Showing posts with label HEKSS. Show all posts
Showing posts with label HEKSS. Show all posts

Sunday, 3 January 2016

4th January 2016

✨Happy New Year!✨

I hope Christmas & the New Year brought you some opportunity to get together with loved ones & take a break, however short, from the intensity of working. Before we know it, the moment has passed & we're back into the swing of the academic cycle. 

Next up in the calendar is the Core Surgical Training Day, on Friday in Maidstone, where apart from a morning of trainees' presentations & posters, our own Arshad Khaleel will be talking you through the interview process for Higher Surgical Training. 

My thoughts however are with the upcoming Core Surgical National Selection, across the last week of January and the first week of February. The National Selection is run by @HEE_KSS, in particular @HEKSSspeciality, and are taking place again at the Amba Hotel Charing Cross...
...and the dates are here: http://www.ksseducation.hee.nhs.uk/recruitment/2016-interview-dates-venues/
I've put my #portfoliopreparation tips on social media before but I think it bears repeating and I hope you find it useful.

The single most important thing you can do ahead of the interviews is seek out your @RCSNews Surgical Tutor, taking your portfolio with you. Don't be shy. 

I thought I had seen everyone ahead of the interviews last year, encouraged portfolio polishing, rehearsed responses and celebrated success - only to find two weeks after they were done an unsuccessful F2 found me who I could have supported. So - don't be shy.

Portfolio Preparation

Your portfolio is the physical manifestation of your career to date & your hopes & dreams for your career ahead. It represents You. There is no point dressing smartly in a new suit if your portfolio is thrown together haphazardly. 

Interviewers have less than 15 mins to go through your portfolio before you go in the room. It helps to make this time as easy as possible for them:

1) Good quality binder: doesn't have to be leather but probably shouldn't be a Poundland special 
2) Four rings better than two for turning pages easily and keeping the portfolio secure. The overstuffed lever arch that cascades plastic wallets to the floor is not a good thing to see
3) Good quality plastic wallets that don't lift print. Cheaper packs (eg those that come in 100s) go crinkly...
... and don't show off certificates etc very well. The better ones hold your work almost as if laminated. Looks more professional. Never put in more than two sheets of paper into a wallet (ie front & back). There is no time to take papers out & go through them in the interview.
4) Extra Wide Dividers: regular dividers do not stick out beyond the wallets 
5) Order the tabs in the order of the checklist so that all your achievements can be quickly verified
6) Demonstrate your evidence of teamwork and leadership with one or two photos. The colour pops as you skim through and attracts the eye. Helps to show you as a well rounded human being
7) Reflection is how we learn. Include some notes you've made on something that went well and something that could have gone better. You will inevitably be asked to describe such situations so it helps to be prepared to talk about these events.
8) Logbook summary needs to be in there, preferably signed by your AES so make sure that's done ahead of time. E-logbook doesn't let you show any patient identifying details: if you are not using the e-logbook summary, make absolutely certain you are not using any patient identifying material in your summary
9) Include thank you cards & testimonials but if they are from patients you must blank out their names. You have to be this vigilant for consultant revalidation so it is a good habit to get into.
10) Fill every category. An audit I am sure will have done double duty for you as a presentation and a poster so put it in all those slots that apply, if that's what you've done
11) Don't pad it out. One portfolio I remember going through was filled with blank sheets of paper - I pulled out 37 all told. It doesn't help. Likewise don't print out your entire Foundation eportfolio as that looks like filler as well. The assumption is that by being there you have achieved your Foundation competencies.
 12) Identify your USP, that thing in your portfolio that you are most proud of, that thing you don't want to have left the room without making sure they have seen it. Be prepared to talk about it and why you're so pleased to have that in your body of work. Make sure you know where it is so you can find it quickly for them
There's formal advice here from the HEKSS @HEKSSspeciality website, who are the coordinators for Core Surgery National Recruitment: 


Personal Presentation

Advice on this can often be taken the wrong way, so I apologise if you don't like this section.

For surgical training, you are applying to join a profession with certain standards born of adversity. Things like infection control, meticulous technique, adherence to defined evidenced-based pathways, these are all the bread and butter of surgical consultants. 

It will inevitably generate a negative first impression if the candidate comes in apparently only able to see out of one eye...
... or with both eyes visible but weighted down with extra lashes (will that end up in my wound?)...
...or dressed as if they have accidentally ended up in the Amba Hotel Charing Cross after a night of partying. I have seen all of these things, I really have. Of course nobody says anything, that would in itself be unprofessional. But the negative impression has been generated before a single question has been asked. 

That, I'm afraid, is life.

About the Interviewers

Around the end of November, HEKSS puts the call out to all consultant surgeons to volunteer to interview. The interviews run for 10/7 and are highly labour-intensive. It is not something people can do year in year out, and it's tough to combine with HST interviews (most Trusts kick up a fuss about so much professional leave). Therefore the people interviewing you may do it infrequently and alternate with a completely different grade.

Why am I labouring this point? To let you know it is perfectly OK to query the questions you were asked if you feel them to have been inappropriate (aimed at HST-calibre candidates for example). 

But you have to do it on the day. 

There is nothing I can do if you decide the following day or week that you weren't given a fair crack (though we did push last year with limited success). 

There are lay observers on every floor who pop in and out of the interviews who will raise a metaphorical eyebrow if they think the questions are wandering off point. There are clinical observers too, usually senior registrars, who can also reign things in. But if they're not in the room with you, and you feel things have not gone fairly, you should feel empowered to say something to the floor coordinator in the day.

For a £10 fee, you can request your score sheets: interviewers are encouraged to take notes especially verbatim of responses that were particularly good or bad resulting in an outlying mark:


🍀 Good Luck! 🍀

I am always struck at CST Interviews at the number of talented junior doctors we have in the UK who will excel at whatever they set their mind to and have chosen a career in  Surgical Specialities. It makes me so reassured for the future of our profession: I wish you all the very best of luck. 

If luck doesn't favour you and you need another year to build your logbook & portfolio a bit more, @ASPHFT can still support you with a number of trust grade core-level surgical vacancies arising in August - so don't panic, we will get you there 

Wednesday, 9 December 2015

14th December 2015

Nominations For TOTY 2015

It's that time of year again: please send me your nominations for Surgical Trainer of the Year!

You rightly expect your trainers to tick your boxes, validate your WBAs & train you to in the art of surgery - now is your chance to give them some feedback for their portfolios & appraisals. This is not a numbers game, I'm not counting votes as most trainers will only have two or three trainees. 

What I would like is a citation, with examples if you can, showing how your nominated trainer has enriched your training experience in this difficult environment. I will then rank and announce the winner early in the New Year. The anonymised citations then get sent to the trainers for their portfolios so don't be shy, express yourself freely!

Just remember every time you've asked a senior for an MSF, then do this one thing for them. Go on. 

HEKSS Speciality Study Day

This week @ASPHFT hosted the regional T&O study day. 
Thank you to all the core trainees who came and embraced the idea of wholly interactive teaching: you were all good sports and I hope gained more out of the day as a result.

Thanks too to our HSTs Kieran Gallagher, Sujit Agrawal and Ben David @drbendavid for their relevant, engaging fracture sessions...


... to Dean Michael @deanmichael1971 for his tour de force on hip arthritis and to James Corbett from Depuy-Synthes for all the saw bones & kit

Surgeon of the Week

I'm embarrassed to admit I have only met this week's colleague today, even though he has been at the Trust since April... Please welcome Nim Arumainayagam @nimalanarum, Consultant Urologist (seen here with Humphrey Scott @humphrey_scott)
Don't be fooled by the word 'vascular' on his lead apron, Nim is one of our 6-strong Urology Team, which like most surgical specialities embraces a minimal access radiologically guided approach and his thing is Stones

And finally...

As I mentioned last week, I do LOVE to see St Peter's in print!! Bravo to Arshad Khaleel and his team on this monumental piece of work


Sunday, 6 December 2015

7th December 2015

'Are You Cut Out For It?'

This week saw the @HE_KSS heat of the Royal College of Surgeons @RCSnews competition for second year Core Trainees. Each LETB (formerly known as 'Deanery') holds heats with the winners going to the College in February for the Finals and the chance to win the first prize of £1,000.
This is a surgical skills-based competition, with competitors demonstrating suturing, knot-tying, excision of lesions & closure of defects and laparoscopic dexterity skills: here our own Aphiwat Luangsomboon stacks sugar cubes to the amusement of Sachin Agrawal

Thanks to everyone who came out on a windy Thursday night to Fracture Clinic at the Rowley Bristow. It was a tough call to judge, with the range of scores being very tight, but winners we had and congratulations to first prize winner Ana Borges...
... and runner-up Jennifer Caswell...
...who received their certificates from Bill Dunsmuir and will go forward to represent our LETB at the Finals.

Huge thanks to the judges who gave up their free time to support this event: Bill Dunsmuir, Sachin Agrawal, Holly Ni Raghallaigh (@UncleHester) and Ben Carrick. Thanks too to Sophie Wrigley @sophiehfwrigley and Christian Asher @marshaisic who were magnificent in helping set up and pack away afterwards.

Tuesday's Day of Action

Preparations for potential industrial action were incredible and very organised. On the day itself of course, junior doctors were working as negotiations brokered by ACAS were underway. Theatre lists had already been stood down, which left some surgeons with an incredible opportunity to get together, brainstorm, and take the time to talk through plans and strategies not only for CCG-related projects but also interdisciplinary issues such as rotas and training.
It is so rare to have the time to sit down with colleagues both clinical and managerial (here above with ADO Cathy Parsons @cparsons007 and Associate Divisional Director Paul Trikha @surreyknee): three ad hoc meetings later I felt I achieved more in that one day than in months of emails.

Changeover Wednesday 

Wednesday morning was given over to Departmental Induction. Four months goes by so quickly, doesn't it: we welcomed some new faces to T&O
They will benefit from the hard work put in by previous trainees Emily Decker @emilydecker1, Seok Cho @YSeokC & Sophie Wrigley @sophiehfwrigley who have sat down with us to construct a weekly service plan that should provide that elusive balance of continuity and education. I'm a firm believer that the doctors happiest with their rotas are those who have gotten a grip of it themselves.

We covered a huge range of topics including Consent training, Unit structure,  pre-assessment - not to worry, it can be found on Trustnet including the surgical handbook, for reference.
 
Surgeon of the Week

This week it is my pleasure to introduce Magdy Moawad, see here on the left, with fellow Consultant Vascular Surgeon AJ Jibawi
Magdy is a fantastic support to me in educational projects and at Surgical LFG. Until his arrival we had very little input from Vascular Surgery at all. Now he, AJ @abdjibawi and Barun Majumder @barunmajumder have elevated the educational profile of their speciality in the hospital: wonderful

Forthcoming Attractions

On Friday, @ASPHFT host the Regional Speciality Study Day in T&O. We have some interactive talks lined up as well as a practical saw bones session. This event is for @HE_KSS Core trainees but if you are an ASPHFT junior doctor faintly interested in a T&O taster, you are more than welcome. At lunchtime I will be holding a "Portfolio Clinic" - if you would like me to cast an eye over yours, do bring it along 

And finally...

Can't help myself: LOVE seeing St Peter's in print!!!


Sunday, 29 November 2015

30th November 2015

Here we go... 

At time of writing (Sunday night), it seems the Industrial Action is likely to go ahead. After three days of hopeful silence, a @theBMA email late on Saturday afternoon from Mark Porter sounded a despondent note:
"... As you will appreciate, given the importance of these talks to junior doctors and patients, since Thursday, we have concentrated our effort on the talks, hoping that we may have positive news to communicate to you about the outcome.  However, given the now almost inevitability that the action will need to proceed, I wanted to provide you with as full information as possible about our preparations for the action and how it may affect each of you..."


In point of fact, even if the strike was called off, the rescheduling preparations have already been made. At @ASPHFT in T&O alone, 450 patient episodes have been rearranged: that's operations and clinic appointments. It has been enormously encouraging to hear how our lovely patients have understood the situation and been accepting of the changes. Reversing them at short notice however is a completely different matter.

A question I've been asked a lot is 'can non-BMA members strike?'. Junior doctor rep Holly Ni Raghallaigh @unclehester has some useful thoughts at this time:
"... I think if I was a doctor who was not a BMA member, and who had not been balloted, but who wanted to take part in IA – I would phone the BMA today to ask about joining the BMA today and asking then if they become a fully fledged member by the time of the first/second/third strike (planned) days - if they will then be authorised to take part and thus protected. I would feel slightly exposed taking part in IA if I was not a union member..."

I am immensely proud of our management in T&O Cathy Parsons @CParsons007 and Jason Lane who very quickly recognised maintaining patient safety without our wonderful junior doctors would require bold thought and early planning. Bravo.

The action is being backed by none other than Vivienne Westwood @FollowWestwood who has designed a tshirt for the protest:
... which if you're interested can be found here: 
http://wearyournhs.com/ 

Local Academic Board

LAB met this week. What is it? This is our visit from @HE_KSS which takes place after the Local Faculty Groups have met, to see if @ASPHFT are maintaining their academic contract with the Deanery. In other words: are trainees receiving the teaching & continuing professional development that HEKSS is paying for by providing a significant proportion of doctors' pre-banding salary?

College Tutors from all the specialities, Foundation Programme directors and junior doctor representatives all attend together with representatives from the Deanery.

A great number of issues raised will be dealt with by a significant Medical restructuring around takes and the Acute Medical Unit, but these major changes are now planned to take place in January as whilst the strikes hang over us, December is not the time to mix things up.

Surgeon of the Week

This week @Humphrey_Scott has managed to pin Consultant Urologist Bill Dunsmuir to the floor. 

I love Bill. He is a brilliant pillar of the Surgical LFG and an amazing teacher who consistently demonstrates the highest praise in feedback. Bill is Programme Director for Urology, a speciality which @ASPHFT achieved green flags in the @gmcuk survey

Forthcoming Attractions

Online registration for this event via @RoySocMed closes Monday 30th November so get clicking on this link if you want in:
And some forward thinking for next year's BSS Courses:

And finally...

Best wishes to our own NHS Ninja @samlamb24 Sam Lamb for a speedy recovery from her appendicetomy this week (and for tweeting it all!)

Sam looked after all our trainees in the PGEC before become the Overseas Visitor and PP Manager. Get Well Soon!

Sunday, 15 November 2015

16th November 2015

MRCS Success

Huge congratulations to four @HEKSSSpeciality Core Trainees who sat the MRCS B: Sophie @sophiehfwrigley and Asad... 
... Kamran and Dan ...
Stunning results all round. The best part of getting that test out of the way is now you can enjoy the job, the experience of being a surgeon. Well done.

More success...

Last post, I told you we had no less than FIVE podium presentations at @britishtrauma British Trauma Society 2015 Meeting. 

The paper by Zu Nawaz, Sophie Wrigley and Arshad Khaleel "Follow up of 810 consecutive Ti-HA coated uncemented stem hemiarthroplasties" won First Prize as Best Clinical Presentation! Fantastic achievement, so pleased for you all
LNC Meeting

This week saw one of the quarterly meetings of the Local Negotiating Committee (LNC). LNCs are made up of elected local representatives who negotiate – and have the authority to make collective agreements – with local management on behalf of medical and dental staff of all grades. 
This group is not just made up of senior medical staff and BMA rep Cathy Taylor, but also your junior doctor representatives: Dominique, Beatrix @beatrixlv and Holly @unclehester
It was good to hear at the meeting that the Chief Operating Officer Bob Peet @bobpeet1 has started gathering senior managers and consultants to plan safe staffing dependent on how @theBMA vote turns out. 

Another important issue discussed was Diary Carding, just entering its second week. I cannot stress how important it is that these cards are filled in accurately. 

The Trust cannot change staffing levels or improve workloads without data, so this is key. If you overstay your shift time, you must, must ring your consultant. The reason for this is that every morning, the consultant is contacted to verify the diary card entries. So if you ring and they tell you <ahem> where to go you, write down exactly that in the notes. A text message will do. 

When I was a 4th year Reg @ASPH the first time round (ST6 in new money) accurate diary carding pushed us up to Band 3, and we were back paid really quickly. Returns in previous years have been so poor that no inferences could be drawn about work patterns or intensity: please don't let this opportunity slide.

Surgeon of the Week

So, Urology trainees have been asking "where are our bosses for Surgeon of the Week?" They are ELUSIVE and have been known to sprint down the corridor away from my camera (yes, YOU Mr Agrawal). Here we have a Urologist pinned down by Humphrey Scott @humphrey_scott, the Godfather Mr Robin Cole:
 

Forthcoming Attractions

Core Surgical Training applications are now OPEN (fanfares). Read the instructions, follow the checklist ...
... and please come and find me with your portfolio so we can buff & polish it. Had a very satisfying session with Christian @marshaisic creating a portfolio to be proud of. I will do a whole post on Portfolio Preparation soon.

Another plug for 'Are You Cut Out For It?', the competition for CT2s to test dexterity & skills. Winners go to the National Finals at the College @RCSNews in February for a chance to win the first prize, £1,000. Have you got what it takes? The X Factor?



Friday, 6 November 2015

9th November 2015

Olympic Gold Medallist opens MRI

Lots of news this week: starting with the opening of the new MRI scanner at Ashford. You may have seen my pics of it going up in a matter of days: well it's been up and running since 19th October and on Tuesday it was formally opened by double Olympic sailing gold medalist Sarah Ayton OBE @sarahayton, here with CEO Suzanne Rankin @suzrankin

Sarah was born in Ashford Hospital, learned to sail on Staines reservoir and has even had a head MRI after a bump with a boom so the perfect person to declare the new machine ready for action. It did raise the hilarious conundrum of how to ceremoniously cut the red ribbon if you can't take scissors into the magnet but that was neatly solved...
...by moving the ribbon...

Blowing our T&O trumpet

Hugely proud of Arshad Khaleel and the trainees he has energised with his infectious enthusiasm achieving FIVE podium presentation of their research projects at the British Trauma Society Meeting in Keele this week. Persuaded Arshad to take a @britishtrauma selfie with Ankit Desai @ankdes1 and Rob Boyd @mrbobramsay

This is an incredible achievement: our trainees are not only working their maximum hours to provide excellent patient care but they are also studying for exams AND putting the hours in on projects such as these. Immense.

*** BREAKING NEWS ***

I am BURSTING with pride for our Core Surgical Trainees: Every Single One of them who sat the MRCS B exam PASSED!

Huge congratulations to our junior doctors who have now shed that 'Dr' to become 'Miss' and 'Mr': Sophie, Dan, Kamran and Asad. Will do more on this next blog, but couldn't wait to share the glorious news as it broke Friday.

Surgeon(s) of the Week

Not long now before we formally fuse with the Royal Surrey @royalsurrey but close links have existed for years between the surgical specialities of both hospitals and this week Consultant Orthopaedic Surgeon Mike Lemon was the latest to come up the A3 to join with our own Paul Trikha in an exciting procedure, a meniscal transplant. 

Forthcoming Attractions

The date is set: the @HE_KSS Regional Heat of 'Are You Cut Out For It?' will be on Thursday December 3rd at 6pm in the Fracture Clinic of the Rowley Bristow Unit. All CT2s can enter and the winners will go forward to the @RCSNews Final where first prize is £1,000

And finally...

It's been a strange week for surprise emails. The GMC has written to us all regarding potential industrial action and some junior doctors have had a letter from Jeremy Hunt inserted into their eportfolio mailboxes (@JRCPTB are investigating as there could be a data breach). I add here the generous and thoughtful letter written by Professor Pandit, Chair of the Oxford Medical Staff Cttee. I hope it reproduces but if not, it is on twitter and I hope you take strength from it: https://twitter.com/doctor_oxford/status/662317129891467264