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Live, Work, Breathe: North London

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Summary

This on-demand teaching session is relevant to medical professionals and is hosted by Neulasta, a medical professional working at Whips Cross hospital. The session covers topics such as house prices, transport and parking, relocation fees, and access travel allowance, as well as job expectations for medical foundation and tips for getting the most out of their year. Professionals will learn about living and working in the Diener area, understanding the connections between hospitals in the area and gaining generic skills that will serve them no matter their future specialty.

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Learning objectives

Learning Objectives for this session:

  1. Identify the 30 hospitals located within the Deanery.
  2. Define average housing costs within the Deanery.
  3. Explain how to apply for relocation and travel allowances.
  4. Outline the differences between tertiary and district general hospitals.
  5. Summarize how to submit applications to Oriel and the information that is not always accurate.
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Computer generated transcript

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

Yeah. Okay. Okay. Hi, everyone. I'm just gonna wait a couple minutes just to see if anyone else is gonna is gonna arrive, and then we'll get started. Okay, So I will start. So how everybody? Thanks so much for joining me. My name's Neulasta. I'm enough one working at whips. Cross of the moment. I went to medical school in Newcastle and I did grab marriage on. I lived in London for my undergrad and for a few years before we went up to New Castle. And then I moved back down to start working last summer. So I'm gonna and I'm giving this talk with mind a bleep. I'm going to talk a little bit about and living in London a little bit about working here, what to expect as an F one on, then just a little bit about ongoing tips to kind of get some breathing space and to make to make the year is nice as it come be. And I'll have a section for some questions at the end. So we've got the chat. If you have any questions, you can put them in as you think of them, and then I'll just have a look at the end and see if I don't want Scott any questions, So yeah, I will get started. Um, so, first of all, congratulations for getting into North London and North and And is a combination off the two most competitive Diener ease from previous years, eh? So presumably combined into the most competitive Diener E on deviously. It's been a pretty tough year or few years, Teo, you know, to be a university and to be a medical school. So you've done really well to get in? Yes. I want to start with a bit about living in the dean a ring. So I'm sure you I'm sure you will know this because you have lied. But And this is on, uh, on the foundation map here, where the top part of be on dimap on the right hand side here, every yellow pin represents the hospital within the Diener E. So it's about 30 miles wide, and it's goes from Hillingdon Hospital and is the foot most for this west. And then Queens Hospital is the furthest east and on Yeah, there's just so many amazing things contained within our dinner either. Like you, gardens and the Vienna and Olympic Park. There's just so many amazing things in the dinner is. So it's a really great place to live and to work. Um, so part of the presentation they wanted me to talk to you about average house prices within the Diener e to buy until let, but it kind of just doesn't work like in London. So, you know, I These are some sample prices, but I mean, every within the dinner is just going to vary so much depending on where you live. He can see that between healing on drum food. It's like 300,000 lbs difference in terms of renting that is one beds like studios. So we'll obviously be cheaper than that if you are in a room with in a house share. Um, in terms of finding how she says I have in the past use fair room, and I've had a lot of success with that on. I also know people have started to post on the Diener E on do Facebook group looking for how shares. So if you're looking for people, that would be a good place to go is well, um, one thing to mention is the relocation fee. So that is an NHS thing on day, and you can use that money basically to recoup costs from relocating. I actually never got around to doing this even though I moved from Newcastle to London. But in theory you can apply to cover costs of things like and moving vans and stuff like that. I would if you think that you would be able to be eligible for that. If you are relocating, I would speak to the kind of the admin people when you go to your induction, because they will know how you apply for that from within your hospital and in terms of thinking about where you're going to live. I think different people have different priorities in terms of whether they want to live really near the hospitals and for some people having the shortest commute they possibly can. It's the priority on. Obviously when you're working, 12 hour days is very nice to be home really quickly and so you might think about living in an area that's know as exciting but is really close to the hospital or you might be someone who really wants to live near people they know or in an area where there's loads to do in an area that's really nice, and you might be willing to have more of a commute on due to get that for me. I chose I'm at Whips Cross this year and I'm you see out next year. And one of the things was really important to me was being able to live in the same place two years and not having to move in between on. So I chose to live somewhere. I live in Hackney, which is kind of between the two, so that I can commute to the same. I can commute to both places from from this flat, and that was just that was just my priority, okay, in terms of transport. So I'm sure lots of you live in London already and have been to university here. But for those of you who haven't, the underground network is obviously really a comprehensive and covers most off the area within our Diener e. Most of this is gonna be underground, but there's also overground on D. Some trains on was even some boats and included on the network around the tens and the hospitals that are further on the outskirts are beyond the boundary off the tube network. And so if you're in those hospitals, you might have to think more about how you're going to get there. And I would say when you're thinking about where you're where you're going to live, What I did was I just Google maps every single flat. I just Google maps, the root toe, both hospitals so that I could work out how, how long it would take the and in terms of driving and parking. I've had quite a lot of questions already about parking. So how it works? Well, very, a little bit, depending on where you are working and they will. They will cover this with you before you start. They know that people drive and people need to park, so they will sort this out for you at whips cross, you pay, it comes straight out of your paychecks, and you basically sign up for a staff permit and then it comes out of your paycheck. I think in other places it might work differently, but I wouldn't worry too much about getting parking sorted because they will sort it out for you. on, then, like the relocation fee you Also, there is the option to claim and access travel allowance. So my understanding about this is this is, let's say you had two years in one hospital. Sorry to placements in one hospital, and then you had one placement that was like a community Cyclessa. That's a bit further out. You can claim based on the distance from kind of what your based it'll. So again, if this is something you think you might be eligible for based on the jobs that you've got, I would speak to the admin staff at your hospital. So we have a specific person who is the foundation program administrator, and she sorts out all this kind of stuff. So when you go for your induction, you'll meet that person and you can ask them about it. Okay, So a bit about work, you have all been in hospital, so you have an idea of what it's gonna be like. These are just a few things, a few hints and tips, and so off my ideas toe just to help ease the transition. So these are all of the hospitals within the Diener E on within these hospitals and then grouped into trust. So I work at which cross hospital, and that's part off Bart's health. So that is whips, Crafts, Royal London and Saint Buffalo. Muse um new, um, everything that might be one more on within them things like the Royal London and barks. They're the specialist tertiary centers on then and whips, crafts and new in our district Generals on what that means in practice is that there's kind of connection between the hospitals. So, for instance, if I am seeing a patient on the acute medical, take Cooper at Whips Cross, who's an oncology patient, we don't have oncology. It whips cross. So I would be speaking to the oncology service at Bart's. On the same goes for things like cardiology. Out of hours, I would speak to Bart's if I need on neurosurgery. If I need dermatology, I would be to the Royal London. So there's that kind of into connection between the hospitals. I'm afraid because I know, but they're not sure about the other trust, but I think it will be similar that they will be within the trucks LB tertiary centers and they'll be district generals on the services are kind of divided between them on then. You also have things like Comitan, which is a standalone trust, something really nice, actually, about the way that the trust, the way that the hospital is a kind of groups into trust because it means you kind of get to know people. There's a sense of kind of continuity between the people that you're working with, people, you know. So, for instance, I have a friend who's working up the Royal London on. We have people that we've both worked with because they've rotated. That just gives you the sense of kind of being part of, ah, bigger organization, which is actually really nice. So a bit about your the jobs that you've all got. So I hope that you're all pleased with the jobs that you've got. These are the jobs that I have here last mile from my oriole. Um, I really am interested in palliative care. So I had ranked highly all of the job sets that had palliative care, and I was looking up to get this one. Um, one thing to be aware of is that the description that you get on Oriole is not always accurate of what the job will actually be. So, for instance, I know it whips cross. There are a few jobs that described as things like acute slash rheumatology that are just to keep medicine jobs. All this one, which is acute, slash gastro. And that's actually just a gastro job. So it's worth kind of going in with an open mind about exactly what your job is going to be like on then. Another thing to say is it really doesn't matter in terms of your future applications, what jobs you've had. The point of foundation is to gain those generic skills that will serve you in any role. And so it nobody minds when you're applying for specialties, whether you've done a foundation job in that area or not. In fact, some specialties and I know anesthetics is like this. Do you don't get any points on your application for having done a job, but you do get a point for having done a taste today or taste a week. So even if you had a foundation job in anesthetics, you would probably still need to do the taste a week to get the points. And if you are very sure that you know what you want to do and you haven't got a job, and you're kind of disappointed about that. What I would say is you can still think about how you can try to and kind of make get relevant experience whilst you're doing the jobs that you've got to definitely taste of days and taste of weeks. And you can also think about doing things like If you've got an order, you can kind of try and skew your audit into the area that you're interested in. So let's say you wanted to do Jerry's and you don't have a Jerry's job on your surgical rotation. You could do an order in the management of POSTOP delirium, and then you're kind of getting, you know, that's the Jerries. You could argue that Surgery's order, even though you're doing and surgery on the same, applies for things like presentations. So when I did my first job, which was my surgical job, we had to do a presentation. I think I think I did two in the in the rotation and you could kind of skew those presentations in a similar way, so that they're still about surgery, but also about the things that you're interested in on. All of those things kind of helped her build up your portfolio, even if you don't have the job that you really wanted. I've also had a few questions so far about swaps, so the swapping process is just for your aft two jobs on It happens during your F one year. So from my cohort, it happened maybe about a month or so ago, you will be contacted by the foundation school about the swap shop on. Do you basically sign up? You say that you want to swap on, do they will put you in touch with other people who also want to swap, and then you can try to find somebody. Alternatively, if you've already found somebody and who you want to swap within the two of you on, the two of you can kind of approach them at that time together and say this is a So what we want to do is worth being aware that it still has to meet the kind of curriculum requirements. So you have to have. You can't, for instance, get rid of your community job you can't sort out of that on Baidu. They can be a bit funny about swaps where you'll have let's say the same medical job is not impossible. That and yeah, if it's something that you think you want to do is worth just looking and on the kind of the criteria. And then you know you're here. So I assume that means that you know about mind a bleep already. But there's lots of resources on the mind, the blood website about careers making decisions and kind of how to pursue your chosen career. So if you are, if you kind of feel it, you know where you're going, then you know you can take a look at that. But just like I said, it's worth going into the jobs with an open mind in terms of what they will actually be. Even worse is what it says on Oriole is also, we're thinking about the fact that working is very different to being a student on By think. It's good to go in with an open mind as well about what you're going to enjoy and what you aren't because I finished med school really sure that I wanted to be a GP on dive, actually really enjoyed working in the hospital. Medicine on. Also, I thought I was gonna hate being on call, and so I thought I would be a GP because that was my fastest way out on calls on. Actually, I haven't hated them. And I actually quite like being on call, so and yes. And now I'm thinking that I'm going to do I am tea. So yeah, just was saying you don't know what it's gonna be like until you get that, I guess. Okay, so a bit about your induction week. So I think you will be having one week of induction. My cohort had two weeks, but that was a kind of covert egg. So I think you'll probably have a week, and that will be the week before you officially start. So the the official start date the first their first day, where you are the F one on is the first Wednesday of August, and then the week before that will be your shadowing period on. Do you normally shadow the F one whose job you're taking over? So it's a really good opportunity a to get to know everybody get to know your the rest of your coke or we have lots of socials and stuff in that weeks. That was really nice. It's also a good time to sign up the kind of rolls you consign up, too, so that things like Mess President. We've got a junior doctors forums of signing up to do things like that, and they can be helpful for applications there on down the line. If that's something that you're interested in, the main thing to think about with your induction is figuring out how you will actually make things happen. So I wouldn't worry too much about the clinical stuff in your induction week because you you know, that's what you've spent the last five years, six years learning, and you will know that stuff. Um, this so you need to know, is when the consultants says to you, Can you refer to this person to dietitians? Can you get an MRI? Can you get a next ended viral panel? How you actually do those things on? What I did was I had a little basically I can know in my phone, and when I thought This is something that's really useful that I might forget. I would just write it down and then genuinely, three months later. And I think, Oh, I wrote in my phone how I you know, whatever. Speak to the corner. And And also, what I found was that if you can't remember or you didn't ask in your induction weeks, somebody else will have asked or worked out how you do that thing. So we still do this now in my f one group, people will say, How do I get a renal review on the weekend? Um, but the beginning We were doing it all the time and they will always be somebody else, you know? So it's, you know, you could rely on on the people in that way. Okay? So a little bit about money, Um, so just a few things. And if if you've got specific things that you're looking for again on the mind, the website, there's lots more resources about finances and they've had some finance specific webinars that should be available on there if you have, like, specific topics that you want to know more about. But and the BMA also offers financial advice, one thing just to say is it's worth kind of checking your paychecks, especially at the beginning, is quite common that people can end up being emergency taxed, so it's worth just checking. And then if you have any questions you can speak to payroll on, there is also you the results of the possibility to kind of playing tax relief for basically financial and like professional expenses. So this is things like when you start taking exams if you're if you're paying to be a member of any professional body's things like that on. But I haven't done this yet, but it's the p 87 4. So I have have it on good authority. That's not very complicated. You basically just, I think, fill in that form and send it off, and they in some way take it off your tax. Okay, so what's expected of enough? One again? You've You've been on the ward's You've been with the F ones, so I'm sure you basically know what what is expected of an F one. I think this to kind of areas off skills Onda abilities are expected of you, so one of them is your organizational skills. And in a way. That's kind of the harder area, I think for lots of people, because that's the stuff you get, much less practice out. So that's things like managing your jobs list on. When I was on surgery for my first job, we had patients across lots of different wards, and it was the ones responsibility to make sure that every patient was seen, and also that you kind of navigated around the hospital in a coherent manner. So those those are the kind of skills that you will quickly develop and on. You will also quickly figure out kind of what's the best order to do your jobs in so things like if you need scans, you don't want to wait till one o'clock to be ordering your CT scan, because by that point it probably won't happen until the next day unless they're really, really acutely on Well, whereas if you think to yourself in the morning hum job out, all this picture needs a CT scan and you can request it straight away. Then you got a much better chance that it will happen that day. But you know, these are all things that you will pick up as you go along. So that's one side of the kind of the skills and the ability that's expected of you, your organizational skills. And then there's also your clinical skills. And I think that will be where you are much more familiar because that's your histories and examinations and investigations and stuff like that. On what I would say So the what it says in that box there, trying to do one thing before calling for help. That was a piece of advice I was given in my induction by one of the kind of outgoing surgical F one. So she basically said, You know, if you've got a patient and they're spiking on their bit tachycardia and a bit hypertensive and you feel a bit overwhelmed and you want to ask for help, just try to do one thing before you call your essay. Joe. Just try to have taken some taking some bloods, you know, and then your that just tells your seniors that you are, You know that you're using you're using your thinking a bit, and then you are at the stage where you need help. And one thing I would say is your seniors want to know about patients who are sick. So if you're on call, you may well be the first person to get the bleed about a patient who is on Well, I think the nurses tend to go straight for the F one bleed. But if the let's say you've got someone who is sick, the Medrol doesn't want to find out four hours later that you've been managing someone who's really on well, and now they're deteriorating, you know, so it can feel like you should be able to manage it on your own. But actually, they you're doing them a favor by letting them know on as you got more confident, you might just you might just be letting them know, you know, you might have done everything, and you're just you're just sleeping them to say just to let you know this is a patient. These are all the things that you're on. I think that's stable, but I just thought you should you know, you should be informed on That's great, but I would even even if I have done all those things, I would still let the red or the S H O know about people who are on well because I think they're the people that have, particularly when you're on call. You know the med ridges, the person or the surgical. Reg is the person who has the ultimate clinical responsibility for those patients. So if there are people who are unwell, they want to know about it. And then what is no expected of enough one. So there are some specific things that you shouldn't be doing is enough one. So that's making decisions about discharging patients, sectioning people on also making advanced and decisions about people's care and treatment and stuff like that. You also shouldn't be consenting people for procedures. And I think the main thing to say is, if you feel that you don't know what you're doing, then you should ask. You know, if you feel that you're not competent to do something, you should let people know, because I think one thing that can happen is people just forget what a nephew one does or doesn't know how to do, especially consultant. So I was on my last double, my gastro job. I was asked to do an ultrasound, guided a cystic tap on. I had to basically say I don't I can't do anything with an ultrasound. That alone anesthetic tap. And they were in the register. I kind of said okay. Yeah, fine, I'll do it. But I think he just thought that that would be something I would be able to do because I was on a gastro job. So yes. So if you feel unsure, you should definitely ask. And on also, it might be that as the year goes on, there are things that you, at the beginning, you felt that you were incompetent to do. And then, you know, later on you feel that you are so at the beginning of the year, I felt uncomfortable having DNA our conversations, and I would ask the consultant and all the registrar to do that. And now I I feel comfortable doing that for the most part. So it's, you know, you know your own competencies or you try to be aware of your own competency. So if you feel uncomfortable about something that you're being asked to do, you should definitely say Okay, so just a few kind of hints and tips that I think are have helped me out. So the first one is if you've been asked to do something, so get a scan or make a referral on you're not sure what you're looking for, Why you're doing that. Definitely ask because you're gonna make a much better referral, and you're going to write a much better request for a scan if you actually know why you're doing it. The second tip is, and I kind of talked about this earlier Is really rely on the other half ones because you guys are a team on down. If it tends to always be that if there's something you don't know how to do or you feel unsure about, someone else will know how to do it on. Actually makes everything so much nicer if you can kind of work together. My third tip is to really try to look after yourself when you're on call. So people, the seniors, we would always remember to check that you've had a break and you've had your lunch. And so it's kind of your responsibility to make sure that you say I'm going to go get my lunch or shall we all go and have a lunch? And if you have any other questions about your portfolio. I can answer them at the end. But the main thing I was going to say about the portfolio is to just do a little bit of time. So, honestly, just doing five minutes at a time will mean that at the end of the year, to the position I'm in now am I a r c e p. So my end of year kind of evaluation is now about three weeks away. That's no stress, because I've just been doing a little bit at a time. It's not difficult to get enough stuff to fill up all the sections, but you don't want to be kind of madly trying to fill it up two weeks before and then one more thing about the portfolio. So some of you will know about these things because I know some medical schools use them. That CBDs his case based discussions stops is observations of clinical like procedures and stuff. And many Texas is basically where you're observed doing a history or an examination or something like that on I would say that on calls or the best place to do those. So let's say you're on takes and whips Cross. The F one is allowed to Clark on the take. It's not like that everywhere, but that's that's the case. It whips graph. So if I've plucked a patient and then I say to the med Reg, you know, this is the patient and this is my plan, then great. You can treat that so many cats basically or a case based discussion and uncles or a great place to get procedures done. So, people, so s H O Z and Reg is I think of the best people to to sign, sign you off the stuff for portfolios. They won't always think to say, Oh, send me, send me a mini cats than that patient that we discussed. But I have found that if I say is it or if I just send you a form for that patient that we discussed, people are always happy to do it, so just ask. Okay, so our final section, which is breathe, and this is just some tips on in vote of help. You try to get a little bit of space in this year. I think F one can obviously be a totally natural time, But I think it's helpful to try to grab it space from work and do things outside of work to remind yourself that you're a whole human being and not just a junior doctor. So, first of all, a few a few things inside the hospital that can sort of make everything a little bit easier. So your meth, which is both a physical place where you can go to relax and it's often food and somewhere to make a cup of tea. But it's also a group of junior doctors who will organize social. That's a really nice place, really nice way to kind of hang out with everybody. The guardian of safe working will be a person, either within your hospital or within your trust. Who's role is to kind of address any concerns around your rotor, your annual leave. But also, you know, really, if you've got any issues about the environment that you're working in, if you're having kind of if you think there's any kind of issues with the culture in the department, if you're having issues of any of the members of staff, they're a great person to speak to you. The Junior Doctors Forum is again a few kind of elected junior doctors who come together and that that sort of an interface between the rest of the junior doctors on do the senior management in the senior staff. So they will, on day of assess where everybody's concerns are and they bring them to meetings and try to kind of find resolution. So if you've got issues that you think it sort of structural issues with the way the hospital or department is working, that would be a good place to go. Exception reporting is the process by which you say that either you things like working over your lasted hours, not getting your brakes, not being able to go to your mandatory teachings. If any of those things are happening, then you can fill in and Exception Report on A allows you to get back the time that you've lost, but also it when there's an when there are one, they can see patterns in exception reporting, it allows them to make changes so genuinely if departments get lots of exception reports. Let's say that if ones are constantly staying late on a Friday, it allows them to kind of adjust the rotor to try to compensate for that. So your clinical supervisor and your educational supervisor, you'll have both of those. So your clinical supervisor is within the department and you have three. So one in each place man, and that changes. And then your educational supervisor, you have one for the whole year. And there's somebody who's outside of the departments that you're working in, both of them, while people that you can go to if you're having any kind of issues on by the ER to do with the rotations and to do with work. Also, if you're having any kind of personal issues and you want to talk to them, you can do The F one lead is will be somebody with in the hospital who it will be a more senior doctor who's in charge of the whole F one cohort, and you can talk to them on then the B M A and the M D U R. There if you need and you know, specific advice of ice about your rotor about you're working conditions on. If you've got any concerns about things have happened at work on, then lastly, your colleagues. So like I said, you know, in my hips and tips, I think kind of relying on your colleagues really makes the year so much easier on. But with the people that I've worked with, with all had times where we've been feeling overwhelmed and everything felt a bit too much and actually being able to go to each other on talk about it on everybody is always so nice and so supportive. And actually that's whether there are forms or whether they are more senior than that. I found that and the S, H O Z and the registrar's everybody knows what it's like to feel overwhelmed or to have to experience something that's a horrible that you want to talk about. So when you find people that you got on with, I think you know you can always go to them to talk about stuff. And the main thing to say is, if you're struggling for any reason, it doesn't really matter who you go to. Any of the people on this list will either be the right person to speak to all they will know who is the right person to speak, too. So if you're struggling, don't worry too much about trying to figure out who is the person that you should be, too about this issue. Just go to the put the people that you trust on. Then together you could work out who's the right person so holiday. So you get nine days of annual leave her rotation on you. Get your bank holidays on top of that. So, actually, this rotation that I'm in now, the third rotation of the year is great because there are so many bank holidays. So it's actually genuinely about four or five extra days of leave, which is a lot when you would get nine. If you work the bank holidays so the bank holidays are treated as on call days, which basically means sorry, we can days, which basically means if you're scheduled to be on call, you work them. If you're scheduled to be on a normal working day, then you're off. But if you have to work, you got the days back in lieu, so you don't get to take them on the actual bank holidays. But you still get those days. Your annual leave can only be taken on normal working days. You can't take it on days where you're meant of your nights or on call. So if you need or you really want those days off, then you would need to arrange a swap so you find another F one to cover your night or you're on call. You take their normal working day, and then you can ask Believe on that day in lots of departments, you have to kind of work together with your other after ones, or sometimes the F one and S H O to make sure that there's enough cover for the ward. So there's normally a minimum staffing on. Do you kind of work together to make sure that you're at that minimum staffing on then the last thing to say is officially you have to give six weeks notice before and and you'll leave. But I have found that, actually, so long as it works on the rotor, they're not very strict about that six weeks notice thing. So I know especially, I mean, I can't guarantee it's going to be like this where you work, but especially with that first rotation where I know it's really tricky, cause if you want leave within those first six weeks and you're not that it's very hard to get believe. Actually, so long as it works and there are enough people to cover your ward, it might. Spirits is fine together leave even if it's less than six weeks notice. Okay, so just the last few bits about things outside of the hospital Um, Andi, honestly, I think you know, lots of you will live in London already and, you know, kind of one amazing places to live. But for those of you don't there's just a infinite number of amazing things I could put on the slides for nice things to do outside of the hospital. And but I picked out particularly some really nice bits of green space. I think that's one of the things that's great about London as a city, even though it is so busy and it is a proper cysty, there's also loads of green space, so they're on the top here with that stepping forest. So that's really near where I work in which cross on on the bottom left that there. That's the pagoda in Victoria Park, which is near where I live in happy on, then the middle picture that that's Hyde Park in west London on, then the picture on the furthest right. That's the view from pumps. Did he in north London. So, um, you know, everybody's different. You will know how best to kind of get your breathing space this year while you're working. But for me, being outside and being in green space is really important. And then also just enjoying all of the amazing things that London has to offer. So again I could have put so many different things on this slide. These are just things in particular that I love doing. So the top right there is the welcome collection, which is a great kind of museum with a sort of science. He focus science and sociology and and really great underneath that is the national theater. The bottom right there is bends cookies, which is a big part of a day out in town for me and then print Charles Cinema, where they do amazing singalongs, including up It's Christmas Carol Sing Along, which I would really recommend a Christmas time that green space is the barbeque in conservatory and then on the bottom left, there is a craft studio in Hackney. Could make town that I love going to. So the main thing to say is just fine, whatever it is that you enjoy and that gets you out of the heads base of the hospital on, do those things. And I think yet it's easy when you feel really tired to just go home and lay on the sofa and go to bed on. Definitely. Sometimes that is also the right thing to do. But I think it helps you to help me to feel, um, kind of I've actually had some time away from the hospital If I've done something nice, So that is it. The last thing I wanted to say is you'll be great. I I think F one is definitely can be a tough year. Obviously, it's the only yeah I've ever worked in medicine. But I know from speaking to some some people more senior that they said that, you know, is a really tough year. But I've also really enjoyed being enough one. It's been really it's been really challenging and busy, but it's been really rewarding and I've learned a lot, so so yeah, you'll be great and yeah, just one final plug for mine oblique. So there's lots of webinars on loads of different topics, and I'm actually in the process of arranging a palliative care webinar Siris that will be running kind of September to November. So if you go on and if you haven't interest in palliative care, will be advertising that closer to the time. But there's loads running on those two different topics. There's also they're surviving F one course, which, and there's more info about on the website and just loads of other resources. There you go. I think lots of you will see me on Facebook anyway, because that's where our advertise this talk. But also that's my work email address if you have any questions that you want to ask me. So if any of you have any questions, okay, can you do a taste dissection outside of the UK if you arrange it yourself? That's a good question, and I'm not actually sure I know that. Typically, they like you to do your taste of sessions within your trust, unless you can evidence that you can't do that thing with in your trust. So let's say you wanted to do it a succession, something really normal, like dermatology. You would probably struggle to do that outside of your trust, because basically, every trust is gonna have dermatology. But if you wanted to do something really specific, like forensic psychiatry that you can't do with in your trust, then that tends to be Okay. So what I would imagine is that it depends a bit on what you're doing. And it might be, Let's say you have an interest in tropical medicine or you'd like to work abroad as a doctor in the future, you might be able to You might be able to justify that. But I would speak to you again when you start. I think it will be It will be a bit of a trip. Kind of like a yeah trust trust decision. So I would ask when you stop anybody else have any other questions? Okay. Well, I hope that's been helpful. Feel free to message me on Facebook. If if other questions occur to you later, down the line on do you all the best diver one