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well, welcome everyone to the first total webinar presented by Animal University Pediatric Society have supported by the UK aspiring pediatric society. Um, Total is the building blocks of developing your pediatric portfolio career and is five webinars based on the pediatric career building for medical students and wise, we'll be running every Wednesday from 78 PM from the 23rd of March today to the 20th of April, and you can get a certificate for each webinar if you attend three out of the five Webinars your best steer accredited, I guess, for your portfolio. Thank you very much for coming on your Wednesday evenings. I know everyone's busy on were very, very grateful You're here. Um, just before we begin I But we steal. You can ignore me. Go get coffee while you're at it. But welcome from you. Guess you guesses of society for students. Interesting, all things pediatrics. Throughout the year, we run a busy schedule hosting tutorials, talk socials and fundraising events to raise money for a Children's hospital care ITI. If you stand the QR codes to the right, you'll be able to get membership and perks just for 3 lbs. We also run the law Fundraising events, Red Richard and also to charity, including our teddy Bear Hospital Collab Kayleigh, which is happening at a pro. So if you're in Edinburgh on would like to dust off your dancing shoes, please do check our social media, keep in touch and keep up to date with any future events. Updates of opportunities. Speaking of that, um, a Children's hospital charity. Um, please do donate if you can. Um, we run all our events free, and this is just so we can ask for donations to support you. See, a CV, you do Wonderful works. Putting the Children of Edinburgh. How let um, are super AQ are your coat? Um, a link. If anyone's able to donate, obviously, do not feel obliged to. If you don't can't or if you're running low, that's absolutely fine. We just appreciate any sports. Um, we bit about how they will run obviously, this re infection. And then we'll have a talk by Dr Sam Down a herpes in ST four in pediatric intensive care, followed by talk by Dr Bridget Campbell, who's a half by two and a sparring pediatrician told by a Q and A and R True, uh, the SYRIZA supported by Dr Joseph, who is no only a fantastic consulting pediatrician. Balls of associate director of medical education in clinical lead for the Southeast Scotland Medical It Induction review project. And she'll be around for the Q and A if you have any questions. Um, just a wee bit about a ticket. If you can ask any questions you have for our speaker's in the chest. And remember, the any inappropriate language or offensive Cohen tent will result in you being removed from the session. But most of all have fun and make sure you get most out of it by asking questions to our as lovely secrets. I'm going to stop sharing screen and let sound take over whenever he's ready. Thank you. Right. That's just natural. This works again. Don't intend. He's not moving. It is indeed. Yes. Okay, well, good evening, everyone. Thank you for asking. Well, slightly volunteers that asking me to come and chat the first of knitting of your set of lectures. So I'm gonna talk to you by little back pocket. So a little bit about me, I'm an STD full PSC wretch at the real stuff cost for basic Children on. But I would like to do pediatric emergency medicine in the future. Onda. My interests are Medicaid. PRC simulation. Human factors on disability saves lives which there is a really good 15 minute to talk. If you're feeling like you want to watch it after this on, it basically makes you realize that when you're a medical student when everybody was really mean to you had why you didn't actually want to do that special to on. But hopefully in pediatrics, you would find that on D. That's a little bit. That's it. Really. So the left is me on in work on Do you can kind of see that I'm a little bit of the book. Is pediatrician really on the one on the right? Was my wife and I on our heading on. But that's where I look a little bit more set. Go. Was it stopped working, So I'm a little bit hard part in it on. But this quote kind of really resonates with pediatrics because ah, lot of the stuff you learn in medical school, you go right. I'm gonna you know, a B c d e. I'm going to do bloods. I'm going to do a chest X ray. I'm gonna do a CT scan on. We'll see what happens. Well, that was my experience of adult medicine when I did effort and after many moons ago on. Actually, pediatrics isn't like that. Um, it's what I call what kind of go back to basics medicine. Actually, a lot of it is massing about to try and work out what's wrong with the child on actually getting them to trust you. Because actually, if the child doesn't trust you or the parents don't trust you, you're not able to do anything with that child. I remember having a friend who tried to do a developmental assessment on the trial just part of Exam on the child, basically just run around the room for 40 minutes on like they were like, Yes, so they can do this and they could do that, but they wouldn't do anything about it. So it's about actually looking on D slightly ripping up the rule book a little bit. And obviously there's no definition you to learn about pediatrics. But a lot of the kind of stuff they don't teach your medical school is kind of ripping of the rule book, learning things about kids on having a bit of fun and rolling around on the floor in scripts, chasing Children. Basically, to try and let them example let you examine them on. Actually, a lot of that that that will tell you a lot. And actually, there's a really good on on the track who run in step to get bubbles runs a really good Twitter feeds on it, basically said observation, Use the treatment because actually looking at the child, you know, you go Oh, you know, you must keep our tone blah, blah, blah, blah, blah. But if the child's running rat throwing things out, you can guarantee that power in the tone in upper lower lids. Probably, Lord. And you don't necessarily need to do it alone beautiful and fabulously to make it to like, say that you could do all these wonderful tests because actually, the trouble tell if there's something wrong, because I have yet to find a child. There is unwell that won't tell you that room well, so the best things about my job So, um, there are medicines, great things about my job. Uh, you get to the other popular old characters or whatever the kind of one Children's program is up appointment with the moment is poor petroleum, the Optivar that's where I live or where I work, you know, And you get to do things like, you know, I can remember looking after a child. He was really poorly on singing my wanna You're welcome whilst I was doing it, you know, in what other walk of life do you get to do that? And also like Christmas in pediatrics? Really? Isn't that bad? Like we have like balloon people. We have bands. We have magicians, as you can see here as little medicine person. Um, we have hunter mine's we have. You know, there's all these amazing things you get to do with the kids because that kind of helps them get better. A lot of the time on, Well, normally do things a lot better for you. If you were actually nice to them on talk to them about their teddy's. The other thing that attracts with pediatrics is that actually the vast majority of the time, you don't have any investigations. It's very few and far between that we get we get right. Blood's really going to change what we do today. It's very much a clinical specialty on, but that's what I climate missed, limited adults that you do all of these amazing sexual tests on. Do you feel like on do you get There is the one with all of these tests go. Can I do this? Can I do that? And you really understand what? There what any event meant, and you just give a request? All these tests on be shouted out by the consult, maybe ologist, which I'm sure budget has had done to her a few times in the past. Um, Andi, that's the fucking this thing about Pete's. The other great thing isn't that you get to do a lot of salt HD you intensive care kind of puts, you know, do near me. Neonatal intensive care. You know, you could learn to tube 500 grand babies. You get to about central answer and you get to give us a factor. You get to put central lines in big kids, you know, and a lot of the Children that you know or adult people that need CPAP, a high flow which would go away to teach to you or intensive care. Um, you get to manage those kits because all of your intensive care services of regional basis, if and if you don't know that how it works. But basically you have a regional intensive care that you get retrieved too, if you need it because obviously we can't run a p. I see you every hospital because you wouldn't have enough people in them. Um, so that's one of the another thing that I love is that you get to manage these really sick kids yourself on. Why, when your reg on the shot for three o'clock in the morning like I remember my first night is a register or call. The consultant called me a side of my urine, and the most senior pediatrician and hospital on I was up about is terrifying, but actually after compliments, it was kind of fun, like, because you get like a baby consultant, you go on dialysis kids, and actually, I could deal with a lot of these things, but also you could just from the boss at three o'clock in the morning, nine times out of 10, and they really won't cap they will be expecting at least one or two phone calls. And I from the red on the shot floor to get actually, I didn't want to do with this child. I'm probably gonna bring them in, or I'm gonna do this. When? When I need, uh What? What do you think? On its? Yes. Sometimes it's a little bit scary because I have friends that I've got to ST seven s t eight on Go outflow. I've not really done a great deal. I feel like I'm just being rude. It isn't consultant, but actually, you've seen a heck of a lot of Children in those times. But I did six months. Idea B C h. I saw something like 1500 kids in six months. It's like you can't replicate that in any other specialty, but yeah, so they're the best things about, um I was asked about kind of a day in the life of a pediatrician. It depends on where you work, but I work. If you couldn't see this is Connecticut. See my cursor. So I work here. Um, that's PICU at stake. Um, so we live. Is it a heavy pad which is obviously fabulous because you get to like what these people run out and do all the fun things. But sweet so p I c U r my normal day to day. I'll do the water in the morning on then the afternoon is Normally I. They're a specialty clinic or a general pediatric clinic, which I get probably one or two a week on. That's again like really nice, because the consultants don't really. When you get out of the end of the job, they expect something for me. But in the first compliment, So I just turn up. See patients come find me on day fight with the digital dictation software because that's kind of what you need to learn. You need to let alone the daft intricacies of MHS I t systems rather than the actual looking after a sick child on then. So we also run a outreach service, so we'll go and see a lot the dependency patients on. We also had a line service, so we learn so we can put lines in under ultrasound guidance. Incidentally, if you get to learn to do that, it's a really good skill to have. I've only looked at this year. Oh, my God. I wish I had it about three years ago. Because it's so good. On point of can ultrasound is coming is the kind of the new, fashionable thing to do in pediatrics a zoo long as you have a child that's going to let you do it. That is the one caveat. In adults, they tend to stay still all they're sick enough to not want to resist. Whereas Children, even if they're on well, will try and kick you on bite you on. Actually, I clearly don't mind that because it means that they still got a page airway on the BP, probably. Okay, It's when they don't start kicking you is when you go are okay. You actually quite well, um, we get to do a lot off multi disciplinary working. So our hand over the morning, like we don't start unless the physios there, the dieticians there, the family, the Azor offices there, um, we also have an amazing set up late therapists. So I'm one of these pediatricians. There's not many of us that are like big believers in, like, 24 hour play cover because Oh, my God. It didn't show up so much easier. You know, it's not as good that you've got somebody professionally trained toe. Hold on, I pad on. Distract this child last. You're trying to cannulate them. It's not the same as that screaming in the corner. You know, we're going to go to her by child on their moms, not holding onto him tight enough, and it all just goes really wrong really quickly. So I'm a big believer in PE therapy for on. Also, there are many, many different opportunities that way. We get to see lots and lots of different Children on. Do you get to see Children from a couple of days old all the way up to 80? So we take to kind of 16 to 18 that stoke on all of the things in between. You're kind of You go from a general surgical patient. You go for a medical patient to terms to PICU, to hate, to see you, to nonaccidental injury, fabricated and induced illness like the list is literally envious of what I see on a day to day basis, which is just a minute. So the side of boring bet there's a load of really good step on the RC PC interrupts. I'm a British going to talk about this later on. Um, but basically, you have two applications windows, depending on when you want to go into the the tricks on. So if you're applying when you're on an F three years, sometimes you might end up applying like February March cohort on. But most people you know, you go from a half to into training. The best thing is is you get a month off in between going from left to to ST one. Awesome. I'm basically local for a week and then slept for three weeks. It was amazing. Um, so there's a nap occassion form. What's the word? Space questions, it's know, kind of like taking boxes on. There's a word limit on its to do with your passage of mints, clinical experience, career motivation, transferable skills and governance. That lovely thing that we all hate. I do. Anyway, I'm very much for the research person that actually why order tea? Person that anyway, on, then you'll have a settlement in to see on. Do you have to 50 minutes stations on. There's all of it from bits underneath that you will cover. There is a hope that probably after this application room that is probably going to go back Teo face to face. So obviously just keep it on on and see how things go over the next few years. And hopefully when you guys apply it will will be beautiful. Bridget, hopefully you got to fight pediatric ahead. Um, it will potentially still be online, but it depends. Um, how are things going with the supplements? So this is kind of a bit of a slightly boring slide, but it's a general overview of pediatrics. So you do have what I have to you apply for pediatrics. It's split into three levels of training, and I'm a little too moment. So level one is ST 12, s t. Three. You have three computer based exams. It says three. There's actually five papers. So has an a k p. R. A horrible days. But you just do the minutes Fact, um, Andi Theory and science, which is the one that brought it, and my eyes person that we know Will Carol rights on I passed it with a lower marker would affect it. So it's very much kind of you pass it, you pass it. If you don't pass it, don't worry about it. But the great thing is is that these are also tax deductible exams. So you can offset your tax bracket by putting minute advice to do it. Definitely, because the tax man will be your worst nightmare when you're actually Qualify Doctor. Because we have one of these people that get changed his jobs in different places every six months. And it's just a bit so then, in your level one training, you will do at least 12 months off the American intensive care, and you will do at least 12 months off. General pediatrics. The other 12 months are kind of up to you. In some places, they will let you kind of get actually got an interest in blah, blah, blah couldn't do it. You tend to find that least six months of that will be, um, in a tertiary hospital. So somewhere like baby Children, someone like the rule sick Children in every breath. Um, and that's kind of your year to kind of actually look up what you want to do and take off the rest of the boxes so make that really scary To step from Mexico to register. Level two is two years. You'll do six months of neonatal intensive care. Six months of general pediatrics. Most of us do 16. Superior. See you as well on then six months or something else. Normally community Um, and then it's when it gets interesting. So you can. I'd reply on, Be a general pediatrician. So you're just do your eight years and be a general pediatrician. Or you could do a spin module. Nobody really knows. I think it's speciality Interested in something nobody really knows. What will these weird acronyms actually stopped for on? Do you basically do in your last two years? We'll do a year off whatever your specialty trusted. So if your speciality interest is diabetes, you'll do a year in giving mats, and it will be on your CCD. Um, so you'll be a general pediatrician with especially interested. Yeah, the idea. Or you could be a weirdo at me and want to be a super specialist. Andi Grit. And that's basically you will be a consultant neonatologist on your CT, or you'll be a consultant. Pediatric cardiologists. Not that I did pediatric cardiology of the Children's. It's very straight specialty. I'm very weird, but that's fine. It's It's a It's a very nice, but you get to do about cardiac caths and all this other weird stuff. But it is point of just congenital heart disease, and that's about a lot you don't want see CHD on. Then you'll be a consultant in Baba eso a bit on career planning. So I didn't realize I wanted to do pediatrics until about four years. Medical school said. Don't stress coming to this might be old way more in make way, way more prepared. When I have a loss on I. I still got a place in the West Middle. It'll be it. But I saw that place said It's fine. Eso think about your special interest module seek. I know it keel. We did a month in different places on we did a monthly charities. Looks like that spend time with the CT when you get to do those two weeks of pediatrics because that's normally all you get him on the graduate medical education on. Then you get two weeks of PBL that is really particularly useful. You never actually see a child on spend time with the MDT. Go to clinic, spend time with play therapy physios, the family liaison T your nurses, your cleaners because that will actually make you realize, what do you do? You actually like pediatrics? Because, actually, if you could talk to the child, you're kind of half way there. I see um, or a mole that two thirds the right Thea Other third is basic physiology and Gary. Actually, that charge it's really sexually do something about it. Um, audits. Most places have big, big audits projects on do research and pediatrics is a little bit more difficult, basically because there is none, and you'll find that if you dpt, you'll find that it's really frustrating that one boss will do one thing, one bottle. Do the other thing on. There's no really evidence to say that either way's right or wrong. On your kind of work out over the years, you see more Children. I'm doing more specialties. You work out what works for you on a long as it's safe on what most doctors would do, and actually, it's little intricacies. It's nebulizers versus inhalers. I'm an inhaler. Time to go graph of the next. But that's my own personal preference on steroids on viral induced weeds versus asthma versus bronculitis on. But you'll find some bronchi. Kids respond to bronchodilators some of the dates on. Unfortunately, you'll just find that as you get along, what works for you and what doesn't, Um, there are alternatives experiences. So a lot of places happy to happy on the uncle rotor on also with the local retrievable services. Some of them have observed ships not so much recently because of Cove It that I know kids, which is our regional transport tape on Do let you come out on the ambulances on play on on a regular basis. Pretty cape it on. So if that's something you're interested in, um, just somebody now that the worst they can say say what folio you will learn. I'm sure you've learned in medical school portfolio. You just have to do it and there's no getting around that you just got a crack on the Do it levels 123. You've got certain competencies, competencies in each stage on your basic competencies, that number one and, uh, things like central lines. Internation cannulation. The poachers are about Mascherano a skills on you kind of have to show in each states. And you kept up. Your competence is that you have not just gone. I learned how to tube somebody once. I've not done it for three years. And you haven't educational because it limits your educational supervisor. That's after you for 12 minutes on your clinical. Surprising I was that just crack on and pizza's pretty top tips. So I'm gonna wish do these Probably have it on for too long. Um, five pizzas. I itty you have one. It sounds fabulous. Have to to stop them all. And it looks fantastic. Just do all of these things. Find a friend actually likes beets because actually, most between the two of you, you'll find lots of little things to put on your CV and portfolio on. You're actually motivate yourself to turn it to think about this on a Wednesday night where the reality most of us just want to be in bed on sleeping Um, don't get the bottles. I'm a little bit biased because I write for them. It's an Australian British collaboration between and is based with MAWR Emergency pediatricians. So a lot off pen consultant Right for them on it basically just looks at lots of papers on kind of breaks it down into, like, idiots, eyes, chunks. Which is great for me. Because if you ever feel like me, I get half of your paper get bored on. I don't I'm not interested anymore. But they break it down to kind of like idiots, eyes, trucks, which is really good. And they have online courses. Webinars. They also have a conference which is in Melbourne every year. And it is 1500. Quit it, Pop. But I'm very tempted at some point in the not too distant future. Todo on a conference on and then three weeks of Australia speech. Your nurse Is there a wealth of knowledge that is just a general thankful life in medicine, whatever specialty you go into, don't piss off your nurses because they will make your life how I'm rightly said So please be nice that because they actually know what I said, kid Looks like you know, you walk up on the first year suggesting one pediatrician I didn't urinate. I never see the baby before. Apart from like one old like family friend who had a baby on there Like I say. What do you think of his heart, man? I I have no idea. My first set of nights, we set the baby toe at commodity on. I was like, This is awful. I hate my life. And I had a phone call for a midwife going this baby, that's cold. Can I wrap it up and put a hat on that? I was like, I know the answer to that one, but I was about the only Axiron need for a least the first treatment City lights. I also take time to learn your favorite dancer on why it's your favorite that so because it will trip you up. I restrict a couple weeks ago because I had it. I was tired was for parking Morning on. The only way I could resurrect the situation Waas that I had recently been to Hawaii, where they found Jurassic Park, and it instantly maybe became this doctor even though I could only think of TV Axe, which is really boring. Don't go to T racks because it's just kind of get 10 states on. But again, I hope that was useful and I didn't just ever on for 25 minutes or however long that be jabbering on four on D Sometimes so basically, medical school is can be really rubbish. It can be amazing. I'm also pediatrics medicine. Whatever you decide to do is an amazing career. But look after yourselves. Make sure you talk to people on. Definitely. If you're interested, watch the 15 20 minute total, Constable. It saves lives. It will literally just blow your mind as to how why you like excessive specialty is when you're a medical school. Because actually, people were idiots to you. So thanks very much. Have to take any questions on booking for to see British talk. Thank you very much, Sun for your insight and advice. For the record, my favorite dinosaur is a status Oris. No particular reason just looks nice. Um uh uh, But I'd like to introduce Bridget, who will be talking from F 2% ready whenever you are. I have a buddy. I'm Bridget, and I also happen to be a killed grad. So it was nice talking Keel representing tonight on my favorite dinosaur is a diplodocus cause I like the long next on dippy in the natural History Museum is great. So some of you might be thinking, especially there's any foundation doctors on here. Why have we got left eye to you talking to us about getting into Pedes? I think that's a fact. Westchester Fairness. I I guess the idea is I'm someone who's hopefully either at the same stages you or a year or two above where you are on. But, um, I guess it's what I've done to help prepare myself for my Petes application this year and things that you could be doing now. So obviously, I'm not a pediatrician. Um, so obviously take what I say with a little bit of a pinch of salt, but hopefully I will be one in the not too distant future. Say, this is my f y T perspective on it's a little bit drying. Afraid that then some stalk. It's a bit more about what you could be doing right now to come prepare your port failure. If it beats, it's a bit last one. So sorry about that. So I think some Zaretski done away better job analogy on this, but I'm a stage like most of you where I could still do anything on a space. Some could drop our pediatrics and do anything, but definitely doesn't sound like he wants to you. But why? Pediatrics to me? Number one. I love working with Children. And I think hopefully, most of you on this call it at least enjoy it a little bit. Otherwise, you would be thinking about pizza. It'll But you can see I was one of those people who have got PR before medical school and spent a lot of time voluntary and working with Children. And it just brought me so much joy and happiness. Um, on it was just so rewarding that I knew that that was probably, uh, what I wanted to go. And do you even prior to medical school, every Sorry to interrupt. I don't think I can see your slides. Oh, no, thank you. That would be very embarrassing. So let's make sure we can see these. Thank you. Or the record, But just slides looked beautiful, so I wouldn't want anyone. Um you see them now? Yes. You can have your Sorry about that, guys. You know, thought I got used to see you after two years. A pandemic, but no eso Why Pediatrics for May. So, yes, this is me off of my gut. Your, um I'm yet to meet a nasty pediatrician, and that's I think I've had so many amazing pediatric role models. It's definitely one of the reasons I want to interviewed. Some tells me a probably there are some nasty pediatricians who do exist, but, like, say, I'm yet to meet them definitely had some quite negative experiences of specialities at medical school, particularly saying things like your woman, you should think about things that radiology or GP, or I'm sure a lot of you will have similar experiences where if paediatrics have never had any of that, I was just always welcomed and made to be a part of the team. I love the holistic care. You kind of look after the whole child in my family, which is really, really rewarding sums already touched on the breath of careers. You can do everything from kind of general pediatrics and learn, you know, have such a breath of knowledge to be a super subspecialist subspecialty doctor in pediatric cardiology, which I think is awesome is someone who's enjoy it, makes the the things I've done in medical school in Corrugation Run pretty key on global health impedes markers without quite nicely. I think generally, you know, no college, no training programs. Perfect. I think pediatrics for me seem to have any thoughts where it really seemed, while supported things like it was the specialty. You could go part time just because you want to go part time. If that's the kind of ethos that your part off, that's the kind of people I want to be working with. So that's, um, of my main reasons. So no one's in the slightly dry still. So I'm talking a little bit about applying on what you could be doing as a medical student or foundation doctor. Prepare your application. I've let you just applied. So I did my wrist in application card of to some bearish time and said to end. And then I've had my interview a couple of weeks go and hopefully I'll be hearing next week fingers crossed whether I have a piece job. But but those of you who really can e I would just say go on the RC PCH website because if you want to school pretty much top marks in your wrist in application. It's perfectly possible on what you need to do is be able to take these boxes so clinical skills and experience will basically be what you've done that before. I wanted that's why to on. But I actually haven't exactly haven't had a P. It's clinical, right rotation, my foundation years, and they're quite up there. Well, it'd be hard to come by. There's not many of them, so that should be something that puts you off. I mean, if you can get one, obviously that's great. But that shouldn't right mark you down in your occupation, and you can use twenties of transferrable clinical skills and experiences. So, for example, I didn't really care job enough one, and actually I think that's got a lot of similarities. Repeats, because it's about being a generalist, is about not investigating every little thing. Because if you've got a 95 year old posting with heartburn here, what's the point in doing this blood test? All CT That's not actually going to change your management. You're looking after the whole family, so whatever you end of June for one left to fantastic. If you get a peach job and I think, particularly if you're unsure whether you want to do pediatrics. That's really useful thing to try and get. And so when he knew I wanted to repeat after, this has been my last chance to try it over things so enough to have had kind of these on psych of the search box and sexual health. So I've been able to try kind of weird a wonderful things that, um but we had more knee specialties are still think of really relevant to Pedes. But if you don't know what he wants to pay to, might want to try and get a if one or 50 buckle, consider necessary. Um, or little quick, So as a enough one after you have to do in order is part of one of those tech. Knox is for your port failure. If you can make it be insulated. Great. But it doesn't have to be the kind of the best thing that you can do is try and get a full lord. It's I call or quality improvement. So call on what I mean by that is you do your did it. You bring in your improvement, and then you do reorder it, and that doesn't have to be a loaded work like one of my friends did. One that was on just didn't have an occipital ring or VT prophylaxis prescribed on the ward. Very easy. You go about your drug chance. One day you check it, you doing intervention, which might be teaching at all, drowned the importance off every day, and then he reordered it next week. Now, I'm not saying that this is a world changing audit that's ever going to change clinical practice because it's no, I'm Suddenly it's one of those boxes that sadly for me, anyway, so more in quality improvement isn't something that really improves things for you or for patients. But it's something that we have to submit it portrayed, Okay, but I'm just saying that you can do something quite straightforward that takes that box, if that's what you want to say. Sorry about that. But it's something that you might want to cup leadership of management. That could be anything that could be anything from you were on the soccer team. You were chair of Jingjing like changing your chair. The pizzas, I itty. But yeah, it could be outside of work. It could be It doesn't have to be medical related at all. Academic. So things you can consider putting in now obviously, how well you didn't medical If you've got involved in research in circulation, uh, now also giving points for doing your foot and tap as on a k a. P the exams that some mentioned you can get points for those if you've done them in foundation teaching is a really 11 I really enjoy and one that's quite used to take off. So get some teaching experience on your port failure. For me, it's one of the best ways to learn, So you could be some quite selfish about it, like sometimes challenge myself to teach things that I'm not very good up because it makes me actually learn it better. Um, se that's something that you can do on. Then you're suitability for Korean pediatrics, I think, natural chance to shine on anything that isn't really touched in there. So for me, my big passion outside of medicines music, So I talked to about that I play in orchestra, talked about the team work and all those kind of things, So if you want to be really countless. You can spend all really, Maybe with a small you know you want to do Pedes. You know that these the tick boxes you're gonna have to take to get a place in pediatrics. These are the things that you can start doing. People. Okay, Um, pizza cheese. Some mentioned these again. I'm gonna tell you innocent, but he hasn't said already. Barely. But you'll have four stations. A communication, clinical reflection, reflection and failure. Obviously, with cave did things have been online. And I think things will probably changed before you guys apply of your stock medical school. Or even if you're in a two. Now, we made it back to being F one, so you'll take a year or whatever. You're not. Climb this. If your plan next year, the maidens back to being in person, communication, clinical, I'm sure you can imagine what they'll be like. Reflection. They basically this is no secret. They ask you to talk about event that went well. I went badly. And what you learn from it, the port favor one is the one. We're going to fix that more because that's the one that you can stop doing stuff for now. And in the past they've asked you to kind of paper portfolios and print like four pages of a four. And you can take that and show that to them. They haven't had that for the last two years because of your bed, so that may or may not return. Okay, so what could you be doing now? I won't say this is a complete to be completely honest, I've done quite a lot of pizza stuff because, like I said, I knew what I wanted to wanted to do it before medical school. I'm sorry. He's not very good at saying, though, and that's actually I'm really working on hard on it the moment. But I've done quite a lot of pizza because I love it. I love the people I've met through it. Actually, a lot of the great pediatricians and people are ST ones nasty to start trying to. You don't actually need to have like a stupid show in your port for you that you might need to put some specialties like maybe surgery. You don't need to have been 10 billion example within 10 research papers. That's not the case so I don't want this to scare you. Definitely Don't you took. Don't all these things get pizza job. Okay. Okay. So what? The easy things. Things that take pretty minimal effort that you could do. First of all, during the ercp ch it's completely free. You'll get a monthly newsletter with all the opportunities you can get involved in easy peasy, tick things like tonight. So get involved in all the pizza effects that happened. I think one of the great things that prove it is actually lose a free events happening so really easy. Welt on best move, you tick box. Most medical schools. This is a chart collection. You did it keep your, which was a Christmas present for Children who wouldn't otherwise have Christmas presents. But most medical schools will have something that you can get involved with that similar. So whether that was your kid society, like Edinburgh or charity charity kind of things. Being involved with that all looks great. And you see where there's a nice peak picture of me teaching spinal tracks because fire trucks was something I hate. So the only relevant it was by him to teacher eso teaching again gratefully CV uh, this is a beta or steak. When I did one of my pediatric guess I see's S O. And they have these little cute cars that you take kids down for procedures. What? You're awesome. But I I think most medical schools you have to do some kind of students elected component, so why not take advantage of it Inducing a pediatric? Elated If you're someone on the hunt. Smart Pedes. There's a load of specialty, something that requires that you can get some pizza exposure to say, for example, so you're interested in surgery. Why not Tonto Orthopedics? Because then you'll still get to see some pediatric patients potentially lost. Also do so if you're talking between specialties of nothing options, I'm finally, suddenly my electives cancelled. Coast gave it, but that's against you. Have to do so. Why don't make it be. It's related. Okay, things that a bit more effort. But I'm going to completely take over your life. So as I mentioned, um, music is my big passion. So here's me playing in the keel concept. I'm going. How's it unique? The reason. I say there's a quite a bit of effort because I actually found, um, maintaining all work about life balance at medical school and as a junior doctor, pretty tough. I could get some new, but we have to work and strive for it. Least I have had to I would really strongly encourage it because my mental health is same time. I you know, general quality Black was so much better when I did make time for the things I love volunteering or where can the Children. So I spent my summers working on till drills to come because it made me money. Also looks great in the state of TB. That was my pediatric society at keel in the top, right, you are not anywhere near as busy as Adam. Breath on in the bottom left is the UK aspiring pediatrician society. So there's UK or local societies you can definitely get involved with. Play a part in This is my audit that was on tongue tie that I did at medical school said, There's a lot of time and then the final final one I've got on here is, as I mentioned, I said, we haven't had a clinical piece placement. This is rest of Children's. I'm calling in breast or if you can get a pizza place and it's a great one to do, great thing to do for your port forever. And then finally, the things that are really tough that taken me a lot of time, but you definitely can do if you want to, But I definitely wouldn't do them just for the sake of building you put right there. So getting involved in periods research is pretty tough. There's not a lot of it, but luckily, I had some really great mentors. Um, including Doctor Carroll, have mentioned earlier who helped me get involved in superior to research during my integrated year. So I've got a couple of pediatric research papers on Also, I start some of my Peter exams. In all honesty, I think sitting some of these exams as a foundation doctor on a busy rotation was not my smallest leave, so I definitely recommend only doing it if you've got time to do it on for me. Luckily, I passed them, but it was a lot of work on top of a busy job funds, Um, although I think the foundation of practice exam is actually not that much above kind of what you do in medical school. Knowledge. Personally, I don't know if maybe you got something to say like GP where you've got a bit where you're not on call all the time, not working every weekends, because otherwise you're rapidly find your life outside of medicine becomes filled with more medicine, which is not what you want. So that's the end of my rumbling talking kind of some things that you could do for your quote very low. And I just want to reiterate that you definitely don't. We don't need to do all of those things, but some of you might be super keen. In which case, great on, um, that's my disk that you started. If not, they're really easy wins on that. Electric takes two seconds to join our C p. C h. And that looks great. Thank you very much. I think a free for questions very much, Bridget, for all your likes, especially related to work like balance. Um, all medical students suffer from this all don't problem is like like, um, always keep your mental health and your wellbeing. First, you can treat others and take care of yourself. Um Let's open up for questions if you open in the chap, if you have any questions for our speaker's and also our lovely supervisor, Sonia Um, and we'll read them out. Otherwise, if you're you don't want anyone else see your questions, feel free to just direct message myself or any of the speakers, and we can answer those questions directly just to start things off. What was that moment that got all of you inspired? Teo, pursue pediatrics. Shall we begin with some? So mine. Waas at medical school on. I got placed at the local Children's party. Carelessness done, Louise. Which anyone Have you been there? It's amazing on, but I We ended up taking this child out for the day on, but they had a complete meltdown at the side of the lake. Um, Andi, we just sat on the floor on We're just chatting on this child was like, eight or nine. So had, like, you could happen, this chap and she was just like, I just I just want to be a pain in the butt for today because I haven't got very long left, and I was like, This is amazing like that. What on that. Just you know, Children are just the most amazing people to look after. Um, it's such a privilege and you get to, as he said, you get to look after the entire family. You know, I have sat down on chatter, been parents at three o'clock in the morning about like their dogs and stuff. I'm just to distract them from a really horrible situation. Um, that's the big thing for me. Was there just the whole holistic care and it's why I went into medicine. You could just look after everybody. I just seeing them chatted. You don't have to do all the sexy medicine on the tubes and the central lines. Actually, if you could sit down and just chat away, people will actually open up to you and tell you a lot more than just going around saying Old the the patient in Bed three is going to be a So that was my I am my thing. Thank you very much. Um, Bridget, what was your inspiring? I think mine's probably found similar in that one was insisting Fibrosis Clinic. We had a child. He was really struggling at that time with the CF and I think it's quite a big burden of treatment for someone who's quite, you know, they were an early adolescent struggling with the burden of treatments spaced, and one of the mg t took them out for Mac use. I went with them and they just had a really nice time shocking through. And they kind of got to the bottom of what some of the issues were on. Then they went back to clinic and had this whole team of everyone from dieticians to psychologists Teo, 30 therapists, doctors, specialist ministers on to be part of that team to make a difference, that child, but also to be looking after them on their family. That was when I realized Pedes was for me. Um, I thought about some other specialties, but pizzas definitely brilliant. Brilliant. Um, doctor jokes of could you share? What inspired you to precipitate tricks? Obviously, with your breath of experience, it must have been incredible moment. Yeah, more than happy to, um, first of all, well done, Teo. Changing and clear soup for persisting with me in a rather difficult person to get of also just so impressed that there so many people interested in doing pediatrics as a pediatrician myself, is it? There's the one of the best parts of the job is coaching and students and from all different backgrounds and getting the Marines you know, a child and discussing heart support the kid of Children. And it's fantastic to see somebody enthusiastic people in this simple so well done everyone for joining, but particularly Jingjing and clear soup. Firsts for cycle of this ups. Fantastic. And for me personally sort for those of you don't know, ma'am, a consultant, general, pediatrician in Edinburgh on which means I run acute receiving I was this was it, Director for education for about 12 years and set up where High Fidelity seven Center and on the clinical director for medical pediatric specialties. Which means I look after 18 specialties and 45 doctor consultants in various different breeds of medical staff on, But it covers Ediborah, the region on national patients as well. So, um, I guess that where did they start with my pediatric journey? There were two things really one for my personal life when I was a teenager on that which was a long time ago on, So I know you're all shocked on. The second was professionally So when I was a teenager, When your school, you're just friends with everyone and you don't really think about people's personal circumstances, I r. I certainly didn't understand. One of my friends got very ill and ended up in hospital. Then my parents just sort of brought her home and she lived with us for a year. I never really fully understood it until and when we all went off to, you know, and I go into medicine and then she explained to me that actually she had was the victim of quite significant domestic abuse. And it was when my she met a pediatrician who with a broken arm. So they said, You know, this isn't right and you, you can, you know, and basically folate a child protection route and see, She said the only people she felt safe with was my family. So she actually end up staying with us for a year on. They could have another just Oh gosh, how important that she went in for a routine arm that could have been a standard injury. But the person that saw her thought, you know why nurses it. A person of this age got this sort of injury and, you know, and and check the rest of her. And I just remember thinking about what a difference Because no, she's And she's an accountant. She speaks six languages. He runs a craft business. She's, you know, a highly successful, unhappy individual. But I I suspect that her outcome would have been rather different. It should stayed in that life scenario. On. The second thing was when I I did host officer job so that she was home alone ago. I trained on down, um, And then when I finished, I did the Glasko royal accident. An emergency job, which basically means that my first, my first ever shift in that department and having been a doctor for a year was a gunshot wound on D. Um, have, you know, having someone crack open a chest, But just being like a big old you know, it's like, er, er was very famous. George Clooney was very young. That's the time of off the in history we're talking about on I. I remember seeing all these teams dealing with incredibly complex adult pathologies and a lot of trauma and Then a child came in with a febrile convulsion on this third day on this incredible team that were really just really owner and really coordinated just fell apart literally. The all fell apart. They did not know what to do with this kid on both, actually, in my surgical host officer job, tough to look after pediatrics. And I was just like, this is just a football commotion is going to be fine. And actually remember thinking, I never want to feel that way around a sec trailed again. And my final point is for all of you here just embarking on a career. I don't know if it if you've seen the work from Simon's the Neck. It's a fantastic but called start with Why, and it talks about the golden circle of why you do something. So think about why you do something, then how you do it and then what you do. So why I do why I'm a pediatrician is because my core purpose is to maintain the whale being of Children. How I happened to do it is by be being a pediatrician on what I now happen to do. Being 24 years and to being a doctor on do is by being a clinical a clinician primarily, um on appraiser and educator and know manager and a leader in the in organization. And my job is to try and connect our students with our senior stuff with our designers, on our quote improvers and our educators to just not only think about this system that we're in, but think about public health, global hails and how? Because all of it interconnect So I would strongly advise thinking about a career in pediatrics because it just gives me so much joy on dwelled undecided Bridget for their talks because I would call heartedly agree It's a fantastic career to be involved with. And remember that no matter how tough against you have to be a doctor for a long time. So unless you're gonna win the lottery, uh, you never need to work again. You have to be able doctor for a long time. So in the movements where you're having a career challenge or you're uncertain, um, I feel very lucky that my trainings will come and have a chat with me over a coffee about where they are. If you're struggling because it's just that movement. And remember that your career last year for the your your whole professional life. So don't let moments of difficulty or areas of challenge before exams and everything put you off. Think about your your yourself when you get to my age on what makes you happy. Thank you. Thank you, Doctor Joseph, for your problems inside, and we've got a few questions on the chat. Actually, Jen's asking Thank you both for a really interesting talk. I was just wondering how competitive is pediatric training Currently? Sadly, no as competitive is I think we would like it to be, I think, when I checked the RCPs each website a couple days against about one application for 1.5 jobs. So when you could parents things like surgery, it's fine. And I think we're short of about 25 registrars in the West Midlands. So it's fine. It's pretty incredible, Um, but honestly, Patrick's is such a incredible job. There's so much diversity that I feel like everyone will find something. They love pediatrics, and hopefully we'll get those numbers up. Quite a few people have asked what was the head talk that you recommended them. So if you talk into Google, civility saves lives. Um, Andi, there's a website for it on Do It's turned by. Oh, God, was the guy called? He's a PD consultant in Leicester. On it basically talks about it 15 minutes, and it looks at some of the research around, um, people be horrible to your work. Basically, on how that if you are the person that's being that somebody's being really your productivity drops by by 50% on do you don't want to help anybody else. But what I found really interesting was is that Teo witness incivility just in the wider area. You know, your your side of the nurse's station, somebody shouting and somebody else It drops the team productivity by something like 25 to 30%. And that, to me, is just criminal that you know, that we've got so much research out there to say this is wrong on this is what we shouldn't be doing. It shouldn't be like, you know, I remember my my my my uncle was GP on. I remember him telling me stories of being We're rated by the distance sometimes surgeon at City Hospital Birmingham about three o'clock in the morning for something really daft on. That's it's something that we need to change on do the you know. That's why I think that's just it's just something that people should just even if you watch you and go, it's a low table. It's just something that you can watch and something that you change on your day to day basis and asking, Are you okay? But actually, they're asking in the number of ways, because they say that something like, you have to ask somebody. Are you okay? On average about 7 to 8 times before somebody actually opens up to you on having the culture that says it's okay not to be okay, you know, you look at like, this is gonna hurt the ad, um, kay drama on BBC one, you know, on still on a weekly basis, something like 3 to 4 doctors commit suicide a week in the UK on average, it's something we've got to change on. I think it's something that attracted me to pediatrics that it's as a general rule. Yeah, having Bean believed it work and things like that. That pediatrics is one of the forefront specialties that actually cares about this on as a general rule. Like Bridget said, you could go part time because he won't get part time. Not because, you know, I've got 50 Children at home. You don't have to write reserve dreams of referral to bag somebody to help go to 60% or 80% that you could just get, you know, Well, I need a day off a week because actually, what we see on a day to day basis is everybody else is worst night. You know, working on pick you these parents come in. And what these? What we see every day is the worst day of their life. Yes, you can't go and cry every day because you wouldn't be able to do the job. You do. But I think Dr Joseph would probably agree that, you know, going home and crying once in a while is actually normal. And actually, if I didn't do that, I don't think I should be doing pediatrics anymore. Because actually, what you see is horrendous. And they're actually the little thing. It's just little things that you could do on a day to day basis to make your colleagues lives so much better on it should never be that you feel this big work on that. You should feel that you can't bring the boss at three o'clock in morning or you're stupid. If you get this wrong with you, miss this cannula or you You know, the computer system crashes and it loses your notes for a preterm counseling. He did. So it's just It's just something that I wish I'd known about when I was a medical student. Because I think it would have potentially helped me a lot of the way because it would have made me feel like I wasn't the weird one in the corner there Actually cared about people, you know, Like I remember being told that I was weird because I didn't introduce myself. Doctor. Damn. Uh huh. And I was lying. This is bizarre, but I'm no doctor Data. I'm Sam. Like my Thursdays in half one. This nurse was going doctor, Doctor was that doctor and like, tapped me on the back, and I was like, I'm sound like Please don't call me doctor. I would I don't respond to it on. That's what I find the pediatrics I've never found another specialty that goes that you could call the consulted by the first name. But that's unheard off. Like I've got friends that surgeons and like, you don't even talk to the consultants until you're like a s t eight registrar. Whereas I'm just like, yeah, hi. Suit yet can I just run to the past? I mean, it's just amazing. Anyway, I'll stop jumping up. Thank you very much. Silence. Very, very insightful. Um, absolutely agree. We should never have to make excuses for taking care of our own wellbeing and just simple things and just being kind everyone around us, obviously, it's still basically, yet it's so surprising that it doesn't happen. Um, you know, right? I think that most people complex school are generally generally nice people. There's the occasional one that you go. Why did you come here a minute? You know, they want to be the one that saves the life from, like, get some graded to, like business class on the plane and has three bottles of Moet and all that. Just Yeah. Can I just come in with a comment so well, I find very interested in, Please call me Sonia, Because I have the same thing we everyone calls me. So network. Uh, So what I find very interesting is when we have other teams, so surgical subspecialty teams that rotate through the hospital Oh, are people that have been on a GP training program and Pedes is often in there s t two Teo issue to year movement, especially if been bruised through adult programs. What I really find fascinating is the change in their behavior. And they're overall wellbeing after a few weeks and pediatrics and and that includes that. So it shows that, you know, it's it shows the impact of culture. So the way we do things around here in a little different microcosms of different units, and it also shows just how quickly that can be reversed. And so at the hospital that where I work in an Ediborah, we're very explicit about culture and what our expectations are. Induction on D, and what we also do is if there's any comb, ain't so. Questions or concerns raised from the nursing style for the cleaners or the ward clock test is about an individual's behavior than somebody senior like me will be emailed so whoever is responsible for that doctor, and then we will go and have a chat with them about what, what was new test, what is acceptable and what is not acceptable. And what you tend to find is that stops very quickly because most the time, the people that are behaving like I either just adult that behavior because they think that's what everyone else should be doing in that unit on down. Actually, when you say you know, that's that's definitely know how we do it here, then you find that you often they often find their own humanity. I remember one of our GP Cheney's variable saying that that was that. He said this, you know, coming back to coming in doing this piece job is made me realize I lost my humanity and actually he's know DPP with a special interest in pediatrics. So So that's really nice, because especially when I turned going to miss first day, I said, I bet you love this, but he was like, not likely, but he did so it was great. So part of it is that well cut culture in individual units is created by those units and you're absolutely right, Sam. A lot of it is around rule modeling. So if I don't wash my hands when I go and see patients, then there's a 75% chance that none of the rest of my team will wash their hands. So I'm very purposeful. We're doing that so we believe in the power of positive role modeling. But also you need to realize that use individual F wise and students can also call it culture. You'll have mechanisms to do that. No, certainly when I was a trainee that just have no exist at all. And so actually it's It's impairing yourself and realizing things like James See So reason students feedback A very powerful because there's a whole infrastructure of trainers and clinical directors like me that need that feedback. And sometimes I will deliberately. I'll ask people to email me stuff and email me information, because if it's in writing, I could do something about it or ask them to put it in their focus group feedback as a non, um, I've otherwise it's just me banging on about a problem. Well, see if it's come from a group of students or wise or STD's then it's not just me, it's it's Everybody else is well so we could do something about it. So please don't disempower yourself on. Look at Jules and culture can be reversed very quickly. And I know that from personal experience or and definitely go to that website. It's a great website. Yeah, I think everyone, I think we've probably talked about civility a lot, so I don't want to take away from other people's questions. But I just say I like the echo, the points that being said already so much sometimes just coming towards the end of that right now, the toughest job for me that I did wasn't my job on a Kobe ward at the very beginning of the pandemic when I was dealing with, you know, really sad cases of patients dying without probably being a visit. The toughest job for me was a job where I had I was in a very unsupportive and quite toxic work culture on it made me hate that specialty. It made me hate medicine. I thought about quitting for quite some time, and actually, you know there are. As as Sonia said, they were ways to call this out on their ways to escalate. That's not ended up new my placement and it wasn't something I wouldn't want any other foundation doctors to go through. So just ask for how, when you need it, I think is what some insulin you've been saying, an open 100% echo that something that's really important. So So it's got the pizza questions. But I just wanted to support that is what you Everyone is very, very valuable advice to anyone, no matter what specialty. Thank you all. We got quite a few questions with chance. We'll try and get through them. A floors ask a soon as assumed to be F Y one and Pedes. Are there any top tips to get the most out of your rotation or both your portfolio? Within this opportunity, I think this one's for you. It was good sound, definitely been long in the tooth, for that s so I would say, obviously make most of every clinical opportunity. You're really looking well. Don't don't get in an F one rotation in pediatrics because there's not many of them. So congratulations and use it as an opportunity to get all your clinical skills up with you can. So Ah, lot of people who wants to pediatrics might know I've had the chance to do things like Cannulas. Remember which is and stuff like that, and you might get the chance to That's That's one thing you can do. You can obviously do some of things like audits if you want to again. Great for your port Prelude Taking some boxes. But I just take, you know, make the most of the political opportunity memory stuff. Obviously, being with patients talking to family is going to know the MG t. Um, I'm looking at what kind of subspecialist, I guess. The other thing. I just kind of talk to your seniors. You ST want us to to use to see what their quality of life is like, whether they enjoy their job, because that's one of things that your meter pizzas, the um, kind of trainees really telling me that they look what they do, which you don't get enough special on. And you can talk to ST Paul's Like something. Um, salmon. Sonia, do you have any thing to share? Is up? Um, I think my one piece placement was marginally terrifying on because I because I was kind of the only at one that really wanted had an interest in pediatrics. Everybody else is just like me, and I kind of got this. Don't really like it. So I got I was really lucky that I worked somewhere that had loads of opportunities on. I would just ask you, Bridget, just take every opportunity, go and see everything even if he wanted out to recess with the ranch to see the poorly child in recess or the poorly child in recess that, you know, because actually, it's all it's a learning like I'm climbed for a fellowship for September. And actually, I I'm just excited just to see Mork like I'm very much a hands on person. I'm not. I'm not a book learner. And just seeing stuff and people and ask your nurse is like prescribing in pediatrics. Coming back. Going from adults to pediatrics is just like, mind boggling, like from a pit prescribing point of view. If you've never done it before, I just ask. Your nurse is because they've done it the donkeys years on. If you make them something, bring them sweets, they will do everything for you on certain My top tip with the F one would be basically hang onto Mesic's stuff, ask them every question on. Then you can ask some of the doctors as well because they will teach you like all that fun parts of pediatrics. But actually, the stuff that we do day today is your nursing staff. Your health care's will play a therapist because they know what hold a child looks like on. Actually, when F one is reading me a three fuckin morning, I'm worried about this child. All I want to know is this child unwell? If they look well, I will send that my and that's all. That's that's all any medical ask of you on. That would be my top tip for foundation is that just ask and go this person books and well, come now. No, as far is amazing, actually, if you could just highlight to me this child, that's some Well, come now. I'll tell you when you get here, that's all right. And that would be my plea. That and congrats on getting enough one place in Pete, you have a fabulous time. You will have an absolutely amazing time. It's like it's just to add to some supplements and the two in terms of clinical experience. If you're in a pizza placement, absolutely trying full of your middle graders, you're nursing staff. Get to feed babies, change babies, learn how the court works, cause that and perspires confidence in parents. If you know how to take the coat site down, always lift the cults a backup before you leave the room. Um, that is convenient, for you could learn that three hard list and so definitely is much clinical and non clinical experience. Or getting to know a place specialist discussing with pharmacy. We get our, if wise and do peace to do medicates and prescribing, and I discussed it with supervisors and full of full of drug raid. Etcetera is part from many cakes, just so they can get an insight into the different preparations and what it means. If you don't understand the flavor of something and Jimmy doesn't like that flavor, you know, and what the nurses have to do, two cooks the Children to take the medicine again. There's a really great um, section or not. And don't forget the bubbles. Um, I would for those in a pediatric placement and also for those who are on in pediatric placements, I would urge you to state your intention. Career intention very early with your supervisor. So for all the f wise that don't want to do pediatrics, which the majority are who rotates through our unit's, what I try and do is always find a project that suits whatever specialty they're going into. Still primary care surgery anesthetics. We always find a seemed project that's linked to what they want to do in the future. For those if you, if you were doing adult specialties and don't have any pediatric placements, try and find something around transition. So the young adult that's just coming TNT or surgery on. But there's a a specific issue around those that transition out of pediatric care and to adult care. It's a completely different main set on most M subspecialties do that very well with transition clinics, but there are some. It is we're like new disability, for instance, or ADH D and autism, except where they don't have a mirror image allergy, for instance. You know we don't have a A like for like, adult service, so if you are if you only get adult placement in your f y. Find out what those placements are. So somebody Britain, I think you said you did sexual health. So I've got a fantastic training. Who did a project with Sheila Cooks is one of our sexual hills Consultants on myself arranged teenagers who were who because we supplement from 14 to 16 years old and none of us could give sex education. Right? Well, we're all about like, this's really difficult to talk about. That's all the more tired. I don't want some stickers of bubbles. No. Okay, Um so actually, we did the she did a fantastic project on, you know, how comfortable do you feel talking about this? And we did a, uh We got some designers in and and got some various people in to come and listen, talk to the kids and did some fun videos and things like that. So just think about what? Specialty urine at the time on on Think. Is there a nail a mint off? Ah, someone who's got healthcare problems that is transitioned into that service. And how can we improve that? And that's how you know. So certainly if someone who does interviews. If you've done any anti joe of plastics job a general medicine job on a medicine of the elderly job, you know there's always an angle in terms of communication called production with patients on, especially for not medicine available. Probably, but for all the other ones, there will be the graduates of pediatric services that are going into those adult service is to try and find something around that definitely state your intentions. Junior supervisors arely because most of us, certainly at my hospital will then try and find you a project that's relevant to your future career, including lots of primary care interface projects, etcetera. Because that looks good for you. Because it's not just about getting you to work for our team. It's about how much can we get you to learn and that block of time that you're with us on What? How could we then support you for the future? Thank you very much. Sonya. Work Randolph tonight with one last question. Um, what do you find hardest about working in pediatrics? If shall we revert the order with Sonia? Like to do first? Um, what range are just so a supposed for my point of view, the the the lack off. So it selfishly so as the clinical director, my lack of ability to influence mental health services for Children. Um, and I know that's probably, um, quite far away for you guys. But, Bridget, your me and you're you're literally be just I'm gonna be You're gonna be me and joints six years time, you know? So it's one of those things that if I could influence the system Ah, higher level on on what I mean by the system. I mean, their government on other services where Children who required the needs of those other services. And that is my only frustration on guy. I feel utterly ordered to have a career in pediatrics. That's been the privilege of my life on day. It makes me get up every morning and and days are tough there, utterly challenging. Um, some scenarios are take a long time to resolve and improve others. Others you know the child is we use they're very sick. They said they get better with the meds and, you know, on dialup of I love the variety and the interaction and the humanity on do certainly love recent experience I had is I went over to the royal, which is our our hospital to do an m d t of a patient. That transition to the mom had asked me to turn up, which is fine on. Then one of the physical was that was there was like frantically waving at me. And I said, looking are going But I don't know you. I don't know why you're waving at me on it. Turned out I didn't know her because I met her when she was 12 s. So that's great. She was like, Oh, you know, I have this and I was really sick and you looked after Ritalin was 14. I was like, Well, I wouldn't know your physical. This has done really well. And so, you know, it's an absolute privilege, Teo to look after Children. So I don't know if you've heard of Frederick broke dunk list. He was, ah, American Civil Rights active. It's in the early 19 hundreds, and he said it's better to build strong Children than fix broken men on by. Feel very grateful to be apart off that purpose. Thanks. Thank you very much. Sonya. Um some. Would you like to go? Um, have really just occur. What? Somebody said. I think my biggest frustration working in some like a burning, um, is the difficult situations we get ourselves in with teenagers that are exposed to can't e lines, jokes, violence, weapons. That's my biggest frustration again. Is the whole system off? How do we try and put interventions in to stop these Children coming into hopefully one of my consulting Pam into my recess with holes in places that shouldn't be holds on. But, you know, having looked after, you know, I had a situation. Where was a child I had seen on a regular basis indeedy who come in with, you know, being pumped it school fell over. I actually ended up being murdered in assisted living. I just find the the kind of rapids in sort of review into this into this death was that we have so many missed opportunities on. But that's what I would like to take forward of that something I would like to fix, and I don't know how you fix it, but I think having people that want to fix it is half the battle that I would agree that working in pediatrics is the biggest privilege I've had so far. Um, hopefully it will continue to be the biggest privilege until I retire. It's very much, um, I think we'll end today. Thank you so much for speaking. Thank you so much to all our attendees. I know that we've run over by about 20 minutes. Thank you very much for sticking around. I'm just gonna share screen so you can get the QR code to our feedback for But also, um, course you will pop it in the chat as well. Um, know that this is the first of five webinars. Um, And if you attend three out of five, webinars will be a spirit crested certificate. But you also get your check after each weapon or smoke. Um, and please, to keep up to date with our social media to, um, check out the next event. We'll make sure to address mailing less, so you get to see anything. Um, and otherwise, I'm pleased to get in contact of your interest in pediatrics. Especially if your liver based, um, or elsewhere. We're always have to get everyone involved. Thank you.