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Postrel look great. I got a chance to have a look at a couple of posters, and it's really, really phenomenal. The amazing, amazing content on research that we've got to do Check it out on the remain on their their after. So, you know, if you didn't get a chance to check now. So we've got with us today, uh, for the second part. Michael Culture, Who is Thea Asset in the office? Er, he's a father of three years, also the creator 50 face of surgery, which I hope there about today on he's on the s to be I, uh, Education committee on his passion about Q and that it I'm gonna hand it over to you, Michel. Thank you so much. All right. Thank you for having me. So today, I kind of want to talk to you about leading change in surgery. Um, I want to get new some tools that I used, uh, whenever I'm Pam, That project on trying to focus on what I'm trying to change. These are the tools that I use. So there's a stream went back, I think Simon cynic made famous with why? How what? On on top of that. Always add evaluate. Why relates to why do you want to make the change? The questions you need to ask yourself is, Why is this important? Why does it matter what I should? People paying attention? Is that something that's important to me? Is it something that should be important to others on? When I say Why does it matter? Well, there's lots of things are important and the scale of prioritization. Why does the spotlight need to be on the work that you're doing now? How can you get the spotlight? Is a question that you can ask yourself later. Right now, he pulls attention is really divided. You've got Kobe it you got big political things going on. You got the day today. Stress of life as we seeing the economy has been coming more difficult, more turbulence on. Do you have to say, Why should people pay attention to what you are doing on? I think one of the tools that I wanted to lies that's always stuck with me is if you can clearly describe the problem, you're halfway to the answer on. I sat down and I said, Why does the quality diversity on increase itty matter to me and I wrote this piece for the royal Closure Surgeon was training bulletin and I would ask you all just the arena, but it it really helps me clear my thoughts as to why it's now the time for people to focus on a quality diversity and increase it. No, we've got major ah, major issues with burn out issue the curb it people tired trainees, all begging to be seen as equals on have equal opportunities. And if you go on Twitter, you could see right now about the allergy BTK you, a plus community are really struggling, really fight him to get their voice out there. I think now's the time or a sore to start treating trouble with care and respect. And that's what my wife is, what work I do. The next question you need to ask yourself is how now this is always a challenge, and this is something I normally bad at. So I always ask other people to join me all my battles. But the question is, you need to ask you is how well you make an impact to the thing that you are centered around How can I make a change in the court? EDI incentives across the country. How should this be carried out? Is a slightly different question. Is this a project? Is a paper. Is it, uh, meetings? Is it a forum? Is it a conference? He's a little questions I have to ask myself before I stepped out. So I have a clear in my mind what exactly I'm aiming to achieve on the next thing you have to ask is, How can I involved others? I will say, behind every successful project I've done have been teams of people with our e d I work shop course, which is now a pre course pre course that the acid conference in March we are really shapen the net the culture off surgery the next decade. We're making big changes how we communicate with each other but language that we use. We're bringing in lots of organizations with stable doctors, network, the police, all LHs people, people who care about the community off certain off surgeons on we're changing the language. Changing the behaviors were changing and giving people the ability to call out things on. I think involved in all of these organizations has made it such a strong project. The next question as walks, What is that I am trying to produce? Water's the end goal. What is the end product on? What do I have to do personally to get this project over the finish line? When you're defining your end goes with any project. You want them to be achievable. You need to set realistic targets with all my projects. I think. What of it? But I am trying. Zero. What is the bottom trying to impact a change in on How do I measure that? Is it the number of use that we get with 50 paces of surgery? Is it a conversation that started on Twitter? Is it with the workshop? How many people say that they've benefited from it on the real life impact? That house you got to define what your end product is? I think that should always with any work that you do, that should always be a visual aspect. There should be a statistical data or evidence based aspect, and that should be a communications out. But on with these three things, you got a try. Specter off getting Maxigen across the people on it always works on. Personally. I always like Austin myself. This question. What do I have to do to get this over the finish line again? If you can clearly right up the things that are required, you will have half the problem. So, for example, when I first started 50 paces of surgery, there are lots of components where we had to work with other organizations to find. It's nine. We had to get people to put in, uh, suggestions of who to interview. We have that back. We have to work out when we're going to record how we're going to record. At first, I really want to do it based based. But then the pandemic it. So then we have to work out. When we do it. Resume is it still is engaging, but we have to work out how we're going to edit it. Who's going to edit it? And I sat down and I wrote was sold out and I communicated with my team members and I said, Look, these are the things that we need to do to get this over finish line to get the first episode out there in time, and it works. And I'm pleased to say that one of the big projects that we're working with in terms of collaborating people put in something out there is we're working the royal colleges, surgeons. First time it's been announced on the 24 points September we're going to have an inclusivity and wellbeing day on. This is a day about bringing people together so we can hear about your why, how what we can hear about your projects that you've done. We can take first projects and helping become national initiatives on. I'm really looking forward to this day and they'll be lots more information coming your way soon in terms of defining your value waste, they said. It's set realistic targets for our E. D. I workshop. We set out that we wanted people to have strategies to tackle discrimination in the workplace. In this workshop, we talk about things like al I ship what is by us? What? It's sexual harassment. What is billion on? When you have clear definitions, you're able to sort things out in your mind when you see something happening. You you have a same works. Work with them on with this we were able to put this workshop out there. We've done it a few times now, and 96% of participants You go on the course, come away with the strategy off knowing what to do when we see discrimination in the workplace. On. For me, that was one of our key measurable outcomes on when you build up a lot of momentum on your constantly evaluating and learning what you can do differently, you get, um, a zing opportunities and people get involved on. I like to show of you a sneak peek our next episode of 50 face of surgery, which will be out tomorrow at nine AM I just realized I can't hear the sounds. I'm gonna re sure it would sound. Uh, the sound was the sound was playing there. Michael, I think. Ah, my bad. Okay, I would do it again, sir. How come I am the new med student? No. Yeah. Hi. My name is Michael Walls. I'm 1/4 year medical student at two. Or a university in California, US A. I'm also the president elect of the American Medical Student Association. Hello. My name is the shell shocked on the National medical directors clinical fellow to the Royal College of Ophthalmologists. I'm also representative on the ophthalmologist in training group on I'm especially restaurateurs in ophthalmology, based in London. Hello. My name is really I'm a medical student at the University of Bristol currently integrating. I'm also on the Committee for the Bristol Women in Surgery Society on dime assets Equality and Diversity. Ambassador Group lead. Hi, I'm Michael. A culture. I'm a general surgery strong in the Southwest. And I'm the Association of Surgeons in Training, Equality and Diversity. Officer, I really hope you enjoy this episode of 50 base of surgery. I hope that it leaves you feeling valued inspired and most importantly, welcome Here I am you. Yes. Ah. There is no doubt that almost every doctor surgeon a medical student worldwide has watched up to family also knows it starts to grow. Complexioned Doctor Flattery is an ophthalmologist, comedian, writer and viral tic tac star based in Oregon, US A. Where he lives with his wife and two Children. Originally from Texas, Doctor Flannery completed his undergraduate studies at Texas Tech University Medical Score, Dartmouth College on residency at the University of Iowa, mixing medical education with comedy, he now has over 1.2 million followers on to talk on 46 million views He has served his editor in chief of Iron's On has published in both The Ophthalmologist and Brushes Medical Journal. On In 2020 was named one of Portland's top doctors by Portland Monthly magazine. Alongside his comedy An Ophthalmology Doctor, Flannery has raised tens of thousands of dollars for First Descents, a charity that provides free outdoor adventures for young adults impacted by a cancer and other serious health conditions. Welcome. And thank you so much for joining us. Thank you so much for having me. I'm excited to be here. So the first question is, can you take us through your morning routine? Well, um, first of all, fortunately, an ophthalmologist, and so I don't have to get my code. The video. Just stop for a second. Let's Okay, uh, you know, probably be back up. That's a much as I can share at the moment. You see the rest of our I I see. I see. So that was part of the presentation. So the final bet is evaluating your work. So I think when you evaluate your work you need to do this in in three stages. The first is were really, really bad. As medics, as healthcare workers were really, really bad at setting our own internal motivators in our own internal benchmarks, we have to rely on the, you know, the throughout med school. You told that you have to pass exams. You have to jumped. Really saw ski. You're assessed by external invigorated. The whole time you get into F one, you have an a r c e p u. Assessed by external vigil. Eight is the whole time, and it's really difficult to set internal motivators or assess you internal, uh, promises when I think we bought a work. But I do. I always have to work out what is it? But I personally want to get out of this. What? What is it that tells me that I have made this work successful? Onda way I do that is, I have a honest conversation of myself and I say, Look, you know, I'm one person. There's only so much I can do what will make me happy? What will make me think that my workers got out there? The next thing is, think Stendhal assessment asking people's opinion. What do you think of this project? What do you think of this work and from back from those two things you get Idea. What do I need to do next? Um, Andi always ask that question and I always find out questions really powerful because it starts you thinking, What can I do to improve doesn't need to be improved. Who else can I involve? How else do I get the work up there when you could start? Ask yourself these questions. That's when you congenital impact for work. All right, open to questions from the floor. Okay, so fantastic two guys, if you have any questions, Michael, that would be a great time to put them through. But I'll I'll let them take the questions, Michael. But I'll ask a question first myself when you were making that video and you were trying to find a I guess we have people around us to come from all sorts of different backgrounds. What kind of challenges did you find in making sure you had sort of representation for as many people as possible on? But did you did you sort of have a plan or stressed you for that. Is this something that we can learn in terms of any projects that we have to make sure that we are is inclusive? It's possible. So I think trying to be increased, if it's possible, has always been a goal of mine on you know, I I found it really, really. I opening when you when I put the question out of public. So at the end of our last acid conference, which was hosted on metal, we asked, Can you give us nominations for people that you think having interesting story back a share their experiences on? We had about 70 nominations within a week, and we sat down and we got in contact with some of these some of the nominations and we tried to filter out. Who is that about once a stress story? Look at the balance sheet. Have we got stories that represent the LGBT community? Do we have stories that resent black surgeons, a surgeon's women surgeons, mail surgeons, white male surgeons? You've come from difficult backgrounds. Have we got me is in the picture on when we start peace in this altogether, I felt that we really, really mentioned earlier on ahead on I have to think my team, especially any priest when a little early will help me get free lease. Yeah, I think I think, but ah, fantastic. And and feel actually asked a question as well as Have you seen any challenges in rolling out this really important? Uh, initiative Acid on how did you overcome them? So if you could briefly give us a sort of an idea, I'm sure this could You could probably talk. Uh uh. What do you What do you What do you think? You you did to overcome any challenges face. So I think the biggest challenge. Whenever you're starting a new piece of work, it's having division to see where it's going on what it needs to be like when I first put out 50 Face is a couple of years ago, everyone thought it was a really great idea, but it was in terms of how do we get people to actually sit down and talk openly about a challenge that they face in the very close community that is surgery on. We found that once we recorded a very first episode with prostatic people wants to be involved on that was that was a thing to help us get over the line on. We could share that episode and it was like, Oh my God, this is really important work. I'd love to be part of it. So that was that was the first hurdle with things like the workshop. I think it's no in Ah, no in the depth for four up that it's required. So I started off being like I want to do, of course, where everyone could learn about the eye. And then it says, What does that course need to entail? And suddenly you have, you know, people throwing out ideas that you didn't even think of white and participation. Why have you know in created that in your original plan? Why, you know it's the police for advice in sexual harassment, these kind of things. And actually, when people come together and give you ideas, it's really, really great. Yeah, I think I think that's fantastic. And it really helps to have someone to, uh, sort of bring bring whatever project you have forward on, you know, give you their endorsement. I think there's some common things that you know perception makes the biggest difference on if you're a woman in surgery. If you're from an ethnicity that's not well represented. Surgery, whatever it may be, we feel these subtle things a zone international medical graduate. But what I'm being a course surgical training. And before that, I was told I'm going to have to work twice as hard as someone else when we got to do this certain way on. The thing is, these things are probably factored in many times more for people that may have experienced this before us on, you know, at perhaps at the end of their journey now. But it helps us to understand the perspective that much more because representation really helps the provide better care in young for our patients from all kinds of backgrounds. So I love that. Thank you so much on da, uh, see it you can become that said on, uh, is is there just before we go? Is there somewhere that we can catch up with, Uh uh, with any updates that you guys may have? Or is there? Is there something that we can think for 50 faces of surgery If you follow the acid official Twitter feed on. I will get Phil or send fill the link to all the 50 faces episodes that we've got out. See people people can watch on. I'll also send a link to the pre conference workshop, which I'm really excited for. Fantastic. So, guys, any questions coming? Keep them going. Bank you so much. Michel really appreciated that on. We'll try and address anything at the end if we can. We are now going to move on. Teo. Uh, Mrs thing.