This talks explores Student Selected Components and how to make the most out of specialist placements in surgery. We will be covering how to organise the specialist placements (SSC and SSP) in orthopaedics in 4th and 5th year, student experiences, getting involved in research, and more! We also welcome our friends from plastics to tell us about their experiences!
SSC & SSP: How to Make the Most of Specialist Surgical Placements (2023)
Summary
This on-demand teaching session is relevant to medical professionals and provides an in-depth look into specialist placements, focusing on the differences between SSC and SSP, the processes involved in organising SSC, ways to maximize theatre and clinic experiences, and how to develop meaningful research and projects. It is hosted by CUTOS, but is applicable to any medical or surgical specialty and includes student experiences and a Q&A session. Attendees can learn how to introduce themselves to potential supervisors, the importance of early orientation when arriving at the theater, tips for taking a comprehensive history and perform examinations in clinic, and how to log experience for future applications. Don't miss out on this fantastic opportunity to gain invaluable insight into specialist placements!
Description
Learning objectives
Learning objectives:
- Understand the differences between SSE and SSP placements.
- Be able to organise an SSE placement effectively.
- Be able to maximise theatre and clinic experiences.
- Understand how to get involved in research and/or projects.
- Understand the importance of being engaged, enthusiastic and asking questions when attending MDT meetings and other forms of learning.
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The following transcript was generated automatically from the content and has not been checked or corrected manually.
Specialist placements. Um You know, it's a lot of opportunity to uh not only learning but, you know, um getting involved in new kind of things, um boosting feature applications. Um So what we're gonna talk about today, um we're gonna have um a look, look at what SSE and SSP is um the differences and mainly how to organize your SSE, which can be a bit more um tricky, um how to maximize theater and clinic experiences, research and projects, getting involved, um how to get involved and what kind of things you can do. Um And then we have a lot of, you know, student experiences. Um We've got Tash and Simpson from um Qra as well, the Plastic Society who can talk about their SSE last year as well. Um So, yeah, um this is hosted by Q Os, but obviously it's what we're saying today is not applicable to just orthopedics and it can be applied to sort of any medical um specialty and surgical specialty as well. Um And as I said before, um we'll have a big Q and A but of course, stop me at any point if you have any questions. Um and we can really have an interactive discussion kind of session. So SSE versus SSP so your SSE is in year four, your SSP in year five, as you might know, um, the main difference is in SSE in year four, you have to seek out your own supervisors. Um So you, you start thinking about specialties and you can use the VA so the Med ed, um, which has the database of specialties and supervisors. Um And then you can start emailing them um quite early if you, if you have like a set thing that you want to do. Um Just to make sure that they're available during your block to see. Y um In contrast, the SSP is in year five where you pick um your ranks of an allo an allocated list of supervisors. Um And then there's allocations that happen based on everyone's preferences, but everyone usually gets sort of their top um two or three. Um But that's where the differences are, but, you know, in, in both the SSE and SSP, there's a lot of opportunity to explore the specialty deeper um through theaters and clinics. Um And there's also opportunities to undertake projects. Um So this can be research, systematic reviews, audits and quality improvement projects as well. So, organizing SSE S um so as I said, there's a database of specialties and supervisors on, on the med. Um And you can contact them early. Um If you, if you know what kind of special you wanna do or know a particular supervisor that you're interested in working with. Um and uh try and be memorable when you email them as well. So one example here, um so this is sort of a decent um email to a potential supervisor, you know, introducing yourself keen interest, um explore the specialty from, you know, your sse blocks. Um And then asking for, you know, asking if there's a possibility to do a project within that six weeks as well. Um However, it can be improved. So if we look at here, um we're talking about um having special interests in, in what sort of they're into. Um and then, uh um sort of organizing sort of a meeting straight away instead of saying, can I come in in 67 months? Um sort of, um, can I come in next week to attend the theater or, or, or a clinic just to, you know, show you enthusiasm and, and sort of, you know, take it, meet them in person and, and, and take it further in terms of, um, them being your supervisor and doing the SSE. Um Also you can ask them for particular topics that you had in mind, um, and then potentially come up with a project together and, you know, this is something that you're gonna work on throughout the course of the year. So it's sort of not very feasible to think that you can finish the project in six weeks and, you know, finish it in the block and move on. Um And so I think the SSE is, is a lot about building that sort of relationship with your supervisor and then they will sign posted towards a, a hu huge host of different opportunities throughout the year. Um As you work on your project at the same time. So, um the and clinics, um so this is where, you know, most of your learning will happen during SSE if you do a surgical specialty. Um So it do take some time to orient itself before you go. So know where the change rooms are, know where the main theaters are, um, arrive early, um, eight AMA bit before 8 a.m. maybe for the team brief, um, and introduce yourself when you go to your theater. Um, and if you don't quite know where to go, you can go into the, the, the theater office, um, or you can look for someone in a red hat who's theater lead and, and they'll usually point you in the right direction as to where to go. Um, when you, when you have your theater list, um, there's loads of useful. Well, you can, you can view the theater lists on, um, epic, um, just if you go up and then I think it's, um, status board and then you can see all the theater lists. Um, and then once you know what kind of things you're gonna be watching, there's a lot of, um, useful pre preparatory content. Um, so for, or just this is, um, just an orthopedic example. So there's the youtube Channel Cambridge orthopedics which have a lot of, sort of run throughs of each different type of procedure and surgery. Um, there's the AO app which, um, tells you sort of approaches and incisions for different procedures. Um, and then, um, what kind of superficial dissection you have to do and what kind of deep dissection you have to do to, you know, get to the joint that you're looking at. Um Also if you have like an anatomy app, II, don't know. I think we had one in first year. I think it still works. So, um, you can just, you know, read up on your anatomy before you go into theater or go into that case and really get involved. So, from the start of the, the, the case, so, you know, viewing, um pre op imaging, observing, you know, the anesthesia um scrubbing in, I think scrubbing in is the probably the most important, um, cos that I think that allows you to really get hands on, which is what the sc is all about. Um, and then, um, also, um, yeah, you can, you can add it to your sort of logbook. Um And then you can, you know, it really make it hands on learning experience. Um and also a transferring patient at the end, um, and clinics, um, So, clinics is your chance to do histories and examinations and you can practice, practice, practice because there's loads of patients that they'll see. Um, and I don't know about other specialties but definitely, definitely orthopedics, they're very keen on you, um, taking the lead and, you know, taking a history and maybe examining a patient as well. Um, ask lots of questions. I think clinics is, um, sometimes they can be a bit repetitive in terms of the patients, but I think each one has a subtle sort of learning points and differences um that you can pick up. So I do ask a lot of questions um and then take notes and read up either before or after and solidify that learning. Um I talked about scrubbing in, uh we've kindly been provided this quick video about just um just scrubbing in, in, in general. So I think I'll give that a play, um talk to the hand washing technique. Um and then making sure not to go back up with the hand after you've gone down. So, yeah, someone will help you. Um ideally you shouldn't have it that close to the sides. But um we'll, we'll, we'll let leak. Yeah. And then if someone asks you to help you touch only the white bit and not the purple, but I've seen someone touch the purple. Cool. Yeah. Um Yeah, it really helps if you know what you kind of how to and you don't have to like be perfect. It's probably in, but if you kind of um the rough steps, it's quite useful and um I'm sure one of the theater staff will help you. Um Oh, no, not yet. Ok, cool. Um So as I mentioned at the start, the SSE is really a chance to um gain a lot of experience in your specialty. Um And if it's something that you're really interested in exploring as sort of a potential career or a surgical career in general, um It's really good for boosting future applications. Um So, um as you may know, um so operative involvement or experience in, in theaters um is, is worth, you know, points. Um So this is why it's important to um scrub in for your own learning as well. But, you know, if you scrub in, try and make a note of it in your E log book, um if I think it's just E book dot com, I think, um but it's called E book online and you can just go in and create your account. Um And then start logging. Um If you do the earlier you do this, essentially the sort of the more you can, the more cases that you've been to that you can keep a track of and then the easier it is when you apply um for co surgical training applications um in terms of like doing projects and stuff. Um So you can get projects for um uh conducting projects and then presenting them as well or writing them up for presentation. Um Essentially, so there's a whole host of different points here ranging from one point um for a collaborative piece to 10 points for um uh pre a full publication, ped site publication um and prize presentations. Um And also a lot um is a, a new sort of changes that a lot of points and our um the towards um quality improvement projects and audits. Um So these are really valuable and these are, um there's, there'll be loads of sort of different um, quips or audits that you can work on. Um So, you know, it might be worth um asking your supervisor about that. Um But bear in mind you can choose a topic as well. So what are supervisors looking for? Um, as you do, we just tweeted out and then we got some responses. Um So this is what this is what supervisors are sort of looking for when you go. It's just, you know, being engaged, some, some of it is quite obvious, you know, engaged, enthusiastic. Um And then, you know, some is more specific. So go to fracture clinics, um spend some time in, in, in with the, with different members of the MDT team, um have a rough idea what you wanna do. Um, get involved, ask questions. Um It's quite standard. Um The trauma meeting is actually quite important as well if you go. Um I, I'm not too sure about other specialties but, um, e every specialty should have like some sort of MDT meeting or, or sort of a brief at the start of the day. Um, so in, in orthopedics, this happens in C eight, starting at 745 where they just discuss all of the trauma cases that they have. Um, and then there, there's, well, they also have the different theater lists as well, so it's a great chance if you just, you know, one day you don't really know where to go, you can go to the trauma meeting and then get assigned to a, a theater list from there if that makes sense. Um And, you know, they're all very, very keen to have you as well. Um So yeah, they just want you to have fun and, and, and, and, you know, and boost your learning as well. Um Cool. So a summary of sort of the top tips if you will um attend clinics and theaters. Um and even before your sac block, so this, you can get, this can be to get a taste of um your specialty or your supervisor and, and what they do. Um And also show, you know, your enthusiasm, enthusiasm um and get started early and, you know, start building that relationship with your supervisor, um MDT meetings. So the Trauma MDT 7 45 C eight, there really are valuable learning opportunities because they go through each case. You know, um, get the imaging up and then see what, how to manage them and, and what kind of investigations need to be done. Um, and then you can meet the team as well. Um, and the theater lists, as I mentioned, um, look out for other opportunities. Um, so there are lots of, um, yeah, you know, your learning doesn't just end at clinics and theaters. Um, there are lots of different, um, ways you can explore your specialty a bit deeper. So going to conferences, um going to sort of courses um and even volunteering to help out, help organize these courses as well, um can be quite useful and actually quite a way to get into the course for free, essentially. Um if there's a course going on and they're looking for volunteers, um which they often are. Um so, and not all projects are already made. So, um it's, it's sometimes some, some supervisors will have, you know, a clear idea of, OK, I want this project done, I want that project done, but most of the time it's um about you sort of taking the lead reading around the topic or what kind of subspecialty they're interested in or what you're interested in and then you come up with your own ideas and then you can sort of develop these together and, and the supervisors will help you sort of mold them and execute these plans and whether that's um sort of a research project, a systematic review or an audit or a quick, um, yeah, you know, do some reading and, and have a couple of topics in mind or something that you're looking to get more, um, knowledge or do more research on. Um, and then you can come up with sort of a project together and, yeah, order some clips, um, worth quite a lot of application points. Um, and actually I think they, they might be, you might be able to sort of finish um a bit early early, they might take a bit less time depending on what kind of a quip that you do and yeah, work with friends. So um AAA lot of the time supervisors will have more than one. See, so you guys can collab on a project. Um um yeah, you know, help each other out, maybe do two projects, but collab on both of them. So you, you have, you know, a double the number of um sort of projects at the end um or work on a, a system and an audit and then um if you work on them together, then you both have the points for both. So um and the most important tip of all, if you remember one thing is have fun, obviously, um it is really, is a um a you can really make, you know, a lot out of it and it really can be a really fun, fun block. Um If you, you know, choose and choose your specialty and, and, and you know, apply yourself. Cool. Um, I'll talk about my sort of experiences in SSE. Um, so II did it in orthopedics with Mr Kang last year. Um So, um I had the chances to go to multiple courses. Um This is this on the top, um, right tier was a course that I helped to, um, that I volunteered to help set up and then that meant I can attend the course as well. Um And um you can really meet a lot of um different um people, a lot of different registers and consultants in the area. Um do some cool stuff um with sobs and, and things like that and get really hands on. Um and also help organize. That's, that's another point. Um There's conferences that you can go to. Um So this is um the B OA Congress that happened in Liverpool. Um So there's the exhibition, they had some cool robotic um um surgical arms. That's quite cool. Um And then, so I worked on a project and then you can also present, you have the opportunity to present these at various areas as well. Um So my project was um an original research. So I um sort of came up with it um with my supervisor um um looking at sort of a VR and the effects of um the usefulness of VR in, in um uh sort of surgical education and training. Cool. Um Is there any questions anyone has so far, just shout them off it. It's ok. I was gonna say, I'm sure some people are wondering, um, how did you volunteer at the conference? Um Like, how did you get involved in that? And how did you help? Cool. Um So this is, this was the, the Holland e course. Um Essentially my supervisor, um, knew one of the sort of the consultants who was organizing it. Um And then they always, they, you know, um they're always keen for sort of volunteers if you just email them. Um And then say, uh this course is going on is, are you looking for any volunteers? Um um And, or, or your supervisor might put in a word saying, you know, you're gonna take some volunteers. Um So what this was, we just went um helped sort of set up all the equipment and everything. Um And then um took care of the um a video and audio and then, um after we setting up, after setting up, essentially, we can just sit and then be part of the course essentially. Um And, you know, get hands on with, with all the practical workshops they had on and sort of the speakers in the lectures as well. Um And that, you know, it was like, I think it was like a 200 lb course. But if you're a volunteer, you obviously you're gonna help set up. So it's, you don't have to um, pay to go to the course. Um, and this was a medical student course. So there are a lot of courses. So, um, there's like the ao um, intro to, um, orthopedics. Um, sorry, Foundations of, or orthopedics course coming up. Um, and then they run a lot of different, um, med medical student courses. Um, I know there's one running in, in, um, a couple of months, um, in, in Edinburgh. Um, and this was in Liverpool. Um, and they said, yeah, they do, they really do, do a lot of courses. Um, and this is the Cambridge, um, sort of, um, conference, the lo the sort of the regional, um, oh, sorry, the local sort of conference that they have every year as well. Um, so, yeah, in, in terms of you can either look for these opportunities on your own or ask your supervisor and, you know, most, most, um, supervisor will be more than happy to sign post these different opportunities for you. Cool. Um, anything else, any other questions so far? Feel free to put them in the chat. If you're not in a place you can speak out loud or if you're not comfortable with that, you're very welcome to speak. Yeah. Put them in. Cool. Um, ok, so we have a couple of, um, students, um, if you'd like to talk about their experience. So, um, first, um, Tash from, uh, um, uh, yes, hi. So, um, so, yeah, I'm Tash from So we're the plastic surgery society. So if you're interested in anything to do with plastics as well as surgery in general, we do host events. Um, so give us a like on Facebook. That's my little plug. Ok. Um, so Raji has done a brilliant job of explaining exactly what SSE S are. Um, so I won't rehash what he said. Um, but I thought I'd just give a bit of an individual insight into what I did in a different speciality. Um And how you can potentially do something similar. So like everyone else, I reached out to people via the med ed list. Um I didn't have much confidence in people replying to me. So I did message a couple of people and then was quite lucky to get quite a few people replying to me. Um So do do send nice emails to people if you don't do a project with them to kind of let them down gently and no one will be offended, but it is a bit rude to kind of leave people hanging. Um So what I did do with my supervisor in the end was a service evaluation in most micrographic surgery. Um So I wasn't especially interested in this specific surgery before I started my um SSE but I did have quite a strong interest in skin cancer. Um and he has done many of these surgeries and was quite keen to do have a project done in this area. Um So we kind of worked together to figure that out. Um And from speaking with friends, I think what happens quite a lot is you'll start with one project that you will see through. Um But also through, looking through the data, you'll notice trends and you that will spark interest in other areas. Um And you may do like a side project on that as well. So I'm also looking at um extra mammary Pagets disease specifically. Um and how the level is progressing um to that um condition. Um Yeah, so that's a different type of research. You can do a service evaluation. Um I guess it's probably not as exciting as original research um because it is trawling through a lot of ethnic data. Um but you can still produce some nice outcomes at the end and, and see how it makes a difference in patient's lives. Um I also scrubbed into a lot of plastic surgery, um which is a really great experience because you get to stick with the same consultant for quite a long time. Um And eventually they start to trust you a bit more. Um So you get to do a lot more than if you were just a random medical student walking up for like one day of surgery. Um And it is quite flattering for a plastic surgeon to let you suture their patients. So like, you know, you'll, you'll get to do fun things. Um um And then essentially as a result of um my work with him, we're aiming to present in Paris next year um at the Dermato Oncology Congress. Um And Asi says, yes, this is a great experience, but it also racks up points for um for later in your life. Um Yeah. So I think the main thing about SSE S is that it's not just a six week project, it is a lot longer than that and your professional relationships can last for years if not longer. Um And your supervisors here can often end up being quite good mentors um going forward in your career. Um So it is worth kind of cultivating those relationships nicely and, and being kind of a good student. Um My block was right before exams and I'm sure a lot of you might have that too. Um And that kind of has its pros and cons like, I probably didn't go in as much as someone who had their block first. Um But I did have a lot more time to do like revision. Um But yeah, do be prepared for your research, like carry on past the official dates. Um And if you do want to present or something, you, you're never gonna do that in six weeks. Um So it's good to be realistic about all these things. Um So, yeah, the, the best bit he's kind of already been said, but it's, it's a direct 1 to 1 with a consultant of your choice um is really valuable and you're not just another number you do have on a person in their eyes. Um You can scrub into as much as you want. Um It's really a chance for you to do what you want. Um And I know some consultants will have quite strong ideas of what they want their students to do, which sometimes benefits their own interests. But if you do have, if you are passionate about a specific area, do do do let them know. Um And I do remember one of the things my supervisor first said to me when we sat down was right. Are you here because like, you have to be here or are you here because you actually wanna get a project out of this and do something with it? Um And he was like, it, it doesn't matter what you say, he just wants you to be honest. Um So if you do want to properly get something out of this and present something, publish something, it is good to be upfront about that and not be embarrassed about the fact that you want to actually do something with it um to do, put yourself forward. Um So I just thought I'd also touch a little bit on the different types of projects you can do. I know Raj you mentioned about the audits and quality improvement projects which do get a lot of points in the future. Um But you can also do systematic reviews which are probably a bit of a shorter project. So you can get that done potentially within the six weeks, um case reports as well. If you're keen to do something quite short or you've seen some interesting cases um during surgeries, um service evaluations are good if it was a revision block and you just want to sit on your laptop at home. Um because you are just looking through epic data and original research is probably the most exciting if you have something in mind. Um But these are quite good things to, to Google in advance um to kind of make sure you know what you're getting yourself into before you kind of blindly agree to something it says. Um And I think finally, I also echo the, the thing about volunteering at conferences. Um I got paid for volunteering at a few of these conferences. Um And you end up learning a lot from them. Um And it's, it's quite fun actually. Um And you end up speaking to a lot of doctors who become quite invested in your career as well. So give you lots of advice and tips going forward. Um So yeah, um that was a very, very quick run through of my time in an SSC if anyone's got any questions, feel free to shout out or put them in the chat. Great. Thank you, Ta um Yeah, II really want to echo the point about um Yeah, it's, it's, it's really odd. Yeah. Yy, you know, you have like that sort of 1 to 1. Um, and you build that relationship over, you know, the course, not just the course of your sse, but further as well. So, um, the more that you go in and the more that you scrub in, you know, they'll, they'll trust you with more things and you can really get hands on. Um, so you might start with just one suture, you might, you know, start with a whole line of sutures and then go to do some drilling and some, some screwing. Um um So it, it really is, um, it really is a great opportunity to get really hands on and, and, and get, you know, a new, new experience that you might not get in just that one week of specialist surgery that you have in Adam Brooks, um, or your surgical blocks if you're moving around in, in with different specialties and different consultants. Um And also the flexibility. So it, it's like you don't have to go in every day. It, um it's not like other specialties where they'll have like daily sign ins and stuff. Um And you know, mo most consult actually will work, I think, maybe 22 theater and two, the two clinics, um a week. So, you know, it, it, it, it really is as flexible as, as you want. Um So if you, you know, having fun and you wanna do more. You can go to the trauma meeting and join other lists. Um, if you have, you know, other work to do or other interests that you're, you're getting on with. That's also fine. That's completely fine. Cos you're still going in with your, um, sort of supervisor when they're doing their theaters and clinics. Um, and, um, especially fracture clinics actually for orthopedics is, um, one where you get a very wide variety of, um, different ca cases and type of patients. Um, presenting. Um, I just thought of one more thing actually as well. Go for it, go for it. Um I thought I was going mad when I first went to the theaters at Adam Brooks cos they're not all chronological, the order, like the one I was looking for seemed to be like missed out as a chronology. So like if you think you're going mad, you're not going mad. They're like there, there's a where they all are around the side. II spend many, many, many hours wandering up and if you're lost, just ask someone, they, they're very, very friendly and they'll be more than more than happy to point you in, in the right direction, um, and asked to scrub in as well. Um, a lot of them are very keen on, on student scrubbing in. Um Great. Thank you. Thank you. Any questions for anyone. There's a question in the chat, um, which I just tried to reply to you, but my chat isn't working. So, hi. All thanks. Such uh for such a detailed talk, how do the six weeks of the block usually look, do most projects wrap up in that time? Do you want to answer? And then I'll give an answer after. Yeah. Ok, cool. Um, so yes, so it depends on a lot of different things. Um, depends what kind of project you're doing. Uh, as said, if it's a systematic review or an audit or a equip and you just wanna, you know, you can just like work on it during six weeks. Um and then f finish it off, that's, that's completely fine. But I just know that it will extend beyond in terms of reviewing it and then uh if you're gonna make an abstract and submit it for applications and then presenting. So I think I'm, I'm still present like my, I'm still presenting the project that I did in SSE like next month. So it does last a long time after in terms of um um presenting your projects. Um And again, it ha it depends on if you, if the supervisor already has an idea for you and just wants you to crack on with it or if it's something that you're sort of um putting together um based on what you see in theaters or what you read um around as well. So sometimes it can be good, you know, forming the project in the six weeks. So, um really planning what you're gonna do. Um If you're doing a sort of a comparative study, um uh based, looking at, you know, two, based on looking at, looking at outcomes um after two different um interventions, for example, um or if you're doing um sort of um original research, if you can plan those and, and, um, get, get, get the ball rolling in six weeks and then you can just work on it a little bit by little bit. It's not like it doesn't take like a huge amount of time for us to be here either. Um And then, you know, if you're working on it after you can always just give you a supervisor a message if you're like, if you have nothing to do on a Wednesday morning or Wednesday afternoon, um you can just say like, can I come today and the clinic? And of course, they'll, they'll say, yeah, so you can just go back if you're, you know, normal. Um I think if you're keen to get as much done during your six weeks as well, um Then I really recommend like trying to figure out what you can do before the six weeks start. So a lot of projects need ethical approval. Um I remember like once my six weeks started, it took like a week or two, we sent patient lists and things like that. Stuff is quite slow to happen in the NHS. So you do need to get the ball rolling before the six week start, if you do want to get it done, that kind of thing. But yeah, presentations like mine is still ongoing. Why you ongoing? You're not going to get that done in six weeks, I'm afraid. Um, and yeah, also, yeah, that's, that's a good point. That's, that's also why it's useful to sort of meet your supervisor before your block as well. Um, whether that's whether your block is like in, in last one or like next. Um, if you just, I pop them an email and then say, can we meet next week or I can come to a theater or a clinic and then we can discuss sort of ideas for products and then you can, if you, yeah, you can, if you get an idea, you can do that prep work before and then just go into it in your six weeks. Um, having nearly, yeah, nearly, nearly done. Um, I've just a couple of other things. Um, first thing is if, if you've got a supervisor, I'd really recommend having a quick look at, uh, PUBMED. Just let see what they've researched in the past. Um, work out if it's something that you're interested in because if you want to do something with them, it, it might be related to that. Um, and if not, you can look at other supervisors, um, we can give you contact details of people. I'm sure uh, TS can help with plastic but we can help you with contact details of good people who will actually get you projects in high yields with consultants and registrars as well. I don't really helpful to. Um And the other thing was, let me try and remember, oh, if, if it, if a project doesn't have legs, like if it's not really working and you don't think you're gonna get much out of it, it's not going anywhere. There is no shame in scrapping a project. If you don't think it's like I had that in my SSC and then I basically switched supervisor, got loads of theater experience in my fourth year and then started doing research in my fifth year and there's literally nothing wrong with doing that. It's all positive experiences. But if you don't think something's going somewhere, cut your losses and start something new, um Because trying to drag along a dead horse is not very fun. So you've got to be passionate about what you're doing your research on even if it's sort of like a shared passion from a consultant whose idea it was having like the buy in of yourself and of others is so important. So, yeah, don't worry if it, if one of the projects doesn't work, you can use that for like tick boxes on med and then get a new project whenever the time is right. Um And then there's been another question for you, Raji. I was wondering if any of you had an experience working with consultants outside SSC SSP just emailing and asking to join them in theater or doing research on diversity revision and also task in on it. Um Yes. Yeah, you can definitely do that. So whether the, whether you supervisor or not. Um um I think, yeah, II II is this more like the getting a taste of like what they're like, what the specialties like or what the the supervisors like as well? Um So yeah, of course you can II mean, II finished my sse I had my se in the first book and then um I went into theaters a couple of times and um sort of lent term and a couple of times in time as well. Um Just cos I enjoyed it and yeah. Yeah. In my fourth year I spent my whole time just going into theaters, meeting the consultants working out which ones you can chat on with and like, um and then you can speak to them and if they have like research people, then they're great people to network with. Um And also like the consultants might introduce you to a registrar who might also be doing something. So I got linked up with a registrar who basically gave me a project which I've now written up and presented the abstract. Um and I'm currently doing the paper. So, yeah, like there's no constraint to the first ever SSE supervisor. I've never actually done any research on my original one. and the same fifth year you get given a supervisor, but there's no harm in going and working with someone else like they, they offer, they don't even know that they've been allocated to you. So it's very much free. Um And so yeah, we can also give details of people if that's help. Right. Cool. Um So if we move on, um we have Simpson as well also from um um who would like to talk about his Simpson? Hi. I, I'm can hear me. Yeah. Great, great. Um So I'm speaking on behalf of the um plastic surgeon society and I will just to let everyone know about um um SSC opportunities in other specialties. So, um, so before you, before you start your sse you have to think about what is your purpose. Um So are you trying to explore a specialty or are you trying to log extra cases on your, uh, on your surgery ebook? Um So at, in the beginning, I know nothing about plastic surgery, my understanding of plastic surgery is cosmetic, uh having a better nose, better lip or better eyes, that sort of thing. But un until I actually get into plastic surgery, as I see. Um um, so when I get into a plastic surgery, as I see, I know more about what is it, what it is about. So there may be some sort of trauma reconstruction, there may be more work on skin cancer there maybe, maybe a bit of work on breast cancer, that sort of thing. So it's kind of got me where I would like to like to work in the future. And you also got my um pos um um, so, um, so you also got my elective des destination. So I've got my elective sorted and, and those are trauma reconstruction and also, um, and also plastic surgery related stuff. And so it helps you to know what you're trying to work in the future. And another point which is very important for your career is a school points for your um to have some publication in place. There's some um conference presentation in place. So if you have um a six weeks block um reserved for um um preparing publications, preparing for um um presentations, it will be, it will be the best time to do some work and score points for your future career. So a bit of a bit of work of what I've done for my SSE. So I was um so I do not work in, I do not have my sse done in at, at least I have it done in one of the um regional hospital in Stevenage um in list the hospital. So I'll um so I have two supervisors. Um So one is a consultant, the other one is a senior reg. So um I would like to talk a bit about um it's not on the record, but I would like to talk a bit about um my, my, the, the journey of finding an SSC supervisor. So I was initially interested in transplant surgery. I emailed a transplant surgery, um consultant. I'm not gonna say who that person is, but that person is not nice to me. And I went to one of his list and he's not nice to me being very rude, um very, not very rude but not being nice to me. And I feel like it's not the best advice II should go for. And II just say, II just, I just, I'll say, say it politely and say that I would like to explore opportunities elsewhere. And, and then I was also interested in cardiothoracic um surgery interested in heart transplant, lung transplant. And I tried to email a consultant at um at por it took me six weeks to organize 10 minutes call and with all, all, all everything with his, with a secretary and all sort of thing. So II just think that, ok, it's not going to work. And I was talking to a rheumatology consultant. She um she said that um probably only orthopedics and plastic surgery will last in the future. So I try out plastic um I attach for a list for a day and I love it. So that's why um it's good to um to have to attend to a list as a taster before you actually um commit six week. Um commit to it for six weeks. Um So the benefit of um doing it in D GH in District General Hospital instead of these is you have high autonomy so you can start your own agenda. And there are more friendly staff, there may be more opportunities they may have, they may give you more opportunities to do work um clinically in the can we go back these? Um um And also um and also you, you have the opportunity to do more hands on work. And for me, in my case, I, since I did my um um I did my sa in Steven um the clinical school reimbursed my transportation. So that's great. So I get quite a lot, quite a few money from, from the clinical school. And it's easier to find a supervisor if you do it in a bridge in the hospital and there might be opportunities that you worked already under a registrar or even consultants um Compared to all these which you may, your, your, your, your, your direct advisors may be um foundation doctors who may not know as much as consultant does next slide, please. OK. So the routine is um for me, I II went in um 1 to 2 days per week and it is a self directed you can you decide your own agenda and the date. And so I also do some data collection work and also write up a manuscript for publications. So what we end? What? Um so what, what we end up doing is a case series of patients treated with a novel B is under the general review and also a case of the of history of art and also the standard of beauty because it's positive surgery and this is, this is a bit of um so this is a bit of things that um um I mean that project is, is not going ahead because the consultant is not replying me. And so what you can do if you have your, have your project in the future is to keep on emailing consultant and to make sure that um they are um they are actually um to make sure that everything is on track. So it's not surprising that sometimes consultant may not reply you about a project because this is not their current. Um It is not their current prior. So if you don't be shy to write to consultants or, or just to stress that uh could we have an updated to have a meeting on this, please? Yeah, next slide. So the tips is um meet these um su um S super supervisor, um your S sa supervisor beforehand or have a taste that they do know um whether whether um that surgery or whether um thats supervisor is the person that you would like to work for before you actually come in for a six week blocks and identify your agenda and talk to them directly. Some people may want research based. Some people may want more clinic work. Some people may want a lot more cases in the in the surgery log book and some people may just want to take a chill six weeks and some people may just want want to get more publications or get more presentation, say it to a supervisor and they will do their best to help you. Um And, and someone mentioned that, um um, so I mentioned that um so you have a six week boss. Does that mean you only do your research work or you only do your work within that six weeks? The answer is not quite um because it takes some time for people to reply. So if you have time now, um you better email this advisor or get your work started, get the ball rolling um as soon as possible. And during that six weeks, what we can do the most work and most of the time people can finish with their work in six weeks and, and they have things keep on rolling after that because they may want to submit their work at journals, they may want to submit their work to um to conference and stuff. So that six weeks um is um is it, I mean, research project can take more than six weeks and if they're not replying to you, um don't be shy to write them a 2nd, 2nd, follow up email or even third, follow up email because um you have spent so much time on a project and just want to get something published or want to get something um presented. So don't be shy and also a surprise for any um if you are offered. Um So if you are offered project opportunities, ask, ask a surprise for any prereading materials. If they are serious about the projects, they will have some prereading material for you. But if it's just a project with a um with a very um it, it's just a project with um if, if that, if that device is not committed to that project, they would not have that much pre prereading materials for you. So that is a good screening for good projects. And at the end, sometimes good supervisors is more important than um good specialty because good supervisor will spend time guiding you, having chat with you or give you some good teachings and also give you some good career guidance advice. So good supplies are crucial. Um From my point of view, any questions? Cool. Thank you Simpson. Um I will just go back. Oh, sorry. Do you have a question? Any questions? Cool. All right, I'll just, yeah, thank you. Thank you very much Simson. So I'll just go back to just to finish off. Um So what the, what the supervisors themselves are looking for is sort of enthusiasm knowing what you wanna do. Um And you know, just being visible to them essentially. So whether that's through trauma meetings or fracture clinics, um coming to um a theaters and in treating yourself and really wanting to get involved and they really want you to get involved as well. And, and, you know, a lot of them um are supervised because they like teaching, they like getting students involved and scrubbed into theater. Um So it really is a great opportunity. Um So it is really, it really is a fun block. I'll rerate um this informative slide again. Um But yeah, thank you very much. Thank you. Um And does anyone have any questions at all? Just put my C RSI D in the chat. So if anyone has any questions about uh Kos about the the sc et cetera, please just send me an email and I can forward it on to whoever you have the question for. Um or you can just add any of us on Facebook. I'm sure that's fine as well. Yeah, and or just, yeah, just the um well, yeah, just um add us on Facebook, DM us or add the societies on socials and then just DM the, the society. That's either way, it's perfect more than happy to help with any questions. Ok, cool. Um Just very briefly, I'd like to talk about our next exciting talk. Um So next time we'll be going um talking about global electives in orthopedics. Um and that will be held on Monday the 6th November 7 p.m. Again, it's on this medal. Um So you'll be able to, you know, give feedback, get certificates as well. Um And I think he a if you had a couple of words about the talk, hi guys. Um So I'm, I'm hosting this one along with uh three other sixth year medical students who we've all just come back from our electives. I went to South Africa Rahul, went to Singapore, Lauren, went to Australia and Joe did his in Cambridge. So we've got hopefully a good range of locations. Um and come with any questions you have about um elective in general. We can talk about funding, we'll talk about our experiences. What do s and don'ts sort of how to finesse and yeah, please come along. It should be quite interesting and hopefully we'll help you find out a little bit more about how to get a great elective because it was honestly the best two months ever. Yeah. Yeah, electives are basically like S ES but you're on holiday at the same time. So it's perfect. Cool. Any questions? I think we're good. I think we're good. Cool. Um Well, thank you very much guys for joining us. Um Hopefully we'll see you in um um future talks and if you have any suggestions on, on what you'd like to see from um Ketos, then do message us. Um, we're very keen to help, um, support you guys in either, you know, exploring your interest in orthopedics or just helping with exams and things like that. So we do have a um a couple of, you know, more practical workshops and more sa style um things coming up. So do follow us um on Instagram and our um Facebook page as well. If you give some feedback, you can get a certificate. So it should be emailed to you as well, but it's in the chat if anyone wants to fill it in though. Cool. Thank you. Thank you so much guys. Cool. I'll, I mean, I'll stick around for a couple of minutes. Um, if everyone has any questions, but if not. Thank you.