Computer generated transcript

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

OK, I think that should be working. Can someone let me know if they can hear me in the chat and also see my screen? That'd be really helpful. Perfect, great. So yeah, I'm just gonna take some time to let some people fill in. Um There's a lot of people registered for this event, not sure how many people are actually gonna show up, but I'll give it AAA couple of minutes if you don't mind. Um OK. Next test when I turn on presentation mode, can you see this and four green? We didn't try off my phone. Can you see the sides like in between sides? Maybe not? OK, cool. Perfect. All right. Then I'll just wait until about oops, maybe around 34 or five past. Yeah. OK. More and more people are coming in 25. All right. I'm impatient so I'm just gonna get started. Uh I think that's enough people anyways. So yeah, so uh today I'm just presenting what I wish I knew before year three. In year three, I was really, really confused about how everything worked. I think it worked very, very differently to preclinical years and I kinda wish someone just made a guide for me cause I'm quite lazy. Uh Therefore I made the guide. Um I hope it's quite good, in my opinion. I think it almost everything you possibly need to know about year three and how it works. Um And obviously I'm presenting this uh uh on behalf of Code Blue. So obviously I look really, really cool. Uh But who actually am I? So my name is Derrick. Uh I'm Canadian Korean. I'm 1/4 year currently based in Preston and I'm direct entry from Saint Andrews. That's everything you have to know about me. Uh Who or what actually is Code Blue. So we're a national teaching program. We're mainly focused on Manchester, but we're open to any clinical or medical students. Uh We focus mainly on the CCA so the ay uh and we do in person mocks and also do some weekly online teaching sessions. The first of which we'll start, can you make the slides full screen? Cool. They're not full screen. Um Of course, I can make them fall screen. Damn. Ok, full screen now, hopefully. Um And just let me know if they're not again and I'll fix it. He sure his PDF will go full screen. Is it full screen now? Ok. Yeah, perfect, great. Yeah. So we're doing weekly online teaching sessions starting from next week as well. So, um we're also soon we're recruiting some year three ups for Salford with and Sean Preston uh it'll be a really uh interesting role because you have some priority for our teaching events. There's also some opportunities to do some medical education research projects. If you're interested in that, you can also use our learning resources, which are quite really, really good. Um Our sponsors S OM uh Im SA and G Medic, which is really cool. So in my head or at least when I was a third year, this is kind of how I felt a little baby doctor. I have no idea how year three works. Uh Don't worry, that's me. I took it. Uh, just right now I'm here to help you. So how does your three work? So it starts with the ICL which you're either starting next year or you're on right now, your introductory placement, then you have your four regular placements, then you have your A PE and your SSEP. So the ICL, it's four weeks long. It's formative. So it's not assessed. In other words, you don't have to do all your sign offs in order to pass that block and I'll get into what those are later. Uh It can be on any general medicine or surgical speciality. It's a good way to ease into the hospital cause it really can be scary as hell. Um When you first go in, you might get like a schedule, you should go to this ward or meet this person. Uh You don't know where anything is really when you first start. So I think for me, the best sources of help were to find a doctor's office and go ask there, go find some nurses to ask anywhere in the ward. They're typically wearing like light blue, dark blue or white scrubs. And the F I one and F I twos, they're, in my opinion, the most helpful because they just graduated. Uh, that means they know the struggle and they're a bit more willing to help you normally. So that's the F YF two AK A your new best friend for four weeks. Um The regular placements. So there's four of them each five weeks long. So a week longer than the IC 03 of them will be in general medicine. So thinking cardio gi or endocrine, so obviously, like those consultants have a special interest in dealing with cardio gi issues, but they also kind of deal with a broad uh spectrum disease as well, especially endocrine. That's basically just general medicine with people with diabetes. One placement will be in general surgery. So thinking in general surgery, obviously also things like urology or vascular surgery. Um So these are summative. So you'll need to get all your sign ups done and I'll cover what those are in a bit. Uh That's your fy still your best friend uh for these placements, uh cause that'll probably help you get most of your sign up done. AP O. So APA is the research component of the year and you have the choice of doing one of three things you can do an audit. It's quite bright. Oh. what? Wait. Ok. I can fix this. I can fix this really fast. I know what this is. I know exactly what this is. Thanks for telling me, Patty. Yeah, that looked horrible. Thanks for telling me. Ok, I think that should fix it. Ok. Did not fix it, please. All good now. Yeah. All right. I'm gonna continue hoping it worked. Yes. Oh Who winning? All right. Uh A pap, right? So this is a research component of the course. Uh You can either do an audit, a service evaluation or research. So an audit is you looking at a essential uh like essentially a ward and how they're doing something, for example, it could be on pressure ulcers in the ward and you compare how well your award deals with preventing them compared to a national standard and then you come up with some way your word can prevent it. So like I'll give leaflets to all the nurses saying like here's how to open the slides. You're not sharing them. Oh my God. OK. I'm so sorry now I can't see the sides. Can you see the sides now? Yeah. Ok. OK, cool. I don't think there'll be any more problems. Oh, yeah. Smooth sailing from here, right? Uh Audit. So as I was saying, you're comparing it's a national standard, then you come up with some way. Uh in order to improve that service, I mentioned leaflets, for example, uh service evaluation very similar to an audit except you're not comparing to a national standard, you just kind of look at one specific area that your ward or your clinic is doing and see a way to improve it. Research can be super super broad. Uh You can do things like critical analysis, systematic reviews where you look at a bunch of papers uh to answer a research question or you can do something like a cohort study where you follow a bunch of patients and collect their data to answer a research question, for example. So this is nine weeks uh which feels really, really long, but it can take some time to get going with it. So it, it really isn't that long. If you're prep time management like me, it's basically nothing. Uh So really try to get on that. As soon as the period starts, you'll need to make a paper between five and 10,000 words. And at the very end you'll do five. you'll have a five-minute presentation on your project. You'll rank a list of projects. I say, I say a few projects here in reality, I think the list is more like 10 to 16 cause they'll offer a ton, a ton of projects and you kinda rank them, the order you want. Uh your mark actually doesn't matter for whether or not you get a project, it's kind of randomized. So you'll get a random number and then they'll go down the list to see. Ok, this is this person's first choice, second person's first choice down like that. So, uh don't worry about that. It's kind of random and you get some influence to it. Uh If you're not really interested in that, you can also self apply to a supervisor you're interested in so long as they're not already um providing a project. So I did this myself, I'm based in Preston, but I actually asked to do a project in MRI uh in the Royal Eye Hospital. And I did a retrospective cohort study and it was really fun. So that's something you're able to do. Uh S SCP. So this is right after a PAP, it's three weeks in which you get to uh apply to do a placement in a specialty you're interested in. Again, you rank a list of placements just like you did the A PAP or self arrange. Uh Unlike the APAP, you can only self arrange to other partner hospital if the speciality is not offered at the one you're at. So for example, I know uh MRI actually somehow doesn't offer neurosurgery, but self does, are the sides meant to change? Yes. Was it stuck on that one side? It's still on a PAP. Listen, I'm just gonna like, you know, just do it like this thing. Um I'm just gonna do like this sorry, it's kind of a scuff but it's fine. All right. Yeah. So Salford offers neurosurgery. Uh but MRI doesn't and Preston offers almost everything. So you, you can't really run away. You'll have to basically do a project in Preston or Chorley, which is our partner hospital. Uh So this is kind of what a Nor week looks like. So you have TCD. So these are kind of like in-person case series um that they'll walk you through. It's still ap ep really? OK, let's try. Share PDF. You said, right? Let's do that instead. OK. Give me one minute. I'll do what Patty said. She's a lot more clever than me. She's the president of uh Code Blue. The genius told me to do this as a PDF and I will sorry about that. And that went to my downloads. Yeah, sorry one minute, I'm not normally this incompetent. I promise, I promise. OK, that should be done. I'll share it as a PDF and hopefully it should work a lot better. Yeah, Patti's saying while you're waiting, we do have a Instagram giveaway. I was gonna talk about that in a bit, but we are giving away a year of GT me, a resource for free for two people. Um So long as you like our most recent uh Instagram post on G Medics and you can also, you have to follow our page as well as G me page and then you're eligible to uh win that. Yeah. At Code Blue teaching you'll be eligible to be entered into that giveaway. So it's two accounts of 12 months of free DC Metics ot resources, which are really, really good and I'll get into why? In a bit. Um Yeah. Ok. They're just processing the slides. Sorry if you, you're hoping this to go a lot smoother. So as I, but you know, we might do this is representative of what it'll be like as a clinical. You're a med student, you have to adapt. Ok. So it's done processing the slides present now. Awesome. Can you see this is that, is that showing up quite well? Right. Yeah, perfect. Thank God. Ok. Right. So S ACP you can't run from Preston. That's the last thing we talked about TCD. So this is an inperson case series, uh where you'll study the conditions in advance. I'll give you the pre reading and prelearn in advance and then you'll go into wherever you go in your hospital and with your track, you'll work through these cases as a group with a supervisor. Uh I strongly strongly recommend you to do the prework. It's not really something you can kind of. Well, I just show up on the day and I'll be fine. No, because it'll be two hours of you not really understanding what's going on and it'll be a big waste of time and you know, it's ii look dumb, you'll feel them and that's really important. Um, CT. So this kinda is in tandem with the TCD. This is an ethics law. Yeah, this is ethics law, prescribing sessions. You also prepare in advance. Um, these ones can include role play. So you'll often be like a role playing like an fy one or something or find a medical student talking to a patient. Uh, for that reason, you really, really should do the work in advance. Else. You'll look really, really stupid. Um I remember the first time I did it. I was like, oh, it's fine, I'll do whatever I did a role play. I was trying to explain um heart failure to a patient was like, yeah, the heart's here. It's not working very well and they kept wanting information. I looked very stupid. Don't be like me do the pre learning and you'll actually get a lot out of it. They form out the s ATS very, very similarly to the CCA S which are kind of a practical exams. So it's really, really good practice if you volunteer to do those, even though it's a bit, you know, awkward at first just do it. It's worth it. Clinical debrief. So this is a lot more of a chill session. You'll discuss the case with your track or any interesting moments that happened that week. Uh It's really supervisor dependent because they'll either want to kinda uh do their own thing with these things or they'll kinda let your track be like OK. So what do you guys wanna do for this clinical debrief? So, depending on your supervisor, uh it could be a bit more rigid or it could be a bit more flexible. Uh Both are fine, both have their perks, but typically it's quite like a chill section. It's quite nice, right? Surviving the surgical jungle guys surgery. It's like a jungle. You have to be ready for it. And depending on what block you're on or when you get your surgery block, the University of Manchester literally may not tell you anything about how it works, which is really scary, which is why I have this whole section on how to do it, right? So theaters, surgery, theaters start really, really early. Typically the morning sessions think around 8 a.m. But if you're not sure ask your CPS. Uh so your placement supervisor when feeders typically start as they'll know the best. Now, even if they say, OK, come on eight, the start at eight, it'll oftentimes start much later think like eight thirtyish because so by the time knife hits skin, it'll be quite a lot later, but still go with the time they asked cause you can introduce yourself to the team. Like, hi, I'm a medical student. There's typically not much time for you to do that. Once things are going, people know who you are, they'll be more happy to help you. Um And also before things start, ask if you see, ask if you can see the induction of anesthesia, which is when, you know, you give patients j uh general anesthetic or local anesthetic. It's quite good to see a couple of times, especially if you're interested in anesthesia. And also if you're not, it's good to see how it works. Right. The huddle at the start of the theater list, everyone working in that theater will group up and say their name and role. It's called a huddle. Cause surgeons are really cute like that. Uh Now that you know it's happening, don't be weird once they, you know, say, all right, I'm doc or I'm mister whatever, whatever. And I'm the consultant and it goes to you just say hi, I'm Edric. I'm a medical student, right? Oh, it went offline. It's never to me. Hello? You can hear me. Ok. Well, then I'm gonna assume everything's fine. Perfect. Perfect. Ok. The huddle, they're cute. Surgeons are cute. Yeah, so just say her name, say a role and then move on. It's fine. Um, fainting. Please eat breakfast, please, please. If you have the in the morning, please eat breakfast. I'm begging you. Uh, fainting is actually relatively common medical students. There's a 2009 study that showed 12% of all med students fainting theater and that was based off a study sample of 630 students. Um, and you'll all kinda hear stories of like this person fainted. Listen, it's not a big deal. It shouldn't be like an embarrassing thing. I just want you to know that it's common and you can kind of prevent it. Eat a good breakfast. I'm talking like eggs and toasts, not like half a banana, something substantial. And also it's really important to get your legs moving. So you just kind of walk in place, get your legs pumping blood back to your heart, the venous return. Um, it's really important and, you know, if you think you're fainting, it's totally fine. Uh Let someone know they can bring a chair, they can help you out, bring you some water or if it's like, I'm about to faint right now. Sit down. Uh No one will judge you for it. They'll be a lot more happy that they t like you tell them or that you sat down, there's no issues uh and they'll help you quite um quickly. So don't worry about it, but, you know, just let someone know changing. So this isn't necessarily scrubbing in. So, you know, I wanna assist in the theater. I'm scrubbing. This is before I get into the theater, you need to change your clothes and wear some extra stuff. So uh before you go into your theater, find your changing room and you have to put on your surgical cap. So the lady in the bottom left that's a surgical cap put on your surgical scrubs. So these typically are blue. Uh So you can't wear these Gray Manchester scrubs and put on some clogs or some, or some shoe masks, depending on whatever your chest has. Don't go to the theater. If you're not wearing these, they'll consider you unclean and I'll ask you to leave typically. So just change into all these things and then you're ready to go inside doors. Sounds stupid. But it's actually quite important. Most leaders have three doors. They have the main theater doors. So these are the biggest doors leading directly to the operating table. They'll typically have some anesthesia doors to the side beats the anesthetic area and then some side doors or scrub doors, which leads to the scrubbing area. If an operation is currently happening, you are not supposed to use the main doors and please don't use them. The reason why is typically during operations, they'll have a Laminar flow system which is air coming from the ceiling, pushing away from the operating area in a very structured manner to make sure that no, no pathogens uh reach that aseptic clean area. If you open the main doors, you'll actually break laminar flow and suddenly that area can be contaminated. You don't wanna do that, use the scrub doors or the anesthesia doors. And if you don't know which doors, which just ask someone, they'll probably, you know, be more than happy to let you know, probably that'll be fine. The box really simple. You'll go into the theater, you'll see this box on the floor. If in. Don't go into the box that's considered aseptic. Uh Everyone in there typically scrubbed in are considered very, very clean. And if you go in there, you'll risk contamination. So don't do that. Stay outside the box unless you're scrubbed in and scrubbing in. So this is one of your upset, which is a sign off you need to do. I'll get into that also later uh to get scrubbed in. Make sure you ask the surgeon doing the operation hopefully in advance uh before a patient comes into the theater asking, hey, can I scrub in really interested in this operation? I'd like to see a bit closer. Can I scrub in? Normally? This is not a problem. However, if there's already a lot of people scrubbing in or this is an emergency and they don't really have the time to help you. They might say actually not this time. So don't take it personally, but just try again the next time, it can be quite difficult to scrub in the first couple of times. Um And the best guide I found personally is GKI medics. So I'm sure most hospitals, if not all of them actually teach you in person how to scrub in and if they don't or if you want a refresher, the GKI Medics guide, I find is the best one in terms of how to do it. Also, when it's your first time, I just recommend asking someone for help. Typically the scrub nurses cause it's quite actually difficult and navigating everything and doing it cleanly. And, you know, if you've been in the hospital before, et cetera, you might see a lot of people might do some techniques kinda like willy nilly. You know, taking bloods, people don't always clean it very properly, clean the area very properly for scrubbing in, they'll take it very, very seriously. So if you wash your hands and oops, I've touched the wall or oops, I've touched this table or something, they'll make you rescrub. So it's a very, very structured process. So it, it's great to just ask for help if you're not sure, great out of the jungle, back to words, um sign offs. So these are everything you need to do each uh placement. So first you have patient assessments, these are just histories. Um You need to have 15 of these done by the end of your placement. So histories. Uh So you take your histories and you recording e forms that you took your history and you just not some things about it that they ask for. Uh and then you'll have presentation of patient assessments. You need four of these by the end of placement. You have to present these histories to an fy one or above. You can't actually present them to nurses and then get their signature and E forms. Yeah, your fy is still here uh enhanced presentation. So this is basically you presenting a history except it has to be to a consultant or a specialty reg So ST three plus, um sometimes some people struggle to get this. Uh Typically it's not a problem if you find a consultant, a ward and just ask, hey, when do you have some time or if not clinics is a really good time to do it. Uh If there's a lot of downtime between patients, you can ask if they have time to listen to a presentation or maybe right after a clinic, if they have time to, uh very last thing is supervised exams. You need five of these by the end of the placement and they have to be under the supervision of an F I one or above cause they'll sign you off. Uh Sometimes the FIS can be a bit busy or whoever you ask. Uh So they might say, hey, go to this patient, do an exam and report back to me that's relatively common. They're not necessarily supposed to do it, but it's common enough that I thought it should be worth telling me that they might do up. So, so at the end of all your placements, so your ICL and you know everything else, your other four regular placements, these uh all have to be done. So these are all skills you do in the clinical workplace and they can be and when someone signs you off saying that, hey, I watch them do it, they'll give you a level between 12 or three, one. Meaning I think frankly, you're incompetent, I believe uh two is they're happy for you to do the skill under direct supervision. And three is they're happy for you to do the skill under indirect supervision. Meaning like you're in a room somewhere doing the skill and they're right outside, something like that. Uh They say like, you know, that that's what it means. It, it's basically kind of like off vibes like they do vibe well with them. Um So the first one is measured, temp pulse, blood pressure, respiratory oxygen signs, conscious, new confusion. This is just a s so obs are taken from patients uh any patient in ward every day, multiple times a day. Uh cons consistently in the morning and depending on how I know they are every four or six hours, you can do this on any ward. Just ask a nurse uh just ask the nurse, hey, can I want you to take some ods, watch them a few times and say, hey, can I do this on the next patient while they watch and then ask them to sign you off? Uh Next one is collection of a midstream urine sample, uh a urine dip. Um You'll find these randomly on different wards. Some people need it a lot more commonly though you can find out on renal awards or M AU which is medical admissions, nose throat and skin swabs. Excuse me, this is not kind of deceptively hard to find uh during COVID, it was a bit easier cause everyone does a COVID swab. But now not really many people need swabs M IU typically is the best place to do it. As all new patients to the hospital will need a swab for M RSA respiratory ward can also be relatively good at finding others to do as well. Acupuncture and cannulation. So uh what I'd say about this is you'll get formal training from your hospital on how to do these things and how to do them safely and cleanly. So A N TT is aseptic nonu technique, which is the technique you use to make sure you do everything clean without contamination, so you don't give them infection. Uh Please wait until you've done that training and then feel free to give these a try. Uh They're some of the most frequently done skills in wards. You can find them genuinely anywhere. Just ask uh any nurse or doctor, hey, you know, does anyone need this? And then they'll definitely help you find that measure your blood glucose at the bedside. Um Every, almost every diabetic patient in the hospital will need to get their blood glucose checked before or after meals, typically uh sorry before meals. Um obviously, diabetic patients are everywhere, but there are also many, many in endocrine warts. So endocrine warts the best place to find this peak flow. This is deceptively hard to find if you're not sure a peak flow is, it's essentially a tube which you go into a few times to see how well your lungs functioning based on lung capacity. Uh You would think respiratory ward is a great place to find this. It's actually not um Preston respiratory ward doesn't even have a peak flow meter because most people admit it there, their lungs are too weak for this to be of any use. Um Typically with asthmatics. So you'll find it more often in respiratory clinics. So if you're struggling, uh if you have a respiratory clinic, that's probably the place to do it, administering oxygen. Uh this sounded really difficult. It isn't really at all. It's truly nothing. If you find a patient who is on oxygen, you have a list of questions that you know, to answer and present to a nurse or doctor typically about like why are they on oxygen? Why are they on this amount of oxygen? Why are they on this oxygen administration device? Uh All of which will be taught to you very, very soon. Uh if not already and then they just sign you off. Uh they might ask you depending on how stable the patient is to just take off their oxygen and put it back on to see if you know how to put it on. Uh which is obviously quite simple, 12, 8 E CG. This can be a barter to find um if you on, if you have a cardio placement. Congratulations. Someone will definitely need an E CG. Their hearts are all wonky. Otherwise it'll be sporadically found on other wards. And I also believe you will get formal teaching on how to do an E CG. If you're not aware though, it's not too difficult to just learn by yourself and give it a try inwards anyways, scrubbing up and keeping. So just scrubbing up, uh, something you'll have to do during your surgery block, uh just get it done early on. So you don't stress about it later, but quite simple. And one of your more guaranteed a a prescribing tasks. So these are more um, sign offs that must be done by the end of all placements. So, prescribing task of 1 to 5 are due by the end of all placements and apparently plus S SCP here. So taking medications history, go to a patient and you basically take a history focused on what medications they're taking and how so dose and route. Uh just reclarify on E forms. All the very specifics about how to do these are on E forms. But just in case you haven't seen that yet, I'll just give a brief ex um, description. Prescribing is you'll go to a patient who needs a medication, it's already on a medication and there'll be a website you go to where you kinda emulate how it would be to actually prescribe that drug using an electronic system. Very, very simple prescription review, you review a patient's prescriptions and you have to answer questions based off that e forms therapeutic drug monitoring. Uh, you'll find a patient who needs therapeutic drug monitoring because certain medications need to be monitored cause they have a low in uh therapeutic index. Um So just find a patient with that and then there's some questions for you to answer and then present to someone providing information about drugs to patients. You talk to patients about one of their drugs. Again, list of questions and again, you present it to someone that information there. Uh So all these oftentimes they'll say, hey, you need to get a pharmacist to sign you off on these. This is true. Pharmacist can sign you off from prescribing tasks, but fy twos and above can also. So keep in mind you have that option. You're taught how to do most of these skills during S et so don't feel like you need to do all of them right now and learn how to do them. You'll get taught many of these skills in S A TSC T. So don't feel like you have to rush be mindful though that online drug calculation has a due date. Obviously, they'll do the teaching on that a bit beforehand. But you get a separate notification in December that it's due soon and you'll have to do it by around mid January. Uh And that's just some a pharmacy math. Basically, they'll teach you how to do it PPD portfolio. So P for portfolio PDI I don't know, it doesn't really matter. So the portfolio is something you'll have to do by the end of the year as well. I changed a lot this year. So some of this information is a bit outdated, which is why I'm saying. Uh Well, firstly, it's formative now. So even if you don't pass it, you'll still progress to the next year. Um I suggest you go on one me learn and see the new updated list. I think they literally updated a few days ago. Uh And I'm not sure if they'll make any more changes. So go to that, but generally you'll have to do a reflection after each exam, write two reflections on clinical experiences and describe some hobbies. You do talk about how you touch grass and you know, play an instrument or cook or something. Work out are common things, um, exams. So you'll have two types of exams. The first one being progress test. So for you guys, you'll set two progress tests this year. The first one is formative. Technically. So it's one paper, 2.5 2.5 hours, 100 and 25 questions. Um If you basically you have to pass one of the progress tests this year. So technically, this one is formative. So long as you pass the second one and the second one you have to pass, I believe I believe, check, check the handbook for that. But I believe so. I believe you have to pass the second one. Um Yeah, second one is summative. It's two papers, paper, one is the same as the formative uh format. But you also got another paper on a separate day which is 50 questions only on the content you covered in TCD, which is really very important that again, you cover your TCD content and you study that quite well. So here I attached our grade boundaries from last year for the form of progress test. So as you can see, they don't really expect you to know everything because there'll be content on everything, even stuff you've not covered yet. So as you can see a pass is 33%. Not only do they not expect you to know everything, they don't really expect you to do well anyway. So just keep that in mind if you do the progress test and you're like, I don't know any of this stuff, it's OK. They don't really expect you to um also distinction and honors. You get the same benefit, you get one honors point from getting distinction and you still only get one honors point. If you get sorry, get one honors point for getting honors uh grade and you get one honors point for getting distinction. So uh don't worry too much about getting a distinction. Honors is really the focus, I guess if you want that point exam. So you also have the CCA. So it's the other type of exam you have, they'll set two CCA S this year. First one again is formative. That's eight stations. It'll take place in February. The second one is summative, that's 16 stations and it'll take place in April. The stations will be uh related to one of these five criteria. So patient assessments. So patient assessment stations, are you taking a history from a patient or doing an exam on a patient? Then you'll typically give a list of differentials of what you think is happening. And then you'll also have to answer a few questions from the examiner in third year. Uh They may ask, hey, what's your number one differential out of your list? That can actually be wrong? As long as you mention that within your differential list, it's still considered uh satisfactory. I'll get into what the gradings actually mean date interpretation. They'll give you something like blood results or like a scan like an x-ray, you'll interpret all of it and then they'll ask you some questions as well. So for example, you might get a chest X ray, you'll be like. So here's what I see. Yada, yada, yada, the lungs look like this. The, the heart looks like this, blah, blah. And then they're like, ok, so what do you think is uh actually going on like that? Like what treatment would you give this person? Uh ethics and law slash challenging communication. So for third year, this typically tends to be something like, um, excuse me, uh This typically tends to be something like confidentiality. Uh And you'll get taught a bit more about that. Uh They can also, if you look at previous uh years, sometimes they've thrown in DNA CPR. So do not attempt resuscitation or uh power of attorney. So if you're unaware of how those concepts work, I strongly suggest you go and search up how they work. DK Medics are good guides and how that works in the UK. Uh Because I don't believe they're actually explained very well within our curriculum. At least not in pre uh prescribing therapeutics. This is very simple. They'll ask you to prescribe a drug or do a drug reviewing, prescribing a drug is very simple. The teaching you gut is quite straightforward and there's no tricks. So if it feels like it's easy, it is just easy. Drug review is a bit more complicated, but I'll get into some tips about that in a bit. Sharing information is essentially explaining a condition or a drug to a patient. So for example, I believe we had something along the lines of explaining a diagnosis of heart failure. Um So and then there's kind of formats you can do for that, which we'll go into a bit as well. Yeah. OK. Preparing for CCA S. This is the part where I push my agenda. So approaching these stations need practice. And can be quite tricky. Uh And so for our purposes to give all the advice that we have would take forever. So what I suggest is come to the co weekly, online CCA practice and our in person mock aus or mock TCA S to learn the best way to approach the CCA S. There's a lot of tips and a lot of very specific formats, formats and tools you can use to really do well in the CCA S that Manresa doesn't really teach very, very well and we do so back to our code is our med all which you can find all of our events. I believe all of our future events for the next many, many months are already there. So just have a look at those and see which ones you want to attend. I suggest all of them if you have time. Um Additionally, GT medics ay stations are what the vast majority of people use to practice EC A S because they have a bunch of mock sessions, mock stations and resources. That's what I personally use. So essentially all of my friends use and you can use our code for 10% off 12 month subscriptions through uh AAR materials. So that's uh CBO it's kind of covered here. I'm hoping you can read that CBO se E crew 24 rolls right off the tongue. Um But if you use that code, that's 10% off or your 12 month subscriptions, the agenda doesn't stop. Uh This is what Patio was talking about before we're hosting a social media giveaway two people when free twelvemonth access to uh me. So, so ki Medics oy resources just like this Instagram post we posted uh recently and then follow both our Instagram account and Ki Medics October 1st. Then we'll do a prize draw on the second of October. Great. So now I'm hoping if Doctor Omar is here, he was going to give a little talk as a doctor. Perfect. Hi. Uh Would you like to introduce yourself? Hi. Hi, everyone. Um, my name is Omar Bore. I'm one of the co registrars um for Briton Hospital. Um I'll meet some of you who have rotations in cardiology. Um and one of the doctors uh started uh s uh sorry. Good blue, not s uh from year one, I'm just here to give you a few tips and tricks on how to get the most benefit of um your year three. Um Basically it's gonna be a few points only. I'm not, I'm not staying for long. Uh first of all, first start with uh as a good thing that I want to mention is a much students. Uh we find them, I've been working through many hospitals and we get students from other universities. I think, man, Manchester University students are one of the best uh cohorts we deal with and especially when they become to f one they become really uh hit, hitting the ground running. So that's a good thing. Uh So keep doing this. Uh One of the things that makes, it makes a great difference is try to engage from day one. Try to ask the doctors about anything you don't understand. Uh join the world round, uh discuss the cases. Uh Everyone will be more than happy to explain to you everything. Consultants, registrars and junior doctors, uh try to join them with all drown, try to join the, the junior doctors after the all drown when they deal with the patients, like when they asked to see unwell patients, for example, um when he doing your jobs, just see how is he doing uh these jobs, he will get to do some stuff like uh and um IV can, it's one of the things you need to sign off anyway. Uh So he would be more than happy to sign you off for mi and uh CBD S just mentioned that you will and uh if you, if you got anything, any topics that need further explanation, uh they will be we all around. So just try to find one of us and we'll explain to you everything. Another thing is um I saw some of the students uh if you are interested in one of the specialties, uh go to this department, try to find a consultant or, or even your doctor try to join a AQ IP or research project. If you have an interest in something if you don't, uh, try to see if there's any, uh, if, like, if you were choosing between two or three specialties, try to get involved more and more and see which one would you like. So you can make a plan, try to make good use of it. Don't wait until you, like, do your foundation and you still don't have any idea what, what you go, what you're going to join. Uh, so don't be OK. I signed off, uh the, the Cannula, I don't need to do anymore or uh the Vinc or whatever the procedures because the more practice you do the, the, the more you will be better. OK? And this, all of this engagement, uh discussions, confidence, all of this will make great difference when you become an F one even in your third year or fourth year or fifth year. All of it, it's just it. So, uh on is try to be engaged as much as you can. Some students, they just come to the around the morning. They OK, they, they just recorded here. You can do this because like no one is chasing you. Uh, but the, see it help you when you become a doctor. I think that helps the most is that when you, um, when you try to, uh, try to get, uh discussed, try to understand what's going on and then you have time you, you stay with the doctors and you try to see how, uh, I'm happy to this. Even some, like, the, the kids need to do some of the jobs like letters. We still, like, teach them how to do this, but we still review what did and discuss with them, what they did and make sure that everything is safe. So, from a safety point of view, you're safe to practice under supervision as far as with someone with you, uh, and you're not doing something like uh pretty dangerous. Um I think, yeah, and uh with Good Blue, yeah, we'll, there's weekly sessions, we topics uh and uh many, most of the times um we try to join as doctors, we try to join the ses the sessions so we can answer the questions, uh explain the topics. Um And even sometimes we mention uh we, we join the breakout rooms to supervise uh the practice to make sure that uh everything is going the right way and uh we can give some tips and tricks. Uh And that's a thrombic side. Great. Thank you so much. That was really, really helpful. I hope a lot, everyone got a lot out of that. There's a lot of really interesting things you mentioned there. Uh especially if you're interested in the department, definitely go, you know, be proactive, there's a lot of opportunities to be proactive here. Um Great. So uh final thing if someone mentioned, oh, I know you sorry is uh if you wanna get the slides, you need to fill out the feedback form because I'm evil like that. Um That's the QR code for the feedback form. Please fill it out. Uh Code blue doesn't pay me or feed me, but I get gratification from feedback. So if you could fill that out, that'd be great. We're also offering um individual breakout sessions for um each partner hospital. So Sud and wha so Salford with imaging, wha Iy you go to kind of like the left of the screen, you'll see breakout sessions, you can kinda join those there. Um They should be there, let me know if they're not, but they said they're happy today. So they should be there um and feel free to ask them any questions and they should also get some tips as well if you're from Preston or MRI, just stay here. Um I'm gonna give the tips from Preston and Chloe who's right there in person uh is gonna give some tips as well. So please feed uh fill out the feedback and then come join the breakout room or stay here if you press on the MRI and we'll give some tips exclusive or most useful to these hospitals. So I'm going to actually, I'm just gonna keep the ears so that doesn't break anything. Ok. That you don't need to hear anything. They're just gonna chat on this little box. Oh, ok. I don't give them those rights. Great. So I had a list of tips for Preston. Um And we'll just bounce back and forth, but I think Preston is quite interesting cause we work quite differently from, sorry, I just wanna make sure I have this in case something is going horribly, horribly wrong. So I message me Preston works quite differently from the other partner hospitals. Not only are we quite far away, but we have a few different systems. And the first thing I'd like to talk about are CPF S CPF S are clinicians or essentially uh staff that only work in Preston. So their whole job is to support students in the hospital. So medical students, but also includes like nursing students and I believe pharmacy students, um they will make time with you so that you can present to them uh your histories or so that they can watch over your exams. So if you wanna get some sign offs done, message your CPF or go when they say they're in the hospital and just present everything to them all at once or as many things as you have, they're really, really useful at helping you with these sign off. So you really shouldn't struggle if you're in precedence as long as you make use of them uh quite well. Uh The only thing is you can't do your enhance with them so that you have stuff to do with the consultant. I just make sure are people here. Ok, people are here just making sure um, also, uh. Right. Yeah, there's this thing in Preston where people will say, oh, you can't find EC G, go to the cardio Respiratory ward because like, what they'll do is they'll let you sign up and you can go into cardio rest and then they'll get you to do a bunch of EC GS and they'll sign you off because they get tons of EC GS. Make this your last possible resort. They're very nice. But uh it's not uncommon that you'll sign up for a morning and stay in the break room all day because no one comes in. This has happened to two people. I know and the consultant who signs you off on ECG, there will only give you a two out of three. And he said this is because, and I quote, nobody's perfect. That's not what the forms asking for, but good luck arguing with them. So if you really, really can't find ECG, then try cardio arrest, otherwise try somewhere else if possible. Um, uh, here's another one. So, uh in Preston, there's two main buses, there's stage coach and there's also Preston bus. Preston bus doesn't offer a student discount for no reason. Stage coach does. So if you can use stage coach, try to use stage coach, try to use stage coach, get the bus pass. It's uh a lot cheaper. Uh Last thing for me is Chorley. So other partner hospitals like MRI, they'll send you tons of like where do they send you many places? Ok. Many places they'll send you all around Preston. You'll only be at Preston or Chorley, which is actually quite nice. Um, and if you have things at Chorley, there is a shuttle bus that's free that goes between Preston and Chorley on a set schedule. If you just Google Preston Hospital to Chorley shuttle bus, you'll find the schedule. Um, it's really, really useful and it's a lot faster than the bus if you're already at the hospital. So I strongly recommend you use that shuttle whenever you can and that's all for me. Did you have anything you want to talk about for MRI? Sure. I guess I'll talk about the same things. I think. So in terms of MRI II, it's, it's a really big place and they'll send you to a lot of places. So if it's the same from, from last year, um you'll have three blocks, the MRI and then you'll have two blocks that are not an MRI. Um So for example, I had Tayside and uh North Manchester General. Um but I think you can also get like Fairfield and you can get all of them. Um So yeah, they, they send you far. So I'd recommend looking what is the best transport way if you drive, try and c share and things like that. But I think you, you, it's quite nice to be able to go to different places and you get to see a little bit how small hospitals run because MRI is actually the biggest hospital in the country. So it's quite, it's quite nice to see, like, something a little bit different. Yeah. Got to have something. Um, but yeah, I think MRI, we don't have, when you're trying to do your sign off. Just find, I think the first week is always a really good time to see. Like, ok, which doctors are really nice, which f ones are really nice and I am going to then go to them for most things. And I think what they'll do at MRI as well. I'm not sure if they do the suppressant is when you start to get to know them as well. It's kind of kind of like you build a relationship. So they were like, oh, yeah, we'll sign you off on that. But can you go do bloods on this person? So they'll kind of do stuff like that. Which is good. Do you see how entitled MRI students are? She was like, oh, I don't know if they have this in person but you guys should make relationships with the people. That was insane. Sorry, I keep going. That was crazy. Wasn't not what I was saying but, yeah. No. So, um, I think, I think also you need to be clever about how you do your sign off. A lot of the things are, uh, tick box exercises that the, um, that the university has to say that they've made you do. And I think that's a lot of the prescribing tasks as well. Um Patient assessments really, when you've been on the, once you've done ICL, you have talked and seen so many patients, I think most people can talk to patients after that. You don't necessarily have to go to like three patients a week and take a really detailed history and do that. I used to just sit in a clinic and take three patients histories and then just do it like that. Like II think when it comes to sign offs, this is an MRI specific. It's just everywhere. Either do it, one of two ways, do it efficiently where you can get the test done quickly and then it's done and then you can go do something more useful whether that's like practicing up or um teaching or going home revising or anything you want to do. Um I make it so that it's useful, like some of the prescribing tests could be useful, but the way they've phrased you to do it, I don't think is that great? Right. Yeah. Could be improved. So, yeah, I think that, but you kind of get used to it. I think after ICL is a really good time to see what's the best way to do. Yeah. ICL is kind of like a limit testing, um kind of period of time which you want to create like a rhythm that works for you. Um And obviously because it's not assessed, you can try out different things. Uh If you guys have any questions, feel free to put it into the chat. I'm happy we're happy to answer literally anything. Have you talked about how when you do your CC you get sent to a different place? Ok. Yeah, that's quite important actually. So when you do your CCA, it's not your mark. So the mo CCA will be at your base hospital. But when you do your real CCS, which I think are like March April time, something like that, um you'll get sent to not your base hospital so you can get sent to pre so for, for example, for me, I can get sent to pre so at or within I got within this year. Um and if you, for example, if I'd got Preston, so there are different time slots, there's group 123 and four. So one starts at like 8 a.m. and two starts at 10, I think three is like 12 or something and four is three. So, so it's like staggered throughout the day. Um They run over four days. So day one and two are the same group of people and three and four are, they're also the same. So it's a different group of people. You have to quarantine like either before or after. So for example, on day one groups, one and two will be of a similar that they'll be the same stations. That's right, isn't it? They're the same stations for when you quarantine. So, if you go, if you're in group one at 8 a.m. you stay from 8 a.m. to about 1 p.m. Um, and if you're group two, you might arrive just a little bit before 10, but then you can leave straight away. So they're a little bit. I think that's the worst thing about CCS is actually you don't just do your exam and leave. You have to wait sometimes like four hours afterwards, which is a bit draining. Yeah. So just be prepared for that, I think because sometimes they have movies, sometimes they're ok. I was not prepared for that because when I went to like an like an hour and a half commute. So like leaving at like 6 a.m. and then not back here until 2 p.m. and literally the, the CC was an hour. It's like six hours there. It's a bit of um, if you do get like Preston based at not Preston or vice versa and you get the first session, you will be given accommodation and I don't think Preston can get the first one. So it's awesome because no, it sucks because if you're going to have your exam in Preston and you're based somewhere else, they'll give you accommodation at your first session. Ok. If you're impressed in going somewhere else, you don't get the first session. All right. Yeah. Yeah. Ok. Sorry. I just want to be salty. OK. How did you revise this year? Did you find there was enough time for vision in between placements, et cetera? So, um ok, that's a good question. So it really is. No, that's a copper answer. I'll be very honest. So T CDI think is a really good um baseline. So review the TCD, look at the main conditions and you know, make some flashcards if that's what you like to do. Um I don't necessarily think it gives you a great range of understanding of specific things, it gives you bits and pieces. So if you want resources that are quite good at a medical student level, my favorite personally is zero to finals for content and for CCA S and kind of practicing CCA skills. It would be either both, sorry, both geeky medics and in person events. And I'm not saying this because I'm a Code Blue shield, even though I am, I'm saying it because you really need to be able to practice in that kind of environment and groups like Code Blue offer that. So for example, next week we're doing some teaching sessions with practice acies, the people who do those practice Acies when they get into their, you know, their first CCA S, I'm not just saying this because of Michelle, they do a lot better cause they're more comfortable and understand how that system works. Um So yeah, so the finals onside T CDI use AKI cause I really believe in space repetition. Um And if you don't know how to set that up, just Google how to use AKI as a medical student, there's tons of videos. So you just wanna constantly be kind of revising things and it, it's just, it's just a feedback between TCD, flash cards or flash cards another day doing CCA revision practicing stations, you know, like uh pretend taking his um G medics has a lot of mock stations where one person's a patient, one person is taking history and, you know, we personally did that back and forth and, uh, that was quite well. Is there enough time in between placements for vision? Uh Yeah, for sure, for sure, for sure. I think it depends on your placement. Like, um, you'll definitely have placements where there's not much going on or they don't expect you to be there for, for like nine or five every day. I'd recommend if they don't expect that. Don't do that unless you love that speciality and you like, you really like being there. I'd recommend if you can go home, go home and do some work. Cos there's only so much you can learn being on the wall, there's only so much you can do and you will find that sometimes time can be better elsewhere. I mean, I would just be clever with that. I'm not saying don't go to Ward to like skip things. Like if you have Ward round, do your ward round if you're on ward, come to the ward and if you find I've talked to every, you know, all the patients I wanted to and there's no, you know, um there's no finger post, no accumulation, no ups as I can do then at some point and, and, and it's not like I did, I tried that for 10 minutes and you've been there for a while I'd say. Yeah. OK, then I would go home and do some revision. So, and even if you don't do that cause fourth year, at least in Preston, it's a lot more strenuous. It will be nine to fives. I'm finding it's still fine. Uh As long as you have decently OK. Time management. Uh This is interesting. Did you take history with friends or on your own? Only? Um The thing is when you start, right? And especially in ICL, we took histories, at least for my track. We did it in groups of like two or three. And while that's nice to introduce yourself to like the patient environment, talking to real patients, you're not too used to that. It, it will not be something you will continuously do forever for sure. Um And I'd strongly recommend you as soon as you're comfortable, start taking patient histories by yourself. Um A because that's, you know, kind of expected for you for osteo also just in real life, obviously, you know, but um when you get your own form of how you like to take histories, et cetera. You'll find yourself actually getting annoyed if you do it with other people because they'll do it in different ways. Um, they'll do it in different ways, et cetera. So, you know, do it with your friends for, until you're comfortable and then try to do it by yourself is my advice and I think you probably say the same. Do you read in the next? Yeah. Ok. I love that. I, um, sorry, let's read out the question. Yeah. Yeah. Uh, do you have to go to many ward rounds or one or two? I hear they are very dry and everything goes over your head. So I would say for this, um, one you have to see what your supervisor wants you to do. I know my placement if anyone's got same side mixed medicine, um, and has like the diabetes and endocrinology. She expected me to be there every single day like nine till four and I had to go on every ward round and that sometimes I had no idea what they were saying as well. I was just said they were like, ok for like four hours. Um, but unfortunately she expected me to do that. So if, if your supervisor expects you to do that, you can't like, say I'm not gonna go cos they'll just put unsatisfactory at the end of your block and you'll fail it. Um, if you've been to a couple of ward rounds and they're very, like, flexible with it. They're like, oh, you do whatever you feel and you think they're very dry. Yeah. Don't, maybe don't go to them. Like, if people are not sitting and, like, explaining it to you if you're like, at the back of 10 people and you have no idea what's going on and people are not really paying attention to you being there and you're not really overly expected to be there then yet, I think you can do something else. Um I've had some really good ward rounds there, especially on respiratory MRI. And the consultants will talk through each patient. You get to see CT scans, you get to see x rays and they'll go through every single thing and explain it to you. So I think that it's very placement specific, right? Judge it by your supervisor and what they expect. And then you know, how do you feel if you go to one or two? If they're really bad, then you know, if you can maybe just go. Yeah. So uh that first question, do you have to go to many ward rounds or one or two? I don't know if you've not received it yet. I feel like you probably should have, but you will receive a schedule. Um If not, now it'll be on your first day of ICL. Hopefully of what you specifically need to like where you're supposed to be on each day. So that will determine how many you have to go to cause it'll literally say ward round or ward at this time at this place. Um You hear they're very dry. So it really is strongly, strongly consultant dependent. So oftentimes, you know, II think person is relatively good at this. I'm sure MRI also cause their clinicians are great. Um The consultants typically, when there's a med student, there will kind of go through things a bit slowly and maybe they'll ask you questions and get you involved with the learning. And if that's the case, it's not true, it's actually quite good learning. And uh uh it's, it's really good. Um But no, and there are some cases in which, you know, you, you want to uh interact as much as you can with a consultant asking questions and they're kind of fobbing you off or they're not really interested that does happen. Unfortunately. Um And in those situations, yeah, it could be a bit dry. Everything going over your head. Everything will like it will for sure. Third year, like I did endocrine first and they're going through all these endocrinology diseases. I had no idea about, I just wrote them down. II, I'll look into them later uh because you know, it just will happen. Um obviously feel free to ask the consultant as well. But if it's every single condition, you know, just note it down and look it up later. Can I add a point to that one thing I noticed, but only from my, like, fourth block is if you're on, like, endocrinology and you don't know what's going on, do the TCD S and stuff if you have extra time, time, like, actually go on zero to finals, do the endocrinology. Like stuff that really helps to actually, because sometimes your TCD might be renal medicine and you're on endocrine. It's not like, obviously you have to do the TCD, but I think it's good to be revising what you're actually on, on your block. Like I had hematology and I never, like, not really learned that much hematology and I had to kind of, you do get TCD on it, but I had to kind of teach myself a little bit as well. So I think it is otherwise I've been, I would be on hematology for five weeks. Have no idea what's going on. So I think that's a good thing. If you have spare time, you've done the TC, do read about the block you're on because you'll get more out of your place, be proactive with their learning. And, and the best moment is you revise enough, you go into ward round and they ask everyone in the wards like the reads that Fy is a question. No one knows and you know, which happens more than you think and you feel like a God. So revise where you can get to do that potentially. Um the consultants don't see you much and yet they sign your end of placement review. And so how do you make sure they know if you're face? Um, depends on the consultant. Like I've got consultants where I've seen them every other day. Um, and your supervisor is very much seeing you a lot. Um, my one at Tas side saw me every single day, like I was just with her. So, but then I've had places where the guy never saw me ever. Um, so they, what they do is they'll ask their registers. Yeah, they'll ask the nurses. Have you seen this person? Have you seen them? They'll ask around. Yeah. Yeah. Yeah. So they don't have to see you to know you're on, they'll just know. So don't make the impression that either a they don't see me. I hope they don't think I'm skipping or don't make the impression of, well, they see me whenever I have teaching with them and I never come whenever else, but they think I must be there all the time. So, just, just, just go to what you need to go to and be smart about it. Um, do we have two different timetables, one in handbook and one on one? But, yeah, so I found this really, really annoying. Actually, they don't explain this very well. Um, actually, you know what, because this is such a big thing. Why don't I very quickly just share my timetable? Yes. So, you have two timetables. You'll have one timetable from Manchester. It'll be on one medler or one med timetable and these are all the mandatory teaching sessions you must attend. Uh, there's no like, uh, you know, whatever. No, no, you have to go to these and then you'll get another timetable from your placement supervisor being like, here's all the activities on the wards and you'll actually find that sometimes they, uh, overlap. So you'll have teaching two different teachings at the same time. Basically, the rule of thumb is if it's from the one med time, so I'll show you this in a bit. You always go to that. You won't use your CP at your placement timetable. Um Just to say that might be a little bit more of a precedent thing like I, so we still have two timetables, MRI and your W me one med one is more. So the teaching time. But take that loosely because there can be teaching on your placement specific timetable, which is usually like a Excel sheet or word document or whatever that you'll get just before your placement. But I've never had anything overlap actually. OK. So I not teaching, I've had teaching as a lot with my clinic or ward round or something, then obviously go to the teaching, but I've never had two teachings. So I've had teaching over. OK. So this is the one med timetable. So these are all the things you must go to these are from Central Manchester and he's like, ok, so I have simulation here. They expect me to be here. They'll, they'll have my attendants logged in for this. I also have this other time table that was given to me from the consultant running my placement. And these are all of the activities that they have booked for me um each day. So listen, like uh I'm six, that's me. Um And on Monday, for example, uh Monday is confusing. On Tuesday, I had an 8 a.m. trauma meeting and the trauma theater then I had an S CT and x-ray teaching. So they'll kind of do this and your theory look a lot less like this, a lot more chill. Um So yeah, you'll have these. So these are the things you're expected to go to. But if there's any of these sessions overlap with one of these, you see in one men you go to this instead. Um Hope that clears things up. So there are two and they shouldn't overlap but sometimes they do and they're given by different people. Ok. Wow, no one's left. You're all so good. Yeah, if there's any more questions. Yeah, of course. No problem. If there's Yeah, sorry. Uh Any more questions. If not, I'm happy to end it there. It can be about literally anything like where's the best meals? Like where's the best food? How's parking work? Like I don't care. Just ask me anything our evening is free. I have to see these things. Oh, really? No, no, only one. Ok. Yeah. So if there's nothing I'll, I'll end it in like, a couple of minutes. But if there's truly anything you wanna know, like, if there's, like, any consult, if there's any specialities you're interested in, you're like, hey, do you know a consultant who does that in Preston? My case or something? Um, I mean, uh, otherwise we'll end it. Uh What you here? I guess, I hope that was useful. I spent a lot of time on this presentation. I hope it was useful. Um I felt like the guidance wasn't amazing uh last year and I put some feedback back. I don't know if they did anything with it, which is why I made this talk. Um But anyways, yeah, I know if you want any more help with Ay and stuff Code Blue is the way to go. Uh I'm doing some teaching next week. So if you go to some of the events next week, you might see me if I'm doing some, I'm doing some Osk facilitation. Oh, ok. So otherwise, yeah, thanks for coming. Hope you guys all have a good evening. Oh, I have one last thing actually. Um I'd be careful in your ask you, they can test you on any single medical or surgical speciality. So we got a hematology question, a hematology case in our CCS this year. And um what do you call Oh my. And genuinely, people have no idea. Like I was one of maybe like, what, 1% who had a hematology block. But genuinely they can put anything on the CCS. That was any, any speciality in TCD. So don't think like, oh my God, hematology will come out. They were ask me leukemia in acc, no, they will. And they will ask you like, um, renal stuff that maybe doesn't come up as much either. Like it's not always gonna be heart failure, diabetes. They do put that in obviously cause common things are common. But yeah. No. And here's another thing in our year. So last year they recently got models at all the hospitals for, they all, they recently got model testicles for all hospitals. So testicle exam is now fair game. Yeah. Yeah. Um and we got it and people, like people did not revise them, people did not know what to do the book. Like it's in the office. I had one friend do it without gloves because they didn't practice it. I had another friend do it and they asked, so what did you notice? And they said it was squishy. So if it's in the exam booklet, which you will get, which has all the exams, it's fair game. Don't assume nothing's coming and do you, will the stations get sent out the days before like ST Andrews? No. So you go out, you go in completely blind. Um You can kind of. So, so there is a breakdown in the H I think or it's more on one med info um about like how many of each type of stations are out? Which I think you went through earlier. Um But, but so you can maybe kind of guess, but they pretty much split half. So if there's like, there's like you get four over the two days, you will get four examination stations. Yeah, but I think she's saying like for example, in Saint Andrew's remember they would say they would say like, oh, you're going to have a leg exam like they did for the sake. It's a leg exam. It's cardio exam. No, no, you just go, you can and you get a random, you'll get a mix of things. Yeah, based off of a certain number of stations that must be prescribing, that must be patient assessment. That's what I was saying. It's like you, the only thing they give you is the type of station. Yeah. Um so you know, you're going to get four examination stations probably two on the first day, two on the second day. So unfortunately you'll have to review notes. Yeah, you'll have to review everything. Yeah. Um which sounds like a lot but it, it, it should be ok as long as you start a bit early if we have two sessions over a little med, how do we know which ones go? Ok. So when you mean one med you mean I'm assuming, you mean like the one med timetable, excuse me, if they're overlapping. Um Firstly a it shouldn't and you need to email. Um Typically you have like a hospital dean or like a hospital admin. Are you Preston Bases? Uh Sorry, I don't actually remember the, the Preston Gene basically email your hospital admin or hospital dean. They, hey, I have this overlap. Um There's a problem here. What should I do about it? And they'll sort it out cause that shouldn't be happening. There shouldn't be two sessions overlapping on one me unless one is an optional session. Um I've had that happen before like it's a meet and greet, sort of optional thing. Yeah. OK. If it's um so sometimes they do that and sometimes you don't notice until you go with them, it's like optional. But if they look like there are two real things, email your dean and also email the people that are hosting the session, which if you just press it, it'll tell you be like, hey, I have this overlap. Just get basically, unfortunately sometimes in Manchester it's get a lot of people involved with the problem and eventually someone will know a solution. Did you wear their scripts or your own clothes for day to day? So we just wear these scrubs every day. I'm a bit confused with the question if you mean, ok, if you're in hospital, you need to wear this. Yeah. So if you have any teaching if you have anything where you're, like, in hospital doing something clinical, like wards or a clinic or whatever you need to wear this TCD and stuff. Any. Um, so you have TCD and CT on a Friday. Um, now I think Preston, sometimes you guys have something on the, like, Friday afternoon. No, morning, the dates aren't, it can be whenever. So, but in, in MRI you only have TCD and CT on a Friday you don't have placement. So obviously come in whatever clothes you want to wear. But then all the other time. Yeah. In hospital? Oh, in hospital. Yeah. The only time you won't wear these gloves is when you're in surgery and they'll give you like the classic. I talked about it. Yeah, we were in the jungle and everything was really good. Um Yeah. So you wear these TC DCT clinical debrief, you can wear your own clothes. But if you just often clinical debrief is after placement. So it's kind of, yeah. So you might have to go in any way, just wear this. Everyone's wearing this. I it's fine. Um, yeah, you might, you might see some people who are wearing like nice clothes and you know, like um 00, also the clinical in here. Well, the clinical supervisor contact you a week before regarding timetable and stuff for this year. For some reason Saint Andrews students aren't, are they still haven't fixed that? Like I find it so frustrating because every year we say, hey, by the way, please stop sending stuff to our Saint Andrews level like, ok, and they send us more stuff. Ok, so I have this issue actually, I forgot about this. Ok. S students aren't receiving e-mails like the other students let your deans know your hospital deans. Uh They should already know just unfortunately, just keep sending them e-mails until they fix it if you're m all right. And Rachel. So when is your admin for year three? She's really good. She'll reply within like a couple of hours. So, just email her and she should fix it in year three. Prestons. Fergus Jepsen. Fergus Jepsen is our year three dean for pre and he's also very good. Uh, will the clinical supervisor contact you a week before regarding time too and stuff? Yeah. So, yeah. Really? Yeah, I never, I, there was nothing. No, I've, I've always got my shot on table, like, sometimes even like three weeks before the worst I've gotten was halfway through the first week. It really depends on the clinical supervisor. They should do it in advance but they may not, they, they, sometimes they might keep it on your first day but they'll tell they'll still contact you a week before they should do a week before saying, um, we'll meet on Monday at 10 and I'll give you a timetable. Yeah. Just be at ward. It, it shouldn't, it should almost never be a problem. You should always, at least if you don't have the timetable by the first day, you should be getting an email being like, ok, you're meant to meet your supervisor here and they'll give you the timetable then. But, um, yeah, ideally it'll be around like a week before. Sometimes it can be the first day. So don't stress out too much, uh, feel free to send out an email to your hospital admin if you think. Oh, I'm not sure, like I'm not sure if anything's happening then you can send an e-mail but it should be ok. What about an IC block? What a, what about IC block with that was to do with the scrubs? Oh, yeah. No, you wear scrubs in ICL. ICL is like a real placement except without the stress. So you're still doing all the stuff you'd normally be doing. Um, except you can't feel right. It's three weeks, it's four weeks, four weeks, it's four weeks. Uh, you can also do ups in your ICL block. Uh, one of my friends, Tim, he had, he in his ICL block in Charley. He actually did all 10 of his episodes. Now, I'm not recommending that, but I'm saying you can do a lot in your ICL. In fact, sorry. I wish I never said that because I feel like that adds some pressure. He's, he's strange for doing that. In fact, I'm almost certain he got some Fy sa bit upset. Because he consistently harassed them for that. So I maybe don't do that. No. But just letting you know it can be a very productive book. I, yeah. Yeah, I think I got like, a, a fall done or something but I picked the easiest ones like m and, um, and like, uh, you're stuff like that. You're in depth. Yeah. Do the stuff. That's simple. Obs, you're in depth. Oxygen. All can be done in IC if you have surgery during ICL, get scrub done. Um, even if you don't like surgery. Uh II, it's a good experience. You might discover you like surgery, you might also discover, you hate it, that happen to a lot of people as well. Unfortunately. Um, 01 thing about Preston, you'll get a whole section, you'll get a whole teaching hopefully before surgery, but only a few people don't on suturing. They'll actually teach you how to do basic suturing and how s, and all about surgical etiquette. So, if you're in person and you have to worry a bit less about it, which is very nice. Um, because they teach you suturing, um, there's potentially an opportunity to actually assist in theater because they've given you those skills. Um, I it's very, very, very possible as a year three to assist in theater. Um, obviously, it's not an expectation and it's not implied you'll be asking and, you know, you have to find a consultant who, you know, trust in, you and believes in you. But it's very possible, especially if you wanna do surgery, you have to do an e log book of you assisting in theater, which doesn't have to be suturing. You can actually hold a lamp and that counts as assisting. Um, but if you're very, very interested, I know one of my friends, he wants to do plastics. He's done many, many assisted surgeries with uh, a plastic consult, a plastic surgeon consultant who believes in him. So, you know, there's a lot of opportunity, um, tips for learning drugs names. Um I don't, I mean, there's a lot of drugs, you know, I, is there anything specific? But uh just in general, if you need to memorize something, I think the system anti has is the best space, repetition and active recall are the best evidence based practices for, um, revising and memorization of which there's a lot of, I think as well like for drugs, I think that's difficult. Um, I think you get used to the, what I would say. Well, my, my advice would be that what um, Rick just said, but also if, when you're on a ward, um, and you're going through patient notes and you're looking on your online system and it comes up with 10 medications and you don't know, maybe five look them up. Don't just like it. I don't know what that is because then when you look them up, it kind of, it helps with that and then when you see it again you'll be like, oh, I saw it there. Like, it's, I think it's doing that sort of thing. Yeah, this is one of those things I feel like you see them so much that then it just kind of becomes, yeah, even without doing, like, it's kind of spatial repetition all the time because you're seeing them all the time and then you're just like, oh, ok. A lot of things, a lot of drugs are very commonly prescribed and you'll often see them a lot. Uh A lot of like the heart failure drugs you'll see on many, many people, a lot of the diabetic drugs, there's a lot of diabetic patients. Um, you'll see them on the classic diabetic drugs. Um I wouldn't stress out too much about it. Just take it in chunks, uh go through your TCD, whatever drugs are there, try to start memorizing them. You'll see them in ward and you'll suddenly get very used to it. Um And then by fourth year, someone would be like, oh, you know, like, what's the drug for neuropathic pain? And everyone in the entire electro, a trip to like it just comes to, you don't worry, just study your TCD and um you'll, you'll gradually get there. I wouldn't put too much stress or empty suddenly cramming a ton of drugs unless you want to, but you don't have to do that. Ok? You've talked about A PP and S SCP. Yeah, I talked, I talked uh about that, which I think S SCP is probably was my favorite time of year three. So I highly recommend like, if you really wanna do a specific speciality. So like I did my S SCP in neonatology uh MRI um or something and um I reckon even if you don't really want to do a speciality but you're like to like, oh, that sounds cool. Reach out and try and self arrange your S SCP because that can be just like a really fun three weeks especially after AP which can be sometimes really cooling um to just do something that's fun. Like I had a friend who did like anesthetics and she did like loads of cannulas where they practiced all that stuff and it was interesting seeing stuff we've not seen. So I II think I'd say out of everything, be most proactive at planning your S SCP cause it can be really fun. Yeah, II wanted to do ophthalmology. I did mine at Ley Eye Clinic. Um Sorry Charley Eye Center. And what is that? Whatever. And um and yeah, I got to, I got to scrub in, I got to use the microscopes. I got to see a bunch of cataracts. I went to literally every Subspecialty clinic. So a lot of kids that was really cute. Um Now be proactive with it. Uh Yeah. Any other questions? And it's not happy to end it there. This time, literally like we nothing better to do. So uh if you have literally anything, otherwise it don't worry, totally fine. I'll give it to like eight oh is a partner to. It's possible to have a part time travel mentors, buy me. Otherwise she says cut down. OK. So this is really interesting. Um It depends on, OK. So I know a lot of people who have part time jobs in medicine um And I would say it strongly depends on your goals. So for example, and how much ho how many hours are you putting in that week? Per week? Right? Because I would say, ok, I know there's a lot of students in Manchester especially they do a, a part time in something called like inspire. Or wasn't that elevate, elevate a lot of people do elevate um which is where you're like a bunch of medicines, go to schools and like be like motivational speaking. And I know that takes a lot of time. I know a lot of people do HDA positions uh where you work as an HDA for some extra money. I know a lot of people do tutoring. Um It, it all matters in what your goals are if you need that money. Uh Obviously for your living expenses, whatever, you don't really have much of a choice. Fair enough if you're doing just some extra pocket change. Um I would say maybe try it during ICL see how that feels but there is quite a substantial time suck from your day now that you go to hospital on a daily basis. Um, so I would say try it. Uh, but it might be quite stressful, it might be quite tiring. I know one of my friends does a lot of, lot of tutoring and he burnt out very, very quickly. I know one of my friends did HD like every weekend and he was fine. So it really depends on you. I would say use ICL as your benchmark for whether or not it's possible. I mean, ii have a job but not part time. So I work in the holidays. Yeah. Um, so I'm like bank, I do bank work. Um, and I find no issue with that. So if you want to still work, but not necessarily during the term time, you can definitely work during holidays. Oh, for sure. Yeah. Um, I had a lab job, uh, last summer and that was fine. Yeah, you can definitely do that even in the small breaks and stuff. I think you can, you can probably do a weekend job. You just have to make sure you plan your time. Well, but I think it depends on what kind of job and what you're getting out of it. Like I said, if it's money based then you kind of have to do it if it's a job that you really enjoy and you kind of enjoy going. I think that's just like another positive if it's a job that completely drains you, stresses you out and you really hate going. Um, yeah, I think then that's going to be more difficult. Yeah. If it's something you enjoy doing then, yeah, I'd say you're fine to do it. It's a very like, person to person thing. I would say use your ICL to see if you can, yeah, if you can deal with, probably not during the week, but I think you could do weekends. Yeah, I think that's a really good idea. I think during the week would be very difficult. Um For AP ep does Preston offer a lab based project like Saint Andrew's? So AP EP projects are not limited to your hospital. You will get a full list that's open to everybody. Um And it can be anywhere so the projects can vary really greatly. I probably actually should have add this in. Um So I mentioned like systemic reviews and stuff audits. There's some that are just a bit different and kind of strange. Some are like essays like, oh write an essay. I remember one is write an essay about the history of medicine and the guy who signed up for that did it cause he wanted a vacation. Um Lab based is harder to find. I would say there definitely are opportunities to do lab based projects. I know that Christie uh which is a cancer hospital in Manchester. They do offer some lab based projects. There's so, so many projects, I'd be shocked if there weren't multiple lab based projects and just if you really want a lab project. Um and you have a specific interest, I mean, the Christie one definitely um they, they definitely have lab projects and people who do them tend to do quite well. Yeah. Um but you can always self arrange as well. I think that's a little bit more difficult but you can always just email a consultant and say, you know, I noticed you have lab research that I do um an AP and so is that something you could facilitate? And the worst they're going to say is no, especially. Yeah. Uh Do you know what speciality you want to do that lab project in? Because that might help me out a bit because it's a lot easier to find it in some specialties. Not there will also be filters when they submit that page that lets you be like, I only want to look at lab projects. I remember that was a filter and Manchester commercial Saint Andrews is, you know, quite a small university you get like you get like this 200 projects or something. Yeah, they probably Manchester is massive. There's so much research going on here with so many more specialties like i it was so hard to find an ophthalmology research opportunity in Saint Andrews because it's one dude. Um And here there's so so many, I think you would struggle not to find a lab based project. It, it might differ though based on what specialty you want. Cause some are a lot more better suited for lab based like oncology or histopathology compared to like surgery. Obviously not obviously sorry, but like, for example, OK. OK. All right. So I think again, any other questions other, like, I genuinely like, I'm not like tired or like, I feel like honestly, it's quite, I'm glad people asking so many questions. I hope this helps. So, but if you have nothing then obviously you know, I'm gonna go. But yeah, so I'll leave it for, I'll give like a excuse me like a one, two-minute grace and then I know I get going trying to think if there's anything else I thought of like this time of day to try. I just kind of want to try to get into it. You know, I just cause I think just as you do it, as you do it, you learn very, very quickly about how things go and if you have a good track that makes things easier cause you can talk to. Yeah, I think that's something that you can, you don't have much control over but if you get a good track, it's really nice. Yeah, it just makes life a lot better. Yeah. Um I mean if you don't, that's fine. Just don't do much with them. But damn, yeah, if you hit your track just don't, it's associated with them honestly. Yeah. Like they're making you upset. No, genuinely. I've, I've heard of some people have really bad experiences with that. Oh. And don't have, like, obviously you have to go to teaching whatever you have with them that's timetabled. You have to go to. But when you're on the wards just go off and do your own thing. Like, if you don't get on with your partner or whatever and that invariably does sometimes happen. Um just go and kind of be independent and do your own thing like um yeah, that's fine, you know, but I think most people get along, everyone's very nice, you know, just sometimes people, sometimes it's hard to work with certain people. But I think overall like I, I've heard really more positive things than negative so should be an issue cause no one's asking her questions. I'm gonna end the call here cause I'm afraid all the people still left have like PMO, they're afraid they're gonna miss out on all the juicy questions. So I'll just end it so everyone can go home cause that's what I did too actually. All right. Thank you. Everyone for coming. I hope it was really useful. You know, please come to the code blue section. They are really good. I hope you have a really good evening and then you enjoy your, oh wait, it's Thursday. Enjoy Friday. Friday is good. Ok, bye bye. Thank you.