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Welcome, Mister Fill 10 meq. Tell me who has been behind a smooth running of this event, and him and Sue have done a fantastic job delivering this event on the metal platform. We ask that are really keen. And we're really pleased to be partnering with metal and therefore medical education scheme to contribute to training of millions of healthcare professionals around the world and fill well elaborate on how their medical education enables and empower healthcare organizations to welcome colleagues from low and middle income countries to events for free or two significantly reduced cost. Thank you, Phil. Thanks, Ryan. And thanks for your time as, uh, an incredible future of surgery to allow us to share a little bit about our mission medal. My name is Phil I, um, a proud member of the Surgical Royal College and in my day job. At the moment, I work alongside the wonderful Team Medal as we really try to make healthcare training accessible too. Everyone, Why does that matter? Well, here's the big number. We need to train 18 million more healthcare professionals by 2030. It's a number that the World Health Organization is published in their review of medical education for the 21st century. And in context, that's one third more healthcare professionals than we currently have on Planet Earth. So you got to train one third more healthcare professionals that we currently have on planet Earth in the next seven years. But it takes 15 years to train a doctor and up to $700,000 so we have a bit of a problem. Coupled with that, here's what The Lancet say about our current training capacity. In healthcare, we face severe institutional shortages, and that's from the Lancet review of medical education. And, unfortunately, where the problem is at its greatest resources are. At their least, there are 11 countries on the continent of Africa which do not have a single medical school there over 20 which only have one medical school for the entire population of that country. And for us as a team, we find that intolerable. We really want to press into accessible education, but it's not a problem that just face is low income countries. There are problems in high income countries as well, and you see some of the headlines that have been on the news even in in England. In UH, in the last couple of months, the BBC news headlines has been the NHS in England is facing its worst staffing crisis in history. And here's a paper from this wonderful organization that we're working with today. Asset published in 2017. That's an infographic, which explains the findings of that paper. And it shows that the cost of surgical training is pretty high. Shows that the average training is spending 1300 lbs per year on courses and conferences and in 41% of cases training are not able to use all or some of their study budget towards that. And that accumulates to 20 to 26,000 lbs on average, being spent on the mandatory cost of becoming fully trained surgeon and up to 71,000 lbs in rural maxillofacial surgery. Coupled with the reduced buying power of 10 to 20% depending on the numbers you look at to the BMA have actually said about 20% since 2008 reduced buying power when you compare it with the retail price index of medical salaries in the UK, and we have a bit of a problem here, too, And what is that? What is that result in? Well, this is a quote from wonderful doctor called Maria Prayer, who runs a wonderful organization called Riding Participation Medics Network. And and here's what she said as a widening participation doctor money isn't always, always has been tight, and study budget covers one course or maybe two or three small ones. So to make course, surgical training requirements that the wealthy can often treat the application as a paid kickbox exercise with little actual development. So we have a problem in lower middle income countries. We face a similar problem in high income countries in a slightly different way, and and so we're really passionate. How do we make healthcare training accessible at scale? And we believe the way and do to do that is actually the partner with wonderful organizations like the Association for Surgeons and Training. How do we help organizations just run smooth events? So this event is put on today by incredible trainees from around the UK and Ireland, and they're doing it in their spare time, above and beyond absolutely everything else that they're doing and when you look at high courses and conferences are often organized. You can kind of see the bureaucracy and the admin overhead that is placed on those already busy healthcare professionals. They got to set up an event bright pink people to assume. Fill out a Google form in the zoom call at the end for feedback. Invariably, there is someone called Steven an office somewhere or a pear trainee copying and pasting names from a Excel spreadsheet or Google sheets that results from that Google form into a Microsoft word template for a certificate saving that as a PdF. Emailing it out to people for certificates afterwards, downloading the video from Zoom because they only have a gigabyte of storage cropping it, editing it, re sizing it because there's a requirement to have a relatively decent trial size to re upload it again. Uploading it to YouTube. Irvine. You putting in a Google form link into the description on YouTube video for on demand, and that accumulates in ours of admin for busy healthcare professionals, often often beyond everything else that they're doing. And so what we've done is metal is just automated that end to end for healthcare organizations so they can run teaching and training courses um, automatically with these and without all of the admin overhead, so that actually they can focus on what's really important, actually, just teaching and training more people. And this is something that Doctor Tedros said in 2020 at a virtual tech conference, and not even a healthcare conference at a conference about what we should be really thinking about when it comes to technology. So rather than just solving some of those admin problems, how can we actually help organizations take that to a whole new level? How can we help organizations welcome people that they're teaching and training from around the world and really begin to move the needle on accessibility? This is something that he said Ask yourself every day if your technology works to help the poorest in the world and to reduce in equalities by solving some of those small problems for healthcare organizations, our vision, our mission, that metal is that actually we can work together as a community that we can save people time. But more importantly, that we can encourage organizations to welcome people from low middle income countries that they're teaching training and events and really begin to make teaching and training more accessible, and that's where our family medical education program comes in. We're really passionate about accessibility when people are running a course on metal, if it's a free and open access course, they can do that completely for free. We totally believe in not being another barrier. We think it's really, really important if we're truly to solve this problem, that we put our money where our mouth is. And so if an organization is running a free and open access about, our technology is free and open access and they can host up to 10,000 people on that. But we know that some organizations or membership organizations or they've got staff members to pay or they've got a team to pay, and that's really important. Those people need to put food on the table, and so they need to charge for their events or their membership or their courses. We understand that and so what we've actually devised is a program called Fair Medical Education so that we can still work with those organizations to make their courses, conferences, events so much more accessible to colleagues in lower middle income countries. And we've been prior to work with the organizations you see on the screen, including the Association for Surgeons and Training, the British Association for Pediatric Surgeons, the Global and an anesthesia surgery and Obstetrics Collaborative. All participated in this wonderful scheme. What allows them to do is offer free or significantly reduced cost tickets. Two colleagues in lower middle income countries. We fight all of the administrative overhead of checking. Are they actually the lower middle income country? And we've got the technology that just allows us to do that automatically. As a result, it means that colleagues, literally from anywhere can can join teaching training. For instance, we've got 45 colleagues attending, um, of course over this weekend from 11 different countries, many of them lower middle income countries, simply to find out about the various specialties in surgery and be inspired to be a surgeon. That's incredible and has been made completely open access as a result of the work that the acid are doing so huge. Huge kudos to these organizations are really visionary and actually pushing into the future of accessibility. The other thing we're really passionate about when it comes to accessibility is on demand and virtual has really changed the game in inaccessibility. It's allowed people over the last 2 to 3 years to join courses and conferences from wherever they are without any barriers on travel on cost or expense. Um, but but life is not a magic bullet. Um, if you live in a low income country or a lower dose or setting, you may not have the best Internet connection. If you live in a high income country, you may not have the best Internet connection. I live in Ireland, and I can tell you that some of my neighbors do not have a great Internet connection. And so this is a problem that that that faces everyone and on demand begins to solve that problem. It allows people to watch at a time and, much more importantly, an Internet connection that that suits them again with metal. We help organizations just do that automatically so they can convert there live event an on demand event with literally one click with all the downloading and a half, and when we work together in this space, here are some of the numbers of impact. So in the last two years we've helped 1600 healthcare organizations delivered over 5000 courses, which have reached colleagues in 171 countries. They're only are 195 countries in the world. And that's that's a testimony to the collaboration of the healthcare community collaboration from wonderful organizations. Like like asset. Does it work? Uh, so here is a study from, um a test for a very one of the senior authors is David not? And some protagonists that you might see in the author list. There also, uh, team members, that acid and what this team did was they ran an online surgical skills course, and they compared it with a face to face surgical skills course. And, um, what they actually found was that they were able to teach and train over 500 surgeons in a single day from 20 countries using this type of online technology, and they actually found that there was no significant difference in the competency ratings between online and face to face. They hypothesized that actually, the learning comes from moving their own hands rather than someone actually holding their hands and moving them for them. And they talked about the accessibility impact of this type of work. They talk over 500 surgeons in a single day, and they talked about the impact that this can have on global surgery. Here's a quote from someone who attended UH, accessible event ran by an organization called Learn With Nurses. Um, he also use metal, and I put this in because it talks about the actual human impact of this type of accessibility. So this is someone from a high income country. But she's saying that she was able to attend an event that she may not otherwise have been able to attend and learn about cardiovascular disease. Spot the signs in a patient actually get them the urgent care that they required. If we can make education accessible, we can really begin to change the game. I'm going to leave you with one last story on this type of accessibility and why, for medical education and welcoming people from lower middle income countries and democratizing access to education is important on the right hand side of your screen in the chat box, you'll see that we actually verify people when they're joining an event. Why do we do that? We do that so the organizations can actually make the event really accessible so that they can welcome people from around the world share the link really openly without the fear of anything nasty happening on a call which can happen on Zoom and and so on. So it keeps keeps a really open access event, really safe and really professional. But occasionally, a couple of times a week we get people who say, I can't verify for whatever reason, we have a manual process. Many, many of you have met through, um two will help people. Um uh, the kingdom come, uh, to access events, and we have a manual process that actually helps people who can't verify themselves with the institutional email address or a copy of the hospital i D. Card. But in the single day in the springtime, we so high fifties into the hundreds of people unable to access, um, an event, they said, I can't verify myself for whatever reason. And so you actually reached out to them and asked why? And the consistent response came back. I don't have access to my institutional i d. At the moment. I don't have access to my institutional email address. I didn't think it was that important for me to get a letter from my institution to say that I could access the chat and middle thanks very much, quite rightly so when we dug a little bit deeper into what was happening. These are all Ukrainian medical students and in an instant they had to get up and leave and fled the country. And what had happened was the Ukraine medical school counselor actually working with an NGO in London called the Crisis Rescue Foundation. He had picked up medal without really talking to us. Um started to use it and had actually replaced the medical school curriculum in Ukraine with a virtual curriculum. They recruited 250 doctors from around the UK professors of general practice at Oxbridge Universities to actually teach Ukraine medical students during the war, and we're able to keep medical education alive during that time, and they weren't doing that. Some sort of imperialistic UK teach you Creon thing. They were doing it because the people who are actually providing education on the ground in Ukraine were all trade medics. So instead of providing face to face medical education, they were now providing face to face patient care, and they managed to bolster the medical resources of that country for a period of time. This is what one of, uh, this is a slide, which which shows a little bit of that impact. So what those 250 teachers were able to achieve was incredible. They taught 2000 Ukraine medical students seven times a day every single day for two months. And this is what one of those professors said Thank you for everything you're doing for depression. For the people who are trapped in this situation, this sort of accessibility is not nice to have. It's not something that is just fluffy or, uh, you know, some sort of glossy thing that we do on top. This has real life humanitarian impact. We need to train 80 million healthcare professionals by 2030. We think it's only by working together by collaborating in this healthcare community by prioritizing fair medical education by prioritizing access to education that we can really begin to make that possible. I just like to commend the team asset today for everything that they are doing in this space, and to thank everyone on on this event for for giving up your time to teach them to train and to learn. Today, it's our honor to work alongside. You'll thank you. Thank you very much, Phil. It's really inspirational to hear the work that you and medal are doing not just in the UK and Ireland, but throughout the world. And it's just to let everyone know who's attending what their medical education is and how you can get involved and disseminate and distribute your courses, both nationally and internationally.