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OK. Hello everyone. Uh Thank you for joining our uh specialty care webinar series. My name is Tina. I'm the Specialty Care webinar lead and this is our webinar on internal medicine training. And Doctor Lo and Doctor Pa Patel are going to uh share their experience on the interview uh application and training um in the I MT pathway. Thank you very much. I'm going to hand over to doctor low to um doctoring. Thank you. Uh Hi, everyone. Um I'm Chantelle. I'm an I MT two at uh Maidstone Hospital K PS um an I MT one who works with me. Um We're just gonna give you guys a, a brief overview of the application um and interview and then we'll run through quickly what it's like to be an I MT as well. Um Next slide, I'm doing that. Yeah, next slide as well. So um this is kind of the timeline of, of the dates for the 2025 applications. Oh, I just wanted to mention if you have any questions, just pop them in the chat and, and we can go to all of them towards the end. Um So this is, this is kind of the timeline of the application. So the applications open on 24th of November and the closing date for that before applying is at 4 p.m. on the 21st of November. Yeah. Yeah. Yeah. Um then this is the the after the application is closed and this is followed by long listing. So this is basically when your um application is compared to the criteria just to check your eligibility after that, there is short listing. So it basically just happens a day after and you, you are generally invited to interviews around 19 to 23rd December. Um You, you must book your slot around this time. So around 23rd December, make sure you book your slot early. So you, you get the time of your choice, wherever is comfortable for you. Um The interviews are held for over a month between 13th and 14th, January. Um The rankings are generally released around mid February in late February in this case. Um And you get about a um about 20 days or so for program preferencing. Um just to be careful at the program preference and stage, there are a huge number of programs to, to rank so about 1600 or so. So they, they take time. Um You have to go to each one see what their specialties are, what your rotations are and then rank them. So make sure you do that early and don't leave it to the to the end moment um you start receiving your offers um around 18th of March. Um This will be followed by upgrading the you can hold or accept your offers at that time. And 4th April will be, will be the deadline to, to accept the final offers and and the program should really start on the first Wednesday um in August. So um we have just put the slide to show you that the competition ratio is kind of um increasing. So it is becoming more and more competitive. We don't have the 2024 here, but I'm sure it is out, but we can see the trend. It is um the competition is rising. So make sure you definitely take it seriously prepare your portfolio and do the interviewer properly. So um just to be eligible, you, you should be, you should hold the licensed practice with the GMC. You should have completed the UT foundation program or you should have the Crest form signed if you are an I MG or um if you have dropped out of the foundation program and up coming back. So um you need to be careful that you're just getting the Crest 2024 version signed uh because that is the only one that is going to be valid for the application cycle. Um So this slide is about the experience that you should have. So if you, if you are in a foundation program, you don't have to worry about anything. If you are, if you are in your f two year, you can apply for the upcoming round and you will be eligible. Um But generally speaking, you should have 24 months experience um after graduating from your medical school. Um if there are any IM GS, so you can, so some countries do have things like internship, which are included in the medical school curriculum. So it is included in your program. You can count that internship, the 12 month internship as 12 months um to make, make it a part of the 24 months. Uh That is the requirement. Um You should, you should have the remaining 12 months after you are eligible or you have full registration. It does not have to be with the GMC but with the counterpart in your country if you're 9 g. So moving on over to you Chantelle for, for, for your scoring. Great. Thanks KP. Um I think just a couple more points. Um I wanted to add actually before I forget about the timeline and just with regards to the ranking like KP says, it's, it's really, really overwhelming because obviously every single deanery is available and there's many, many jobs that are available in each deanery in each hospital. Um Just have a look through the spreadsheet because different hospitals will do it differently. Um They should list which hospitals the tracks are at and it should list which specialties are included in each rotation. But some places, for example, for will do 26 month rotations, whereas other places do 34 month rotations. So it's really up to your personal preference of what you think works better for you. So for example, for KP and I, we both have 34 month rotations and but other trusts in London, for example, might do two sixmonth rotations instead and, and also for some tracks, they will straight away tell you what rotations you have for I MT three. Other places don't tell you what you have for I MT three and there's an element of choice there. So if there's something specifically you're interested in doing for your I MT three, that might be a beneficial thing for you. So just really, really have a quick, like a, a very careful read through that spreadsheet because it can be very, very overwhelming. And I think the second point to make about offers though is that um people who have done foundation before, you'll probably be, be familiar with this process. But you can, once they give you the offer in March, you can accept the offer straight away or you can hold and wait for an upgrade like KP mentioned. But the important thing to know is you need to be absolutely certain you're happy with your up with, with your rankings because if you opt to automatic upgrades and you change your mind and you've ranked something above the current job that you have, you could get upgraded into a job that you actually don't want anymore. So make sure you're very happy with your current ranking before you um before you hold with upgrades because I have seen people actually get upgraded into a job they no longer want. Um So just be very, very careful and make sure you're happy with your ranking before the deadline. And so that's just a couple other things to watch out for. Um But we'll go over some portfolio scoring now for, for the interview and hopefully that will answer some questions. And so just a point to make is that the portfolio scoring keeps changing year to year. So I applied two cycles ago and the point system has already changed quite a bit since then. So if you are not applying this cycle, please, please please make sure you recheck the point system before you apply next year because it might change again. So this is applicable only for this current application cycle. And so the first section, the first domain that you can score in is postgraduate degrees. And so please keep in mind that unfortunately, they've taken away all intercalated degrees from the self assessment as you can no longer score for any intercalated degrees. Unfortunately, that you've done in med school, um if you have done an intercalated degree that is relevant. So for example, if um you wanted to do cardiology and as part of your intercalated degree you did a cardiology themed project um and you got a publication out of it. Um Although you won't score for it in your short list score, you should definitely mention this in your self presentation during the interview. Um The second point to make about uh postgraduate degrees is that you cannot claim a teaching related degree here and also in the teaching section as well. So you can only claim in one section next slide. Um The next domain you can score for is presentations and posters. Uh The amount of points you get will depend on whether it's a poster or an oral presentation. Um And whether this is presented internationally nationally or locally, um You need to evidence this. So you have to be able to provide a certificate. Uh If it's a presentation that was accepted, you need an abstract to be uploaded. Um And if it's a an oral presentation, you need to upload the slides or if it's a postpresentation, you need to upload a copy of the poster if you are applying this cycle and you don't really have anything to score for in here. It's probably quite difficult to get a high scoring item um at this point unless you're presenting something, you know, this month or next month and you'll be able to upload the evidence by November. But this is a fairly easy thing to get good points in if you're applying next year. So even if you did you know, an oral presentation locally that will give you um you know, 23 points uh depending on, on um if, if it's an oral or, or a poster presentation. So if you're applying next year, this is a fairly easy section to get some points in if you're applying this year. Uh Unless you've got something lined up right away, you might not be able to get huge numbers of points in this one next slide uh publications. So this is uh an area where you can get a lot of points. But the amount of points you get uh depends on whether this is original research, whether it's PUBMED cited, whether your first author, um it's very easy to over claim in this section. So be very careful and read the fine print because it's very specific what counts for top points and what uh is not. Um This is probably the most difficult section to score in if you don't already have a publication now because publications can take, you know, years uh to get sorted. So if you're thinking of applying for next cycle, I wouldn't necessarily waste your time trying to get, you know, an original PUBMED cited publication sorted out in, you know, eight months time because you need to have a PUBMED ID to prove. And by the time the next cycle rolls around, if you wanted, you know, the top eight points in the in this section. So, um I wouldn't necessarily waste all of your time trying to get eight points here. You might be able to get, you know, a case report ruled out. Um But I think there's easier sections to score extra points in if you're applying for next cycle, um next slide teaching experience. So I think this is a fairly easy section to score points in. Um Again, the amount of points claimed depends on the time frame of the teaching and the level of your involvement. Um If you aren't applying the cycle, as long as you're regularly sending out feedback forms to med students, um and you're able to get a letter from a consultant confirming your involvement in teaching saying, you know, I provide bedside teaching, you know, once a fortnight, once a week um to, you know, medical students at, at the hospital, then that's enough evidence and you can get a fairly easy three points here. Um If you're managing, managing to organize and design AAA whole new teaching regime, then obviously you get the five points, but 1 to 3 points should be a fairly easy thing for you to sort. Uh Even for this cycle, actually, you could probably get a letter um and probably get some feedback forms uh ready for for the next month, next slide um training and teaching is a separate domain uh related to teaching that you can also score points in. And the easiest way to get one point is to do a teach the teacher course. Um This is usually an online course, you know, one or two days. Um Usually if you're an F two or if you're a clinical fellow, sometimes trust will fund this for you as part of your study budget. Um Getting APG cert or APG dip in med ed is possible but it can be very, very expensive and time consuming. And if you're not applying this cycle and you're interested in education, um And you're gonna take an F three year or J CF year anyways uh to boost your portfolio, it's worth looking at education fellow jaws because sometimes trust will fund APG cert for you. Um And then you don't have to shell out 55 5000 lbs, I think is the cost of, of one. So you don't have to shell that out yourself and they might fund it for you. So worth looking into uh if you want to max out your points in this section and you're not applying this year, next slide. Um The last bit you can score in is Q IP and the amount of points you can score depends on how many cycles of AQ IP project that you've performed and how much you were involved in this uh worth looking at the evidence you need to upload uh because it's called AQ IP form. Um It's linked on the I MT recruitment page and, and they suggest that that's the evidence that they need to, to show that you've been involved in AQ IP project. And you can also upload if you've presented it, you know, the poster presentation or, or, or the slides from our presentation and you can also upload that as additional evidence. So those are all the domains that um you can score in. Um And once you've uh put in all of the points on your self assessment based on these points, you then get shortlisted for an interview. And I think KP is gonna talk us through the interview process. Now, I just some tips for the for the portfolio and traveler staying at the too. Um Yeah, as chancellor has already said, start working now. And if you, if you are playing next year, then you have some more time to try and do other things that might take some, some time. One thing I would like to say is don't underscore yourself. Um But at the same time, don't over claim. Um, because if, if you think that you're not sure what domain, um, or, or what deer descriptor your achievement falls under, then it would be better to go with the higher one because you can then you can then justify it in the interview. Um But yeah, that is about it. So moving on to the interview. So the interviews run for over a month from mid January to mid February and they are conducted online using a system called CCOM. It is a, it's a fairly decent system. You can, it's easy to navigate. Um But make sure you check your equipment, um have availability of a quiet room. And I'd recommend you use a headphone because sometimes if um if the internet is not good or the speaker is not good, um you can at least hear the questions properly so that you're not answering something random. It's completely not related to the question. Um It takes about 40 to 50 minutes for the interview. So um make sure you have that much time assigned for it and book your slot early so that you get a preferred day. Um Talking about the format, there are three questions in the interview. The first one is um your application and achievements. This was a um a question that was added from my cycle on. It's not, it's not really different to the, to the generic question that you have in on most job interviews, take us through your CV. So it's basically the same thing. Um But you describe your CV, more in the form of achievements um for this application and how they are relevant to I MT So if you have something like honors and distinction, like you would have talked about in your CVI have this degree with honors. So you definitely should mention that it is an achievement. Um You can, you can talk about your quip your teaching experience, your leadership roles. Um M RCP, if you have it. Yeah, that, that, that would be something that's a, that's an achievement at this stage. And so you should, you should definitely talk about it. This, this two minute presentation is followed by some questions. So the interviewers might ask you to describe something in a bit more detail. That is not clear. I'll just ask you some follow up questions to talk about your experience doing, doing a project or doing the quip. Uh What were your takeaway points or something like that? Um The, the reason we have marked two minute as read is because you, you must stick to two minutes at the end of two minutes, they will stop you and move on to questioning. So I think it is good to have like a closing statement to say that because of these achievements, II think I make, I will make a good candidate or an excellent candidate for I MT. Um We all know that everybody is applying to get into some kind of specialty and even the interviews know. So it's OK to mention that you are interested in XYZ specialties and but at the same time, you want to broaden your experience and by working in various medical specialties as part of your I MT. So yeah, it, it, it's a good idea to have a closing statement. I'd also recommend you time yourself and try to finish this section in about one minute 50 seconds because sometimes it, sometimes it can take a bit longer in, in when you're actually presenting it in, in front of the interior. So you have some time there. Um, right. So the, the, the, the next question is a clinical scenario. So it's a case that they give you, they'll give you a short statement. It's, it's more of like an, an acute um, scenario and, um, you'd be expected to do the assessment of the patient management investigations, all those things. So these are some of some of the examples, but they can be any kind of acute, acute scenario there. So, hyperkalemia, decompensated liver disease, delirium cap TB, pulmonary edema, et cetera. Um after the A two E does take time. So make sure you go through all of A two E thoroughly because you will be provided um further investigation. So if you don't ask for a chest X ray, then it is as difficult for the interview was to just provide you with a chest X ray, they will provide it to you, but it definitely does not look good if you did not request a chest X ray um in your A two E. So to make sure you go through it thoroughly, um this would be followed by some questions uh about the case and further manage. These are generally further management investigations. Um If it's ATB then don't forget isolating the patient. Um COVID again, isolating the patients. So these are small things that they look for. Um So that is important. At the end of your second question, you are given one minute to, to hand over this patient. So here you should follow the SBAR approach and your handover should be, should be precise and with, without unnecessary detail. Um because it should be one minute long. That is it, this is followed by the third question which is uh based on your ethics. So it would be it an ethical scenario given the scenario and you would be asked to follow up questions. So how, how would you approach this scenario? Whether it's the patient, it can be an angry relative, um breaking bad news, drunk colleague, um et cetera. So, and this will be followed by some questions. So that is it, these are the three questions um of the interview. So yeah. Um Would you like to add anything Chantelle here? Sorry, II can talk a bit about um my interview experience. Um So I interviewed in uh 2022 while I was in F three. So I think the format of the interview was exactly the same as when you interviewed KP. So we had the same three stations. Um I think I can talk a bit about the best way to prepare it as well or I don't, I think you've got that coming up on the slides as well. Yeah, we'll get um I'll just put this here. Don't worry too much about this. Because you should just try and do the best you can. Uh but it's good to have it at the back of your head. So you have two iners who score you out of five for each question. And then there is a ring added so that your score is multiplied by that rating to give you a final score um in your, on your interview panel. So along with these two interviewers who score you there, there, there is another layperson, I think who the camera has basically turned off and um they're just there for quality control. Um and to ensure that the interview is fair and um it, it's at the same um kind of level for all the candidates and there might be an admin person who, who is basically also the timekeeper. So they will, they will say the time er throughout your interview for like two minutes remaining, 30 seconds remaining, things like that. So, so yeah. Um and this on the, on the right hand side is what the, what each mark means. So five is excellent, which is at the level of an I MT. Yeah, preparation. So II used a bit of a combination of all of these methods. II did not do any interview courses to be honest, but um I'd recommend practicing with a webcam um or a mirror um because you're going to do this online. So it's good to do with a webcam. Um I think practicing with a colleague was, was really helpful for me. So I II did about three or 44 sessions um with um one of my I NT colleagues and it, it I think it was the most useful thing for my interview because we did go through a lot of stations. Um while doing that, I did um the, the medical interview book is, is very good and I I'd highly recommend that I did not go through it end to end. Um But yeah, it definitely helped with um quite a few questions. Um Yeah, what, what are your thoughts, Chantelle? Um Yeah, yeah, I would, I would absolutely agree. Um I also use that medical interviews book. Um I definitely practiced uh with a friend who was also applying the same cycle as me who also had an interview. Um I didn't take any interview courses either, but essentially we just ran through um a bunch of clinical scenarios. There's a bunch of online resources that have kind of sample clinical scenarios that you can pay for. Um I know many anybody has one. I think past me and past tests might have one as well. Lots and lots of online resources that you can source some scenarios. But the medical interviews book is very good for a lot of the communication situations that they can give you um in your kind of ethical sessions as well. Um I suppose with regards to your two-minute personal statement, um it's just good to practice it. I had a couple of friends um just read over my two-minute personal statement and make sure that, you know, uh it actually makes sense. Um And that it covers all of the relevant uh things that make you a suitable I MT um And then I guess the last thing to talk about is yes, because it's virtual. Uh It's actually very, very common for people to, to just not test their set up beforehand. Um I've spoken to a lot of uh consultants who've been in interviews and, and they were saying, you know, a lot of candidates showed up and, you know, it's a messy background and the lighting is really poor. You can't really see their face, they've got like very bad sound, a very bad connection. Um You know, they're dressed a bit sloppily. Um You know, all these things kind of set you back to be honest because it's a virtual interview. So you should try and make the best first impression you can, like I wore a button up shirt and a blazer. Um I cleared the entire space behind me and I sat kind of at the window so there was good lighting and I like locked my flatmate out so that it was completely quiet. You just, you need to make sure, you know, it's, it's a conducive environment to an interview. Um And you need to look as professional as you can because it's this is their first impression of you. Um, you know, you can't handshake. Um, you, you, you have to, you have to just look as professional as you can on a camera. So, uh, certainly test your set up before you start the interviews. Yeah, I think those, those are really good points. Um, it, just before my interview, my brother entered my room and I was at his place when I did d, so that was really scary. Yeah, but uh it, they weren't online at that point. So, yeah, it went all right, definitely. Um Yeah, I think 11 last point I supposed to make is that, um, I know it's a 45 50 minute interview, which if it looks like it's very long, but actually it passes by really, really quickly. And um for example, when I had my clinical scenario, I thought I really, really messed up on my clinical scenario. Um but the good thing is, you know, you get a minute or two to read each vignette. So I was like, right, it's fine. I'll just take a breather, just read my ethical scenario. It'll be ok. Um And when I got my feedback, I actually ended up doing just fine on my clinical scenario. So I think sometimes they do really quick you on some of the things, if they think you're heading in the right direction, they really do try and push you with uh quite intense questions sometimes. So, even if you think you've messed up, try not to catastrophize just uh just, you know, compartmentalize it, move on. You've still got two more stations to go. Um So make the most of your interview. Um So I guess I will talk about uh training now. Um So should we go to the next slide? And so I guess I'll go quickly over, over my background. And so I graduated from Kings in 2020. Um I didn't have any publications. I didn't do any intercalated degrees. I was very focused on just passing medical school. Um The only thing I had that was notable was a two cycle Q IP in OB Andya. And uh we presented this as an E poster at the International RCO G Conference. Um So that was the only thing that II really had kind of points in. Um I then went straight into my F one and F two in Northwest in, in uh Royal Blackburn Hospital um which is a very, very busy D GH um my only medical job was gastro um And I didn't really think about doing medicine at all. Actually, uh I initially thought I wanted to do um or PS and I had both of those rotations in my, a two year, I did my neonates rotation. Absolutely hated it, wrote off PS um did S and Gynae, I didn't like obstetrics, but I found out I really liked Gynae, the non surgical bits of Gyne I liked the medical side of things. Um But I was still kind of like, no, maybe I can tough out and Gyne um and I didn't have any research experience and uh I didn't really have a huge amount on my portfolio. So I took a year out um to work on my portfolio. I uh did APG Cert in Med Ed and I did AMSC in pregnancy and reproductive health uh in my f three year and alongside this I locum kind of two days a week. And actually I ended up locum just in acute medicine. Um And while I was looking in lo in acute medicine, II quite realized that I actually really enjoyed acute medicine. I like being on the take. Uh I like dealing with kind of sick, acutely unwell patients. Um And so I pivoted to looking at a career in gum, which is Vi MT. So I decided to take part one. I passed my part one. And then after my, after three year, I applied for I MT and here we are. Um So now I'm I'm T two in KSS, I've passed my uh part two and I'm hopefully going to take Paces next year to the next side. Um I guess the, you don't need to know a huge amount of this for your interview, but it, it's good to think about if you're thinking of doing I MT. So it's worth knowing whether you want to do a group, one or group two specialties. So for those who are unfamiliar with this, a group one specialty means you do. I mt 1 to 3 with I MT three being your kind of baby med reg year. Um and uh group two specialties being uh specialties that don't require you to do I MT three and don't require you to med reg during your higher specialty training. And so that's things like uh dermatology. Um I think uh what else I could you go to the next one? I can't remember. What else is. It is a group two spec specialty. Yeah. Dermatology, hematology, oncology. These are all group two specialties and things are group one specialties are, you know, your big ones are cardiology, respiratory gum is actually a group one specialty as well. And it's worth thinking about whether you can tough out being a med reg for all years of your training because that means you have to med reg as I MT three and you also have to med reg um as ST four to ST seven plus if you take years out and some people because some people don't want to med reg. Um and therefore that might push you to do a group two specialty. So it's worth having a think about. Um But I will say that some people I know who um aren't going to do a group two specialty are still doing I MT three because it's a good experience. Um So worth noting about the I MT three years because it's a fairly new thing. Um, is that, uh I MT threes are technically a medical registrar. Um, some hospitals have I MT three where they're paired with a senior registrar who's actually in higher specialty training. Um And you won't be alone on the take. However, other hospitals smaller DG HS, the I MT three works uh independently and there's no supporting uh senior registrar. So at Maidstone and Ridge, well, the I MT three functions as an autonomous registrar overnight, they're the only registrar for medicine. Um So it, it kind of depends where you work. Um Next slide. So uh thinking about kind of day to day on I MT, unfortunately, there is a good amount of servi for service provision in I MT, which you've probably heard before. This is the same wherever you work, but it can be variable, the amount of service provision you need to do and because it depends on the frequency of your on calls. Um I, on the next slide, I'll show you, I've got a copy of my September rota. Um But to be honest, I really enjoy the on calls. It can be busy. Uh I think Maidstone and T 12 is not a horribly busy hospital in terms of the take, I think ap can probably attest to that and it's a very well supported uh D GH to, to work in and I think actually a lot of I MT S I've spoken to have preferred working in AD GH as an I MT and because you just get a lot more hands on experience. Um I'm currently on the acute medical unit doing my I MT two. Um So we do an acute medical clinic one or two days a week, we get to do procedures in a ac um I deliberately picked the track that I've got because I thought it covered all of the big gen med specialties. So I've done, I'm T one in respiratory geriatrics and cardiology. Um Everyone has to do a rotation in geriatrics and everyone has to do a rotation in itu, this is now a new mandatory thing. And so my upcoming rotations will be itu and endocrine. So along with au a a acute medicine, I think that's a very good overview of the big medical specialties and I'd already done Gastros and F one. So I feel like if, if you're looking especially to, to be a, a med reg and you're applying for a group one specialty, it's worth having you think about getting um a lot of the gen med specialties in instead of uh I don't know, maybe going for a very niche subspecialty like oncology and as one of your rotations unless that's something you're interested in. And in terms of your education in uh I mt what is uh mandatory is that you have regional training days these are usually virtual. It's once per month and it's uh done by each Deanery. Um, usually a half day or a whole day depending on the month. Um, you also get local teaching, you're supposed to attend some grand rounds if you've got the time to do. So, um, you get 30 days of study leave in total for your whole I MT one year and then a another 30 for your I MT two year. So that's 10 days per rotation if you're doing four month blocks like we do at Maidstone. Um The good thing about I MT is you can now use these as personal study days as well. So if you're prepping for paces or prepping for part two, you can take uh a couple of these days just to study it. It's not like in foundation where you're not allowed to take personal study days. You, you can now use these as personal study days. Um You should also be allocated clinic days because you need to meet, meet a minimum number of clinics and you should also get a self development days usually once a month um to, to do, you know, careers work or, or work on Q IP and stuff like that. Um I think my final slide if you just go to the next slide KP um is just an example of a ROTA. So the ros can be very heavy. Um You can see I've got uh two separate sets of nights and also a set of a long day on calls and that's on top of all of my ward days. Um, so the, the hours are not insignificant. So it's worth thinking about if you're definitely set on I MT and, and you haven't taken any of your exams yet. Uh, I think the feedback that I've heard from my friends who didn't take any exams before starting I MT. So, especially for part one, it's very, very difficult to juggle a rotor like that if you're working full time and trying to study for uh part one, part two, cause that it does require a lot of time. So I if you're not applying the cycle or you think you can manage to sit it early in the year, um I it's worth thinking about sitting M RCP before you start. I MT. Um because the roach can be very, very heavy and make it difficult to study. Um Right. I think that's it from us. I think you've definitely got some questions. Thank you very much. Both for the presentation. That was great and really informative. We do have some questions in the chat. I'm just going to go through them one by one. Please feel free to ask further questions if you have any. Um And please don't forget to fill in the feedback form at the end just to receive your certificate as well. So we'll start with the questions now. Um The first question is, are offers made based on portfolio plus interview scoring or is it just interview scores? It's just the interview scores, I believe. So your portfolio scores um where you fill in the self assessment is literally just for the short listing. Um Once you get an interview, you're all on even path um and then your offers are made based on your interview scores. Um Yeah, I believe that's correct, isn't it? KB? Yeah. Yeah. Yeah, that's true. Yeah. Mhm I just wanted to say that on the, on this year's portfolio. So on our first slide, I just read the statement. So the interview is while scoring, you will take into account your portfolio. So they do take that into account. But yeah, it's based on the interview scoring. Thank you. Uh The next question is any advice for getting all presentations of national and international meetings? Um I think a good way to do that is to uh speak to consultants or registrars who are kind of big on publications or big on presentations. Um That's probably the easiest way to, to, to go about it um because they will know um what conferences are coming up and whether or not they have a project lined up in mind that they wanted to present at that conference. Anyways, I think that's usually the easiest way um to go about it. Um I don't know if you have any, any ideas. K I think Yeah, that that's true. I mean, II had um I had a national presentation, oral and a post as well and II think it was all with the help of the consultant. So um yeah, it is definitely you need a consultant to supervise you speak to you and they will guide you on um making a poster. So my consultant um he like reviewed my poster multiple times before sending it over. So that was very, very helpful and you could do poster presentations for like, I mean, you present the case for audit, anything like that, you can get a poster presentation. Yeah. OK. Thank you. Uh The next question is, is it possible to clarify uh about M RCP since they saw an eight point scoring for it in 2025. Is, is it M RCP? Part one or all part? So, II think that's for higher specialty training. Uh M RCP doesn't count for um for uh I MT uh training. So you, you can say in your interview like in your, in your two-minute presentation, oh, you know, I've already passed part one and part two. Like I'm very proactive, you know, I'm really dedicated to internal medicine. Um But this, it, it doesn't count for any points as such. OK, thank you. And I think you already answered the next question which is if the portal for your score still matters one shortly before the interview, is that the, the score is based on your interview alone, once you, you get done, uh the next question is, can you give us an example of clinical and ethical scenarios? I think, did we have some on our slides? And yeah, we can bring that up, I guess. Um All right. So I think in terms of clinical scenarios, the best way to practice for it is just to think about any kind of acute uh acutely deteriorating patients so that people that you would see and resource people you would see on the take. Um And just practice kind of a to e scenarios for them. Obviously. Um We're not allowed to say which scenarios we had on our interview. Um But uh just think about what, what's, you know, an acutely unwell patient. So people with a cat, people with, you know, pyonephritis and delirious patients and it's not just about, you know, the e scenario, it's about um you know, the additional considerations. So for example, someone who's really, really poorly and very, very frail, it's not just about the medical management, it's about the communication to the family, it's about having DNA R discussions and seeing of care discussions. And I think that's probably uh the important things to say about uh clinical scenarios. I don't know if you've got anything to add KP. Um I II think one thing I noticed was on medical, if you're doing medicine on medical tape, you generally have quite a bit of information about the patient and have like a plan in place. Whereas these scenarios sometimes can be more of like the patient is presenting an ed and you don't have a lot of information. You just have like one or two lines in the patient. And then when you go through A A two E, you get more information like the blood results and imaging and stuff like that. Yeah, I think after you finish your assessment, they give you additional information. So they might give you some imaging or investigation results and then they ask you to interpret that as well. Um And, and kind of give some differential diagnosis and, and man additional management and you're allowed to change your answer. So if you see the results and say actually this now looks more like, you know, a different condition. Um You, you just need to be able to justify why you're going down that, that line. Um And uh yeah, they, they might just continue to push you on the diagnosis if you, if you are sure of the diagnosis and you feel confident in it, don't necessarily let their questions sway you. Um because sometimes they just keep pushing and keep pushing because they want to see that you, you know, you're confident in your, in your assessment and in your abilities. And so I know from my clinical scenario, they really, really pushed me and tried, almost, tried to get me to change my answer even though I was, I was fairly certain with my answer and that's why I felt a bit uh nervous after my clinical scenario, but actually it turned out I gave the right answer. So just stick to your guns, make sure you've practiced. Um And don't let kind of their leading questions fool you sometimes. It's lovely. Thank you very much. Um The next question is what's SCE slash KBA? I don't know. Did, did we use that somewhere? Um I don't remember now. Um Would you like to clarify in the chat, please? What, what do you mean by those abbreviations if you saw them on any of the slides and then we'll move on to the next question and come back to this. Thank you. Uh The next question is if there's any suggestions for less than full time training applications, any caveats to be mindful of it? Oh, the um I don't know, actually, I don't really know any less than full time trainees. I don't know if KP, I think in our, it one year this year we do have quite a few trainees who are two or three. To be honest. I don't think it makes any difference whether you can apply, you can take it on your, on your application that you want to do less than full time and it does not make any difference to your scoring or whether you'll get the job or not. It, it just does not make any difference Um And II think even the interviews don't know what, what you have selected, but it doesn't matter. Only thing is you can, you will, right from the beginning, you'll go less than full time if you take that and if you don't take that, you still have the option to go less than full time saying the second rotation, sometimes they delayed by a rotation or so if they don't have that, they put staffing, but I II cannot think of any. Yeah, you can change your mind. So if you do I mt one at full time and you decide it's too much, you can always drop to less than full time in it two or you know, halfway through I MT one. That's not a problem. Um It's important to know that actually I MT is technically competency based. Um So if you go 80% and you meet all of your portfolio requirements, your take requirements, um you can technically still finish in the same amount of time, but this is very, very deanery dependent. So some places don't technically stick to this. Um So you just have to be careful depending on where you're, where you're applying for as long as you don't mind, uh potentially having to extend your training slightly. Um The lesson full time is a very good option. OK. Thank you for that. And in the meantime, we got a clarification for the abbreviation E and KB. Um They said that it was in the IMT timetable screenshot? Oh, ok. Ok. Where was that timetable? Timetable, timeline, timeline? Ok. One. No, it was in the timetable. Apparently it might have been on the snapshot of your ROTA. Was it on the, was it on my ROTA? Mhm. Mhm. Oh, no, it was on the timeline apparently. Timeline, did they say? Ok. Um, what did we put AC KBA? Where is AC, can you see it? I did it, is it possible? I can't, I can't see Ast EK VA is Hannah? No, I very sorry. Uh They don't know. Uh Thank you, ma'am. Uh We can come back at the end if we need clarification and we'll move on to the next question. Uh How much score do you think we need to get shortlisted for an interview? Oh It is uh there's, there's documents on the I MT uh application page. It tells you what the short list score was to, to meet minimum for interview. I can't remember what it was in um last year. So if you um if you go to the document library um on the it recruitment page, it should have the latest um scores available there. It has, it has lots of useful documents. So I'm just taking back to the, the last slide where there's a link to it. So that's that. Yeah, that's the one. So you just go to it Google I MT Recruitment and there's a document library section on there. You can find that information there. Oh, I think I know where the SCE is. If you go back a couple of slides to the, the overview of group one and group two specialties, I think I saw it there. Yeah. SCE is, is the specialty, specialty exams? So that, that's when you take your specialty exams, it's not really relevant for your I MT, don't worry. Great. Thank you. Um, the next question is how, how easy is it to get an F three job if you prefer to take a break from training, work on portfolio after F two. But recently junior clinical Fellow positions are quite limited. Um I think it depends where you work and where you, you're, you're, if you want to move, if, if there is availability at the current trust that you're at, it's, it's very, very variable, to be honest, it's, it's kind of hard to say. Um I know low posts are difficult to come by at times um because they're trying to hire more uh JC FS or F threes in, in kind of a long term road pattern instead of paying for locums. Um So it just kind of depends, it's hard, it, it's a bit hard to answer. Um That one I'm afraid cause it will depend where you are and where you're willing to work. I think, I think I've heard the same thing that locus are growing up, which basically means they have to fill these posts somehow. So I personally think there will be more f three jobs um if they, if they don't want locus. So yeah, cheaper for the trust. Thank you. Um Is it possible to apply for higher specialty training? Your I MT if you have all the necessary requirements and yeah, so you can apply for higher specialty training in I MT two. If you're applying for a group two specialty, if you are applying for group one specialty, you can only apply during I MT three because you need to complete your I MT three med reg year before you're allowed to go into um uh group one specialty. Thank you. Uh Our next question is, are all your rotations in one hospital or do you have to keep moving? Especially after I MT three or when you get into gum? It, it depends where you work. And so I deliberately picked the track I'm at because I stay at Maidstone all three years of my I MT training. Um But other places you move around every four or six months. Uh It is very possible. So you just, you have to be very, very careful when you're picking through that spreadsheet um after your interview about all the jobs because it will tell you if you're gonna have to move hospitals every couple of once cause that makes things difficult. Obviously, if you have to move house um move cities or whatever it is. Um Usually you, you will stay in kind of the same region for each year usually, but that's not a guarantee. So if, if location is something that really, really matters to you, um Be very careful when you're ranking your jobs. I've got one, I've got one rotation at Tunbridge. So it's a different hospital. So yeah, but, but there are some, this is doable, this is like a half an hour, 40 minute drive. Um But there, there are definitely some rotations that I saw. Um while ranking the post, for example, there was one in Newcastle and then one year is in car. So it's literally like east coast and west coast. So you have to move there. You cannot, you cannot drive. So yeah, it is something to be careful about. Thank you, Beth. And I think the last question is um is there two cycles for I MT applications? Um I think it depends if there's any jobs or vacancies left over, it's not always guaranteed. I believe if there's cause the big intake is this current uh upcoming one? So I think it depends whether or not there's any leftover jobs, which often I think the answer is no, I think, I think, I don't know how it works but I know somebody who started at my previous trust in February last year. Um But I think they're just one off posts or something. Yeah, they're, they're very, very infrequent, I think. Yeah, so I wouldn't bank on getting a group or like a second cycle. Um, if you're going to commit to this cycle, yeah, this cycle. But I also think that the way that second um, start works is you still apply in August for, for the August round. And then if you have not accepted any training program and um, you were ranked at some point and that a new post becomes available sometime later you get that, but I'm not sure, I'm not sure about this. Yeah, there's just one. Thank you. And one more question came up in the chart. What's the difference between round one and round two invites? That is just round one for I mt because all the posts are getting filled. Um So I don't think they, they are, they're doing any round two at this stage. Mhm. Thank you very much, both for your time and for your participation and thank you everyone for joining us and asking your questions in the chat. That's really great. Please don't forget to fill in the feedback form in order to get your certificate and thank you very much for your time. Have a.