Develop Your Portfolio Neal Ormsby Ajay Sharma Aims ST3 - - PowerPoint PPT Presentation

Develop Your Portfolio

Neal Ormsby Ajay Sharma

Aims

• ST3
• Something totally different – Radiology or A&E
• Any swaps – do early – plan ahead
• Don’t get hung up on Numbers! They don’t

count for training after CT2

• Purpose of CT is to get ST3 in the spec. and

area you want

Applications

• Used to be local deanery system

– Could apply to multiple deaneries – Artificially inflated competition ratio – More likely to have senior trainees applying – More focused on ‘Numbers’ and clinical experience, and deanery’s knowledge of applicant

• Now

– National – One application – very objective – Accurate competition ratios – A lot to achieve in 2 years! – Publications, audit and management/leadership weighted heavily – and easy objective discriminator.

What do you in T&O

• 12 or more DHS – (caution – quality not

quantity)

• 2 or more 1st or second name journal articles

will score

• 2 or more regional, national or international
• r presentations
• Full audit cycle – at least one
• Any higher research degrees- MRes/Mphil,

Dphil/MD count

What do you need – T+O

• Leadership – leader of group/clinical project,

admin role , non-medical role

• Teaching - Formal qualification in teaching,

faculty of recognised course, regularly engaged in formal teaching

• Also – courses such as AO, + Casting course,

+Arthroscopy course (desirable)

• JCST website

Audit + presentations/publications and management experience?

• Don’t rest on laurels. Keep it ticking over
• If not – there’s plenty of time if you plan it

well

Identify your weaknesses now – they can be turned into strengths

• What did you struggle with for your CT interviews

– Any areas you felt let down your CV? – Did you worry you wouldn't get into CT training?

• Why?
• Develop reflective practice early on

– Do your own M&M as its invaluable – you will never forget a mistake this way

AES and CS, and your SPR and even F1s – use them

• Help with ideas
• Show them your CV day one! - - at meeting

– Better humiliated now than at interview – ST3-4 are best as they know what ‘they’ look for – Also there are lots of consultants who interview!

Don’t

Don’t go on a @£$% measuring contest with your fellow applicants Not constructive.

• Everyone offers something different and this is very

apparent at interviews – they are not won or lost on paper!!

• You are selling yourself at the interview, not your

colleague

• It is an objective interview
• Panic

Audits

Identify a project in each job – now!

– Go to the audit department and ask about un- completed audit cycles? - Can be very quick to complete – Tick in the box – Speak to colleagues, and collaborate

• Speak to your predecessor – they may have something

they haven’t finished

• Speak to senior colleagues – they may have exams etc,

have all the data but just need write ups etc.

• Utilise the collaboratives

Advice

• Don’t confirm the audit with the audit dept.

until you have a firm audit and plan

– They will hunt you for ever!

• Pick something that interests you as you are

more likely to follow-through

• At the start have a few ideas and investigate

them all, the majority wont go very far, so don’t put all eggs in one basket at the beginning.

Audit

• Best audits will be

– Completed cycles – essential – National standards – Changing practice

• Improve patient safety
• Save money/time

– Easily re-auditable – Quick

• Good audits can be the foundation for research

questions with a lot of the groundwork complete

What projects to do

• Ask a simple well defined question that is

relevant

• The simpler the question, the easier it is to

answer accurately and reliably.

– Doesn’t have to change the world – If it changes practice – that’s the aim – This leads to publications without much beef from reviewers – Use simple stats and analysis to get across the message

Presentations

• Submit like mad to anything and everything

that sounds vaguely related

– You will be surprised what may be accepted – particularly abroad! – If you have posters utilise medical students! They can generally get into conferences very cheaply and everyone benefits

• On the contrary – volunteer to present (podium) for

your colleagues and always present your own work

– Podiums contributed to but not presented don’t count, even if its entirely all your work!!

Presentations

• However regional (Regional Audit day, North

West Surgical Society Meeting (1st December, 2017) Mersey Orthopaedic Registrar’s Day + 58 society Ball / Alder Hey Alumni (Ortho) are excellent opportunities to win prizes

• Lists of all conferences are available with a

quick google, and on the ASIT website

Publications

• Again use your seniors – they have been there done

that and know what will and won’t get published – they are good reviewers

• Submit to the right journal! – again seniors are

invaluable with this

– It’s a very slow process and to wait 6 months for an

• bvious rejection from Cell or the Lancet!, its pointless
• Aim for a suitable sub-specialty journal with modest IF

– paediatrics – JPOB – Trauma – Injury – Colorectal – IJCD etc. as much more likely to be accepted –

• r at the very least give good feedback

Management/Leadership/admin Overview

• Plenty you can do
• Speak with Ms Kausar, Ms Bruce or myself early –

there is always a course being run that needs hands to help with

• Speak with your seniors – again the same
• If you are keen to teach medical students – set up

something formal with your education centre – this ticks 2 boxes of leadership and teaching – they are always desperate

• With Surgical Soucers. Mentorship. Molly

Jakeman, James Piklington

Leadership

• Quite a broad topic
• Key definition – you must demonstrate the

qualities of leadership in your CV

– Develop new ideas and introduce them to a group – Encourage others – get the best from them – Delegation – Feedback, and improvement – Communication

Leadership

• Teaching - easiest way to demonstrate this

– Set up local/regional teaching

– Medical students – bedside/surgical skills – F1/2 » Surgical skills » How to get a CT number » How to be an ‘….’ SHO for new F2s

• Clinical – Lead an audit team, or a research

project -

– Clearly demonstrate how you demonstrate leadership – Sell yourself in interview – don’t be modest (1

• ccasion its acceptable!)

Management

• MBChB – email them and ask to get on an interview

course if you haven’t and become an admissions interviewer

– Demonstrates involvement in admin and management – Also a really good way to get the inside scoop on what its like to be an interview and what you look for in candidates

• MBChB – also opportunities to get involved in the

medical curriculum at some level be it sub-deanery or regional

• Lots of courses locally, in the deanery and further

afield

– Get involved with the running of them

Leadership/management – Outside the box

• Utilise your reflective practice

– If a mistake has happened (surgical, ward level, anything) – See if you can find a way to improve the system

• Majority of errors are system failures

– If you can improve this and help to implement the change to improve practice

• Demonstrates –

– Knowledge of limitations – Candour – Integrity – Reflective practice, ongoing development – Management – Leadership – Teaching

Reflection – management/admin

• utside the box
• Reflected upon any mistakes I made
• Kept a file with cases
• It will inevitably come up
• If you have one example it looks rehearsed

and not professional, but if you can show a portfolio of cases and what steps you took to learn from it and to stop it happening again – this looks impressive

Can get you extra points at interview

 Hobbies  Charity events  Seats on committees  Teaching  Audits  Research  Music  Courses

Specialist Societies

• Know your specialty
• Know training issues
• Stand up for trainees
• Put on good conferences

Finishing

• Dress for the job you want not the job you

have

• Present a professional image
• Make your portfolio look nice and easy to

follow

• Think about answers
• Have a good CV

Low hanging fruits

• Complete Good clinical practice training – Even if you don’t do an RCT it

shows knowledge of research and the steps around it – and you can say you did it because you were hoping to get involved in an RCT and apply for ethical approval etc…

• Medical leadership e-learning and courses

– At our level a lot are free and quite quick, either online or one day courses

• Use your medical education department

– Any teaching you do whether ad hoc or planned – try to go through them as you can get documentation and quite often a letter of thanks from the sub- dean

• If you have good ideas for postgrad/undergrad education – share it with

the sub-deans – you never know what might happen

• Get all courses booked ASAP – easy points and useful
• Go to SpR teaching and events – get your face known – getting involved

Kolb’s Learning Cycle

Summary

• Plan well
• Start fresh
• Reflect from the beginning
• Identify simple projects early in each job
• Follow-through
• Utilize your colleagues
• Allow time to prepare for interviews

Thanks

• Contact me for any more advice or any

contacts for projects etc

• nealormsby@gmail.com