important thing. The most important tools of a physician are really our ability to have empathy and to be compassion, and that that doesn't say that this stools are going to be a separate us from patients. The stores are going to arrest you are time on. Like I said, the quality of our time with patients making us much better. Physicians overall using tools that, if used in this month way, can make us do better medicine, but at the as well as as more a humane. So you have to remember that most of the world doesn't have in the type of health care and the blessings that we take for granted. Five billion people could simple don't have. Have you been access to safe or affordable surgery? A. Five billion deep of that's more than two thirds of the world's population. We have to remember that the stools can be used now just to improve the lives that they want. They already have a lot. We have to use the stools in order to include the ones that don't have access to occasion or to healthcare. I am very up a convinced that these tools can really a in a way and almost start OxiClean diminished that this still divide the this all divided. We talk about it something that if we act inactivity and consciously a smart way, we can actually decrease the gap between a. They want to have one. So don't. And we need to make sure that healthcare wrist is distributed in a more balance and more equitable way. And again convinced that the stools can do that and they're during your training, you have to continuously it. Remind yourself that again, most of the world doesn't have the the benefit, the blessings off the healthcare that we many attacks they take for granted. And it's very easy to a think differently and to start practicing not a seeker anymore, but practice helping. So I, uh, I'm not sure how much time back to we have, but I really wanted to have some time to a save it for questions. So if you have any questions, I looked really talk to you and interactive. Yeah, hi. Hi, Doctor Grossman. We've got plenty of questions, but I think we've only got time for one, unfortunately, but your talk has been fantastic, and it's inspired so many. We've got one from Amanda. I think that's completely at random, she asks. How can we, as medical students, lead the way to better education with Viane and inspiring our seniors to do the same? I find that some healthcare workers are still very resistant to these innovative solutions. Well, I think is really a a difficult task, but not impossible. I think that events like this are events that somewhat promote the exploring different aspect of a medicine and technology and the future health care. I think that it be coming or staying curious and connecting and networking and exploring platforms like Twitter and leave then and I'm going to conferences and I trying to disrupt the part times that you are see around you is really the the most most important it part off training and healthcare. Today in 2020 I think that it is not difficult to convince people once they see the benefits. I think that that it is a very, uh you know, you probably heard that a You have a lot of power. You also have long that a lot of responsibility. Well, you have the most power any medical student generation have had ever, and I think that that brings you the most a responsibility. And again, I think that the best way to to change the status quo the part I'm healthcare today is staying a curious, a connecting and not a really taking anything for granted Disrupt assistant in a creative way is say the best advice that I can give you. Thank you so much. Um, that was very inspirational. I have to say, um, if you could please june into the chat and answer some of the questions because there are so many. Otherwise, I think we'll email them to you, if that's okay. Yeah, absolutely. Yeah. I don't see really questions on the chat right now, but yeah, let me know. And I'll be glad to uh, engage after the fact. Something okay, Um okay. I feel I feel quite sorry for my friend Cody. Okay? Because not only does it have to go after that, um, doctor got Grossman also quoted Uncle Ben, you know, Ah, new Spider Man movie coming up soon. But Kot okay is our next speaker, and he's apparently a snappy dresser. Also, his bio says he is a podcaster, BMJ and his in his spare time. A medical student in his finally at Dundee today, he's going to be talking to us about podcasting with the BMJ on medical education with BMJ shop scratch as usual. Please enter your questions and will answer a couple afterwards. Thank you very much and hope you enjoy. Hello. Hello. Hi. Good evening. My name is Yeah. I just realized I'm not actually sharing my screen yet. Hi. My name is kinda on. I, um a Z Pak already said I am a, um Finally, a medical students at the university of Done be, um I'm just going to put my presentation into full screen mode. Um, so as you already said, I'm, like, completely shocked and nervous about, like going after that amazing presentation, I was literally message an aqua saying, Oh, my God, that preservation Pretty cool. I really love the, um the lack off slides and just having the videos behind. But in truth, medical education way, I'm going to be doing going through a powerful in slideshow talk about the anatomy off a podcast. So again, just like in a lecture, what other intended learning outcomes. So what is this structure on day function of a podcast we're going through about what makes a podcast good. How people different people have used podcasts in medical indication. We talking about the hidden curriculum? Onda, I'll be giving me some examples off other greats. Medical education podcasts that aren't sharp scratch. So, firstly, what is a podcast? To put it, very simple. Simply a podcast is pretty much just like a radio show, but you can listen to you whenever you want to listen to your own spare time. Something down. Load off the Internet. Andi. Just listen to conversations or receive some sort of information from the podcast. So now that we all know what a podcast is, I guess we should live on level next day. What makes a podcast? Good. So I've just been on the screen some of my own personal favorite podcast. I see him. Everyone here? No, if no everyone. Most people have seen the Scrub CV show, so the Scrubs TV show they have an amazing part. Cocker cast called Fake Doctors really friends. So I would say the one thing that makes a podcast good is that it's a topic of interest. Everyone loves scrubs. Everyone wants to find out what the behind the scenes off making scrubs. And that's exactly what that podcast provides. Another one of my favorite podcast, which is on Spotify, it's called Dissect on Dissect is a long form podcast that yes, dissect different albums. Add books about, um, the poetry and imagery and everything behind all the songs in a particular album. State Done. They've done a serious on Kendrick Lamar's Teo printable to fly. They've done a serious on Beyonce's lemonade on It's just Really I've just found it really interesting to find out all the difference for processes that went into creating those different albums. So I guess a good podcast will be very well researched. Onda good podcast would also will also have, like a serious where you that keeps you wanted to come back from all another. One of my favorite podcasts is Say your mind by collateral Careful on, but I love this podcast because it's funny and it talks about very, very serious topics in a way that is simple for me to understand, said the host, Is someone just like me from South London? Onda. She speaks the way that I would normally speak, so it makes me feel comfortable, and it gives me lots of information about what's happening in the political world on what's happening in just social media in general. On another find, my final favorite podcast is the receipts podcast on. It's just three girls from London. Just talking it feels, makes me feel very comfortable, feel smelly and feels like I'm having a conversation with a friend. And when I was sitting and thinking Oh, um what podcast has all these six things that I've mentioned? Andre Teo, Nobody Surprise. I'm going to be talking to you about the sharp scratch podcast by BMJ So the shops got scratched. Podcast is a podcast by the British Medical Journal. It was started by lower Who is the lovely lady in the top right corner. I don't know if you can see my cursor or not, but my cursor is on lower anointment. So she was the editorial scholar for the BMJ when she started this Onda. The idea off behind stop scratch is to teach people the things they need to know to be a good doctor, that you may not necessarily get pulled in in medical school on all of this just encompasses what is described as the head and curriculum. So what is the hidden curriculum? So I've put a little quotes there. So the quote is the unwritten unofficial on often unintended lessons, values and perspectives that students learn in school. Um, as you can imagine, many of us as medical students or and and doctors will have had many, many situations where you're on the ward's all the urine clinic, and you don't really know what's going on. You don't really understand what the difference cops Tums on social norms are in that particular environment. You're really on the hidden curriculum. It's all about teaching people or these different things. In medical school, you don't really get very, very clear. Teacher, for example, how to try to discharge summary. You don't get very clear teaching on how to deal with the doctor who is not so nice. You don't really get told what is acceptable and what it's professional clothing on the ward and shop, and the head and curriculum is about one of those things. It's important because it provides, um, people get people. The tools in how to navigate the working environment on what Cove it has highlighted is there are multiple different ways to teach the hidden curriculum outside of the clinical environment. So, um, during Cove, it, um, a lot of students have their placements cancelled, so unfortunately, we weren't on the ward. So that was, unfortunately, some teaching that they were that they were missing just by being in just by being in that environment on DWA. One thing I noticed from sharp scratch was that it I began Teo understand why it was very important as a podcast and as a form of media, it felt like I was talking to my friends in older years on it was giving me tips. Um, okay, this is how in night shift works and this is what, um, to expect when you do the night shift. And this was well before I actually entered into that environment. So I think one of the great things about talk about the hidden correct curriculum and sharp scratch is that it builds a sense of belonging. So the question is often asked is when do you actually start to believe that you are past the medical proof of profession? And I believe one of the great things about sharp scratch is that it brings forward that time that people start to belong. To start brings for that time that people feel like they long to the medical profession. Well, before you go into the walls you really have a hint about all the different customs and traditions off being indifference, clinical areas, which just makes that transition a lot easier. The next thing is what sharp scratch does really well, is it sort of questions? Who owns knowledge and who is the expert? So sharp scratch flips all everything that we know when it's head so the juniors are very much or, on a level, plain field with the experts or the more senior conditions on. No one's afraid to ask any of the city questions. The entire podcast is very much from the perspective off the juniors. 30. It's a very good, reciprocal relationship. I would say it's not just good for the juniors like myself, but it's also pretty good for people who are well into their career. We've had some really interesting guests, such as the Add It in Chief off the BMJ on being on. It was really good to hear directly is really, really good. Weight it directly from people who are shaping our curriculum on shaping, um, the way the medical world functions so special highlights for episode to be anyway, but once and survive in the night shift working with our sole doctors. How to make ends meet as a medical students on also, a really important one is about being a patient as a medical students on. But that's because I feel as medics we don't mess. Didn't necessarily talk about ourselves as people who might be ill one day. So that's all I have for you in terms off sharp scratch Other podcasts, I would say out I would recommend a Listen to You is the Medic money podcast, which talks about how to manage money as, ah, medic so as a as a medical students and also as a qualified doctor. Another really good one. That's very, very educational is zero to finals. So those are my favorite medical podcasts. A. Listen to you, um, if you have any questions, I'm happy to be contacted by email or Twitter or Instagram Onda. Um, yeah, that's my contacts in form information on the slights there. Thank you so much for listening. Thank you so much for that care of it. It was really, really interesting for everyone who's here. You'll have noticed. I'm know aqua. We'll cover that second, but we do have a question from the chat code. If you've got time just about going into podcasts when you got involved with the M J and sharp scratch, did you have the skill set to get involved already, or did you develop them kind of after the fact? And how would you advise or the medical students construct to develop those skills for a dating podcast? I think that's the really interesting question, because when I applied for sharp scratch, I didn't think I happen skills or anything. It was very much on a whim on the very last day. Off applications, um, on do it worked out well in my favor. Why, I would say is before a period on shop scratch. I was doing other things in terms off, um, in terms of like, radio shows and podcast him. So I I ran my own university radio show for several years, so I would say there was, I guess there was some sort of skill there. I would say if you would like to get more involved in podcasting, just do it. Um, there's nothing stopping you. It's very, very easy to set up a podcast on Spotify, so I think a really good website that a lot of people use is I think it's called Anka. Um, and that, um, send everything to the different podcast suppliers straight away without you having to do any off the really difficult leg work. But I would say, but cost is really fun that I would say, get into it if you want to. Um, I'm all about democracy. Demo. I'm all about making medical education a lot easier to access without anyone being deemed on experts. Because, again, who is an expert on what makes the bone experts? I think anyone can be an expert, so Yeah, Thank you so much for your time. K a day said fantastic talk. You got one with your evening. Thank you. So hi. Everybody use here live in Belfast. Say change of hosts just for the remainder of the evening. My name is Ali. I'm an academic junior doctor working in the northeast of England on We're now actually moving to our face to face speakers for the evening in the first speaker. In this section is Dr Blanded Scallion. Here is a GP ICO campaigner Onda, Ted X speaker and I know that she also lists violinist, singer and retired Irish dancers in her Twitter bio. So maybe we'll find out if she is truly retired and we might get a demonstrator. Thank you, Doctor. Hello. Everybody have made it to the stage with, like, tripping over. So that's a good start. And on the show fee familiar faces in the audience, which makes up here being away but last terrifying em. As always, said My name's Blob of Carlin. And I'm a mother, a wife, a GP on a passionate, equal campaigner. I'm also the daughter off to retired history teachers have an older sister who's a teacher, a younger sister who's a teacher on the younger sister who is a nurse. So when fell asked me to come back and give a talk about climate change, a medical education, it seems like my whole life has really laid me to be here tonight. So I'm honored to be speaking on another matter all events. So thank you for volunteering. So the savings I'm going to talk about my climate journey, the health implications of the climate and why, at his vital that becomes ingredient in our medical education, regardless of where we are in our careers. As I've said, I grew up in a heist of the mother and father who were both history teachers. Sojourn our childhood. We spent our holidays, Turin old Irish churches and learning about the history of the local villages. I grew up in a week time called Garden and Country Arm A, which is about 30 minutes from where we are here I am. So even a trip to the local playground involved some historical background. So here's a fun fact to get us started. Larkin Park is the second largest park in Ireland. Second of Phoenix Park in Dublin on Breo Castle, which overlooks the park, is known as a calendar hosts because it is 365 rooms, 52 chem knees, 12 corners and four wings. So these are the random facts I have in the back of my head all the time. So is that they've grown up. If we were lucky enough to go abroad, we visited the likes off the Normandy beaches. We went to Beyer to say the tapestry on learned about the bottle of histamines when really all I wanted to do was to dawn some my Sears and prospect Disneyland. Like the princess that I waas on that I still I'm to be. For so, although these trips felt like a huge peeing and the are shut the time my parents talked myself on my three sisters, the importance of history and learning from our past. Now that I'm a little bit older and hopefully somewhat wiser, I can see how those trips have shipped my thinking and influenced by every day view of the world. My knowledge of history has guided the decisions I make every day as a doctor, a mother, Ah, wife, a woman and unequal campaigner, in the words of American, author of Racial Made History is important because it teaches also. But the past, on by learning about the past, become to understand the president so that we may make educated decisions about the future. So here's a few more fun historical facts. Jean Baptiste shows before your first described what we know know as the Greenhouse Effect and 18 20. We've been expanding our knowledge on global warming on the health of our plan it ever since. I think it's also worth noting that in the 19 nineties we saw the emergence of well funded politically Bs body's promoting opposition to climate science. I'm not sure of any of you were following Cop 26. It was the recent United Nations someone on climate change and Glasko, and in my opinion, it felt a bit like when you pull it all night or the night before on exam leaders have had planting of time to act. The climate crisis has been creeping up on us for decades. On I I personally felt that inside the summit, leaders may not have shown the urgency or the ambition needed to truly respond to the scale of the climate crisis. However, right sight of it, people around the world took a stand on. Let the later since I know what needs to be done. Thousands marched in Glasgow, want to run the world, and they were very powerful speeches from indigenous leaders, activists and young people who made sure their voices were heard. But where do we start? Well, I have a gown, my equal journey of the New Year's resolution. I started a Facebook blawg AM called 365 ways to see if the Earth on the M was to do a Daily Post about the simple, small leak a friendly changes we can make in our own homes. It was in a bed to improve my knowledge on the climate crisis, but also spread some awareness to everyone and anyone, really, that would lessen naturally, as a doctor that led me to learn and more but the health implications of the climate crisis, which then led me to health and climate justice, which opened my eyes to the Navy for intersectional transformative climate, justice for all Reeses, genders, ethnicities regardless of our geographical location as doctors on future doctors', our Hippocratic oath no longer just applies to the patient in front of us, but to those on the other side of the world who will suffer the worst of climate consequences despite the fact that they're contributing the least to the crisis. The hep a chronic both applies to future generations. Are Children, our grandchildren, who will suffer the devastating of fact of the climate crisis Unless we act and the words of gratitude Berg. Young people must hold older generations accountable for the mass they have created. The mass we're continuing to create. We are living history. I honestly believe future generations will be learning about the Racing Car 26 conference in Glasgow on reflecting on this as either a turning point on catalyst for change that saved our planet or as the last messed opportunity to act on take responsibility for our reckless ways of living. We need to approach climate change, medical education on everyday life, with open minds with White Ridge, but with optimism. And I'm hoping today it that I can inspire some of you to get involved in the fight on. Together we can create a tsunami of change. To quote Billy, a journalist, writer, a novelist, Eduardo Guiliano disasters are called natural, as if nature, where the executioner and not the victim. The climate crisis is a health crisis. So what is vital that it is part of our medical education After all the knee for good, healthy night to Seoul, climate events increase forest fires, hurricanes, heat waves, floods, droids, storms inevitably, water, sanitation, nutrition, agriculture, access to highs in food prices are impacted, leading to health impacts on widening and equalities within the population. These events also lead to breaking point conditions, limited access to facilities on a breakdown and supply chains and resources. We've already seen the impact of covert 19 on Brexit that it has had on medication fuel on food supplies. That's only going to get worse. We already fist seasonal crisis a chair. But the addition of covert 19 heart health service has never felt more destabilized. With our storm summers forecast to become hotter and hotter, we are facing the in Avital emergence off a second seasonal crisis in the summer months, heat waves already claimed hundreds of lives. Eight year odd raising C levels, extreme weather events on increasing spread of infectious diseases. As a direct result off the climate crisis, it becomes pretty clear the climate and health are synonymous. Her pollution is not comparable to tobacco in terms of number of deaths per year, or pollution is called in seven million premature deaths per year. The morbidity and mortality associated with their pollution is already costing the UK more than 20 billion times per year. And 2000 and the attain. There was a young girl age name who lived in south London. She had a history of asthma. UNDATED Following several 80 attendances and hospital admissions on the cause of death, our pollution the first ever recorded a such the UK This is something we are inevitably going to see more of in the future. It is estimated that nine and 10 people, brave and polluted, are each and every day. And it is also estimated that between the years 2030 on 2050 there will be 250,000 access deaths as a direct result of the climate crisis. Our response to the climate crisis is the biggest health opportunity off the 21st century. As a mother on the doctor, I feel a huge responsibility for and commitment to the fight against the climate crisis to be for this is no longer a climate crisis. It's a climate emergency health emergency on Realistically, we have less than 10 years to make a difference. If we get involved in placed in the conversation on free message as the health issue that today's, we have the opportunity to make a real difference. This starts with education. We can then mobilize and act on create tangible changes. Truth be told, the solutions are there. It is not the absence of future technologies that's holding our progress. It is greed that is feeling this crisis. We know that the top tan great great greenhouse gas omitting countries in the world kind for 70% off global emissions. We know the top 24 so feel companies who's relentless exploitation off the world's I'll gas and cold reserves can be directly linked to more than one third of all greenhouse gas emissions. We know the 12 off these top 20 politico open ease our state owned. But what can we do on the WWF's website? They could tan things we could do to help see if our planet So the first three of these are Number one. Use your voice. We are the first generation to know that we're destroying the warden's. We could be the last that could do anything about it. Speaking up is one of the most powerful things we can do, especially if it's to the right people. You can talk to your MP, tell him to commit to action to protect our natural world. Contact the bronze and you buy from get them to tell you Hi there. Products are sourced. Use social media. This is one of the most effective ways to get bronze to listen to you to tell them what you want to change. It's not just about speaking to the people in charge. Talk to your friends, neighbors, cats, dogs, golds colleagues to get them to make positive changes, to speak up, Speak to everyone on, make your voice heard. Number to be informed. Well, we're all here, which shows commitment to education. One rare another. But another great resource is med act. Dot org's medics Mission is to support health professionals from all disciplines to work together towards the world in which everyone control e achieve and exercise their human rights to health. They did this three research and evidence is campaigning for solutions to social, political and economic conditions with which damage health deep in health and qualities and threatened peace and security. They're building the health movement for a transformed of green You d health for a green New Deal. Is is building a grassroots part health movement for a just on green society. When the priorities is the health of people on the planet over profit. You can also go to People's Health hearing dot org's and listen to the testimonies off those across the world fighting against injustice fighting for their land and fighting force arrival. Listen to their stories with intention, I'm sure of them. You can also familiarize yourself with you and sustainable development goals. The's 17 goals were adopted by all United Nations member states in 2015. They provide a shared blueprint for peace on prosperity for people on the planet. Nine. Into the future, a number three be political. Being politically engaged is not limited. Devoting on it's certainly not limited by how young you are every year. Morano. More young people are working together to show our political leaders, but they want to play my action. We need to ensure we hold our politicians a correctable. You can do that by contacting your local and payer representative or a tendon constituency meetings, where you will have the opportunity to make your voice heard if you feel inspired. If you want to help or if you just fancy having another further discussion about the climate crisis, you can contact me directly via Twitter. I'm out Karlan underscore doctor or instagram at Planet Carlin. So to finish off, you were glad to hear. I want to quote at our rental. Roy. She's a political human rights and environmental activist. Another world is not only possible. She is on her way. On a quiet day, I can hear her breathing. Thank you. Thank you. Thank you so much. Doctor Scallion. Really inspiring to hear a little bit about your journey on a mission. We've got a question from the chat, which is from Amanda, who said Thank you so much. Doctor Scullion, do you think education about climate change should be incorporated into the education of medics inside and outside of the curriculum? I think it absolutely should be incorporated. All Medicaid, all education and scones, right from primary all the way up. Because inevitably, it's the young people. They were going to feast the consequences of the climate crisis. So I think it has to be we can to avoid the time across crisis anymore is health crisis. I don't think we have any other choice. Super. Thank you so much. Thank you. I hope you are having a really wonderful evening so far on, we are so on her toe. Welcome. You here in person for those if you're here in the normal basketball fast, pursue honored. For those of you who are joining us. The hundreds of people who joining us at home on your PSA, warmly welcome. We're going to do one thing first, and then we would have about 10 minutes of interaction time. So where you can interact in the room but also interact with people at home. When we start a metal are real, goal was hard. We democratize access to greet healthcare, education on training. How do we help people from anywhere join conferences, courses, training events so that it's not dictated by how much money you have, where you live, at what city you're in, what county we're in, who you know on. We've been working on something to really stay true, too. That mission that we've been building a tool cold metal alive, which you are joining on tonight If you're watching this year on your on your in the right place, if you're in the room, you can also join. And we are really pride tonight that tonight's that we're making that open access for people who are running open access events. On that, we hope it is true, too. Are Mission team tin you to make healthcare education, health care training more accessible but rather hear from me. We have a little video that we're just gonna play that will tell you a little bit, a bite or mission. After the video, we're gonna have some interaction. Time when you can interact with other poster presenters, learn high to a win a prize on bask other people, other delegates, all their poster presenters. Some questions I'm just gonna hand over to on the IV team to, uh, to play a little story from me and some of my friends and colleagues. Thank you in the 18 months, but our healthcare events have been apart. We've missed face to face contact with people, but something miraculous happen in those 18 months. Result people, our health care colleagues be able to attend events, carry out teaching on the 10 conference, something that may not be able to do before people from anywhere in the world. People from different cities, people from rural areas, people, their families, people with their dogs as a healthcare community, we started to level the playing field, and as we like to the future, we are ready to keep including those people even in face to face events. People who can put a spacer with virtually face to face as people you're there to learn as people who were there to teach as people who are so warmly welcome as part of the healthcare community, we're honored to Energis Metal Live, making virtual on hybrid healthcare events more accessible. It means that people, their family on their dogs can't attend teaching training courses of conferences regardless of their city or country, to help people share their hydro posters on to join events to talk to other dumb it gets in the room, are home to wash on demand together as the people in healthcare. We could make healthcare training more accessible for every healthcare professional everywhere on We're making it accessible for organizations who are running, teaching, training courses on conferences. Metal door slash live if you are running a course and we're really happy, Teo, share that technology with you. We have got a little bit of time night for interaction. We got 10 minutes. For those of you who are in the room, it's an opportunity to get up and stretch your legs that we have posters on plasma screens at the back off the screen. There, exactly at the back of the room. They're exactly the same posters that that those who are presenting at home conceive on. They can also chat in the chat box with you at the back of the room if you wanted to. Equally, you also have your codes on your chairs, where you can scan it and you can access the poster whole. But these are amusing pieces of work, and we want to actually dedicate at least 10 minutes off time to that If you're at home. If you're a poster presenter, please have your poster open in Ah, window and be expecting some questions. If you are a delegate, please ask some questions on other people's posters. If your poster presenter also ask some questions on other people's boosters as well get the conversation going. We were really impressed with quality off the work that's happening on the innovation that's happening on. We're really pride t create that 10 minute opportunity for you to really dive in. We will have a prize for the booster, which has got the most interaction on depo here, really sharing their work. We'll also have a price for the delegate who is asking most questions that are meaningful on, um, on the Met. Good conversation. A good chap. Prize on. Then we'll see you back here on the stage in 10 minutes. So if you're in the room, feel free to get up stretch legs or join the conversation from your food on. See you in 10 minutes. Okay. Okay. Yeah. Okay. Yeah. Okay. Yeah. Yeah. Okay. Okay. Yeah, yeah, yeah, yeah, yeah, yeah. Okay. Hello, everybody. Welcome back. Once again. Now we've got a very exciting speaker lined up. Next, we are going to hear from Dr Michael Williams, who is from a very own Queens university here in Belfast. Doctor Williams is a consultant in medical ophthalmology, specializing in retinal and inflammatory eye disease is please welcome Doctor Williams to the stage. Brilliant. Yep. Thanks very much on to fill. Thank you so much for asking me to speak today. The talks have bean really inspiring, really interesting. Lots of different perspectives that we were just saying. In fact, I feel like I should go home and I and start making notes and all the ideas on inspiration that that is going on in my head trying capture some of that, But I think for wouldn't speak to me. So I better stay here and I'm going to talk about I'm capillary examination as an ophthalmologist. Well, this will probably go so papillary Examination is something that we want all our health care professional graduates to know. Why is this Well, when you shine a light out and I whether the people constricts or whether it does nothing or whether it even dilates when you swing the torch onto it kind of great diagnostic importance on people abnormalities or a key presenting feature off a range of different conditions from acute glaucoma within the ophthalmology world. But also optic neuritis is part of multiple sclerosis or giant cell arteritis or intracranial PCA aneurysms presenting to urgent care, for example. Um, so we want all our graduates to know people abnormalities on. So it's not just a North, um, ology thing it It's also something that we want other medics working in general practice and Edie to know. But it's not just something that we want medics to know. It's something that applies to really a range of healthcare professionals, nurses doing all abs on the ward, paramedics at the scene of an accident optometrist having patients walk in to their practice with a headache, for example. So how do we teach people abnormalities? Well, the the traditional starting point, of course, historically has been textbooks on online videos presented through various media on these are still used, you know they have. Their advantage is they're usually the means by which students start to learn the anatomy on physiology behind a clinical skill, which is clearly important. But clearly the learning is very limited. I bet if I asked the doctors amongst you in the final your medical students to think of a DVT thyroid glands that's enlarged or cardiac murmur that you don't think back to the poor point slide or the textbook. You learn this form. You're thinking of an actual patient that you saw with this sign so clearly. Textbooks and videos have limited learning potential because they are passive. So what factors help us learn better? Well, entire conferences, PhDs, books and even careers are based on trying to assess what factors help us learn better. For example, in motion attached to learning helps learning, which is interesting but pertinent to what I'm talking about doing something not just listening or reading or watching something. But doing something helps learning. Unhand simulation. So if simulated patients, this great bunch of ometer actors who come along and makeup histories and pretend they have signs on simulated patients are the really, really important factor off learning how to negotiate the conduct off a clinical examination with a really person, which is a really important skill. But certainly when it comes to pupil abnormalities, there's a limit to what abnormalities can be simulated. Really, it's only one, which is the fix. Dilated pupil. When you pop the sting, you drop in there I first thing in the morning. Of course, there are medical manikins automotives on. They could be really brilliant. The really brilliant ones also tend to be really expensive on. Of course, they live in the simulation center. You can't bring them home just like simulated patients. It's considered bad form to bring your simulated patient home to practice examination on disseminated patients and Monica are great, but they're limited. Resource on the challenge is that we want all our medical students on healthcare professionals our graduation to have seen a range of clinical abnormalities before they're sending in a really cubicle or real clinical room with the real patient. Under real abnormality, I'm So we stand students out on clinical placement, hoping that the number of months of placement they have in the range of attachments expose them to arrange of clinical abnormalities. And they'll get to see maybe even to examine different people abnormalities. Occasionally we even give them a log book. Clearly, it generally works. Are medical graduates are excellent. Clearly they have targets and standards that have to be reached. But at the same time, certainly when it comes to pupil abnormalities, look, it's opportunistic. And so the solution it seemed to me some years ago was really obvious announce virtual reality. And so I worked with a coating company sent a real who are Northern Ireland based firm who developed. We are educational ups, really terrific bunch of people to work with both before the developments are during it. On in particular, since the development, they've been so helpful on redeveloped and up to examine people's, and it's just something I think that's worth sure casing, hopefully to maybe inspire some scholarly activity, some development, you know, some extension of the idea. All our final year, medical students and Queens University do an exercise called the Simulated I Clinic that some here have done on this semester. One of the six stations was the virtual reality up, so we'd over 200 students going through this up, and I was there for each time. So it's an interesting experience. What have I learned? Well, first of all, most off the medical students, interestingly, had never used the ER or only used fleetingly. So when they put on the head set, there was invariably kind of surprised on uneven short reaction as they always a positive reaction, a delighted type of shock when they entered this virtual world on here, If you screen shots from the virtual world, the head shots the users view that they saw in the top left As you look, you can see the reception room that the upstarts in with clipboards on bottoms beside a range of people abnormalities, and you can press any of the buttons to select people abnormality, which includes normal on random. In the top middle, you see that simulated patient herself who will have the people abnormality that the users just selected on a button for greet patient where you hear me droning on for about 20 seconds, but just to remind students of the importance that off a conversation that might actually happen with a real person, then in the top, right, As you look, you see the view from the far side of the clinical room without light coming. Dine from the ceiling that, ideally, and people examination should be turned off in the bottom. Left as you look, this is the money shot. This is the people of examination itself going on on the bottom right As you look, it shows a couple of clipboard showing the assessment that users can do if they want to, that ask them what they saw, what they think the diagnosis is and gives a bit of feedback on in the bottom middle. Then you ice on host of the importance of wearing glasses if they fit under the headset. And most cases glasses did fit, but that was occasionally an issue as well. But most students agreed. Not like I'm well aware that into these positive results fed a few factors. I'm sure very much this is an expression off the novelty value on the fun off the ER up. But you know, these are immature. Finally, your students and I hope in the mix is they're genuine assessment off the potential educational effectiveness off this up. Perhaps there's always the comments, however. We're really interesting, perhaps revealed MAWR with eight comments to look at in the top left, someone said that it allowed me to see an A P D, which I've never seen before on in the Bottom Left. You see, someone said I had not seen people really defects in real practice by finally or they haven't seen people really defects. So this was beneficial. That kind of brings home to me the usefulness of this in the top, right? Someone wrote It would be a great up and use it at home if I could. On the headset was maybe, you know, cost 300 points, plus 50 points for the hard carrying case for Markkula. It's really initially attended as a gaming device on, You know, compared to other gaming devices, it's in the same ballpark. It's not astronomically expensive for a home user on. Someone said that I love to have more exposure to this platform. In the top left someone said it should be ruled out across the curriculum on the bottom left as you look, you can see a really interesting comment that off someone who said that it takes the anxiety I'd off performing in front of students. Plus so you could make mistakes for a bottom, which was really interesting. I suppose. There's a bit of potential loss of face when you're performing a skill of the bedside in front of a teacher in front of peers, perhaps, and even in front of the SP. But this was completely private. This is an SP who would never judge you. No, With the quest, you can cast what's going on project, what's going on on to any screen, which is interesting potential for assessment. But you don't have to in the top, right? As you look, someone suggested what we hope to do, which is expand the use of the up to fundoscopy but also to feels on eye movements and acuity on. Someone was really enthusiastic about it. This was really heartening in capital letters they love the V are on something so innovative, a bit different to keep the learning process interesting. I mean, I feel really lucky, and I'm not just saying this, but our medical students are so engaged, uninterested on their great bunch to work with. But clearly anything that can increase the fun on engagement off learning is to be commanded. So I think it's important. However, with all this excitement and positivity to put, we are in context. And when we're building a medical graduate, if you want to think of it like a building project, the VR isn't a blueprint. It's not a pedagogy. It's just a tool. Know it's quite a fancy tool. It's like a fun C spine er, but it has to be used in a plant way as part of an overall architectural philosophy. More plan, if you like. But it is a tool that facilitates deliberate learning on deliberate practice. So this is this. I'm very proud of this acronym. I thought of this all by myself yesterday. To be honest, I haven't Googled it cause I'm quite sure it exists, and I don't want to punch in my one my smugness coming up with this yesterday and certainly the concepts are new at all. But for me, it's what deliberate practice is all about it And what the ER allies, which is repetition intentionality about the practice. Faith that it's going to work when you turn up and put your minutes and hours into this that is going to lead to results on, of course, fund motivation to continue on engagement. So I'm just going to read this site deliberately because I think the summary, in a way, is that VR offers an opportunity for students to engage in clinically relevant, deliberate practice with an S P who will never tire on, have whatever people abnormality you choose it. Toe Have Rafael Grossman's talk was really exciting and inspiring, showcasing all the different tools that that in his world are already here on certain. EVR is definitely coming to medical education, whether we like it or not on. It's incumbent on us to make sure that when it's used, but it's used in a valid way that it does what we want it to, and it's used in an effective, evidence based way, cause the temptation is to be seduced by the fund on the tec side of it. On it is fun on interesting, but we have to use it usefully on again a point I was going to make that a cyst noted in the chart Rafael Chrisman also made is that we mustn't ever lose sight off the load star and everything we're doing, which is the patient on. I loved his phrase a bite tech, rescuing that time with the patient. And it's exactly what I was going to say that we need to learn the clinical skills. And usually we learn these skills with patients. But they are offers a way to accelerate the learning so that when we turn up to the patients were already proficient in the clinical skill. We need to practice it on the patient, but we can focus our resources on those wider human elements of interacting with a real person. But it's gonna be really fun in the coming years to see how this technology right on. Uh, I'm happy. Amanda made the point, really, er, but enthusing older people. I don't think she used the word older, but I felt I felt it directed me amongst others but very happy to receive e mails on people who are interested in exploring scholarly activity around this up on thank you all for listening. Oh, thanks for the presentation. Very impressed by it. Looking at what you're teaching it comes across to me is very similar to some of the preparation for the advanced Life support and pediatric Life Support which looks findings and make a decision on your next step. So on. Is there anything in what you're teaching that makes the virtual virtual reality approach? Um, completely necessary? Could this be done with the mouse and video? So we do have could just be done by myself or video. I mean, we do have video off someone examining people's on their videos of lovely examples of people abnormalities, but I think the key thing that adds to the learning benefit off this that gives it on experiential nature is Thean Mersch in on? I mean, even though the graphics aren't exactly human like they don't have to be super high fidelity for the brain to buy it. I mean, when I'm doing the people up, I don't get in Adrenaline rush, Adele itty of graphics. You know, I can say I got on adrenaline rush bit of a random example, but it makes the point that the brain buys this This is immersive. This is much more learning value than the passive nature of just watching something. Thanks. When you thank you. So thank you again, Doctor Williams, for that really interesting talk. And we're moving on to our final speaker of the evening, Professor Nigel Heart. Nigel is a GP on academic on the clinical educator at Queens University. Belfast on has been instrumental and introducing a new undergraduate curriculum with expanded focus on GP in general practice experience. And Professor Heart's gonna be talking to us about training the academic clinicians off tomorrow. We please welcome Professor, like very much thanks for that introduction. So yes, and imagine heart I I'm a GP, and there's a little part of me would profess in quiet places to be on academic. I'm really grateful to fill on the team for the invitation to come and speak on to address this topic of treating the academics of tomorrow. And I got a wind a bit of a bit of a way around that I'm going to start with this and many video. You know, this maxim, uh, that certainly I have used it whenever I was introducing, looking after first year at our university. This maxim that 50% of what we teach you is wrong. Difficulty is, we don't know which 50% it's, Ah, it's it's it is in some sense of joke, but actually it is true. I remember things we were told the medical medical students, which we no longer follow. So things change on this is idea about knowing that high we come to know things. It's avoid high. We know how do we know what we know? I'm high to be. Come to know that and knowledge, as you know, has been democratized. Apparently, it is being democratized, you know, but we computer YouTube all of the things that ways that we can learn on new things on. In some sense, we have was immersed yourself in this idea that there's a a a an area of knowledge that can be shared that can be defined and then some regards. I think we have let a lot ourselves to believe that we can expect certainty on that. There is a well defined body off knowledge, but I want to put it to you that we should learn to challenge dogma on, actually learned a challenge. Our own dogma, things that we believe to be true. And I believe that Is it at the center off of being academic? Fantastic talk just night from Michael on he at the end of it, he said, Are you interested in the scholarship of this? It's a bit of a stuffy work with you in just a scholarship with this common get involved with this and I think that is really important. The world is changing, continues to change on it healthcare. We are aware off aging populations. They move towards police pharmacy, multi mobility, frailty, loneliness All these things which are impacting on the health off our communities, our populations on our countries around the world. Um, you may have come across the acronym V u c a Careful how to say that vodka, but I'm not quite sure, but a VC A. This was coined by bandits Analysis in 1987 to say the world that we're in is volatile, uncertain, complex, on ambiguous. And if he pulls out against this notion off knowing it would suggest that the things that we think we know, we maybe, should we should maybe challenge question challenging our own dogma And of course, we have a very recent example, and we're still in the midst of it, of course, with all the trust in turns and changes that Covert 19 has presented us with and everything also healthcare, health care, education, health care, clinical practice, um, accessing healthcare and highway way up. What is important. I've always been quite amused in some sense by the dissident claims that we seem to each MC almost side by side. The first one being when we get back to normal on the next one is it will never be the same again. Say it's accepted that that in some ways that there is the right things to take the right things to know. But I think we need to go beyond that and the thing I want to post. You have this idea off curiosity being curious, really challenging what we think we know. Curiosity as P. I J. Presented, is a child like this position. If you ever look a child learning how to build with Lego or build with blocks and they approach it with with curiosity, they don't get a manual lighter and look for the steps they push it with curiosity. And in some sense, I think we have a light ourselves to move away from that child like disposition. The curiosity, I think, really important. Disposition on pursuit A. What we do in terms of health care. Andi on. But what best in healthcare? There is this claim that organizations which are interested in research, clinical research have better care, better quality on better patient experience. And I think that reflects on some sense what happens with being but with being curious. Dyke on Epstein in their article Curiosity on Medical Education suggest that medical educators and I guess it should be all care educators should balance the teaching of facts techniques on protocols with approaches that help students culture so big. Cultivate unsustained curiosity on wonder. Beautiful word on wonder in the contacts rich and often ambiguous world off. Clinical Madison Thomas Friedman, the Pulitzer Prize winning commentator, said that a combination off curiosity and curiosity, caution on passion, caution and surpasses the indicative potential off intelligence caution. So it's that idea of being curious, having passion on the combination of that, helping us to challenge dogma on her own dogma. Carol Dweck, the author off growth mindset says that curiosity is something that we can nurture. So it brings it back to think about a boy, academics, academic, Madison, academics of tomorrow that the process. We're involved in education and training, and it's a continual process. I'm a qualified GpB pregnancy for many years, but I'm still involved in updating myself and challenging what I knew and one of my guilty pleasures. And I'm not classically trained musician, but we'll make it. The pleasure's is to watch some YouTube videos off the celebrated conductor Benjamin Xander does these fantastic interpretation classes, where he brings along young musical prodigies, people who have fantastic potential on they studied really hard work really hard on their technique on, but they he did he go through a piece of music with, um, and he watches very closely on when they get a bit of the music where they make him a stick or don't quite a Z had had hoped. You often see their face goes about funny, and he said, Oh, you don't do that when we make him a stick, What should we do? We should show it high, fascinating on I believe those are they? Those are the words that we should want to force it ourselves when we want to nurture our curiosity. We've got some fantastic talk today, Julie, you mail. I think I've said that correctly talked about communication on relationships, and I think that this is so important in the world we're we're night at moving into This is the network age, the age of integration on. It's all about relationships and communication on. We have some wonderful examples in terms of scholarship, research, curiosity, if you like, where this is happening on the grind up of so impressed a few weeks ago to hear a grip of young GP trainees who started on organization, which stretches across the UK and I for a search in primary care. It's called Packed, but it's from the grind up and they say we're interested in in research, not just for ivory tars. It's something for everyone, and this is about nurturing curiosity. Helen Salisbury, this book to us today about the scholarship of teaching in the use of real patients. Raphael Grossman. It gives incredible selection off off initiatives, innovations, new ways of doing things, and he asked us all to stay curious on Cody Okie. I'm not quite in the snow be dresser territory, but the's have podcast again, weakening our curiosity and lying us to engage in new ways of thinking. So it was given the title about training the academics of tomorrow and you'll notice of side stepped it all together. But I actually believe that treating academics of tomorrow actually starts within undergraduate even before undergraduate, but certainly an undergraduate health professions education. Um, we should be looking beyond just they. They described knowledge bits, which currently mix up that are perceived understanding off what we should know. We should nurture curiosity and challenge our own dogma about about things on interview it, as we heard from From From Michael and, of course, fantastic to hear from From From Blond Cardona's well, she talked about made and understanding history and being being curious as well. So on a sock, its its that journey, I believe starting, laying, find a shins at that very early stage in our health careers that that we can start the training of academics off tomorrow. So just to summarize an, um, have what we know is wrong least part of it knowledge is being democratized. We should challenge dogma, including our own. The world is changing aging multiple, better day and so on. It's volatile on certain complex, ambiguous we can't learn just from on a set off a scribe knowledge. Um, we make it back to normal. It's probably gonna happen. It will never be the same again. We should orient it ourselves to being scholarly. Been curious on, um, remember that that the curiosity cautioned with the passion portion will far exceed the intelligent question. And we should do this in networks on. One thing that covered has has taught us is as to tonight's fantastic conference shows us that the networks are way beyond just the confines of buildings, universities and or countries. I'm very grateful for the opportunity to speak tonight on diehard that you all will consider yourselves current on future academics. Thanks very much indeed. Thank you so much, Professor Heart. What inspirational know to finish on. We've got time for one question from the audience. Anybody. Thanks for that. A very inspiring presentation. Um, a comment on it. So my my go to example for how bad things were in terms of cardiovascular disease 60 years ago is inflaming who died in his mid fifties from a stemi. After smoking all the cigarettes in the world and eating all the cholesterol in the world. Um, so I was explaining this to a medical student. And so I said, I said, Do you know who wrote the James Bond books? His immediate response was that song the curriculum. So my heart goes out to the medical students with the volume of stuff they have. Teo, memorize. And, um, there's only so much space for curiosity at that point. Yes, I mean, I think you're right on. It's not that I was. I'm not making the point that medic students come come into or any healthcare profession students committed. They're coarse on. Just sit around like the philosophy students just getting out of the window and stroking their their chins. Of course, not on my job I do. I would rather like to be a philosophy student on Do some of that. There is a quantum of body of knowledge that we have to acquire on on maintain on Do keep updated. But suppose I'm making the point is that we definitely should set ourselves a task of always going beyond that on glass inning things on. But I think those are the find A since I think off academics which will take us to where we need to go for the future. Thank you very much. Yeah. Um hi, guys. Uh, thank you so much to medal for letting us be co hosts for today. It's been fantastic. However, the gentleman in the back, we would like to personally thank fill for making this all possible and then that we've got a few others, obviously to mention we've got Sue has been feverishly typing away in the background of the chat, helping everybody online tonight as well as the fantastic audio visual team. The are running everything but behind the scenes and on the covers tonight. And we don't like to thank you guys in, you know, right in front of us. But also everyone at home for tuning in to all of our talks and thank you for being so interactive. And now the man himself fill, I think we'd like to hand over there. There. There are three other people who I want to thank for sinelee aqua and only have thank you so much for sharing this event. Also want to thank Devakula here from the Queen's University GP society on his team, who have been wonderful local partner for us at a hybrid event. You can't run a hybrid event without a face to face people. So I just want to say personal thank you to double on to his team on down to those from the Queen University GP Society who have been amazing local partner alongside us and then run up to this event. There are nodes of other people who have helped all of our wonderful speakers. My wife, Rosie, who's like serving pizza, the back of the room and he gets dragged into everything. And so there's assume any people have missed people are entire team at home. This has felt like a special, a really special sort of landmark movement for us in thinking about hybrid and thinking about including people on. We've had people in the hundreds joining us online. We had a small, intimate group here in the studio, but both of us being able to interact and there's been no second class citizens on for us. That's a really important thing. I just wanted to thank views well for coming. Those of you who refuse to feel that those of your joining online at those who have got their families on their dogs, they're also really welcome. Um, we've got a few things that we need. Teo Ah, nice. Before we close at first is by feedback on certificates, we will be posting a link in the chat box for feedback on, but it will also allow you to generate a certificate automatically. I I can't see if that's happening, but I presume it is happening any moment. We love your feedback on this event. We are running another conference and January it's gonna be on the theme of surgery in all of its facets. We will be inviting abstracts for that. It's an opportunity for you to present your work flexibly. You don't have to take three days out of your schedule. You can do in the evening on day abstract submission is not open on. We'll also be posting a link in the chat box by our next conference, which is in January 2022 you'll be so warmly Welcome to that as well. We're gonna have some incredible speakers, and we also have some prizes to a nice we will be reaching it to those people after the event to 90. That is because we got to do some number crunching, but we will be reaching out to those people after the event to let them know that they have one. A prize for the most interacted with poster on the most engaging poster on the delegate who has Bean providing some of the interaction as well and actually engaging with people's work because it's so important. People have a lot of effort into that work on going. Want to recognize that posters will stay open after the event? So if you haven't had time to actually see everything this evening, and there are losing posters on their in every aspect off medical education and training and on they will be open on this event. On Gone, the poster link, which is again in the chat books on you, can both share your poster. If you're a poster presented with other people, you could do that on Social. You can do that using the link to individual poster. Even if people weren't at the event, you could get questions on your work on we can use the benefit of technology to make an event live longer than just a few hours. So if you do want to get some questions on your work, you're welcome to do them on. We'll leave that open afterwards. We'll also be sending letters to authors and co authors and automatic little metal tease. You have presented their work. That's it. We have some food, the back of the room. For those of you who are here in person, I'm really sorry. There's people who are at home that you can't happen. We can put you some some wine and pizza. But those of you are in the room. You're really welcome, Teo, to stay on, enjoy some food on some drink conversation with people for those be joining a home. Thank you so much. I hope you have a wonderful evening on. It's being are really honor unpleasant to have you here this evening. Thank you. In the