Computer generated transcript

Warning!
The following transcript was generated automatically from the content and has not been checked or corrected manually.

Thank you. And the um I said preparing for a career in surgery team. Good afternoon, everyone. My name is I'm a general surgical trainee based in Yorkshire with an interest in transplant surgery and surgical simulation tech. Today, I like to share insight into the impactful and rewarding field of transplant surgery here in the UK and hope to inspire you to consider transplant surgery by the end of this um presentation. So transplant surgery is more than just a medical specialty. It's a beacon of hope for patients facing end-stage organ failure. We are at the forefront of medical innovation working alongside a diverse team of specialists to restore health and prolong life. Every transplant is a story of second chances and to give a person a second chance at life is the most rewarding aspect of medicine. Let Royan a trail blazer in liver transplantation, exemplified the innovation and dedication inherited in our specialty. I'm going to briefly talk about different type of transplantation, organ retrieval, new tech involved training pathway, share my experience and tips on how you can prepare for the specialty. So around 3300 people receive a kidney transplant in the UK. Every year from either a living or deceased kidney donor. Each organ transplanted represents a life change for the better. There are still over 7800 patients on a waiting list for the transplant in the UK. Now, liver transplant is a major operation where a diseased liver is removed and replaced by a liver from a donor. It is a lifesaving treatment for some patients with cirrhosis and his liver disease. The indication for liver transplantation can be classified into four broad headings, acute liver failure, or fulminant hepatic failure, chronic liver failure, meta metabolic liver disease, including liver based in bone errors of metabolism and liver cancers. Renal transplantation is the treatment of choice for a patient with endstage renal disease. All patients with endstage renal failure or those with CKD stage four, with progressive disease should be assessed for kidney transplantation. Common causes of endstage renal disease includes diabetes, chronic, uncontrolled high BP, chronic glomerulonephritis and a polycystic kidney disease. A successful kidney transplantation improves both the quality of life and the length of life. For most patients. When compared with the maintenance dialysis, there are several other different type of transplants including pancreas transplant alone, spontaneous pancreas and kidney transplantation, pancreas. After kidney transplantation, pancreatic islet cell transplantation or small bowel transplantation. The national organ retriever service or no team deleware or organ retriever service. Highly challenging, both technically and emotionally the different type of organ donors. Donors after the brain stem death or donors. After circulatory death was a unique challenges to surgeons and to all members of the nose teams, over 4500 transplants are performed each year in the UK. The need is immense and the impact is profound. Patients go on to achieve incredible things after the transplantation, some run marathons, others start families and many simply cherish the everyday moments that once seemed impossible. There are several innovation and technological integration in the transplant surgery like normothermic liver perfusion and robotic surgery. In the machine perfusion, the donor liver is continuously perfused with oxygenated blood, medications and nutrients at normal body temperature and near physiological pressure and flows and can preserve the donor organ in a functional state for up to 24 hours. The future of transplant surgery is bright and evolving. Technologies like robotic surgery and bioengineered organs are pushing the boundaries of what's possible. Training will incorporate these advancements, preparing surgeons to utilize artificial intelligence and virtual reality enhancing patient outcomes perfusion widely helps optimize the donor organs as well. The journey to becoming a transplant surgeon is extensive but immensely rewarding from medical school through to the consultancy. You'll develop not only technical expertise but also the empathy and leadership skills essential for this specialty. As you are already aware of the surgical training pathway right after the medical schools doing a foundation pathway application to the co surgical training. Two years, of course, surgical training in between. You need to complete your MRI mrc as part A and part B. And then again, national training number. After that, you and there will be six years of training uh depending on the academic pathway versus clinical pathway, the route might be slightly different where whereas in the academic pathways you go directly uh is uh directly up to the ST eight and A phd integrated in between. Whereas for the clinical pathways, uh you have to apply for it and then take um out program um reset for these clinical pathways. So to share my experience, I am an, an international medical graduate from Nepal. And I've jo I joined um FY two on 2020 got into the standard surgical training uh run through program. Uh My co component of the run through training had a transplant surgery rotation uh during my um ST two year and I started my ST three year uh with a transplant surgery rotation as well. So I was a bit clear from my early years that I wanted to do transplant surgery and I spoke with my TPD clearly about it. So, having that early mindset, what do you want to do? And uh it, it helps a lot um in mapping out your future rotations. So, research is an integral part of the transplant world. You have to plan, plan it early uh when you want to go out um for the research I'm planning to go out a program after my ST four and I started meeting um uh with my supervisor started discussions after uh in, in middle of my ST three aiming to start after ST four. So it takes a bit of time to arrange everything. So um as you can see here in the past, there is like uh typically three phases, phase one, phase two and phase three. In case of the transplant surgery, there are three pathways to CCT in transplant. Usually one is the emergency, general surgery and renal transplant. Another one is the multi organ transplant and organ retrieval. And um other one is the H PB transplant and organ retrieval. Usually in the after you declare for your exams thing. Um These are the three routes. One of the advice would be um to get your general competencies number early on. So as soon as you get your general competencies number for the ETS early, then you can go to the retrieval rota or transplant router. If you still lagging numbers, then the, the T pds might give you general surgical on course, even during your ST seven. So it will help your experience in the retrieval side and in the transplant side as as well. So the aim should be finishing it up uh by ST six and going into the retrieval rota ST seven and ST eight. Other way is uh during your phd or MD, you could take up a clinical role part time as a in a retrieval rota and honor your skills. Um Well, there are several subspecialties within the transplant as well. So renal transplant, uh renal transplant with pancreas, um a transplant with the um vascular access liver transplant, uh intestinal and multivisceral as well. So, transplant surgery opens dos of numerous pathways. Whether you aspire to be a leading consultant and academic pioneer or global health advocate. The skill and experience you gain are invaluable. Remember, challenges are, are like competition for both opportunities to grow and excel. Well, like every other um specialties uh transplant also have, have a bottleneck. So there's limited training post and the fellowship competitions a bit high. But again, persistence is the key. Well, uh transplant surgery is demanding, both uh physically and emotionally surgeries can be lengthy and the stakes are very high. Um Hence, emotional resilience is is crucial. We deal with life and death situations on a regular basis. However, maintaining a work-life balance is possible and essential. So, pursuing hobbies and spending time with loved ones and keep us grounded with the advent of uh machine perfus. Transplants are being done in the daylight hours as well. Everyone has their own way of balancing work life. I'm interested in global surgical simulation and um global surgical work and try to balance my surgical simulation and clinical work and a bit of traveling as well. So just uh trying to find out something outside medicine does help as well. Likewise, um we're starting movements to inspire and support innovation in low middle income countries, establishing surgical simulation network and running some surgical skills course in the low middle income country. In fact, we are going to uh Western Nepal um in one of the very remote medical school to run the surgical skills course. Um um Anyone interested is more than welcome um to join our course. So uh the main question is how can you prepare? So in order to prepare yourself, so you first thing is you have to express your interest in the specialty. Uh You have to speak with the consultant or um the senior trainees or the registrar who are also in interested in the uh transplant world. And the other most important thing is finding a mentor. Again, you can find mentor a couple of ways. One would be um joining the surgical society um in the transplant like Herri society, going to the meetings, uh meeting people. And that way you can find it in another way is to establish a mentorship uh pathway which uh as a Herri society, we are trying to establish the mentorship program. Other thing is again undertaking a surgery or a transplant themed uh project to present and publish. And for that as well, you have to contact email people, go say hello, say that you are interested in, in, in the specialty. Um And other thing is organize a test a week uh getting exam out of way early on, helps on so that you can focus more on the specialty later. Like I said, um Herri Society is a transplant surgery. Um trainee society, we run a lot of uh courses. We run um a lot of educational events for the, for those interested in transplant surgery. One of our flexor uh along um as it is the core concept in transplant surgery preconference course, we've been running this course every year for the last um three years. This uh we are, we are, we are running um in the upcoming conference as well. And interestingly, we've got virtual reality in medicine and surgery rooms where there will be um uh so in the retrieval experience during the course, so um keep your, I mean, watch for the space and then you can join in the um course. And the other thing is, like I said, um we um we are establishing national transplant surgery mentorship uh program. Um It's a pilot freeze this year. Um And we are hoping to run it smoothly from next year. Um Feel free to go to brick society website. There all be um QR codes there and then you can um get the membership that's for free and during the program as well at the end, uh like I say, transplant surgery is more than just a car. It's a calling that of offers unparalleled rewards as the few evolves, there is immense potential for you to contribute to its uh future. And Uh Thank you once again for joining me today. Feel free to reach out uh through email or connect me with me on linkedin. Uh And, and remember the future of uh transplant surgery uh is in your hands. I'd be delighted to answer any question. Thank you. Great. Thank you very much B for um messaging in the chat and for helping with the Q and A's as we've gone along. I really appreciate it and thank you so much for taking the time to present.