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And good evening. Welcome to um the, the chats and glasses. We've got online with us tonight. My name's Michaella Atle. I'm a nurse and founder of Learn with Nurses and this is a brand new session that we've just started to kick up. It's the first of our new style called Learn with nurses in conversation. I and I am completely overwhelmed and overjoyed with that. Bill is joining us. And so Phil, I'm going to get you to say a little bit about yourself before I tell people a bit more about what we're going to be doing tonight. Sure. Um I'm the one who's overwhelmed and overjoyed. So I'm really pleased to be here. Um It's, it's really great to join you in the team. I'm Phil. Um I'm founder and CEO here at metal, which is the platform you're on. Um And we just love working alongside the team learning with nurses. We think you're awesome. We love being able to make great healthcare training accessible, that is our mission. We're all about training millions of more healthcare professionals. And we totally believe that the way to do that is not to make this all about us, we totally believe that the way to do this is to actually work with wonderful organizations like learning with nurses, to provide tools that help amazing nurses and other healthcare professionals deliver teaching and training that is accessible to every healthcare professional everywhere. Um So that, that's what we're all about and that's the mission we're on. And I, I think you're on track for that actually, Phil, I think you're on track, which is, er, which is pretty amazing. Um, so we, as I said, this is our first session. We've got people saying hi, which is lovely. Hi, Ruin. Hi, Molly. Molly. I know this is your first time joining us and Yasmine. So I, I can see there are more people there. So say a quick hello, the style of this is gonna be slightly different to anybody who's joined one of these before. You will still get the opportunity to do a cheeky evaluation at the end and get your certificate because you will have been participating and watching, but we won't be sharing any slides. We are just going to be in conversation now, Phil and I um had a bit of a, a bit of a chat about what we might talk about and you know, the topic is medical education, saves lives and it's not just medical and it's healthcare for me, healthcare professional and there's Dawn, Dawn we know is going to be joining us soon as well on one of these sessions and Kimberly. Good evening. So drop it in there. Where are you from? What your role is now? Feel? Well, I don't know about when other people do their sessions, but we seem to have people that appear a lot and it's so lovely to hear the repeat names that come through and particularly from other countries. But I'm gonna kick us off then. Now we've save that ground. There's no slide, you can just listen, you can potter around. Um, but I'm gonna kick off with a question for you. If that's all right to start us into a bit of a conversation and you just said about making sure that medical education gets to the right people that it can get to, hopefully millions and millions of, er, people. But how are you going to make that happen? And how do you know when you're making that happen? I think it's going to be my first question that will roll into a bit of a conversation. Yeah, it's a really good question. Um, I guess backing up to think about what is the problem is really important and what problem are we trying to tackle? And if we're really going to save lives, then you know, how do we best do that? And, um, one of the kind of numbers that, uh, when we were starting on me, all that was like an earworm for me that I just couldn't get out of my head was the number of healthcare professionals that we need to train on planet Earth, which is 18 million more and it's by 2030 that's what the World Health Organization says. We need to train 18 million more healthcare professionals by 2030. And it can take up to 15 years to fully train um a healthcare professional. It can take hundreds of thousands of pounds or dollars regardless of what currency you look at it in. Um Although that's currently fluctuating a lot um in the tens of and hundreds of thousands of dollars. Yeah. Um so, but it's really expensive. So um so we've got some big problems and then the lancet, one of, I guess one of the most trusted medical journals actually talks about how we face grave deficiencies in our healthcare training capacity. So we've got, we need to train 18 million more healthcare professionals, but we don't have enough resources to train even the ones we have on the ground right now. So that creates a bit of a problem. Um And um and, and so we're kind of talking about, well, how does health care education save lives? I think it's pretty simple actually, we help to train more people and I think it's really important to um to, to think about how many healthcare professionals we're going to need in the future because we've talked, we talk a lot about artificial intelligence. We talk a lot about technology replacing healthcare professionals. And so on. Actually, I don't think we need to worry at all. We need so many more healthcare professionals that actually we might be grateful of a little bit of artificial intelligence. We might be grateful of a little bit of technology in the future to help us out. But that need for more people. Healthcare is about people, ultimately, and the need for more people to work in healthcare is super important. Um why we don't have enough and actually um that disproportionately affects people around the world. So, in the countries which have the greatest need or the areas which have the greatest need, they are the least resource. Um So there are like 11 countries in the continent of Africa, which don't have a single medical school and I find that intolerable uh that, that's not. Right. Right. Um There are um about 20 countries um on the Contin of Africa, which was only a single medical school. In fact, um there is a disparity between high and low income countries of up to five times fewer resources to actually teach and train healthcare professionals in low income countries versus those in high income countries. Um So it's, it's a really big problem, it's a global problem. Um How do we know that we're going to tackle it, I guess was the other part of your question? Um uh like the number of healthcare professionals increasing the number of healthcare professionals that we are training as a healthcare community increasing. And um and we think the only way to do that is collaboration, the only way to do it is digital. Um If we're truly to scale up to the quantity that we need, we can't keep doing things the same way. We need to make training more accessible, we need to help it cross borders, we need people from er Liverpool to be able to join er, sessions that are being run from London and Lausanne and Los Angeles and Cape Town. Those, you know, th those cross country cross border collaborations are really important. Um Yeah. Have I answered your question? You have, you have and I couldn't help but think you're sounding more, you're sounding very public health. Um So as opposed to cardiothoracic surgeon, which is a very different space, but I'm really pleased because my background is public health. That's where I've been for a long time and there is something about addressing the, that sit there and are helping to address those needs that are, that are out there. We know it's only going to get worse and those inequalities are widening. So totally. So if I think to what we've done at, learn with nurses, we didn't have such a big ambition to start with. You saw the need and, and, and was that, that was, that was a, was that 2020 when you saw the need or, or when you took the plunge to see the need? Yeah. Yeah. Um, so, uh, I guess one of the first times that we noticed it was in February 2020. Um, but it was before kind of lockdowns that were happening around the world. Um, we'd actually planned, we existed as a company, right. We existed as a company before COVID. And, um, and it was actually pretty tough. It was pretty tough to get, um, kind of webinars or anything like that to happen. It was like what it was like, it was bizarre, kind of, you know, this was this weird wonderful beast. It was like some sort of unicorn that nobody had heard of. Um and nobody really wanted to engage in it and it all seemed a bit complicated and, and like stuff like that. It was um it was just, just not the dumb thing, I guess healthcare. And in February 2020 we were actually running a face to face event in Birmingham in the United Kingdom. And uh we uh were bringing healthcare professionals from around the UK uh to allocation in Birmingham. We had kind of academic staff in Birmingham who are going to be doing some teaching and training and um and we were running it as me and we didn't feel like that was responsible at that moment in time. So we hadn't been locked down, but at the same time, we didn't think it was appropriate to be bringing healthcare professionals from around the country to a single place just becomes a super spreader event and, you know, medals in the headlines for all the wrong reasons why we didn't want that. Um So we decided with like 48 hours notice, we're going to change this to virtual and that was the pace that things were changing at that point in time. So it was um um it was kind of really frantic, kind of uh change of pace. And what we actually noticed was we three Xed, the number of people who actually attended, which was really interesting. Um So we had like a handful of people who'd registered face to face. And we very quickly in 48 hours, three Xed, the number of people that we were able to teach and train on that teaching session and that I think was a bit of a penny drop moment for us of hm maybe there's something in this and when we look at the problem is this a potential solution to actually teach and train more people in a more accessible way. Um And um and then, yeah COVID kind of was just a petrol on the fire for that, I guess not because it was new technology, not because it was like there was some quantum leap in the technology. But I think there was a quantum leap in the acceptance of the technology of to say like this is normal. This is OK. This is interesting, we should do this and to do that across an entire population was um it was, yeah. Right place. Right time. Yeah. And to not do it across the population but to do it fast, I think that's the one thing that came through with COVID in the pandemic was the pace of change, whether that was good or bad. But the pace of change really had to push things and for you to have done it in two days. That was a very fast process. So I will, it's reminding me. So I ran my last face to face training in March. So I was, and it was, it was early March and no, it wasn't. It was about the 16th of March. It was a couple of days before lockdown started and I and I potted off to Amersham to teach a room full of practice nurses. Now again, upon reflection, but there was the commissioner wanted me there. It was the way we did it and I was the only person on the train. It was really odd. Um And that was on the Monday. No, it was on the Tuesday and by the Thursday, I had to do another session with in Wandsworth with a load of counselors and that we had to switch it from, from face to face to virtual. And I didn't have a clue what to do, but I didn't want to let them down. So that's where I quickly learned how to use a different platform. You know, we, we maybe won't name and shame. But we used to platform which in its time worked fine for me. Absolutely fine. I was having to learn whilst doing and you know, and it was, and it was ok. It was ok. I can't say it was my finest moment but um but it was ok. But um I think so so in thinking about medal and what you've done because actually your achievements have been pretty astounding. What would you say are your most proudest moments? You know, what were your milestones of the bit where you went? Bloody hell. That was brilliant. You know how your big bits. Oh it and also in case you don't remember, but Bill and I Bill knows, I swear and everyone that's done a session with me knows that I might tell bloody hell or something like that. And, and that's because it's the Real World. We have dogs barking. Do you know Amazon gets delivered things? That's another bit I would say that is done for changing the world that of, of education. Is that the Real World has to kick in. You know, you do have the Real World sits around you. We're not sitting in an artificial classroom anymore. But um so go on. What is your, what is your big moment? Um I think for us it's one of those like pinch us moments that this sort of stuff makes a difference and that's what, that's what gets me out of bed in the morning. It's what gets other team members out of the bed in the morning. Um, and it's when you see that real life impact of this sort of stuff, it, like, really makes you pinch yourself to say, I can't believe we get to do what we do. And that's never about numbers. It's never, it's never the numbers that actually make you excited. Um, it's the personal impact that it can make on an individual. So yeah, we want to make an impact at a scale. Yeah, that's really important. But when you actually zoom dining on the individual contribution, that that makes that, that's the real impact moment. Why? Because we're all humans and actually that's the thing that makes your heart race and and gets you excited and, and I guess there was one of those, one of those moments in spring of this year when, um, I mean, you'll see on the right hand side in our chat box that we ask people to verify themselves before. Um, they chat in me events, it keeps it super open. It means an organization can truly open the gates and say everyone is welcome, completely advertise your event across the healthcare community and you don't have to worry about kind of zoom bombing or any of that stuff. It's just really nice and secure. You can trust the people who are, are joining and occasionally a couple of times a week we get people reach out and say, hey, I can't verify myself for whatever reason and we have a process in place to help those people. Um But in a single day, we had in the high tens, if not into the hundreds of people reaching out to say I can't verify myself and we haven't seen this before, like what's going on um And sue who heads up support at me all big shout out to um Sue is incredible. Um Su actually reached out to some of those people and said, um why, why can't you verify yourself? Um Just to figure out what was going on and as the answers started to come back, we saw a bit of a pattern as to what was happening. And they were saying, I don't have access to my institutional emails right now. And do you know what? I don't have access to my uh I didn't get a letter from the dean of my university to say that I could access metal, didn't think it was that important. Thanks very much. Um No offense. Um And um and what was happening was actually these were Ukrainian medical students who had to leave the country at a moment's notice. And it was a wonderful organization who I I know you, you know, um some of those involved, but the um the Crisis Rescue Foundation amazing had recruited hundreds of healthcare professionals around the UK to actually teach and train Ukrainian medical students virtually during the war. And, uh, as part of that process, they were using med and, um, and that was a real pinch me moment. Um, not only were they teaching and training, um, Ukrainian medical students but they were doing it at scales. They were teaching 2000 Ukrainian medical students seven times a day every single day for like two months. And they weren't doing it with like some sort of imperialistic UK teach the er Ukrainian medical students kind of thing. They were doing it so they could actually free up the clinicians on the ground who are trained clinicians who are teaching and training face to face to instead provide face to face, patient care of bolstering the medical resources on the ground. And that was a real pinch me moment. Why not? Because it was us who was doing, it was an amazing group called the Crisis Rescue Foundation, but they were using our technology and being empowered with our technology to do it. And that is exactly where we want to be. So, as I say, the Crisis Rescue Foundation, Sharon is a force to be reckoned with, isn't she? She is incredible. Um So joy. Yes, you will be so. Um yeah, so totally amazing Sharon. She was done. She did the Vai taxis. She's done all sorts of stuff. I and some, yeah, I've joined in with her taking blood pressures in random places around the country and to people who would not be able to access services, care and education. That's, that is wonderful. I love that. Well, if I, if I can share some of the pinch moments that we had with, learn with nurses and we do you want to tell our ours was set up differently? So, um and I may have sort of shared this story with you before, but I got COVID early on, I took it to Amazon just to let you know. Um but I didn't have symptoms at that point. So hopefully, I didn't infect too many people, but I, I literally was floored by it and I had, you know, I had to stop all my working stopped. So that was fine because I couldn't go to work anyway, gave it to my daughter. She ended up being hospitalized, you know, I was, I was very giving when it came to COVID back in the early days. Um And then I remember seeing some of the lectures that were coming out some of the webinars and I remember thinking and apologies to all of those, but I just felt like the great and the good talking about stuff that I didn't think was important. Well, but there was other stuff that was still going on. I was thinking COVID is really important. Of course, we need everything there. But I don't want people to forget about BP and people are still going to be having heart attacks and what you know, so I didn't want people to forget that. And I thought I'm really bored. What can I do? I've had to go at this other platform ages ago. I'm just gonna see what happened. So I did this, I called it the basics of BP. Half an hour of me talking about bar receptors and dinner ladies and dinosaurs and stuff and put it out there on a zoo. Well, whoops said the word but on a link and um you know, uh over 100 people signed up in a, in a couple of days and I thought, well, this is incredible. So I did another one and that went and it just sort of hooked on now. I wasn't trying to do anything fancy. We were literally using surveymonkey to do evaluations. We're using two different platforms. I thought people want certificates. We were downloading a male merging certificate for hundreds, if not thousands of people all doing it as volunteers because because that's what we, we didn't know. We just thought it was gonna last a short amount of time. I started saying to my mate Joe, oh, you wanna have come and have a go at this. It's so much fun. You get to teach and you can't get it wrong, but you can get it wrong clinically. But it doesn't matter if the washing machine's going or if you need to go and answer the door because it's, you know, we're giving it away and we're trying our hardest and we're working within our codes of conduct and, and it's all fine. So, we did that for a little while and started getting people together and I sort of got more and more to start with nurses involved because they were like, yeah, I love a bit of that. I love, I'll do a bit of diabetes and then at one point I thought this was back in 2020 I thought I might need to start thinking about going for some funding. Um, I'm still on that page if I need to think about going for some funding. But, you know, it'll happen, it'll happen. And, um, and so I did a quick survey of just what it was like, you know, I thought I'll just find out what people were saying what people were thinking different to the evaluations that we do at the end. And the one that came back for me, uh, well, there was a couple of comments that came back and one that resonated with me when somebody wrote back, you don't know what this has done for me. You don't know, I've really struggled during COVID. I'm not at work. I've not felt, you know, that whole survivor guilt where people were having to shield themselves. This was a nurse who was having to shield herself. Couldn't go to work felt awful because she couldn't add. But it, but she was feeling, but at least she could still feel like she was doing something and that something was learning a little bit more. And that one really, even now I'm getting i from it because, you know, I think we became a space in those early days of 2020 where people could for half an hour, 40 minutes. Just forget about the crap that was going on, on the walls, out in the community, out in their place wherever they were and they just came and learned or refreshed themselves on nothing to do with COVID. You know, so we had friends who were, you know, I had friends who was a sexual health nurse who was now working on a COVID ward because they've been redeployed. But if you could come back to just think about what was, what was really in your heart or that you've been working in for many years, that's what they really felt. And, and it just to me just really resonated that what we were doing was something something right? And then we started to realize that people liked our style of being a bit chatty and our style was we wanted you to just feel like you were having a coffee with your mate and having a chat about something and that we didn't want to make things complicated. We wanted to make things simple and that, um after we wanted to have a space where people, you know, for example, I do BP, I do BP a lot. And, you know, often you get taught as a nurse, you get taught how to take your BP, but you forget your renin angiotensin and all of that. And as you get a bit older and you've been around for many years, it's very hard to go and say so, remind me what that is. Again, one is afterload, one is all of that, you know, and so it was almost filling those little spaces where we at. And so, you know, we, we're now two and a bit years in and we have these amazing team of people that volunteer, we will get some funding one day. I've, no, you know, I've, no, that's not the issue at the, for this whilst we've still got people doing it in the volunteering for it. Um I don't know how long we've got people to keep volunteering for it, but as long as we keep having that and I think it's because for me, er, because of guys like you with medal allows us to continue doing what we're doing. So I don't before I had to pay myself for the other platforms, you know, I paid for the platforms to do the education. Now we have it and it's just fantastic. So I just had another moment, another um and, and this is why I wanted us to get to you and you were talking about really honing down in and you, you know, you were just talking about all those Ukrainian people who were healthcare professionals who were being trained. I did another survey out recently. It's still live called Learn with nurses. And me, because again, I wanted to collect the stories because stories are what make it come alive. They're the, they're the, they're the real flavor of, you know, that you can hold it. And um and I think actually I saw one of the nurses on here So we've had a few sessions where people have written in to us and told us the difference they have made how they've changed their practice. So I saw that somebody had attended a mental health but in physical health conditions at one of our mental health sessions and they said that they wrote it. And so they went back, they were doing an assignment, they wrote an assignment about what they learned online with nurses using med all and then decided to go back to their back to their place of work and change the process. So that patients being discharged with long term conditions had a mental health assessment before they left or because of a 30 minute session. You know, it just so for us, it's not about changing the world. It is about helping people to want to go and do something else. It's that bite size. We're not gonna make full study days diplomas, all of that. We're just gonna want you to go and learn a bit more or find out a bit more that's there and you make it happen, you make it happen though. We couldn't do it without you. Um It goes two way goes two ways, right. So we couldn't, we couldn't survive without actually the amazing healthcare organizations and healthcare professionals. And I think it's that kind of community approach, which is really, really important if we, if we wanted to scale up the amount of healthcare professionals that we train. Um I guess you or I, we could just be on our own and we could try to teach more and more people and um it just doesn't work, you know, I think that it really needs like a team effort. It really needs everyone coming at this from every angle and working together in that healthcare community. Because that is where the, that's where the real value is, right? When we work together, when we collaborate, when um when everyone in this community is pulling in the same direction, then that means that collectively we can solve some really big and challenging problems. And um and I think that that's the kind of posture where we got to where we felt like our position was simply to enable and empower and um rather than make this all about us rather than us having to be on every single event and talk about us in every single circumstance, the right posture for us was to enable and empower the amazing organizations. The amazing teaching professionals who want to deliver healthcare education but just are as you've described, left with clunky tools and the administration begins to put you off, right? So when you start to look at how that happens, people were setting up like an event, right? OK. I'll say it that zoom call plus then in the zoom call like pasting in like a survey monkey or a Google form. And then there's ubiquitously in every organization. There's someone called Steve who copies and pastes names from a Google or a survey monkey thing into like a Microsoft word document template. Saves them as PDF S and then they either email them out individually or they mail, merge them and have to lock down their computer for like three hours whilst it busy male merging like 300 certificates or whatever. And then they're downloading something from Zoom because they only have like a gigabyte of storage and then they add it somewhere else as on demand because that's my thing. And then they add in the same survey monkey or Google form link into the on demand content. And then there's no guarantee that anyone ever watched that video and they're like, what are we doing? What are we doing? These are people who are just passionate about delivering healthcare education. We need to do everything we can to support them. Not like leave them with this taped together mess of like 20 tools where it takes like two hours to administer a one hour teaching session. Like come on, this is madness. Um And so we felt if we could, so them, those real pain for organizations, then maybe, maybe, maybe we may be able to bring those organizations with us on that journey to make their teaching and training more accessible and welcome people from around the world if we give them the tools to do it. Um And um and I think, I think that's never going to, I think that's never going to work unless we all kind of pull together and work together in that space. So, um yeah, it's kind of interesting to hear you talk about um some of that journey and um well, I just popped on the chat. She said I don't miss male merging certificates. And so well, we, you know, we've delivered, I don't know, the last time we counted, which was a couple of months ago, I think 350 different webinars. 20,000 healthcare professionals. 20 yeah, 20,000, some were using the old system. Most of them were using the new system, which is much better. But we did mail merge thousands and thousands and thousands of people email us back. I didn't get my certificate. Oh It was painful, painful, painful. And actually, it's only because of this collaboration and the style and the pace of change. Um And that willingness for me to say Phil, can I have this? And then it's sort of magically happening or you say, well, I've already got it going. That's really allowed us to be able to do what we do and that's allowed us to have, well, we've got nurses but not just nurses. We've got all different healthcare professionals. We have pharmacists, physios. Um Yeah, and we, and our range is widening as well on the sort of the topics and where we want to get to in the same style and format that 30 40 minutes, that's all you're gonna get. Actually, I've got a different one coming up. But, um, but that's that, you know, for us to be able to continue doing that. Now, I often, I do often, um, talk about medal in a very kind way and I'm always promoting and I, you know, you know, and, and I always say, but I'm not on commission, I'm not on commission, but it made my life so much easier. I know I'll drop you an email, I'll drop you an email with trying to get so that council to use you this morning because I was doing face to face session. Um, and I know I know face to face sessions are, you know, to me you can have both, there's a place and a time for both. It was wonderful, doing some face to face. Absolutely wonderful. And I resisted. So I was one of the ones PRE COVID. I didn't want to do anything remotely. I didn't want to do any webinars. I didn't want to do, I certainly didn't want to do online training, whatever that, because I've done it mandatory training where you try and click what's going to go on fire, you know, and what pencil can't you pick up off the floor? And I used to just do that of how quickly I could click through it, the least amount of clicks just to get through the mandatory training. So I think the world has come such a long way since COVID in making this style much more accessible. So where do you think the future of training is going then? Um Where is it going? Yeah, it's really interesting. Um So we don't think that virtual is going away anytime soon. Um Particularly those shorter, like up to 60 minute type sessions, they're here to stay. It doesn't make sense for people to travel kind of 60 minutes, two hours to attend the 60 minute teaching session and then drive home again. Um We don't think we don't think that's going to go away anytime soon. Um Interestingly, and I love that you're making this on demand. Um We think that on demand is actually going to become really important, but only in the right format. So only in an engaging interactive format, we think that's going to be really important. Why um if we are truly to think about accessibility, if we're truly to think about again, that scale of training, that's needed live is awesome, but it's not a magic bullet. And, um, if you live in a resource per setting, actually watching a live thing is kind of pretty crap actually, you know, um, I'm going to have to go to a specific place with a specific internet connection. Might not be a good time for me. And, um, and actually being able to watch at a time and importantly, an internet connection is really important and that's not just in low resource settings, right? I live in northern Ireland and sometimes um I know the internet here is pretty patchy and I have to watch on a specific internet connection at a specific time if I want to do something. So it depends on kind of where you live. So I think on demand is actually going to become really important and engaging on demand, conversational on demand, conversational teaching and training will be really important, not that kind of clicking through thing. I think that I think that's gone and I don't think that should return, that's not learning, that's kind of forcing someone through something that's not actually teaching or training them. Um And um so I think, I think, I think that's only going to increase. I think that shorter sessions are, are only going to increase. Um We've seen some really magical things happen with uh hybrid when it comes to kind of those bigger events as well. So, Congresses and conference is really important. For um, learning and training and we've seen some incredible things. So another one of those pinched me moments was when we, so we p the British Association for pediatric Surgeons in Birmingham this year, amazing organization doing um, um really high quality education. And, uh, they, they, they used metal to completely hybridize their congress. So they set up poster halls, they digital poster holes, they set up parallel sessions, they had their main stage kind of hooked up fully hybrid. So everyone in the room could actually chat on their phone to the people who were attending at home and like no sound or anything. It was, it was like really magical and one of the amazing things that happened there was that someone from the Yemen actually presented their research on stage. That sounds awesome. Right? But when you take a step back and you think how awesome is that there are no commercial flights in or out of the Yemen and that person had the same right to present their research, that surgeon had the same right to present their research at an International Congress because it was made accessible. I think that's got to be the future. It's we've got to think about how we include people and even though we can attend face to face and I love seeing people face to face too, right. I'm not a complete hermit. Um You know, I, I um actually just because we can have coffee together or because we can see each other together does not mean that those people who have been joining us for the last 2 to 3 years should suddenly have the door closed in their face. Right? And it's really, really, really important that we as a healthcare community continue to say you are welcome and we're here together in this space and we continue to welcome you. Um And even those big Congresses are going back to face to face. If we really want to push into accessibility, we've got to think about hybridizing. We've got to think about how we include people. It might seem like fa f it might seem difficult. It's really not that difficult and the impact of it far, far, far outweighs any ff that could go in all it takes is a little bit of conscious thought to talk to us if you think about doing it because we're happy to help and we've done it so many times before and it actually it's a breeze. Um And the impact it can make is massive. So, um yeah, just some ideas about where, where the future is good from our side. I'd be interested to hear from your side too. So, I mean, for me face to face, I'm loving going back, but they're my small little ones. I say small little ones, you know, borough specific and things like that. Oh, look at that and um, you've already got a bit there, go don't worry, Phil will be in contact. It's lovely. Um I do think that that again, those short sessions, I'm pondering on letting them be on demand for learn with nurses. One of the reasons why I didn't very early on was because um we found a lot of people felt that they wanted to join in, they wanted to join in and they wanted to be part of a session. So we may well get to a point where we'll run both. You know, we'll have some on demand and we'll have some. Um, well, we'll run them live as well. Um Because people still um be partly as well because of the trainers, they enjoy doing it and feeling that you're interacting like we can talk here to the chat and stuff. So I think there's slightly different dynamics. I do wonder where, where the world of VR sits and I started to look into that one cos I think you could get really amazing training it, but only once it got really quite slick again and I've seen VR do some, I mean, I've seen it, it transformed my daughter's world of VR. So she was quite um restricted on mobility. She went clubbing one night for half an hour in a virtual club. She was like mum like dancing, you know, but she didn't have to get changed. She didn't have to, you know. So I think there was a space for VR to make it even more interactive and alive, you know. Um, but I don't know about all of the headsets and stuff yet, but I'm sure that's going to be a space to go. Do you find, I was gonna say you heard it here first? I think clubbing with, learn with nurses sounds like a great, we like to keep it relaxed. But the thing, we have, the thing we have started and they've been going quite well and it's, for me, it's another way of learning because one of the things and I'm sure, well, you joined us on the CKD one once. Do you remember when ne is where the magic happens? And it was all um we, I try and make it easy to get in your brain and if it's in your brain it'll stay and you can tell your story and it's useful for patients that way. Um But we found another style and that's our quizzes and people love a quiz, a 10 question, quiz score yourself. People are sharing their results. And for us, what it does is we don't see who's answered what, but we can see what are the popular answers that people don't get right, which help us to inform um what we might talk about next and what we might do. But um yeah, we find, we love a quiz and people still, you know, we have competitions. We put it up over Twitter. Our latest one is VTE in the hospitalized patient. Our average score is 42%. You think that's bad? That's bad. You know, you kind of think. Well, we all know about VTE we all know about but actually the same with er heart disease in women average score about 49 50%. Our scores aren't amazingly high. Now, we can't guarantee that it's not just only healthcare professionals that join in UN like when you've got it on medal, but actually we're splashing around in the healthy professional world. You know, nobody, very few people on Twitter are randomly gonna find us as you know, the way we're at. So we found it's that short engaging way and everyone loves a bit of competition. Um And we find that's a good way to get people to want to come and learn a little bit more. No, thank you. I wish what you were doing. I'm going to submit my answers because the poll is out. And so, and we do love a poll and that's what we love about. Well, with, with, with um with Medal is the ability to do the polls as well. So we have got a couple of minutes left. So if anybody does want to post a question, so we've been chatting away and just, but whilst you're thinking about if anybody wants to pop a question, Phil and I tend to communicate on a Sunday morning um randomly over Twitter and we both do lots of emos, I put lots of full stops and that's how sometimes when, when you first were getting medal live, your first one, I was like, I'll do it. Give us a go practice. We'll work out any glitches, we'll sort it out. Um So that's kind of when we give, we come up with our ideas. But if you've got in a moment or two and you've got any thoughts, comments, questions, pop them in the chat for us. I should have said it earlier on Dawn said, um they've got an annual symposia and we want to find a platform with some sort of online technology without the headache of disjointed work medal bill. Yeah. And I think you don that you're the same Dawn Stevens in there can't be more than one. Dawn Stevens around who's going to come and join us and do some a me, me not me learn with n in conversation about parish nursing, which I met parish nurses. I did a session ages ago on BP, I think on cholesterol. And in fact, we know that Dawn messaged us about some sort of something that she had online with nurses that made a difference to her practice. It is you, Dawn, I knew it might have been you and you thought it was you that actually um we were doing women and heart disease. We did a session on women and heart attacks and stuff and how it's different too in men next day. There. She was with a woman sorting it out, found the heart problems that wouldn't have been found before. So amazing stuff. And we can only do this through collaboration. And, um, yeah. Well, Bill, it's 10 past eight. Neither of us have got a beer on our hands. How is this working? We've barely swore, but you've not sworn at all. I just said bloody maybe shit. But that was all right. So, I, the only thing we don't have on metal is like a, a bleeper fi feature which we might, we might need to get I know, sorry. So look, Dawn said it was life changing for her. How amazing is that? It just, and those are those pinch me moments. Those are the ones that are there. Um Surely the next heart disease in women. Um I've got to repeat them. So they will be coming back. But we do have if I'm going to tell you a little bit about the future, if that's all right. So we're gonna have lots more of these style sessions where we have a bit of a chat. I've got two organizations to do not just women in heart disease because it's wider than women, but beat sca D which is about spontaneous coronary artery dissection. Some of the trustees there who are healthcare professionals and women are gonna come in conversation session with me and they may well do some webinars and trying to get people to build up into their sessions. Um The other one is with the International Heart Spasms Alliance, which again is another small charity that has come through this way and it's only come about from us doing those women series. We've got um somebody from White Swan coming to talk about um fibromyalgia and not fibromyalgia as in what is fibromyalgia, but actually what is what's been going on in social media and people saying when the little spiders go out and find out about it. So very interesting way of looking at data from a different perspective. So those dates are all going to be coming out over the next few months and do look out for them. These are all gonna be on demand. So I must remember not to swear. I'm sorry, Phil. I must remember not to swear I'll fail, but I must remember not to swear. I didn't see the big words, only the little ones. And um, and so they're gonna be on demand and I want to turn these things into podcasts so that people can listen because we know a lot of people listen to our stuff. There's a lady that wrote in, she said she listens to stuff on inhalers whilst training for the half marathon and we have other people. Well, I'll tell you another day, I'll tell you where people tend to listen to us. But we did a little, I'll tell you now, we did a little surveys. We've had people. And this again is actually coming back to that accessibility. There was somebody in Scotland who had to climb a tree to get enough wifi to listen to a session. So, you know, people want education, they want training, but they want it to be good. They want it to be accessible and ideally they want it to be free because budgets are getting tighter. And I know that through the, through the lockdown and certainly over the last couple of years, we've had lots of nurses come back to us and say I couldn't have done my revalidation without learning with nurses. I couldn't have collected enough training time with one person who had gone on holiday and got caught abroad and can come back for months and months and miss their revalidation period so they could do it with the training. So I think going forwards, we've lots of exciting times ahead. I think we and still get to meet each other in real life in a couple of weeks if we sort it out. So um Bill, I'm going to leave the last, the last ban round up the last something to you if that's ok, throw you on the spot, but I don't really know how to follow that. Um But um yeah, I mean, just it's a real thank you from us. So um thank you to learn nurses. Thank you to all of your educators. Thank you to those of you who are joining tonight, right? You're doing it at a quarter past eight UK time. Um And I know a number of you are from the UK, so you're doing it in your evenings. Um Thank you for everything that you're doing in healthcare. And thank you for wanting to continue to improve your skills and learn and train so that your patients can benefit and ultimately our communities can benefit. So, yeah, just massive. Thank you from us. If we could leave you with a um uh a message that's really to say that collaboration is key. We're really proud to work alongside all of you. If any of you wanted to join us on that mission, I'm really happy to talk to anyone. You can ping us an email. Hello at me dot org. And we'll come back to you really quickly. We're really happy to help you, teach and train people. I think collectively we've got to all work together. Um But from us just a massive. Thank you and a big thank you from us too. Well, Phil, that's us done. Thank you to everybody for joining us tonight for our first session and it was just a chat and it was lovely. So yeah, learn with nurses in conversation um over and out. I think we're there and see you next time. Thank you, everyone. Take care. Bye.