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OK. Hello again. Welcome everyone. Thank you for joining us. Thank you, sparing your time and um having and, and coming to listen us. So we are UK Newcomer Doctors Network today. We are going to talk about CBN portfolio. But before we start to talk, I just want to introduce UK newcomer doctors network to you. So a month ago, we just started um this network to help everyone who wants to come to the UK, who is planning to the UK, who is planning to come to the UK or who has just came to the, who has just came to the UK cause I knew that when I first moved to the UK, even if I have the enough clinical knowledge, I had a bit of issues with understanding the system of the NHS. So it has caused me to have troubles for maybe six months, I should say. And I just one, all my friends, all other doctors, all of the other IM GS to shorten this period at least. And so that's why we created, we started this network to help everyone who has just joined to the UK or also who is planning to come to the UK, who wants to know more about how is the NHS system? All right. So our first uh teaching session was about AD Q IP. So we are planning to do it again one more time and record it as well. And our this um teaching session will be about CV and portfolio and for, for medical doctors. So we're gonna be speaking three doctors today. We're gonna be speaking three of us. I'll be starting with medical portfolio and basics of the portfolio and reflective practice. And my friend Carlos will be talking about surgical portfolio. And then after um John and I will be talking about the CV, how to use your CV efficiently in in um two direct jab applications as well. All right, let's start. This is going to be my presentation. So the aim is what is medical portfolio? This is presentation will be approximately 20 minutes. It depends on the questions. It depends on the um the timing, just want to quickly double check one more thing. Sorry. Ok. Um So after that presentation, you will be able able to identify and compose the work based assessment, PDP, reflection, mini cops, a cat. So these are the things probably you will be hearing in your clinical practice in NHS like many times you'll be hearing, what are they, we're gonna talk about it and you will be able to make use uh make use of reflective practice in your um medical daily medical life and you will be understanding the um reflective practice. Ok? So before we start, I just wanna ask a pool, I just want started with a pool. If you can uh if you can um check this car code and then answer the questions, I will be able to see where are the most of the uh participants are coming from. So this might be helpful for me to understand how much you're knowing how much you know of the system but will be um will be giving us idea about it and also will be helpful for, for us to be interactive a little bit more. So you can just, yeah, you can open your camera and scan this QR code and you will be able to give an answer cause otherwise, if you type on the, on the on the other side, I wouldn't be able to read it right now. But with the help of this um slider, I will be able to see where you're coming from, Istanbul, Kyan Burkina. So Turkey, Turkey, Egypt, Turkey. So all around the world that we, let's say, OK, it's not specifically coming from one place. So it's mostly looks like, OK. Um So seems like most of us not in the UK. So you're planning to come to the UK, maybe I assume or you or you or, or you worked in the UK before and you are. That's good. That's good. So this is actually good cause I think that presentation will be quite helpful to everyone because we'll be talking about very basics of the portfolio. So it will be probably giving you idea. I would say that if you were already in the UK and already working in the NHS this uh this presentation wouldn't be so helpful to you. Cos we'll be talking about the basics. OK. Now, practicing in London is all perfect. Both of them. Great and hungry. All right. Thank you for all of you answering the pool. So the question, I can guess the answer. So I'm not gonna ask you to answer this pool, but I can think that probably most of you don't have the portfolio or not or not very familiar to it. So I know that transitioning into the NHS as the IM GS has lots of challenges and also it has opportunities as well. So portfolio is depends on your perspective. If you think that it's a challenge, it can become a big challenge. But if you know the basics of the portfolio and if you work on it, it can be your, it can be an opportunity for you because you can increase your knowledge and you can show your competencies and then you can document it and then it might be helpful for your reflective practice as well. So it is both, it is challenges and also now opportunities. So reflective practice, you will be hearing that word. A lot of time in your um in your daily life, reflection, reflective practice. What is it? So reflective practice is the process where an individual thinks analytically about a clinical station or activity and monitoring your its progress and evaluating its outcome. So something might happen in your practice. It doesn't have to be a problem, but it can be a problem. It can be some um awareness that you have in your daily medical daily practice and then you think about it, then you work on it, you improve yourself, you learn more about more about it and then you make a reflection on it. So this is actually a reflective practice which all of all of the individuals actually doing in their, in their daily life, we're always doing it. But in the NHS while using a reflective practice, it's so important to document these reflective practice as well. So the reflective practice, if it's done um in a, in a correct way, results in a better understanding of the situation. So there is a one situation in your daily life, as I said, it can be a problem. It can be a mistake. It can be a, just a thing that you come across with or if you had, if you, if, if it's always can be a conversation or let me give you an example. For example, if you go and do a CPR to one of your patients with your theme. And then after that, after finishing the CPR, you meet with the team in the room in a room and then you discuss about your practice, what we have done correctly, what we might, what, what we might improve and what is the outcome of this new thing? And what is the outcome of our practice, our CPR? And then you try to improve your knowledge and practice as well. So it results in a better understanding of the situation and it helps you to improve yourself. OK? I hope I'm clear if you have any question at any time, I kindly ask you to share your questions in the message part. Uh And if, if, if my colleague, Doctor John, I will be letting me know that uh there is some question and we'll be talking about it. II just want want this uh presentation to be more interactive. OK? If you have any questions, just leave in the comments or if question comes later, leave in the comments, then we will be discussing at the end of the topic at the end of the presentation as well. So this is a reflective example of the reflective practice from my um my, my experience, it happened like a couple of months ago, not a couple of months ago, sorry. It was just happened in the first month, um first months of my experience in the, in the UK and in the NHS as well. So problem is um what was the problem in this case? Is my patient has inserted an angio tube day because I had a chest x-ray. And after four o'clock, I went to this ward and the nurses came to us, came and asked me that. Would you please report and check the ch chest X ray and tell us whether we can use the angio tube. I checked the chest X ray. I thought, I thought that it's appropriate to use this angio tube. And I informed them, I documented it and I left vote my shift is over. Then my colleague so called me and told me that, oh no, actually it should have been reported by radiologist or it can only be documented by the consultant doctor. So according to the hospital guidelines, which I wasn't aware of at that time, it should have been reported by the radiologist or it should have been commented by the co consultant, not by the junior doctor. So that was the thing that I learned on that day. Patient didn't get any harm from it. Nothing happened to patient. It didn't affect the patient. But I learned that we have a specific guideline for NG tube and uh how who can, who can make a comment on it. So that's, that was my reflection. So I made a reflection practice on it. I learned from it, I learned from my mistake. No one harm it from this problem. And then I made a reflection as a as a as an for for for feature. So I said I would check the guidelines before confirming in you and would ask my colleagues whether is there any guidelines as there as there can be differences between my previous practice of Trump bringing from my country? And then uh it it will be improving my um feature pa it will be improving the care of my patients as well. So this is a reflect reflective practice and reflection, how to write a reflection on it. OK. So portfolio is actually one of the part part of the reflection practice. So what is portfolio? You'll be hearing portfolio, portfolio, you'll be hearing tickets, you'll be hearing AC A DCPD, we'll be talking about it. All of them, don't worry. So um your portfolio is a electronical tool for doctors to store and record a collection of evidence that demonstrates their learning achievements, achievements and abilities. OK. So every training or trust ha might have a different portfolios. It's a website and we document the things we have done. But um if I, one of two doctors might use HRS GP trainees might use 14 fish psych trainees might use M RCP psych portfolio. All of these websites might have a different interface. Basics are same all around the NHS. So we'll be talking about the basics. OK. Any any questions so far? Any questions just let me know? OK, so mm so basics of portfolio. So I just need to check my phone um to be sure that it is. I'll be recording it or not. And so let's talk about the basics of portfolio. It's the same for all of these F I ones F I two S um junior doctors or trainees. Ok. So we have PDP plan, personal development plan. We have work based assessments which are mini C A CBD S do SA CAD. And then we have reflection that we discuss and teachings for your portfolio. OK. We'll, we'll be talking about it slowly. Let's start with the PDP PDP. Personal development plan is a dynamic document that outlines your learning objectives and carrier goals. So it should be uh agreed with your supervisor and in the beginning of your placement. So we have meetings when placements, let's let's let's all six. We, most of the time we're going to um a different department for six months or three months or four months depending on your training, then you have a different supervisor in even then you meet with your supervisor and in the beginning of your placement and in the end of your placement or maybe also in the mid middle of your placement. So your PDP plan, your learning objectives, your aims, maybe we can say learning objectives there. It's decided in the beginning of your placement. So you prepare a PDP, you prepare a thing that you would like to learn, improve and then your, your career plans are also in the PDP. So you decide on the placement in in the beginning of your placement and then you have six months to work on these P DPS. So actually, it's like planning your um placement and planning your career goals and see how you progressed on it after you finish your placement. OK. So this is also reviewed annually with your supervisor as well. For example, this is a PDP example which I had with my um consultant in my previous department. So I was planning to pass a psychiatry exam and all and I'm also planning to apply for I MT. So this is my, this was my career goal. This is the beginning of my, this is the part of the PDP. So I'm keen to explore the potential carrier in psychiatry. So they we decided to make a test to, we can test to week in psychiatry. So this is one of the PDP test to Wen in psychiatry test to we in the the desired department. OK. I also would like to get my form signed crest form signed. This is another P DPI would like to do a noted and reviewing HIV patients inpatient. So this is another PDP and doing uh lumbar puncture, performing lumbar puncture in a confident way. So this is another PDP. So it depends on where which department you are working in. For example, if you're working in a AM U, you might make a PDP of um at joining to the critical care of the patients. But if it's your first six months in NHS, your PDP will be very easy one. For example, it might be understanding the basics of NHS. Um uh understanding the E portfolio. It can be just, it, it just can be your PDP as well. It doesn't have to be the ODed things, puncture, lumbar, puncture and things uh very uh things, a lot of things like that. It doesn't have to be, it can be very simple in the beginning. But after you learn the system, your PDP might evolve to a complex one. OK. So, so this was a PDP. Then we have a work based assessments. W BA S. We don't use that um acronym too much, but it says work based assessments. So there are a couple of work based assessments which are minis a CAD um caba dis discussion discussions and dots. You'll be hearing these acronyms a lot in the beginning of your um in the beginning of your um life in the NHS. OK. Any questions so far, please just let me know. Is there any question and no questions so far? All right, thank you. Um So workplace assessments are the cornerstone of the competency based training framework within the NHS. So it shows your competencies and even if you are a nontrained doctor, you should be working on your portfolio, you should be filling work based assessments. As I say that if you see it, if you see it as an opportunity as you work on your work based assessment, then you might complete uh all the competencies for the training. Ok. Even if you are a nontraining, it's a different topic, long topic, but it's really important to fill in your assessor. Usually needs to be a consultant, specialist, register or someone trained in that clinical topic. Ok. So we'll be talking about mini CS, CBD and DS. Let's start. So you'll be hearing tickets, tickets stick lots of word of tickets. Can I send you a ticket? This is, will be, this will be the one of the um common, common senses you will be hearing in your uh clinical practice. So ticket is actually everything that you filled and send to your seniors to be to be um to be assessed, let's say, ok, they're gonna read your tickets, they're gonna read your things you send and then they will assess you. They will give you a feedback. So this is a ticket. Let's start with the first one, case based discussion. Um as an acronym of CBD, CBD involves a detailed discussion about specific case you have managed. Let's say that you manage the patient with an acute myocardial infarction and you might discuss discuss your clinical reasoning, decision making process and overall management plan of this patient with your senior colleague. Then this is a CBD. Actually you discuss with your senior and you have a CBD. Well, I will be giving the example of it. OK. And what it helps is this assessment, encourage deep reflection and understanding and enhancing your ability to manage similar cases in the future. So this is the simplest, this is an example of CBD. I'm not gonna talk about all these details, but CBD is a actually well as a while you're sending a ticket as a CBD, you just summarize the patient. You don't put the details of the patient, you just do as a case. You don't give the patient number, patient name, you don't mention any of it and just you, you present, you say you, you, you give the details of presenting complaint, what you have done, which test you have done, which imaging you have planned and what was your management plan and what has what has happened after it? Then you provide a brief re record. Uh We provide a record in a brief anonymous way. OK. Then you write a reflection on it. So you've learned something from that. In that case, I have learned that getting the blood cultures before starting antibiotics is quite important for this case. So this was my reflection, for example, or uh in that case, I have learned that I should have, I should be more assertive for requesting the MRI scans cause sometimes it's a big problem to request the scans in the NHS. So you should be sometimes need to be more assertive. That was my reflection from that case cause I needed to, I needed to talk for a long time on the phone to, to, to make the MRI done. OK. So that was a reflection. Then I'll just send you a reflection, then you get a feedback from your senior and they are telling you to which part you did a good way, in a good way, which part needs to be uh developed. Uh Which one needs some development. OK. And um we have an A CAD. So it's a CAD, it's actually so um similar to CBD, but there are some differences. So it's mostly in a on acute take. I mean, like if you're working at AM E or if you're working in patients, take, seeing the patients from ed, then you can do AC A but also it can be done on a ward round and on a day you're covering uh patients in, in a, in your area. OK? So ac A looks at clinical assessment and management, decision making, teamwork, time management, record keeping and um all those things, let me give you an example how we do an AC AP. So you go to a ward every morning, you see like 12 patients maybe or 10 patients every day. But on that day, if you ask your consultant to do an A CAD, what what is gonna happen is you will see an amount of patient. I will ask the question in the next presentation. In the next slide, you see a couple of patients, your consultant just watches you and then assess you, see how you're doing. You're seeing patients by yourself, talking with patients, examining your patients, doing the management plan for patients and then you record them all. So you're working as a, you're acting as a consultant, you're acting as a senior and your registrar is I'm sorry, your registrar or your consultant is watching you and then assessing you watching you, how you recorded how you examined the patient, how you talk with the patient? Did you close the curtains? Ok. You did they just observing every details and then you see more than one patient. In CBD, you see only one patient. We are consultant on your or your senior but in ac ap more than one patient. So how many cases should you assess for AC ap? Could you please just um scan the code? Yes. And in the meantime, can I ask you one of the questions in the chat? Can you explain if we can, how can we record these work based assessments outside of the UK? Do we have to use an HSE portfolio or? Um ok. Yeah. Now there are a couple of ways, I think the one official way I would, I would recommend to you is um buying a portfolio if you can uh and check that your, the people who are you who you are working with can reach that or you can fill all these forms. There are a couple of um portfolio websites, you can use some of them, you just need to pay and some of them is just provided by your trust. But if you're from the outside of the UK, you can, you might pay it. But I just, I just uh want you to be sure that this um this um portfolio, this website can be accessed outside of the UK. I mean, like you're gonna do a cat, for example, with your consultant and you're sending a ticket to your consultant with that portfolio. Your consultant also should be a should be able to access to this website. So it might be difficult because of that. But you can also, I think you can also document all those patients in Excel cause I have heard that some of the doctors are doing it in this way and documenting the pa documenting the patients or cases they have seen. And then also you can get a um a feedback form from your, from your um seniors. So it's quite important to get the feedbacks cause all these reflections are mm mm working with the feedbacks. So I reckon, I reckon that it needs to be double checked with someone who has did it before. But uh this is my idea. This is my opinion that you can um record the patients, we record on NHS portfolio, like summary of the patient details about it, your uh reflection on it and the feedback from your consultant with signature that might be, that might be helpful. I think. Thank you. Any another question or am I clear? Did it explain the um question you that, that that asked, asked that you asked? Nope, fine. I think that was a good explanation. Thanks. Thank you. Thank you. Ok. So how many cases do you assess for a, a 78 person five? That's great. That's true. Actually, five cases, at least you should assess for a cat. You see five patients with your consultant and then you can do an a cat. But this it will be, it can be more than 52. OK. Minimum five cases. So, Minix. So, Minix is, it involves the direct obs observation of your clinical interaction with the patient. So it can be taking a history or performing a clinical physical examination. For example, during a ward round, you, uh you might be assessed on ability to diagnose and manage a patient with a chest pain. So your assessor will be observing your approach, providing your feedback the on your strength and tell you to which needs to be improved. So the difference between CBD is on the CBD. You need to provide a clinical management uh plan and you need to discuss with your senior. Um that's mainly clinical management, but in the mini A it can be just physical examination, for example, on the board done, you do a chest, chest examination to one of your patients then you can send a micex easily. It's a quite, quite um straightforward one. For example, that one, the one of the minis that I have prepared that I have sent as a ticket um that was after endoscopy examination for a headache patient. So I just gave a brief information about the patient. The patient was coming with a ton clap headache. We did act scan CT after CT scan in our hospital in my, in my trust, we according to guidelines, we need to do lumbar puncture but and we couldn't do it for some, for some reason because for some reason and then we did ophtal ophthalmoscopic examination, which I wasn't good at it. So after that, I made a reflection, I encountered difficulties performing on a ophthalmoscopic examination. So I practiced on other three patients to improve my skills. Although it remains somewhat challenging. I believe I'm getting better at it. So that was my reflection. I couldn't do it. I wasn't good at it. I worked on it. I did it in a different patients then I tried to improve it. So that was the, that's the um And also while I was in uh this um o ophthalmoscopic examination, my registerr was observing me then after she left a feedback for me, OK. So it can be simple things like that. And another thing you will be hearing is stop, stop, stops, direct observation of procedural skills. So dos evaluates your technical skills by observing, you perform a, perform a procedure such as inserting a central venous scatter or perfect arterial blood gas, doing a lumbar puncture. Those kind of uh procedures can be assessed by your uh seniors with the help of the tops. OK. So the feedback provided to helps help find your technique and ensures that you meet the required competence level as as we have in another um assessments. So I will give you a one case of sepsis to make you understand how one clinical case can be used to capture various work based assessment for your portfolio. Ok. So one case can give you a case based discussion can be a mini. If you use in the right way, it can give you lots of things for your portfolio. Ok. Let's, let's suppose that you are managing a patient who is presenting with sepsis in the emergency department. What are you gonna do? You know that you're gonna take blood cultures, you're gonna give fluid, you're gonna get arterial blood gas, you're gonna check like that, you're gonna um check the urine outcome. And did I say that you're gonna give the antibiotics after it after your blood cultures? Then you notice that you manage a sepsis patient and then you, before that you took the, you took the patient's history and you, you, you get, you came up with your differential diagnosis. So you, you, you, you get your chest X ray done. You know that is because of the chest infection, blah, blah. So you manage the patient, you took the history, you know the ideas, OK. You are managing a patient with sepsis. I suppose that you're managing a patient, then what you can do. So you can do a mini C cos your supervisor observes you during the initial assessment of patient while you're taking the history or you're focusing your ability to identify sepsis and then might observe you while you initiate sepsis protocol and then observe your communication skills as well. And so if you can make a minix from it, cause you examined your patient or maybe you had a, a medical, you took the patient's history, then you can create a minix from the sepsis patient. And you can also create a CBD. Of course, that's a great case for CBD. So after you stabilizing your patient, you, you saw your patients by yourself, by the way, let's say, and then you discuss with your senior dis you discuss the case in detail with the supervisor, with your supervisor, supervisor. So discuss about um your decision making process. You discussing about why you choose a specific treatment. Why did you choose these antibiotics? Why did you start it? You know troops? Why did you start that amount of fluid? How do you check the patient balance, blah, blah, blah, you discuss it and then you have a CBD, then you can send the ticket with the details of with the uh with the summary of the patient and your plan and then you will get a feedback, official feedback as a CBD. OK. And do OS as well. You can get a dos from this case. If you say that you, you do the arterial block case and or you insert a central line, then you have a great do for your portfolio. So mm you, you will be assessed again by your supervisor to uh to see your uh to your check, to check your knowledge about the anatomical landmarks, indication of procedure, how, how you're doing the procedure and also you'll be doing, you know, aseptic techniques, they will be assessing you in a different way. OK? Um or it can be just only the uh part of you whe when you involve your patient to the discussion of this procedure or while you're taking the consent from this for this procedure, it can also be a dose for you. And so based on the feedback from the assessments, you did lots of assessment. We did a CBD to get together today with a patient. We did a mini, we did other things like that. So you based on the feedback from your assessment, you go back and update your PDP to include targeted learning, a activities such as attending to a sepsis management course. So you can say in your PDP that uh I saw patients in the emergency department, but I had some challenges to manage and manage a patient with a sepsis. So after that, II, am planning to take a manage sepsis management course in in the next couple of months, it can be a PDP II can tell you one more thing after you attend this course, then you can write another reflection on it. Then you can say that yes, II had a patient in Ed with a coming with a sepsis coming with a fever, coming with blah, blah blah. But I had challenges to manage this patient at that time, it was my first time to see a sepsis patient. Then I opted to adjoin to the sepsis management course and I improved my knowledge. So this is what is reflective practice and how you can reflect on it. OK. Um And then you document all these activities and reflections in your portfolio, providing comprehensive record of your development. All right, this was the medical portfolio to be fair. I don't have any idea about surgical portfolio. I will be learning with you. Um Any questions so far? I hope you, you got the idea about portfolio and I was um I hope I was informative for you. Any questions so far. Can I II just want to add before continue in in addition to these work, brace assessments, PDBS in your portfolio. Also, you need to include some feedbacks. Uh these feedbacks might be from our colleagues from your seniors, it might be from your other healthcare. The pe people you work together and it might be from patient as well. So the these are usually called uh uh important in the portfolio and for appraisal procedures as well. So it's important to get some formal feedback from your colleagues. If your patients are happy to give them, it's, it's not about going them and asking them. But if they're already giving you some feedback, it's already good to have a formal one or like formal email for your portfolio which can help uh to show that. How is your practice as well? I just want to add that one as, yeah, it's also quite important to have um your feedbacks cause while you're doing the appraisal or in the training, it's a diff called in a different way. They are checking your feedbacks, they're checking your um work based assessments you have done. So it's, it's important to have uh feedbacks and work assessments. So we now we're gonna talk about surgical portfolio. We're just waiting for my other colleague. Uh Carlos, he will be um presenting, he will be sharing the screen and then after we will continue uh Hello everyone. Uh My name is Carlos. Uh I'm a Spanish doctor. I'm currently an sho working in orthopedics. Uh I'm going to be doing a bit of an explanation of what the surgical portfolio is and what sort of things uh you're going to be expected to be logging in. Um This is not going to be the portfolio you're going to be using as an F one or as an F two. This is going to be um the portfolio you're going to use once, either you're in surgical training, you're a surgical sho or if you're an F one or an F two working in a surgical specialty, aiming for CST or for surgical training. Can you see the screen? I'm going to share my screen now group. So can you see uh can you see this what? Yes, we can see. Ok. Uh So this website, this is the pan surgical logbook. Uh This is the, this is uh the logbook that is most usually used by all surgical specialties in the UK. Uh It's not the only one, there is also the I SCP portfolio, but this is a free portfolio. It's a portfolio that is completely um supported by CSC applications and by the multiple um Royal colleges of surgeons. Um This, this a free portfolio which all the portfolios you might find yourself having to pay. And this is a portfolio that will allow you to log things without being a trainee and without being in the UK. So um in this portfolio, then it's a quite simple, quite straightforward. You will stay start with uh creating an account where you will put your details and as part of your details, it will ask you for a registration number. This is going to be a GMC registration number that is one of the requirements for using this uh portfolio. But one of the things you might be able that you're able to do is to log yourself as being overseas. So you can start using this portfolio the moment you have a GMC registration number, uh but you can start logging things for the future for when you come to work in the UK. On the preferences, you're going to be able to log common surgeries you're doing. So if you're working in a particular specialty, gonna be able to set that specialty as your main and then select what your common uh operations are so that you can log things faster. The portfolio is something you're going to be using constantly as numbers are really important in the surgical portfolio. So you're going to be constantly logging operations over and over. So having set everything up to be as fast as possible is something that's gonna save you a lot of time in the long run, you can set up your frequent operations, you can set the hospitals you're in. As I mentioned, you can set uh both UK hospitals and international hospitals. You don't need to be logging in only things you've done in the UK. You can start logging things from your home country and you can also log consultants. This is not a requirement. Uh You might just put um a unknown consultant, but you're going to need someone to verify that portfolio. So you're gonna need someone who can vouch that what that portfolio says uh is something that's true. So regardless of whether you label a consultant now or you do that, some, sometime later, this portfolio needs to be signed up to be valid. Uh The main use that you will get to this portfolio will be logging in operations by logging an operation. It means registering that you have been involved in that operation to a certain extent And when that operation has happened, what exactly has been done. So you can choose what specialty you're going to be involved in, depending on the different specialties, it's going to look a slightly different. So for example, for trauma and orthopedics, it is not particularly complicated, you're going to be asked things like what was the patient ID. So that then uh whoever is assessing your portfolio can go back into patient records and verify that what you're saying is true. Each of the patient when the operation happened, co which is the degree of urgency at which that operation was done, the A SA grade. So anesthetic grade, uh this is something you might be able to find in anesthetic records or worst case scenario, just um assess yourself um on what that patient was. As I mentioned, the responsible consultant and the degree of supervision, the degree of supervision once you are applying for, if you are applying for CST is not as important as it might be later on. One of the very important aspects is that when logging cases for CST application, the cases need to be at least cases you have assisted on. So observed cases will not be counted towards CST. So an observed case is something you might do, for example, as a medical student or an or as an observer in an internship where you are just looking the moment you are helping with any degree, you are going to be able to put as assisting and the moment where you are involved in key aspects of the surgery or where you have done part of the surgery, you can start saying that you were supervised with a trainer scrub. So for example, um if you have done, you could say 50% of the surgery, then you have been supervised for the surgery. You were not just assisting. Um You might find yourself being very eager to say, for example, that you have performed a surgery. Uh There is no points. Uh There is no point difference when you are applying for CST. If you label something as performed or as supervised or as assisting, it is generally considered that is much better for you to just look things as supervised with a trainer scrub or with a trainer and scrubbed than as performed as it might be perceived as uh risk taking if you're performing surgeries before being properly qualified as a surgeon, uh the operations, um depending on the specialty you have selected above, you will have a list of the different types of surgeries. This is going to depend a lot on what specialty you're selecting. But for example, for uh general surgery, you're going to be asked uh much more specific questions. So things like what's te laparoscopic uh surgery, was it converted to open? Uh What time of the day was it done? Was it emergency? Was there a fatal outcome? These are all details you should be able to provide and you're going to be required to log and that will allow you to complete your surgical uh portfolio. If you have been involved in that case, uh These are things that should be uh easily, easy to combine. Um You will lock the type of procedure, you can select your preferred ones, things you do most commonly and you will look what hospital you had been doing it in. Once you have done all of that, you will have it in your operation list. This is something that later on that you can review and then later on you can go and make a report where it will download a file that you can bring to your consultant and that your consultant can sign, which is the evidence that you're gonna be asked to provide when they are asking you for logbook evidence in at any point. So in an interview or in a CST application, um one of the important things is um don't uh look everything you're able to look, uh you're gonna find yourself that as you advance through training, you're going to be required uh very high numbers of interventions. Um At the end of your training, you might be asked for thousands of different interventions. So if you don't log everything specifically what you have done all the time, you might find that you are properly qualified, you are properly trained. But since you don't have uh evidence to show it, you might end up prolonging your training. So it's very important to early on start blogging everything um towards CSC applications. Uh There is points that are awarded for surgeries uh where you have been either assisting or supervised or performed. Um All of these surgeries uh you need to think they are not uh entirely required to happen in, in theaters. So there are surgical interventions that you might have done in Ed that you might be able to log. So things like laceration, repairs, depending on the degree of the laceration, you might be able to log it as an intervention. Uh Things like uh manipulation of a fracture or relocation of a dislocated joint. This is something you might be doing in Ed, but you're able to log it as an operation and that may help you complete your numbers. Yes, Carlos. So yes, sorry to interrupt. Do you mind to show a consultation report? So they can understand that if they want to do it manually, what kind of format you need, they need to do provide. Yes. So um when you, when you have logged all your operations and you're ready to present that to be verified by one of your consultants, you're going to need to make a report. So mm, the most straightforward way is going to be to just choose all specialties. It's only going to matter to filter um specific specialties if you have been working in different places. So you're going to download a consolidation report and that consolidation report is going to be something like this. This is going to be the most important aspect. It's going to say the different types of surgeries you've done uh at which degree you can see, sorry, you cannot see the report if you are here. 00 sorry, let me just now we can see now. So this would be the the report. This i it's identifying you saying who you are, where you've been working and this is going to be the most important part is going to say the different types of surgeries you have done and at what degree you have done them. So assisting supervisor supervised with a trainer, scrubbed with a trainer, uns performed, trained or observed. There is different types of uh reports. So just give me a second. Meanwhile, while you're finding it, Carlos, we can also talk um some other things that you can add to your portfolio. So work based assessments which I mentioned for medical portfolio is um the main thing that you can add. On the other hand, you can also add your um CPD points. Like for example, if you read an article, you can add, you can edit for, for, for your CPD points. And also if you went to a course for six hours, eight hours, you can edit as a CPD points as well. There, there is a number of CPD points Every um trainee or non trainee doctor needs to uh fill in a year. It's, it's almost around 50 or it's it or 250 in five years. So you can also add CPD S presentations. You have done presentations, you have attend, these are also the part of the portfolio, but these are like I attended this course. This is the, this is the uh proof of it or also you can uh write, I made a teaching session was about it. These are the things that I mentioned. These are the aims objectives and this can, this is also the part of the portfolio. So um if you have any other questions about it, we can help as well. Uh Sorry, Carlos. Yes, just the last thing. Uh the part I wanted to show it would be here under browse operations. You would go to either request to a validation which these will send an email to your consultants. If you have logged a consultant on each case, it will send them an email for a digital validation or the most commonly used, which is the validation worksheet. Uh These will allow you to download a file that your consultant can sign. Very importantly, you cannot include a patient identifier on that file. If you include patient identifiers, that file will not be valid for any application or for CST. And it will consider be considered as um a a breach of patient confidentiality. So you need to not include the patient id identifier. You can exclude previously validated operations, you can download that worksheet and these will have a space for your consultant to sign date. And very importantly, even though it's not labeled as such, you need that consultants GMC registration for these to be valid in official applications like CST. So that would be um everything on the surgical portfolio. Uh We will explain more about how to use this portfolio and how to apply to CST in another of our chats. So if you're particularly interested in course surgical training or surgical training in general in the UK, uh stay tuned for that one and we will have quite a in detail explanation how to apply. OK, thank you very much. Uh Yeah, we will be, we will be doing another teaching session for trainings. So how you can apply to the CSD core surgical training? How can you apply to the core medical training? And also we will have some other sessions for M SRA GP psychiatry applications and just let's keep in touch and then we'll be, we'll be um keep working on it. Um Before we start jai. Hello, by the way, um we have uh John, I will be talking about the CV. But before we um start jai, there is one question asking that. Can I look in uh fallopian tube ligation? I have assisted in fourth year of medical school. I think it can be also um logged in. Yes. So you're able to log in anything you have done after you started your primary medical qualification. So anything you have done during medical school, you're able to log it. So if you were doing a Philippine tub ligation, um as soon as it's something like just holding a retractor that is assisting, you're perfectly able to log that the important part is that you're going to need someone to sign that. So it you might need to send an email to your professor and ask them to verify that that information. But yes, it's a perfectly uh perfectly fine thing for you to look up. And one more question, can any doctor with any specialty in England use E look for appraisal. Is it free of charge? So uh in logbook is, is completely free of charge, any doctor can use it, but it's a logbook that is uh completely focused on surgical things. So in this logbook, you're able to log only interventions, uh you're not able to log things like that would give you CPD points. You're not able to log going to a conference, you're not able to log teaching, you're only exclusively able to log things like interventions. Um You as a medical doctor, you might find useful to log things like uh repairs of lacerations. You might be, you might have done. Uh A lot of ed doctors do a lot of interventions that you can log as surgical interventions. So um insertion of central catheters, um drainage of abscesses, uh relocation of joints, uh fractures. Um that is all things you can log that you might be doing as a medical doctor just because things like this happen in your world. So it is, it is definitely something you can use, but it's not going to, it's not going to be your logbook because it's not going to cover actually the things you really need. It's going to be more of a side thing and one more thing can be used for appraisal. Yes. Yes, sorry. II keep popping in and out and yes. So the consolidation reports is something you will totally be using for your appraisal. As in these consolidation reports, you are showing your progression as surgeon. So for example, uh after one year, you might show that you have been involved in a certain amount of cases of a certain degree of complexity that on the previous year, you were assisting on 80% of the cases and now you're assisting on 40% and then uh with a trainer supervised on 60%. So you can show your professor as a surgeon on these uh reports. And this is absolutely something that is used on, on your appraisal and validation. The consultant who is signing off these procedures. Do they have to have a GMC registration? Um II believe they do have to have a, a GMC registration in the. So that would be something we would need to look special, especially in the requirements for CST. Um They don't need to have a GMC registration. They do need to be registered. And if they don't have a GMC registration, you should be able to provide proof of the registration with an equivalent body. So they should be registered with the equivalent to the GMC in their home country, but they, they do need to be registered, not specifically with the GMC, but for C SDI need to double check. I am not, I'm, I'm sorry, I cannot answer uh the specifics for that use case. All right. Thank you very much. Thank you Carlos. And now I will be talking about um uh sorry A CV and how to use your CV uh on, on your NHS applications. It's going to be a bit uh long presentation I think I assume cause everyone has a lot of question probably let's start. Uh I hope it's not gonna be too boring or extended. I'm hoping something like 20 minutes. Uh But that then we will uh save some time for the questions, of course. Uh Thanks everyone for joining us today. Um I will share the whole screen. All right, sorry. You can see the presentation, I assume. Yes. And we can see the presentation before you start present. I will be sending a feedback form with the messages. You can also fill feedback form now or after we will be sending e-mail to all of all of you for uh feedback forms. And once you fill the feedback form, you can also get a certification that you have attended it and it's also counted as a CPD point in the UK. Amazing. Thank you very much for the explanation. Um So guys, I'm gonna talk about medical CV, but specifically for the CV to apply for NHS applications. Um So, um so first of all, I wanted to start with something simple. You, you all know BMA, I assume British Medical Association. Um It's like a uh helping organization for doctors. Um they have in their, in their uh websites, this sample CV. All right. Uh This is a like the same CV as in every other uh job application you would do, but it is a good sample for, to know that um specific things to put in specific uh dates to put in. Uh So it gives you a good outline. Uh As most of you would know while applying for NHS jobs, you usually do not use this kind of CP because we, we apply from track jobs, which is a website that is asking the questions that's supposed to be in your CV. Um But this is helpful for applying uh to observers, clinical attachments. You're, you're not showing representation, you're still showing the just the I don't see, you cannot see my, we can see it, but that would be great if you can make it full the screen, it is full screen. OK? You don't see them. Uh um Let me, let me try again. Not yet sha entire screen, not work. We we we can see your screen but uh the presentation start present part you need to cut on start present. Oh, yes, sorry. OK. Is it the full screen now? No, no, it's not, it's not getting it. OK. No, no, you can sit now. OK. So this is the uh CVI was referring to talking about of not. Um So this is very useful to applying for clinical attachments observers because in those ones, you don't apply through tracks. Instead you apply like you try to contact the consultants through emails and it is nice to attach your CV to that one. So um DMA has a good sample about it and they also have um a link that if just posted in the chat uh that, that, that, that they are helping to uh create your own CD. So that's a good starting point. Um If anyone's interest interested. They also have a, a professional service to review your CVI haven't used it. So I cannot comment on how good it is. But uh you can try if anyone's interested. Uh This was that, but mostly I'm going to talk about how applying jobs through track jobs. So as you know, it, like I put all screenshots from track jobs as you know, it's starting from this education and professional qualifications part. Um So we're not going to go through the whole uh sections in the track jobs. But I will try to explain uh the bit that I noticed like the most common mistakes or uh different parts that we pursue and how British people would like it. Uh So to say so in this part, obviously, you need to talk about your degrees, diplomas and specialty exams. Some of the common mistakes I noticed people put pa S as qualifications, pa is not a qualification, your um membership exams like MRCP, MRC s uh whatever it is they are qualifications. So you can put those but not PA DMC registration is not a qualification. There is another part in the uh applications that is asking for that and courses are not qualifications, any courses you attend. There is also another part uh they're asking. So this is the courses part, you put your A L SA LS ultrasound courses, teaching leadership, whatever courses you attend you can put here. Um and that this is the GMC registration part, they asked one more thing about the training courses attended. Um I know it says on top that try to make it from more most recent to the uh least recent. But if you have something relevant to that post, try to put that first, you want your application to be relevant to the post as possible. Next thing on the application is your previous employers. This is quite a straightforward part. You just explain like where you worked, uh how long you have worked for et blah blah. Uh The tricky part, I believe the last part, reason for living and description of your duties. So for reason for living, try to make it as simple as possible if you can try to write something inspirational, uh say something like uh II changed jobs because there was a better career opportunity. Uh It was a better leadership position, things like that, whatever you do do not write anything negative about your previous employer, do not write, you were getting bullied, you were working too hard. You didn't like the job. None of those. If you cannot find anything inspirational, just write for personal reasons. And that's it. It's just a one sentence thing for your duties and responsibilities part. Um I feel it is more uh readable for hr if you list your duties. Um keep in mind hr nowadays receiving 100s of even thousands of applications, they're not going to read everyone's everything. So try to make it brief and try to stand out while making it brief. That's why I think in this part making it by listening uh has better effect. If you're not sure how to work something or if you're not sure uh what exactly to put the easiest way, just go to the job description of the job you're applying and they usually have something like this. That's exactly what you need. Uh Like uh I was working to take covering the medical ward, yada yada, you can change these things. But um if you put something similar to what they are looking for, it's even better hr knows that you already are doing whatever they are asking for. So it's a better part. The next part on our portfolio that's tricky is the practical experience part. I know it says here you need to have logbook or portfolio evidence if you have those amazing. But if you don't, you don't need to freak out. Uh just put your practical experience and you can explain in this part that uh you don't have logbook in your country, but you can get signed form from your clinical supervisors proving that you have done these uh procedures or something like that. So um for nontraining jobs, they are not gonna ask you these things anyways, but just to uh cover yourself, you can put that. So what to put in the pra practical experience, put something that's relevant to the job if it's a uh orthopedics job to put something like uh joint manipulation, fracture, manipulation, knee aspiration, whatever it is, uh If it's an itu job, put uh intubation, central line insertions, whatever it is, um make it uh try to make it as specific as possible to the job if you don't have anything. Um That's OK. We're all doctors, we all have stuff guys. Uh there, this is the list of uh procedures that are needed for F two equivalent. So it's, it's just basic things like uh venipuncture, I can uh ABG S blood cultures, all the things that we have done. So just choose some of these and put them on there. Um Another thing to be careful about Carlos also mentioned in uh surgical logbook, do not be afraid of putting it under, this is done under su senior supervision. Uh because like in theory, you need to do everything under supervision first and then you do it independently. If you write something like you put a central venous line zero times under soon your supervision and five times independently that will look very bad, they will see you as unsafe. So um make sure you are uh careful about that. The next part is teaching. Uh This is I feel kind of easy part. It can be formal and informal as well. Again, this is if this is a no training job, they will probably not gonna ask you of formal uh feedback or formal evidence. Um So you can even just talk about uh that you explain your colleague one thing one day like it, it, it all counts, but especially if you don't have evidence, try to make it as specific as possible. So um it is shown that you don't make up, you don't just make up things. So uh put there the subject, put if it, it was a 1 to 1 session, group session, bigger thing like a seminar, if it was online or face to face and put a time frame, like this was a, a two hour session, this was a one day session, this was 15 minutes uh session, et cetera, et cetera. So making it more specific uh something British people like about uh uh teaching qualifications part uh like that's not all of us has teaching qualifications. Yes. But what they mean by teaching qualifications is uh not something scary. It doesn't have to be a master's degree or anything. There are a lot of online courses for even like 23 hours that you can take. And now you tick the box in the application that you have a teaching qualification. Uh Any, any courses you can put here that I want to improve my teaching, et cetera. Even if you don't have anything put there, like I don't have any teaching qualification, but I'm very willing to improve myself on this subject. And I'm uh looking for improvement, something inspirational like that. And it will be ok. So management of change part. This is a part that's um, like a nightmare for all of us international doctors because it's so UK specific thing and we don't understand how it works. I'm not gonna talk about how, what's an order for ACI P. We already talked about it in the previous session. Um, but I want to talk about, um, some opinions about how you can get this done. So easiest way to get this done, I believe is in the UK, if you're not in the UK, try to get in the UK by an observer ship or a clinical attachment. So even if this is like a 34 weeks clinical attachment is it, it is enough time to make a short audit. Um The way to do this, you're not gonna cover this. If you come to the hospital and ask around if there is an audit, that's not gonna happen. So what you can do, you can just Google. Um what is the common, a common short audit subject and pick a few ones? Um Before I came to UK, I was always thinking like, oh, this is such a hard thing. I need to uh work in the hospital. I need to identify a problem and I need to work on that. So it has to be that sp that hospital specific. No, it doesn't have to be keep in mind they're all hospitals, they all function the same way, more or less and they all have the same problems. So, just Google, what's the common uh audit subjects? Common quick audit subjects, pick a few ones. And the first day you went there, just tell your supervisor, I wanna do an audit about this. This or this. Can you help me and they will help you uh uh like submitting it and et cetera. And in one week you, you've done your audit, I believe this is the easiest way. If you cannot come to the UK, you can obviously do this on your own country, then you have to do all the work yourself. You not, you need to figure out um how audits work more because you're, you will be uh more alone in that case. Uh But it is doable. Uh I believe like if you watch a few uh youtube videos, uh it should be fine. It looks complicated at first glance. But if you go step by step, you will see it's not that complicated that for audit, the other things they ask for the applications. I'm only shopping these, for those who haven't started the applications yet. Maybe some medical students around between us. I don't know. Uh they ask for research um especially for medical students, for example, uh you can ask your teachers, your professors, hey, can I uh can I uh participate in a research and you, you may be collected some data and then you have some research. And uh if that research pub published very well, um if you try to publish it yourself, that is also possible, it could be the research, but it could also be the audit you've done in your clinical attachment depending on the results. Of course, um It could be a case report. Uh Your consultants would have some case reports that's waiting to be written. Um And keep in mind it doesn't have to be a good journal. As long as it's in PUBMED, it doesn't matter how the, how good the journal is, it gives you the same score for nontraining jobs. It doesn't even have to be a Pubmed journal for nontraining jobs. It give, they all give the same uh impression if it's a Pubmed. Uh if, if it's a pub, if it's a journal in PUBMED, it's even better. Um There are some like entry level uh online journals that you can start on. So um that are easy to publish. So that could be one of the options for publications. Uh Like if you've done the research and the publication, you can present that you can present the audit, you've done, you can um I'm sure you have, you, you all done bunch of presentations, even the ones you've done in medical school you can put here really uh prizes. I don't have any to for prizes or a or other academic distinctions. I'm sorry. But uh if you have them, that's, that's another good point they are looking for and the applications. The other part is this management and leadership experience and teamwork part. Uh So guys, this is a very important for very important part for British people because you're, you're a doctor. You have to be a team player. You have to be a leader. You cannot leave this part empty when you just look at it because it's, it's an empty box. It looks like it's a very hard thing to fill up, but you cannot leave these empty. OK? Uh It doesn't have to be very long, just uh one paragraph thing maybe, but you need to talk about something. Um It, it doesn't have to be something impressive. It doesn't have to be uh like something amazing, but it has to demonstrate that you have leadership skills and you ha you're a good team worker. Um It doesn't have to be medi even medical. So what I was talking about, for example, in the leadership experience, uh I was talking about, I was the president of the dance club in university. And when you say this, it's not enough. Just you were the president for, for a year or whatever, you need to demonstrate your leadership skills and management skills. So what I was talking about, for example, um we were uh we were, we were struggling to find a venue for our practices. Uh So I managed to talk my way into uh renting a venue and uh this was, these problems were causing uh problems within the group and with this, it solved everything and uh I do not like uh good leadership. My, my friends told me uh I had very good communication skills, but so like, you need to kind of uh furnish it with those stuff. Same, same thing for the teamwork. It doesn't have to specify a medical setting team working. It could be a sport, a project you worked in like um you, you played volleyball in high school, you did, you did this thing like, so you can talk about uh those experiences and uh how it affected you. And like we demonstrated, like you need to talk about something specific. Like you demonstrate a good team working in, in this one time and uh things like that. Uh sorry if it's not very explanatory. But what they want is that they want to see you have that thing. It, if you don't have just make something up, that's even harder I believe. But um I feel you can just take your real life experience and just furnish it a bit and that would be good enough. And this is the one of the last parts that is the most important part of the application. I feel like, II don't know, I don't have any hr friends, but I feel like this is the only part that they ever read. This part has to be specific to the application itself. For sure. Every other part you can copy paste, but this part has to be specific to the application. All right. Uh This is more like a letter. Uh So you can even write it like dear hr or like whoever is the responsible person in the job application, you can say like uh dear MS Smith yada yada. Um It does, it shouldn't be very long. So do not get fooled by this 1500 words here. They are not gonna read 1500 words of a of supporting info, 400 applications uh 100 applicants. Um So don't um don't try to make it very long. It doesn't have to be very short either, but um it needs to cover some specific things. So do not write about anything you have already written. You don't need to talk about your uh previous experiences. You don't have thought like I worked two years in Ed and did the uh no, they already know that you just talk about it like a couple of pages ago. Um So do not talk any of those, start talking about why you're interested. Um This could be that you're interested in the specialty, but it could also be something like I'm interested because I love this city. This is my dream city. I wanna spend my life in it. That's also a good thing because now they know you're not gonna leave them three months later, going somewhere else. You're, you're gonna stay, so you're a more valued member um and tell them why you're a good match while telling all these things, try to give specific examples. Um talk about anything that is in, in the person's specification and have not been covered yet, those persons specifications, some of them uh will be covered previously like uh GMC registration or like M BBS degree, whatever. Um But some of them you need to cover in the supporting info area. Make sure you talk about those things, give specific examples of your skills. Um like like in the teamwork and leadership parts, uh whatever you're talking about, say you're into cardiac surgery. Uh you need to talk about some specific event at why you're into cardiac surgery. You can say like there was one time that I saw this patient with aortic dissection and I was amazed by how surgeons um manage that patient. Since then, I want to be cardiac surgeon. Um It's even better if, if, if it's something you can do to for card dissection, you cannot do uh as a junior doctor. But um if it's something like it was M I and I managed the, I managed it by giving Aspirin uh clo according to my hospital's guidelines and I referred them to the cardiology in a timely manner. Two weeks later, I saw the patient walking and thanking me uh for my intervention. Since then, I want to be a cardiologist, uh things like the specific events. They, they like it. Um Definitely talk about good medical practice and trust values. What they wonder is, uh of course, your clinical knowledge is important but especially these nontraining jobs, how they see it. Your clinical. Um As long as you don't harm the patient, your clinical knowledge is, doesn't have to be that good, but you have to be willing to learn, you have to be an ethical person, uh especially for ju junior slots, uh junior jobs. Uh they value more what kind of a person you are than your clinical uh skills. II feel that way and you can finish this part telling them what sets you apart from the others and like you're very excited to join the team and things like that and that's about what I uh what I'm going to uh share about to see, see me. Um Any questions I couldn't see any questions. Was there? Uh Thank you John. I thank you for um all the, all the details you provided. So there's uh one question. Mm and it's already yeah, reply but I will um I will ask a question for everyone should be before the question. Sorry. Uh I just left a um comment on mes part. Is there any other subjects that you want guys to talk or thought in this um in this format? You can, you can let us know with the Google Pools that are left in the messages and we'll be able to see your um see the things that you want us to talk and the question it's already already replied by Carlos should be right about GMC registration and M BBS degree in the supporting information section. It should be covered earlier as it says, do not duplicate information. Yeah, exactly like you that is like you need to be a doctor to apply to job and you need to be registered with the GMC to work in NHS. And there is already a section that's covering those two spots. So you don't need to talk about in supporting, supporting you for. Um Another question I always write how I meet essential and desirable criteria in supportive information. So you are saying I shouldn't do that because I will repeat myself. Uh So depending on if it is something simple, like an M BBS degree. Uh Yeah, you already covered that. You don't have to say that again. Um But even if you said something like for example, one of your uh practical skills uh like a very specific one, very initial one. Yeah, you've done um a central line. Uh and this is an itu job. So you want to um shine that skill, then you can talk about that one time. Uh You did it a like no one could do it and you could have like you can specify the example and explain more about it, be more effective but will be better to say on this. If you are not on that level. Um Another question is it safe to paraphrase the person's specification in the supporting statement? Yeah, of course. Uh That's what they want to hear anyways, like uh paraphrase it uh the person's specification, but also give an example how that to explain how you fit that criteria. Uh For example, sometimes they, they see things like they say things like uh you need to be kind, it's not enough to say, I'm a kind person. You need to explain how you're kind like you need to say in event, in what way you know? Yeah, in what way you're kind or you can give an example or in, in your medical uh practice from your medical practice. Yeah, but, but that would be better to not to um repeat yourself, repeat the things that you have already provided to them in the person uh in the um supportive information, any any other question. Um So I will share the feedback part again and you can uh claim your certificate, attendance certificate after the feedback form after you fill the feedback form. And, and also we will be sharing the feedback form with the email as well. Um Thank you for attending just checking one more time. If there is another question, it seems like we don't have any um you, you, we will be, I think we will be seeing each other again uh because we are planning to continue with another teaching sessions. Um So one question is it worth to add any courses related to the job? Let's say it's a neonate and you have a, a neonatal life support. Definitely. Absolutely. So, uh you can add that in the courses part uh they ask on the application. Uh And for example, in this case, because it is so much related, you can also talk about in the supporting info that uh you value this too much uh very much and you have uh A L you, you've taken an N Ls course and maybe you can even mention how N LS course changed your clinical practice, uh your your perception and things like that. Um So in the next couple of weeks, we have a couple of topics to talk. One of them will be like medi mental assessment, dolls, dolls need do need terms that we haven't know before uh starting to NHS. And also we will be covering the training applications I MT co surgical training applications. And then we will be talking about um uh GP and psychiatry applications M SRA examinations, how to study for M sra those topics will be covered. And we are, we are, we are, we will, we would appreciate if you could share your opinions with us, like any topics that you want to be covered. So we would appreciate all of them and we will be trying to put it to our um plan and I would like to answer. Also, Justin's question, he asked, are there any negatives to repeating things already in the application in the supporting statement? So, um the negative part is like I said, there is 100s of thousands of applications and you want to um shine the parts that you haven't already told. If you keep talking about the same stuff. Uh they will, while they are browsing uh the supporting info part, they will miss the parts you actually want them to see. So um the parts you have already mentioned, they're already browsing that part in the parts uh in the previous part and on the supporting info, uh guys, they, they look at the all that supporting info one minute max. So you need them as, as as clear, you don't want any extra information in that part. So that's why it's better to stay away from repeating the information that you have already provided. If you want them, if you, if you want them to be shy, then you can mention. Of course. Um We'll be happy, we will be happy to um hear your thoughts, hear your feedbacks and also the topics that you want us to ta teach or tall, let's say um any other questions you have, do you, if anyone has um if there isn't, if you don't have any ques any more questions, we can I think. Great. Thanks. Thank you for joining. We are so happy to see all of you as we see the numbers of the people, 4050. We're getting happier and happier. So thank you for joining us as well. Thank you, John. I thank you Carlos. Thank you Iff iff is working today. So he he wasn't, she wasn't able to open his that open his camera. But thank you for joining. Thank you for um Thank you for giving your time. Thank you as well. Thanks guy then uh hope to see you again. Thanks for all the questions. Um Yeah, we can, we can end the session then. Thank you. Thanks, everyone. Thanks. Good.