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right. Hi, everybody. I have never done this before on metal. Um, and I don't know if anyone is out there. I think maybe you are out there, but could someone just post in the chat if you're there and if you can hear me? Thank you. Oh, hi, Anna. Thank you so much for posting rate. Can you? Yeah. Presumably you can hear me. That is Fabio. I miss that on. I'll just give us maybe a couple of minutes for other people, too, to join before we get going. Thank you very much for posting. While I wait for people to appear, I'm gonna try chairing my screen and see if that works as well. Um, So again, if someone would kindly let me know if you conceive, we my screen Can you see my power point? No, that doesn't look right. I'm sharing the wrong thing. So I'm going to stop in that. Uh huh. Okay. New thing. That work. Uh huh. Sorry, guys. I'm just going to try and manage this technical problem with my power point. A classic situation on. I'll be with you as soon as possible. Okay? Okay. Okay. I'm going to try one more time team share my screen, but I don't think that worked. So I'm gonna try a different thing. Sorry, everybody. For anyone who has just tuned in. I am having technical difficulties, but will be with you A s A p. Well, okay. I'm gonna try presenting now with someone mind just posting in the chat. Let me know if they concede that slide. You can see it. Amazing. Okay. Thanks, Anna. Let's get going. Um, so Hi, my name's Beth. I, um f one in Sunderland. I did my medical training in Newcastle on stuck around in Northeast because it's really great up here. And I hope that you guys will feel that way, too. I imagine that your mix off people who did drain here and didn't, um Either way, I hope that you're gonna have a really great foundation. When I was in your position, you know, with a few weeks ago before we started work, I was so incredibly nervous on, But it's completely reasonable. If you guys are feeling terrified about starting, I hope that you can also feel a bit excited on. But if there are any questions throughout the presentation or afterwards that you think off, Just feel free to to give me a shout. I'm going to crack on on Go through the presentation. We've got various sections relating to life as an F one in the Northeast. Um, I'll be talking about quite a range of things. If any point you want to ask the question, just pop it in the chat. That's fantastic. And I'll try and keep an eye on it and answer it. I'll also have a questions section at the end. Um, I guess just as a disclaimer. All of the things I'm saying are just from my experience, is an F one on my point of view is an F one. I've tried Teo kind of think about things from my friends and my my colleagues as well. But these are all kind of based on my mind narrow experience as as one F one and each of you my other a bit of a different experience, especially as you'll be in different hospitals and doing different jobs. Um, but yeah, that further ado, I will get cracking if I can work out. Uh, so to start with congratulations, hopefully you have ulcer. Initial finals and got your exam results in our feeling relieved on now have jobs to go to in Northern Diener E medical school is so incredibly stressful and you should be really proud of yourselves. When I finished medical school, loads of people said to me, Work will never be a stressful is med school. And I was like, You are lying. Being a doctor will be so much more stressful. It is stressful. But actually there is an amazing relief that comes from working in the day and then coming home and not having to study and and do a revision and things like that. And I definitely feel like on some levels my wellbeing has increased since leaving medical school and and starting work. And I hope that you guys were also really enjoy starting, starting, working, unknown, being that students anymore. So the first section is gonna be fairly brief. I'm just going to run through some of the kind of more practical aspect off living in the northeast of F one. So I imagine you all know bear is that you're going. Some of you may have lived here for years. Some of you may have already moved up. We've got a really quite chunky Diener e. So we cross from coast to coast, Um Andi, each kind of different area, Whether that's Cumberland, um, Cumbrian, Northumberland, er or wherever has its own character and its own hospitals on D. It will be, hopefully a on interesting thing toe to explore the place that you're going. Um, it's amazing place to be like absolutely amazing is beautiful. It's got so much going for it outside of the hospitals themselves on while the really huge generally can be a better pain when it comes to commuting. I think the incredible scenery and the things that you can do it outside of that really pay off on a nice thing about being the Northeast is a lot of the people who you're gonna be working with and your patients also just think that it's gray up here. I hope that that you do two or that you will in the coming months. Okay, starting off just with a little look accommodation. Um, if you've already been living in the Northeast, you probably have quite a good idea of the different places that you can live in the ways that you can do that. If you're new to the area, it can be quite daunting. Imagine most people aren't looking to buy. I have never bought a house, so I don't know loads about it. I looked at some average house prices. It seems like new cast was more expensive than the other places in the Northeast to live in. Um, but obviously it depends what it is that you're actually looking for. Most people, most foundation doctors will be renting. Generally, our rent is kind of fairly reasonable if you compare it to other places in the UK Um, and yet if you live alone, you will be spending quite a lot more on that in terms of kind of looking for places to live again. White love. You might already have soared yourselves out if no, I found spare room really useful in the past countries. Good on also like making the most off your your dinner, your your hospital Facebook pages or what's AP groups? Ah, lot of the time they'll be other people who are new to the region who really want to to find someone to live with. I think it's totally up to you whether you want to live with other medic or with nice normal people. Theofanis of living with Medicare suppose is that we understand about things like night shifts. But it also could be really good to live with people who it happened just failed seven cannulas in a row. Um, I've just put the bottom there things to consider relocation fees. I actually don't know very much about this, but it seems like certain Diener is if you've moved from one place to another, are willing to kind of support you financially with that move. Um, if that's something that you're interested in or you feel like you could really benefit from, I'd recommend just emailing your kind of foundation team. They'll probably send you emails already toe to keep you up to speed with things. So, yeah, maybe, you know, limit. That's what you want to know more about, because I think it's quite different, depending on different hospitals. Um, another thing just to think where, I guess, is like how long you want your commute to be. I think for a lot of people, that's the big clincher in terms of quality of life. When you're working a really long day. Sometimes the idea of driving home for a Knauer is just a little bit too much. So. As I said, it's a really big Diener e, and transport is, as a result, quite a big thing. Um, everyone finds a different way of doing it. Cars are really useful in this diener E because lots of places are really far spread far and I'm wide. Hopefully, quite a lot of you will have a foundation year where you're in the same hospital for most of the two years. Some people might be moving between hospitals throughout, um, again then then a car can be really helpful. If you do have a GP job, it might be that that's in a more far flung area. So driving is great, but it's absolutely fine if you don't drive a swell. There are loads of other options. So for people working in Newcastle or in Sunderland, the Metro is great. Dorman missiles brought you can think about getting the train is a more pricey option. But if you're feeling bougies and like like having a nice commute, that could be good, um, Northumbria hospitals. So that would be things like ends at north time. Side one's back. There are buses out there Onda. Then, depending on where you live in where your hospital is. Cycling I'm walking can be really lovely. Other said. If you don't drive, don't worry. Lots of people, lots and lots of colleagues that I have on friends that I have don't drive and they found ways around it, either through public transport or once you actually get to the job and you make friends and you kind of gather colleagues around you. It might be that you have colleagues who are actually really happy. Teo. Do a bit of a car share or drive you in when you know it's raining. Um, so if you go in on your first day and you're like, I don't drive and I needed to get a taxi to work and it was terrible, that has happened to lots of people on. It's not the end of the world like you will find a way of doing it. Also, feel free to message me if you're new to the area and you have no idea how to get to work, and I can try and help you where I go, um, at the bottom, I put about excess travel allowance. So again, not something that I've got experience off. But if you live really far away from your hospital, I think a certain number of miles away from your hospital, I think you can ask them to kind of reimburse you in some way for the X, the extra traveling that you have to do. Um, on. I think that particularly comes into play. If you have a GP placement that's really far away. So maybe you've been commuting to your hospital, and that's like 15 miles. And then they ask you to go 20 miles for your GP. That might be a situation when it's worth asking them. Would I qualify for excess travel alarms for this? Okay, so that was a kind of very speedy run through off aspects of living in the Northeast, just kind of some practical things. I'm not seeing any questions in the chat. It's, um if no one has any questions at this stage, I will move on on, do speak a little bit more about work on the job, but any point, feel free to interrupt. So, as I said big drink, Diener E. Lots of trusts, lots of hospitals. I tried to write down all of the different hospitals. I genuinely don't know if I've caught them. Also, something you might be looking at this and being like my hospital isn't in that it's my hair. Er it's not that you are in the wrong mind a bleep discussion at the moment. Um, so, yeah, we have loads of different hospitals. Generally, you will be sticking within the same trust. So the kind of same regional area, but you might be working at multiple hospitals. That's particular case in Northumbria, where you've got insect, which is a big acute hospital. And then you've got kind of based sites like North, inside. Um, one's back where patients go more for rehab. And so you might have, um, or rehab be job in those places in terms of jobs as you'll Absolutely no, you've got six jobs over the course of the year. Um, the two years on, generally, you'll have a least one surgery job on one communities that will be your side job or your GP job. It could be really ah, heart sink moment. When you get your jobs and they want the ones that you are aiming for. Andre. I completely respect to some of your really disappointed about that. Opportunities up absolutely exist, and I know lots of people who have done it. Um, generally, they've done it once. They've actually got to the hospital and they've made friends and they've got colleagues on D. You just find out if someone desperately wants a job that you really don't want often. That's the case. Some people hate surgery. Some people hate Pedes. Um, Andi, if you can find someone who feels happy and comfy to to swap a light for, like, jobs. So that would be, say, your second job of F one or your fourth job of the foundation lot, you can do a direct swap. Generally, the foundation schools are happy with the AB. Never seen a situation where someone has found someone who wants to swap. It hasn't been able to to do that. It just might be that you can't find someone who wants to swap. If you want something really specific, Unpopular Job's really can surprise us. Well, so while you might have five jobs that you just think you're gonna be absolutely rubbish. Hold out a little bit of hope because they're not always what you expect. For one thing, the team really makes the job. So I have had jobs that in and off themselves or not jobs I've really wanted or being that interested in. But the fact that I've got a fantastic sister on the ward on really brilliant for the therapists on do really love the F one team has actually made me love it. I said I wanted a being an F one is being an F one. No matter what the job is, we take blood, we write things down, we try and get on with the rest of the team on. Actually, your job other left one is is very unlikely to have any kind of huge, overarching effect on the rest of your career or hugely change. What is that you're learning? Because really you just learning toe to function in a busy environment in, you know, at about environment that has lots of human factor is happening in it. Um, so I think if you don't have all the jobs that you wanted being disappointed really valid, but don't give up hope that you won't still get loads from F one and after you and really enjoy it. Um, if you do have a really specific career path that you want to go on and you're worried because you don't have a job in that lots of people don't have jobs in the thing they want to do you before they apply for I am to your current course surgical training on there are opportunities outside of your foundation jobs to get involved so you could contact the department and asked about doing some research things like audits, quality improvement. You can, um, maybe use things like your study days to go to conferences. There's loads of training days that we get emailed about. Generally, you often don't want to go on them because you just wanna have a day off on your days off. But if it's something you're really excited about, just take that opportunity and go for it. Also again, if you got really specific ideas, I mean you want to do It's a good thing to look at the specialties assessment criteria, the criteria you need to get into I am to your course, surgical training for example, a fairly early stage. Not because you need to do things necessarily right now, but it could be reassuring. If you get an idea of the kind of things that they're looking for. Generally, they would never be looking for us. You doing a specific job? It's just you gathering the skills you need for a job and showing interest in that which you absolutely can do without having the job. Have a look at mine. The Bleeps career section. They have loads of really helpful Resource is alongside that. All of the trust have a careers advisor, so that could be a good thing to do if you're feeling a little panicky about the future, which is completely fair. But if it helps, I haven't done anything to prepare for my future. Yeah, I'm just living the F one dream, so I think all of you will have the offer off doing an induction week. Or maybe it's even compulsory. I, if it isn't composer out, really recommend doing it 100%. I think I had an offer of doing two induction weeks, and I just did one because I really wanted to have more holiday. Um I'm glad that I did that, but I think having a week before you actually start the job is a really helpful thing. I've said make it work for you. And what I mean by that really is a lot of the trusts. You don't have to go in 95 on those assigned days. They just want you to show willing and get involved. So if you arrive on the ward and you think actually this weekend, I really like to try doing a week and shift or a night shift or uneven shift just so I know what that looks like, speak to the team on your ward, find out if any of them are doing the night shift or a weekend, or they've got a colleague who's doing that and could maybe have you to tag along. I think so long as you cover roughly the hours that your induction is assigned for, they don't really mind what you actually do in those hours. So I think Just think about what you really want to get from it. And that's why I went with going with a plan. At the end of the day, you will know the things that you're most nervous about, and it could be really exposing to go in and be like I'm terrified of doing cannulas and have not done one for four months. But, you know, I think if you could just go in and say These are the things I don't know how to do all those These are the things I want to practice doing your F one body or your Reg or the consultant will do what they can to help you get those things done. It's a really nice time to get to know the people you're going to be working with, especially the nursing team around you, because they make such a big difference to your day. And you make such a big difference, too. There's so it's really nice, too, to get to have a chance to do that when you're no actually doing the full job itself. Another thing, it's just great to know where you're going, where the toilet is, how you might grow a view. Lunch. Um, Andi also get the hang of how you order a blood test, how you prescribed paracetamol, how you put up well, prescribe some fluids because That is what they want you to do on day one, if you can on D, they will be really grateful if you've got the hang of that. In terms of money, we get paid. It literally amazes me every single month when they put money into my bank account. And I'm not just, you know, being a medical student on doing it well, paying toe to be there. It's great that we get paid. But if you're anything like me, I went into the working world not really knowing what to do with that money. A tall There is lots of financial advice out there, so the BMA offers free financial advice. I've never used it, but I think the really good idea mind the sleep also has lots of financial information. Um, I would really recommend keeping an eye on your paychecks from the beginning so they'll generally be uploaded. Teo. I think it's yes. Are the Elektronik thing where you do your healing and stuff like that. Um, it's a good idea to just, like download them onto your laptop or take a screenshot or have a look at them just so you do know what is going I/O because seven months down the line, if you realize there's something not quite right about it, you have slightly less of it like to stand on. If you if you haven't been paying attention or you don't know what's going on in the first place, things like tax codes I don't know anything about. But if you go on the B m a website, they have lots of helpful stuff on do. Also, generally, you'll get some kind of talk it early on from your foundation school about things like tax codes. I'm not saying that you should know loads about tax codes. It's more just if you have a look and know which tax good you have, and then it changes, you'll notice that exchange because you looked at it in the first place. Then I said, consider looking into tax relief. So this is that this is the thing where if you buy things for work, uniform or equipment, things like that, you can actually apply to get money back for that stuff. It can also apply to things like washing your scrubs every single day. I've popped a government website for that that I'm link on to the slide there, And if you Google governor UK tax relief, you can find out information about that and whether or not you qualify and whether that's something you want to today in terms of what is expected off you, you might feel that you've got really good idea of that, or you might feel a little bit like you're not quite sure what they're going to be asking of you on day one. Roughly speaking, they want you to be safe. They want you to you hopefully be able to get some information on Listen to someone's chest. No, a little bit about which blood tests to do or have to get a chest X ray. They want you to write things down. That is, one of the main things that we do is just write things down, and they want you to keep a portfolio as well, which I'll talk about in a little bit. One of the main things that's expected of you genuinely is to ask for help. It can feel quite hard at the beginning because you have lots of imposter syndrome and you don't want to look incompetent, but absolutely a good F one will ask for help as many times as they need to know whether that's once in a shift or 20 times on. But there's no shame it all in doing that. Anyone who react badly in response to you asking for help has some kind of problem of their own. To be honest and large, the speaking, the people that I've worked with have been lovely. Whether that's the cardiology consultant on call or the pharmacist or your Reg, I think a lot of us in medical school do simulation where the register really really mean. In reality, they have all been delightful, so I would hope that you guys have that similar experience. Just a quick review of some things that you are not meant to do is an F one, because I'm not. So I fully knew this. You do not discharge patients. You do not sexual patients. You do not make big decisions about Karen treatment, for example, things like surgery. That's not to say that you in anyway shouldn't be voicing concerns about these things were making suggestions off thumb, especially things like under life decisions as an F one on call over night, you will encounter dying patients on D. It's really important for you to say I I think this person is dying and the voice that but generally your colleagues would want to support you in making those actual decisions. And I'm working with patients and families to do that. You are doing a training job while you're there to work. You're older there to learn. So if you ever feel like someone's asking you to do something outside of your comfort zone, you're completely within your rights toe actually say, I don't know what you're talking about on. Ask them to support you more with it. I've had some questions about the portfolio, so I'm just going to review a few things about water. Isn't what it involves before. Do that. Just a check. Can you guys still hear me on? Are you still out there in the world? If someone just say hello, that'll be ground on the chair. Okay. Thank you. Bet and Katie and on Saskia. Thank you all. Hi. Uh, grand. So portfolio is not something that you necessarily worry about at all. At the moment when I went into med school out know into work. I was just so desperate to forget about things like having a local book. So for my first at least two months, I didn't even look at the portfolio or think about it. And that old did panel, Okay, so in no way do you need to feel a pressure to get going right now or on day one. That being said, the earlier you start, the easier is gonna be for you, just like with your log book when you were meant school. So if you do get going within the first few weeks, that will probably make your life a little bit easier in the long run on. If you start early, you can just take away. Is it your seniors? So whether that's consultants, Reg is S H O Z, they can all do tickets. So things where they sign you, sign you off for things and give you feedback for things. A lot of the time, they're not going to volunteer that they're not going to say, Oh, you send me a ticket for this This conversation we've had or this bit of experience that you've gained, but that doesn't in any way mean they'd be reluctant to help you out with that. So do Solu. Just ask people. They will say yes. I've never had someone say no. I won't send you feedback. It's just that it might not occur to them. But that's useful for you in terms of the structure of the portfolio. Joy of joys. You've got reflections just like you had in med school. Um, Andi, you could just upload them as and when you want to, you can do them privately or shared. So if you have something that you actually want to but reflecting on by yourself and not with your supervisor initially, that's totally fair. You've got something called many cakes is I don't know what many cakes stands for. Medical, many clinical examination, I think, which is basically any kind of scenario where a colleague has seen you do something or nose of you being involved in until action with a patient. So a really good thing would be something like you did on 80 of a patient, preferably when someone was observing you. But even if no, if you don't like told them about that interaction, that would be great. Other things you could do many Texas for would be visit the any interaction with the patient you contain into a mini cat checks. It's just a kind of way of a senior feeding back on the way you went about a clinical experience. Case based discussions are even more vague, which is great in that they're just documentation of a conversation that you've had with a colleague, a senior colleague about a case or a situation. They don't need to be formal things. You don't need to sit down and have a discussion. It could just be if on the ward you've been take talking about one of your patients during the war. Drowned on down, interesting thing came up at the end. You could say, Can I send you a CBD for this on? Your consultant will give some feedback and learning points on that. Cancer's a ticket. Then direct observed procedures or dots are just anything practical in the world. It could be blood. It can be cannulas ng's LP's go wild. You don't need a certain number of those, but it could be good on a nice thing for you as well to feel like you're building up your your clinical experience. So you gather all of these things. Reflections, many cases CBDs and drops over the course of the year. Hand coming to the end of the year. You containg thumb just in the way you like tag teaming on Facebook, but you tag thumb to learning outcomes. There are 13 learning outcomes, and you tag these this collection of evidence to those learning outcomes to say, Look on my evidence. These are the learning outcomes that it relates to the tagging. I would say it's not something you need to think about at all for the next few months. Really, it's just a case of beginning to build up all of these collections of evidence. There's no set number of pieces of evidence, so go wild, do it feels right for you. You don't have to get 10 or 20 of anything in particular. It could be really overwhelming when you start and then give you this big presentation on the portfolios, which will be much more detailed than what I've just described. And it's completely yet. I was very overwhelmed by it, but at the end of the day, it is just on exercise in gathering information and then tagging it. Two things to show why that information was useful. If any points you do have questions. Feel free to post it on the mind, the sleep aids or to send me a message on. I'll do my best to explain or help you out with it if you find a little hints and tips about work, eat, eat, eat, eat, never miss a meal, eat and drink and pee. These things are so important, and I thought I would never be F one who didn't do those things on. Then in Week one, I didn't eat my lunch and I burst into tears on the ward and it was terrible. You have to meet your basic needs before you could meet anyone else's hand over to the evening team. That something I'm going to mention again. You were meant to finish when you went to finish on. There is a known call team. They're ready to take your hand over. It's really easy, especially the beginning to be all. Just stay for next for 15 minutes and finish this or finish that. But actually that that 15 minutes turns into a now our and it adds up to five hours a week, and you just get really drained. So come end of come end of the day, whether that's five PM or whenever your shift finishes, don't be ashamed to hunt things over to the on call team to finish off. They are expecting that that's where why they're there and what they're being paid to do. Take well, depends. I am constantly without a pen. Pens explode a lot. I would recommend just having loads of pens. Um, when someone asks you to do something, it's really easy just to be like Yes, of course on then two hours later, it as you don't know what they ask you to do or why. So if someone asked you to order a CT scan or they ask for an MRI or they ask you to phone cardiology, it will make your life so much easier. If you say, what would you like me to pass? Quite like what specific questions you have for cardiology? Or what's the indication for the CT scan? You might know that, in which case, don't ask. But I find myself on a weekly basis, phoning microbiology and not knowing why. On but they don't like that. And I don't like that. It's not good. Trust your team. They are generally much more experience than you. And that's a really good thing. Whether that's your ward sister or your physiotherapist. Your pharmacist, they know so much. Use thumb use thumb on D. You know, appreciate that the team is there for a reason, and it's great that they are experts on things that you don't know about. I'm sure you all know lots of our s bar. I'm sure you've done it a million times in your sins and maybe in your exams. I think it's really easy once you're actually doing the dog to completely forget, that exists on to just again phone microglobulin Gee, and pick up the phone and not have prepared on just be like go a patient with an infection on again. They hate that. So if you do have time, just take a quick moment. Oh, right down your s bar. Um, I know that you know it, but I just think in the moment it could be really hard to forget. Teo. It could be really easy to forget to do it, and that can then result in a really horrible interaction where you don't get the thing you were looking for on the person that you're speaking to on the phone isn't able to help you. And and that could be frustrating for both of you. And then, yeah, if you're feeling out of your depth if you feel overwhelmed. Unlike someone is sicker than enough, one should be looking after. You're right, you're totally right. If you feel like this is too much, then it probably is do much. And it probably is the time to call the reg or task you shor. If they wouldn't mind coming in helping you. There's nothing to be ashamed off. Asking for help is the safest way on, but I'd be really concerned if any consultant wasn't asking a colleague for help when they didn't know what was going on. So trust your gut, but also when your gut is saying run away, then run away and phone the regimen. That's a completely reasonable thing to do. So that's a little run through off aspect off working life as an F one. They're not really specific to the Northeast. I think that is, those are all things that no matter where you are, are kind of important or with thinking about moving on. This final section is just about kind of surviving and thriving as much as you can. It's really stressful, but it is a really great job, more really lucky to get to do it on day. One of the ways that you can kind of remind yourself off. That is, by making sure that isn't your whole life and looking after yourself outside of work in work, there are loads of people load people more than fitted on this light. Who would like to help you or are out there to help you. Is there job to help you? Um, on day it's kind of It takes a little bit of time sometimes to work out who those people are for you. Some people really like going to their colleagues. Some people actually don't want to do that. I want to do something slightly more separate, like go to the foundation school with concerns. Hopefully, you'll get up your mentor, so that will be someone on F two who is kind of out there to look out for you on how you can what's up and ask questions off. Um, you'll have uneducated supervisor who should follow you all the way through F one F two. That can be a bit her or miss in that some educational supervisor, Love supervising and others do not love doing it. And that's a really bummer. If you got one who isn't into that again, though, it's not the end of the world. And actually, if you meet a senior colleague who you really like and respect and you get on with a lot, ah, lot off them won't mind you e mailing them if you've got a concern or something that you want to talk through if you had another setting shift something like that. The foundation school staff are so useful they are like, so, so useful. They just know everything they know when everything is, they know who everyone is again. They'll be the people who already e mailed you about things like you're real owning and forms find out their names, find out their email addresses on D, become friends with them because they're very helpful. Exception. Reporting is something else to speak about in a little bit, but it's basically the way that you get money and recognition when you stay late from work on. That is a system that they're designed to kind of look after you when you're working arguably harder than it is safer than you should be. Every hospital has a guardian of safe working, so that's a named person with an email address you can contact if you've got any kind of concerns about safety, any kind of concerns at all. So that can include things like You're staying late or your ward is understaffed and you don't feel like it's a safe environment. Your foundation school will probably let you know what their name is and how to email them on. They are out there for sure. If you've got questions, occupational health, fantastic, anything health related, I would really recommend that you do raise that flag and raise that flag early. They can find all kinds of solutions. I broke my wrist about three months into foundation on, wasn't allowed to work with patients or take blood or do cannulas. Onda thought that that was kind of a complete disaster, but ultranationalist worked with me on, but I was able to complete foundation like do F one without any kind of delay. It was absolutely fine. Um, also be m and M d. You have lots of They have a bm representative in the hospital. The MD. You will come and talk to you and be present in various ways on they are out there to support you on look after you. And so just take them up on it outside the hospital. I mean, I don't think you need me to tell you about self care. I'm sure you already know lots about how to look after yourselves and the ways to manage stress. You've been medical students. You will already be incredibly resilient. Um, so I don't want I don't want to tell you have stock eggs, but just do you look after yourselves due respect that you're working really hard and in your downtime, you need whatever is you need. Um, I find it really helpful to plan nice things to look forward to. So holidays or booking knife meals at restaurants with my friends. Um, I know that some people, every time they get a paycheck by themselves, a treat you go for you've learned that treat. Um, having a life outside medicine is something again that I'm sure you know about having done med school already. But I think it's just a simple Orton when you're doing the job, too, do things outside of that and maybe hung out with people who aren't medics or these people who aren't going to talk about medicine all the time. It could be really, really wearing toe. Have that in your head a little moments, and I find it's really helpful, too, to do something. Set bridge. Whatever is that that you find useful. I think it's good as well because we can sometimes identify just a doctor's on. Then when you have a bad day is the doctor you can feel really rubbish, whereas, actually, if you identify us person who does Bedson and also lots of other things, then your bad days don't feel quite as heavy. Keep keep checking in with the people around you. That does mean colleagues as well as your friends. Your police do care about you, but try and I guess do what you can to to stay in touch with the people you love and get what you come from them because again you deserve it. You're great. Um, but yet selfcare will be very different for different people. So just do what you know works for you. I was asked to just run through on your leave because it could be a bit of a mind field. This is quite a brief summary. Please feel free to message me anytime. If you're having difficulties with annually where you don't understand what's going on, basically every rotation you have nine days that you can take. You also have four days off. Study that you can take study. Time is your time. Study time is being in your bedroom is being wherever you want to be is doing whatever you want to do. You are meant to study, But you know is your time to do the thing that you want to do whatever that may be on. They're not gonna phone you up on. Find out where you are on what you're doing in some trust on. In some jobs, those study days are already allocated into your rotor. In others, you can take them as and when you want to in the similar weight and you leave so you might go in with nine days of annual leave to take and also for your days of study to take, so you can kind of tactically arrange those so that you've got a little bit of rest after nine shifts or, um, create a long weekend of studying if you want it. Um, you can take leave on any day that you're assigned a standard day, so that means any Did you have a known cold shift? You aren't technically allowed to take Aleve. That would be nice if it's twilight shifts evening shifts on weekends. Also, every ward has a minimum staffing level, So that's a minimum number of doctors that is safely allowed on the ward. No? Well, yeah, minimum not number of doctors that safely allowed on the ward. Um, so that might be two F ones or three F ones for one's, depending on the size of the wards, and it will vary between teams. You can find that out if you contact your roster in team what your minimum level is on days where you are above minimum staffing. So say your minimum is two doctors, and you've got four. You're allowed to take leave if you're at minimum staffing, so there are only two of you on that day. Technically, you're not allowed to take the that day because it'll drop the ward toe in unsafe level. That could mean that when you initially life or Aleve, it's really depressing because they say no, you know, loudly, but there are ways around it. One of them is, you know, swaps so you could do things like swapping weekends directly if you've got a wedding or birthday or things you want to go to. But they generally don't have any problem with people's walking jobs, though Sometimes they like certain people on surgery to start with surgery on medicine to swap with medicine. It depends a little bit on the trust that you're in, but generally it should be fine to spot from like a weekend. If you can find someone who couldn't do it, then cross cover is the option if you have a kind of minimum staffing issue, so if your ward is below minimum, but you have a friend on a different water, who's above minimum, you can ask them to cover you on your ward that day, so if you were on the respiratory ward on day to go on your leave, Your drop it below minimum and your friend is on the gastro ward. They could they could come and work on the respiratory would for a day on, so long as that meant that gastro didn't drop low minimum on. But then respiratory wouldn't be dropping either. And then you can take your Aleve. It can feel really confusing initially, but at the end of the day, it is just case off finding out who's got enough cover on the on their ward on. But people generally don't have any qualms about covering you, if if you need some time off. When I first started my jobs, I think every single day of and relieve that I asked for got rejected on. I thought that I was never going to have a whole day, ever, ever, ever. But I actually have managed to take all of my leave. It was just a case of kind of understanding which days I was allowed to take it, which days I wasn't on then arranging cross cover as I needed to. But yet if anyone has any more specific questions about annual leave with kind of issues that they're encountering. Feel free to give me a message. Andi, do not let them kind of convince you in any way that you can't have your annual leaf because you can. It is. You're right. It is yours on D you know you will be able to find a way another thing if you're really struggling with getting it. It could be useful to ask your peer mentor because they'll have bean NF one just a year ago on. But we have had exactly the same problems and they might be able to help you out. The final few slides really are, I guess again telling you things that you probably already know, but that I think I needed more people to tell me when I started working. Um, you really do deserve rest. Andi do deserve to leave the hospital on time and you'll be a better doctor. If you do, they never close. There will always be more work to do, though always be more discharge letters to right. More things that you could document more families that you could phone on. There are some jobs that you absolutely have to do before you leave the hospital. You know someone's on. Well, you do just have to stay late, but there are other jobs that you've just gotta Let's slide on down, take yourself home and look after yourself again. The evening team are there for a reason. The only call team are expecting you to phone them and hum things over. So never stay late thinking, Oh God, I don't want to put pressure on the on call F one or the on call S H O. There, there to take your phone calls and they'll be phoning you and you're on call. So just go for an phone, then don't drive home tired. It's very dangerous. If you feel really tired, you can get a taxi on. Your trust will pay you back for it. You can also ask a colleague if they can drive you home. It can feel really tempting to do it, but actually, if you're feeling tired, just don't do it. It's not worth the risk on then yes, exception reporting. So that's the thing that you do. If you stay late. Whether that's 10 minutes, half an hour, an hour late, you could exception report where you fill out a form saying you stayed late on. Why on then, they need to give you money in exchange for that or time off in lieu. In exchange for that, sometimes you can find that you're in a job where you actually stay late. Loads like much more than you should do. And that can actually add up to date off Luke that you're owed. So definitely ask for it, because it can then turn into kind of extra days of annual leave. Alongside that, it flags to the teams that actually something's not working on that ward because if you're having to say an hour late every day, clearly there's some kind of issue that the more senior people need to look into. So it's no moaning to raise your hand and say, I'm staying late and it's nothing to be embarrassed by. If you're staying late, they need to do something to change the system. So that brings me Teo to the end, really off. I kind of wish through aspect off being an F one in the Northeast, I did not feel in any way Randy to start working. I felt so scared and like I just was not a doctor yet, but you are ready and you will be great. You really will. Um will be days when you just think I cannot do this. I'm completely incapable. Yeah, Every single person in the world has those days and it doesn't mean that you are incapable at all. You don't need to be amazing. You just need to be safe, ask for help. I'm be willing to to learn from the times when things don't quite find out. Asking for help is a re brave thing to do on D. I have never had a senior who has responded badly when I phoned and I said, I'm really worried about this patient. They want you to phone if you're worried because if you're worried, you do any more help. That's just the nature of the game on D. If it feels hard, it is hard on dishneau in any way on you if you're finding it difficult, but it is amazing job. I I'm really, really glad that I'm doing it on have really enjoyed my half one in in Sunderland on being in the northeast on. But I'm looking forward to F two, so I hope that you guys get a lot from it. Does anybody have any questions that they would like to ask? There is no pressure. It'll tow ask questions right now, I I'm really happy for anyone to message me privately. If they've got anything they want to task now or in the the coming year. That's absolutely fine. Yes, tell me. Absolutely. Go for it. I'm represent. Message me any time. I'm not always great at replying on Facebook immediately, but I will reply to any messages that you send on. No question is do silly or small, sir. Just go for it. I'm really, really happy to be message as well. Feel free to um Oh, yes. Oh, also keep in our mind the BLEEP They have so much, so much useful information out there. So many resource is that you can use that are helpful on. Oh, thank you Are not I'm so glad. I'm so glad. Yeah, it's just It's just so scary, isn't it? But you're gonna be fab. That's my email address. If you want to be formal, feel free to email me. But yet I'm very happy for you. Just a message. Mail. Facebook. Oh, Okay. Okay. Speth. So Beth has just asked about renting a flat. I'm so sorry. That's not stressful. So you haven't officially Oh, right. Okay. So I think that's what you're saying is that the flat isn't happy for you, too. Start renting because you don't have to do with employees references. Ah, I'm really sorry. I didn't have that issue, actually, because I moved in with one of my friends. Um, I am not sure, but that sounds really annoying. I guess one option is could you do something like a guarantee your situation? So, like what you do when you're a student? If not, I would think it would help be helpful. You could email your trust so you could email the foundation school. Whoever's already been in contact with you on ask if they can send maybe some kind of letter that says that you are going to be a doctor. I'm no. Yeah, I'm not quite sure. That sounds really annoying. Um, I guess. Yeah, I think my only thoughts would be explaining to the leading agent that you haven't started work yet. And you've just finished being a student, I suppose. Sounds like such a hassle a suppose another option is alongside the Oh, I've got great Katie Beth? Yep, that was that. You guys are on this. Resigned the HR lady concussion firm. Your job title on things. Thank you so much, Katie. That sounds like a really good plan. Does anyone else have any other questions or any other things that they aren't really stressed about? End. Just wanna get some form of reassurance from. Okay, Amazing. Well, it's totally fine. If you're typing, you control the typing on put message in the thing. But if no one has any other questions, then thanks so much for joining me this evening. Onda. Good luck with the months ahead. Hopefully I won't meet some of you in Sunderland. That would be really lovely. Um and yet just put me put me any messages. It's completely reasonable. Toe have loads of lose the things you want to know or to not do that as well. I think if no one has anything else to ask, then I will leave you to the rest of your evening. But thanks so much for coming, guys.