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next up, I will be telling you why vascular surgery is the best career and why you should go into it. So I am a S T three trainee based in Yorkshire, and this is my journey 2017. I graduated from the University of Birmingham, and that's picture with, um, my parents and I in front of our University Hall auditorium, and I'm going to talk to you about my journey through med school, then going into academic foundation program and then an academic clinical fellowship in Vascular. Professor Steve Watson was one of the mentors that I met really early on in my medical school career, and he sort of guided me through some basic science research in my second year during our summer break, where I was able to apply for a welcome trust research fellowship and this involved looking at long inflammation and just getting involved in histology and sort of animal experiments. I found that experience quite useful just in terms of the mentorship that he offered and also a guidance through grant applications and and just paper writing, and then went on to do anatomy dissection project. And that was under the spinal column and lumber muscles, and at that point I thought potentially orthopedics. I found my surgical placement to be quite engaging and friendly and supportive, and and I think part of that was due to the teams that I had been exposed to. But also, I think, partly due to just turning up earlier awards, getting involved with cases and just expressing my interest. And I highly advise you to just demonstrate enthusiasm and interest when you go into the woods. And I think that certainly goes a long way in getting involved in and just being part of their team. I had an early exposure to the operating theater, and I remember seeing a hernia operations and vascular bypass is in my fourth year of medical school, and even though I I couldn't do very much at that point, the consultants were really keen to get me involved and start to teach me skin stuttering and and basics. I think even just getting involved in scrubbing with scrub nurses and learning how to prep and drape are key skills which which will be invaluable in your career as a surgical trainee. Mentorship and role modeling is certainly something that has guided me through my career so far and just sort of expressing interest in different areas and showing enthusiasm. I certainly open up many doors for me. So after my foundation program in in the West Midlands, I started my I started my vascular surgery f one job, and that's where I I really fell in love with it. I had some fantastic mentors there and they really pushed me. They provided a lot of guidance and and support under water and in theater, and I remember one of the senior registrars just giving me that extra push to apply for training and to just believe it myself. So I think it's really important to find mentors who believe in you and also those who can provide advice on on a career and then went on to do some gastroenterology pediatrics. I had an academic job and ngp so quite a broad experience, and Antonia has spoken today about complimentary specialties. I personally found working in GP and any quite useful for my surgical training. I think making friends along the way is really key, and it's always useful to to work as a team and work collaboratively, and it's only through through, uh, teamwork that that we can maximize our efficiency and our output a bit about the clinical academic career that I went through. So I after foundation program, commenced an academic clinical fellowship and a CF and that was based in leads. So Yorkshire and hum ordinary. And it allowed me to run through a program with the vascular training number from ST One that involves 75% clinical work and 25% academic work. And this is a picture of the University of Leads. On the left, you can see the Leads Institute for Cardiovascular Metabolic Medicine, where I was involved in basic science research, and on the right, you can see a beautiful building, which is the leads General Infirmary, where I did my clinical work and vascular calls. So a typical day for vascular trainee is quite varied and really exciting. Elective list can involve a lower limb bypass surgery, which is roughly around four as long, um, but that surgeons time and then this. This will tell you otherwise. A triple A repair, which can be quite satisfying to observe major amputations and the fistula is in vascular access cases for renal failure patients, and these are really nice cases where you can get your favorite music in the background. You can get chairs, sit down and creates a really nice fistula. So I really enjoy those in our patients clinics. We see diseases of the arteries, veins, lymphatics, and you can see cases of peripheral disease, varicose veins, venous leg ulcers, Tripoli end stage renal failure, carotid artery stenosis and diabetic foot disease. So you can really see that you're going to be exposed to arteries throughout the body. Apart from arteries of the brain and and of the heart, you've got exposure to interventional radiology. And with the new curriculum, there's a, uh, an enthusiasm to to merge, training and and increase our exposure to both open and the vascular work with the war grounds. We have general clubs teaching medical students and on your vascular and call the two things that you worry about bleeding and ischemia In the emergency operating list, you'll you'll have exposure to rupture. Tripoli Acute Um, ischemia created Endarterectomies for T i N stroke patients and diabetic foot sepsis. In some major trauma units. You'll also be the resuscitative surgeon and call and you'll deal with a lot of trauma. So this is a picture of, uh, Triple A and you can see an open Tripoli repair with the graft. Um, so hold on to the aorta on the right. And again here, open Tripoli repair on the left femoral artery endarterectomies are quite satisfying. And you use a device called a Watson chain, which peels off the plaque from the inner lining of the artery. When it comes out a whole like this, it's quite and they say, and then minimally invasive and the vascular revascularization options. So, uh, conclusion you can see here quite satisfying revascularization using stents and balloons. However, there are studies have shown that patency isn't as great as open surgery. There is a place for each after options, so open repair and then the vascular repair. And it's really about working as a multidiscipline routine with your interventional radiologist and justice and surgeons to see what's best for the patient. In my academic clinical fellowship, I completed a postgraduate certificate and health research, and I provided you it, um, quite a bit of skill to build on my basic research skills and helping paper writing an analysis I did some regular bedside teaching and did some virtual teaching for my peers in the course surgical training program. I started off and asked as a Yorkshire number regional representative and was part of the master surgeon charity at that point as well, and did some clinical research projects. And this is just an example of things to be aware of that you can get involved in, and you can take on as much or as little as you want to get as much benefit that you'd like out of it as possible. And when we talk about work, life balance, you can be on any part of that spectrum between work and life, and I think it's It's a very personal topic and and sort of up to each of us. How far in that spectrum would like to be. When I moved to um, Yorkshire, I met some other trainees, and we've we've sort of kept in touch over the years, and we've been really good friends and occasionally go on holiday. So it's it's really nice to prioritize making friends and having a good time while embarking on surgical training. So some bits of advice for you is a range of a surgical test today, Um, for elective, get involved in medical placements, find a mentor in your specialty of interest and one of our colleagues mentioned earlier about getting involved in a court improvement project. And it doesn't have to be anything really complex. A simple project that you can repeat the cycle of data collection. For an institute, change is key and will be suitable to maximize points. It's important to network and attend courses. Um, there are several quite useful course is that you can attend and conferences. So we've got acid 2023 in Liverpool in March 3rd to 50 next year. So please look out for that and get involved. And the rural club as well has a lot of opportunities for vascular trainees and medical students involved in the career. It's probably worth looking out for the roller club introduction to Vascular surgery event, which runs every year in In, um, you know, vascular society annual annual general meeting. And that's happening in the last week of November this year in Brighton. So definitely get in contact and see if you would like to be part of that. I think it's important to speak to trainees across the country about their experiences and just get an idea of what life is like as a surgical trainee, as a vascular training and as a consultant. And that is important to embark on a career after being well informed of what's in store, find friends with a similar interests and work together not just to build your portfolio, but also to study for exams and and also to have, um, enjoy surgical training throughout the journey. And it's okay to know what you not know what you want to do. So I went through a surgical trade. I went to medical school. Sorry, not knowing that I wanted to be a surgical training and surgeon and even in f one considered doing anesthetics. But it was really the people who believed in me in my vascular job and and sort of encouraged me to apply that made all the difference. So actively seek out mentorship, speak to those of people, get inspired and and I certainly think you really enjoy it. I really love my job and and it it really doesn't feel like a chore to go to work. So I'm not saying to apply specifically to Vascular, but find that specialty or find that career that really gets you up in the morning and inspires you to go and do a good job. Some opportunities for you to look out for vascular society. This year we'll be running the annual general meeting. Acid has loads of opportunities to get involved in, and we have 23 regional representatives throughout the UK and Ireland who represents um, represents several deliveries, and you can get in touch with them to run courses or to attend courses. And the rural club is a vascular trainee society that offers a lot of teaching sessions regularly, and they've got the competitions and price competitions. This is my email, so please drop a message if you'd like to get involved in anything acid or vascular surgery, and I'd love to hear from you. Thank you guys