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after that. So these are some of the examples off research climates. I've been involved. It some. It's a medical student and some off to that. And so things like you know, there's no for gastric study, which is about the suffragettes to me. In patient in cancer, Something got involved. Finally, a medical student with Mr Griffin, it's on drinks like starts, it and us. It was something I got involved, really honest, a medical student. And these are really good opportunity for you to learn more about research in order it. So start such a So you may know it's a It's a student like recent collaborative it was establishing 2030 is supported by the beach. Yes, and the reason with their voice. And I would advocate students to demonstrate academic and leadership skills. And there's different levels. You can get involved in star, so just a student. So you can either be involved as a regional lead or local collaborative classes and data or part of a steering committee, and there is a whole stream of avenues that you might be able to get involved in. So that's a student off a collaborator. You be able to collect the data and also validate and also presented to order departments, which takes off one of your boxes with in order presentations and also being an order as a leadership PSA. Regionally, you take a multi leadership role and organizing a group of medical students across 10 to 15 hospitals, in the three on and organizing data collection. And as a Syrian committee we saw have yearly application sweets during steering committee, which you're welcome to go through a competitive application process which we will back through and get people for interview. So some of things that we do our research so traditionally the research models has always bean every single hospital doing isolated events. But what we try and do with the calamitous research model store bring all that together to pull the data, to be able to generate large volumes of data to generate a meaningful hair prosthesis and improvement in patient care. And we talked about this a traditional collaborative authorship model and again start So we're started. Has been having fighting in them for the UK appear to be too alarmed. Collaborative Forth the ship to pass the UK F B A program so you be able to use this, apply for points when it comes to your F one F two years and the benefit off collaborative research. It generates large samples. It's generalized, well finding and allows you to engage in meaningful research. And there's West something I think you should be thinking off doing today rather than isolated research projects. And there's a lot of opportunity with in Birmingham that you might not be aware off, and I'm hopefully I was. So bring that across in the next couple few minutes. And obviously it's a challenge being involved in research projects like this off this scale because he organized large groups of doctors in regards of, well, structure and thought critical. And it also requires expertise and financial and institutional back in. But the West Midlands, or at least units a bearing have a strong foundation free to be involved in research. So we've had a graph of research projects that launch volume of students have take parts of what sounds of 500 students students over the last 78 years, more than trying to pay present 60 presentations. So the genital large volumes data in Star Search and this is our upcoming project, which you're currently planning, which looking at cardiovascular complications after major abnormal surgery. So we can really finalized the protocol. And we run this project across UK in Europe for the first time on Got a broad group of excellent Wife. It's a group consultants and consultant so just an in East in West Midlands, but certainly encourage you to have your eyes open when you're regionally dental ties. Is this project in this week to get involved and two in your local hospitals wherever you are in placement at the moment and over the next year, we're off planning on the ankle style study again, not only limited to the UK but across Europe, and we're working with the guts charity to be able to implement some quality of life data within the courts. Study, Um, and McCartney applying for some grant to run the study internationally. So getting involved the reasons for you to get involved. It builds receiving number one. You know, it takes all your boxes for course surgical training. It brings patient benefit. It develops us an individual, depending the rule you take and again it develops network from school. So When you come to meetings presenting star search data, you be able to meet some of the surgeons, trainees, consultants, and it really being brings into that, uh, research environment. And it just gives you a platform to bring more opportunities for when you come to apply for course surgical training. So tips for your surgical training out certainly say start early. Um, organizing your receiving a port for you because it takes a lot of time. Um, last week when I was doing spot for you connect, they were, But some of the CVS were relatively unstructured. And you need to have a look at your court surgical training checklist to be able to structure it accordingly and have people look at it and read it. Um, and also, you know, then which areas need to improve. So, for instance, if you need some sections and orders and presentations, you'd be able to focus on that and start thinking not when you're in. Finally, um, I start thinking everything you're really interested in surgery. Any type of surgery or general surgery start early, and I don't find the areas early, and obviously you need to find the right mentor supervise to help guide you, and we talk about mentorship. But sometimes mentorships doesn't need to be soft in black and white. Soften an informal relationship that you be able to find someone to guide you to start that early. So if you think you're interested in surgery, try and work. Try and work with, um consultants and see how that relationship takes you forward. And that's all I've got. Um, And if you want to get involved in more research opportunities, I'm so off leading star search over the next two years, so I'm certainly happy to help. I'm sure you'll have a regional lead in Birmingham and missing Griffis and I also do. There's a lot of research opportunities between what we do. So feel free to get in touch if you feel your walking. I'm happy to any questions. I think we have one question, Sebastian. Somebody asked, Are there any courses that way you would recommend from your own experience? Yeah. So I started off going to some of the courses from the ass. Yes, England. When us Enough once. And things like this start course your basic surgical skills certainly get it. Um, nail done. early, so it gives you some what what you need is to practice. I will go get really surgical experience on and then, um, things like a city often have pre conference courses. I think with Kobe it's bit hampered. But certainly if it's even if it's still virtual, it's still worth attending cause a D Cup score points. Remember, it doesn't always need to be technical courses. You can also go to non technical concerts which are quite valued on by think, you know, sticking to things like our CSE England are CSTD in a city are quite useful to go to. And I know I could see sort of Louis is on the court. I'm not sure if I search to do some cells. Some of the basic surgical skills. I think it's certainly worth attending to get some early skills before attending events courses. But I certainly wouldn't go all crazy with going to some of the lateral more quarter of them. You know, emergency courses that are CSF have got and it's something for when you're later years of training, which might be more useful. Thanks for the Plavix, and that's what we do. Indeed, you the central school starts is on, got our next one on Sunday and then 12 weeks after that, and then we have advanced next time as well. So if people are wanting to do involves again accreditation and things have asked your insurance is it's more just for practice and getting exposed to it. But, like so that should definitely come on. And it's a way to experience, and I'll show you a question for some reason. So going back style surgeon, this is collaborative research. Nurse is getting involved. Is a student school so low level of research? What the what? The pros and cons in your opinion of off that you spoke about the pros of Star Search, I think the collaborative model. But what about one of the benefits of doing research like a mental mentally? Yes, sort of, you know, five or six of coffins versus a collaborative model. Do you think? I think I think certainly have a breath. I would certainly say you need to choose people that will invest time in you on. Do you know consultants that have time to sort of support? Because there's often quite tricky for consults because they have quite a lot on your plate. Um, and you need to be dedicated when you come to them and not soft. Think it's going to be an easy right because it's never easy ride with any research projects. So I certainly when you go to them, I go to them with the focus question that you really want to do research, and you would really put a lot of time and effort into it because it's not something you know that they got lost time for. So if you think you're going to be really dedicated, they see you interested. That's when they will solve invest time in you. Um and so I certainly agree. You should certainly do your own research projects locally in Birmingham or collaborations that you might have elsewhere and collaborative research production was something wrong because it gives you some extra added skills that you learn alongside with it, then just so off things that you do locally. So I was off really make use of both and burning a good place for that to be involved in this project. Great. So I think sometimes I know when I was trying to get started. There was a lot of confusion between whether or not we should do collaborative or gamble with their own projects. And I think and mixes is what I decided is the best. And also, you know, be cautious with what you get involved in this something I say to everyone because, you know, you don't want to be in a position where you end up being nose of work and effort and not being credited for that working. Um, so I I would certainly soft, you know, would of math and see who's off really gets of advice is to work with the consultants to work with. I don't take it from there, Fischel. Great job. Thank you. We have two more questions. Special tests. Okay. Uh, direct. Do you recommend undertaking the MSE in surgical sciences? Um, I'd be cautious. I personally would. You know, it depends what it is and when you're taking it, um, it's a medical student. I certainly say no as a foundation. Your one year two in a defensive. It's part time because it does take up a lot of time doing essays and stuff. And one of my friends, I can say it's off. Tried doing that for 23 years. It took up a lot of time. It's quite expensive on. Got sure. You know you'll be able to finish it in time for your core surgery application unless you take a couple of years out. So I just be cautious. I say, If you want to integrate worth insulating, If not, isn't. You know it's not the end of the world because you can do lots of other things and be productive in your five years in medical school. Um, but yeah, I think it's not really necessary from my point of view, but probably it. I'm not sure what Mr Griffiths things about that. This is a question for him is all. You know, I'd I'd echo What? What's that rash has said about? Be cautious. I'm I think, a lease MSC's. They're sort of make money for the institution. Um, Andi, you know, it might be a better spending your time on a dedicated time of research. Other doing something a bit more fruitful, like a PhD or an MD or something. Yeah, on finally and finally suggest when is the deadline for playing for Star search rolls um, so we know we had one round, which is finish it probably be next year. Cool. Thank you for that. Suggest, um So now we have Mr Griffiths, who has said up upper GI consultant at the Queen Elizabeth Hospital. Um, so, yeah, the floor is yours, Mr Griffin. It's thanks. Have Hamza. Thanks for the search. Talk to him for for inviting me. My name's, um, Griffis. I'm a upper GI surgeon. The curia being there since 2000 and 12, um, on to move on To what Severs has said, Really? I mean, I just want to give you a bit of, ah, flavor off. Um, try and move my slides forward bit about the new general surgical curriculum because that's just come out in August. Um, to tell you what? What, what? What the What's available? No, I'll talk a little bit, but my career on talk about about what happened, the eye surgery is and what I do on a day to day basis on also talk about about the sort of research I do try and fit in on, then end on some other tests of how to get into into surgical training. Um that that the general surgical curriculum gets updated and it's had a major update recently, and this is published in August. It's quite a big document. I think it's over 100 pages, and I have not fully digested it yet. But if you're interested in general surgery, um, it's well worth the read because because things have changed. Um, there's obviously different pathways that run through those course surgical trading forward by national selection on be general surgical training is split up into phasers on this very much focus on elective care on this focused on, you know, emergency general surgery on then in concert to that, you could decide what what later on your major specialty is and with in general surgery. So, for example, that could be colorectal. That could be a soft gastric. It could be HPB surgery breast or endocrine, uh, renal transplant or trauma on. There's also other more specialist ones. Uncle plastic, multi organ transplant. Wait where you might not do emergency general surgery so much. Um, so there's been massive changes in the way that general surgeons are trained on Go. They're going to declare when they're going to declare they're very specialist interest because I think what you have to understand is that, you know, 40 50 years ago, the where general surgeons that we did absolutely everything, but no, we don't do absolutely everything we have some focused training on. Do you know? Ultimately, if you do go through general surgery, you will be asked to make a choice at the end. What What you want to do? I'm on leave. Introduced this method off capabilities and practice. And that means that surgeons wrote the training will be assessed in different areas. For example, very patient clinic on the essay. You looking emergency patients. They'll be assessed on the war drones on be assessed how they manage and operating less. And that is not just the cutting eyes. Manage the order. How you consent the patients, how you deal with anything test how you do with the staff, how you manage your equipment issues and getting different people in to help you on how you work in a multi disciplinary setting. So all these have bean hammered. Oh, in this new document, um, on a Z well, is that they've got a generic professional capabilities on. These are the sort of domains, which Lincoln to the the sort of GM sees. Criteria for assessment include things like professional values, practical skills, communication, dealing with complexity, it uncertainty on then professional knowledge, health promotion, leadership, patient safety, quote improvement, safeguarding vulnerable groups, education in training, on research and scholarship. Um so so now this is all being developed. Think this will be all integrated into the assessment and training of surgeons? And, you know, you might be interested to know that actually, a little written down in this document is actually about how you actually cut. And so, uh, patient, which, which is sort of if you look at it in a percentage of time, what I do it's probably right, actually, on all these stuff met, maybe, maybe, actually, more important, Um, my career, um, I graduated from done the medical skill 21 years ago, Um, that this was a time of the old Scotland matching scheme to on. I wanted to stay in Scotland's, but that didn't work out. I got a junior house officer position in Newcastle, which was just for one year. It developed into a two year program. Later on, um, I didn't always want to be a surgeon. I wanted to be any anything test on Did some anesthetic electives on, But, um then So I wanted to do gastroenterology. I thought I wanted to ent. Um I then was scrambling around for jobs I went to New Zealand on Did, uh, did ah sort of short job in general surgery? Um, absolutely hated it by and large came back to the UK and it's six months of any which was vaguely appealing, but I didn't quite enjoy it. And on the job that really decided I wanted to do General surgery was in Gateshead, and I worked for, um, a team of surgeons who did memory, colorectal and breast surgery on, then stayed in the same hospital and did six months of vascular on. Then I decided then I wanted to do general surgery, um, and sat and past my MRCS a time. Um, I needed a job to finish off my training and ended up doing a senior job in Urology, is a PA for the mini training program, but then went to Manchester to do research because the currency at the time was very much you couldn't get on the training program without an MD Um on. So I did, uh, a two year research job in in the esophagus trick cancer. Christie Hospital in Manchester on Got an MD doing that position I was on. Call it an S h o. And that that paid my salary on. Then once I got that, I got onto specialist trading registrar jobs in the in the Northwest. And then after that, I I knew I wanted to be a teaching hospital consultant. So to finish off my my training, I spent a year the role Model eight hospital in Australia, working in a unit that was very highly regarded for upper GI trading. There's lots of the trials on laproscopic reflux surgery and height is 100 pair on, then came back to the UK to be a be a consultant. I'm the surgical road is a long one. Um, and it's not always a straight path. I mean, I think seven is pointed out that the there's quite a lot of hoops and hurdles Teo overcome t become a consultant that they're trying to make it more streamline. They're trying to make it better for everyone, but ultimately it's gonna be a path of ups and downs on D. You know, I know from my own career, and seeing people and jobs around about the same time is May that know everybody makes it. You have to have a certain tenacity to put up with some, um, you know, long nights, perhaps terrible behavior which has been stamped out now. And I would be an issue when you come to do surgical training. But it's a one that could be demoralizing at times, on its know, in a straight line. Um, so you know what? While star like think i'ma the end of, um, my training I'm not really because actually, surgical skill skills move on. We're still learning and, for example, were thinking about getting the robots in to help with our surgery. And that will involve a whole new, um, training program for people like me to to use robotic skills in our operations and also techniques of surgery develop on. But we need retraining on that. So we never quite finished article, and you know, I'm sure you've seen this slide, but, you know, I look back at my training and I look back now is an essential and a registrar and I look back at the confidence I had and it really waas arrogant confidence. Um, I think I'm past my valley of despair. I think I'm just starting off on my slope of enlightenment to become a well rounded surgical consultant after sort of nearly 10 years of being a training. But we're all still learning. We will. So still got a lot to go. What is up with the eye surgery? Well, it doesn't really exist. It's a sort of generic term includes lots of things. Um, to be an upper GI I surgeon you could do, um, or mainly specializing bariatric weight loss surgery. I don't do that. I did do in my fellowship. I don't practice that as a consultant, um, s so that so that part is, but that that's very satisfying surgery to do. Um, you know, helping patients lose a massive amount of weight Surgically, you can do the HPV surgery, which I do a bit of benign HPB surgery. Because all of the surgeons do, um, such is called a suspect to me. Onda bile, Duct surgery, But anything, specialist major pancreatic resections, um, liver transplants. They're all done by a separate Hey HPB surgeons. So my main focus is on soft gastric cancer. Eso I do a self inject me and gastrectomy for cancer, treat grass or intestinal storm or tumors and also do the full gamut of benign the soft gastric surgery, which includes reflux, disease fixing, hiatus, hernia's treating people with achalasia. I mean, this is my rough time table. I tend to do all the Mondays in the operating theater. Um, my operating less, um, at the minute is mainly cancer surgery, but it also includes doing things like endoscopy, stenting, um, being in feeding chips or doing any benign stuff that that's on the ward. Uh, Tuesday, I I tend to private practice on combat the hospital in the afternoon and see my patients and tidy up paperwork Wednesday. The Upper GI I team have got a form of wardrobe. We do is consultants. Well, that's been slack at the minute. It used to be a fool professorial round when you had a professor of upper jaw surgery. We don't have one anymore. I'll teach the medical students in the morning on then. The afternoon on the Wednesday is devoted to the upper GI. I M D. T. Where we discuss all the cancer patients on, discuss their staging results and come up with plans for the treatment on your very welcome to come in a tender upper gi i m d t. We'll discuss between 20 to 40 patients and review the scans on were very welcoming off medical students those They'll do a clinic in the morning. This will be used the next clinic, some cancer, some benign patients. Some patients refer then with to eat weight, weight loss dysphagia things that that with the GP once Herget Lee sorting I do endoscopy Do this on a Friday morning. My endoscopy, lest includes diagnostic and endoscopy, is for this pager, um, severe reflux. We also do some procedure or based stuff like validations strictures, injection therapy, Botox recall, Asia. Um, and it's a mapping biopsies for people that I've got cancer on. Then Friday's the main cancer clinical. I'll see. See the main cancer patients. Three new diagnoses. Um, tell them they've got cancer. Tell them what treatment they're going to get with it. Maybe surgery or referral to college ist on top of the old. I'll do on call for general surgery upper GI I on also contribute to the trauma rotor on these the's rotors, the Upper GI I one. There's only four of us to do on call for approach I but the Q E s. That's quite some one of some. When we do get cold and it's usually for something interesting, it's usually something like an esophageal perforation. It's usually something quite exciting. Such a dead stomach, or are twisted height is hernia. Um, so that's a one in four general surgeries about last. It's It's about one in nine on on call, so it can be quite a lot of time out of ours that we can. Um, I knew I wanted to work in a big hospital. Um, I knew I wanted to do complex surgery on. Therefore, I tell it my career pathway to obtain a lot of things I needed to do to achieve that. So in my career, it was important I did research. It's important I did publications to gain the right toe work. A big teaching hospital on that's important for me because a big hospital like Q E has all the the service says you need to have successful surgery because it's not just the surgeon, it's about the I See you. It's about our colleagues and anesthesia, our colleagues and radiology and interventional radiology that can help give our patients the best outcome. And it's important to be involved in research with the oncologist, giving the latest treatment to give the best outcome for cancer as well. So So that that's that's why I work acutely. And that's why I do this surgery I do, which includes a self inject to me. Um, this is a video. I'm not going to show it. But Alex Polyps was a medical student. I contacted them recently tells me is no anesthetic, registrar, be helped Put together a video of our tips and tricks with minimal, invasive and soft object to me on this is on YouTube. So if you if you click the link Oh, our copy down the the sort of website address at the top of the slide. There you can you can look at that and look at the kind of surgery we do on a regular basis. I mean, the very much the highs of Upper gi I surgery for me. Is it Zyrtec Nikolay demanding We get to give curative potentially curative treatment for people with quite advanced and poor prognosis. Cancer. Um, the emergency surgery perforated, softer, get says removing people's stomachs and emergency dealing with drama diaphragmatic rupture stabbings could be very exciting and thrilling. We get to do quite a lot of their surgery, minimal access. We were quite a high user of laparoscopic surgery. So in my training we learn how to suture like risk optically had to do anastomosis. Lack of stopped weekly that we have a high amount of MG t working. And in general, I would say that we have a higher A of job satisfaction Is upper GI surgeons because that the setting I work in, I get to do research as well. On Day seven, she's already mentioned some of these things that there is the main ones I lead or help leads include the Cooley study, which is a massive study of cholecystectomy outcomes on DWI. Actually, we managed to get the eight or nine papers out of the study, uh, which I think is groundbreaking. Um, we then look to see if we could do the same and in a soft your cancer surgery and There's a lot of naysayers. It said we couldn't We said It's two niche we wouldn't be able to do it. Um, we're know about toe have our 8th 9th paper in that arena to, um so just make sure you you listen to the right people. And if you've got an idea, you convey much run with that for sure. Um, what the downsides. Well, I mean, it's all not rosy. Um, there is a high complication rate from the surgery we do mainly because it is invasive. And I'm talking about soft jet to me. Gastrectomy A. We do an elderly patients with Coumadin. It ease on. They have complications. And when they have complications and don't do well, um, you'd have to be pretty much a psychopath not to feel that that's a problem. Um, so there's There's often times I'll come home from work really quite down and depressed about patients who was leaking. Patients have to go back to theater or had Teo had a bad outcome in another way. Um, also a soft geo. Gosh, the cancer tends to have a port survival, even in patients who we treat with curative intent have got a risk of the currents on it can be very depressing. Um, seeing these patients die of recurrence on the few years after your great things are improving. But we've had a meeting today about, um, you know, therapy about changing our chemotherapy regimes were having a meeting about robotic. So it's no old, um, and glim. Um, corners. Courts well, way end up occasionally in the corners courts to explain why patient died that can be stressful. It could be stressful to meet the family, um, and that that's a downside or off not just being a surgeon, but being a surgeon with a high mortality operation. There's also for the good. There is a change in the way we deal with patients of a poor outcome, and this is this is called duty of Kandahar. On it is good, but it's a stressful good because involved writing letters the family involves have meetings with the patients on the family when things go wrong. Um, so that that that can add to the stress on. In general, we haven't quite sorted out our work life balance relationship, Um, in a pretty I surgery on, if it isn't for you, your to think about that. You got to think about whether you want to go through all this training and end up in the hospital two in the morning, dealing with some complication or some stabbing or something else. Um, you might prefer to did a different branch of surgery. It doesn't have the take back. Such a Z. Um, breast surgery. Urology. You know, for example, Um, I mean just to echo what's ever said. Tips to get into surgical training. Well, I'm gonna give you some links at the end of the slides for that role. Coaches, surgeons, there's there's four. In the UK, there's London. There's glad school Edinburgh. NIreland. They all have affiliate memberships where you conjoined, either for free for a very reduced rate on you can get the magazine on links the training programs and I'd advise, if you're interested, is to join one or two. Find a mentor or two you may want. A consultant may want a trainee that's been through the program again. It's not your local early. There's even things on your log. But we just came and observed. You came and saw Case. Maybe you want to write about the anatomy of the reflections. What you learn to do that? I would strongly advise you, get into a collaborative research, um, and either join start surgery. Joined the West Middle and Surgical Research collaborative, Um, regional meetings that there's plenty eyes the West middle and surgical meeting. I think it's very soon that stoke. Um so, um, if you're interested in that, we can get the details to email out to you and is also national meeting with assets GBI or just Is there a page I society LSG be eyes the laparoscope one. Um, so there's all those national meetings on the Xarelto Thinks, too, the various organizations which I would recommend you you look at if you're interested in seeing what we've got to offer. Coursers other advice, other things on down. I think that's the end of my slight, but I'm very happy to. And so any questions you might have I have a question myself. You mentioned that you have some trauma you deal with. Some trauma cases are wondering. Did is that like a subspecialty of opportunity surgery? Or is that or is that something that you had to do some additional training for um so trauma traditionally was just out with, um the under the men. The general surgical curriculum. Eso What? What's happened in the last sort of 10 15 years is major trauma units of forms. So, for example, the major trauma unit in Birmingham is the Queen Elizabeth Hospital. So all our general surgeons that are on the phone call roto will do trauma. Um, we all have to be trained in trauma to deal with that. Things might change in the coming years. There is a true, for example, there are trauma fellowships. Um, for people who are really interested in trauma. What I would say about that is there's only about a few hospitals and you care that really have a massive amount of trauma. And that started the loyal roll. London. I've got trauma specialists, all the hospitals, major major teaching hospitals. Edinburgh, Newcastle, Liverpool. They just got general surgeons who deal with the trauma and some my up more interest in trauma than others. A zit happens. I was very interested in trauma. My training. I went Teo Johannesburg and did a trauma elective. I've always tried to you keep up to date with trauma, but There's not a specialist. Upper gi I trauma for shirts, General Surgical. So, you know, we deal with the stoppings and small bowel. Um, I would not touch it. I said we deal with a ruptured diaphragm after blunt trauma. Thank you for that. Um, I don't think we have any questions, but if they do come through your think we go, I think he might have one more homes and just that's just come through. Okay. Thanks for your Children. That was excellent. Um, one of the, uh, said these is ask. You moved around quite a lot during the training. It's quite personal question, but do you mind answering how you balanced of the factors like family and things during that time? Yeah, I'm biased a lot. I mean, that was the, uh, that that was what we did back then. There wasn't run through. So you did S h O jobs and registrar jobs. And then research was often a different place. Um, yeah is difficult. Um, my my first son was born on the same Lester's. There was a total gastrectomy. Um, Andi, my wife was in labor, and, um, I decided to stay and get my training and then cool later. So, you know, you make these decisions, and maybe that know wasn't the wisest one. But I've got two kids. Um, I've missed out on various things going to, um you know, so of meetings at the school, um, with the teachers have missed it on that. I missed out on some of the parties and all sorts of stuff because of weekend because of war drowns having to go back into the hospital. Um, so the surgical life isn't for everyone. Um, I would would recommend that you You look to see what? What? What the people are doing. Um, you know, if you want to do a pretty I surgery. Look, look and see if you want to make these sacrifices on diffuse, don't decide on doing something else. You know, don't don't go into it lined, Lee. Um, I happen to realize that the time that it would be difficult on did have to balance family life. My well, my wife is a is a doctor. She's a consultant geriatrician. But so we have to manage the rotors and her rotors and make sure the rest somebody looking after my Children Um and I have to take part in that as well. So it's no easy. It's no easy for sure. Especially when you have two medical people in the family. Well, I think that's all the questions. Thank you so much. Suggestion, Mr Griffiths, For taking time out to teach us a bit about general surgery and a bit about research. I think for me the main take home messages were about capture, research and the importance of that on that The road surgeries, in fact, not a straight part, but it can be quite complicated. So we do appreciate it on a massive thank you from University of Burma. Can search stock on everyone. Uh, it's just a quick message for everyone else. There is a feedback form in the chat box on, but I don't think I'm able to share my slides, but quickly vocalizes this, um, we have a talk next week. It just quickly find smarts. The next week we have a talk on so you want to be a surgeon in OBS and gynie on on Sunday. The sense of November we from 9. 30 to 12 pm We have our basic surgical skill session on M Senta Hope hosting an anatomy. Talk on lower GI. I sip surgery and cola. Colorectal surgery. So do you keep your eyes up for that on D? I think that is a lot for me. Thank you very much on. Yeah. Thank you. Thanks for the invite. No worries. Thank you, guys. Thanks. So