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ST I believe in General Surgery s. So she'll be speaking about passing the MRCS, which is the post graduate surgical exam, and that everyone takes the you need to take before you become a registrar. Um, so I'll hand over to back now and to deliver that presentation on dopa, we will be useful. Everyone. I'm going to talk about the mosque. Yes. Thank somebody for the intra. Um, I, um his I've got a fib sort of promises. Well, so, um natural, but has passed the almost suspect a contentious title, I guess. Because, you know, everybody finds their own wage Deeney's things. But of course, you know, these things are more independent than that med school. You're less you while you're not spitting predatory. You're sort of expected to do them outside in your own time. On go, everybody kind of some people find the magic solution first time around, and they go straight through. Some people stumble and it takes them a few goes. So I'm going to talk about sort of lessons learned. I'm a CT two in seven. Um, general surgery. I didn't have my three. I have had one lot of getting through first time. So I got through MRCS part a first time around. I was actually in F one at the time on that supposed to be the difficult one. And then I did, um, part B at the beginning of every three and failed on. Then I've just done it as a CT one and past. So I am like a mixed bag and probably the other way around to a lot of people. But I've assures hell of a lot of things along the way. So let's have a child eso as kind of overview. Obviously you do you do your medical finals than this MRCs. Then there's F R C s, which is the fellowship, and then you become a consultant. So that route is for everybody he's doing specialty is under the umbrella of raw college of surgeons on. But just to be clear on EENT do a slightly different version, and that is has a gradual change of the last couple of years on. By the time anybody of you any of you might enter into it, it will just be the ent people, said MRCS parts A on its own on. Then they do this dawns thing on the get MRCS brackets empty because they obviously need a lot more had neck anatomy and stuff than we do on then just also, to be clear, obscene. Gynie is, um, osteo G. It's a separate on day, I think. One thing that I wasn't sure about, that I saw friends who was super keen when I was like enough to, um, doing other exams. Like if they were thinking of doing a CCS or they didn't really know. They do, like maybe an emergency medicine. But they also be setting the first part of their more sleepy or stuff like that, I think, just to be clear, there's not really any benefit sitting any other exams, especially in surgery. So, like, if you're still probably on the fence about all, I'm not sure if he wants to open and gyny or if I'm going to do surgery, um uh, then probably best to know and then sit them because you're just wasting your time money. Otherwise, because nobody is going to give you any credit for having MRC. Oh gee, eso. There's two is part A and part B. Part A is the MCQ part B is the Oscar on part? A, I think is probably, um we were kind of a Ming. The MMR says it's supposed to be a core training thing, but I'm sure that some of you in the audience will be chemical fellows off by threes have already done part in a doomed copy. So I'm going to kind of talk about both. Um so, um, it's an online MCQ at the moment. In the past, it was a paper based kick box type exam. Now it's on a laptop with it with, say, with the Web cam on you do. This is a really long day. You just three hour paper in the morning and at the moment with virtual version, you have a 10 minute break on. Then you have a lunch break, and then you have to our paper in the afternoon. Um, it's sort of ah, best a single best option on do extended, uh, matching eso. I'm sure all of you be super familiar with that from finals, so that side of things is quite familiar, really. When you stop, get going. But unfortunately for MRCS, the past rate is only 38%. Um, that is probably there's lots of elements to that in that spot is sat by a huge number of people abroad as well as in the UK So because it's the first entry point, it may be that some people, they're like English language usage isn't there? Yeah, so they might be some of the people who are failing. There's slightly higher rates if you're British training. Um, but, yeah, it's still pretty low, so it's really normal to do and most part a more than once. Um, Andi, you need to pass both papers in order to get through the exam on you can attempt to up to six times, and that seems like a lot. But I know plenty of people who have ended up doing it four times and things so on. Importantly, it's 550 lbs at the moment on, But, um, that is out of your own pocket, and you get tax back on it if you claim it. But that's out of your own money. It's not funded with, um, it's not study. Budget funded essentially used to be serious about it. When you do it, that part B is even worse. It's 18 stations nine minutes each on the past, right, Is 75% so much better? I think that's because you have to get through part A to get there really on. Then you have to pay 1997 lbs of your own pocket. So it is pretty harsh on there on the on the budget. So you wanna be, um, armed and ready when you eventually do it. So the difficulty is one to set these exams. So MRI, unlike MRC pee and other exams MRCS, you actually can sit in f y one. Um, now there's I said I did that. Um, it just really depends Is a put kind of a personal choice. So I'll tell you some, like pros and cons of why you might or might not do that. So party on the MRCs sort of syllabus. It says you should be taken up to three years after qualifications. So they're aiming for the people f y three CT ones even maybe seek YouTube's. But that's probably a bit later sitting for the first time. Um, on, um, we s o the pros of sitting early is you're really close to having done finals, so for May My situation I waas I done anatomy BSD at you need so that I thought the further I am away from that, the more difficult it's gonna be. I'd also done my Finals road to be late at my Eunice. It was only a year after I did my finals, so that helped with any random questions. I felt like there was a lot of there was a lot of like, I have a clear recognize, that answer kind of thing. It was the most like that of any exam I've ever done where I kind of had to go on instinct because I wasn't sure on said that really helped me doing It's an F one, however, obviously, now, if I'm sitting in now, I'm a CT to I would probably find it a bit easier in the sense of some of the things like what would be your first step in assessing this person? Because I do it every day. But of course, ML see a spot. A is mostly like anatomy. Physiology is like the pre clinical stuff from med school, with some clinical thrown in. So being a core training in some ways doesn't really help you on. Do you still need to hit, hit the books and learn everything from scratch? Part B is a bit of a different kettle of fish. You do need some clinical experience. I think it's difficult to get through without it. There are lots of things because I sat it just beginning my F three. I'd only done one surgical job and all this and I was on the F one wrote on my surgical job. I didn't have much experience of doing things myself. So there were certain things, like incision and drainage of an abscess or consenting somebody for an appendicitis to me. I do that all the time now so I wouldn't have to think about it for the exam but and see chewing. I do it all the time, so I don't think about it. But when I was an F two or three, that was something that I actually had to rise. So its pros and cons, I think, personally party. It depends when it seats you Part B. I would probably do is a CT one or if you're a clinical fellow like doing is an F three. But if you're doing lots of surgery. I think it's probably the right thing. But the really important thing for both of these is choosing the right time for you. It's not. It's not like you need what you have strong through hoops and specific way. You need to find a moment when you are gonna commit to it and you're gonna be okay with the fact you're not gonna have any life. And you're gonna be exhausted on most people strongly recommend, especially if you're going to do part a. F y. Pick a job that do it deliberately in a job when you're gonna be really shells. So I did mine a week after I did a four month psychiatry job on. So I did about two hours and revision, like in the library in the hospital, because they didn't need to drop doctor on the water all the time on go. I got through pie quite quickly because I'd actually done, like, three hours, your vision a day for three months, four months and and said that was the right time. For May. However, some people would say, Oh, do you enough one that's too intense. But for me, that was the right time because my f Y two jobs were really busy. So you just have to think for yourself. If you know you're gonna have a nephew, I to that has a bath in a gap. Say you're still working for years. I was a week. But if you've got something like GP, what they might actually build in study leave for you or, you know, they might be more flexible or just you're getting home on time. A half five every day. Um, then that might be the right time for you. So have a thing on def. That isn't the case during foundation. There's no pressure because in CT one, you're expected to do this exam, so there's a bit more support available. I I think it's really important as well. Think about the fact that you're gonna be working 40 hours a week. You're probably going to do a week handle two a month. You're probably doing a set of nights once a month or more on your probably gonna be home late at least like a couple of days a week. And so depending on your job, obviously, and so this is a really intense Ask, So make sure that you are committed and it's the right time for you. For example, if you're a cyclist and in the summer you want to do a our bike rides in, you know, in the sunshine. Maybe do your exam in January when you won't be on Same If you got a lot of friends getting married or something, don't. Don't do a September sitting of the exam. Do some a different time because you're not gonna be able to come in every weekend, and then you're just gonna end up doing the process again. Um and so I went to sit is really weird. So it's called I MRCs intercollegiate. Masius um on down, Um, Andi, basically, you can set it up the colleges in London, Edinburgh, Glasko Island on do, um, if anything to return to face to face that they also have examinations elsewhere on getting a hotel the night before is completely essential. Um, so sorry s so this is an example of the kind of awful question you can get an MRI within myself. Spot A. But it's Ah, you do know that by the time you said the exam, because there are specific things you need to do so to revise the party so breast. But I got five minutes left, so I'm going to go through this. This is a good photo. Teo Page, Take photo of if you're going to screen shot on day. So volume of practice you need hours and hours and hours there to good question banks, MRCS and past test. I would recommend MRCS. I only did a most yes the first time and I thought was quite accurate to the exam setting. It's the same as past minutes, and if you do that for finals, it's the same system. So that might be reassuring or traumatic for you, depending on how healthy Finals one on gas motivation happens. Video. Not Atlas. Um, Andi Um, that's available online through the role colleges and barest of societies. Ellis Chemical Anatomy book. The one top right is really good. Somebody gave me a tip that at the end of each chapter, there's like an orange clinical summary section and that has, like all the useful things about, like all the nerve injury or whatever, it pulls the important anatomy, and it's kind of written by many of the people who have written MRCS exams in the past, So it's really relevant. There's some anatomy. Course is if you think you really don't know that stuff, your medical may not have prepared you at all in anatomy. So something like this are So I said, Wait, a program. I went on that. That was good. I went on that few years ago. Um and then most critical and afternoon. If I I found quite useful for, like, going into the nest, aggressive of things on then. Basic science. The MRCS is a classic court textbook. Most people would be using it. So do you use it? When I did party, I didn't use it, which was dumb s. Oh, yeah. And then they will ask some questions about maybe 80 assessments, trauma, critically ill patients that by the time you're doing Part B, you probably will have done some of these courses and have more training and being through the core training applications, which helps you but just borrow the handbooks and manuals and read them from people. So for Christmas, which is critically management of critically ill circulation's on the 80 less with the trauma of course, Onda stuff like I got asked loads about blood gases and things. And so when you do EMR CS question bank. Most people do it in the order of, like, four or 5000 questions. It's nuts, but then they have not tried pastorate. But make sure you go into the cell. Oh, I see. All these things are really expensive. So, um, my essentials, If I was gonna, like, embark on it now again, I'd get, um, a C s. None of this is affiliated. Teo Acid, By the way, This is just my own recommendations. Um, assesses 4 to 5 lbs for six months. So I think is really good value you can do on your phone as well. Use. Don't buy the books unless you really want to. The M A library will give you a long lease of a book for, like, six weeks, which is great. And you just post it back on down hospital library as well. Just to get all of those books. They don't need to be the absolute newest version on Ben. Those free videos, our concern at me and then borrow 100 bucks from your registrars on DEXAmet. It's in general get wrote a swap. So you're well rested like there are always people who do a night shift and do their exam in the next day. So dumb you've got five hours of empty cues to do. You're not gonna be able to do them s. So just make sure the big borrow and steal some shifts and then make sure you're not hungry or thirsty, and then make sure you've done them Arison already before. So do a three hour mark it before. So you're used to how long it is because it's insane. It's so intense on then. MRCs part B. I've not got much lot more for the people who organizing I, uh, so it's basically a knowledge section, which is a nasty pathology, surgical science, critical care. And then there's a separate paper that you sit in a different room and the separate ask you for that kind of for the afternoon sort of thing, where you do common skills, history, taking, talking to seniors, and you do some procedural skills type stuff is well, and so these are some kind of questions that you might have in part B. But the difference is it's not, you know in it it's you being able to verbalize it. So giving a summary of what is gangrene, it's quite important. So have part passport day, um, find study bodies on. Basically, you're being interviewed by somebody who's completely blank, so make sure you get used to like passive examiners. So get somebody who doesn't know about surgery to interview you about it on that Zraly intense. So if you want to screen shot this, this is my Siris off part B resources to pass The MRCS question Bank is run by still current registrars and quarter, and he's mostly in Scotland and there it's excellent, and you can pay for tutorials and things through them, which is great. There are tons of books, absolutely terms your basic science book. What is probably a good bye and that green book of Emesis part The Oscar is great on then. My absolute gem is MG plus Surgical Revision Guys, which is the one with the abdominal X ray. They're not very well known, but they're really, really good, and they're really accurate to the exam on then courses go on courses. For the love of God, I didn't do that, do it the last time, and I should have done so. Go on local ones. I went on Doctors Academy. It's very expensive, like 500 lbs or something by highly recommend it on, then 80. Less and crispy probably need for your training anyway, so they're really useful. There. Also, lots of past questions online, but the wear those kind of that's not supposed to sharing those questions. So be very careful about what you're looking up. Um, and then it's the same thing, really, when you do your part. B breast smart. The Examiner's old fashioned. Sometimes they're like in their seventies, their proper old old school surgeons and so being not be, you know, dress for the job. You one on smile and be polite and try not to get too rustled. Make sure you're not hungry again. Always eat before the exam on that's May s Oh, thank you very much. You have not gone to overtime. Oh, and also obviously, uh, for all of these things, acid runs a ton. Of course. Is that relevant to this? So there's an anatomy course, are lots of things like going to pre conference courses and things like that could be really helpful. Eso Just keep your ear to the ground on follow. I think particularly follow acid on Twitter because they will, like retweet things from other societies that being run on. But if you want, ask me any questions. I'm on Twitter as Becky. Becky Fish. Thank you. Great. Thank thanks so much back you that that was really useful was writing down some stuff apart. Beers. So, um, and Georgia, unfortunately, has put a lot of the resource is that you've spoken about in the metal chats, and so, you know, everyone feel free to access those and and yes. Oh, thank thanks so much. Back E. She'll Becky's. It was happy to answer questions as well. So for the help you like. Bye. See later on. So just moving on to the next part of the day