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Summary

The on-demand teaching session is intended for International Medical Graduates (IMGs) and UK graduates of Filipino heritage. The session aims to build a community of Filipino doctors working in different regions of the UK and globally. It provides a platform to learn about Filipino culture, to announce the presence of Filipino doctors in the UK and to showcase the work of their colleagues. Furthermore, it gives colleagues an opportunity to present their work and practice their presentation and Q&A skills in a supportive environment. The session highlights the upcoming event and the application process for submission of abstracts. It also gives an overview of guest speakers who are Filipino doctors that have reached senior levels in biotechnology, academia, public health, primary care, and vaccine development. The session then proceeds to discuss a multi-specialty recruitment assessment, providing advice, tips, and resources for preparation. This innovative teaching session is a must for those interested in multicultural healthcare environments and fostering diversity within the medical field.

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Description

This webinar is designed to help medical professionals prepare for the Multi-Specialty Recruitment Assessment (MSRA), IMT and CST applications. The webinar aims to provide practical tips and actionable advice to boost participants' confidence and readiness for both the MSRA exam and interview stages, ensuring a successful application process.

Learning objectives

  1. Understand the structure and purpose of the Multispecialty Recruitment Assessment (MSRA).
  2. Learn to appreciate the role of clinical knowledge in the MSRA exam and the importance of practice to improve exam performance.
  3. Identify the different areas covered in the exam, using the MSRA curriculum as a reference point.
  4. Recognize how the MSRA results are used in the specialty recruitment process.
  5. Gain insight into norms of professional behavior and judgement based on examples from the Professional Dilemmas section of the exam.
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The following transcript was generated automatically from the content and has not been checked or corrected manually.

I and being heard. Uh Yeah, so just as a uh so, thank you very much, Ileana. Uh very pleased to be working with uh International Medical Exchange uh with working with in GS and getting some training and uh uh activity to help uh in terms of uh portfolio and application. Uh Thank you for the chance to plug our uh society essentially. Uh We uh we are a group of international graduates and UK graduates of Filipino heritage uh sharing uh sort of uh culture and experiences of uh working in different uh different parts of the world and uh trying to build up our community of Filipino doctors in the UK. And as part of this, uh we thought uh a great way to sort of announce uh the presence of Filipino doctors which are not the traditional group of IM GS in the UK is to uh showcase the work uh that their colleagues are doing. Having said that it is also a meeting of course, that is open to any of our other colleagues, whether I MG or UK graduates are interested to meet uh some Filipino colleagues learn a Filipino culture or uh even just uh you take the opportunity to uh present their own work and practice, uh practice their own um uh their own uh question and answer skills, presentation skills in a more collegiate environment. Uh So uh poster up as you can see and the QR code is up as well. Uh So if anyone wants to submit an abstract, we've extended the deadline to Wednesday and we have some exciting speakers uh uh lined up including uh Filipino doctors uh who have uh either come over from Philippines and qualified here or have come here to practice and sort of have reached uh quite senior levels in biotechnology and academia. Both that uh both uh both in uh public health, primary care and uh research and vaccine development. Hope to see you guys there. Thank you very much. Thank you, Kevin and Kevin will also help me moderate this this event and just to go over the quick um the quick flow of this webinar. So our first speaker will be so Mister Sean Z am I saying? Right or Za on Zoo. Um So basically he's an ophthalmology registrar and he has a lot of experience with giving talks about M Sra prep. And um he works in the east of England Deanery and that will be followed by a talk about co surgery interview tips, portfolio tips that will be delivered by Diego Vergara. So he is a tro an orthopedic registrar in the KSS scenery and also coincidentally the vice president of uh the British Association Filipino Physicians and Surgeons. And lastly, that will be followed by my dear friend, Doctor Daa AA. She is an I MP one trainee uh in the Wessex Deanery, right? So let me call on Mister Shan Devi. Hi there, evening, everyone. That was a great introduction. Thank you. Um Now I'm gonna see if this works or not. Last time I used Medal. I think it let me share my entire screen and I'm hoping you guys see me in full screen. Yes, we can. Perfect. So um hi, thank you for the invitation and great to see some of you here tonight. I understand you guys as an audience of majority of people who are thinking of applying for specialties this year and I've got a 20 minute slot but my talks only gonna take about 10 to 15 minutes just so we have some time for questions. Um The M sra or Multispecialty Recruitment Assessment has been around for a couple of years quite a long time. I'm an ST six currently and I think I was one of the first or second cohorts to use it for ophthalmology when they did it initially. But the GPS and other people, have you been using it for some time? So what I'm gonna cover is for those of you who are not aware of the exam, I go through the structure and just some of the basic stuff um, but then I'll talk you through the two different sections of the exam and specifically tips for preparing for it. Um, I've, this talk kind of all the tips and advice comes from people who have sat it more recently than me as well. So last year's SD ones, ST twos and just to say in rel relevance to anything I talk about or any kind of, um, question banks. I've got no, er, disclosures or conflicts of interest. So M SRA is an exam that I think the vast majority of specialty recruitment now are required to sit. So whether you're applying for GP, radiology, ophthalmology, og anesthetic, there's a long list core surgery that should be on there. CST as well. Uh I don't think I MT uses it. I MT still does self scoring and portfolios only so they didn't use it last year. Um And typically when you apply, you are asked to sit this exam er in a two week window in January, you go to like a physical test center. If anyone's ever done the theory exam for driving tests in the UK, it feels a bit like that to one of those centers and different. II guess the one thing I will say is different people, different subspecialties, sorry will use M SS ra differently. Some people who are applying for GP and psychiatry will remember that um Actually M SRA score is pretty much all you need. There isn't necessarily an interview anymore for GPS. That was different before. Now, it's just based on your benchmark M SRA score. Whilst ophthalmology and er course surgery would use it as a cut off for interview. So ophthalmology, for example, will take the top 300 M sra scores of his applicant and interview those 300. And I think CST core surgery last year used about 1200 or so as a cut off the top 1.2 K and then the exam result itself contributes to a small percentage of the overall application score. So just be aware that and it's all online, you can Google and look up how your specialty uses. M sra um, the exam's got two sections and, oh, I think I've lost a slide. That's right. And two sections, the first section is called professional dilemma. This is if anyone's done, excuse me, I've had a cough for the last few weeks. I can't shake if anyone's um done any of the UK graduate exams, you'll know that there's a test called The Situation Judgment Test. And it's essentially a version of that. It's 95 minutes, 50 questions. But they are all scenarios and they require you to rank what would you do and what's the most appropriate option? I'll come on to each of these two sections in detail. But um speaking to a lot of international graduates and such, this might be the harder of the two halves of exams just because of some of the nuances required to understand exactly what they're asking for in certain scenarios. The second part of the exam is a bit more straightforward in terms of his asking you clinical things. Um, and there's no writing, it's all single best answer or extended matching questions. This is a table taken directly from the MSR S like websites of their curriculum and you can see it's pretty broad, they're supposed to blueprint these 12 boxes, meaning dermatology ent is as a whole take up 1/12 of your exam. They don't necessarily keep you that exactly. But when you go through your exam then and they pull the questions from the data bank, this table should be pretty representative of the kind of questions and topics. Uh, so you can tell it was pretty broad and for those of you who may have worked a few years since your final year medical school exams, wherever you trained, there might be some revision to do. Um, this is an example just from the clinical scenarios. Uh I've, I've picked an ophthalmology relevant one because it's been years since I've done general medicine or general surgery. But this one's fairly straightforward, you've got eight options or a couple of options at the top and you get a few questions and you want, they want you to select what is the most likely diagnosis. Now bearing in mind the timings of the exam, you know, you've got basically less than a minute per question. You actually have to get through these pretty quickly. This is a fairly time pressured exam and a lot of this is based on the key words, being able to do spot diagnosis. So having good clinical knowledge, working clinical knowledge is actually quite important. Um I mean, if people really want me to, I'll go through these, but I think it's, it's eight o'clock in the evening. I won't try and teach too much clinical stuff and I certainly won't try and teach too much ophthalmology tonight. This is an example of just how the Pearson view the actual screen looks like. So you can tell that it's a fairly old or it was a fairly old looking system. And one of the, I guess tips I'll say at this point is actually you can demo on the person view website what these things look like. It's just worth familiarizing itself. Vi Viser visually because it's a time pressured exam. And I think you don't want to mess around with the exam of how to go back, how to go forward, how to mark a question to come back to it. So it's nice if you know the system. So that's the structure of the exam. You've got two halves, you've got a professional dilemmas and you've got a clinical part and I, if there is one piece of advice I will give for M sra at this point. That is this on the screen now, which is practice, please practice. Um Not only is it a time pressure exam but a lot of the questions and the way of sort of approaching it comes from practice, not necessarily reading, you do have to do a little bit of reading, especially of those of you who haven't done maybe some of the general topics in a while. Oxford handbook is great. It's a really good distinct summary of all the headline topics you need to know. But the structure of the exam is so important and doing it in timed. Um practice is really what I I'd I'd recommend that highly. There's a QR code on the left. This is actually ae es own link and they have on there like a list of mocks from before, including like a profession, examples of professional dilemmas that have answers and explain what they're looking for. And that's really useful. On the right hand side, I thought I'd share that just because people ask for scores and the truth is it depends on the specialty you look for right there isn't a good score, so to speak or a score, that's good enough because the higher you score the better, but some specialties will actually not give you an interview unless you score high enough. So just to give you an example, I think the two sections are scored out of a combined of like 607 100 or something. And you'll see that scoring above 2 52 70 puts you pretty high. But the cut off score they used for ophthalmology last year, which was fairly competitive was 540. So a combined score, 540 made you sit in the top 300 applicants. So it is an important exam, despite everyone's preparing for interviews and portfolios, that's important. But if your specialty is called surgery, for example, you may want to be a bit wary of the need to score well in this paper, um, as well. And uh, I'll come back to this in a minute. Oh, that was a couple of bestie ones. Um What's your advice to the audience tonight? And one of them said, asked me, what month is it? I said, September and one of them suggested that actually if you haven't already, you probably need to start preparing around now. And that's just because the breadth that the exam covers, it is quite impressive. They don't have to repeat questions so much. Everyone advises question banks. Um And again, as I said, I have no shares in any of them and I have no relationship to any of them. But a lot of people tell me past med is quite good past medicine. Um Their questions, some of them say some of the people have told me are not necessarily so representative of the exam, but their revision tools and their notes that come with. It is really good to learn from. And I've had a couple of people say that they did it twice and they went on the M CQ bank and did that as well and they got a very solid score. So I think being able to practice and it's difficult alongside work. But if you set some time aside to do that now, before your exam, I think you put yourself in a good position. If you've managed to get through at least one of these question banks. Once um I put GMC S good medical practice on this, I hope you will know what that is. If not, that's something I recommend you read. There's a like a 40 well, it's 40 pages but each pages, there's a few bullet points and is an interactive document essentially of what the GMC thinks a good doctor should be. And I know we make light sometimes in the UK about GMC or in good medical practice, but this is also what they base the professional dilemmas of. And a lot of people find that paper harder than the clinical one. So if it's OK with you guys for the next three or four minutes, I'll show you just why that is. And I'll give you guys some starting pointers to approaching professional dilemmas, which because the clinical stuff you guys can read and your practice. Um And I thought, take you through this one, for example, I picked two for specific reasons. This is from the mock online. I'll give you guys a second to read it. But essentially the summary is your foundation doctor and there's an elderly patient who has a diagnosis of cancer, right? And presuming from this, this patient's Copus mentors, they've got capacity. That's what you're assuming. But it maybe for cultural reasons you don't know, but the family don't want the patient to know. And this is scenario, scenario, testing your professional responsibilities. And it will ask you to rank the scenarios and it's usually quite easy in these ones, you'll know which options, the, the one not to do basically. And the one that you should do usually, and once you get those two right, you've got most of the points and then the rest you just have to go by the sensibility. Um So I think the most, the least relevant one is probably option bi hope you agree, which is to tell someone else to tell the son, you have to respect the patient's autonomy essentially for being off the family. C is ok because you're still speaking to the patient privately. But the best one's probably either option A or option D, right? So option A is that you can speak to the son, see why they don't want them to know. But ultimately, this, you know, understanding actually, it is the patient's choice. So these two are very high up, you know, that's not appropriate. Uh That's, you know, you don't want to do that because you're then kind of causing conflict between family. But ultimately, you're still respecting the patients um privacy and autonomy. So I hope that makes sense in, in terms of, you know, in the UK breaking confidentiality is a whole thing and you will not break confidentiality or you will not withhold important information from a patient who has capacity and you know, has, has the right to know their diagnosis and their medical details, but you have to break this in a sensitive way and respecting their cultures and family. Another example is there's quite a lot of these ones as well. Um This is a separate kind of scenario where it's not about patients, but it's about dealing with colleagues. So in enough to walk in work on a ward, you've been asked to correct a drug error on the chart. But this registrar who's I'm sure is excellent has made a lot of errors and you've noticed that. So there is a classic way of responding to this, these sort of questions and there is almost a chain of command you go through, right? And always when you have an issue with a colleague, the best way according to professional Dilema of Gym C is actually if you have a good relationship with a colleague, discuss the errors with the colleague, right? Because it might just be that there's something going on or actually that you're enough to their registrar, maybe there's something you haven't realized is happening. So that's usually how most of these scenarios, the first option is always discussed with the, the doctor or the person causing problems and the last one is usually to, um, go behind their backs or do something completely irrelevant. So, er, let that option d request that the nurse in charge, investigate your concerns. This does nothing to aid the situation. Er, you're getting someone involved that isn't even involved and is not going through the formal kind of chain of command so that, you know, already is your last option. That's probably your first option. Then you go for the other ones that's relevant. Um raise your concerns with the consultant, very sensible. That's probably next significant incident. And I and asking maybe is the next thing cos that's still following formal protocols and option A is not so good cos you, you're just talking behind colleagues backs, they don't like that. So essentially with these scenarios and with the professional dimas, when you get enough practice and you've read G seeker's practice, you will identify the top option, you will identify the last option very easily and that usually scores you already a lot of points and just put the rest in a sensible order for these sort of scenarios. Er, you know, with any patient, sorry, with any colleague concerns is always, you know, speak to the colleagues, speak to their supervisor or your supervisor, follow the formal pathways and then the rest of the options are usually not very good. I hope that makes sense. Um, for those of you who haven't seen these sort of questions before it takes a bit of practice and I would highly advise you doing this under time pressure cos you have to learn to read quick read scenarios, quickly read the options quickly and get it into the right order. Um, and for those of you who are very practiced with these, then you should be absolutely fine because it's the same as a situation or judgment test. And if you've done that in your med school, it's the same exam, basically practice question banks and um, good luck, I'll stop. There's a quick talk, as I promised, I don't wanna overrun. Uh, and I think we have a few minutes for questions if anyone wants it. Thank you very much. Uh uh I have, I have a question, Sean, you mentioned the Oxford handbook. Which specific handbook was it that you? So there's the one on my shelf, there's the foundation program one, then there's the clinical medicine one and then the specialty one, right? Yeah, the foundation program one I found was a good summary actually, surprisingly for a lot of things, the specialty one I thought was a actually really good because my weakest area was probably ong that II just, you know, I came out of med school and I did not, I forgot all of my ong by the time I studied and that book was fantastic for that. I had to relearn all of that stuff. And, um, th those are the ones I recommended. Actually, they were the only books that I've used and speaking to other people who have come through it, the Oxford handbooks are all very good cos they're succinct, that's the key thing. You don't have time to go through, um, whole reference textbooks, right? Ok. Thank you. Does anyone else have questions? Oh, we have one here. How do you go about booking the actual exam? Oh, that's uh you first have to submit um your oral application and then they'll review your initial criteria if you qualify and then after that, you book it through, they'll release when you can book the exam and then you book it uh online, they'll send a link. Is that correct? Yeah. Do you have any other questions? There's another question from Sarah asking about the, the one of the dilemmas, the first dilemma she's asking? Oh, is that about the patient and the, and the son that doesn't want them to see it? Yeah. So according to the, the answers option, A was the best option, which is the one where you'll see the pa uh the, the son raising concerns first before seeing the patient. And I guess the idea behind that is you want to assess the situation, find out what's going on, what's the reasoning behind everything and you know, from a practical scenario, we've all done that before you can usually talk to relatives into it, you understand their position and you find out what's happening. Um And then the next option is the one we discussed, which is to ask the patient whether they'd like the son to be present or not. That's what the answer the mark answer back gave. Thank you. Uh, Justin's asking. Uh So it's very much. Thank you for your lecture. Uh What is the best question b for clinical part in the SG team? Any particular advice or preferences there? Good question. Um Do as many as you can. Everyone tells me past medicines. And again, II, I'm not sponsored by past medicines to say this, but just everyone I speak to seems to like past medicine because of the um the notes that come with the questions. Um And yeah, I think they do professional DI S as well and MC Bank is great. Uh E Medica is the, this other one that someone's done as well. Um But the successful candidates usually do at least one question by completely. Yeah. So I would recommend at least that it kind of leads on to the next question is how many questions a day and colleagues uh has also answered that thing about how many questions each question bank has um 1600 in M CQ Bank and 3000 in past med, I guess. I, I'd imagine it's as many as you can really is the answer. Yeah, they have mobile apps, most of these. So for your commutes. Ok. And then there's also a question about um this past med contained professional dilemma. So do the question banks. Uh I'm pretty sure it does. They tend to cover sort of at least aspects of all aspects of the, of the um MSR. That's correct. Ok. We have one more question. The two more I think we have, we can take the last two questions. One was asking if that you would recommend an M SRA two day course because there were some advertised in November. I have to say I probably can't, I probably won't comment on that just because I've never been to one of them. I don't know what course it is. I can't advocate for it. Um I've never attended one and actually I coach a lot of people through ophthalmology interviews and I don't think I know that many that have gone on a physical M SRA course, I must say because the question banks are great and you know what you need to study, the curriculums online is not an oral exam. If you see what I mean, it is a virtual one. So, I mean, I think if you know, by all means go to it and they might give you a crash course on some of the knowledge parts, but I can't say I know that many that have been to a physical course, right? Um What is the score that would keep you on the safe side for any specialty that's quite difficult. Uh, because the score keeps moving every year, it's like a moving target. Yeah. II would agree with your answer there. I think it depends. It will vary ophthalmology. I only know the score for last year because it's the top 300 is whoever the, you know, 301st person scored and CST Dager correct me if I'm wrong, I think it's 1200 is the cut off. That's how they used it last year. So there is no hard number. It sounds about right to me. Uh There was one person who asked if uh you would, is it OK to contact you for more portfolio questions, an email? Ok. Thank you very much. This, this is really helpful. Thank you for your time. Thank you. It's a pleasure. Thank you for helping me. Thanks Shawn. Ok. So we can move on to the next part of this webinar ga can take it away. Yeah. Can you hear me? Yeah, I'm just gonna share my entire screen. Give me one second. Can you see my screen as a full screen? Yes, we can. Perfect. So thank you very much for inviting me to give this talk about applying for CST training. Um I don't know who's applying for it this year or next year, but I'm going to assume that the majority of you are applying to get a CST number starting 2024 2025. Rather. So essentially my talk is essentially trying to help you create a game plan for what you can do today. Up to the interview in February. If you have the interview for 2026 that's another story. But let's assume this. So what I'm gonna go through is essentially a timeline, go through the portfolio self assessment and give you some tips on how to approach each one, how to prepare for the inter for the interview itself, for the management and the clinical scenarios. What resources you can use general advice that I would have for anyone applying for it. And I had the opportunity to teach in the course today for part B and there were some CT ones and CD twos who recently had the interview and they gave me some advice as well if they were to do it again. And then we've got some kind of questions as well. Just a disclaimer regarding this presentation I'm doing for you all the dates for the interviews and the deadlines and things and the self assessment scoring for this year have not been released yet. So I'm basing it on what was done for these years in uh this year's interview assessment score. But I can't imagine it changing too much. Um Apart from being the VP of the British Association, the Filipino uh surgeons positions, I've got no other conflict of interests as uh as the conference that we are promoting in October is an opportunity to present before the deadline. So these are the estimated deadlines in October late October. I think it was in the like October twenties last year. So I would see him again this year if the application window opens and you generally have one month to apply and send in your application a note that at the deadline of, of November only evidence or things that you've achieved up to that date will be accepted. So things like if you haven't, if you haven't finished APG diploma in education or if you are waiting for a publication to come back, anything after that date, unfortunately will not be accepted. So you only have essentially up to November to get everything straight with your portfolio. You then have that M sra window for two weeks which Sean has kind of covered about how to manage. And in February you have a window uploading your evidence and then you'll be invited for an interview as well around the same time. And then in March, you hear all your offers. So in February it's a busy month, you upload all your evidence that you've been, that you've accumulated, you have the interview itself, you rack your jobs and then in March, you have an offer. So how can I maximize my portfolio score in the next 2.5 months? Is what you should be thinking if you're doing it for next year So, what I've done is I've essentially looked at the self score and I've broke, I put the score on the right side and the left side are what I my opinions on that and how you can get those, get those points. So, operative ex experience involvement in 40 more cases. If you are in a surgical specialty, these are relatively easy points. You may need to be going maybe out of your work period. If you don't have delegated time to go to a CPOD or something to get the opportunity experience or you might, or if you are in or you need to think about surgical procedures that have high turnovers. So if you are in urology and you go to see uh go look at scopes, that's that you can get like 10 in a day, so you can assist in those and increase your numbers quite high. Um You can organize a taste a week. You've got, I'm sure you could organize a taste a week in the next six weeks before November and you can in your taste a week, attend as many theater cases as you possibly can. You need to read the additional notes and what's accepted as evidence. So it's important to consider that you need to ensure that your logbook is consolidated. It's printed for ICP and you should get your clinical or educational supervisor to sign their logbook. And I would suggest once you hit that 14 number, get this sign sooner rather than later because you want to, you don't want to be running around in the interview with, you know, finding a consultant getting a signature. That's just pressure you don't want to have with everything else going on and again, reading, just read what they want, make sure that your consultant signs it dates it and provides a GMC number for those of you who want to know exactly what this Consultative Loook looks. I've got a screenshot of my CT one logbook. He hit over 40 as you can see, he had the consultant who stamped her name C number and the date and the signature as well. If any of that is missing, they can't count that. So it's really important that you read exactly what they want to count as evidence. So conferences, a conference is considered as a substantial period of educational activity of at least six hours. It could be a webinar, but it has to be at least six hours. Hopefully, if you wanted to do surgery for the past year or so, you have been attending surgical conferences. Um So this is easily achievable, but there are a few conferences coming up before November, for example, just giving you a quick look at the Royal College website for any conferences coming up. There's the future conference surgery coming up in the beginning of October that you can attend for an easy point. I have no relation with that conference, but I just don't do that. So if anyone is for surgery and need an extra point or so attend that. So this is a bit of a busy slide. So it's about audit and quality improvement. So you'll see, I think it's worth having not just one audit in, in, in the bag that you can put up for, for, for your self assessment, it's worth having multiple audits and you'll see what I mean later. So for this, I'm told by my CCT colleagues, it's worth just choosing the one audit that will give you the most points. I'm hearing things about, about people uploading multiple multiple audits, quips online and sometimes they will only read the first one they upload. I think it's worth it might change, but it's worth just looking at the instructions and follow them clearly. But for this, you can get eight points for leading an audit that's closed. And if you present it, you can get an additional 53 or one points. So really look at the audits, you have, get them from the view and submit the one that will give you the most points. If you look at the notes, you need to make sure that you, what's accepted is you get a certificate from your trust, this presentation, assign a letter from your consultants or even the program of the meeting that you have attended. So for example, if you manage to complete an audit that's surgically themed, that's eight points. And if you presented it in a recent reading, you'll get eight plus three points. Publications and posters. It's easy. They made it easier for applications now because before it used to be publications. Sorry, that's what I mean, posters, I said to say um presentations. So I will change that presentations. So publication presentations, it used to be separate, but now it's about. So it's just looking at your, essentially your what you have, what publications and presentations you have and submitting the best one that was great in most points. So if you have a presentation that scores you 10 points, winning an oral presentation. And if you have a, if you are of, let's say a first author of a public cited case report, four points. If you upload the presentation, you can get a maximum of 10 points and that's that. So you have to think of what will give you the most points and upload it. So you get, because you get only for 10 points. Max, what I have in the red circle is essentially quite important because if you want ap if you want a presentation with a quip, that's 10 points here. You cannot use this, you kind of use that same project or quip for the audit section, which is why I think it's good to have multiple audits and multiple quips going on at the same time. So you can spread so you can spread what you've got and maximize the points you can have for those of you who are applying for not this year, but for 2026 some good conferences that you can consider submitting and presenting in include the Foundation Chase Surgical Society conference and as a conference. So you can get lots of teaching. And as you can see for the maximum points, you essentially work with a registrar, local or educational fellow or consultants to deliver face to face teaching program to to medical students at the region. I spoke to my, I spoke to my ct one of how this can be achieved. So what you should probably do or what you could do is if you know other friends or colleagues or mates who want to apply for a CST job in another trust, you can collaborate it all together and organize the teaching program between maybe the three or four of you to have, you know, face to face teaching, but then streaming to the other trusts in other hospitals. And if you were a property that could work as face to face teaching and you've collaborated regional teaching with everyone else. So that's a good idea you can do um if you price, if you're applying for this year, you don't have something like this. You can quickly think of a four week crash course, maybe for medical students of special you're doing just throwing ideas out towards you. Um It's important, there are plenty of registrar in consultants who are involved and love to teach. So look, just talk to your bosses, see who, see who's willing to help you out and they, they will gi they would be willing to, they will guide you and give you good advice on how to run this. So you can get five points for a teaching qualification, but you have to be realistic if you want to play for next year. So I don't, if you, if you don't have a qualification or achieved at this point, I don't think you'll be able to get it done by this, by this sitting. But maybe for 2026 you can, you can get an easy three points for doing a teach to teacher course, I've just googled, teach the teacher medical on Google and you can find things from oxy medical or ICM it. I'm sure there are cheaper courses out there. These ones can go up to under 400 to quit for the two days, but it's an easy point. So I think this is something if you, this is something you can quickly do for three points if you don't have it yet in the portfolio by, by say November. So that is the, that's the self assessments. And now I'm just gonna break down the interview itself. So if you get enough points in your self assessment, you'll get invited to an interview and the interview is essentially a 20 minute interview for a management management station and a Cooker Station management station is split into two different parts. So the first part is usually a three minute presentation and they will tell you what that presentation will be on before you interview. And following that three minutes, they'll give you two minutes of questions. For the, a number of years, it's always something about a role of leadership and how that's important for core surgical training, But it may change. But for the past few years, it has always been leadership. And after that, it'll be a five minute management professionalism scenario to see how you manage with, with maybe everyday ethical scenarios you may get while you working at a CST. Then after that, you have a clinical scenario. So it's 10 minutes long, you'll get two scenarios, both five minutes each and it's generally your surgical emergency. So it could be something based in trauma, it could be based something based on acutely well patients. So something called crisp. So you might get patients POSTOP. Those are the type of things that they can get. And it's, they usually, they might give you, I think they will just talk openly on the spot, give you soar and see how you think of the spot dealing with that. So my advice on approaching the management uh speech or presentation is to have a structure. It's hard to cover everything in 25 minutes, but I'm just gonna give you a broad spectrum of how to approach management scenario and the clinical scenario. But for presentations, there's a star structure. So think of the situation that you had the task that you needed to achieve. What action did you take and what was the result of doing that? And for any scenario, let's say leadership, if it's gonna be leadership this year, have a slick intro as to why you would make important why you would make a good leader. Have two scenarios. Have one clinical example and one to non clinical example to show the bread of a candidate you are and bring it all together with a strong conclusion. So I want to stress the fact that they will only, they won't let let you go more than three minutes at the three minute mark, they will cut you off. So once you know what you're talking about, I would start thinking about what you're gonna say and start practice how you would say it and start practicing, practicing, practicing, getting it slick. Then they will ask too many questions afterwards and they can ask things from things like what's the difference between leadership and management or think about time how you demonstrate poor leadership just to keep you on your toes and to see how you respond. And the management scenario, it can be, it can be confidentially issues like you accidentally forgot a set of patients notes on the bus that you're taking home to do an audit on a patient wants to make a complaint or a senior of a senior of yours comes into work drunk. It's just exploring how you would manage a difficult scenario and a structure for approaching that to think about before. So preparing is the sp structure. So what's the situation? What patient safety issues are there because of this scenario? What will I do to deal with the scenario? How will I escalate this? So will ie what's the chain of command for escalating issue like this and support slash reflection? What can I do or how can I reflect on this to prove or to improve my, to improve my learning and to improve everyone else if something like this happens in the future. So for the clinical scenarios, they can be a TLS so it could be a patient who's come in, it could be a a trauma patient, abdo Ortho anything or it could be a surgical emergency. So thinking back to my scenarios, I had a patient who's come in with uh a upper abdominal pain with a renal, with a renal injury with uh hematuria and my others. One of my other scenarios, I did this interview twice. Another scenario was a patient who's come in with back pain. So you're thinking AAA rupture, AAA aneurysm rupture. So you can have a breath of what it could be anything from an open fracture syndrome to maybe a cataract of the nose bleed or someone with an acute abdomen. So have you should have a good overview of surgical emergencies of different specialties. But what doesn't change is how you approach each sur a special, how you approach each emergency. You may be orthopedically inclined and you may get an E NTS uh emergency or urological emergency. So you need to structure answers and remember that for each emergency, there is uh there is an algorithm you could follow. So the top right is your ATS algorithm, you know airway C spine, then you're just working it down what you do for each one. And then for your crisp algorithm, you're, you're, you're at, you're reviewing the patient similar to your ATL S ABCD E. But then once the patient is stabilized, you then move on looking at their charts, notes, talking to nurses who are looking after the patient, looking at trends and then deciding is this patient stable or unstable? And what do I need to do? So those are the things you need to be thinking about for any scenario that comes in. So what do I mean by opening statement? So let's say a patient comes in whose uh let's say an RTA motorcycle accident hits a tree and flies off, the motorcycle comes in with an open fracture or open injury. So with the bone sticking out. So for any like a TL scenario, you should say something along the lines of this is a high energy trauma injury and this needs to be managed in the resuscitation room in Ed with the appropriate team. And I would commence a primary survey according to a principles and then you move on or if you get a patient. One of the scenarios I got was a patient who had sa to 70% postoperatively after a total hip replacement. You can say this patient is desaturating of this patients desaturated at 70% postoperatively. I'm concerned this patient may have an infection or pul embolism. I would assess this patient according to Crisp protocol and start with a systematic approach with and then you go so and so forth. Another thing I would like to state for people apply for this is remember they are interviewing you to see if you would be a safe ct one. You're not even going to be AC D2 or a junior reg. So you are act one, you're just beginning your surgical career. So they don't expect you to manage a poly child patient with open fracture on your own. So it's really important to say after doing your initial assessments and your management, it's always, it's essentially para to say I would then escalate this to my registrar and discuss my management with him. So what resources are important for core surgical trading, this green book you can get on Amazon. I think it's quite good. It goes through each station, the portfolio goes through your, it goes through the management scenarios and different scenarios throw at you and it goes through a good breath of different specialty emergencies that you can, that it's worth inflicting through to revise for the interview as well. Um Medical interviews is really good for your. It's just a really good, this is really good for going through general NHS topics because they could they ask you things like what's clinical governance, uh what's, what's an audit? These are all general questions as well. So this book is not, is good, not just for course surgical interviews, but for and beyond. Um Medi Buddy is a good website. I think it's a one of payment of 70 quid or something like that. And they have very good um interview questions as well. They give you pictures and they give you questions that you can use to quiz one another. I found one of the stations there are very, very similar to the interview. So anybody I think it's definitely worth considering, I'm sure there are other sites as well, but those are the ones I used for an interview. There are a few interview preparation courses that are going out and about your trust baby organizing interview preparation for you. Um I don't want to promote or promote or push for any of them. But what I find different about interview preparation courses is that you are paying money for, say a consultant that you don't know or a senior registrar or register, you don't know, to quiz you. So you, so you're kind of more pressured to answer and rather than, you know, quizzing with your friends, you people relax. This one is kind of replicates how it would feel when you're being interviewed by, by someone across the screen. You don't really know who they are, gives that gives that Fear Factor. So finally, what are my general tips? Um These are my thoughts and these are thoughts that I've asked some ct one ct E TT s recently, I think maybe from today or this week it's worth sitting down and going through the self assessment, you can go through this one but go through the 2025 self assessment. As soon as you released, also start compiling what you've got. Collect what teaching experience you have, collect what projects, quips presentations you've done and it's good to have that self assessment. Look at what you've got and write down and have a clear game game plan on what you need to achieve before you submit your evidence again. Scrutinize what they want and what they want is acceptable evidence. I know many people who've lost marks because of some oversight of not submitting a small thing, like getting a consult to sign up, bring the GMC number using all the points, really look at what you need and chase those signatures as soon as possible because this is something you don't want to be panicking about, you know, whilst you're revising for M SRA be organized, as so said, you know, M SRA, you should probably start vising that you should start thinking about this application as well. Um This is gonna be a tough time from now until the interview. So organization is key, try not to have last minute panics for uploading things is something you don't want to have whilst doing a job and doing your M SRA and think of what you can, what points you can easily score between now and November. And it's very important to be realistic in what time you have. You're not gonna get APG diploma in education from now to November. So, you know, that's unrealistic, but you could maybe do a teacher teacher course or you could do a very fast audit on the ward like a, like a a and BT prophylaxis. You can definitely do it and compete a loop. You could, these are things you can do now until between now and November to maximize your points. I know like you got your MSR in January and sometimes, you know, like the, the results are not released till February and in invite interview don't be released until February as well. So there's a tendency to sit the M SRA and then go, I don't think it went too well and then get complacent and go. I did get an interview. No UN until you get the interview. Then you realize it's too late. No, you shouldn't do that. I think, start casually practicing as early as you can within reason, maybe straight after the M sra have a one or two day break, just resting your mind. But then you got to switch charts onto the interview. Finally, uh you're not in this alone. You have friends who are doing this. You have colleagues who are doing this, get everybody and just practice, practice, practice, get questions, quiz each other, grill each other. And what I say also for like the CS part B similar for CSD interviews is tell your seniors and tell your bosses that you're taking the interview and you might find bosses or see or registrars who take the time of the busy schedule to meet up with you and grill you and give you good advice as well. So that's my spiel on the game plan and approaching the CST interviews coming up. Here's my interview, here's my email if you have any questions and good luck. Have you take questions now? Thank you, Diego. That was very insightful. We have a couple here that were written um First was by Courtney Bridge. She's asking if the surgical courses conferences I attended at medical school. Count. Mm That is a typical, I don't see why it shouldn't because it counts as a surgical conference. But uh Kevin, would you have any insight on that? I think if you uh the the caveat is the specifications of what they count as evidence is not yet out. So, uh, so anything we say has to be rechecked in honesty, but looking at, uh, looking at the, uh CST um uh sort of guidelines for self assessment, uh it doesn't sound to me like there's no reason why not, except for if it is an undergraduate surgical society. So imagine if you go to a, uh an established uh society conference like Asset or uh British uh or a S GBI or the orthopedic societies, they may well count. But the uh if it was a student society, it didn't sound like it counted last year. Uh Looking at the next one, our PETA asked if obs and any surgeries and C sections count for operative experience. I'm thinking about that one. I was, I was looking this up PETA um on the E log book, I signed into my E log book and a Cesarean section is, is a case that that can be registered on, on the E log book. Um I couldn't find any uh definite answers as to whether it would uh it would be counted or not. Um Because uh to my mind, I couldn't find a definitive list of what cases counted, having said that if flexi cystoscopy counted. So uh then maybe it would, um I would, I would say that uh your logbook is your logbook and um I wouldn't necessarily, you know, you try and maximize your numbers. Uh But if, if you're, you know, if you're finding yourself at sort of 2013, you put those on. I don't think that it's not like you get an active marking on it or anything like that. Uh I would be surprised if that would happen. Uh Thank you for your question. Mua does teaching IG CSC biology and chemistry count as teaching experience. Although I do appreciate that S TG experience just looking at the self assessment. It, it specifically states regular teaching for healthcare professionals or medical students. So unfortunately, I don't think teaching I GC biology, chemistry counts. Sorry. II think when the um uh guidance comes out in the self assessment, one needs to like, look carefully um even sort of organizing the events that we're trying to organize, like CPD and things. We, we've looked at those to see, to try and make sure they meet a criteria that uh that different people do. Uh the, the, the, the different uh specialties are requiring and core surgery is a little bit um strict to those of what counts in terms of CPD. And so what is a surgical conference? Um Just to add a little bit to, to what uh Diego was. Uh Diego's advice. Um eyeing up a couple of uh events. I know I've uh uh I know I've had emails from asset that there's, I think it's an Innovation Summit uh in November that might be worth booking if it uh it's probably still within your time frame. In terms of attendance at a surgical conference and it is surgical in innovation and it is the association of surgeons in training that's organizing who are, are recognized um On the off end, if anyone has any abstracts, they uh they happen to have a deadline for abstract submission at 1159 this evening. So uh if you have something that can go, you might be able to squeeze one in if you need uh an abstract submission as well for that. Um, and trained a trainer. Uh I'm not advocating for any of these events, but trained a trainer. There are some uh spots open as uh as expensive as the Armwood Royal Colleges of uh England um in sort of October and November as well. So in terms of the suggestion of points, one can get there, they, they're still up there for grabs as they were. Uh, and can we use evidence of surgeries and uh, sorry, uh sorry, Mohamed, I'll just go back. I think I skipped someone, uh, for the surgical procedures. E logbook. I used to work outside the UK. Can they use their home countries? Logbook? And? Oh, Mohammed's um, uh, Justin and Mohammed both asking some question about evidence of surgery, audits working outside the UK. Um I don't know if you have any insight on that from, uh, to be honest, I'm not sure if, if, uh, they can use, I'm, I'm really not sure I'm not. Have you ever encountered anyone who went from, uh, or surgery straight from back home. I'm not really sure my interpretation. Looking at the, um, recruitment again, unless they change things. It does say that, uh, you're probably safest if somebody can validate your logbook who is a, has a GMC number. Uh, so if they have a GMC, it's a consultant details and GMC number, it says GMC number and then it also says, or equivalent, which tells me that they, that they might uh that, that they must recognize someone who maybe doesn't have a GMC number, it's abroad. Um I think if you have, if you have a consultant who's GMC registered, you're probably much more secure in that. Um And I II, do I do hear from some people that they, they, that depending on where they're from, maybe how they judge it slightly different, but I cannot say for certain uh what, what gets considered or not. But the fact that it says signed by a consultant with a GNC uh number or equivalent suggests to me that uh uh they, they prob they, they would take in consideration cases from abroad but whether that differs area to area, et cetera, I don't know. OK, let's take the last question by uh this research collaboration. Gives CPD point. Do you mean do you mean points for the self assessment? Hm. This question was quite, it just says CPD point. I'm not really sure. Yeah, I don't know. If uh if it's possible to clarify your question because uh CPD for me is sort of educational activity ie attending a course conference and, and whatnot uh research collaboration in terms of uh publication points. Um Let, let me, let me again, share. Give me one second. Let me just quickly. Can you see my presentation again? One second? I can't, can you see a presentation yet? Yeah. So if you're asking if a research collaborative gives CPD points, maybe if you mean self assessment looking, this is the self assessment for publications and presentations. And if you look here, it says here, if you are part of research, collaborative publication, you can get one point for that. So I think my advice is if you have anything else, I can give you more points, I would upload that, but they might change things this year. All right. OK. So I guess let's go to the last part of our talk. Daa. Thank you. Thank you by the way for um staying with us until until about nine, a bit past nine. So, yeah, DAO DAO will now talk about I MP one prep and interview prep. Hello, everyone. Uh Thank you for joining. Um And thank you to the organizers. Um I'm just gonna share. Mm Can you see my screen? Yes, that's good. All right. So my name is Daa. I'm one of the I MT one B in the West. Um So I'll talk about the training program um and tips on how to get in. So first, what is I MT it's the internal medicine training program. Generally, it's a three year program, but it can be two years depending on what you're applying to. Um applications open on the 24th of October and close on the 21st of November. So you have about a month and you apply through oral. Um So the first bit is the portfolio scoring. Um So as mentioned, it's a self scoring system. Uh So when you apply, you just select um what applies to you. So last year, the minimum was 15 points to get an interview. Um So how it works is based on your score, you get an interview um and then you get um an offer. Um these uh score differs year to year. So the year before that it was seven points, but it double out. So it only comes for completed achievements. There's one exception, but I'll go into that later, but they do give you a text box to add information. Um And you can be emailed to uh provide proof of your achievements. This rarely happens, but some people have been emailed um and you can get more information on the I MT recruitment website. So the points um some are a bit difficulty at this point. So post grad having a phd or a master's or diploma, if you're applying this year, it would be really difficult to get them between now and then. Um But if you're applying at a later time, it might be worth looking into maybe a diploma. Um Additional achievements. Again, these are all mainly based on med school. So if you're applying this year, um they're very difficult to get. So if you were in the top 18% or 20% or if you've had any prizes, you get points. Uh but these are mainly based on your med school. Um After that, we have presentations and so oral presentations. If you were first or second author, these have to be national or international, they can get you seven points. And I know there are a lot of conferences going around at the moment. So if you have anything, it would be worth submitting. And if you have a poster presentation, national or international, that's uh five points. So that's within the country. Um if it's regional or within a training region or few hospitals that can give you five points as well. Um And then if they're local or regional, so if they're very confined, you get less points for that and they have a box, none other for all of the um points. So in these, in this one, you don't get any points but they can count for interview points. Um So when they interview you, you can take that, they can take that into account and then research. Uh So there's a lot here, but basically the best option is being a first author in a um p research. This is the exception to completed achievement. So you have something I press so accepted but still not published yet. They will take that into account and give you the eight points if you can provide proof. And if you are a coauthor, you can get six points. Um and then if you've had one or more publications that are editorials, reviews, case reports, you can get five points and these can be a bit easier to get um between now and November, they're not very easy but more achievable if you've written um a chapter in a book, uh a medical book. Uh but it can't be self published, you can get five points and then 101 other publication like editorial reviews, case reports can get you 0.3 points. Um And you always score on the highest thing you have. So let's say you have a, your first author in a paper, you'll score. Um You'll give yourself an eight and you don't need to mention any, anything else below that um Teaching. Uh So if you've organized a teaching, but it has to run over three months, you can get six points given we're in September, that might be a bit, a bit of a squeeze. Um But you have until November to get that if you've participated in a regular teaching for three months, so someone else organized it. But you took part in it, uh you can get three points which can be doable. Um But if you've taught occasionally so to medical students and have formal feedback, uh whether that's in your e portfolio or just feedback forms that can count for one point which is very doable uh between now and applications. Uh And then if you've had any training in teaching or a master's um or APG cert that can give you points, but they're very difficult to achieve between now and applications. Um And then training in any teaching method that is not any of the above will give you a point. Um quality improvement projects. So if you're involved in a new cycle quality improvement project, you can get five points if you pick a really easy one. And as Diego mentioned, a VT prophylaxis, one can be um a very quick, easy one to do two cycles and get five points for it. If you're involved in, in either some parts of a two cycle or um all of a one cycle, you can get three points uh or a part of a one cycle as well. This one is very achievable uh between now and applications and you can get five points as well for it. Um Leadership is a bit of a difficult one to get if you haven't already. So holding any national or regional uh leadership roles for six months or more that you can demonstrate making an impact So it's uh being part of the BMA trainee representatives or anything in um college. Uh But at this point, it would be difficult to get and then a local one which is within your hospital or they put um charity, sports, creative arts as well. So for the points um presentations and publications might be achievable depending on what you, you can work on um teaching, you can do a few teaching sessions. Q IP is definitely a uh achievable if you already have a leadership role, that would get you a few points. And then the additional ones um like post grad um and your, the top 18 or 20% will be mainly based on your medical school. Uh But it's worth looking at these early and see where you score and how you can maximize this uh because of the competition ratios. So if you, um so every year they'll look at the um in the scoring points and you'll get, they'll get a cut off which changes every year. So it used to be seven and now it was 15. Um And based off that people will get invited to interviews. Um So the interview dates are from the of to these are all done online. Um And the short listing is on the 18th of December. So that's when you find out if you are invited for an interview or not. Um And then the interview structure itself is divided into three sections. It's about 25 minutes. So one general, they, there's always a two minute um part where you have a presentation ready. Um It's just an oral presentation and you talk about your achievements and what skills this gives you. So, for example, do you say I worked as a in um as a, a BMA representative? And then you can say uh this shows that I can organize things. So you link uh your achievement to a specific skill. Um And then they'll ask you questions either about the points that you said you've had. So if you said you did research, they'll ask you about that uh or the achievements, you said in your two minute presentation, they can sometimes ask you about your goals, what you want to do uh Q IP projects, things like that. Um Then there'll be a clinical case and an ethical case. Each section is about 5 to 9 minutes. Um So general tips are, there's a specific structure to, to questions. So, for example, in clinical cases, in most of the time, you'll always say I'll take an ABCD approach and go through each one. And then ethical aspects, there are algorithms as uh the previous uh presenters mentioned how to approach things. Patient safety is always your priority. Um And just to know the clinical questions can include EC DS bloods um which are for your interpretation. Um And then for clinical aspects, remembering things like escalating to a registrar after your assessment or things like acknowledging that this is an unstable patient or this patient is in septic shock. These things count for a lot because they can see that you can recognize an unwell patient um resources for interview. Um Medi Bdy, I think it's about 85 lbs. Um It goes through all of the interview sections, the kind of personal bit clinical and ethical, it gives questions and what the best way to approach the question is or the ideal answer is um have an interview prep by. So you ask each other questions and go through the um what you missed in the answers and how to phrase things and then practice all of the aspects for the interview and talking it out loud. Uh because sometimes it's easier saying it in your head, but when you actually practice it, it doesn't sound smooth or uh organized. Um And then the other resources um the medical interview book which was mentioned in the um CST talk as well. Um The Comprehensive Guide to CT ST and registrars. It includes all um interviews for everything. I personally didn't use it that much. Uh But it is a very good resource. Um And it explains things very well. Um And then in the interviews are standardized on that day. So basically how it works is there would be what a uh a month of interviews and then on your day, everyone will be asked the same questions Um So let's say if the day before you, they got questions you thought were easier, they standardized the score based on that. Um So even if you got more difficult questions, they average the score of everyone on that day. Um And then just additional information um for M RCP exams, there's a part one, part two, they don't count for points in the application. They do ask you if you've sat them, but they don't count for anything. Um They do count technically for interview points and if you haven't sat it, they will always be a feedback of should consider sitting the M RCP. Um And then, but I would focus on getting um points and practicing for the interview rather than this. Um And then review your points from now and see how you can maximize them early. Uh because that will make the difference in you getting an interview or not any questions, right? I think that thank you for that Thalia that was, that was very helpful. We have one from Hasim. Uh He was asking about what it means to what it means to have an in press publication. Yeah, sorry. Yeah. So I impress means that you submitted a paper and it was accepted but it has not been published yet. So if you have any email proof that would count um as um proof of that, it, it's been accepted. But um basically um awaiting to be published right before we proceed with the next question. I was just wondering if the people who are here could just answer a quick feedback form. I'll post the link just so that uh this will really help us with, with um with our other future webinars. Yeah. So while you guys are answering the feedback form, I was wondering if anyone had other questions, I think going back to impress, they also accept that in CSD and ophthalmology. But in CSD, when I was reviewing the portfolio, they had a specific list of what exactly it means to be. I press if I'm not mistaken, they didn't really for I mt they just said um accepted but waiting to be published, right? They do. I just, I just looked at the CST and yes, I can get points for that too. Not the, not the maximum points, but if you've done it and that's the one that gives you those points. Yes, it's worth submitting that we have a question from. He's asking how to provide proof for any teaching experience. Is there anything specific to fill out? So basically in I mt how the application works is that you self score? Um So when you do your application, you select what applies to you and then if they want, they will ask you for proof. When I did my application, I put in the text box, what I have. So let's say if you have a course online that you presented you can put the link or something for that. Um Otherwise you can just put, you can say what course you did where you did it, uh what course you taught in where you did it and the dates of it. Um And then if they want, they will ask you for proof because it doesn't, I think there might be a um an option to upload documents but you don't have to, if they want, they will ask you for it. Um And then for the um in most of the teaching courses, they ask people for feedback. Um So I would keep those in case you do need them. Alternatively, you can get a letter from whoever organized the course that you've um participated in or from your supervisors, consultants, the, the whole feedback thing I will, I will echo anything, anything you do in terms of education needs feedback. It's one of the requirements if something's going to be CPD approved uh to have a good feedback form and it's evidence even with ST three and anything going forward. And uh just, just to echo with the question and evidence for international et cetera. Again, the, the core surgery requirements for uh evidence, one of them is one of the options is letter from consultant, confirming involvement with including their GMC number or corresponding national medical registration equivalent. Um And for proof for teach experience of, of course, you know, there's a tendency if you got your teach if you got your, your feedback in the individual paper and uploading every single one, that's probably not, that probably won't do the adjudicators any justice. So I think it's worth just summarizing the feedback. And so an Excel spreadsheet form and using that as your evidence and then getting your consultant to reflect on and to comment on the feedback you received as evidence rather than uploading every single feedback form you've, you've gotten for a series of teaching you've done. Uh I'll just show the website um the I MT recruitment. So you have the, you have the all the aspects of what you can score on up here. And then if you scroll down, they explain everything in detail. I think someone asked about a youtube teaching. I would say it probably doesn't count. You need a letter certificate and you need to have formal feedback. Um for, for the first two, it has to be there's kind of specifics to them. Um So I would say it probably doesn't count but you can email them to check. Um And then I think someone asked about the additional achievements. I don't know if this explains a bit better than the slides. Um And they have notes for all aspects to explain things better. Can I ask what usual time of the year, what usual month they release the new uh the new like self assessment guide? Is it around October for? II mean all like specialties in general because I think um I MDT SD and even ophthalmology and other specialties are bound to release their new, like self assessment guides to, aren't they, don't, don't they change it or update it every year isn't uh uh for I MT um II believe the ones I've shared are the um, are the newest ones, at least through the I MT recruitment website. I think someone a link, but that says higher reality. I'm not sure when I applied, I used the um I MT recruitment one for, for uh ST three, ST four, I think they did. Um II haven't clicked on the link but that it shows the um the matrix scoring for the medical specialties. We, I know we're updated well in advance of times. So there were changes for core surgery. I don't think that uh it has been up yet. Uh My understanding is it's about a, a few weeks if not a month beforehand cause my recollection is when they introduced MSR, it came as a bit of surprise. It didn't, it wasn't sort of announced months in advance. It came up as part of the recruitment round when we sort of did a similar um webinar like this in around October time. Uh So, uh it, I don't think it's out yet and what, what we're going with is with uh what is currently available, which is a 2024 uh uh 2324 round. Um For I think one of the questions was about um what counts as formal feedback. So they have um in their website, I'm not sure if you're in the UK or not. But in the E portfolios, we usually have specific forms that count as formal feedback um that are filled by your read or consultant if you don't have um that specifically Excel document with all the comments. So what I personally had was I had the students fill out a Google form or any these questionnaire forms about them. And I've had that saved um as formal feedback. They didn't ask me for it, but I assume any kind of formal um any form of feedback forms would count. And, but if you're doing this outside the UK, you could get a letter maybe from a consultant or someone who um either observed or is aware of your teaching just for completion, right? W while we're waiting for, for other questions, I just like to plug our uh the conference again. Uh If anyone's interested here in the UK and if anyone's will, if anyone will be here on October 19 and you want to submit an abstract, please do it. The, the, the deadlines extended to um September 18, which I believe is a Wednesday. Yeah. OK. I think that wrapped this webinar. Thank you everyone for, for um uh lending your time and it's really been helpful and for the rest, if you haven't answered the feedback form as we were talking about feedback, this would be really helpful. Thank you. Have a good evening, everyone. Have a good evening. Thanks everyone. Thank you. It was.