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I'd like to invite on stage. Ms Bushra Abdul Career. And she's, uh, court trainee representative for the British Association for Urological Trainees. And she's going to be speaking on a career in urology. Thank you, Bushra. Hi. Thank you. Thank you for the invite. Can you hear me? We can. Brilliant. Let me see if I can show my slides. Um, so Hi, everyone. I'm better. I'm one of the new C three started working just this month in ST Georges Hospital and also the court trainee. Um, And at five and three s, C three, Representative, for those of you who don't know, obesity is the spouse section of trainees. So the British Association of Urologic Surgeons and I'm going to be telling you today why should you should join urology as a career? Um, please stop in your questions, and I'm happy to answer them either as we go at the end. So, um, why urology? I think I had so much to include in this slide, but I decided to go with these. So, um, we do have a variety of subspecialties in urology. You can you can do a lot of things, and it depends on how you are in your career. You can decide about what you want to do so, and I've seen a lot of consultants who start by doing big robotic or open surgeries. And then when they're closer to retirement, where they want to slow down and start doing more a case lists and things that can be more lifestyle friendly. Uh, but there are a variety of specialties and a lot of things that you can do with neurology, but it's also a small specialty at the same time where you only need to worry about kidneys, bladder's ureters and prostates. Uh, we do a lot of there's a lot of open surgery if you are someone who wants to do open surgery. So there is still a lot of urology is open surgery at the same time. There's a lot of robotic surgery, so most of our oncology is done robotically, and there's also an endoscopic surgery. And as a urology, as a general neurologist, you can get a feel of everything. Uh, there's really good work life balance. Uh, and I didn't realize that until seeing my S t three doses, so I get one in 10 weekends. Um, and I do my night shifts off site and I was our local teaching yesterday, and there were some hospitals that I just I didn't do any nights or anyone calls. Um, it's a five year training. So urology finishes at ST seven compared to other surgical specialties. So it's a slightly quicker training. Um, we can operate seated. So if you're doing in the urology is you can sit down while operating. If you're doing robotic surgery, you can sit down. So that is something as well, uh, plenty of research, special protein if you want to be involved. Um, and I will be talking about that later in the talk. Um, I really like that. It's a very small community. So I started my foundation training, and my first job was urology job and I Every time I go to a meeting, I sort of you sort of know the people. It does feel like a community, and there are a lot of mentors that you can go to, whether the registrar's or consultants, Um that is like, these are the points that I think from a point of view, but from a patient point of view in urology. You can make a very massive and quick difference into patient's life, and you can see it immediately. Um, and I think that's really satisfying if you're someone who like that and we do get a variety of patient group. So you have male patients, female patients, pediatrics, and you have different ages. Uh, that you are dealing with neurology. Um, and there is a balance between medical and surgical interventions. So if you're a urologist, you need to you need to be able to treat patients conservatively. For example, you t i s, um there's a lot of counseling. You need to understand how the kidneys work and we do work closely with other teams as well. Um, why not urology? So, uh, so I think training is not run through, which is really annoying that you still have to go through the core training, But I think that's the case with most surgical specialties. Uh, we do do long hours. So again, that's I think the same with other specialties. We do have really busy on call. So you believe it does not stop during the on calls, and they are They can be quite busy, and your patients can be very, very sick as well. Um, and sometimes it will feel like you're the nephrostomy catheter service within your trust, and you will find yourself lysing nephrostomy. He's just because you are the middle person between the specialty and intervention radiology. Uh, otherwise, it's a great especially for you. Um, I'll put here an example of the subspecialties, and I can just briefly touch on them. So in the urology, it is a special. It's a subspecialty of urology that deals mostly with stones, so they do. Most of the work endoscopically through a cystoscope ureteroscope, and they do PCN else as well. And it's a really big expanding specialty, and there's plenty of opportunities there, uh, urological oncology. So that involves, um, prostate cancer, bladder cancer and renal cancer. And surgeries are done. Prostatectomies are mainly done robotically these days. Cystectomies are robotically or open cystectomies and then for renal cancer. You do robotic partial nephrectomy and Latin nephrectomies and still open nephrectomy. So, um, it is a big specialty, and, uh, you can do 22 at the same time. Functional urology is a very interesting specialty where you do deal with patients who come with symptoms like recurrent UTI is overactive bladder, and it involves female urology and patients with neurogenic neurogenic bladders. And they do a lot of reconstructive surgery as well. Um, and it has a lot of open surgery in it. And at the minute there's plenty of talk about robotic surgery within functional urology. Um, andrology is a very interesting specialty, so again they do a lot of open surgery, which involves surgeries for erectile dysfunction, penile cancer, Crone's disease. Um, and it has a bit of a mix of plastics and urology because you do a lot of your reconstruction as well. Reconstructive urology is for things like you're a Terek injury. And then there's gender reconstructive surgery as well that comes under that, Um, then I just start to include this because I find it very inspiring as a woman in surgery that in urology, we have, uh, past president and the president of the section of urology and the RS and both female surgeons, and I think we are leading the way. Um, representation. I was teaching yesterday, and we have three female speakers and there were plenty of female registrars as well. So I just think it's something worth sharing. Uh, I just start to include, uh, what it's like to be doing a urology in court as a registrar, and then I've included also what it's like to do a list. So you will get a lot of sleeps. A lot of referrals, mainly there will be some scrotal pain. If you are in a g h, you will cover pediatrics as well. So there will be pediatric patients who come with scrotal pain. There will be lots of stone referrals. There will be a lot of retention, but mainly, mainly, mainly it's about catheters and hematuria that is the most schools that you will get. Uh, there will be some patients who can have obstructed infected kidneys. The more representations penile fractures, trauma if you work on the trauma center priapism and four years gangrene. Um, again, the the ankles are really busy, but the things that will make you get out of bed at night and go to the hospital are very limited. Um, so it is a balance, Um, what the list would look like. So and that's where I think urology is So amazing is that you do have a variety of things that you can do. So if you're working in the District General Hospital and you're doing a general urology list, you can have the cystoscopy T u r P t, which is reception of bladder tumor endoscopically T u r p, which is a resection of the prostate that we do for benign prostatic hyperplasia. Radical orchectomy for a particular cancer, for example. You could see did cystoscopy and urethral dilatation suprapubic catheter insertion or circumcisions or hydrocele repair. And and that is a massive variety. And they're all day case list and really good for training. While, for example, last Saturday I was assisting in andrology list, which is a very specialized list, and there were things like total colectomy, which I've never seen before. Glands resurfacing. And then they did a graft reconstruction at the same time. Um, and then we did a lumpectomy under a local anesthetic, and then we did a partial colectomy under a general anesthetic. So there and and this is only just two lists, if you if you look at, for example, or a list, we have four or five urology list today and and there's a variety of things, but I work in a big tertiary referral center now, but, um, it is amazing what you can get across urology. Um, I have to get involved in urology. So there there are lots of things that you can do. So this is a great start about is the British Association of Urologic Surgeons. Uh, they do have, um, a section for medical students. Specifically, another section for foundation doctors, uh, visit, which is the British. The bowel section of trainees. So you can get in touch with us. We do have a medical student representative, and I am the core training. And if my representative and I'm happy to be contacted if you have any questions, we do have a conference every other year, and we do have, um, sessions about as well breath urology, which is following on the previous stroke. This is our research collaborative within, uh, urology. Uh, I have a link on how you can get involved. There's something called the Urology Foundation, which is, uh, they If you're interested in doing, um, charity work for urology, you can also get involved. And there's a slightly in your organization called Students for Urology. and they they're there to try and get medical students more exposed to urology because we know that you don't get exposure to urology. Don't do rotations, so it's really hard. And then there's the SM, the Royal Society of Medicine urology sections where they do talks days they have, uh, you can apply for prizes to present, which I will include in a minute. Um, I've got here screen shots, so to make it easier, because the Bowels website can be a bit difficult to navigate. So if you go to the bars website, you just type in your browser and go to training and trainees. Um, and then you can go foundation or medical students, depending on what level you are, and if you click on it, they do have a foundation. Students say that, uh, the winner wins a prize in, and you can add it to your portfolio. And then there's a foundation and core training competition as well, and the winner gets to present the boss. Um, and there are a lot of resources and q u. I p and audit projects that you can get involved with, and you can get in touch if you want to do a clinical attachment or you want to, um, know who's the Who's the urologist at your team? You can just find them through bus for, uh, this is for students for urology, and I think they do have some applications opening. And the deadline is what today is so in in two days, if you want to apply, scan the QR codes so and this will count as your leadership as well. So they're looking for medical student foundation and course during the so if anyone's interested and, um, for birth neurology, which is the collaborative research with the neurology. So they do have quite a few active projects at the minute. Um, and there are ways that you can get involved. You can just email them. You can go to your local urology department and ask if they have an ongoing burst collaborative research, and you can just start helping with data entry or, um, if if they're not registered, you can register your hospital and be the lead for that. So there are lots of opportunities, and if you're someone who's interested in being involved, more involved in research, they do have vacancies that come up quite frequently to be on the committee. And if you want to pitch an idea, you can also do that. Um, this is the R M urology section. So here, Google Royal Society of Medicine Urology section, you can find, um, prizes, awards, and there are student medical student prizes and training prizes. These are the ones that I found now so, and the deadlines are November 2022. So if someone is interested in applying, you can find them. But they do advertise them throughout the year, so there will be more opportunities. It's it's worth looking at them and seeing what the deadlines were last year. So if you want to plan something for this year, uh, and that could be very useful for your portfolio, and then this is the Urology foundation. So if you if you want to be involved in charity work, you can also get involved with them. And I think it might count as leadership because if you organize, uh, an event or you do a run or something, um, and last, if anyone has any questions, this is my Twitter account, and this is my email. Feel free to email me if you have any questions or if you want to go through anything. Thank you. I'm just looking at the questions. Thank you very much for that talk. Bushra, I think apologies for the comment section at the moment, they just filling the portfolio for next lot. Okay, there's anything specific for urology yet, but, um, we've got some coming in now. Thank you. Any time. Uh huh. Okay. Uh, what sort of emergency urology surgery do you see? Okay, So, um, the most common things that you see, if someone comes in with, uh, scrotal pain within the age, then you will take them for a scrotal exploration. And that could be either an adult or, uh, a child. The other common thing that we do see every week is a stone disease. So if someone comes in with a urinary colic, they have a stone and they either have an infected obstructive kidney or the pain is not controlled or the kidney function is affected. Then we do take them to theater two. In most places, you would put a J J stent, but there is more evidence now that you should do primary enteroscopy if they're too sick. Obviously, you don't do any of that. Um, and then you have hematuria is also an emergency that we sometimes need to take patients the theater to do a cystoscopy wash out and clean out the cross. Um, the other things that you don't see very commonly, but I've seen quite a few of them over the past few weeks is penile fracture. So you you do take them to theater, but they tend to go to more territory. Andrology centers to get that referred, because sometimes they have urethral injury. Um, and obviously we do get cold to other theaters if there's ureteric injuries. But again, that is not something very common. Um, sometimes you have to put an SPCA catheter, but that's not in theater that's under a local. You do it in any or on the ward or flexible cystoscopy on the world. If you can get a catheter and um, I think that it is there any other urology questions that I can't see? I'll just put the I forgot to put a piece of account as well. It's quite useful to follow. Thank you so much for that talk. Bush and I was really informative. And it's really great to hear the opportunities that are delegates can get involved in, uh, for Korean urology. Thank you. Thank you very much.