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School um and have just started um at the John Radcliffe Hospital in Oxford. Um So the aim of today's lecture is going to be to talk you through all the different parts of final year and how you can kind of work your way through it. Um Sort of get to maybe where I am now. So let's have a little talk about that. Um And as always, um just ask any questions like no question is silly in the chat. Um And I've got my email here as well if anyone, if anyone wants to ask questions personally. Um but just ask any questions as we go along. Um And I'll do my best to answer them. So, um you guys are probably feeling a little bit like this. You might have lost a bit of hair, you might be exhausted. You've just finished fifth year. You've had a really short summer and I think you guys are already back on firms and I know you're looking at the number of like logbook things, you're looking at the dots, you're looking at the docs, you're looking at psa psa paces, which I think you call something different. Now. And you're thinking like, oh my God, when will it stop? Um But rest assured finally, it was actually the most fun, our most enjoyable year of medical school and it was also the most relaxed. So that would be my main takeaway. If you're going to take anything away from today's talk is please enjoy your final year. You will never be, you will never have this much freedom again. You'll never have the freedom to just, you know, wake up one morning and decide you don't want to go in and not go in. Um So just enjoy that freedom, enjoy, enjoy having that time and remember to always have balance. So in terms of the year ahead and what we're gonna be covering. So I'm going to talk a little bit about what you're going to get out of firms. Um We're going to talk a bit about do PS and how we can best achieve those. I'm going to give you a couple of tips about UK FPO and what I think about that and also the academic job application process. Um and then in terms of exams, we'll do some stuff about your writtens, the prescribing exam and then pas and then the fun bit. So the less fun bit, which is the pa assistantship that you guys have. Um, and the really fun bit, which is your elective. So let's start with FS. So the firm FSA is exactly the same as usual. You'll have learned most of the things that you're going to cover before. Um But what I would really urge you guys to do is to commit when you go in. So, um I'm by no means officially advocating that you don't need to go in. But what I am saying is that when you do go in, make sure you're getting something from it. So every day on the tube you're cycling, you're walking, think about the one thing you're going to achieve that day. So whether it's I'm going to do, you know, if you're on cardio, I'm going to listen to a heart murmur. You know, I'm going to try and find a patient with a murmur and identify that murmur. Whether it's I need to do a cannula, I need to do an ABG, just have a goal at the end of each day because they do actually ask quite a lot from you and you basically, you're not going to get much of it done in GP. So you have about four months or four rotations basically to complete all of these things. So it can be quite time pressured. And if you go in with that sort of mentality, you'll do really well. Also, what I really would urge you guys to do is to start looking at firms as if you are those F ones you already know in theory, all the things that the F one knows, but what you need to kind of understand a little bit more is what is the role that I'm going to be going into? So how are you going to see how an F one works safely? And what I mean is, don't spend all your time doing T TS and discharge summaries but prioritizing and seeing, you know, RC F one, can I do the on call shift with you? Because for example, one of my housemates tomorrow is the only F one running a ward round on acute stroke with two pas no consultants and no red and that's her first day of F one. So that very much could be you. So use this time and that's not to scare you at all, but just use this time seeing when you are in F one, would I be able to do those things that an F one can do? So um if you go in with that goal, that's what you should really be trying to get out with fans and also your practical skills, you will be called in the night to do a difficult blood that all the senior nurses aren't able to do. You're going to be called to do a cannula that everybody else has tried and no one can do. So make sure that you feel pretty confident with them and that you will be able to do them. I know that the paces exams or I think you guys are calling it the CP assay. But the practical exam that you guys will have at the end of final year while they don't state that there will be a practical skill. And I think most years there isn't, it's very fair enough for them to ask you to do that in exam conditions as well. So make sure that you are prepared to do that. So the things that you should be really concentrating on, on your phones is doing those a to assessments. Can you ensure that a patient who is deteriorating and unwell using your a toe framework that is going to be your safety net? Can you assess a patient and work out what your next steps are also trying to do sbar handovers? So it's all well and good watching them and listening to them. But I think in fine, the best way to get stuff out of firms is to actually be involved. So say, could I do this as an sbar handover? Could I call the Ortho reg and try and refer this patient? And then finally the bleep to see what kind of people, what people get bleeped about, how people respond to bleeps, prioritization, time management, those sorts of skills are going to be the things that really get you quite far and finally yet. So in terms of your dots, it's going to feel quite overwhelming because there's quite a few and they reset all of them. So here I've just got a couple of things that are going to be helpful. So I would say what I would do is in the next week or so, write out all the dots and see where your placements are. So for example, if you've got respiratory in your 1st 1st rotation, like I did see if you can get ABG done there because it's going to be much harder to do that on GP. The other thing I will say is don't be too stressed about it because Imperial did say we only had until the end of December to do these things and then they actually extended it until the end of PSA. So I'm pretty sure they will do the same. It's quite unfair for them to ask for like a suturing sign off when a lot of people won't do many days in theater. There's only one surgical placement in terms of cannula. You could try with anesthetics when you are on theaters. Just also just try and ask around the wards, um infusions, just ask when you're on the wards for that male catheterization. When you do urology, you should definitely be able to do that there. Local anesthetic. There is a little bit of a trick that you can do that for abgs. You could also be really cheeky and do the instillagel for male catheterization and that would count um suturing. So try and do that in theater. We've already spoken about ABGS, subcut injections, do the dalteparin ones blood transfusions if obviously if a patient on your ward is getting one, then that's great. If not, you can go to the heme Day Center and that's quite a good way to do it. The only thing about blood transfusion is sometimes because you, because it's obviously like, really important that you're doing the right blood transfusion. You often, some hospitals have a policy where you can't do it if you're a student and some nurses can be quite funny about it. So you might just have to watch but just try and get those sign off. You've got to treat this a little bit like a game and the blood culture and the NG tube, those are simulated things only. So um so yeah, so you just don't worry too much about those. Um But that's what it was like for my. So now we move on to the application process. But before we do that, does anyone have any questions about phones or dots? Um you can write them in the chart. If not, I'll move on to applications. So this for you guys is probably the most anxiety inducing part of final year and I really get it. It really is stressful. Um The good thing is there is no SGT and actually because of that for the majority of people, it is a better system if you're going to be applying to anywhere. Basically, that isn't London, Northwest Oxford or seven, you probably will get your first choice. Um and so the majority of people it will be a better system. However, um what I will say is there was obviously a lot of anxiety and I know that a lot of my year group had some disasters and I know that that could only increase the anxiety for you guys. So I really feel for you. I will say that F one and F two location really doesn't matter. Um Because of this new system, it really won't matter where you're trained. Good doctors are going to be everywhere. But what I will say is ponder the best and worst case scenarios. So you might think, OK, I'm, I'm going to have my shot at London. I'm going to try and see if I get it. But, and, and you know, the best scenario is you get your dream job at Chelsea Westminster. You get to go to the famous Chelsea West since the Christmas party. You have a great time. But what I would also say is that imagine the worst scenario if you put London top, you, if you are number 5000 or below, you are probably going to not get London. And if you are maybe 9000 or below, you might be looking at, you know, your 13th, 14th, 15th, 18th choice. So for me personally, if I were in that situation and I were in your, your group learning from what I learnt now, and London was important to me, I would really be thinking about the East Anglia, the Kent Surry Sussex, where it could be possible to live in London and commute or you could be close to family members or partners who are based in London because I expect that those will be, they may not still be undersubscribed given. I think a lot of people might be thinking in a similar way, but they will be less subscribed than London. So just imagine the best and worst scenarios depending on what deaneries you put. And secondly, also think about the best and worst scenarios within each deanery. You know, for example, if you put Scotland Top, you might get Edinburgh. And actually a lot of people like every, every single one of my friends who put Scotland Top did get Edinburgh because most of the jobs are there. But you may also get, you know, the Outer Hebrides, Orkney Island. So that might mean, for example, if being in a close proximity to London is important to think about something like Leicester, it's actually a very, very small deanery of about three hospitals and they are all within an hour from London. So you've got to think about these best and worst scenarios because there's no way to gain the system and just make sure that I think prepare yourself for the best, prepare yourself for the worst and hope for the best in terms of linking our applications. I think if you, I mean, I wasn't in the situation personally. But a few friends were, I think this is a really difficult decision that whoever you might be linking with, you need to have a proper conversation about what I will say is just remember whoever is the lower of your numbers, one, if you would have been sent there anyway. So for example, there was a couple in my year who linked and put London, they got their 18th choice of Northern Ireland, which is obviously not what they wanted. However, one of them would have been sent to Northern Ireland anyway. So I think for them, they were, they felt relatively lucky that at least one of them wasn't in Northern Ireland and one of them was in London, at least they were together. So, so, you know, you've got all of these different things to think about, ok, in terms of academic jobs. So what I will say about this is I know that they've announced, I think they announced about six months ago that this was going to be completely random. What I will say is they still haven't announced how it's going to be allocated. And that to me suggests I don't have any more knowledge than you guys, but that to me suggests that it has not been fully scrapped. I don't think it will be a completely random system. So what I would say is maybe it's actually a good idea that I talk about what the academic job entails so I can use my job as an example. So I applied to Oxford and Kent Sussex for academic jobs and I got my first choice job in Oxford. Um This job is in Oxford for both years. Um And has uh so on, on three of my jobs, one in F one and two in F two, I have one day a week to do academic activities. On top of that, I have academic responsibilities. So, for example, I've got in touch with the college that I'm teaching at at Oxford. Um and Oxford is very chilled out, you can pick whatever research you want to do at the university. It's sort of up to you other deaneries, you have a four month block, other deaneries, most deaneries actually have a set project that you kind of an area that you apply to and then you do that project. The advantages are if you're thinking about research further on, you know, later on in your life, then these sorts of things set you up really well for it in terms of if you want to do an academic clinical fellowship or phds or just having a bit of time to actually do those things and a bit of a bit more space in F one and F two to do those bits of academic work and have funding for that. It is a really fantastic opportunity. So I'm really lucky to have had it. For example, at Oxford, we have like, I think it's like four hours every month of like skills coursing at the skills courses at the university. Um We get 1000 lbs of funding as well that we can use for different academic activities. So we're, we're quite lucky here. So it's something that if you're remotely interested in is very much worth applying for. However they, in whichever way they do sort of select for it. And what I would say is different deaneries have different scoring criteria. So when I applied to Oxford, I thought that you all had to have like loads of publications, all of this stuff, I had two letters to the editor and a few presentations at conferences. I didn't have anything big. My big, my big publication that I've done in my BC was actually published after the deadline. So one reason I applied to Oxford was because they did it mainly on whitespace questions and the interview. So some deaneries really don't care about your previous experience and some deaneries really care. So London, you, it was based on how many publications with a PUBMED obstruct you had. Um you had to your name. So um if basically what I'm trying to say is I, if I had to put money on how they're going to allocate this, it would be as follows, I think they're going, you're going to apply for your deaneries in a random order. And once you've got into your deaneries, I think they're going, each deanery is going to do a selection process. So for example, everyone will do a random system, those who get into Oxford will have some sort of process to apply for academic jobs. Um And this is because the academic staff don't want people who don't want to do SFP S and people who don't want to do academic research don't want to have SFP jobs by random. So what I would say is if academic research is important to you, then please continue with your last minute letters to the editor, your conference, abstract submissions, keep working all that stuff. All that stuff isn't for nothing. The interview preparation is usually about managing acutely unwell patients. So it's very clinical and that's what's going to really help you with your paces and your finals. I felt much more prepared than a lot of my peers for the acutely unwell stations. Um And also the application experience might help you in the future. If you get those out submissions in, you know, the last minute letter to the editor, those will still be to your name and on your CV when you apply for specialty things later and now is actually the least busy you're ever going to be. And the same with interview preparation and like doing the actual interview, I mean, you get feedback from consultants from academics who are giving you feedback on your interview and how well you've done. So you can see where in your portfolio and how your interview you might need to improve when it comes to specialty applications as well. So I think if there is sort of any sort of application process, you want to be as best prepared as possible. So continue doing all these things and even if it is really rubbish and they do change it to random, um you can still use all of these things for the future. So yeah, any questions about the academic job at all, OK, if there are just put them in the chart, so now we'll talk about the written. So I think, II don't know if you guys are doing like the UK MLA or the MSAA style questions, but they're basically the same thing. What I'll say is they're really similar to your third year exams. The content is exactly the same, but just a lot more management. So they're just asking you to think that step further, the faculty marks are actually really useful, memorize these off by heart and the mark schemes because they do come up repeats. And also what I will say is just in the exam, think like a consultant. Think what I always thought with this, with these questions, what are they trying to assess here? What criteria, what do they want a safe f one to do and just use that to kind of help you can use brains pass papers. And I mean, I basically just did pass med. So if you can do pass med, you can do, you can do the writtens. I'd say they may be harder than pass med. OK. Moving on to the PSA. So three weeks of preparation is more than enough. I had done nothing. Not even those faculty monthly questions that they do and on any of those until three weeks before. Um So what I would say is three weeks of preparation is more than enough prepare for the PSA is like a free course you join on Facebook. There's four lectures that they'll do for you, go to those and that is all you need to do, do that, do the faculty monthly questions and all the marks that they set you and then there's the prescribing safety assessment. So that's the official company. Do those questions first under timed conditions and then do the prescribing skills assessment papers. You have to pay for these, you might be able to find a final year who can give you their login. Um because I think we might still have access to them. So you could do the papers. What I would say as well is the exam is really long and really time pressured. So the BPS assessments I think are half papers I think. So are the prescribing safety assessments? Do them do two papers back to back? So you get a good use for that. What that's going to be like, what the timing is going to be like, um, the actual exam itself is, it's just full of hints and tricks and quick ways to look at things on the, on the BNF. There's very little actual brain power involved in it. But you just need to be quick and you need to have done lots of practice. If you do all of these, you can get 90%. Um, so just do these and, uh, and the PSA should be quite straightforward in terms of PIS or the CPSA. You're going to have a series of four exams, you'll have 56 exams. Sorry, you'll have a primary care history, a secondary history, an endo history, you have a professional practice, one images and instruments and acute care. So what I would say for these is um your examination, uh your examinations think about what things are going to come up. So in cardio, you're not going to get an acute mi you might get given an ECG with a semi, but that's not going to be your presentation. It's going to be a longstanding heart murmur that is very easy to hear. Um It's going to be, you know, heart failure, respiratory exam, it might be pulmonary fibrosis and there are some things that are very paces. So for example, you will just get to learn it once you've done enough examinations and you've seen what the past stations are. For example, in your respiratory examination, you might notice that they've got some rheumatoid arthritis, fingers. And as soon as I saw that in my respiratory exam, I knew that this patient was going to have pulmonary fibrosis, obviously actually listen to their chest and make sure that those findings fit in. But there are going to be really classic patients that you know, you understand. The main thing I would say is please don't get bogged down in these examinations with what is the pathology? What they want to see is how are you nice to your patients. Do you know with a breast exam? Are you sensitive towards, you know, the awkwardness of a breast exam? They want to know how can I trust this patient as an F one to, you know, pick up a major sign if you get the murmur wrong. If you don't even hear a murmur, absolutely fine, don't get so bogged down in the pathology of things that you don't, you know, you don't focus on your exam. So equally, if you forget in your cardio exam not to do clubbing, you're not going to fail. This is very different to osk in third year. This is not a tick box exercise. It's a general impression. So I went in and I tried to make every patient laugh. I tried to build a report with them and I did, I did really well in my patients. So and I didn't get all the signs. I didn't know what any of the history in all my histories I didn't know what any of the histories were. So, you know, just, it's all about the global impression and how you sort of treat your patients in terms of the Professional Practice station that will just be briefly talking about, like there will be some sort of ethical scenario, role play thing that you've got to do. It will probably be quite similar to things you might have had to do when you were applying to medical school for MS. So I think mine was like a nurse made a mistake and doesn't want to admit to it. And you've got to kind of tell them to, it will be very obvious what you need to do. You won't fail this one. Just always remember to be really professional, really nice and just be really like a bit abnormal images and instruments. There will be a list on MEDLINE of like the 50 just make flashcards and learn them. Um And then the acute care station is your A to E if you, if they do have SFP interviews, it's exactly what they cover in there. And I think Imperial should give you a couple of opportunities to get that practice in. I know that at Norfolk Park they did like a simulation thing every Thursday evening. So if you email the teaching fellows and they're still running that, that was incredibly useful. Um So, and the A three is actually just something that's really useful at F and F one say in terms of the PFA. So this is your assistantship. What I would say is prioritize in seeing patients getting assessed sbar handovers and making referrals. See how they actually do this T TS and discharge summaries, learning how to do that is going to be way more useful once you've done your exams and you're in assistanceship mode if you're working at a hospital. So my hospital in Oxford uses Sirna. So I try to get to grips with how to use Sirna as well. They do give you this logbook that you've got to get various things signed off. But I'll be honest, there was so much stress about it and then I don't really think they actually cared. I think it became formative or something. So don't stress too much about the log, but just get it done early because during PFA you'll probably be doing things like STD dinner. You'll be doing final line, you'll be doing, you'll just be enjoying your last month in London. So, um, I think try and get the logbook done sooner than later. So you can just enjoy yourself a bit more. Um, the surgery ward rounds are slightly shorter. Um, but what I would say is the weird thing about PSA is like if you do an out of hours shift and you don't do the ward rounds, you just sort of see the jobs I personally would do. Um, I don't think what specialty you do matters. Um And I personally would say, like if you're more interested in surgery, you pick that. If you're more interested in medicine, pick that. But at the end of the day, it's just learning how to be in F one. Ok. So then we come to elective. So I had an amazing time on my elective. Um And there's a huge variety of things you can do whether that's different projects, different specialties in different locations. Um So I went, I did the first half in Sydney. I did colorectal surgery in Sydney. I then went over to the Island of Samoa and did A&E there. Um And then I then went traveling all around um New Zealand and then um in South America. So I had a huge variety of traveling experience, life experience and also medical experience. Um And I sort of achieved the aims I wanted to achieve when I was applying for my elective. What I would say is you've got to sort of decide what you, what you want to get out of it. You might want to do a BCG consulting elective and see if that's for you. You might like me want to see if Australia F three is for you. You might want to go to a developing country, have that aim in the back of your mind. You also, it's very fair enough you say actually I want to do a holiday with my friends. Um And see what's going to work with that. What's going to work with your budget? And the other thing I will very much say is I very much knew I wanted to travel South America, but I didn't speak Spanish. So just remember that you're traveling. If you want to travel doesn't necessarily have to be related to your elective. A lot of people I know did electives in London could save some money or even earn some money and then spend that all traveling. Alternatively, you can do your elective in a cheap country, maybe like in Southeast Asia and then travel in. Uh So, so my father record um the NHS Bursary will give you 82 lbs 50 per night for accommodation. Just think about how far this is going to get you in some places. So in some countries, this is going to get you a luxury villa, especially if you're sharing with four or five people. And in some countries, this won't even cover half of it. So just bear that in mind, they'll also pay for your ac your transport from wherever you are to the hospital, but they won't reimburse you if both of those costs are very high. There are some school of Medicine grants available for your contribution to societies. I think this is really worth applying to and there's also lots of other random grants. So I will manage to get four grants to help fund all of this. Um So just look online, there's a med page, there's the RSM website to see what grants you can apply for. Um, and I mean, sometimes it's worth looking now of what grants are available if you don't really care what you do or what specialties, because there are some grants that are very specific to, for example, a gastro replacement. And if you are not too fussed about it, you might want to apply for that grant and see if you can do a gastro replacement. I'll also say that my elective I hadn't start looking at, started looking at until September, which was maybe a little bit late for Australia. But people were looking even in, in December and managed to organize great electives. So don't worry too much, but you don't want to leave it too late because then it's stressful. So if you can sort of get it done in the next month, you'll have a much better time. So the last thing I want to leave you with is just really enjoy final year. You've got amazing friends that you've made for six years. You'll be doing final line. You'll find out you're a doctor. You'll have an amazing, amazing time. You do CFD. And I just think you, when you start working, you realize, so all of those days are behind you and you can't just take off a random Friday in March to do a pub crawl and you actually have a lot more responsibility. So enjoy you know, I'm going to be a reg or a consultant. The, before the next time I can go to a clinic just for my enjoyment. So, if there's something you're interested in, you know, if you just want to go to theater because that's what you're interested in, do that, but equally enjoy your life outside of medicine because it final year is the most fun. Yeah. Um, and it really isn't about the studying. If you do a little bit of pass med every week, it will be more than enough to pass. You can do paces practice from about a month before, you know how to do all of that stuff already. You already did it in third year. So my main thing would be just enjoy final year and try and build those healthy habits, like eating well, sleeping, well, staying in touch with your friends because that's what's going to keep you sane throughout. All right. So that's the end of my talk. Um If anyone's got any questions feel free, actually, I'll share my screen for the um, feedback form. So if you could please fill out the feedback form, I'd really appreciate it. Um And I'll be happy to take any questions. I might need Karen to tell me if there are any questions in the chat because I can't see the chart. There's no questions in the chart right now, but please put your questions in the chart and we'll let you know. Yeah, any questions and I've got my email there if you want to send me any emails. Um and yeah, I'll stay, I'll stay for a couple of minutes. Um, but otherwise have a great evening. Hey, Idrija, thank you so much for the talk. Um Oh, hey guys, hey, um actual question. So you said do a little bit of past med here and there. How much work did you actually do? And when did you like start bucking down? Because we're kind of taking this as summer right now. Yeah, that's um I be honest, I buckled down in December, December. Ok. Fair. Damn, because I was thinking like October, but then some people were saying at the beginning. So I did GP in December. So from December, I thought I had this dream that if I did 200 pass med questions every single day, I'd finish. Pass med. Ok. In, in December. Yeah, I looked at the number of pass med questions and I was like, if I do 200 every day, I'll finish pass med. I didn't even finish pass med. Um and I didn't do 200 a day. I think the thing is, I think final year they really want you to pass. They have to pay a fine for every medical student that doesn't. So they really want you to pass, but they also need to make sure you're safe. So what I would say is like, make sure so you know what they are going to, it's not like fifth year where they ask you stuff, like, you know, you're going to need to know asthma, you know, you're going to need to know, you know, you're going to need to know Crohn's and you see, so know those things really well, know your basics really, really well. Um, but you don't need to know like the seventh line management like you did for Op and Gyne or for a very different style of exam. Yeah, I would say don't do what I did, but I would say as well, like I did apply for S FP. So I was really buckling down on all my acute stuff when I was having my interviews in like October. So, so maybe, maybe that is a bit unfair like I was doing all of my anything they could ask me about acute unwell patients I knew by November quite well for my interview. So I covered all of that and then like ophthalmology, I started like a week before the exam. Um Yeah, so I mean like, yeah, I'll be honest, like, yeah, and most people do quite well. So yeah, it just depends what your style of revision is. Ok. Yeah. OK. But definitely, so would you because in fifth year, you sort of had to go into a or like nice guidelines to even find the answer to a question. But for final year, would you say like you said not be fine. Just. Ok. So like password management is fine. You don't actually have to go to. Nice because in four year I felt like I had to do that. Ok. Yeah. What I would say is like, there might be some questions when you do pass papers that you don't really know the answer to. But in, in fifth year that was like every question and in final year it's maybe like 20% of the questions. OK. OK. Fine. OK. Good to know. So you might have to look at it for that and like, discuss it with your friends, but the others will be quite bog standard. OK. Cool. And did you use anything, like, did you have anyone's notes that you use resources for or did you just go based off? II really? OK. Because yeah, my third year notes are like, really dodgy. I know. It depends how you revise. I think if you've got like flash cards and stuff, that's great. Um But if you don't, it's fine as well. I think the thing is like, it's just really bizarre. In final year you just get all this knowledge that you don't really know where it's from. Like you'll just, you'll just know that, I don't know, like omeprazole increases your sodium. You'll just know that it will just be in your head and like, I don't quite know how you'll know that, but you'll just know that. Ok. Yeah, it's just when you do enough questions. Yeah. Sometimes you just get a vibe and what I would say as well with finding is you are becoming clinicians. So sometimes just trust your gut with what with what you think the answer is all righty. Cool. Yeah. Any other questions? Mhm. When should we, when should we be worried about not having an elective arranged beginning of October? Oh, that's pretty serious. Ok. No, because what I would say is like, it, it depends where you want to go. Beginning of October. The countries which have like a more formal application process like Australia, New Zealand, they'll all be shut. The other thing I will say is if you want to go to Australia, they, I was applying to Sydney and I had to get all my documents from Imperial like my like uni grade a reference like all this stuff and they actually shut the portal before the deadline because yeah, so like the earlier you get on the better. So what I would say is if you're thinking about Australia or New Zealand, go to the different university, like websites apply to them. But the thing is for some of them, you've got to pay a fee that you don't get back if you don't take it or even if you don't get it, you don't get that feedback, but I would apply centrally. So I don't think mine was like that. II did it through the University of New South Wales. And then there's also one which is the University of Sydney. Those are the two in Sydney and then find, find a consultant. Because if the Australia is incredibly nepotistic, if the consultant says, yeah, fine, then you just get approved, it's fine. So if you like, for example, if I want to do colorectal surgery, I just emailed the colorectal surgeon and then he was like, yeah, sure. And then they just because I missed the deadline and then I just got through and then the other thing is developing countries will take an age to get back to you. You will email loads and you won't hear back. Ok. Um, but I have a contact, I got one in Nepal as well, which I didn't go to. So if anyone wants that email address, they got back to me quite quickly and my friend went there and had a really, really good time. So if anyone wants any of those contacts just email me and I can. And so, yeah, Samoa, um, Sydney or I've got two in Sydney and then, um, in Nepal, I can, no, um, two were colorectal. Samoa was A&E but I could pick any specialty in, uh Samoa. And what was the other one? Nepal was like, I think it was like O and G or peds or something or maybe, no, it was itu, it might be an itu or something like that. I don't know. Something. Yeah. But my friend went there and she got like invited to a Nepalese wedding and like she had a great time. Yeah, so. Ok. Nice. Yeah, so just um and just speak to old ear like if you saw one, like just DM them on Instagram, if you were like, hey, you elected but really good. Where did you go? Can you give me that email? But I would, I would start to worry in October but not too much because you can still find something. It's just, it's just you might not have all the options that you wanted to have a available to you. Yeah, thank you. Um, I had a question. 00, sorry. No, no, sorry, sorry. Just a quick question. Um I was just gonna ask first in terms of like letters of recommendation. Did you get that organized by F EA or your academic tutor for like Australia and stuff? Uh, I think, I think the electives guy did it for me. He basically wrote Idrija is an above average student with who has consistently performed well in exams and I think it even said something about my MC like that. I didn't do very well in MCD in first year. It was, but she like, but she did very well in fifth year something or whatever. It was like, it was like the most generic thing ever. Yeah. So, um I would say do it through the electives person unless you have a really good personal tutor. If you've got a really good personal tutor, get them to it. But I think the electives tutor, it's just, they've got a, they've got a form that they, like, fill out and they know what they want, what Australia want. Yeah. No worries. Um, I was going to ask about the UK FPO allocations and the ranking. I've heard so many different things about people trying to maximize their rankings, like play the system. Like some people say to put all your top choices at the top, your top five or top, whatever some people say to spread them out. I don't know if you've heard anything or so. So what I was saying, changed is like there is one thing that is good about the system is there is actually no way to game it. So essentially if you put something top that is undersubscribed, you will get it. If you put something top that is undersubscribed. If you're in the top however many spaces they've got to have it, you'll get it. If you're not, they will, they'll go say your number 5000. They'll go to, they'll say, oh, there's no space in London anymore. What's her next option? Oxford? Oh, there's no space in Oxford anymore because it's already been given out and then they'll be like, OK, is there her third choice can, sorry? Yeah, there's space, you can get it, but it's not like they'll skip you. There was a rumor going around because UK FPA said it before that they would skip you again, skip you again, skip you again, better to put something unsubscribed second. But that's not the case. So there is actually so put exactly what you want. The only way I can say that you can gain the system is by putting something, you know, you're going to get first. So for example, one of my friends theo he thought he was like in the top 2000 people, he got his top choice Deanery of KSS. He got his top choice job with all the rotations he wanted, he was 9500. But he, but he put something that was undersubscribed. OK? And then he put a job in an area that was like not that subscribed, oversubscribed. My friend Helena, she really wanted bath for F one because her boyfriend was going to be in bath. So when she was ranking jobs, she put her bath job top and then put, but made sure it had a year in Yeovil second. So that wasn't going to be very popular. And then she got it. So you, the only way you can play the system is by putting something first that is not very popular. But what you put after first doesn't matter, just put what you actually want. OK? So there's no point in splitting up your top five. It doesn't make a difference. And the thing as well is you never know, like this year, I think seven was more oversubscribed than Oxford next year, Oxford might be more subscribed than seven. And like I was saying, like, everyone might be really scared about London so they might not put London down. Like there is no way to stay in the system. You've just got to put what you actually want and what you'll be happy with. Then you cool. But don't worry if you're in Scunthorpe, you trauma bond, I promise you like everyone who got sent somewhere a bit a bit rubbish or wasn't their first choice is like having a really social time. Like f one is like freshes again, like on Friday, I was in a club until 4:30 a.m. with all my new F one friends. Like, it's really fun wherever you'll be and you are just too busy to really worry. So just think where will you feel supported? So, for me personally, if I were applying again, I would, I would be really unhappy if I was really far away from home and my boyfriend. So I would be maximizing places that were near London or near Hertfordshire. So I probably would put East Anglia Top because that's my home. Um, because I, because then I would be, I'd probably get that if it was undersubscribed. Mhm. Yeah. So that's how I thank you. It just depends how risk averse you are and how much you want. London? Seven Oxford or Northwest. Mm. Ok. Oh, ok. Any other questions at all? That's all right. No worries. Any other questions, please fill out my feedback form. It would make me really happy. Thanks so much. All right.