Oral Presentations & Panel Discussion
Summary
This medical session will feature presentations from medical students on their research surrounding maternal health. Wendy A. Gram, one of the founding members of Grow, will introduce the panel, who includes Jameel A Shake, a medical student who has lead Corbett trials in maternal health, and Gabriella, who has studied men's perceptions, experiences, and beliefs on their role in maternal health, as well as Serena, who has undertaken a systematic review on how outcomes in pregnancy are different for refugee women. Attendees will hear presentations, panel discussion, and can ask questions in a Q&A. With the help of a librarian, the research done by these medical students has been vast and will be presented in this inspiring session.
Learning objectives
Learning Objectives:
- Understand the importance of men’s involvement in maternal health in resource-limited settings.
- Identify the factors that can interfere with maternal health outcomes in forcibly displaced women.
- Utilize databases and relevant search terminals to conduct a systematic review.
- Appraise documents for relevance and quality when constructing a systematic review.
- Explore strategies to increase men's involvement in maternal health in resource-limited settings.
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Computer generated transcript
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The following transcript was generated automatically from the content and has not been checked or corrected manually.
Wendy A. A call So one of the founding members off grow and when he has been a huge inspiration and support for this enterprise when he doesn't really need introduction for those in this field. But I'll briefly introduce Wendy to yourself. So one day grand professor went aground works at the London School of Hygiene and Tropical Medicine on when they really has been kind of in this area for over 30 years, particularly in obstetric epidemiology. Uh has led numerous studies, numerous trials that have a profoundly affected our field on, um, affected policy and practice. So we're delighted to have when the weather's is when the it would hear us think we're having a few technical issues, so we might just moved to the first presentation. That's okay. Now we do have a call core chair. Who is Jameel? A shake who's a medical student. Now Jamelia is support the medical student on is really your a phenomenon. That's what you are thinking. Djamila has been leading Corbett in pregnancy work under the table leadership off Shaquille A and Joan here, and you've published uh in the BMJ on that work. But more recently, I think I'm allowed to share this. You're going to do the first author off a Lancet paper thing is, this even allowed 4 300 still being a quest over from the last of paper. You're amazing. So you and they will be sharing the rest of the the the panel discussion and the rest of the presentations. Thank you very much. Um, Professor Gram, hopefully it's sort of Can you hear us? I guess. What you been with, right? Help. It should work now for a second. You maybe do Mike check. Okay, so we'll go first onto our first speaker on by, hopefully be able to sort it, um, as we go along. So our first medical student we have with us will be Gabriella milk good from the University of Birmingham. And sure, representing on exploring men's perceptions, experiences and beliefs on their role in maternal health care in rules so than my Malawi. A qualitative study. So hand over to Gabrielle. And just to know, we've asked the students toe going to get four minute presentations consisting of four slides just so that they can give us a snapshot of their experience in in research on then we'll open up for kind of discussion afterwards. Thank you so high as two minutes said. I'm Gabriella. I'm 1/4 year medical student. Boeing him And this is a short presentation about my research project. Exploring men's perceptions, experiences on beliefs, on their role in the tone of health and in moral southern Malawi, which I did is part of my integrated on global health degrees. Yet so maternal health outcomes in Malawi are quite poor. So the maternal was ratio strange and 49 minutes and was asked for 100,000 life births on with their gender. Emancipation is crucial to improving. This is really important, man aren't left out the solution. So, um, they're involvement could be really beneficial, particularly in the resource settings where men generally have a great to see a signal in power, which is really important for accessing healthcare. So man involvement in maternal health can help enable couples HIV testing it benefits four stages of three days model allows, um uh the initiation of breast feeding on. But, um, in the forms, decision making on increases and you need to cut uptake. So I spoke to the, um occur trust, which were, which I tried to this up the Amica Health Care Center in To Do a Knee, which is an area in the oral, anti district and sort of Malawi. And they said that this hour, every such would be useful for them to inform healthcare services on the end of the study was to explore men's perceptions, experiences and beliefs on the road and broke in the tunnel. Have that in Chile. Knee. Um, so we use the questions that he designed, um, on a schedule a new the world area were three quarters of population live in poverty on, but we used to sample sites on interview recruitment sites. Interview site. Sorry. And these were from a health center in your brain and also Macaroni village in Chile. Knee. Um so men were recruited out Health Center and I'll say, through the help of the chief who visited purpose of song playing well on the local languages to tailor. So he's in a local translator on Do well See, he's at the border, and clocks approached the effects of masculine CIS, which you can see on side. So the four identified teams were rolls, motivators, barriers and topic reception on. But, um, these are broken down into four sub things that she can see on this side on over with. The findings of the study were in line with the findings of existing literature in Malawi on in the region. Um, apart from a few exceptions, which I'll point out. But those men you built on existing theories, Um so it was found that man mainly assume the role of the decision maker within the family in terms of health care and other family decisions on something that wasn't presented in other studies I read was the expectation of cognitive impairment during pregnancy, which would run the women in capable of making effective decisions for their in healthcare. Um, a key role at home was meant provide food on barges. Mints also believe their role was to not sleep with other women while their partner was pregnant, as this would be a bad omen for the child cause the child harm on didn't find this in any other studies in Malawi, but it might have been presented elsewhere, um, impacting thinking this is really important because obviously the risk of ST I see on HIV is very problem um in terms of external facilitators, remember, encouraged by Anthony to her staff, personal reasons were religious beliefs and an act of love for her partner on down. And participants also suggested Strattera strategies to increase motivation, such as running clinics with in the village and also, um, Pierre Education. Remember being more like to listen to other man, um, persistent reported practical various, which was working alcoholism on constructed barriers. We're so centered around the general belief that maternal health was a women's domain and that, remember, be embarrassed to be involved and remember scared to be involved because they didn't know what to expect. In their mind, it was something for a dramatic. And there's also the belief that men shouldn't see the percent or umbilical cord, which shows they didn't read in other studies in Malawi. But it may have been, um, presented. Um, finally, participants volunteered to be a part of any future initiative and solutions, which was really promising for change. On was a more promising topic perception that was reported in older existing studies. Um, based on the findings, we recommend education, two d Cigna ties, pregnancy and childbirth, along with gender equality, teachings a swell on. The findings suggest that this education should be peer let on. We also think that may be local shots. She's to facilitate male attendants, which was the weekend Anthony's okay, connects and connect in the village to reduce time taken off work. Um, which is the financial hardship that could be incurred from having to attend? Um, health hasn't just on has everything, Thank you very much. These my references, but panel just so we collect my medical student as we go along. So when you go and should be with us now on metal Well, if you could just share the screen Can I have this one day? Yes, I can. Very clear. This's the strangest of experiences. But greetings, everybody got glowers. Wendy Gram in Edinburgh on DNA. Thankfully with you on apologies, I'm a coated casualty. But thanks to the organizer's for labeling this hybridization on from the wonderful Djamila who has or helped organize all of this and stepped in. And I just managed to catch the end of off Gabby's amazing talk. So I think on that note, the only thing I would say is that in the evolution of glow, which has always been focused on the next generation, but it's wonderful. I think this is the first time we've had a dedicated session toe undergraduates on This is all about the next generation. I think I'm rapidly approaching obsolescence, a zap, be as a very was saying at the beginning on day. It's wonderful to know that that not only at the post graduate level like Xena and menu we heard earlier, but also that we have undergraduates, that they're getting actively involved in research violent, well relevant to women, a newborn health. So this is a session that really, really touches my heart in terms off the evolution of of glow on the evolution that enables us to hear from our really next generation off researchers and maternal ists, as as I like to call them, So I don't want to belong the procedures any longer. What we're going to do is have this rapid set of four presentations with some transfer Q and A from the floor, although we might need to keep that a little bit briefer. Well, then have a panel conversation on, then end in time for the next session, albeit we're starting rather late but Jamelia and Catherine on the floor on Gabby. That's their thank you very much for stepping in. And so our next speaker will be, I think, serene. I believe we still don't have loved this from Tanzania. Is that correct? So we're just starting out. Logistics would love mess. You coming and going right so serene. This is a set, a very strange experience trying to chair remotely. But thank you very much for your patience and serene Serena's from the University of Burning, Um, but working in Nigeria and and also linked with Queen Mary University in London on a very interesting talk over to serene Thank you very much doubly so good afternoon, everyone. My name is serene, and I'm 1/4 year medical student who interrelated last year I was lucky enough to be involved in the systematic review, which lets the likelihood of certain maternal and paranasal outcomes and forcibly displaced women compared women off the country's that they migrate, too. And there's a called host countries so forcibly displace individuals consist of entirely displaced people, asylum seekers and refugees. Changes that may affect them include poor living conditions, physical and mental difficulties and inadequate health care access. Now these factors can affect those more vulnerable in these populations. For example, pregnant women may even contribute to I best outcomes in pregnancy. This systematic review was undertaken as recent movies have shown conflicting evidence about whether adverse outcomes are high enforceability, displaced women or host women on This was especially the case around preterm birth. For their systematic review, I examine the outcomes of still above me natal there preterm birth and perinatal depression. So I helped finalize the search term list undertook such since seven days. Face is with the help of the librarian and completed independent title abstract on full text screening, I complete a data extraction for over 90 studies using a form I helped to develop on also completed risk of sizes assessments. I conducted date on ISIS using lab man and the odds ratio remind him effects model was so. Overall, 91 studies were included in my systematic review on 43 of these, and the matter analyses is they contain data on a host comparative Greek, now the quality of papers included in the matter analyses where I require, However, when they were compared to other pages in the systematic review, they tended to be off a higher quality. Overall, I found that still above and you're nature death was significantly higher and forcibly displaced women compared to host women. However, it is important to note that only three studies were in created in my knee in eight. With that matter analysis, there was no detectable difference between these two populations concerning paranasal depression on preterm birth before 37 32 weeks of gestation. One study in the paranasal Depression matter analysis was in congregants and caused the overall results be insignificant. I was passing quite surprised by the results for the preterm buff matter analyses. However, it may be due to differences and spontaneous, um at Tradjenta preterm birth between displaced on host populations. So I have all the hatchet to 90 off. All the matter analysis was considerable substantial, so caution should be used when interpreting the results. Now clinical hatched in 80 is likely to be high. As forcibly displaced women constitute a heterogeneous group, we're very likely to have different experiences and health care access. Therefore, future studies should report pointers on refugees and Silom seekers and entirely displaced women's separately if they're specifically investigating preterm birth. This is ensure to include definitions of whether they're using spontaneous watch, diet, Tradjenta, preterm birth and finally, future research may focus on interventions, tell produces adverse outcomes and forcibly displace women on This may involve awareness training for healthcare professionals on resuscitation on neonatal health training for mothers. So I'd like to thank Doctor Vicky Doctor a me on doctor saw her for supporting me this year and making it so enjoyable on also DVT on here My references and pink you for listening. Thank you very much. Serene. So you can already see that with our first presenter, Gabby. She was talking about primary data collection of qualitative study. Now we've had serene using systematic review so secondary research so we can see our next generation are getting very familiar with different methods, not just primary research, but secondly research. And I think if we move on to our next speaker, which is Isabel Jones, also from Birmingham University, working with Catherine and Amy and others when also hear about a qualitative piece of research on, then hopefully we'll be able to connect with our our Tanzanian medical student loveliness. I hope the technology is sorted by them. But over to Isabel. Thank you. So, good afternoon, everyone. My name is easy, Jones. I'm just starting My file here is a medical student here at the University of Birmingham on I'm going to be presenting to you my research, which looked at the perceptions of mid wives and maturity. Support workers on the impact of covert 19 on providing respectful maturity care in a diverse region of the UK And just to say that the results of this study are currently being prepared for publication. So please do be careful with what you share online. Just some background respectful maturity care encompasses the human rights which were afforded to women and newborns. And this includes dignity, privacy Importantly, a woman's right to make her own choices, including her choice of birth partner and early in the cove 19 pandemic. There were concerns raised that changes in maternity services as a result of the pandemic might be violating these rights on At the time you came, attentive walking workers thought we needed to research into this issue, but that we should make sure we appreciate local challenges on drawn the views of stuff and So in this study, we have used semi structured individual interviews with purpose of sampling from a breakfast trusts, job roles and yours of experience to recruit 11 midwives on maternity support workers. We used inductive thematic analysis off our interviews because wanted to make sure that we were driving are themes directly from the perspectives off the participants, as this was a novel pandemic situation on that for a novel research area with then compared are codes back two components of the respectful Metallica Charter to show some XL validity, and the results were really quite striking. We actually identified challenges and upholding in each of the 10. Universal rights afford it to women and newborns under the Respectful Maternity Care Charter. And there were some benefit seen in some areas, so I'll talk through all themes. In turn, the first major theme was communication of care, particularly to do with information provision. All of our participants mentioned that this was much more difficult of particularly early stages of the pandemic when they were changing guidelines and sometimes conflicting information from different bodies. This meant that they thought it was more difficult to communicate after information to the women on providing with the extra assurance they needed to know what their experience would be like with regard to safeguarding assessment. Several uh pissed participants mentioned it was easier to perform a routine inquiry about domestic violence when women were more frequently attending their appointments alone. However, it was more difficult to get a view of a woman's home situation when there were fewer home visits moving on to clinical care. I'm sure you will remember the practicalities in timing of care during the early pandemic, when there was a huge amount of isolation and sick leave, but additional tasks of needing to provide in vet infection prevention measures and also provide more support to women. This meant that seven Bob Pill dispenser felt that they weren't providing as good cat as they wish they could with dignity and autonomy, a swell in the early part pandemic. They're large fears about covered. And this led to some isolated reports of stigmatization of women, particularly who were cope with positive and this is course is concerning and suggests need for more education on creating a culture. Be able to raise concerns like these and overall are participants thought the women had found interacting with maternity care during the pandemic to be really hard on tiring. This feeds on massively to our support for families section, where social support in hospital was reduced as women went as often able to have their visitors or partners on. This was thought to be emotionally difficult and then in community as well, where antenatal classes being held online weren't thought to provide that same level of peer support as they would have they met in person. This, too, with the birth partners or father's not being presents, often met. A few of our participants raised concerns about how they were born with the new born on the Future impact on childhood development, which could be a potential area for research in the next few years. On finally toe and your positive note Continuity of Care, a model of midwifery resort to be protective for women during the pandemic because it provided them with a familiar face of time when they needed more support from their healthcare service. So thank you very much for listening to my brief presentation. I will leave you there with the components of the respect form attack to charter. Thank you thank you very much is a bill. I mean, we've had three stellar presentations, 4th and 5th year medical students on gets quite interesting. And you look back, there wasn't time to properly introduced. And so I think what we're gonna try and do, I believe Djamila were not able to connect with love nous is that right? Although she did send us a video, is it possible for us to show the video? Guess that's exactly it. So I was just now share the recorded presentation that she was able to make first kindly. Yes, So loved this. We did worry about this interconnectivity and loved. This is 1/4 year medical student moving Billy University in Tanzania Onda We'd really hope to have her as he presenting in person. But even those of us in Scotland of experience, some problems it must be to do with our independence up here north of the border on. But if we could just play this and then we'll take a few questions before throwing open to the panel. And thanks Jamelia again for stepping into so we can have some representation off a love nous. Yeah, Yeah, just make myself and then we'll go straight. I think the other thing we notice is our next generation are very competent. With this technology stuff s o A. We will be fine. And as we have such competent medical students who could be chemically competent as well as real Wizz is with the computer technology that goodness, that's what I can say. One of things while we're waiting for it to Blue Top was again when I found very heartening in thinking about these student projects that we just heard about is that they how they connected up? So I think, in Isabel's she was linked up with the vote of all over Hampton Inn HS Trust for Serene, a great link with with the perform Cross the says University in Nigeria, Um, and also with a group in India. So so really having supervision from multiple sources, which I think is really, really helpful. And also with Gabby's Gabby's presentation. Her link there was also with the university comes you in Malawi. So the students we've heard from know that they didn't just do their projects in isolation. They had a chance even if they didn't travel overseas, because obviously there was very subscriptions. They were able to link up with expertise in other parts of the world. So, Jimmy, now, are we ready to run with numbness? Yes. Room just showing it. No. Okay, I was a continuity gap, so I just give us a moment to optimize audio. Okay, So while we're thinking about Djamila is is sort of the technology. Please make sure you put any questions online. The online audience in the chat. I think there's already one that's coming. Leavin gentle. Oh, right. Hello, ladies and gentlemen. My name is left Mr. Tomorrow it may look a medical student from with Billy Rays it'd help in the Late Science is located in Tanzania today are present me abstract presentation titled Assessment of Manage Practices in variance on minstrel ocean Among the the listen school girls in a district insulin. I took pattern on stages of this research and I'm in this position of my mental but the bill in the mail and it I was involved in a step in grabbing total collection for proposal 80 second for if it were approval that the collection infiltrating I involved also may feel a student who assisted mean that's a collection. That entrant analysis problem. Statement. Many girls reach me. Knock without quit the information on the administration. This is because most of the African society consider administration as a simple thing, this little toe poor knowledge transmitted to the youth of administration. And it's difficult for some parents to discuss in their Children about menstrual has, you know, practices so many of Richmond look without adequate knowledge information on Mr Health hygiene practices and also the a new on a way of the responsibilities and right during menstrual period. This was, according to insect evidence of Mr Help Agent to prevent and 19 Okay, Gracia. Now the end of this study was to determine the knowledge cape that's a lessons face during menstrual period and also to just remind the barriers that the lessons face in attending the menstrual hygiene practices. This is hard to me. Toe since dies the government. Many government organization in other perfect sickness that knee lift minutes for his promotion to find possible solution to soak them areas. Such is providing any quits with sanitary materials such as a live it's and the tape. It's about three years have been unreasonable. Edit it subsides to clean day, you know, because I was very patent elephant in lesser to improve what the availability of the schools says to increase Mr Hygiene that does this. The study was a descriptive processions design into school acted a month. 300 delicious into new malady, strict and secondary school student aged 40 native. When we're doing the study that has collected using super militant push in there and the simple language is used to system make this too new to be a way of the questions of the little collection. The metals checked it for completeness. He does call it a little. It is persists off the mission in seven, it was analyzed resets. This study showed that the overall knowledge of students about menstrual hygiene was good. Also among the schools that were studied, all of them had advocates members toilet. However, what availability with the challenge. In most of the days, this pulses challenge practice. Um, the menstrual hygiene during appeared, but so when I asked for the commonest reason off missing school during the day, it's a period. Most students reported that to the menstrual cramps. Therefore, manage learned should be provided to the students when Mr have not only in the hygienic practices and also how to solve the menstrual complications such as menstrual cramps. This is very kissing them on proper use off energy. It's so they can be able to in the pen and you're on a good day activities normally, including school attendance. The main challenge that was encountered during this study was like off Lipitor finding during the dosage in. It's a lack of enough time for little collection get to take to school them temper. However, I was able to go against this limitations by making this this research a simple possible says to reuse the expenses. And that's so I included. May Step may feel a student well compared to lift me in that a collection. Also, they assisted me in that the entry in the analysis of message findings Thank you Oh, for your attention way will need to make sure that we, uh, we somehow transmit that that that applause to love necessity is a shame that she's not be able to join us. But if there's a cording going on then and hopefully she can see that we have tried to involve involve love nous, So time is a little bit short. I'm looking at Jamelia. I suspect we don't have time for Q and A because we do want to give the students to say a little bit in the panel. If we can still five minutes more. Is that possible? I'm looking for a note off the head. Yeah, you got a thumbs up from Kathryn. Thank you very much indeed. Yes, because the students have prepared. And so what I suggest with a Q and A is that if you have questions that you'd like to ask the students, try and find me the coffee break, which happens after the next session. I'm sure that they be delighted to receive some questions directly on do if you have any sessions for questions. For love nous, I thought her issue of hygiene, of course. Summer. A great fan of infection infection, control of hygiene on how comment about pain relief is being an obstacle for attendance at school during menstrual periods. If you have any other questions, the loveless we can try and email them to her if you let me know. When did Grandma the London School, but what I said like to do is to move on to his A panel conversation. And, as I said at the beginning, is so wonderful to know that we have this next generation who very early in their careers, pre registration is it were These medical students are next generation of doctors. We did try to make this call. This core was available for midriff the students a swell. But like sometimes of beers, we obviously didn't reach the right place. Eso way haven't been up to a trap middle of the students into this particular panel or the abstracts of the sessions. So that's a question. How do we reach out to Middle East students pre service as well as medical students? But turn into the panel? I had closed three questions. Um, I'm not. I don't think we can entirely have time to go through those questions and less. You ladies who really follow the time very carefully could be very brief. But I'd like to start up with the first one, which builds on Loved. This is last question, which was asking you about just to name of what some of the challenges that you faced as an undergraduate medical student in undertaking your research, whether it was time or money. If we could perhaps start off with Gabby, would you like to share a challenge that you faced? And then I last Jamelia. Um, I think the biggest challenge was doing interviews. I've never done any questions or any research Google on Do the Culture and Malawi is. People are incredibly polite, but it makes it very difficult to talk about something negative or to be a concept. So trying to it took us quite a few attempts to figure out how to make people feel comfortable enough. Especially, I obviously can't speak the language. Um, great translator was really Indian people and also, um, have the health center. I think some of the participants thanked me for teaching them a lesson on which made me realize I think they thought some of artist. It's thought that I was a teacher or like a health cap, fashionable. So, um, interviews to being in the village, which I think helps remove that and probably, um, use a lot of the bias and responses. That's a very, very good. That's a very, very good put that both very, very good points cabby. I mean, the second one about expectations. I know from the medical elective students I have supervised that often that put in a situation of the expectation that they already a qualified doctors. So managing expectations is important not just if you do a clinical attachment, but also obviously in the context of research. So thanks for raising that. Jamelia. How about you? Because you're not only a a wizard organizer off this event, but also you've done research yourself. Yes, and I sort of eco Firstly, what loving it said about the time I find that the medical school quit comes already very jam packed and four with almost everything you need to know. So it's difficult to find time alongside the vision, and I also find that medicals quick sort of put ceilings on how much research you can do. They do encourage research throughout that quickly, um, on, But it's almost a bit too late, so we're very much do it in clinical years. We do audits. We do systematic reviews, but we never really get the taste of of primary search are CTS or anything unless you take the initiative to do so on that comes into. My second point is that you really need that sort of guidance and mentorship to be able to to actually take a step in, take responsibility for research, because without having that manship and guidance and I've been guided by so many amazing mentors and supervisors throughout my time on, I only had that opportunity because I was fortunate enough to integrate, and I sort of was a bit too stubborn, kept emailing. It doesn't mess is and what not. There really is something that medical students take the initiative to. But I worry that students who have not even considered medicine I'm not medicine considered research may not get involved because they don't see it, so they don't see it around them. So I think it's really important that we showcase this Azzam opportunity to do alongside medicals or but also try and incorporate it a bit more earlier on in the medical school curriculum to reduce the challenges that medical students have. But with time and with fears and what not thank you very much to meal, I mean again, you're in an environment that is very research active, obviously, and surrounded by a group of fantastic mentors. And and that is obviously made. A difference is we have, you know, four of us are from from Birmingham and have learned from being in that research culture. And you're right. Not all. Not all contexts and medical schools have that same type of off research. Kosher, Most two, but not with or so So thanks for that. Just like to move on to the next question. Just ask the other two. So we've just got to comment from the audience. Yes, it does. Um, it is a process. So ask them is go out. And they lately also get the touring funding. But, uh, we do nothing back, so I don't think anyone Hey, it has an instance. Emission. But I really hope it's people morph into a situation where we can phones students in, oversee setting to do a similar thing or work with this, that it's really one sided. I'm I'm, of course, responsible for anything, but I I hope that will improve. Thank you. I'm not ensure. I heard entirely question, but but I think it was around. Is that the same opportunity for medical students? Undergraduates matter if your students to get involved in research that being trained in L M I C situations a swell as what we see here in the UK setting. I think that's a really important point. Djamila mentioned how crammed the curriculum is on that is true across the world on gets also to do with the sort of research culture s so it it really is important. We want there to be universal access. Is it were to research opportunities because that's the way that really convinces the next generation about the importance of evidence based practice, every spaced policy and programs by getting involved in research, if I may, and I can't see the audience, so apologies if I'm flying over people who want to pose a question. But I just wanted to move on to the next question, which was briefly toe. Ask her serene on Isabel about how you think we might improve student engagement in research. Is it about the methods that we use to make more appealing? How could we improve student engagement in research and that would start off with serene Okay, Yeah, So I think the main thing to improve student engagement is just not working events to be honest. I think it could be so hard for shootings to sometimes reach out to clinicians and researches and get constant, you know, negative replies. Unfortunately, we're not in this space to recruitment students or, you know, not even get replies at all. But it is like a networking setting. I think students will be able to see what opportunities really interest them and that will benefit the researchers to, because if you're passionate about that subjects you're going in so much work, you're gonna danger lot more with that. Um so, yeah, I'd say we in medical school, we do have some lectures, like every year about research. But the way that it is presented is honestly, so dry, like I didn't you know where they did my insecure a shin. I'm happy to say I enjoyed it more than I thought I actually would. Um, so it's just having the exposure on being in the area. We're going really, really are passionate about area, and I think that will keep people in research in the future, too. Thank you, Serene. I think there's nothing like passion on driver searches is really not what you should be being learning about research can be incredibly exciting. On frustrating, of course, is a times Can I just ask is a bell Yet her echo. What serene set? I think, unfortunately, sometimes are teaching on research in medical school. It's more about making sure we can answer multiple choice questions on it. For five years in a row, we've started the lecture with the hierarchy of evidence, and it hasn't gone much further. That's with a lot of medical school, because there's so much packaged want curriculum most of the time, what we're doing on the actual NBC it because is learning in order to meet that incompetent season, too exacting boxes, whereas on insulation. I think we've all been able to actually have something that is our baby on. That's when actually gets exciting because you're having to figure out how to make a project work, and that's when you're starting into the deep end. You actually learned so much more than sitting in the left to the attorney for your 400 fletcher of the term in terms of how we actually marry of researchers and medical students for collaborating, I think they couldn't opportunity for much like when we choose artist Asians that there is a list off or essentially organized place where researchers who would like medical shoot collaborators composed their research topic on their contact details on that study final on medical students could just easily access that and check and get in contact rather than sort of running around and draping you, bumping someone on your placement, you might be interested in that thing. You help them on by stress. So, yeah, thank you. I mean, I think that idea off more organized medical electives. So when we're when they're fully able to start up again, and I hope obviously haven't started everywhere over the same the same way. But yes, something organized in those opportunities on, I think the important thing with that is the question might come from a lower middle income country setting. I think a lot of us that are involved in initials around electives and student projects is we would like those questions to come from from the settings, not for us to sit in our our northern institutions. Impose a question, although sometimes that's entirely valid, of course, but to have grounded questions because at the end of the day your research findings the most useful. If there was demand for that question to be answered, so really coproduction of the search questions that students could really then get get used it. I don't know if we can do one more round of questions from everybody I a certain way. Have a question from the floor. I mean, it just made me touch on that and then see, yet eso Is that the question from, um, a Ram? Can you read it to me? Let me brother in question. Okay, Right. So yes, I and my name Jennifer done the morning on the ups and going to trainees here in the West Mittens and slightly different perspective. So I'm not, you know, graduate rather than burning. Um and ah, girls, labs like differently. So rather than if we wanted to do research to have to take an anti year round, everybody does a six month block of research. Now with me getting something that you're necessarily passionate about names and interesting international research within. That's a bit more tricky, but it doesn't mean that everybody that went through the degree did have a least some exposure to research during that time there and was a few people that then went on to deep PhD's with in medical school, etcetera. Rather than going to let you say, trying to figure out some way to get you to supervise you to doing into integrated degree. So I'm saying, is not so straightforward to completely rearrange the degree sensitive. But certainly there are medical school have managed to formalize. We touch within. They're cool. Undergraduate Kirk. Um, yeah, and just check you on that. So the project that I did for my dissertation, we actually had a knocking him. A medical student who integrated in at the end of her third year on D and myself very much went on a similar project. So it is possible on dot opportunities, like into collecting, open up, even want you to use like, um, bph DS and sort of a world of resets and getting Teo work in low middle income countries, which you don't get alongside your medical school quick room unless you take a year out and dedicate. It's so it's a really unique opportunity, and I think some of the medical schools where they have integration is compulsory. You can see that baby. There are actually most medical students being encouraged to pursue academic career is because of it. That's interesting to know if that is the case on whether it will, but they should. But I was on promote indication a lot more than they do now, but I think their comment yes, it should be. Yes, I think that idea universal access to research in curricula is a really key one on If you're if, if cousin is not or whoever is, I think it's very who's sharing. The whole thing is not what it is not saying. We have to stop. I really would like to hear from the students the last question, which is about which skills or what type of skills you think you have home or that you've gained by doing your research. So just give us some sort of sense of the skills. So if we start off with Gabby, um, I think just academic writing, as boring as that is to say, I was always really intimidated by essays on the concept of writing a destination. I was thought that it was like it was my biggest glow in school that I was never gonna have to write Gestation and one of my friends were normal degrees We're going to. So, like I think it was really And I get, um, beneficial because in Let's go with that I say, Is that right? Really sporadic. So you might get feedback when you're saying first year and then next time you buy, it stays there. Then we can't remember what you did, right? Right? Actually doing an indication of being searching, producing big academic documents or having to, like, formally reference and normally making formatted and create the title page and office. And everything is really good exercise. I think it was. That makes meeting other documents, meeting other research paper sandwich, more accessible because you know, the structure that they're gonna follow. Absolutely. Thank you very much. Serene. What do you what skills? Anything different from what you already be mentioned by Gabby, I would say my main ones. Communication. I mean, I sent my supervisor and actually honestly of emails, but I think it was good because, you know, it's so easy to kind of work independently on on the short term projects and come across, you know, challenges with difficulties that maybe weren't expecting. But by sending those emails, it really allowed my entire large toe and just minimized miscommunication, discussions of time, just how we're going to go about it. And in that way was also able to learn about the process of systematic careers. And, you know, things that I always go to plan, but you adapt to it. And so I would say, Yeah, team working and community communication, I think, Well, it feels really developed. Explained. Thank you. Thank you. Thank you, Isabel. And I see I see areas is up on the podium. Could But we have time to do. Have time to hear from you, Isabel. I'm going to time. You know, I just think that, like, skills, just confidence. So you going to indication normally, having just done your first year on the wards and feeling like a tiny little fish, Um, on just having the confidence off for my project. Having to speak 40 year career midwives when I started my office and gonna placement this week was a bit terrifying. But now it's having that confidence of all. I actually organized this and I did it myself, and I was able to communicate professionally like someone was saying there being a huge but it's in a professional development sort of way. Thank you and just not me. Just hear from Jamelia because I think like her Lancet abstract. So I think the unique thing about research is you can freedom to take ownership of what you do, and you are sort of you home on the skills that don't. Don't you just apply to research or the particular project? It's transferrable across almost everything. I remember that one of the unique skills I learned I will probably take on for the rest of my life was statistics. I had an absolutely anything dental from the majority team Professor Happier Samora and is part of this team as well on he taught me six and I've been using it every protect since. And all the supervisors I've done future projects with always. That'll help. How do you understand cystic mean? The statisticians who will Actually, I noticed that, and I know this and that has been really is very little warning, and I think I would always that's something I will keep with me. And I really appreciate the mentorship and supervision I received for that and so many other skills as well. But yes, I think the transferability of skills and taking ownership of your work and figure accountable on being able to present it at conferences and actually having engaging epidemic conversation is really rewarding. And it's it's an amazing thing, and I hope to continue to do it in the future. It's like you very much and area I will now hand the chair back to you. Thank you so much. I just give you the Oh, yeah, I got to get check your, uh, a minute, 90 seconds. I mean, should I really don't have a chance? And I really want to make the point. I think we're Rossley. Underestimate the medical students. Rossley. When the pandemic struck in March, that be a choke came to us and we said, Let's do a living systematic review All the functions went back to work. All the researchers were tied. So I reached over the students that are 15 students who are running the living systematically you uncovered at the moment they do everything in search. Did it extracts study, select college assessment on day, keep training. They actually appointment students they shot list the savings they train that they have. Ah, sir. Pains to train. They do the analysis. Just superficial input from me. The great have a little more of a statistician Andranik and Sylvia. But it just the students they've got to be NJ Publications keeps updating on there as good as any of my, uh, doctor. Students are even first doctor say, because they do for a long time they become experts and what they do. I guess this is the results that's not being tapped A total. So this is going to say the problem with it is a slow making Boston that on January was saying these things that you've required our lifelong skills. You can use them, you know, junior doctors, intermediate level doctors on do you know, prosthesis and so on until you become obsolete and hand over the skills to someone else. So I think this is really amazing. You are a true inspiration, and I think we need to take if you need to take on both the point that Wendy made, which is that in Iran that, like some beers, we're not reaching some hearts out off the the clinic cold maternity world, you know? But other junior midwives were the training doctors. How many is that shows how many registrars you are being given the opportunities. So I think it's really again opponents before we make ourselves obsolete to give people the opportunity to rise up to the challenge and create the conditions. And I think what you know, these guys here are demonstrating. Is that given the right conditions, you know, they absolutely reach to the sky. And I think really amazing what you are doing. And it's ah, it's a true inspiration to To to hear from yourselves. So thank you, Wendy. That really a girl isn't global dark. You And I'm really glad that we were able to join online. You had club it, visiting your household, so there isn't anything you could have done. But for the next meeting, hopefully you will be there in person on thank you, uh, for culture and get and thank you to over the students. Thank you. Thanks. So we have a fun part of the meeting before being break Coffee. Tea. So what we're going to do is to build the price is that there are three categories there is the posters. There are the posters right on. Then we have the oil presentation on. Then there is also the online abstracts they have bean judged on d. I would love to invite our president elect for the r c o g to give out the prices, please. So what the the judges tell me is that it has been so difficult to choose because they were all such excellent pieces of work, but they had to choose. And they have done that. So I will read out. Um, the price minutes. So the best in post herpetic sent a shin goes to dialysis. Pennington on exploring perspectives, attitudes on experiences of women in respectful maternity care in southern Malawi. A qualitative study. This thing? Yeah. Got the photo. Where's the good? Excellent. You get the photo. Fantastic. The runner up for poster presentation goes to thrown fan. Um, phones. Work is on diversifying access to global health research and evaluation. Often online. Maternal health conference phone perhaps isn't here. Okay. Is anyone from the team who could except yeah, age. Okay, fantastic. Moving on to all of presentation. They were all amazing one day, you know, But we had to select a winner and a runner up on the winner is Zana Jama Lodine on working on using the ropes and classifications for rising cesarean section rates among Palestinian refugees. Thank you so much. The runner up a price goes to quacko a shot. A poku who's work is on exploring the shared decision making process. Cesarean sections at a teaching hospital in Ghana. A mixed methods study all the way when they were online posters. Thank you so really appreciate that. So online posters. The first place is to Elizabeth Armory on the development off a cord is I need a training program to improve labor monitoring and management in blow resourced settings. Round of applause on the runnerup Is she reen? Uh, you're fully a novel sense arised device to improve safety in operative, But I need to go and look at that abstract. And then it's the runnerup. I wonder what else please Fabulous So that that is all the prices. Now we're going to have a coffee break but cannot ask Catherine to introduce the workshops before we break for coffee.