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Hi, everyone. My name is I'm Specialty career webinars lead with mind the bleep. Thank you very much for joining us this evening. I'm happy to introduce uh Doctor Mi uh and the Northwest. She's here to give us a talk about the career in over to you. Perfect. Thank you very much. I'll make this full screen and lovely to have you all here this evening. Thank you very much for joining. I know it's like late on a Monday night. But um yeah, and as you said, my name is Miriam. I'm an ST one in and so this talk, hopefully going to cover everything you guys need to know and I'm more than happy to take questions at the end so you can pop them in the chat or just keep them in mind and we'll chat through them at the end and Antenatal clinic. So my brain is a little bit fried and hopefully this is useful for you guys. Um and yeah, feel free to, to keep your questions. So what we're gonna, oh, sorry. Can we just move on to the next slide? Thank you. So what we're gonna cover er this evening? We're gonna look at a day in the life and a bit of variety of what you can expect working in Obs and Gyne. And then we're gonna go through if you're interested in Obs and Gyn, how you're gonna apply for it and all the stages in that, then we're gonna talk through the training pathway. So when you get onto Obs and Gyn, what does your future look like? And then finally we're gonna talk through how whatever stage you're at now, like how you can build out, build a stand out portfolio um to ensure that you definitely get that place. So if we go into the next slide, just thought I would um cover a little bit about me, you know who, um who, who I am. So, um I graduated Atlan Med school in 2022 and then I did my F one and F two years um at Preston. So these were rotations I did, I did vascular surgery which was awful ed which I really enjoyed um Gastro Ob Gynae, which was obviously my favorite, then GP and diabetes and endocrine. And then I managed to get straight onto training from F two. So I didn't take a year out. Um So yeah, now I'm six months into my ST one training. I didn't always want to do ob gy, it was towards like towards like 4th, 5th year of med school. I started to think that I quite liked it, but I wasn't entirely sure if I was sold on it. So I decided that I would try and get, um, an Ob Gyne job in my f two years so I could, like, really test it out. And when I did it there, I just really, really enjoyed it. Um, so that's why I decided to go for it. The reasons now that I love ob gy is, is this mixture of medicine and surgery and I know that's really, really cliched. Um But it's really true and I think especially given that the the demographic in the population is changing, the fact that Ob Gynae is also medicine is actually really, really true. So we're getting a lot more um obese ladies having babies, a lot of people with complicated medical conditions, a lot of people that are actually older in age compared to what we used to have. Um So I think in terms of that, you actually have to have a really good understanding medicine and manage a medical condition and the change in physiology in pregnancy compared to outside of pregnancy. And then obviously, you've got the surgical aspect in gynae theaters when you're doing Cesarean sections. But also like, it's really hands on with lots of like practical things. So if you're somebody who likes like get stuck in doing things like your instrumental deliveries and you suture in, then um Gyne is great. It's amazing to be there for literally the happiest moments of people's lives. Um, but then also being able to walk with people through some of the hardest times in their lives and actually really making a difference. Um, one thing that somebody said to me that, like, really stuck out is that people won't necessarily remember what you did or what you said, but they'll remember how you made them feel. And it's really a privilege that we get to, um, make people feel seen and valued even at the most difficult times in their lives. I love it. Cos there's so much variation in the job and I'm gonna go through that a little bit later. Um But if you don't like the same old medical ward round that lasts for four hours every single day doing the same thing, then you get a lot of variety and other than Gynae. So it's a really good option. It's currently run through training, although it may possibly change in the future. But for me, that gave me that peace of mind that once I was in a location and once I was on the training program, I'm just on it then until I'm a consultant. Um And there's a lot of opportunity for less than full time in a Gyne too, which I think really helps if you're looking to juggle like family life or other commitments and things as well. And finally, the team in Obs and Gynae are amazing. Um You know, everyone's just fantastic. So if we go on to the next slide. We're gonna do a little bit of a night in the life of the Obs and Gynae sho. So this was a real night shift that I did when I was an F two in Preston, when we were F twos, we covered Obs and Gynae and our on call. So, um I'll just fly through this and it just gives you an idea of the variety of things that you see within a shift. So you'll start handover at half eight and then you'll go and do a ward round of all the ladies on the delivery suite. So you're aware of everybody that's in labor. Um And then I had to go down to the Gynae assessment unit to see if there's a few patients down there. Some of them that kind of got left over from the day because it's really busy and some that had just come during handover and Gyne asessment unit. See things like um heavy vaginal bleeding people that are attending with miscarriages, people that are attending with ectopic pregnancies. Um So after seeing those patients on there, and then I had to go back to delivery suite where I assisted with AC two section. And then after the section, I had to go straight to maternity triage where there was a few ladies there with things like reduced movement and there was a lady who was really unwell and we actually started her on the septic bundle. And then after I had to head down to the postnatal ward to rewrite the prescription charts everywhere else in the hospital was online charts except for maternity. When it was all paper charts, I had to go rewrite the chart. And then at half one, I had to go to the Gynae Ward. There was a POSTOP lady there who um was scoring highly on a news chart and they also need analgesia prescribing. Then I managed to grab a quick break my lunch um at two o'clock in the morning and then I headed to the postnatal ward. There's a lady there with high BP. Um You're probably all aware of us being concerned about high BP, antenatally before ladies have the babies, er where it can be things like preeclampsia, but that can also manifest itself postnatally in days 3 to 5 as well. So I had to go and review her for preeclampsia and then I went back to the delivery suite and I assisted my registrar with a Kiwi delivery. So that's a little suction cup on baby's head. Um And after that, I assisted with the perineal repair. So putting everything back together. Um at five o'clock, I had to go back to maternity triage to see a lady. She was actually a twin lady who was bleeding in pregnancy. So I had to examine her, had a quick break and then we more or less ended the night with another Cesarean section before I went to the Gyn Water, do a bit more prescribing before handover at home. So you can see it's quite busy. Um And there's so much variety in terms of what you're gonna do within a shift. So if we go to the next slide, um this is a little bit about the variety in the week in the life of an OB and GS Ho. So this is a week off. My current ROTA. And again, it shows how even within the week, there's a lot of variety as well. So Monday, um like it was for me, today was a full, full day of Antenatal clinic. Um And then say on a Tuesday, you could be in theaters in the morning and Gynae Clinic in the afternoon, Wednesday could be your on call day. So that's your long 12.5 hour day and on calls is similar to the night shift. I just showed you. So that's on delivery suite looking after all the laboring women. Um Thursday is elective sections in the morning and then Gyne assessment unit in the afternoon Friday, you might be on the post award in the morning and 30 in the afternoon. So um there's a lot of different things that you can do with the Obs and Gynae. So if we move on to the next slide, um this is, I think a lot of people ask about worklife Balance cos they've heard a lot that worklife balance can be really bad in OBS and Gynae. So I want to put this on as an example of my rotor. Um Again, this was when I was the OBS and Gyny Sh Ho Wroter. Um this is 48 hours a week and one in three weekends, which sounds pretty, sounds rubbish to be fair. But I think it's fairly standard across most surgical and medical specialties. Like I think any job other than GP, you're going to be working up to 48 hours a week and that's fairly standard. Um You just have to get a bit clever about why you take your annual leave. Not all units are as bad as this. My current unit is um such quite nice. We do 43 hours a week average and I do one in every 4.5 weekends on call. So it's like one a month. Um So it varies from unit to unit. Um I think probably just to highlight that. Whereas with some jobs you do this as a junior and then as you get to become more senior, the job gets a little bit nicer. It's probably worth bearing in mind that even as a, as a senior, even as a senior registrar, um this is what you wrote is gonna look like, but as I said, there is opportunity to go less than full time and to adjust this to how you want it to look. So if we go to the next slide, um I thought I'd just talk a little bit about some of the difficulties within the job. Cos we quite often talk about all the good things. But if you are genuinely thinking of applying for s and gi think these are really important things to consider. So, first of all, it is a very emotionally challenging job. Um Sometimes I drive home and I'm just like, my mind is just fried because you've gone from, um maybe being in a birth, which is like the happiest moment for somebody ever. And then you have to go straight to theater to do like a surgical management of miscarriage. And you know, that that's a really difficult time for that woman and she's really grieving and then you come straight out onto the delivery suite and there's somebody else who's 25 weeks delivering and you know that baby's probably not gonna make it and, and then in the next door room, another lady's delivering. So, you know, there's, there's like these highs and lows and you have to be able to manage those and work through them. So it's just really important to have a good support network around you and you know, have a good team that you can chat through these things with. You have to be ready to make high pressure decisions. So by the time you're an ST three, you're gonna be managing labor ward by yourself overnight. Um, your consultant is on call on the other side of the phone, but they're not necessarily on site. There could be half.