Hi Ollie. Thanks for the video. A bit of topic if you don't mind - I saw in one of your other videos' comments that we don't need to do the ECFMG registration by 2024 anymore? Is this true?
Hi Dr Ollie, this is a bit irrelevant but i just wanted to thank you for all your medicine interview videos, they were so helpful during my interview period, and now I'm doing my first year of medicine at uni! thanks so much !!
I am GMC registered IMG completed my MRCS after 3 years of post graduate in General Surgery. I haven’t started my work in NHS till now. Which pathway would you suggest me to go through? What can i do further?
I am already Qualified as internal medicine/Nephrology Consultant from SCFHS (Saudi Arabia) , and working now as consultant in tertiary center , I want to work like 3-4 years in UK to see how things is going there with different people and culture Money is not my priority. my Qs 1- How long Portfolio process going to take until I get GMC title of medicine/nephrology consultant to work as SR and consultant ? Qs-2 IF I want to do like researches , what do you think ? . again Money is not my priority. Thank you
Are there more posts for direct induction in ST3 or cesr supported programs for ImGs who have lets say completed their own country's post graduate training program?
And what countries give equal value and opportunities to cesr radiologist outside the UK? I've heard there is some preferring for CCT consultants, is that true?
@@nooruakhan6754 Given that support towards CESR is essentially at the choice of a department, I think the argument is probably a lot stronger for supporting those that are already attendings/consulants in their home countries. Or perhaps they would have less work to do than someone who was only a resident/trainee in their home country. I don't know unfortunately with regards CESR value outside the UK. I think it is almost definitely true that CCT tends to hold more value internationally than CESR, because the value is to some degree in the UK residency/training programme, not necessarily just being on the UK specialist register.
So does that mean if you train out of specialist training and work as a sas doctor by spending a year on neurocardiology a year on neuropsychiatry a year on neurology, 2 years on neurosurgery and a year of neuroradiology and a year on neuropathology and a year of neurophysiology rather than a standard cct st training course, so you could become a consultant then ollie?
Not quite unfortunately, although those rotations do sound interesting. You'd still need to meet the broad requirements I assume for surgery (so that would be the same surgical cases / operating experience as a CCT neurosurgeon). So it's far less about particular rotations, and more about showing that you're independently able to operate on / manage any neurosurgical problem that might present. Basically 'are you as skilled and experienced as a traditionally trained neurosurgeon'. For a standard CCT that takes 8 years and usually a few years of fellowships after that as well. It would almost certainly take longer than that for someone trying to CESR as it's less straightforward and you'd need more support.
@OllieBurtonMed you could do those anyway alongside your neurosurgery training so if you did the 8 years of neurosurgery you could potentially work across those before becoming a consultant. I know one of the Newcastle neurology consultants did a similar background to become a fully qualified neurology consultant and get his grounding in the subjects and he is one of the leading lecturers now.
@OllieBurtonMed I knew a cardiothoracic surgeon that had a year on neurocardiology , one year on interventional cardiology year on straight cardiology then the rest of their training in cardiothoarcic surgery. Then worked their way up as a sas doctor. It's a pity because it would give you a serious neuro background if you could
@@sabrinamurray I suppose the challenge with that would be that once you're in training, you don't control where you move to. In neurosurgery the first 2 years are typically rotating in neurosurgery, neurointensive care and neurology. After that, 6 years of the various neurosurgical subspecialties. The flexibility you're describing would be good for particular subjects, but I guess you'd be more likely able to do them as a post-CCT fellowship, after your completed training. The problem with doing that is that you'd be deskilled relative to the people you'd be competing against for consultant jobs, as they would have been doing neurosurgery specific fellowships. We're unfortunately not in a point with the specialty where people can try and be more grounded - it's insanely competitive for consultant posts and everyone is trying to have an edge.
@OllieBurtonMed I would have thought that would have given you a very unique skillsets and perspective when compared to your colleagues. For consultants jobs. The old prho/sho spr sas training frameworks worked that way
Westerners today, particularly in the UK, generally look upon religion, even their own “indigenous” Christianity, with suspicion and incomprehension. Most only attend Church once a year at Midnight Mass, and even then they say “How can this structure of arbitrary hierarchy and authority with no empirical evidence dictate to me? Is this not all merely cultural and historical, our heritage?” The terrible irony is that these are exactly the beliefs that the various forms of Christianity have taught them to have. Protestantism has taught them to fear and reject Authority and hierarchy; the split between faith and reason has led to the conception of faith as “blind faith” and the notion that the ONLY type of evidence is empirical evidence; and Christian historicism, in which the putative Incarnation is a once-in-history historical event, has led it to believe that shattering historical events can change all of the rules; and even violate the principle of non-contradiction;hence the new salvific modern religion of “necessary progress.” Empiricism, historicism, religious faith as “blind faith” and the flattened, “equality”-bleating repudiation of hierarchy have become such deep-rooted assumptions that the latest generations of modern people are increasingly unable even to understand the *sense* of religious language, experience, and truth claims. As thesociologist of secularization Callum Brown points out, in interviewing multi-generational families for a study of the nature of secularisation, a recent group of British researchers realised that unlike their parents and grandparents,more recent generations of young people suffered from "an absence of either a narrative structure or a set of terms with which the interviewees [were] able to answer. They are of a generation that has not sustained a training in how to express their religiosity." It is frightening that the same thing is starting to happen to youth in the Muslim community; an inability to comprehend the meaning of religious language, spiritual practice, and the Unseen, because of scientistic, relativistic, and "democratic" assumptions This is why a metaphysically-rooted, all-embracing recovery of our total worldview is such an urgent project. It is heartening that our community is becoming increasingly cognizant of this necessity.
Thank you SAS doc from UK 😊
Thanks Dr Ollie, it’ll be interesting to see if this changes the training landscape in the UK, with rising competition for NTNs.
Thanks dr Ollie
Awesome, thanks for sharing ❤❤
You are so welcome
Thanks for video. Love from Pakistan
Great! Thanks a lot! I have recently applied for the GMC reg and thinking how to apply for the jobs.
Best of luck!
Hi Ollie. Thanks for the video. A bit of topic if you don't mind - I saw in one of your other videos' comments that we don't need to do the ECFMG registration by 2024 anymore? Is this true?
Hi Dr Ollie, this is a bit irrelevant but i just wanted to thank you for all your medicine interview videos, they were so helpful during my interview period, and now I'm doing my first year of medicine at uni! thanks so much !!
I am GMC registered IMG completed my MRCS after 3 years of post graduate in General Surgery. I haven’t started my work in NHS till now. Which pathway would you suggest me to go through? What can i do further?
I had started CESR application GMC by did not upload anything till now .I want to start the e portfolio pathway shall I cancel previous application?
How does these changes affect the acceptability of the specialists outside of the UK
I am already Qualified as internal medicine/Nephrology Consultant from SCFHS (Saudi Arabia) , and working now as consultant in tertiary center , I want to work like 3-4 years in UK to see how things is going there with different people and culture Money is not my priority. my Qs 1- How long Portfolio process going to take until I get GMC title of medicine/nephrology consultant to work as SR and consultant ? Qs-2 IF I want to do like researches , what do you think ? . again Money is not my priority. Thank you
Hello great videos, could you do a video on the Oliver McGowan mandatory training on autism and learning disabilities?
It's not mandatory for doctors currently that's part of the problem
Are there more posts for direct induction in ST3 or cesr supported programs for ImGs who have lets say completed their own country's post graduate training program?
And what countries give equal value and opportunities to cesr radiologist outside the UK? I've heard there is some preferring for CCT consultants, is that true?
@@nooruakhan6754 Given that support towards CESR is essentially at the choice of a department, I think the argument is probably a lot stronger for supporting those that are already attendings/consulants in their home countries. Or perhaps they would have less work to do than someone who was only a resident/trainee in their home country.
I don't know unfortunately with regards CESR value outside the UK. I think it is almost definitely true that CCT tends to hold more value internationally than CESR, because the value is to some degree in the UK residency/training programme, not necessarily just being on the UK specialist register.
So does that mean if you train out of specialist training and work as a sas doctor by spending a year on neurocardiology a year on neuropsychiatry a year on neurology, 2 years on neurosurgery and a year of neuroradiology and a year on neuropathology and a year of neurophysiology rather than a standard cct st training course, so you could become a consultant then ollie?
Not quite unfortunately, although those rotations do sound interesting. You'd still need to meet the broad requirements I assume for surgery (so that would be the same surgical cases / operating experience as a CCT neurosurgeon). So it's far less about particular rotations, and more about showing that you're independently able to operate on / manage any neurosurgical problem that might present. Basically 'are you as skilled and experienced as a traditionally trained neurosurgeon'. For a standard CCT that takes 8 years and usually a few years of fellowships after that as well. It would almost certainly take longer than that for someone trying to CESR as it's less straightforward and you'd need more support.
@OllieBurtonMed you could do those anyway alongside your neurosurgery training so if you did the 8 years of neurosurgery you could potentially work across those before becoming a consultant. I know one of the Newcastle neurology consultants did a similar background to become a fully qualified neurology consultant and get his grounding in the subjects and he is one of the leading lecturers now.
@OllieBurtonMed I knew a cardiothoracic surgeon that had a year on neurocardiology , one year on interventional cardiology year on straight cardiology then the rest of their training in cardiothoarcic surgery. Then worked their way up as a sas doctor.
It's a pity because it would give you a serious neuro background if you could
@@sabrinamurray I suppose the challenge with that would be that once you're in training, you don't control where you move to. In neurosurgery the first 2 years are typically rotating in neurosurgery, neurointensive care and neurology. After that, 6 years of the various neurosurgical subspecialties. The flexibility you're describing would be good for particular subjects, but I guess you'd be more likely able to do them as a post-CCT fellowship, after your completed training. The problem with doing that is that you'd be deskilled relative to the people you'd be competing against for consultant jobs, as they would have been doing neurosurgery specific fellowships. We're unfortunately not in a point with the specialty where people can try and be more grounded - it's insanely competitive for consultant posts and everyone is trying to have an edge.
@OllieBurtonMed I would have thought that would have given you a very unique skillsets and perspective when compared to your colleagues. For consultants jobs. The old prho/sho spr sas training frameworks worked that way
Westerners today, particularly in the UK, generally look upon religion, even their own “indigenous” Christianity, with suspicion and incomprehension. Most only attend Church once a year at Midnight Mass, and even then they say “How can this structure of arbitrary hierarchy and authority with no empirical evidence dictate to me? Is this not all merely cultural and historical, our heritage?”
The terrible irony is that these are exactly the beliefs that the various forms of Christianity have taught them to have. Protestantism has taught them to fear and reject Authority and hierarchy;
the split between faith and reason has led to the conception of faith as “blind faith” and the notion that the ONLY type of evidence is empirical evidence; and Christian historicism, in which the putative Incarnation is a once-in-history historical event, has led it to believe that shattering historical events can change all of the rules; and even violate the principle of non-contradiction;hence the new salvific modern religion of “necessary progress.”
Empiricism, historicism, religious faith as “blind faith” and the flattened, “equality”-bleating repudiation of hierarchy have become such deep-rooted assumptions that the latest generations of modern people are increasingly unable even to understand the *sense* of religious language, experience, and truth claims.
As thesociologist of secularization Callum Brown points out, in interviewing multi-generational families for a study of the nature of secularisation, a recent group of British researchers realised that unlike their parents and grandparents,more recent generations of young people suffered from "an absence of either a narrative structure or a set of terms with which the interviewees [were] able to answer. They are of a generation that has not sustained a training in how to express their religiosity."
It is frightening that the same thing is starting to happen to youth in the Muslim community; an inability to comprehend the meaning of religious language, spiritual practice, and the Unseen, because of scientistic, relativistic, and "democratic" assumptions
This is why a metaphysically-rooted, all-embracing recovery of our total worldview is such an urgent project. It is heartening that our community is becoming increasingly cognizant of this necessity.