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everyone. Good evening. We'll just give it a few more minutes for everyone to join. To be fair, if people already have questions, they can start. That's true. Yeah, we'll be doing a a massive Q and A session at the end with anesthesia. So if you start thinking of questions and if you have questions already, you can start popping them into the chat. Can see the numbers slowly going up. Yeah. Crazy. Yeah. First met and event of the year for your three. So hopefully we have lots of you guys joining us and many more to come anymore to come. Don't worry. We got you this year. We got Let's give it a minute or two more, and then we'll take her off. What other introductory talks do you have? Um, so we're doing this one, and then we'll have our our ski series and I got in a few weeks. Um, and then we'll do the Oscar tutoring scheme, and then we have the big Year three lecture series of time. That sounds good. Busy. Yeah. What's going on? Let me I think the screen. You know, I'm I put my glasses on. Yeah. So for those of you are just joining us. We're going to do a Q and A session at the end. So just have to think about things you might want to ask you, who has just finished your three. Um, and you can put them in the chat whenever you think of them, and we'll go through them at the end. Okay, I think we'll get started then. So Good evening, everyone. A massive Congratulations to all of you. For starting your third year, I CSM we at med hope that you've had a nice and restful summer break. Hopefully and the start of turn has been going well so myself and nuke enjoyable are your year three coordinators from med. This year, we've got lots of planned as an issue. And I have been discussing for you to help you ease that transition into clinical med school, um, and support you throughout your first year of clinical medicine. So today we're kicking off with an introduction into year three, Um, and more specifically, a little crash course. And all things are ski, and we're really lucky to have an issue. Uh, who will be giving you a rundown of the year and how best to prepare for ask you what it entails and sharing with you all had tips and tricks. Um, at this stage, you really don't need to be preparing or revising as such for your exams or sleep. Please don't be. But what's really helpful, I think, is just knowing what to expect so that you can use your time and your time replacement nice and wisely. Um, so as we've been saying, we're going to do a Q and A session at the end. So I get thinking of any questions that you might have about the upcoming year about placement about exams, and, uh, she will be very happy to answer them for you. Some of you may remember an issue from last year. She was under the V. R s Crash course leads. Hopefully, you found that useful and that supported you through your exams. And second year, Um, and she's also involved in lots of other societies within I CSM. But I'll let you let initially introduced herself further, and I'll hand over to her for rescue one. Oh one. Thank you so much. And you, Can you guys tell me? Yeah. Okay, brilliant. Cool. Just thinking I'm not on you. Um, so, yeah, As I said, um, I will be taking you guys through today. Just talking a little bit about the third year in general. So talking about placement and really, really good resources, but also, um, the back part of this lecture will be focusing a little bit more on a ski. Um, as that was my favorite thing of the year, Uh, which sounds a bit nutty, but, hey, so we'll get cracking. So yeah, this is how to finesse third year. Um, so who am I? I'm, uh, and I'm 1/4 year medical student. Right now I'm integrating in remote med, Which, by the way, guys, I really, really suggest as a B S c it's really cool. Um, but yeah, you don't get to go internationally anymore, so don't choose it just because you go international, but it's a really good It's a really, really good bs you to do. Um, as I said, I was a B r s crash course last year with a nuke, Um, and also with Angela. Who's in your year? Um, who I think you said today, um and yeah, as I already said, I loved the Oscar. I think it was for me. It was the one thing that, um I just really liked about the deer. I found it, Um, a lot more interesting than the written exam. And that was just because, personally, I'm a lot more practical. Um, and yeah, I liked, you know, learning the examinations and then practicing on my friends and also practicing on patients. So, firstly, we're going to start with the General Guide to third year. And also, as you said, if you guys have any questions, any comments, anything, um, feel free to put them in the chat. I will answer all the questions. Like this lecture today will be mainly me answering questions. So please ask anything to do with third year at all. Um, so yeah, so I just want to do you guys, um, to begin with, can you guys put in the chat? Just a few words that you have about how you're feeling about third year. Any words? I don't mind what they are. Properly. PG, though, if you can keep it. PG Anyone? Anyone feeling any kind of weigh about third year Overwhelmed. Okay, nice I was to You will feel that every year. Guest. Nice. I'm glad you feel that way. I mean, guys, firstly, actually, I should have said this at the beginning. Well done. For getting into third year, 1st and 2nd year. I'm not easy. Especially with the circumstances that you guys had, um so well done. Um, so yeah. Okay. Good. So we got overwhelmed and gassed. Nice. Um, so I'll tell you how I was feeling. I thought that the idea was really scary. Obviously, with Imperial, it's great. We get, you know, a bit of clinical exposure, but as you guys would have had, it was co vivid. We didn't have that much clinical exposure in our second year due to coated, so I was a bit scared, a bit overwhelmed as well. Um, it was quite quite nervous to, you know, being get, you know, stuck in the hospitals. And more than anything, I was really confused. So I know you guys are in your you guys in your second week. Now, if you're kind of introductory lectures and stuff like that, To be very honest, I don't know how it is for you guys. I definitely felt that we just weren't given enough information. Um, you're very much thrown into the deep end, and I think, especially with Oscar, you guys are thrown very much into the deep end. So I wasn't feeling great about that, but I was also feeling quite excited. It is the first main clinical year, and, yeah, you get to see a lot of cool things and experience so many different specialties. Um, so, yeah, that was exciting. So how to make the most out of your clinical placement? Um, I'm going to take you through this. So this is, by the way, these next few slides I've actually stolen from someone who did this talk last year. So and yet I think I might as well. But, um, this is a really good representation, So I don't know if you guys have been sent your time tables for your firms yet, but this is usually what they look like, So this is kind of a normal outline of what this one urology timetable would look like. Um, and as you can see, you're given quite a lot of time. It's divided into morning and afternoon for things, and they don't give you that much information on your timetable about what you're actually supposed to do. And I'm being very honest that when you actually get to the hospital, they don't give you much more information than this. Anyway, you do have to find your own way around. I mean, it definitely depends from hospital to hospital, but most of the time you do need to find your own way around. You're in third year, you're in a working hospital. Everyone is busy, and everyone has things to do. So there's no handholding whatsoever. You just have to really figure things out for yourself, which I know is how scary. But you're on an eight replacement. First week is a bit daunting. After that, it's easy. So this is kind of with that timetable. What you guys should be doing. Okay personally, 7. 30. Fair enough. This was the surgery, so you can get 7. 30 AM It's already quite hard, so I didn't do the first thing personally, but we'll go from eight. AM um, so actually, this isn't even surgery. Oh, no. Some of it is, um, so the best people to stick by when you're actually doing your placement is the f wise that I would say for sure they understand where you guys are a lot more than the consultants and anyone else does. So they are a little bit more willing to teach you. So if you can go early in the morning, definitely, definitely suggest prepping notes for the wise. Also, it's really, really nice. The eyes are extremely busy, especially now, Um, it's really, really nice if you guys help them out in any way you can. So if you can prop notes with them or help them write, some patient notes will go check on some patients with them first. It will help them. They'll be more willing to teach you, but also it really, really benefits you. Writing notes. Writing discharge summaries, especially, is one of the skills you have to learn this year and being able to do it many, many times. It helps you. Um, it helps you a lot, um, as well for your, uh, ski, because you have to learn how to talk to patients. You have to learn how to write things down, and one of the things you can get in your ski is actually having to write down, Um, which is what we had this year having to write down what you found out from an examination. So you're getting into this practice is really, really good, but we'll talk about that a bit. So just some general tips for your placement. I genuinely suggest when you start your placements guys next week, make sure the first thing you do is introduce yourself to everyone. Make yourself known. I know it's scary, but you'll be in, uh, firms, so you'll have about, you know, 2 to 4 or five people, depending on your placement and the site. Um, all go together. All introduce yourself to the consultant, but also to the F wise, to the registrar's and to the nurses and hchs, you know, as a med students. Sometimes we can kind of, um, not appreciate the nurses or hard to say is as much as we should. But realistically, they're the ones who, when you're especially trying to practice things like feather, puncture and cannulation. If you're on the good side, they will help you a lot, and they will teach you, so make sure you introduce yourself to everyone, and then, as I already said, get the most out of your placement. No one's going to tell you what to do. You have to go up to people and ask. So when I was on placement, I had to go up too. So many registrars and ask Oh, can I go around with you? Can I can't see this patient with you. Um, I'm not. I'm doing something right now. I've got teaching right now, but can I come back later to wherever you are? Take their numbers because they're busy. They don't know where they're going to be at eight AM They don't know where they're going to be at 12 30 most of the time. Take their numbers, message them later, see where they are and there's loads of jobs you can be doing. So there's things such as a clerk in patients. Um, do you guys know what parking patients? Because actually, that was one of the things I know it sounds silly, but I didn't really know what that was. Um, so clerking patients is actually in simple terms. It is actually just talking to patients. It's getting histories of patients, um, doing examinations of patients and just discharge summaries and all of that. Um, that's really good things to do. That probably is what you'll get the most out of it because you get to learn a lot of your conditions through that. So that's just a basic thing of what your week will look like and how it's probably best to approach it. Um, another thing I'm going to say slightly unofficially is you're given really big blocks of things to do. So, for example, you'll see here, um, 12 30 to 4 o'clock parking patients. That's actually a really, really long time. Uh, my placement was actually one till five o'clock in patients. Um, I personally got the most out of doing a lot of, you know, seeing a lot of patients doing examinations on a lot of patients between about 123. And after that, I actually did just go to the library and do some conditions. Uh, realistically, guys, third year is all about time management. You have a lot of conditions to learn, and, well, you do have time. You have the whole year, but obviously you're on replacement for a lot of it. So you know it's allowed when you can to go to the library and do some learning. But I suggest mainly do that after the second week on Words first two weeks get stuck in as much as you can. Okay? So I don't know if you guys have seen this or you've had a lecture on it already with your knee, but this is kind of what your little portal looks like. And you have these things called dots. What was the thing that it was called? That it was on? I can't remember, But so these are your dots, and these are kind of like the skills that you need to do while you're on placement. So you have to complete all of these forms. You have to get them signed off. Now, one thing I'm going to say, Learn from my mistake, learn from a lot of our mistakes, right? I got told this didn't listen. Please, please, please Listen. Um Oh. Forms squared. Thanks. Um, so please listen. When we say this, try and get as many drops as you can be done on your first two placements. Don't leave it to or third one, because your third one is really, really close. to your exams. You're going to want to be revising as much as you can. And it's such a pain when you have to literally go in just to get your dot signed off. And doctors also get really frustrated at that point because they know that all students are coming in for is to get their dot signed off to get them done early. Okay, that is probably the biggest tip I can give you. Um, honestly, just because you do it once, um, don't stop there. So I'm just going to outline a few of them. So, for example, then you puncture cannulation. Um, e c g um what other things? Um, Administering oxygen, I think. Um, So these ones and subq injection intravenous drug. They can all come up on your ski. So the Oscar, as I'll describe later, is described in three parts. And one of these parts is your clinical skills. These are your clinical skills. This is what you'll get assessed in in your ski, and there are so many of them and you don't know which one's coming up. You can get any of them, so I do it once. Sign your dots keep doing it. Do it again, again, again. Because the best way to learn for your ski is practice and practicing on patients. I promise you is way, way better than anything. I'll explain this later on as well. But the one thing about clinical skills is you have clinical school sessions. But other than that, you don't really have access to the equipment, especially when you are revising Frosty. You don't have access to that a puncture equipment and things like that. So use the equipment why you can at the hospitals to practice it. I'm going to see this really unofficially as well. But still, if you if you can, um, because it will come in handy. So this is just my general tips on how I would I would suggest laying out your three terms term one, as I already said, get as many sign off so as you can get adjusted, get acclimatized to placement. Um, and, you know, learn some of the major conditions for me, major conditions would be things like stroke. Um, acute coronary syndrome, things like that. So, um, I, um some of the big gastrointestinal disease is, um, but like the major ones, and you'll mainly find them in, like Endo cardio, neuro, that kind of thing. But just learned the major ones and try to learn the conditions that you're that you see a lot of replacement as well. Um, and my biggest suggestion from term one, as this is all about RSV is learn the courthouse. The examinations. Imperial. Don't get me wrong. It's a great you know, but they're not the best at teaching or ski. In fact, they leave it to hospital sites to teach you how to ski. Obviously, if you have a GP first time as well, it's a lot harder. You don't get to do as many examination. So when whenever you're in your first time, wherever you are, just learn the core examinations. Practice on your friends, learning together, um, come to the metal lectures on a ski. That's the best way, Um, as that's the best teaching you get. And you know, there is a lot of disparity, sadly, between sites on the teaching that you get. I think it is one thing that Imperial are trying to improve on massively. Um, and they have to be fair, but the best way to learn is, you know, from people older than you. So in our year and above. So you get yourself an Oscar tutor with Medicaid and join the meds are ski lessons. Yeah, online. And just learn it. Make sure you know it. Um, and the main thing I'd actually say about term one is have fun like guys. Just because you're in that it doesn't mean you have to. It's all about placement. Have fun. Still, do the things that you love doing still go out and have, you know, party if you want to or do whatever you want to, um, I don't get too bogged down and work. I know that sounds really daunting and really scary. It's don't get me wrong. It's harder than you are one year, too. But it's very, very, extremely doable. And it's also a lot of fun. Um, so, yeah, make sure you don't give up on your social life just because of the third year. That's probably the worst thing you can do, and you'll just burn out. So then moving on, turn to this is when I genuinely suggest you get your head down and let your conditions try. and learn as many conditions as you can. So then turn three. You're just practising, practising, doing questions. All of that. Start some SBS if you can. It's not a big deal. If you haven't, you have time. Still, don't forget guys. You have a lot of time in third year. And at this point, once you've learned your rosky examinations and you've already been practicing on your friends a little bit, practice Oscar stations and real patients. What you guys will find is that doing our ski doing examinations on real patients is 10 times harder. They don't listen to you. Um, you know, a lot of them are old and frail patients. You have to be extremely careful about what you do. You have to be extremely careful about the language you use. So things like that is really, really good practice for the actual exam. And best thing you see pathologies. It's all good and well knowing what, like the term hyper reflexia, But I promise you, it's so much cooler when you actually see what Hyperreflexia looks like and it will stick in your mind. You're always always remember it, and it will help you learn your conditions as well. And then lastly, turn three term three. Honestly, questions, questions, questions, as many questions as you can get used to doing questions and practice your rescue. Um, I live with two other girls, and, um, what we did is in terms. Three. We would practice or ski one day a week we dedicate, and we practice or ski on each other. We do like little stations for each other. Um, you know, really test each other and honestly, doing with your friends first. It's fun. Um, you know, we order dominoes, um, watching maybe after or something. So it can be quite fun. But also, we were, you know, we were actively doing work. Um, and we were mailing or ski, I think. Um, so now, moving over to Kind of just, like again, a few of my top tip. So what did I do in third year? Um, third year for me actually was very fun. Probably one of the best years I've ever had. Um, and what I did was I did start my conditions in first term. I made sure that I learned the major ones, so I made sure that by it wasn't at the beginning of the term, but by about the middle of the time, all I was doing was practice questions. For me personally, flashcards wasn't the best way to learn. So I I did just learn my conditions by literally reading and writing. But that was what personally work to me. Obviously, Yankee flash cards work amazingly for some people do what suits you. You do not need to do what other people are doing. That is probably the one thing I would tell you. Another thing which I did, which I was very happy about. And I feel like helped me a lot. Um, was I tried to learn, make sure I knew my whiskey examination's completely by the end of first term. And this meant that by second term I could learn what the what the examinations looked like on people who had pathologies. But also, um, I genuinely, genuinely could just practice on as many patients as I could, and it was really, really good. Um, one of the things that I did was honestly using the resources that are out for you guys. You guys are so incredibly lucky. You have no idea. Um society's like Medicaid. And there's other societies as well out there, which release amazing resources for you guys. Use them, Take full advantage of them. Come to the lectures. Uh, lectures saved my life. Actually, um, I think they just They saved my life. They taught me third year. Go to the lectures, use other people's notes. You know, you don't necessarily need to write all your notes. There's a note bank out there, you know, save time. So now I'm kind of going on What? I wish I did differently. Um, I wish I did a lot differently, but, um, my main thing was I wish I actually used my placement more. So I personally felt like I didn't get much out of placement, but other people did. And I know that that was because I wasn't trying to get the most out of placement. Other people were asking. We're kind of putting themselves out there, and we're learning so much from placement. Generally. Guys, I recommend doing that. Um, if I could go back and do that again, I definitely would, uh, you know, practicing your clinical skills asking the nurse is going around with the nurses. Things like that I know would have benefited me a lot. So, you know, be brave. The worst someone can say to you is no. Just ask is my main thing. Okay? And this is just a slide. These obviously you guys don't need to do this now, But when you get to a third term, these are really, really good resources for, like, single best answers. Obviously, your exam is SPS. So these are some I used to. I used these two at the bottom. I think I used uh, no, I didn't use any of the ones at the top, but I have heard of people using them. The final exam is actually the same as the third year. One. Very similar. It will have slightly further content, but you can just skip those questions. Um, so, yeah, I genuinely suggest using these and obviously other note banks, So sorry. Question banks. So I personally live and die by Quest Med. Um, past medicine is really good as well. Pass Med is amazing. Get both of them. They've got some really good resources. So now on two. How to ace the oscal, which is what you guys came to here. Okay. Okay. The Yassky is divided into three parts. Um is divided into your core examinations, Which is these? So you got cardio rest Abdo and your Oh, I'll go through that in a bit more detail in a minute. Then you've got your histories. And again, you have four histories which are usually based on the four main systems as well. So you've got rest Cardiac neuron, abdo. And then, lastly, you've got your cleanse skills. These are just a couple examples of the pills you can get in our year. We had It's not even that long ago. I don't know why I can't remember. But we had suturing. We had cannulation. We had fundoscopy, um, something else. Which I can't remember. Um, but yeah. So the claim skills, though there is a massive list of ones you can get there really, really short. They're not that hard to learn, but, um, Advair function. We have a culture fair enough. Okay. Obviously, I've had a long summer, but Okay, so let's start with the core examinations. So, as I said, there are four examinations. There's your cardio rest, abdomen, neuro. Um, guys, I'm just going by what was done by. Are you, by the way? I can't guarantee it will be the same for your year. They will tell you closer to the time. Um, but I'll try and give you as much information as I possibly can. So in our year, um and hopefully it'll be the same for yours. The rhabdo and the neuro examination. The patient had pathologies. They were still actors, guys. So for all of your examinations, they are actors. But they can put on certain things so they can pretend that they have a certain pathology. Um, and the way that the main examinations work is you go into the system. Uh, sorry. Let me just say quickly before that your neuro, By the way, you don't know what you're getting before. It could be lower limb, upper limb or cranial nerves. So make sure you know all three of them extremely well, because you don't know what you're going to get, and it varies from day to day. So don't be triggered by thinking that you know what you're going to get because the first day I have something. So the way that the examination work is you go in you start the examination? Um, the examiner is there, but you start the examination with the patient. And again, it does vary from year to year, but most of the time you have seven minutes to do the actual examination, and then you have a couple minutes after you have two minutes for presenting. I think we had one minute for presenting back to the Examiner, and then we had a couple of minutes at the end for questions. So, um, it is time pressured, which is why I suggest learn it quicker. So then in them third term, you're literally just, you know, practicing to do it in the time limit. That's really, really important and making sure you know it back to front. Uh, so, as I said, the abdomen and the neuro examination can hepatologies. But in your cardio and rest, you can get things like BCGs or chest X rays, which you have to interpret after, Um And so the examination is the seven minutes, which includes your intro and the entire examination. And then after that, you will report back to the Examiner. So you will, um, there's this spiel that you will learn. Um and it kind of sounds, you know, a bit like I performed cardiovascular examination on a 27 year old male patient. Um, and you talk through it, so you start with your inspection, and then you go through, um, kind of each section. So you guys know, you know, your, um palpations or percussion your auscultation. You know all of that. And you just say, you know whether it was normal or whether there were abnormalities. Okay, um, and if they're abnormalities, you describe the abnormalities. And then at the end, you summarize by saying, What do you think your differential diagnosis of your patient is? So, for example, if I had a patient, a cardiovascular patient with heart rate of 120 BPM and that was the only abnormality I had summarized by saying in conclusion, this was a cardiovascular examination where my only finding was the patient was in, uh, you know, tachycardia. My patient was in Sinus tachycardia. Um, my top three differential diagnoses would be, and then you list your differential diagnoses. After that, you can get questions so you can get questions from the Examiner's such as, um, you know, what investigation do you do next? Or what would you do next? Or which differential Diabetes do you think is the top one or how would you manage this patient? If it was this, this or this, or you could get CCGs. You could get asked, you know, to do anything realistically, you might even get asked to write down your summary. We did, and I have 21. We had to write it down, which was very time consuming. So learn that as well. And Okey dokey. So that is about the big ones. So let's move on now to the histories. So in terms of the history is again, this is with actors. You guys would have done histories before. Now it varies. I know in past years they've had eight minutes to do histories. Um, I think in some of us we've got seven minutes. Some of us, we got eight. It varies. My biggest suggestion for you would be practice it in seven minutes. Assume it's eight. Practice it in seven. Make sure you can get a whole history done in seven. I'm not going to talk to you guys much about history just because you guys have done that a lot. I know you guys have done that a lot, especially last year. That's something you guys can do. But one thing I would say practice is so much on your patients when you're in placement, because patients waffle and these actors will try and put you off. Okay, they'll try and waffle as well. Know how to you know what the right questions are to ask your patient, Um, and how to kind of get the most information out of your patient without them talking too much. It is a skill. Um, for me, the best way would be that I would start with very open ended questions, as you guys would have learned, you know, the golden minute or whatever. And then after that, I would start to ask very close questions. And, you know, if you need quick answers, it's completely okay to say to the patient, I'm just going to ask you a series of yes or no questions now and ask them and just hope that they say yes or no. It's completely okay to say that as long as you sign posted them that you're going to do that Okay, Um, and then it's exactly the same after your history, you'll get asked to present again, and you can get questions on that after a very similar to your examinations. Okay. Lastly, is the claim skills? We already talked about this. As I said, there's a long list of cleanse skills you could get. You don't know what you're gonna get until the until you actually go in on the day. Um, and you are assessed on just pretty much how well you do the clinical skill. Um, on some of them, for example, we had a endoscopy. After that, we did get the pathology, and so do you learn your pathology is if it's, you know, one that you can so fundoscopy ought oscopy learn your, um, kind of differential diagnoses for those learn what the pictures look like. My biggest recommendation was, is that when you guys start your clinical skills, there's models that they use in the claims skills labs online. You can find the exact booklets, um, of the models that they use, and they have the pictures that they'll use in the exam as well. So just learn your conditions of those pictures cheap but, you know, it's pretty useful. Um, And yet you get assessed on, uh, reality, especially a lot with your cancellation, then you puncture. So, um, whether you put your needle in the sharps been, that's a massive one. But also, how you talk to the patient. Talking to the patient is extremely important sign posting them to you know, what can go wrong. What are the risks of this procedure? Um What What they're after care for the procedure is So for example, um, after they've had their blood taken, you know, if they get excessive bruising or their bleeding a lot, you know, make sure you come back. Yeah. So, Sandra, what I said about the booklets was it won't make much sense now because you guys haven't done clinical skills yet. But when you do your clinical skills, there are these models that you practice your like, not oscopy and fundoscopy on there, literally like human brother heads. They're not really Obviously they're plastic human heads and you can look in the eye and you can look in the air. And when you look in the eye or the air, they have images of different, um, pathologies and I can't remember what the company of it is. So when you go to cooking skills, take a picture of, um, the model that they use for it, like the what brand it is. And if you search that brand online, then you can actually find the booklet for it. And that's a really good way to actually learn the pathology is for it, because it actually shows you really good pictures of what the pathology is look like for your endoscopy and colonoscopy. Um, if I can find it later, I might have it saved somewhere. If I can find it later, then I'll try and put a link up on the chat. But don't worry. We share a lot of our resources to you guys, and I'm pretty sure there's some on the note literally. That book that is on the note bank as well. So, um, it will be easily accessible to you, and you will know what I'm talking about when you start your own skills. Also, if you ask your skills tutors and they have spare booklets, they're completely fine with you taking them home. I think I did so just ask nicely. Okay, So my top tips for your ski is, as I said, learn the examinations. You know, early on, use the med videos. They're amazing, um, and use the imperial mark schemes as well. So they have, like, they're not the official mark schemes, but they're kind of like, um what they call like a mach up to help you, um, use that. So you know exactly what they're marking during your ski. Take it with a picture. So it's not the actual narcs scheme, but it's a good baseline to use practice on your friends. Take it seriously when you're doing it. Have one friend as an examiner have one friend as a presenter. Sorry as a patient and then present to the Examiner unmark each other. Be harsh on each other is the only way you will get the most out of it and practice on patients. I would say that's really important. Um, you never know that you can do an examination properly, and you're explaining it properly until you've done it on someone who has never had an examination done on them before because will say something to each other. We know exactly what the examination is we'll do it very quickly. We'll do it very easily. We know exactly what's coming next. A patient won't. Or if you have friends who don't do medicine, practice on them. They don't know what's coming Next, you'll have to. You'll actually be a lot more aware of how you're explaining it to them. And then my last point is practice, practice, practice. There are so many resources out there. These are a couple. Uh, you can take a screenshot of these. A lot of these are free. Geeky medics have amazing, amazing summaries of, uh, the key thing. And they also have, uh, like an Oscar. The checklist. So when you're doing it with your friends is an interactive one you can get the checklist on and you can literally just go marking what they've done to see what Mark they would get. It's really, really good. Simple ask is really good. So I think you have to pay. I'm not 100% sure, but they have pathologies, so they'll literally give you what the pathology is, so the patient can actually add something out, which is really useful and, you know, Oscar station and stuff like that they have histories as well. Um, so you can literally get, like, a patient history again. Have one of your friends do it being the patient. Have one of your friends being the Examiner practice on each other. Okay, this is just Yeah, this is the geeky medics Oscar checklist. It's really good. It's interactive. I really suggest you use this. And this is what the imperial kind of marks scheme thing Looks like. You will be given these for every single station, um, by your clinical leaders, um, at your hospital firm. So don't worry. You'll get a paper copy of this, but it's online as well. It's on Sunday, and it's in the note bank, if it's not already been released to Okay, well, thank you very much for the talk. It's very informative. Hi, guys. My name is Joel on the 30 coordinator. Long. You took it just before we start taking questions. There's a couple of meds related announcements to make. Um, so next couple of weeks, we were going to start, um, the oscal lecture series. And I think right now the plan is we're going to start doing, um, around one next week, but this may change around two or three times a week, so keep an eye out for that. Um, second thing is around early November or December. We're also going to start doing the our ski mentoring scheme. So a lot of you will be familiar with this having done the cp a mentorship scheme. So this is basically the same thing. Just that you'll be learning. Ask instead. So that comes out around November. Um, in January, in the new year, we start delivering the written exam lecture series. So once again, it's quite a few lectures and these lectures around 40. Um, so this starts around January to keep an eye out for that one. Um, in March, we released both the So we We carry out both the mark of ski exam. Um, training cross. Um, a couple of you may have Some of you may have done the CPA exam last year, but this year we're doing the exam. Um, once again in March. We're also doing the written exam as well. Um, I think currently the plan is to do that online about this may change to be in person as well. Now measured releases a lot of, um, informative videos that you may find useful for exams. One of them that How do you recommend? Uh, med? Also, metal has made, um, Askey videos. So you can find this on the medical website, which, uh, unequal send into the chat. Uh, yeah. There you go. Um, so on there you can find all of the a ski videos that you need. Um, quite new as well. I think we've made last year, so they're quite new. Um, they have the silver is quite well. Okay, so I'm just going to send the link for feedback about this session with that. We really appreciate it. If you could fill that in, and after that, we can start taking some questions. Um, also just wanted to make a correction. I said in the in the chat that the fourth association for you was actually wasn't It was the neck exam. Um, so, yeah, I remember doing that exactly. Okay. So you guys could, um, start feeling the feedback for me is very short. And then 12 minutes we can start questions. Yeah, Guys, if you have any questions, I'll just put them in the chart. It could be about anything to the next step. But anything about that? Yeah. Yeah. Okay. Brilliant. Angela. Um, no worries. So, uh, Angela, ask guys just wondering if they can ask us about management in the ski. They can. Okay, so, um, I'm just trying to think if I did get a list, actually, I got asked how I would manage the patient. So, for example, let's just say, um, you got given a patient case of a patient who was having an MRI. It was a history, for example. And you think your patients having an m I they can ask you what investigations you would do to confirm this. They can give you a B. C. D, for example to confirm this as well. And they can say, How did you manage this patient? Yes, you can get asked that. And guys, please remember, if you're asking especially, don't know, start naming drugs. Obviously, you would have learned that if your written and it's good that you know that you will get marks for it. But also remember the patient. Think about conservative management as well. So think about making the patient comfortable thinking about, you know, confirming if there's anything else that's wrong with them, think about pain management. Okay, that is definitely something I would say. And then further to that, you can talk about the medical treatment or whatever you would do next. But then keep the question. And does anyone else have any questions? Anybody questions any questions whatsoever? Also adding on to that, if the scenario was, for example, uh, E d. Setting for an emergency department, one of the first initial management things you should do and give us an answer in your ski is to do the 80 assessment. Now that is something that I didn't do. Um, so just for you guys, because it's it's definitely a mark in the mark scheme. No, it's completely right. 80. Always first for anything you guys seem like. You just know it already. I'm impressed. You guys seem much more on it than I was. I knew nothing. If anyone has any questions, please take the chance. And then we'll get that answer. Yeah, or if you want, I can put my email in as well and feel free to email me any kind of questions or anything. Yeah, Yeah, perfect. Well, I guess Just reiterate from my side and joyful sides. Or if you have any questions you got to start placements is things start to become a bit more involved. You let us know. We do have a question. So is there any resources you'd recommend for the written? So I'll tell you what resources I used and then maybe try them. And you can tell you what they used as well, so I personally recommend, um, so as I said, Quest Med and Pass Med, they have not just for their questions, guys, but they also have a book which goes through the conditions. They have videos as well. I remember very visual learner. So I like that a lot. I used the videos. Um, and I use their book. Um, a lot. I'd say those are my main to another book, which was really good. Which you can get in the library is medicine in a minute or by your own copy. But this it was really like it was really pretty as well. So I actually wanted to learn because everything was laid out really nicely, But it literally every single, it goes through all the conditions and it goes through pathophysiology epidemiology in, like, investigations, diagnosis management literally step by step, and it gives you the guidelines as well. Um, so in terms of actually learning the learning, the information about the disease is I'd recommend using the BMJ best practice, Um, learning about the management and stuff and so on on bmd best practices. Quite good, because, um lays out the different aspects of the condition. So the symptoms signs. Sometimes it gives us the etiology of the conditions that causes of the conditions. Um, it's quite good. And the fact that, um it also gives differential diagnoses and all the things to look out for, how you can exclude it from other diseases, um, and stuff like that. Also, another source of information on what we recommend is nice. So I think the market for people they predominately based on what Nice says. So what? When I says, um, in the leaflets is the answer to the question that is given in the exam. So make sure you're familiar with that as well. Now, obviously a lot of information on nice and on BMDS practice. So what I'm saying, it doesn't mean that you have to learn about how everything that's there, because it's impossible. Uh, I've had it myself. Um, there's a lot of information on this, So it's up to you to find and choose what you think is relevant things for third year is, um, when we were giving are inter week lectures, they said, uh, the same thing. They said, There's a lot of information on BMD. Factors are a nice um, for example, they won't ask you, like very specific management. Um, criteria. It'll be quite basically the fact that I just want you to know what you do, right. Um, so there's that because So if you go on BMJ practice now, you'll see that for some conditions. They're very specific management options. Um, for example, um, I think it's four p e. There's many strains of the infected endocarditis as many types of antibiotics you can give depending upon, uh, the type of bacteria that's causing the causing the disease. So things like that you don't need to know specifically, um, but it's more just just learn it more generally the management options. So that's that. Yeah, I knew that. If you have anything to do with that Yeah, I just echoed what these two said. I really love Pass Med. I just went through as many questions as possible on that, making sure I was not selecting the entire question bank but picking out each time, different areas I wanted to cover, whether it was cardio one day, gastro one day and then as I went through and became more confident, adding in a mix of a couple before working my way up to covering a bunch of specialties at a time. Um, also definitely a plug, but also because it is what I used is the metal lectures watching them when they happen so I can ask questions. I don't know if I cut out Sorry, but watching them live but also going back and using the slides as a resource, Um, what's really good about here delivered lectures is that the people delivering them and writing them are people who have sat the exam really recently, so they know the kind of things that come up and they know exactly what you need to know and what you don't need to know, which is different to maybe pass med or even BMJ because they're tailored for all sorts of medical students or clinician. So, yeah, definitely make the most of the medicine. He's on 15. Um, there's another. I think there's two questions. So So, by the way, the nicely written book was medicine In a minute, I just put it in a comment above, um that was really good. Really, really nice. And then is there anything you would? Oh, my gosh. Is there anything you would advise us not to do? The, um, placement stress Do not stress, which you will do, but don't overdo it. Okay? There were people who were, you know, first time, second term learning, you know, knew all the conditions. Learn all of them. And yes, it's amazing that you know all of the conditions by 1st and 2nd time, but you've got a lot a long way to go. It's months. And personally, my my memory didn't retain things I didn't. First year I didn't remember, uh, the first time I didn't remember that time. It's a good six months in between, you know, just keep doing repetitive things, But don't overdo it in first time. And then just forget to stop practicing later on. And don't underestimate your placement is another thing. Make the most out of your placements. Don't not go in at all, because again. One thing, guys, you need to know if you're not going in. I know it's It's a myth that people say you could not go in at all, but they do know and you will get called up on. So, um, do you go in and make the most of it? I don't know. If you guys have anything to add to that one, I'll just add One thing is and I think I would advise you guys not to do with Exam prep now. This is, of course, incredibly down to how you best revised and what you've learned from the past years and how you best prepare for exams. But I spent way too much time this year making my own resources. So my own flash cards and I know, uh, touched on this. Looking back, it was just a a waste of time. I think I should have used that time more productively and seeking out resources I've already made because, like, initially mentioned, there's so much out there for you, um, through so many different outlets that there's bound to be something out there that exists for your style of studying without you having to put in hours and hours to create it yourself. Um, I understand for a lot of people that actually making the resources that what is what helps them. But unless you know for a fact that that is the only way things can get into your head, I would just not bother. Honestly, I would seek out different resources and use your time that way. Also just was talking to the idea. Asked if, uh, part one has more than you need to know? Yeah, it does. But we'll also have, like a list you'll get given on Sophia. The list of conditions you need to know. Only learn those, Um, and if it's not on a nice guidelines, you don't need to know it or BMJ Um, then, yeah, but again, because the course is very flexible, you're not given exactly what you do need to do and what you don't need to know. There's no benefit. If you know extra, it's, you know it's not going to kill you. But one thing I would suggest and another plug I know. I'm sorry, but the med lectures actually summarize what you do need to know what you don't need to do very, very well saved my life. And just to answer the question about doing questions on Pass Med, I can't exactly remember which categories I was selecting. But I was being very specific, like I wasn't blanketing all of them, um, stuff like E n T. There are less conditions that you need to know for your three than there are on Pass Med, so this shouldn't be something that's in your daily rotation. Ent, for example. It's probably closer to exams when you're covering the more niche content, you might want to just select it. See if conditions that are relevant to your learning objectives on Sophia. If they're coming up, do those. But don't spend ages investing time in learning something you don't need to because it's all pass med. You know that you're absolutely right in saying that there is a lot more than you need to know, but that doesn't discount it as being a really useful resource, I think agreed. Another tip I'd have is, um So what I do is I go on Sophia and I look at the condition is listed and if it's not in the past, so I don't think you can search up, uh, conditions on requested the cancer conditions. So something, um, so a person who works there, there's, like, a list of, uh, there's a list of conditions that can choose the conditions of the general category of the of the system of the body. Um, that condition related to If, if the condition that you want to learn isn't there, then what I do is I'm going to his meds and in question, and you can search of conditions and then you can do questions based on the specific conditions. Um, that's it out on a Quest Med. Um, and yeah, I reiterated about nice and be mg. So nice, like I said, is what basis they're marks came on. But both resources have a lot of information. Um, yeah, and by the end of the day, it's aimed at clinicians, and we're not clinicians yet, so you don't remember everything. Just remember the basic stuff that you need to answer the most important management options. Um, for each condition and disease. So someone's asked about the Oxford cases, The medicine surgery book. Um, I had the book and I did use it. I wouldn't say it's something that you need to get. Um, if maybe, you know, a friend has it Just having a look through yourself and evening might be all that is needed. Um, it's quite useful in that it covers a lot of the main presentations, so it would be something like chest pain, and then we'll take you through all the possible differentials for chest pain. The questions you need to ask, Um, and it's good in covering a lot of the mainstays of what you need to know. Um, and but it's definitely not information that you can't find elsewhere online, other resources. So if you're someone who likes to have a physical book and it is set out really nicely and it is targeted at your level, um, I would say go for it. But it's not an essential resource by any means. I don't know if the two of you agree, or if you even used it. I personally didn't use it. Um, yeah. Sorry. Mm. Prescription guidelines. Pathways for every condition. Um, you'll need to know kind of first line management, but you definitely don't need to know the ins and outs the second that kids, it can get quite involved in some places. I would say, as long as you're knowing what you're seeing on the ward's what you're seeing in metal lectures, that will be the kind of level of detail being, um, about the medical ethics in law. Um, I can't lie. I didn't use anything on Medlen for ethics in law. I used what was a note bank. And personally, I thought that was the best thing to do. I think note bank was based on the middle and modules. So what I suggest is what is on the note bank notes yourself, which is based on that. So, yes is your. The short answer is also related to the quest, also raising the questions about conditions like multiple guidelines and pathways. A tip for that is See what it says. So see what kind of questions past and asks. Usually what past medicine usually passed medicine. Um, ask is just like the first ones are the main treatment pathways. So I think if I remember correctly, don't quote me on this I think is infected endocarditis and that endocarditis, for example. There's many bacteria can cause it. I think we have to know about the two main types that cause it. And the two treatments. Um, for those two main types of bacteria. Um, so yeah, so if there's any conditions that you see, that's like there's a lot of information on I go to the question Banks see what kind of questions they ask, um, upon the condition and then move from the I think we'll wrap up in 1 to 2 minutes. So if you guys have any other questions, um, send them that I can answer guys, just to say that you guys are going to be fine. Everyone over hyped. Third year isn't not about it. Isn't everyone says that It's like the worst year of your life. It's not. It's really not. It's actually it was the best year of my life, So I second that Yeah, yeah, I think, initially mentioned earlier. It's all about time management, and if you manage your time well enough, then there's plenty of opportunities to get involved with whatever else you want to do outside of medicine, for sure. um, yeah. Any more questions, guys? You guys have some really good questions. So? Well, then, I think I think that's it. So thank you so much. And, uh, when you talk to us, really informative for everyone. Um and then, yeah. Thank you guys for coming. We appreciate your your attendance. Um, if you want to really watch this recording, you have to sign in and, um, complete the pre feedback form. What's recording? And then complete the post feedback. Sorry. Post. Um, um, session platform. And then that is when you have access to the slides. After that. So that's how a medal works. Um, so yeah, that's that if you guys have any questions about third year, um or, um, the things that made it offers for 30 years. Please send us an email at meds that I see a sec dot Okay. And then you can just put on the subject, uh, our attention So you can just type our names, and then we'll get back to you as soon as we can. Um, but other than that, thank you everyone for coming to our session, and then we hope that you're looking forward to your clinical placement, and we hope you make the best of it And enjoy as well, because it can be a really fun experience. Um, so, yeah. Thank you, guys. Thank you, guys. Good luck with placement. Have fun. Bye, guys. Thank you as well.