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Sting. Yeah, good evening everyone. And um and uh hope you all have uh uh enjoy um um uh a break uh after New Year. This is the first series organized by Mons Academy. And we are truly grateful today that we have got two distinguished speaker um uh that are willing to and happy to uh uh speak um uh on this, let me entitle entitled Alternative Career Pathways, SAS, a lifelong fulfilling career. We have Mr Lata Sara, a general surgeon and a member of SAS Led Committee of the Royal College of Surgeon of England. And we also have got Mr Ma Ma, associate specialist in cardiothoracic transplantations, chair of SAS Led committee and council member of Royal College of Surgeons of Edinburgh. In addition to that, we have got um Mr Fad, a, a social specialist and specialty doctor as a representative and Mr Braam as, as representative from the Mornings Academy who will be speaking uh with us. And um first of all, before we start, I would like to uh have a gauge of um uh by starting a poll. And if um if we can start with that and um and uh to to gauge uh what stage of the career you are at? That would be great. Mhm. Ok. Wow. We have got 66% of uh audience or attendees who uh s SAS, 27% led and 9% clin fellow. The floor is uh yours and, uh, looking forward to hear from you. And um, and uh we'll um, yeah, the floor is yours. Uh Thank you. Thank you, Michael. And uh uh thank you for organizing uh this webinar um um on behalf of the SAS led uh doctors and uh on behalf of S uh academy. Um um I'm um I'm, I'm a local consultant, uh general surgeon uh in um uh university Hospital and I'll be joined by man. So I'm gonna start off uh uh by sharing my slides. Yeah, I would then turn off my camera. What you uh can everybody see the slides now? Can you see the slides? Uh Are you able to see the slides? Uh Yes, we are able to see the slides. Yeah, you can see the slides now. Yeah. Yes. Yes. All right. So I'm gonna start off now. This is our topic for today. Uh assays by choice, navigating a lifelong fulfilling career and uh during the next hour budget myself. What? And uh we will all try to uh try to demonstrate to you that uh what is possible uh by pursuing a career in, in essays. S SAS and Ed Doctors. All right now, aims of the webinar. Now, obviously, we, we have several aims like to shake off the inertia uh to look beyond the convention and dogma. Um And to showcase what is possible now, how we are trying to do it is we will take some examples um um from real life who I say, a lady doctors who have done really well, taken up a lot of leadership roles and variety of other uh aspects, clinical or nonclinical and to stimulate you to move out of the comfort zone. Um Now, one point that I would like to stress here is that uh now most webinars will focus on, on the portfolio part A oc sir or the how to get into the specialist registry. But one thing that we would like to highlight here is one does not necessarily have to be on the specialist registry to fulfill one's potential. It's one part, it's one of many parts that are available to us. Um um And, and uh by the end of this uh webinar, I hope you will have a clearer idea uh of various avenues you can pursue. Now, I'll start by giving some uh definitions. I'm sure you are very well versed with this. But, but for clarity, I think we should probably um give uh visit uh at least uh this topic briefly. Uh So SAS led, has two components, SAS doctors and led doctors. Now, SAS uh means um it stands for specialist associate specialist and specialty doctors. Um um now, uh especially now uh if you if you go into the details, so especially doctors that contracts us from 2008, you need four years of approach for surgery experience. Uh and two of these years need to be in the relevant special, for example, for general surgery, you need to do two years of general surgery, general surgery in within that four years. Now, uh a major development in the portfolio is development of specialist way. Excuse me. Now, from 2021 you have the the specialist contract which uh which uh which which the the the the guidance is that you need 12 years of medical training with six years in a relevant specialty. And I would highly recommend all of you to have a look at the Generic Capabilities framework uh which is uh which is published by a variety of uh organizations. NHS Employers BMA. Now, the important is this this this category specialist, associate specialist, especially doctors are on a national contract. Whereas locally employed doctors, um there there's a wide variation of seniority and experience. It can be the most junior clinical fellow or a trust grade doctor, which is terminology that we generally don't use anymore. Um It can be a very senior um uh doctor, for example, a senior clinical fellow um or even uh now the trusts can appoint you as a consultant um as a locally employed consultant or commonly known as a local consultant. Again, the terminology differs a bit. Um We are not entirely personally. I don't feel anything that I do is low. We have designated responsibility, designated clinics, designated theaters. Only difference between a locally employed consultant and a substantiative consultant is the contract. The substantiative consultant will have a permanent control. The locally employed consultant is in a contract with the trust which is renewable. Apart from that job scope wise, I don't think there's anything different. In fact, I would say the local consultant do a lot of work uh especially in this year of um uh backlog. Now, as I mentioned, the locally employed doctors are not provided with national contract. It's an important point because there is some degree of uh there is potential for abuse there because you are not on a national contract, nationally agreed contract, but some variation of it uh will be awarded to you next. Why uh why is a really important? Why is it important? Now, if you look at the last GMC workforce consensus, the workforce currently makes up 30% in fact, slightly above 30%. So it is probably the largest group of the doctors currently employed by the NHS. Um And in some subspecialties, for example, like dental surgeons, 20% of them I assays if you take oral surgery, subspecialty, 45% of the workers, one in two is an assays doctor. In fact, most of these units are run by assays doctor. There are not many consultants or trainees in this. So I think assays led doctors are the backbone of NHS Services clinical, especially the delivering the clinical clinical uh workload. And uh unfortunately, they have been neglected and undervalued for many years. Um I think partly because of our inertia and our, our failure to adapt to circumstances, partly because of the factors and we will explore these uh in future slides. Now, going to uh the start of the webinar. Now we we mentioned essay is by choice. Now, uh now, why, why should one aspire to become an ss uh led doctor? What, what is the advantage? Now, one advantage obviously is you are you can work flexibly, you are not tied to a specific training program. You you are not tried, you, you don't have to rotate around trying to fulfill variety of training requirements. Um You have stability, you have geographical stability. Um And as we, we would uh illustrate in the in especially in talk. Um you know, there's a lot of scope for us to get into other nonconventional avenue. For example, if you are a trainee, obviously, you will have to you and time most of your time you will have to devote to fulfilling the training requirement. But as I say, we are service providers, we have our time to devote to quality improvement projects, research publications and that sort of academic work worklife balance. Obviously, you will be you will have more control on your time and that, that would, that would uh that would be an advantage. Now, for the more junior SAS led colleagues, obviously, you can use this as a stepping stone to get into specialty training post if that is what you want. Um Now there are some concerns controversies about this at the moment. I think it's probably not the forum to discuss that, but, but you know, it is a stepping stone for you to um to enter specialty training. And as a part of that, you might want to use this period to do membership and fellowship exams. Another very important aspect is that you can develop a portfolio career, you can pick up pick a niche area. Um A good example is Ma uh Mr Muka, who is actually a retrieval transplant surgeon, very niche area. Uh For example, endoscopy, you know that you can, you can develop a portfolio career. You don't have to be a run of the mill uh upper g surgeon or colorectal surgeon or eye surgeon or you, you can, you can take a variety of roles as because you are free. You are not bound. For example, a colorectal surgeon uh probably would not uh do a, a patch to do. Now, uh colorectal surgeon will not do a gastroscopy. That's uh that's how uh sort of segmented the practice currently is. But as I say, doctor, there's no limit to what you can do if you want, you can go into endoscopy, you can do a, you can do colonoscopy, you can do a sigmoidoscopy. Uh If you become an emergency surgeon, you can do whatever comes through the door, nobody is going to uh give it to you if you do a heart months in the middle of the night because people don't want to come in the middle of the night to do the heart months. So I think there's a lot of flexibility there. And obviously, for the, you know, if you, if you really want, you can use the time to um to gather evidence for your portfolio pathway. But that is, that is obviously 11 aspect of it. So I'm going to illustrate some of these using my career. So II was not trained here. Uh I had excellent surgical training in, in Sri Lanka. I'm really proud of it and I would not trade it to any other country. It's, it's really good training, it's real surgical training. And uh afterwards, I moved to uh um uh Singapore to complete my general surgical residency training. Uh I finished my training there. Uh Once we we, we had the, the certificate of completion, I moved to UK. Now, obviously, I was fully trained at that point, but there is no way that you can uh get um senior consultant or, you know, local consultant or a specialist job unless you have UK work experience. So II joined uh district General Hospital as a a doctor. Now, I was there for like 67 months, I would say uh close to one year. And that at one point I realized that I was doing everything myself. I was taking a lot of responsibility. However, when uh when, when I actually clearly remember this, I asked the trust to appoint me as a local consultant. They said, no, you have to have uh these uh various things. So what I said was I said, why give me two references? And within two weeks, I got two local consultant groups. So if you, if you are capable, if if you have the skill set, you know, you can, you can uh progress in your career. I mean, obviously I could have had the choice of doing so. So that was not, that was not what I intended to do because I had my reasons. Um uh I mean, the the previous slides um give you advantages. I like that. So II opted for it. So by no means that's, that's 11 career choice I did, but that doesn't mean you need to do the same. But there's one, there, there is opportunity to do that. And uh after that, after that, I moved into this local consultant post. I've, I've been heavily involved with the college trading academia. Now, important thing is now I do what I enjoy doing, traveling, writing, examining, even, you know, I take some flying lessons now. So, you know, I have time to do what I like to do compared to, um, you know, if I was pursuing some other carrier path. Yeah, I probably would not have time to do what II won't do. I probably have to do what, what other people, uh, what the convention or dogma expects me to do, like, you know, get sign of, you know, get the evidence that, that's one avenue. But this is what I chose. And that is because uh the, the attractiveness I saw in these uh these traits as I say, ae D doctor. Now, some of my affiliations, um um I've, I've, I'm heavily involved with the college, uh various committees. Um I, I've uh become an examiner for uh medical school, uh and uh MRC exam clinical tutoring. I've written several books, several papers. So all of this is possible as an essay as a doctor. There's nothing, absolutely nothing preventing you from uh from doing this. It's just a matter of you focus your energy well, on what you want to get. And all of this is possible and certainly achievable myself, Majid and several others that we will uh speak to you about have uh have done that. So it's just a matter of focusing your energy. Now, e even publications I've done fair even although I'm not, I'm mainly a clinical uh clinical service provider, but still I have done fair bit of publishing with uh it index of uh 11 which is uh which is uh which is, which is quite high. And um and um II, write by the name of Bar. That's my middle name and I've written several books. Um So all of this is doable as I say as AE D doctors. Now, what are the tools that you resources available to you? Now, this slide is an important slide. II would suggest that you visit this uh website. All of these are free for your consumption and your career advancement. The last one is a career development resource document that we developed ma myself and the committee um excellent resource for you to um develop um uh leadership skills and um and uh to advance your career. So I would highly recommend you have a look at that. Now, my last two slides, very important. Um You know, the Gary 10 is an American venture capital. I totally agree with you. Every job you should either learn or earn. So if you do both, excellent, you should stay in that job. But if you don't do both, I either learn or earn, you should quit, you should find another job. So that's very important because um sometimes you have to move around, you have to find the right place to achieve your goals. And um I have um I'm really fascinated by Steve Jobs. Um You know how, how he is really a visionary and I will leave this slide for 30 seconds for you to read, you see, our time is limited. So I think there's no point wasting time living somebody else's life. So I would totally agree to this. Think what you want to achieve and work on those lines. Uh Because at the end of the day, you can't run away from the fact that one fine day you will, you will, you will look back and say, did I achieve what I wanted to achieve? Did I spend time with my kids? Did I see them grow up or did I make money? You know, all of these, you will have to answer one fine day. So think of what you want to achieve to 100%. There's a lot of avenues available to us. Please reach out to us. Um I put my contact also, I'm quite active in linkedin. Please send in a request. Um If you have any questions, you know, please uh we'll be hanging around for Q one A but you can email us as my personal email. Um um um Now I think um as my last slide. Yes. So I'm gonna stop sharing. Thank you so much uh lasa for such insightful uh talk and uh sha sharing your experience and uh in your career as well as um achievement, very inspirational. And um before I introduce my next speaker, Mister Maje Muka, I'm a chorex surgeon uh in Queen Elizabeth Hospital in Birmingham. I would like to start another pool and um and the next pool of uh I would uh start an apple and see um uh the the the questions is, do you need more support in a portfolio and CB reading fellowship examination, B fellowship examination and see advice on C A pathway? Ok. Wow, let's see whether. Ok, I think the result is 5050 portfolio sybu and advice on Cisar um pathway. We are looking forward to hear from our next speaker, our second speaker, Mr uh Maje Muka and um the floor is yours. Hi, good evening, everyone. We had little bit of technical difficulty, but I'm here now and I'm so delighted to see so many of you joining in um on such a pleasant mild e winter evening. Um So I am uh first of all, thank you uh Michael for kind introduction and Lata following his uh foundation with his succin presentation, he is always to the point. So it ma he makes my life easy. So I'll just start sharing my my screen. Mhm Yeah. Yeah. OK. Just bear with us. So I am Majid Muka. I am an associate specialist in cardiothoracic transplantation at the Queen Elizabeth Hospital, which is uh uh you know, is, is a transplant center doing heart and lungs, kidney uh liver transplant as well as bone marrow transplant. So it, it is one of the five transplant centers in UK. Now carrying on from ci's talk. We're just trying to get my presentation going. Yeah. Um, so, you know, as Lata said, we have to keep our eyes open for any opportunities that come our way. I see. It's not, yeah, I think, uh, it's this one here, this one just here. Sorry. We're just trying to get my presentation going doctor. Ok. Ok. You open it. Yeah. Well, ok. Um, this one got you. Yeah, it was there the, hm, I'm not sure. Um, while we sort, sort, sort out what, what I want to see in uh say in my second slide is um that when we are doing our essays job, I think we are extremely busy. We have a lot of responsibility in the, in, in the clinical area. We try end up doing jobs which are um sort of dumped upon us. So we don't have time to think out of the box. Um And we, what I would advise in this situation is to pause and make sure that you are able to take stock of the situation or, and, and do what you feel comfortable with what you are happy with and try and achieve this. Um I will try and share examples of my colleagues and also myself uh to try to see if I can encourage people to. Ok, I'm so sorry. We're having trouble. Mhm. Ok. Uh For what maybe I'll ask for it to present first for us if you could present first, we saw some technical issue here. That's fine, Michael. Uh Sorry about this. Yeah, some technical issue. Let me just uh if you could present first, let me set some. Yeah, that's fine. All right, just uh so Michael, we need your mic microphone off uh please. Uh OK, thank you very much. So, um so my name is uh I'm uh an associate specialist uh working in a University Hospital of Derby and Burton. So that's my clinical role. And uh I represent SAS Doctors at A S GPI uh and Mohan Academy Council. And I'm also uh associate postgraduate dean for SAS Doctors in NHS England in the region of uh West Midlands. So that is my background. So I've been an SAS doctor for uh for, for over 15 years now and I've been in, in UK for about 20 years prior to becoming an SAS doctor. I was an a uh doctor. So, so I, so my flights are visible. Yes. Ok. That's good. So that's my, so that's my introduction. So, um so thank you Lafita and thank you for the introduction uh about the SAS grade in general. Uh So we know what an SAS grade is and what are the various opportunities and has, has very uh elaborately uh sort of highlighted to you what the potential are within the SAS carrier. What I want to highlight is that, you know, our carriers are important and we all understand and recognize that. But at the end of the day, it is all about health care needs and it's all about patient care. Now, the NHS was formed about 75 years ago. And the reason I want to present the N HF long term workforce plan in contact of our carrier, the SAS carrier is because it's very, very relevant in future. So, so in 75 years, the a lot has changed within the NHS in terms of demographics, in terms of uh uh the type of illnesses, the comorbidities, the complexities of medical problem. And what we are also seeing is increased number of vacancies within different healthcare workers. Now, if we continue, like we have been it in action would mean that the shortfall would increase from 100 and 12,000 to over 250 to 300,000 in the next 15 years. And as things stand, we are already seeing an impact on patient care with this background, with this issue about meeting the future healthcare needs. NHS. Long term workforce plan was uh was published in June last year or in 2023. And there are three important strategic elements to it. This is not something which applies to medical staff or doctors only, it applies to all healthcare workers that we need to train and grow the workforce. So we need more doctors, we need more nurses, we know we need more uh allied health professionals. So we need more numbers, but we don't need to only produce more numbers, we need to retain those people as well because there's no point having trained more doctors and nurses and not retaining them. And therefore with retention comes the right culture and retention, which is associated with strong leadership and right culture in the organization. And it is not just about numbers that you train more, retain more, grow the workforce. It is also about working differently and in it in future will come a huge role of uh digital, digital technology, things like artificial intelligence. Now what it means in terms of SAS doctors. So within the NHS long term workforce plan, there are 200/200 action points and and two of them directly are related to SAS doctors and there are other two which are related to locally employed doctors as well. And the anarchist long term workforce plan have SAS doctors. SAS carriers are integral part of long term workforce plan. It has been recognized that they, that we are an important part of healthcare delivery and developing SAS doctors is is is is of paramount importance for uh future medical workforce growth. Now, going back to the pillars of the long term workforce plan, the first pillar is trained what it means in terms of SAS doctors, in terms of SAS doctor. It means that we train a S doctors to develop as a as to develop them into having SAS as a positive carrier choice, which is first option. Now, historical data has shown that the majority of SAS doctors prefer to remain SAS doctors. And therefore, we should provide them with the opportunities to develop not only their clinical skills but also into wider educational and, and, and research and leadership roles. So that's number one, number two, there is a small group of people who want to pursue within the SAS workforce AAA specialist registration or progress to uh uh become a consultant. And that is absolutely fine. Again, historically, the number of doctors interested in this pathway has been low, but there are multiple reasons behind this and one of them is the whole uh you know, the the the the the whole Caesar process. Uh However, things may change with the reforms we have seen recently uh in the form of portfolio pathway and the third area where we need to train A S doctors are again, I think it's a small minority of relatively uh uh you know, um uh less experience as a doctors who may want to get into formal training. So we must uh provide them tools to get the competencies to enter uh formal training. The second pillar is retention and I think it's highly relevant to SAS doctors, the the the the whatever survey you take, this is the GMC survey done in 2019. There are various other surveys, local, regional or national. One thing is common that the SAS doctors majority are international medical graduates, majority from ethnic minority and most of us have reported, you know, high level of bullying difficulty in uh professional development issues around harassment uh issue issues around, you know, valuing us um as a S doctors. And that is why in terms of retention, the inclusive culture, the compassionate leadership and the issues must be resolved. In addition to our right to be autonomous practitioner, uh culture is not easy to change. Uh uh I think we often feel that it is somebody else's responsibility to change the culture for us. I've shared a quote here. Culture is how a group does the things it does, it changes because people start doing things differently or start doing different things. The casuality doesn't go the other way around to be the change you want to feel. And the last pillar of the long term workforce plan is reform and in context of SAS doctor, it means opportunities to uh progress through the new senior SAS grade, which is the specialist grade uh uh opportunities to do other roles in management, leadership, education and research. And that all roles, irrespective of what educational leadership role it is. It should be open to all SAS doctors. There is no reason why an SAS doctor cannot be an educator at any level. You you, as long as you've got the skills, as long as you've got the experience, you do not have to be on the specialist register CO Met, which is a body of postgraduate Deans of England ha has approved that SA doctors can be educated provided they are appropriately skilled, qualified um and experienced similarly Academy of Medical Royal Colleges which encompasses all the medical colleges has also stated that SAS can be educated and that should be the norm. This is a screenshot of my GMC registration. So I am not on the GP register or I am not on the specialist register, but GMC recognizes me uh as a trainer and there is a process how you can become a trainer and, and again, your grade is not a barrier, should not be a barrier. So what support is available for you to flourish within your SAS carrier? Uh I've highlighted some of it, what what is available at the local level? What is available at regional level and what is available at national level? Uh What I'm going to focus next is um what is, what is available um through the deanery, through the region. Uh Obviously, you have got your tutors, your advocates, your LNC representative, your senior leads and supervisors within your trust. Uh But, but within the region, NHS England, uh it, it used to be called health Education England or the Deanery. It's not all part of NHS England uh where you have a regional associate postgraduate dean. And I'm just going to highlight some um support we provide from the region and followed by which um my colleague Atria will highlight to you what support is available from the specialty association such as a S GPI and Mohan Academy. So, so there are three things ba basically at the Deane level, there is an SAS Development fund. This year, there was an additional fund and there is something which is in progress which is in making at the moment is the development of a s excellence and development of work. So ever since the 2008 contract, uh the there has been a recurrent, almost a yearly recurrent fund uh which comes through the which is channel through the NHS England into the region, which is managed by the regional associate post graduate dean. So in my case, for example, in Midlands, we get about about 1 million lbs a year uh for, for a s development and we have about 2400 SAS doctors in the region of Midlands, how this money is spent. There is some regional uh variability uh in some region, all the educational events are done centrally within the region, but vast majority of region, what happens is that AAA significant amount of this fund like 50% 60% or 70% is directly allocated to the trust. And the reason is that we want to empower the local SAS tutors to have this one available to them so that they can use this one according to what their local needs are. And often this one is used in improving generic capabilities such as leadership education research communication, you know, medical legal. Uh in addition, uh seizure uh support and, and sometimes individual funding as well. And then we received the feedback from the, from the tutors uh to see what were the themes and for quality assurance purpose from the region, we also support individual funding. Most of the region will support individual funding for people to do things like PG cert diplomas or masters exam courses and specialist skills courses. However, the funding is limited and not everybody is able to utilize it. And most of the region, what we have is uh an application uh scoring system to which we uh allow individual fundings as well. This year, we also had uh an additional fund uh approved by NHS England and the additional fund was about 500,000 lbs for Sas doctor for the, for England and about 210,000 lbs for locally employed doctors uh for England. This is not a huge amount, but this was something additional by which every trust could bid up to 50,000 pound additional for their specific project. And in case of any digit for 30,000 lbs, about 10 trust in the region of in, in the country of England uh was successful for SAS bid and about seven for the led bids. Now, this money has gone to the trust as well uh who were successful and will be spent in the in the coming year. So this was um something which was additional, it, it, it's not guaranteed to be recurrent uh uh but this was something which was welcomed this year as well as an additional funding. And lastly, I'll talk about a bit a bit about the SAS Excellence in Development Award now based on the three pillars of long term workforce plan and based on what I presented earlier as to what it means in context of SAS doctors, grain retain and reform. There is a plan from NHS to introduce award system of three levels, bronze, silver, and gold for trust to apply for either of these three categories. Train retain reform. What we are doing at this stage with the help of England is trying to develop a criteria, a metrics uh scoring system through which the trust would be awarded accordingly. Uh for the level they have applied for. Uh the fine details about this are still in the stage of discussion. Now, what will this do? Obviously, this is not a financial award to the to to the trust? So the question is how will this attract the trust? Why would the trust bother to apply for these aboard? What we are hoping is that with some sort of accredit es doctors will see which are the trust who value SAS doctors and therefore would have a better recruitment and retention and that hopefully would create some level of regional competition amongst the trust. Um And, and, and we're hoping that we link it with C QC as well. So the details still has to come. But this is work in progress. And that is another reflection of that. The fact that the NHS England has got a renewed interest uh in SAS carriers. OK. So I think the C has already highlighted why more doctors are choosing SAS carriers. I think there are a variety of reasons you can focus on direct clinical care. You're not bound by your curriculum. You can develop in a specific area of interest or you can have a broad spectrum of clinical practice and you can develop competencies in your own time at your own pace. You, you're not uh you know, you're not uh pressurized by um ACB type processes. And in addition, you have got opportunities to develop into other uh roles as well. So the, so, so there are more than one way of having a fulfilling carrier as the speakers have already elaborated, you know, as a carrier can be a fulfilling carrier. It, it is a positive carrier choice. Uh I suggest that we, we give carrier advice for medical students and, and foundation doctors uh at an early stage and that advice should include in a positive manner uh the SAS carriers as well. Um And for, for this to be a viable option, we must give opportunities for wider educational and leadership roles to SS doctors as well. And that is what the long term work for plan for sizes and that is what we are pushing for. So, thank you very much. So, I'll request um Atria to kindly uh uh share his slide and elaborate what Mohan Academy uh and A S GBI uh offers in terms of uh uh support. Ok, I'll stop sharing my, thank you. Uh Thanks a lot for um uh thanks. Thanks Michael. Thanks. See that, that has been a really um enlightening uh um last 40 minutes. Um My name is uh Arthri. So, and I'm uh I'm an SAS representative uh for the morning, an Academy. I'm uh a senior fellow at the and Iron uh University Health Board in uh in Newport, South Wales. So, uh I'm going to be uh extremely brief. Um I'm, I'm just sharing my slides right now. Just um OK. Left. Um Just let me know uh are my slides visible? Yeah, the lights are ok, great. Thank you. All right, brilliant. Uh One second. All right. So, uh at the uh the Moan Academy essentially is, is an organization. It's, it's a pan UK organization uh of, of uh doctors, mostly trainee doctors, but uh SAS doctors as well. Uh And our primary motto is uh to, to, to collaborate with uh you know, multiple doctors across the UK for either research uh for any form of training and essentially support uh in, in multiple avenues. So, from an SAS um perspective, I think most individuals here would want some level of portfolio building if it's for seizure or even otherwise. Um One of the main things the Moan Academy offers is, you know, multiple teaching sessions. Uh We do uh webinars uh usually at a frequency of, of, of uh at least a month if we can, if we at least try to do that. Um And most of our webinars are done in collaboration with uh with the Royal College. Um The last one I had done one with uh uh with some very esteemed pediatric surgeons uh along with R CS Edinburgh, uh for Fr CS based Viber sessions, uh with respect to pediatric surgery, which is one of the sessions where you uh I don't really expect too much and it can comes a bit of a, a googly uh for people planning for the FRC S. Uh So that's just one of the many examples. Um most importantly, um many doctors find very difficult to get a very good, effective leadership role uh which is, which is very important for any portfolio uh including uh you know, the new portfolio pathway um mentoring uh including for Fr CS preparation. There are many uh S es doctors who um you know, uh are, are either preparing for Fr CS uh as part of their pa you know, route to get in through the um portfolio pathway or they've either just completed and, you know, mentoring um uh other doctors. So the morning again on this uh aspect as well I have been able to, you know, mentor quite a few people with uh you know, clearing F RC as both party and as well as part B. Uh if there's anyone in this group who, who is, you know, attempting, I'm happy to, to help them as well. I'm happy to give my contact details at the end. Um Apart from that, uh since the portfolio pathway itself is quite new, um this is something that has been, you know, spearheading essentially. Uh our aim is to uh target the AGB Congress uh later this year in May uh where we want to address a lot of the issues that S ES doctors are having with respect to, you know, uh the new um um rather uh nuances that we need to be aware of in um uh tackling the new portfolio pathway and hopefully, if it's successful, we'll, we'll probably meet you in Maine in uh the A SDB of Congress. Uh And, and I cannot stress this uh enough that, you know, these kind of organizations are excellent platforms to connect with different people. Um You never know in terms of what aspect that you, you know, would like uh to uh further your career in and sometimes by just meeting individuals uh who are excelling in a particular sphere, you tend to either get motivated by them or um feel that you have a connect with them as well. And um and who knows, uh you might be uh excelling in that field as well. II for sure have uh met some lovely people through the Mo Academy. Uh And if anyone is interested, I would, I would, you know, strongly urge you to, you know, either either be part of our webinars or even join the Morning Nine Academy. Um So, right from, you know, research, teaching, uh career development, it's, it's an excellent platform. Uh apart from that, for that already touched upon, you know, a GBI fellowships, um there are multiple fellowships. It's not only one, the most recent very prestigious one I'd like to highlight was the, was the mo and traveling fellowship. Um It's amazing, especially if, if you're somebody who, who enjoys teaching. Um it, it is a lot of work. Uh It's, it's um it's going around quite a bit, but you do get uh a significant donation, um you know, provided, uh you have the uh the necessary skill set. Uh And most importantly, we at the Moan Academy are, you know, focused on, on trauma surgery as one of our, you know, subspecialties. Uh and uh SAS doctors who have particular interest. I would, you know, strongly advise you to consider. Um the 28th of March, we have a emergency general surgery and trauma masterclass. We have some very good eminent speakers and um we're also focusing on some aspects of the Fr CS. So you'll have individual sessions focusing on specific topics and what they might look for in the Frcs as well as you know, discuss potential vi scenarios. And uh if you're someone who's attending the Frcs, then this would probably be one of the um the best sessions to probably attend. Um I'm going to be, like I said, extremely short uh because I think Mr Mood has a lot to say and I don't want to stop him. Uh And yes, um I'm happy to share my details at the end if anyone is um uh interested at the end for any kind of help with respect to the um I think Michael back to you and thank you so much for the tip tops and uh we'll uh hopefully the uh slides will work and let me share my screen now and um oh yeah. Ok. Uh open. Ok. Uh for some reason, um the uh it doesn't seem to work. Uh not entirely sure. So we have uh yeah, it's all. So let's see. Uh Would you be, I'm gonna share the slides slides. So that's perfect. Yeah, that's perfect. And then uh uh could uh uh speak uh from here or no, it's um you can, you can you see the Yeah, yeah, I'll hand it over tonight and our last speaker. Hello, good evening. Finally we get there. Uh It's, it's a winding road for nothing comes easy. So we have to be prepared for the challenges and this is one of them. Um So I did introduce myself. Uh Next slide. Let's sit up please. So um you'd heard my colleagues speak about that. It's not easy for us as, as s to, to try and think out of the box. So here I see that uh no need to think outside the box. Simply realize there is no box and try and do find things that make you happy. Keep your eyes open, be flexible if possible. And now I think you have heard uh my colleagues speak about the various opportunities here. I say that opportunities in education um in administration, clinical governments or research or um in academia, I will give a few examples from uh some members of my committee who are um you know, I'm very fortunate uh to have such a esteem group of people helping me in my SSL C committee. Next slide, please. So um a bit about myself, I think you heard about Lata II trained in India, did my M BB SMS general surgery and MC H and cardiothoracic surgery in Mumbai and came to this country to learn about coronary artery bypass grafting. Um And because that wasn't one of the things that was uh well done in my center in Mumbai when I arrived in um in order to learn that I joined the West Midlands NTA National Training Rotation, um which was for visiting registrars only. And this I uh after finishing that, I passed the FRCS cardiothoracic surgery um and packed my bags had a container ready to go back to Bombay to practice as a cardiac surgeon. And lo and behold opportunity arises to work in heart transplantation. And as you know, heart transplant is a dream of any surgeon, especially cardiac surgeons. So II said, let me give it a try if I can study or if II sort of hang on for a couple of years and then go back. But here I am an associate specialist in cardiothoracic transplantation. I led the service for organ retrieval at, at this hospital, what I was taught was to be a big fish in a small pond. So I took a form my patch in organ retrieval and let that service made so many innovations and sort of l it nationally as well. So it, it was nice to be associated with transplantation. Then I became a clinical tutor for SS doctors um council member for Royal College of Surgeons of Edinburgh, chair of S ASL C committee. I'm also a GMC accredited clinical supervisor appraisal for the trust appraising many consultants examiner for the MRC S. Uh I'm also a principal investigator for research trials. And whilst working in transplantation, I realized that South Asian or Asian pop do not believe in organ donation and the organ donation rates were very low. So I joined with certain charity organization and helped to promote locally regionally and nationally uh about organ donation in the Asian population. And this work was recognized nationally and I was awarded the MB E um by then Prince uh and now King. Um and also I then uh was awarded the Health Star Award by the um ITV. So one thing led to another, what this is slide is not to show brag about myself, but to showcase is possible. Um I am sure that if I was a consultant with a very, very busy practice, busy on call, I may not have been able to do all these things that I did on the side. Next slide, please. And as you can see, I have illustrious members in my SAS committee. I'm very proud and to have this richly um um sort of talented people in the committee, you can see um there uh there and there are other members. Also, they are from different specialties, they are wearing seniority, each one, they have a different side role. I and the idea is to showcase what is possible as, as SAS led doctors next slide, please. So the first one is our shining star um who is a professor uh in uh trauma and orthopedic orthopedic. He's an associate specialist in piano uh in uh in and also he has achieved tremendously in medical education. He's an honorary senior clinical lecturer. His research portfolio is uh is absolutely brilliant. He's now reached about 5000 citations and he's a deputy editor of a journal. He's authored several textbooks. So, you know, uh uh Karti has be besides being an orthopedic surgeon, he's managed to sort of expand laterally and achieve excellence in academia. Next slide please. The next example is Catherine, she's a specialty doctor in Ent um at Belfast, she is clinical governance lead and quality improvement lead in her trust. She has participated in step step course. She's been a, a trainer on that and um recently she was appointed as a dep deputy Associate dean for SAS Doctors. She also has time to be an athlete and she coaches athletes uh athletes. So um hats off to her how, how she manages to do besides being a a full time mother as well. Excellent. Um Nishan is uh is another cardiothoracic specialty surgeon uh uh from north of Scotland. He has expanded his uh portfolio in medical education. He's a senior lecturer of medicine and a scoring panel member of the research and grants committee at the Royal College of Surgeons of Edinburgh. He's also a R CS examiner. Um So I have given you a few examples of how to excel clinically academia research and uh in admin clinical governance goal and now in education. So last but not the least next slide, please. Um uh We have two more to go. Murley is, is a Talbot in urology. He has accomplished himself as endourologist and he, he, he is a Chair of SS and Trust Urologist at the British Association of Urological Surgeons. He is a pioneer of trying to establish autonomous uh assays as auto autonomous practitioner. And he, he has worked with Even NHS England to try and get a code, individual code for an um SAS doctor. Um and he, his work still carries on. Um and he uh also is a good speaker uh hopefully will get him on the next webinar. Next one please. Um Daniel uh was at uh was a committee member until November. He's trained in Kenya, South Africa and Britain. Um He has completed a fellowship in pediatric neurosurgery uh at Boston as well as King's College. And at, he became a locally employed consultant in pediatric neurosurgery, which is a highly specialized field at Oxford and currently working at She Food. Um as we have shown previously this, we can chase going on to the specialist register or the portfolio portfolio pathway. But there are other ways of achieving your dream and what we are trying to showcase today is that it is possible um uh with hard work and keeping your eyes open. Next slide, please sit down and there are many other examples we have for you heard him to get today. He's an associate post graduate dean uh for West Midlands and he's doing a tremendous job. We have clinical director of the department, a divisional chair, associate medical Director Anushka, and even a vice president of Royal College of OB S and G. No, the list is endless. I have just highlighted some of the um great uh jobs that our colleagues are doing nationally. Next slide, please. Um uh And next slide, please. So what are the barriers to success? SAS led doctors? I think you, some of my colleagues have already highlighted there. Our job is so busy, we have to, you know, um and think of different post where where is going to be our next step in the. Er so we, we try, unfortunately, sometimes lack focus and clarity. We may have a tel region, we may have lost drive. Uh And the important thing is inability to identify a, a niche area in the specialty, which you're working. As I gave example of myself being uh having a niche area and transplantation. Um Daniel did in pediatric neurosurgery. Uh Lata is doing an endo endoscopy. Uh So just find a niche and flourish. So that is one of the inability of our colleagues to do that and not having enough negotiating skills and lack of engagement. Next slide, please. And above all there uh inertia and inability to come out of our comfort zone. Uh This is very important. If you want to achieve something, then you have to try something different, get out of the comfort zone. Uh uh and just try and change the dogma, change your thinking and see what I, I'm sure it is easy for me to say because now I have achieved something and it was sort of uh not the end of the career. But five end of the my career and I can say all these things. But believe me, it is possible to achieve as I have given so many examples of my colleagues. Next slide, please um how to overcome the barriers. Um keep keep your eyes and ears open, try and spot a weakness in the unit and and come up with a solution or be the solution yourself, find your niche and go after it, stop procrastinating. You know, it's not, I will do it next year. Now, I've got my first child, let let the child grow up. Or the second thing that comes to our mind is, oh, I have to buy a house. Um After that I will do no, just if you want to do something, just do it. And in this country, I can say that there are opportunities um um and we just have to go out of them when nothing is clear, everything is possible. Some, some of these quotations are from Lata be smart with your time when in Rome do as Romans do. And what I wanted to say is there, there is a lot of support available. As mentioned, there are leadership courses, admin roles, the leadership courses I would strongly encourage, I think there was a question as to whether there are um training available to go into the management roles. I think the leadership courses are some of uh uh do prepare you to go into the management roles. In fact, I'll give you secret, I have applied for, to being uh associate medical director in this uh trust. I don't know whether I'll be appointed, but, you know, that is the aspiration we should have um that there is uh you know, life is uh live a life with fulfilling and try and just achieve your, your career. Next slide, please. Um So I have done enough of talk talking. I hope I have been able to uh to sort of shake off the inertia and try and push you towards thinking out of the box and trying to um achieve something. So what I would try uh tell you uh and my talk will be try tonight. Just think of the factors that are holding you, holding you back at the moment next slide, please and see what you can do starting from today to break these barriers and these factors. Um And on, on this note, I think I will end my uh talk. I think we took some time getting there, but hopefully many of my colleagues uh will uh try and benefit from this. Thank you. Thank you. Uh Thank you so much, Mr There was a, there was a lovely talk. Uh I think we just opened up to a few questions. Um So II think um someone asked a lot earlier and Mrs was happy to answer as well. Uh difference between an, a consultant uh contract and a substantive uh consultant contract. Um and does it offer better work life balance, et cetera. So uh I think um can I answer that? Um you know, ii if that's all right. So salary scale is the same, you are your salary scale is based on your consultants seniority. So day one substantiative consultant and day one locally employed consultant will be paid the same. The job scope differs uh because as a locally employed consultant, you are employed by the trust. So you have to work as a consultant within the trust within the different sites. Um Substantial consultant has the opportunity to move around because that's he's on a nationally recognized um consultant post three. is that uh locally employed consultants now it's difficult to get into the mainstream suspects, for example, not always though, not always, but let's say you are in a bigger hospital, you might be employed. You're more likely to be employed as a general surgeon or a or emergency surgeon. All right, you are less likely to be employed as a uh subspecialty consultant, like let's say, uh uh HPV surgeon, colorectal surgeon, but that's not the case always because that's more the case in a teaching hospital. Now, I work in Leroy. Uh it's a, it's a big royal infirmary. So then there, there are a lot of trainee who fill these post. But if you move out, let's say if I go to um Har or Grimsby or, you know, Well, it's, it's possible there are district general hospitals that do not have. And if you have the skill set, if you are able to fulfill that role, nothing is preventing you from doing that. Only difference is substantial consultant has a permanent contract. Locally employed consultant has a renewable contract with the trust. So you, the job security might be um uh the is the only, only advantage I would say. And that that same question had the another ST about specialist grade. Yes, specialist, great. Uh The pay scale in fact may be higher than uh day one consultant because you have a lot of experience. Um uh but the problem is there's not much specialist post. The other one is specialist, get the permanent post. So you have all the benefits without the administrative headache of being a consultant with a higher pay, but you need substantial amount of experience and there's not much specialist posts. Unfortunately, currently, within the apologies, I think my uh my mic was off. So I'll just repeat that. I think Tom was asking uh could someone shed light on um management career options for doctors and whether it's essential for one to be in a senior position uh before choosing um that career pathway? Uh I can, you know, ii think um the management pathway you can take uh early in your life most of us as a first try and establish ourselves so that we have our clinic, some clinical standing in the unit so that we are able to do justice to our, our clinical um care of the patients and then we start going into management, but there is nothing stopping you from going simultaneously into management. Uh And nowadays, people try um so some of the younger colleagues, sas colleagues, I have seen that they, they tend to do these leadership courses early in their life. And there are uh as far I mentioned, there are funding available to do extra courses and you can just equip yourself to become a manager. So uh there is no hard and fast rule that you have to be a senior, you can start your management career uh alongside your clinical career and achieve whatever you wish to achieve. And there are examples of such uh people to do that. Thank you so much. And um you also have the last questions from uh one of our attendees tonight. Um Jy Ss surgeon seems well placed in the surgery, surgery in newly created surgical hub. As part of the grief initiative does uh recognize the role of ss surgeon can play in reducing waiting list. What do you think? Um uh II. Uh OK. Um Do you have any experience with that? And yeah, for, for what you? Yes, I mean, I don't have a precise answer about the fine details, but the short answer is yes, I think we recognizes the role of SAS doctors uh in delivering care in the hubs. Uh And I think the, the, the there were several webinars uh in 2023 or 2024 on exactly the role of SAS doctors. Um uh and, and, and the role within the go uh um II am aware of some colleagues, SAS colleagues doing the waiting list initiatives. Obviously, you can't do private practice and um for that, you have to be on the specialist register, but as a assays, you can do waiting list initiatives. Um obviously, those surgery um are the ones that you have been doing regularly or routinely. And those waiting list initiatives I know of, of ophthalmology colleagues who does regular waiting list initiatives on Saturday. Um uh because that's something that he does during the week and swim. Ok, great. I think uh to tonight, the time is almost up, we only have uh remained one questions for the pool. And um before we uh wrap up for tonight and um what activities would you like on a can meet to organize to support SS or led doctors? Let me see. A seven. Ok. Yes. Essentially the result came as uh what we can see here on the screen is that uh um well, uh we would uh uh for on mons, I can be how we will try to achieve and try to organize more uh support in, in relation to courses, workshop webinars, and also mental mentee support platforms. And uh before I end the uh webinars. I would like to, again, thanks to our uh distinguished speaker uh Mr Samar and Mr Maj Moka, as well as our uh SSR representative from on his academy. Do feel free to reach out to us. And uh should you have any questions, questions or anything that, that you would like to uh um uh um ask or uh any information you would like to gather? Uh We have uh a group of um uh doctors uh in morning I can, that would be able to point uh everyone in a right. I really like the quotation from Mr Muka earlier on the sky has no limit. The mind is. So, uh we all have to work hard and to achieve our dreams and um lo and behold, we would, and we will eventually, as long as we work hard and put down our foot um in the career of choice um as in this a very fulfilling career. Um As long as we uh conscious conscientiously do the job uh as a being a good, good doctor, uh food. And actually, um is there anything that you, you would like to add before we end up? IIn tonight? Uh No, thank you, Michael. Uh uh I think you've, you've, you've said it all. Thank you. Thanks for it brilliantly organized. I mean, hats off to you. I mean, you've spearheaded everything, but thank you, everyone. Uh And hopefully next time we would um have a different topics of the um webinars uh related to SAS or led. We will invite um different speaker and feel free to reach out to Mos Academy and all of us um um on, on the speaker panel today. OK. Thank you. Thank you. And so sorry for, for the technical difficulties that we had. And I wanted to add that Royal College of Surgeons of Edinburgh on the website, there are lots of resources for SAS surgeons. I would urge you to reach out and also be faculty members of the various faculties that the Royal College offers. Uh It's a very good way of achieving a satisfying SAS career. Thank you. Have a good evening. Have a good evening, everyone. Thank you so much. Thanks. Bye bye bye bye. I just.