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Hi, everyone. Uh Welcome to the talk on building a strong portfolio uh for ST one applications. Um So just to introduce the structure of the webinar, the way it's gonna work is that we'll have an hour of presentations from our Estee speakers and then it'll be followed by a 30 minute Q and A. Um It will just be if you put an, you know, questions in the chat, um any member of the panel can address them. If you would like a particular panel, a panel member to answer the question, then please do put that in the chat later. But um I can introduce that in a bit more detail once we get to the Q and A section um to start off with um Eamonn and Mihir will be giving the first talk which will just provide a brief introduction to the general portfolio requirements for SD one radiology applications. Er Eamonn is a er incoming radiologist draw in Barts teaching hospitals and um managed to successfully rank first in the current application cycle. So I hope he has some great tips for you all and has kindly preferred a very nice presentation alongside Mihir. Who's the former Ir Junior's chair, uh, and who has also, er, got a radiology place in West Yorkshire, er, for the incoming year and also ranked very highly as well. Um, so, uh, they've got a great presentation for you guys. So without further ado I'll just, um, let them go ahead and, and provide the introduction. Yeah. Hi, everyone. Uh, my name is Meher, um, a foundation year two doctor working in the West Yorkshire, Gary. Um and as to said, I'm joined by Mon Hi, everyone. Uh Yeah, I'm am in and I'm currently uh an F two doctor in London. Um Thanks for joining our talk today. Uh We'll be focusing on how to build a strong portfolio for ST one applications. Um So we hope you find it useful um And we hope it will guide you um if you're thinking of applying to radiology soon. So the main objectives today are to provide you with an overview of the radiology ST one application um to highlight key aspects of the portfolio requirements um from the 2023 to 24 cycle and finally provide some tips on how you can score highly on the portfolio self assessment. Just a quick disclaimer before we start. So all the info information we're providing is based on our experiences of the application cycle last year. So we don't know if there's gonna be any changes for the upcoming cycle. Um And if so what these would be. Um so unfortunately, we can't really advise much on specific scenarios, but hopefully we can give you an overview of what to expect and we'd advise you to please look at the published guidance for the upcoming cycle when it's made available um and use your own professional judgment when claiming for points. So now that's out the way I'll hand over to a thanks for her. So this is an overview of the application cycle er for er 2023 to 2024. So this year um applications opened at the end of October for a month until the end of November. Um and it's just important to bear in mind that the the deadline um they're very strict about the deadline. Um They don't accept any late submissions. So it's just really important to make sure you start um preparing your application early on the uh portal, which is a um and this year the deadline to apply was 23rd of November. Um You'll then be invited to take the MSRA exam, uh which is essentially a general medicine and situational judgment exam, um which typically takes place in January and it's used as part of the application process for a variety of specialties actually, of which one is radiology. Um and how it's used varies depending on the specialty you're applying to. Um but for radiology, this year, it was essentially used to shortlist applicants for interview. Um and the cut off to get an interview. This year was around a 550 to 555 mark. Um This year, the interviews took place virtually in March. Um And prior to this interviewers were asked to upload evidence for their portfolio um so that this could be scored as part of the assessment process. Um So essentially, there's three components to the whole application, the exam, which is not only for short shortlisting for interview, but also forms 20% of the overall score. Um and then portfolio which is 30% of the overall score and then the interview itself formed 50% of the overall score. Um Now, the exact rings of all of this might change for the coming year. But clearly, you can see here that portfolio is a crucial part of this. Um And this year it accounted for about a third of the overall marks available. Um And then finally, everyone who's been interviewed gets ranked according to the overall score and the offers this year came out at the end of March a couple of weeks after the interviews took place. So today, obviously we're going to be focusing on the portfolio um and just to break it down, there are seven domains which we'll go through one by one in this talk. Um You will be asked to score yourself in each of these domains at the time of applying in November. And then if you're invited to interview, uh you'll get asked to upload your evidence on a separate portal um to basically support what you've self scored yourself. Um submitted evidence then gets verified against all the self assessment criteria er by a panel of radiology consultants. Thanks. So we've put together a few overarching tips. Um And as you said, this is kind of subject to change uh based on the upcoming cycles guidance. So just keep a lookout for that. Um What we found use was to try and read the descriptors for each domain really carefully. Um So they normally give you a table with some footnotes at the end. So make sure to look out for that. Um Any achievements that you try and claim for should be dated within the last 10 years. Um And it's really important to know that these should be fully completed um by the time you submit the application. So that's normally November time. So it's really important to distinguish that it's by the time of submitting the application, not at the time of uploading the evidence. Another thing to uh bear in mind is that the scores are non summit. So only choose one descriptor for each domain. So the highest one and kind of gauge that based on your achievements. And finally, if an achievement that you have matches the scripts for two domains, um you can use it for both when uploading the evidence. But again, all of these tips were applicable for our cycle. So just make sure you read the guidance um for next year as well. So moving on to the first um domain, this is commitment to specialty and this was the highest yield domain for the portfolio for a year. Um The main thing to notice here in the in the descriptors is that they're looking for multiple exposures. So at least two exposures to radiology and that these exposures should be different and should last at least three days. And this is to ensure that you're aware of the variety of clinical activity in the radiology department. So for example, I carried out my final year elective in medical school in interventional radiology and my final year student selected component in diagnostic imaging. Um And I followed that up by completing two taste a weeks during foundation training. So one at a tertiary center and one at a district General hospital. So I tried to work with the department to ensure there was a variety of different things timetabled. So for example, different MDT S, some intervention um reporting different imaging modalities and also things like attending teaching with trainees. So if also as to some of the other things you could consider to show commitment to specialty, I'm at the bottom of the slide in terms of evidence. Uh a letter from your supervising consultant or lead or a university document um outlining the placement would be ideal um or conference certificates um as you can see conferences can also score marks. So remember, you can use all of these experience that experiences that you're claiming for to also showcase your commitment to the specialty. And you can talk about that during interview later on. And it's important to plan early on based on your rotor because we all know how busy rotors can be. Um So approach your radiology department at your hospital early on to find out who can help organize a taster. And if you're struggling, um please consider asking your clinical supervisor or educational supervisor for some advice. Yeah, so just to um build on what may has said there um starting early is key. Um And if you do that, it can be fairly straightforward to organize the taste of weeks. Um So myself, I didn't have an SS or an elective in radiology during medical school. Um but I managed to organize two tasters before the application deadline um at the trust that I was working at. So again, it was one at a district General Hospital and another at a tertiary center with IR services um just to provide a different experience. Um You could also do two tasters in the same hospital, but as me has said, um just make sure there are different experiences there. So for example, if you did plain film and CT in the first, then try and get some exposure in pediatric radiology or ultrasound or fluoroscopy, for example, um in the in the second taste a week. Um And if your hospital has got nuclear medicine as a specialty available there, then that can also account as a different type of exposure. Um If you're a foundation trainee er, currently, just remember that you do have a quite generous study leave allocation and you can actually use 6 to 10 days um of that to get two taste a weeks um fairly easily locked in. Um Also you might find that you already have experiences that you can draw upon. So, for example, er during my endocrine rotation in F one, we had fortnightly er MDT S with the radiologist. Um and as you can see here, attendance at more than three radiology MDT S would have replaced the need for a single taster or elective this year. So that could be an easy way or to get the points because it will be a part of most specialties that you're working in to attend MDT S with a radiologist present as well. So, moving on to Domain two leadership and management uh was the second highest yield domain. Um So in the descriptors, they've listed a range of different roles on a local, regional or national level and whether or not they're associated with health care, other specialties or radiology in particular. So they normally clarify in the footnotes regarding what each term means. Um So make sure to look at that to make sure that your achievements are in line with that. Um There are now lots of committees available uh on a national scale um often with medical student or foundation rep positions as well. So, for example, um I'd been involved with Ir Juniors, which is a national radiology committee under the BSI R in positions such as the social media lead and then later went on to be the chair last year. Um And I've also been a medical student rep for the BS Ir. So I chose to claim for this, uh for example, being involved with my University Radiology Society, which would have scored fewer points, so be mindful that these positions are becoming increasingly competitive. Um So don't be disheartened um If you don't get elected um As you can always claim for other roles you have done. So, for example, in undergraduate societies um or even within your hospital as the mess president, for example, um Also, it's important to note that you need to have been in the position for six months by the time of the application. So by November for us. Um and it's good evidence to provide here would be an appointment letter from the society um or a letter from a senior person in the committee. Yeah. And um other roles that you can consider scoring for um for example, include being on your hospital mess committee, um being a foundation rep or even, you know, a rota coordinator. If that's, you know, that's a role that's available in one of your F one F two rotations. Um Personally, I evidenced my role as a national project lead at Radiant, which is the Radiology Academic Network for trainees. Um And it's an RCR and, and I hr supported research group who conduct national Radiology collaborative research projects. Um And as part of that, I'm currently overseeing um some projects looking at the adherence to the effective effectiveness of and patient barriers to ultrasound surveillance for liver cancer in the UK. Um So I think these collaborative initiatives rely also on um local leads at each hospital site, carrying out data collection at their local sites. Um And you can get involved in this way as well. And that would allow you to score this year a considerable five points um out of the seven in this category. So essentially, what I'm trying to say is that there's opportunity to get involved at whatever level you're comfortable at and have capacity for as well. Um Another similar collaborative research society is unite um And that focuses on IR projects specifically. So it's definitely worth getting in touch with these sort of societies and seeing if there's any opportunities available um to get involved either at a local, regional or national level. So moving on to the third domain. Um so teaching and training now, this is another domain that has a time component associated with it. Um Essentially having a teaching role for at least three months um this year to score the highest marks you needed to have organized a national teaching program. Now, on first glance, this can seem challenging to do on your own. Um And so I would advise seeking out organizations um that are already set up and that are known to organize webinars for medical students or trainees. Um And you can express your interest to them in setting up a three month long teaching course, for example. Um So for me, um as I'm currently an academic Foundation doctor, I joined the committee of a national teaching society called Access, the Academic Foundation Program. Um And they essentially organize a national series of webinars uh every year for final year medical students planning to apply for the A FP. Um So, as part of this, I had a role in webinar planning and delivery. And I think the really important thing here is to make sure you get feedback on any teaching that you do uh from the attendees. Um Whilst it doesn't need to be radiology related teaching, I think that can be a really good way to show your commitment to the specialty I interview. Um especially for example, if you've had a part to play in organizing teaching on chest x rays or CT heads, for example. Um apart from access to a FP, there's lots of other organizations out there. Um Ir Juniors being a great example, Mind Bleep as well and also the Royal Society of medicine who um organize teaching programs targeted at medical students and junior doctors. So if you have an idea for a teaching program, you can definitely take it further by getting in touch with, with these sort of societies. Um In any case, I think everyone should be able to try and get at least two points in this domain based off this year's scoring criteria, for example, by doing bedside teaching for medical students at your local trust. Um I think the best way to do this is to get in touch with your trusts, medical education department and express your interest that way. And you know, it, it doesn't have to be a huge commitment. It can be an hour a week or a fortnight over a few months and that can be a relatively straightforward way to get some points in this domain as well. I think also for this domain, it's important to note that a major contribution um was defined as having a leading or an organizing role. Um And this can include things like developing resources, uh recruiting speakers. Um And also that it needs to be a multi session teaching series um which as a said spans at least three months. Um There are lots of societies um that can help organize webinars, especially post COVID because so many things went online. Um So as I said, I unit is one such society. Um And it supports university societies in organizing virtual teaching series on a national scale. So I'd recommend reaching out to these societies regarding the chance to organize a national teaching series for medical students, for example. Um And it's important to have an overseeing clinician who can verify accuracy of slides. Um And in terms of useful evidence that you can upload here, a letter from a supervising clinician about your role in organizing or delivering teaching um or would be good or collating feedback. Um but that needs to be countersigned by a supervisor to make sure that it's authentic as well. So moving on to domain four, so this is formal teaching qualifications. Um Now, I think that this is a domain where it can be quite tricky to get the highest two domains, the formal teaching qualification and a formal master's level qualification unless you're already in a formal teaching role. For example, if you're an educational fellow, um personally, I wouldn't embark on doing APG cert unless you have a genuine interest in education. Um because firstly, there can be 2 to 3000 lbs um out of your pocket unless you can get your trust to pay for it. But again, that's probably only going to happen if you're an educational fellow. Um as the normal trainee stu study budget isn't going to cover it. Um And secondly, they take at least six months to a year to complete. So it's not something you're realistically going to be able to do in time for the next application cycle this year. For example, uh unless you've already enrolled onto it this year, um if you do want to do APG search, however, there are remote and in person options available offered by various institutions. So it is worth exploring if you have a genuine interest in medical education. Um Personally, for me, II, didn't feel like this was something that would necessarily be a um like an efficient use of my time in the run up to the application cycle, particularly when I had lots of other things going on. Um So I felt it was a better use of time to focus on maximizing points in other domains. Um But I did complete a trainer, trainer course online, um which allowed me to get two points in this domain. Yeah, not much more to add to that. Um I also completed a teacher teacher course um which managed to get me um two points in this domain. Um Some things to bear in mind is that your trust may also offer a teacher, teacher course. Um But my trust offered a one day course. Um So that wouldn't have qualified for the points here. Um The other thing is that for the two day course, some trust may fund this for you from your study study budget. So contact your educational department um to see if that's something they can do um for the other um descriptors in this domain, it's really important. To keep your certificate safe. Um Because you can upload those as evidence, for example, doing a PC cert or masters um and make sure that these degrees are completed again before the application deadline for them to count swiftly moving on to domain five. So audit and quality improvement was the joint second highest yield domain. Uh With maximum points being awarded for leading at least two audits or Q I projects that are related to radiology and have resulted in a change of practice. So there's lots of different terms in that descriptor. Um And they had defined uh these terms, for example, leading would have meant having a significant role in the idea um of the audit data collection, data analysis or presentation. Um A change in practice would mean that a closed loop second audit cycle had been completed uh which showed a clinical improvement compared to a standard. And I think it's really important to be realistic uh with a choice of projects here, especially with, you know, just over six months left now. Um So I also bear in mind how long it's going to take to audit and re audit. Um That topic of course, being involved with audits. Um and more complex topics is really important and, you know, you might be really interested in that. So don't let that put you off. But if it's something you want to do for the marks, it's something to consider. So essentially for each audit cycle. It's important to do a baseline audit, then implement an intervention, for example, a teaching session, making posters that can be displayed on a ward and then re audited later on to see if there's an improvement and reaching out to your radiology department. Audit leads is a great starting point. So for, for example, um in my f one year, I did an audit looking at transperineal prostate biopsies and prostate cancer imaging. But it's also important to ask audit leads in the department you're working in. So when I was working in respiratory, um one of the audits I carried out was looking at chest x ray, follow up for community aqui pneumonia just to add to that as well. Um I would emphasize as, as my sort of touched upon here is that it's worth thinking about clinical problems that you see in your daily work. Um and talking to your radiology department to see whether there's any metrics that have already been identified um relating to those problems as areas of improvement because that's going to make it easier for the department to get on board with ideas for interventions to actually improve standards when you do the re audit. Um So for example, I recognized during my medical on calls, the importance of timely reporting um ng tube positioning on chest x rays so that the nursing team could deliver medications um in a timely manner. And so I set up an audit with the support of the radiology department and also the medical team to assess adherence to the National Patient Safety Agency Standards for NG tube reporting on chest x rays. Um And I also did a second audit looking at adherence to the nice guidelines for CT head imaging for subarachnoid hemorrhages in the A&E department. So again, it was important to make sure that both the radiology department and the ED were on board with it. Um Neither of these audits are particularly groundbreaking topics. Um But they were useful for the departments that I've been working in and they were simple to organize which Asma has emphasized, you know, is really key. Um A very useful resource is on the RCR website called Audit Live. Um And that has lots of similar simple templates for potential audits that you can do. So it's definitely worth looking here and picking a few that suit you and suit the clinical problems that you've faced. Um And then presenting them to your department to see if they'd be able to support you in setting the audits up. So, moving on to domain six, so academic achievement, um now this domain focuses on publications and presentations. Um Now, publications can take a year or even longer to go from conception all the way through to publication. Um However, if you are planning to apply in the next cycle, um and given the amount of limited time that you have till then it may still be possible to achieve something such as a case report in this period of time. Um I think another feasible way of gaining points um in this limited time period is to submit an abstract for a project case report or an audit um to a conference because these usually have high acceptance rates. And if it's related to radiology, that will actually allow you to get three out of the five points, which I think is a pretty high yield and efficient way to get points. Um Now, personally, I found that forward planning and liaising with consultants um who have a good track record of publishing allowed me to get involved either as a coauthor or as a first author on publications. Um But I can't stress enough the importance of remembering that research does require a lot of perseverance. Um There can be a lot of hurdles in the publication process and you need to have um you know, a lot of time and motivation to see a paper or a review through to publication. So, you know, make sure that you only take on things that you know, you're going to have the time to get involved in. Um and if not then try to maximize your efforts in other more efficient areas. Um Also note that for this uh domain this year, they didn't give any points for collaborative authorship. So I did mention previously that a role as a collaborative author by being a local lead for a national project that can score you points for the Leadership Domain. Um But just bear in mind that this year it wouldn't have given you points for the academic achievements domain. Um So that's just something to bear in mind. Yeah, I completely agree with here. Um peer reviewed publications um take time to publish. Um So if you feel like it may be difficult to achieve this by November, um Make sure to look at alternative scoring options. Um As I said, you can submit an abstract for an audit or AQ I project you've been involved with. Um and then present that at a conference and there are lots of radiology conferences that take place across the year. So I'm sure you'll find one where you'll be able to do that. So make sure to take those opportunities. Um And it can help you score highly in this domain. OK. Finally, um prizes and awards. This was another high yield domain for the previous application cycle. Um With maximum marks being scored for being awarded a distinct, a distinction at the end of medical school or receiving a prize at a national or international meeting. Again, they helpful specify the diff differences between regional and local organizations lower down the table. Um So again, just make sure to read all that fine print in the footnotes below this table. Um Prizes also show commitment to the specialty. Um And it's another great thing to mention at interviews as it's highly looked upon. So, in my case, um I could use examples such as winning a best post the presentation prize at a conference or an essay scholarship prize that I won. Um that was being offered by the BS Ir. And we've also listed some of the radiology orientated societies um that offer prizes. And I think mons gonna talk to you about this a little bit more. Yeah, thanks may. Um So to score the top marks here, it doesn't need to be a radiology related prize. But of course, as mayor said, um having one would be a great talking pointer interview. Um So for me, I submitted and won a national essay prize also from the British Society of Interventional Radiology. Um and another national essay prize from the British Institute of Radiology during Medical School. Um Now, similarly, the RCR and the Society of Radiologists in training the SRT they host essay and research prizes every year. Um Rad Casts is another organization that hosts a, an audit prize and a reflection prize every year. So um they also do a Radiological Anatomy competition, which I think they're actually taking applications for at the moment um as it's taking place in the summer. So it's worth looking into these organizations and you definitely don't lose anything by submitting or having a go. Um Otherwise there's lots of other nonradiology um medical societies out there that host National essay prizes or conference prizes um which this year would have allowed you to get the um top marks here in this domain. So, for example, the Royal Society of Medicine, um but there's literally a whole host, you know that you can find by just doing a quick Google search. Um just as a side point, it's important to note here that this year. Um So when it, when it says the distinction at medical school, this is with regards to the whole medical qualification overall. So um if you have a distinction in one module or particular project during medical school, um then that would actually um score you one point, not the full six points. So um we've said a lot of things um and I guess um the take home points here um include just make sure that all your achievements have been completed before the application deadline shots. So they need to all have been done. Um You know, this year, it would have been by November the 23rd. Um Also, you know, make sure to try and work smart, so see if you can tackle more than one domain with a particular achievement. So for example, if you've done an audit, um you can score points in both the Q I domain, but if you present it nationally, you can also score points in the academic domain. Similarly, a research publication, you can get points for that in commitment to specialty. Um If you've worked directly with a radiologist. Um And you can also of course score points in the academic domain. Um And then, you know, another example of this could be if you are a, um you know, if you do take on a national project as a lead, you can again score points in academic achievements um if you manage to get it published in time, um but also you can score points in the leadership and management domain. So um work smart but also work broadly. Um as we've sort of emphasized the scoring criteria may well change in the next cycle. But the general domains are, you know, probably going to stay quite similar. You can't go wrong with doing taste of weeks with doing some radiology related audits. Um You know, and so I think it's important to try and work broadly as well and just cover the general domains that um sort of are in in the scoring criteria year on year. And um just to finish off, we've just linked some references here um including links to the RCR specialty recruitment page and the NHS England Radiology application information page um where they have a whole host of information on how the process ran this year. Um If you want to get some more information. Um And of course, we've just, we've just linked the oral application platform there as well. Some of you might already be familiar with that from applying for foundation training So it's essentially the same platform that is used for specialty training too. So, er, thank you so much for listening. We hope it's been helpful and um, as, er, Taha said earlier, we'll be happy to take questions. Um, sort of later on in the Q and A session. Thank you so much for her and Eamon, er, it's a really great structure presentation and I'm sure everyone found it really good. Um The next talk is just going to be by Gideon and Diana. Er, so Gideon is a, er Ir Registrar in Liverpool, er, who's had extensive experience working with startups and now works as a clinical fellow in innovation and, er, Diana is currently in radiology registrar as well, er, who took an F three before starting radiology and worked as a clinical engineer in for Johnston and Johnson. Um So these guys are, are gonna have prepared a really nice presentation which will hopefully uh give you a bit of an idea about how to sort of diversify your portfolio as well, not just for SD one applications, but to build a more broader portfolio for um your future career and, and hopefully explore um interesting opportunities even outside of sort of the traditional er medical pathways. So, um I'll just uh let them go ahead with the presentation. Ok. Really great to see so many of you online. So we've got a little bit of a different talk here today. And so anything this is a real opportunity to ask honestly any question um that you want about building portfolios and about, you know, getting stuck into a career in radiology. So by way of background, as, as uh Taha said, um my name is Diana. I'm a radiology registrar at bars health. I have a background in engineering. Um I did an integrated degree in biomedical engineering and clinical materials way back in 2017 and have worked very closely with lots of start ups. So in my early career, spent a lot of time with touch surgery that has since been acquired by Medtronic. Um And that was a really great early foundation on, you know, what a successful startup looks like in its growth and exit phase. Um Since then, I have worked to secure lots of government grant funding for proof of prototype um testing, for example, in endovascular devices and also a medical education platform. Um Most recently spent an f three year working full time at Johnson and Johnson um in their targeted um tumor control team, which was really interesting broad perspective um on what corporate research and development looks like. Uh I've also leveraged my experience in um now uh be in a clinical advisory roles uh for example, for venture capital funds and formally for G ES Edison um Accelerator and some innovation hubs in London. Um So I'll just pass over to Gideon who will also introduce himself and we can get started. Honestly, Diana, that uh list is hard to be. I have to say so. Uh hi everybody. My name is uh Gideon. Um So basically I'm also yeah, a radiology registrar. So I'm not on the specific direct entrance to IR but there is that available. So please, if you're interested in IR uh do apply for those posts as they come through as well. Um So I am less than full time. So I work 80% clinical and 20% of my time. I work as a Clinical Innovation Fellow at Alder Hay Hospital in pediatric Innovation. I actually started my career as a pharmacist. Uh So I worked as a pharmacist for five years before deciding to venture into medicine. I don't know why, but yes, that's where we're at. Uh So I uh now basically uh throughout my time in medical school, in the Liverpool, I was really interested in A I and its potential. Uh But I didn't know where to start. So I joined the NHS Clinical Entrepreneur Program. Um And through that whole process, I gained quite a lot of experience um in understanding the kind of interplay between um I suppose health care and the private sector, I then decided I really wanted to uh share my knowledge and build uh what is effectively one of the first um integrated uh healthcare technology and design curriculums within the medical, within Liverpool Medical School. Um As an honorary clinical lecturer, I also built a master's module in innovation um as well in Liverpool uh for their online courses um through this whole process and pushing my, uh pushing myself, I met Tianna and we've always been interested together on how we can kind of spread the adoption of innovation amongst our colleagues. Um I've also been a clinical mentor and adviser on the G Healthcare Accelerator at Edison work with quite mainly focusing on A I radiology startups. Um I've also um you know, trying to build up my own startup as well within the education space. Um And kind of my future goals really are uh to basically become do neurointervention um and kind of develop this almost like innovation, clinician role, almost a 5050 split. But, you know, uh life is, is ever fast moving. So if something better comes along, you know, I'll be ready for that as well. Um So today, as we mentioned, it's a bit of a different type of talk. So basically, we both often get asked, you know, how we manage to work on so many different projects and how we uh get involved with, with health tech and different startups um in our separate kind of lives. So we thought maybe it might be useful to start this presentation. So how do we start by just giving you a few bits of advice? Um And the lessons that we've learned along the way. Um So that way you can potentially build a portfolio career for yourself on to you. Yeah. So this is really really a lifelong lesson. Um we as medical students, as doctors, as clinicians, we we have this beautiful career progression pathway that sort of just has one or two hurdles in the way, right? So our expectation is that we have this nice smooth journey with this little cute heart in the middle, but the reality is really different, right? And we all kind of feel like the picture on the reality side. So it can look a little bit like this or if we go to the next slide could look like this or if we go to the next slide, it could also look like this. So I think the first things first and the most important lesson is don't put too much pressure on yourself to get everything right the first time. Um And what we're going to do today is just share sort of seven rules that um have helped us or like seven principles that have helped us find our way. Um And you know, Gideon and I are still learning. So this is by no means perfect. Um But the the best advice that we can give you so that you can go out there and achieve whatever your goal might be. OK. So this is a slide just to kind of provide, you know, a rough timeline of some of the major events that you're gonna face um throughout your kind of career really. So you kind of start off with this formal education that you get and most of us that's at medical school, uh some of us will go on to do as has been discussed in the previous lecture, you know, further studies and um and research studies such as master's and P hds. But most of us kind of have this formal education. So then uh we kind of go on to this kind of life education re really and at that point, you get, you know, less than a lot of us is that's basically a foundation trading where you get, you know, bills to pay how mortgages to pay, you get a lot of life education before you start to go off into your clinical career. Um So for Janna, do you wanna discuss that bit as well? Yeah. So, you know, uh you, you finish this part, OK, I will do, I'll take, I'll, I'll finish this bit. So, yeah. So basically you go on to spend your clinical career and, and essentially um you start to make move towards, you know, building your clinical career. And for, you know, some of you out there that might be interventional radiology. So just to plug in quickly for I RJ, you know, make sure you follow them. This is a great uh resource to be able to make uh your success through that. But then, you know, for many of you, this is where you'll uh you'll end up really. So you'll start to go, go through your clinical career and you'll start to um look for, you know, work on different projects, whether that be audits, whether it be quality improvement projects and, and really you, what you need to start thinking about is, you know, what are the capstone projects that will define you? So whether that's, you know, your greatest achievements um uh as or whether that's part of being something great. So most uh most of you are already here probably. And uh you know, you've been doctors, you're, you, some of you are going to be doctors, some of you are doctors and some of you are even going into further niches such as radiology and I RJ. So you have actually been able to achieve quite a lot um uh in your career so far. So your really next steps are start to build your own personal brand, you know, what is, what is, who is the person you want to be based on your values? And how do you want to take yourself into your future? You and so based on that, we've kind of come up, uh we, we've always faced with the same problem here. So like where do we start if we want to keep pushing forward into this kind of future self? Um and how you wanna build um a, a portfolio career. So we've come up with Seven Rules for Life. So Diana. Do you want to take on the first one? Right. So the first one is choose wisely. So you become the average of the five people that you surround yourself with. So I would attribute all of my successes to the people that are around me. You know, that's my family, my friends, important mentors and you know, the kindness of strangers, of people who've spent time with me. Um you know, over a coffee over a Zoom chat to share their experiences and have quite honestly just been guiding compasses in figuring out what the next best step to take is. Um So find the people who bring out the best in you and anyone who doesn't, you can drop them. You are at liberty to do that. Um So for um you, there's so sorry, I've got a cough. The um the people you surround with, the people you surround yourself with are gonna be your support network. They're the ones who are gonna keep you accountable. They're the ones who are gonna remind you where you started, where you want to go. Um And the most important people are the five that are closest to you, cos they're the ones that are gonna influence you. So for example, Gideon and I, we met on linkedin, believe it or not. Um I was trying to build a medical education start up at the time I saw that Gideon was working on this amazing project at Liverpool, which as he said, has now become a fully fledged master's module as well as a med student curricula um component. And I was interested in seeing how we could work together and slowly because we shared our interests, we, we support each other massively like if I have a question, if I have a doubt, um we will regularly talk to each other um and help keep us accountable to whatever the long term goal is. And so don't forget that, make sure that you're surrounding yourself with the people that are gonna make you shine also. Thank you so much. Yeah, I think one of the things to just reflect on that as well is, you know, it's important to realize that networking has a purpose and that purpose really is to find those five people for you and, and that's just a really good way to, to hone in about who, who you wanna have in your close inner circle. Um So the next one I'm gonna talk about. Oh, yeah. Yeah, this is for you. Do you want to mention anything about that? Get rid of those shady peaks, find people that make you shine um And embrace the relationships, work together on projects. Uh Don't be afraid to share what your goals are uh And make sure they're keeping you accountable. Excellent. So my 11 f kind of lesson really is um you gotta learn to kind of be a fortune teller. So um So what does your crystal ball say about you today from uh over the summer or in 10 years? And, and this is really all about future goal setting, right? So, and you'd be able to create a huge roadmap for yourself in the future. And that, and that includes short uh short term, medium term and long term goals, you know, for myself, you know, my long term goal was really made the decision when I decided to swap from pharmacy to medicine, II was a huge career decision. Had to completely, you know, start from scratch. I basically, but I really realized at the time, uh you know, I could have gone off and worked in industry and I could have, you know, made some really short term high income at that time. But what I realized is that, you know, within healthcare, you really want to have that leadership position at a very high level. And, and there's really nothing better really than being a doctor and, and that's just reflected across, you know, it's not always, you know, shouted about all the time uh amongst, you know, within the certain climate, but it is really important to recognize that you do earn the respect and it's really visible outside of health care once you start going into these kind of different spaces and industries. So I set that long term goal for myself and, and that's the value that I'm always gonna continue having and that kind of feeds into my midterm goals. So obviously I had to pick a specialty, right. So for me, radiology just ticked a lot of the boxes. Uh and that was just based off of the experiences I've had. And so now I'm a registrar and uh an S TT registrar. And I want to, you know, I have a non negotiable for this mid midterm goal, which is basically that it has to finish. And when you're building a portfolio career, it's really important to stay, to get to the end of the CCT. And I think it's very easy to suddenly not finish, but your ability to make influence dramatically increases once you finish training. So, and, and it gives you a really strong um conviction when you're kind of pulled in different like different sides from different companies who want to take you on further. Actually, when you say no, I need to finish clinical training, it's like a, a nice non-negotiable. So you can actually negotiate better from there. Um So then, you know, one of my short term goals, um obviously, this is just skill collection. So basically one to develop my skills in um A II, you know, trying to find out how I could be a better clinical adviser for some companies, understanding how companies work, learning more business skills. And then also there's things like IR skills, right? You've got a portfolio for a reason. Uh uh uh when you're doing training you need to learn how to do everything from, you know, um IV access all the way to deploying your stent within whatever vessel that you want to use, right? So these are really important skills that you should be collecting on a regular basis um in your short term goals. Um But it's good to have this kind of separation and fortune telling for yourself. And one tip of advice I'd probably say is, you know, do the work and looking at what the major trends are in the world and then pick a like try to set your goals so they match those trends and that's both like short term trends, mi middle term trends and longterm trends. It's a bit of a creative process, but it's really helpful. Um If you start to do that uh from an early stage, any, any, any additional points on there, Jana, well, I think we can move test because that's uh it's ve very closely aligned. All right, will do. All right. So you might be wondering why we've gone, gone, got a throwback to G CSE chemistry. But um I think all of you need a litmus test and this is just a quick question, you can ask yourself that has a binary outcome. Um So like Gideon said, it's important that you look at future trends and it's important that you figure out, you know, is this relevant for me? Is this something I'm interested in? Is this something that's gonna add value to what I'm doing next. So, for me personally, my litmus test, um, since being at medical school has always been, do I want to be you in 15 years? Right. And I don't know many of you might relate. But when I, at medical school the answer was no. Um, as I went round my clinical rotations, I had a great time, for example, in gastroenterology, but I just couldn't see myself in those shoes in 15 years time. And then I came across radiology and for the first time I answered. Yes. Right. I was in the IR week I answered, yes, I was in pediatric radiology. I answered. Yes, I was in acute CT, I answered yes. Um And that really was a guiding compass that then led me to look for radiology related projects. Uh helped me learn about what a career in radiology is. Um And had it not been for that litmus test, maybe it would have been more difficult for me to realize. And this test can really be, you know, anything, anything you want it to be. So a good friend of mine, she's in GP training and her litmus test is, does this build a sustainable future? She cares about the environment, she cares about social determinants of health. Um And that's what's important to her for her, both in her day to day life and also in her working life. Um And again, this is something I'd really encourage you to do and maybe you can share what, what is your litmus test? Yeah, I think so. I think my, my litmus test really is, um, I always ask myself, you know, is this important in 20 years? And II have a very kind of future oriented way of thinking and, um, if something is not going to be relevant or important in 20 years, then I feel like it's not worth putting the effort in that much effort in. Right, then I can manage my time a little bit better. So, yeah, that's, that's my litmus test. Um go for the things that will last. Yeah, and you can really make this whatever you want it to be. Um So it takes some time, it's quite a hard process to go through and it evolves it'll change. But you've got to make sure if you're able to find one, you'll be able to make decisions much more, quicker, much more quickly. Like the fortune telling the, choosing your people wisely, it'll be a lot easier if you're able to just have these quick tests that help you decide. Is it a go? Is it a no? Absolutely. OK. So on to rule four. So yeah, this one's from um uh basically this one for me is really important because I think skill acquisition on a regular basis is, is incredibly useful, right? So we all know from, I don't know, for many of you have read Atomic Habits from James Clears, really famous book, about 1% improvement over time leads to our compounding effects and actually can lead to significant improvement. But compounding whilst uh one of the wonders of the world is also can be your downfall, right? So if you're actually every time that you're not doing something or if you're choosing to do something in a, in a negative light, you can compound that negatively and that can actually contribute quite poorly to you to your outcome. So I think um it's really important in in medicine. I mean, this, I think in this perspective, you can look at it in two ways, you can think of a single skill development or you can think of uh multiple skill sets um that are complementary, doctors are really good at doing single skill development. We have our training program basically takes us from basically nothing all the way to a consultant. Um You know, and you're constantly doing small levels of improvement over time. So your entire career uh to date to date has been one like long escalator ride towards being a consultant in your field. And by definition, at that point that you're a pinnacle, you're at the pinnacle, you're an expert in healthcare, right? Um So I think that's a really important thing to always remind yourself is that you're always making these improvements. However, there's also um another way to look at it, right? So it's important to cross pollinate your skills, right? If you don't cross pollinate your skills ie going around and picking up skills that are comple different but complementary, you actually won't have a very good, diverse skill set and you might actually not survive. And so I think this is um you know, doctors often undersell themselves, right? We tend to stick into this one little hole and basically increase ourselves that way. But then when you start adding other skill sets, whether that be A I, whether that be um a technology focused, maybe that doesn't, maybe a leadership focus, management, focus law, other f uh all of these functions you start to build and compound all those over time and you can actually give your create, you know, a really nice persona for yourself. I think in this day and age where, you know, everyone's talking about A I picking your job or, you know, we've got all of these uh maps that are coming into the profession as well. There's II, it's really important to be able to stand up and say that I've got a diverse skill set and I can continue to provide value over time because that is going to be questioned um throughout your career as you progress. Um So, yeah, find common ground between your interests and combine them in really fun ways. Yeah, I couldn't agree more. And then that takes us to our lesson number five, which is I think personally, the most important uh failure is your friend, right? Um You don't need to be perfect and be able to have all the skills. Now, the only way that you're gonna learn is by having the confidence to, to fail. So better life is on the other side of worst first. So you can see here in the diagram things take a dip. But the next time they take a smaller dip and the third time it takes an even smaller dip than that. So don't be afraid to fail. We are all, we've all been through medical school, we've all applied to medical school. We're probably the brightest in our class. We probably, you know, always got what we wanted, always got top grades. We go through medical school through a pass fail system and quite honestly, we're just not good at failing. Um So try and come to terms with it, you know, don't be afraid to take the risk and try something new. Cos the worst thing that can happen is that you learn something new and you already have a no. So by asking for an experience at a startup or by applying to a fellowship that you think you can benefit from. You already have a no. So you might learn something in the application process, you might learn something through doing uh the fellowship itself. Um We get in and I can talk to you about our library of failures and I can tell you that that list is much longer than the list of successes that we reeled off when, when we introduced ourselves. Uh I have applied for grant funding. I probably applied maybe 10 to 10 different grant funding applications and I've been successful once. Um So don't, don't just go for it. Don't be afraid to fail and be accountable. Don't look at yourself in the mirror and just become comfortable with the fact that you don't know and you don't have the skill set today. But the only way you're gonna get the skill set is by giving it a go and then you'll become like Rowan Atkinson here. So you can take any intense rollercoaster, you can go on any ride and the people around. You might be screaming in fear or screaming in happiness. But ultimately, you are the one who, who, who will benefit from, from whatever learning there is to come. Oh, you're on MG K and you're on mute. Can you hear me now? Yeah. OK. Cool. Yeah. So 11 of the things. Thank you so much, Jan. One of the things um I think is important to recognize is burnout, right? It, it's going well as you're experiencing lots of failures a lot as you're continuing to push yourself, you're there and it, and you're increasing your stress load, you, you will run into burnout, right? And I'd like to think of burnout as this cost conundrum, right. So it's really important not uh to continue to cling on to the sunk costs that trap you in an unfulfilling role, right? And, and that, and basically, let's say you, you really, you're doing a project and you have absolutely no fulfillment as doctors, a lot of times what we do is, you know, we, we wanna see that success. So we keep pushing things as well as far as we can. But as what that develops is you accrue some cost. And so the most important lesson you need to do is learn how to, to, to kind of cut the know when to say no and when to cut things and that will help prevent you from getting additional stress and burden from that process. But conversely as well, you know, by continuing down a path of something that you're not un you're unfulfilled, you're actually missing a lot of opportunities. And so you're actually ignoring the opportunity costs um that are associated when you continue to do one thing. So that basically means that you're missing out on any better opportunities that come up, uh come your way in different uh career paths. So in short, make sure that you kind of basically keep an open mind um and try not to get bogged down onto one particular path um as you progress and especially now as you're doing your applications. Um and if you, if, if it happens to, to fail, you just try again and again, but making sure that you don't get too obsessed about one particular path and ignore any other opportunities that come come your way as well. Um ok, so um yeah, and the last one and the last one is make a choice or one will be made for you. So we always spend our time waiting for the perfect moment, but the perfect moment doesn't exist. So don't delay decisions or when you do delay decisions, you should delay them with care and you should be confident enough to make the decisions that you think are going to benefit your future. Um So if you walk into work and you decide to go with the flow, you will have the default path, right? You'll do ward round, you'll do jobs. You'll go home if you go to work and you'll deliberate and you're like, no, today, I want to learn about CT heads, then you've made a choice that morning and maybe you'll go to work and you'll find that the balance shifts a little bit and you'll go home having learned a skill and going back to the previous lesson, you can do the same of like what you're going to do the summer, what you're going to do in 10 years. Um You've got to be deliberate about taking that you want to do a fellowship. You've got to make that choice. Um And by delaying it, you won't do it. Um And by no one. So the, you're gonna end up on the default path, the treadmill that we all know of medical training, uh, unless you're able to take yourself on the path that you want to go on. And I think that's something that give you a nice, we are able to just be bold and veer veer off, you know, a little bit off stream. Um, so that we can learn an additional skill even though it's perhaps the, the less trodden path. Yeah. A a absolutely. Um And the, the reality is is that everyone's gonna tell you what to do. So you really need like lots of people are gonna tell you what to do. You know, we're telling you what to do. Just all you need to literally come up with uh kind of your own plan and decide to make a choice. And I always think about this. II mean, I don't know why everyone does, but, you know, if you're going into F three and you're deciding that I, you know, don't just go to Australia because everyone else is going to Australia, go to Australia because you want to go to Australia, right? I think it's, it's, you have so many options out there to do for your F three. If you wanna potentially go work for a startup, if you wanna go do these other things, make a conscious choice about what you want to do with your time. Um And that will really set you apart and being able to build a portfolio career. Um and then I think kind of related to this as well is, you know, you see a job description out there, don't take it too seriously. You know, that's a maybe like you have the choice whenever um to be uh be able to, you know, manipulate that. And then as you start to progress and you know, if you say, for example, you see something that's like you don't think you are at a stage to be able to apply for, still apply for it and push that, push them to say that you're the best candidate in that way and they'll be able and pe and then many times you'll be able to almost create your own roles in that way. Um On that note, um yeah, this is the summary. So we've kind of covered, you know, making sure that you um surround yourself by five types of people. Um making, you know, make sure you have a long term vision with many short term predictions. Um have a litmus test, make sure you compound your skills, um you know, fit, make sure you, you know, you get comfortable with failure. Um Otherwise you will fail. Um Then, you know, watch out for burnout and think about some of the costs uh as a result of the things that you're doing. Um and then, you know, make a choice or a choice will be made for you. Um And I think that comes to the end. So, you know, while we're all here waiting to CCT and flea, um, has anyone got any questions? I guess? Um I'll just pitch in just very quickly. Thank you so much, Diana and Gideon, er, for the talk. Honestly. It's very uh very, I have to say so. Um, and I hope the, the audience found are very useful as well. Um, so, yeah, the next session is really just AQ and A, er, which will, will last about half an hour. Um, please, er, there are already a couple of questions in the chat. Um, so please just continue to put more questions in the chat and we'll try and adjust them one by one. Uh, if you're not able to stay for the remainder of the session, uh, please just do fill out the feedback form which I've also just posted in the chat. Um, it's just really useful for the speakers. I mean, they've kindly done this, you know, for free, um, or haven't offered them anything or anything like that and they've kindly, you know, er, given their time to, to produce these talks. So, um, if you can fill out the feedback, it would be really useful for us in terms of developing future talks and also just for the speakers. Um, in terms of the Q and A session, I can see a lot of the questions already are, uh, sort of related to people's, uh personal portfolios and whether or not certain things will count and whether or not certain things won't count. Um, we can uh try and address these. Um, but just as a disclaimer, obviously we're all um trainees, um we don't have an inside knowledge of exactly what the scoring process is. And so we can't, um, you know, what we're giving is what our objective, our personal experiences are and it's not necessarily what will will be, um what, it's not necessarily how the judges will actually score your portfolios. Um And, er, so yeah, just a, that disclaimer really before we, we provide a advice on, on any of those questions. Um So, er, and, er, sorry, there was just one question about whether or not the session will be recorded. Uh So it is being recorded currently, I'll just, at the end of the session, I'll just confirm with the speakers if they're happy for us to share the recording. Uh And if so then, yeah, we can share the recording. Um, but I think otherwise we'll just dive into the Q and A. Um, so the, er, first question, er, is just by, er, Ian Lim, if you were to organize a three plus day long attachment during the holidays in medical school, um, would that count as a significant exposure? So, I think perhaps I and Amir, you guys would be best placed to answer this. Sure. Um So sorry, I'm just having another read of the question. Um So, ok, so if you were to organize a three day long attachment during the holidays, um, again, yeah, I think obviously this is just what, what our understanding would be, but personally, I think that would be ok, as long as you got a letter from the supervising consultant outlining exactly what you did in the placement. Um, so I think it, it would be ok, it doesn't have to be necessarily a, a sort of specifically an SSE or an elective. Um, may, what are your thoughts on that? Yeah, I think, um, if you're able to get a letter outlining your experiences, um, and if it's at least three days, um, and you're able to showcase what you've learned about radiology as a specialty. Um, I think that should count, um, again, just make sure that, you know, there's nothing set on the prescription that says it wouldn't count. Um, but, yeah, I think just seek any opportunity you can really. Yeah. Uh, the next question is, are there any interview courses that actually help this year? Um, just as a shout out. We Ir Juniors did do some free interviews, um, er, free mock interviews that are 1 to 1 interviews with current radiology trainees, er, did that, did that in February and I'm sure it will happen again next year. Uh, and that was totally free and we certainly got good feedback about that. Um, but otherwise, um, in particular, do you guys know of any interview course that might be useful. I think there's quite a few courses out there. Um And the degree of how useful they are, uh kind of varies, I think it's, and there's quite a few books out there as well. Um Now there were some changes made to the interview this year compared to previous years and we don't know what's gonna happen in the coming years. So I think from an interview course point of view, I would probably advise if there's any skills in particular that you feel you would like to develop. Um, that would put you in good stead for the interview, then it might help. Or if you feel that you'd be more comfortable with the interview having gone on a course, then something to consider, but I wouldn't say it's like a mandatory thing to do. Um I don't know about you. No. Yeah, I completely agree with you. May her. Um And I think, yeah, there's a whole host of um uh sort of interview courses out there which I think they can, they may be helpful in terms of giving you sort of a, a, I guess the building blocks of where, how to guide your preparation or if you, for example, haven't got, um you know, if you're struggling to find someone that you can practice, um you know, get interviews, sort of feedback on then that can be an option, but it's definitely not something that's by any means necessary to, you know, doing well and certainly as, um, you know, Taha said as well. I mean, Ir Juniors did interview, um, of course, which I, you know, I signed up for as well and found that, you know, beneficial. I think it's, there's quite a few who do offer, um, you know, sort of free interview courses. So I think definitely look out for that as well. Um, and, um, yeah, there's, there's quite a lot out there but it's not necessarily a mandatory thing by any means, but it might, you might find it helpful. So, you know, don't feel pressured if other people around you are signing up for them and you feel you don't need it. Um And likewise, if you feel you do want to, you know, you'd feel more comfortable going on one then um, you know, feel, you know, go for it. Um There are just a couple of questions about people's sort of personal portfolios from Fatima Anna apparently, er, and, er, Kevin there as well. Er, we'll just come back to those at the end just because I think those are quite specific to your situations. Um, er, go because has what's the best way to transition into a health tech role as an F two with no previous experiences. Er, so Diana and Gideon, if you, maybe you guys could provide some advice on that. Uh I'll jump in first. I think the best thing to do is decide what sector you want to work in. So do some research, there's tons of resources online, uh outlining different types of um health tech companies. So find something that aligns with what you're trying to achieve. So if it's radiology, look at, look at imaging companies, check them out on Crunch base, see what the size is. If it's a huge company, it's going to be a little bit more difficult to get involved just because they are going to have more governance structure. If it's a small company, they're going to be more lean and more amenable to having your help because they're probably very resource constrained. Uh Then you've got linkedin, you can reach out to the CEO the founder, you know, someone in the team and have a conversation, say I'm interested in learning more about your, your company. These are the skills I can offer to you. Um be very specific. Don't just send a generic linkedin. Uh invite, try and think about something you want to learn from them. If they're in a regulatory role, just be like, I really want to understand what it takes to get a class two medical device uh certification. I have been reading these articles. Um I'd love to, you know, learn more about the process that you're going through and perhaps I can even, you know, support you through that. Um So be very deliberate in, in what you're asking for just in the interest of time. I, I'll pass over to Gideon and see what specific advice he has, but we can go into it more if you would like. Yeah, actually, we had a little section of slides uh for cause we anticipated this exact same question. Um I'm just gonna share this and just um mention this to everybody cause it's just a way easier. Um Basically, um there is all of these organizations that we found put together, I'll even make a full screen for everyone. So you can see, but there is a lot out that I do. Um I'll go to the end, you can see it all about that. Yeah. So basically, there is a whole bunch of ways that you can get into um health tech after your F two. And the most important thing to recognize is that you actually provide huge amounts of value once you get out of your circle. So you're an expert within a pool of experts, right? So you're, and you're actually at the bottom of the barrel as after you exit F two and amongst a bunch of experts. But once you leave health care and go into a different industry, um you actually realize how much value you can bring along the value chain. So you can work just going on linkedin as Jan has already mentioned and then being able to uh reach out is already a skill. Go to lots of different events, speak to people there's a huge network of opportunities out there that you can access to gain, gain access, go to accelerator programs. They're always looking for people to provide clinical input. So don't be afraid that just because you finished F two, you won't have, you won't be a con a valuable contributor to the ecosystem. Thanks Diana and Gideon. Um So, er, yeah, there are a few more questions about sort of people's personal circumstances. Again, if we have time at the end, uh we can try and address those in Turner as they've come in, in, in order. Um, but I'll just, er, address some of the more sort of generic questions just so that it's beneficial to everyone um, er, still on the call. Um So I think the next sort of more uh general question that I've seen, er, is from, er, a partner. So for peer reviewed publications, can you suggest some platforms which are comparatively easily to publish a case report? Um, so anyone really, if you guys have any insights on that? So I'm happy to share, share my thoughts. Um, so I think it's, is difficult to, I think it's difficult to uh perceive the whole publication process as what, you know, what journal is going to be really easy and what journal is going to be difficult because essentially it's, you know, I think that probably isn't the most sort of helpful way of looking at it because I think it just honestly, it depends on who's reviewing, who's reviewing it and what, what it is actually that you're submitting for publication. Um But I think some common journals that um you know, people do submit to typically include BMJ case reports. Um So that's, that's a common one. I think uh curious used to take um case reports. I'm not sure if they still do. Um but it's, I think uh just, you know, there's a lot of journals, mainstream journals out there which you can check if they do accept case reports or not. Um, but B MJ case reports I know is one that, that has been used, sort of, you know, it's quite popular. Um, I don't know if anyone else has anything to jump in on that, er, just, er, radiology, case report. There's another journal which sometimes does accept things but, uh, again tends to be, um, they quite restrictive in terms of which stuff they do accept so, uh can be a bit tricky. But, um, again, the supervisor that you're dealing with with will probably be the best person to advise you um, in that situation. Um, but yeah, er, I'll just in the interest of time, move on to the next question. Um, so there was a question about, er, how can you improve your score for the S JT? Um Gideon's already answered. Actually the M TQ bank is good. Um, and in my experience as well, I did find that quite, um, reflective of the actual difficulty of the exams. Um, but, er, I know S JT is a, a common bug bear. Um, so any, if any Dan, um, here and a, and if you guys have any advice as well. All right. I think, um, reading good medical practice is a very good starting point, um, to know what's expected, um, in terms of certain scenarios, um, M CK Bank was very good and I believe there are actually like um some things that are some kind of practice papers that are made available um regarding the STD part of the MS R. Um So when the next cycle opens, I think they'll make that available to you. So that's probably the most useful resource because that's the closest to um what you expect in the actual exam. And just to jump in on the GMC website, they've got good medical practice in action and it just takes you through some case studies. I don't know if that was mentioned, but the um takes you through some case studies that you can work through and click through. Uh just add to the mix of show to erosion. Yeah, I think the only thing I would add to that is we discuss these with your friends and colleagues whilst you're at work as well. I think um the kind of phrase that tends to go around a lot is it's not what you would do. It's what you should do. And so actually, um whenever you're faced with these kind of scenarios, kind of use that framework and um, and discuss it with your, with your colleagues at work. Uh Thanks guys. Um There is a question about how do we become a part of radiology societies? I might just quickly address that one. really, I think, er, all, pretty much, all of them have websites and contact forms. Um, so things like the Society of Radio and Training, Ir Juniors, um so on, they all have, we all have like separate websites, um just fill out the contact form there, you'll be able to get in touch and just follow their social media platforms as well. Twitter and Instagram and committee applications are always opening up um at different times. Um in terms of the next question, um this, what were the changes in interviews like this year? Um I think it might be quite a, a good question to answer actually, cos it was significantly different compared to how it has been previously. Um and mi if you guys would be able to um answer that o obviously, I we can't say what the questions were um because you do sound like a, a non disclosure type thing. Um But um they can hopefully give you some generic advice. You go fast mirror. Yeah, so there were a few things because as I say, we can't give um details exactly of what's happening. Um But um it was online exam um with two stations um kind of separate ones with a, with a gap in between. Um And they were testing kind of key skills that would be required to be a radiologist. Um I think there were a few kind of scenarios that were thrown in. Um And um also some, as I say, questions testing what you can bring to the specialty. Um Anything else? No, I mean, I think if you um probably the best place to get an idea of things is to look on the RCR specialty recruitment page. Um Sorry, and then health Education England page for Radiology this year. Um It's got a section on interviews on it which basically outlines um how the structure was this year. Um And yeah, I think the main thing as me said was that it was different in the sense that we had to um I think there were about 10 minute interview stations as opposed to one single 15 minute interview station, which has been the case for the last few years. Um So, yeah, but by having a look on there should give you a key idea. Um And I think another important resource is the person specification um which is also on, on the um hee website and that basically has some of the um skills and attributes that they look for and that they sort of test in interview. Um So it's things like, you know, it's nothing particularly um left field, it's things like leadership teamwork, etcetera but having examples for those having an idea um of sort of the clinical um side of radiology as well, um is, is, is helpful in, in, in preparing for an interview as well. Ok. So, um, I think, er, er, there have been a few more questions in the chat which Gidon has kindly, er, addressed actually while we've been, er, speaking. Um, er, yeah, just to clarify as well. Um, in terms of, if you get a high score in the M sra can you skip the interviewer? That hasn't really been a thing in radiology for, in previous cycles. It is a thing in other specialties, uh, particularly Gyne. But, um, yeah, uh, it hasn't been in radiology and, um, yeah, II think what we can do is that I can't see any more sort of, er, general questions so we can, we can go back up to the top and then maybe sort of address some of the more, er, personal questions that people had. Um, I just as a reminder, um, if everyone could fill out the feedback form as well, er, if you are, if you, you know, do you have to leave? Uh, we have just got another 10 minutes so we can start addressing if, if you do have any more questions, put them in the chat, uh, otherwise we'll just sort of address the more, er, individual questions in turn. Um, So I think just going back up to the top, there's a question from FASA about um, the fact that she participated in a taste a week of, er, three days within the trust and followed by an additional three days separately. Um, and has two letters, one detailing five days and another detailing one day. Um Yeah, so I, my opinion would be that it probably might not count as two taste a weeks just because each individual exposure would need to be more than three days. And I've done this um here and there and you guys have for DNA and Gideon, you guys have contrasting opinions. Yeah, I mean, I think I agree with you, Taha. I am, I think um the wording on the letters is really important as well. Um And just making sure that your evidence matches up with what you've actually done. So if you've done a taste a week of three days, um like that in itself will count as one place a week, obviously. And then if you've done an additional three days sep separately. So I'm assuming that means there were three different days, like not in, not consecutively. So I think, yeah, that probably wouldn't count even though it's sort of a total of three days. Um It, I think it, it would, it would sound more like it needs to be three consecutive days, at least like a, like an actual taste of placement rather than isolated days. Here and there. Um But that's just my take on it. I'm not sure if, yeah, I should add that significant. Having two significant exposures doesn't have to be two taste a weeks. Right. So, like I did one taste a week and then uh have just got involved in lots of radiology related projects. So, um I don't think you need to sort of obsess or panic about having two taste a weeks if your portfolio is composed of lots of other radiology things. And what I did was I wrote a letter that sort of outlined all my involvement in radiology. So my taste a weeks other projects that I had done and we were trying to demonstrate to whoever's assessing it is. I am committed to the specialty and this is how I demonstrated my commitment. Yeah. Yeah, it's second what uh said I my, I was the year before this, so I only have to do one set. But I think in general as long as you have kind of a a balanced portfolio that they're gonna be looking at the whole picture, right? So I think, yeah, as long as you meet the mi the minimum required re at least the minimum requirement, then you can start to think about how you balance um your portfolio in, in, in your favor, basically. OK. Er I think this uh one more question for your partner who's done one test a week uh in a DJ agent. One test a week in a tertiary center. Um, and, er, will that count as maximum points? Um, again, I think in my opinion, it would if you do have separate letters and separate, er, confirm sort of, um, certificates. Um, but again, just, er, I'll put that out to the panel as well if anyone has any other thoughts. No. Ok. I think everyone's in agreement there. So, yeah, I think uh, it probably would count. Um The next question does a distinction award and finally your primary medical qualification er refers to being awarded the honors for ranking in the top 7% based on overall academic performance throughout the medical degree. Um II, think this is a tricky one. I think it probably would but it's um I know people have had um bad experiences actually previously with um putting things like this down and then actually not being awarded um the points. Um I think what I would do is um if there is any doubt about whether or not your qualification will count. Um I would just uh first you can get in touch on aureo, they have um the radiology admissions team have like a AQ and a portal that you can ask specific questions on about your specific situation. And the second thing is uh just advice I would give generally is if you're a bit worried that your current certificate or whatever evidence you have doesn't necessarily certify um exactly what's written on the scoring criteria, just ask whoever provided the certificate saying in this case of medical school um for uh like supporting a letter to say exactly what the, what the, what the prize means. So if, if you've, you know a sporting letter to say that being on awarded honors means that you were in the top 10% and your cohort. Um So I think stuff like that can, if you submit it, you can submit lots of pieces of evidence when you actually submit your evidence for the application. Um So if you can submit the certificate and also a supporting a letter that might be quite useful, uh just on the back of that, I would just add to Taha's make it really easy for the person who's reading it on the other side, right? Can you imagine how boring it is to go through these and verify them? So the easier you can make it for them, the more likely they are to score you highly. So compress your P DFS into one PDF, make it really clear like where they need to look um do what you need to do so that it's they can just sort of have a quick glance and be like, yes, full points whilst it's not necessary at all. You actually, there used to be an old tradition of having a cover letter on you when it was a binding folder, right? And so you had one PDF that basically outlined every single thing that you did and related every single and how it relates to the points and the evidence just listed. This is completely optional. You do not have to put this in your portfolio, but it can be helpful for the person reading it. So don't feel like you have to, but it's something that has been old practice in the past and, um, from that perspective, er, greater, the next question is, er, or I hope I'm not skipping a question, please do highlight and chat if I have. But um does a second prize at a national conference score you four points in the prize domain. Uh To be honest, I'm not sure about this one. I don't know if anyone else has an idea. No. Yeah. Again, I think this is one of those where probably just best to ask on the oral team directly, the admissions team directly. Um They do reply to specific queries. So would highly um highly recommend, er, you can literally just search, um I can't remember the exact um link but uh if you just search, you know, radiology admissions, uh there is like AQ and a section and like a uh uh a specific link that you can go to ask, uh the support team about queries like this. Um The next question I'm a leading audit but I couldn't present it. Um sorry, I've just lost it here. Ok. Um Can I still use it and claim the point for being a lead in audits. Um Again, I think this is one of those where as, as long as the certificate or evidence that you've got says that you led the audit, that's really all that matters. Um I said, like all I had, for example, for my audit was just as a certificate from the consultant saying that, you know, I led this audit and it was, that was it, I got the points. So um there's uh yeah, it, you just need to make sure that evidence is very clear, that's all that really matters. Um Next question, um What evidence do I need to provide that? I've held a leadership role at a radiology society at my medical school. Er Does anyone else wanna address this question? I think gideons kindly uh responded to that. Yeah. So a letter from a supervising consultant would be better for us or a certificate or letter from society or a certificate or letter from university kind of outlining a role. OK. Uh And then this question, does the ultrasound course help in any way? Um um Well, not entirely sure it would address any of the scoring criteria. You can put it in a cover letter about your significant exposures to radiology. Like I included biomedical engineering degree, like some work I'd done on endovascular devices. Um which is sort of like all you're trying to demonstrate is I want to be a radiologist like I have done enough research. I know a radiolog, it just does on a day to day basis. I understand what the subspecialties look like. So if you did an ultrasound course and you provided a little bit of spiel about why it was important to you and get a cover letter signed by a consultant with why it was relevant. I'm sure it would be fine, but it's impossible to know if it'll give you extra points. I think it's just a nice thing to add in. Yeah, I think conferences and courses always, you know, show us the commitment, the specialty as a whole. You know, it's something you can talk about. Um, if you get an interview and things like that. Ok. Um There, it's probably just, er, a couple more questions that we'll address, I think um, er, Parana, your questions already been answered by Gideon there in the chat. Er, so we'll just answer these last two questions and then we'll probably, er, finish off there. Um, so there's a question from Jan, I was head of delegates for the candidates in a regional meeting um for the International Federation and Medical Students Association. Um II think that absolutely could be submitted to leadership domain. Um Yeah, I don't know if anyone else has any, any other thoughts? No, I think. Yeah. Yeah. The other thing to confirm is just um the time, right? So I think that if uh how long ago was this. And so I don't know if there's any restrictions at the moment this year, but um that can be, that can play a factor. Yeah. So for all year it was, I think I had to hold the rule for at least six months. Um again, there they may or may not specify that in the upcoming cycle. So as I Zegas, we read the footnotes, they're really important. And the last question is there any estimated score that is safer portfolio to achieve overall? Uh Yeah, it's a tricky one, and definitely changes year on year and unfortunately, it's getting tougher year on year. Um I and my, do you guys have a sense of what it was like this year? I think the main thing is just try and maximize the points as much as you can because it does, I mean this year it counted for a third almost of the overall score. So, um you know, it is a big chunk and it's a chunk that's actually in your control um sort of, well before the application deadline. So, um you know, it's definitely something you can try and maximize your points in the different domains. Um I think it's tricky to say, you know, if what score is safe because it's, it's one of three factors in the whole application process. But obviously, you know, that the more points you can get the stronger your overall score is going to be um post interview, um not sure. Mirror if you've got anything else to add. No, I think given the fact that, you know, we've got six months or approximately left, um just try and maximize what you can. Uh And then as I said, just bear in mind, there are three aspects. So once you've done portfolio, as much as you can just try and do your best in M SRA and again, just try and do your best in interview. There's lots of variability in terms of how can do the scores and some people score higher in portfolio, some people score higher in interview. Um I think at the end of the day, you just got to try your best and get the highest you can in each domain. I hope that will keep you in good stead. Um Sorry. Uh No, I was just gonna say just to give some numbers just I know people always quite interest in numbers. Um I applied, sorry the year before this current cycle. Um And in terms of people that were successful, um there were somebody had 21 on their portfolio and still got a job and somebody had uh you know, lots of people had much higher than that as well. So um just given how the waiting is and the fact that it also changes year on year. Um II don't think it's really possible to say that there is a safe portfolio score. I'd say just obviously try your best to maximize it and don't feel like you can't apply because you've got, you know, a certain portfolio score. Um I was going to add the same thing. There's some data on REDDIT if you look for it and you can sort of see the breakdown. Obviously, it's very skewed because the people who get the highest scores are obviously the ones who are going to submit the data there. So don't be put off by it, but you can sort of see the breakdown of different scores that different people get. Um, and just get an idea, but ultimately, it's a standard distribution curve. Um And if we know that you just need to make sure your hip just a little bit higher than the average and you should be fine. Ok? I think um we have just run slightly over time so we'll probably just finish it off there. I apologies, just uh a couple of other questions, but uh just given time, we'll, we'll just send it there. I have posted the link for the feedback form a few times in the chat. Um As I said, uh I think speakers really appreciate it if you could fill out some feedback and uh certainly us that will also appreciate it in terms of develop future thought. And yeah, we hope you find it useful. Um And yeah, that's all. Thank you very much.