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"Medical Education Saves Lives"

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Summary

This is an on-demand teaching session designed to help medical professionals navigate the current challenges in the medical educational landscape and find innovative ways of providing healthcare education access to millions of people. Michael, a nurse and founder of Learned With Nurses and Phil, a partner and CEO of the technology platform, will both be hosting a unique conversation on the topic of 'Medical Education Saves Lives'. This discussion will look at how to tackle the global problem of training 18 million more healthcare professionals by 2030 and how we can bridge the disparity in healthcare training between high- and low-income countries. Join us as we explore the importance and impact of healthcare education and the power of collaboration and digital technology to make it accessible to healthcare professionals everywhere.
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"Medical Education Saves Lives"

Learn With Nurses Founder and Director Michaela Nuttall is joined by MedAll Founder and CEO Dr Phil McElnay as part of the launch of our brand new series of Learn With Nurses in conversation.

Join Michaela and Phil as they discuss the positive impact of medical education.

Open to all #HCPs, delegates will be able to participate in the discussion via the chat function (verification needed).

Learning objectives

Learning Objectives: 1. Identify the current need for healthcare professionals around the world 2. Explain the gap between resources allocated in low-income countries versus high-income countries 3. Describe the need for collaboration and digital solutions to fill the gap in healthcare knowledge 4. Distinguish the impact of technology and artificial intelligence when it comes to healthcare training 5. Discuss the importance of accessible healthcare training and methods to deliver information quickly and efficiently
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Computer generated transcript

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

it does. I'll wait for the red dot Here it comes. And good evening. Welcome to the the chaps and Lasses We've got online with us tonight. My name is Michael a little. I'm a nurse and founder of Learned With Nurses. And this is a brand new session that we've just started to kick off. It's the first of our new style called Learn with Nurses in car conversation. I and I am completely overwhelmed and overjoyed with that pill is joining us. And so fill. I'm going to get you to see a little bit about yourself before I tell people a bit more about what we're going to be doing tonight. Sure, I'm the one who's overwhelmed and overjoyed. So I'm really pleased to be here. Um, it's really great, too. Join you on the team. I'm Phil. I'm finder and CEO here at metal, which is the platform you're on. Um, and we just love working alongside the team. Learn with nurses. We think you're also, uh, we love being able to make great health care training accessible. That is our mission. We're all about training millions of your healthcare professionals, and we totally believe the way to do that is not to make this all about us. We totally believe that the way to do this is to actually work with wonderful organizations like learn with nurses to provide tools that help amazing nurses and other healthcare professionals liver teaching and training that is accessible to every health care professional everywhere. So that's that's what we're all about. Um, that's the mission were on. And I think you're on track for that, actually. Well, I think you're on track, which is which is pretty amazing. Um, So we as I said, this is our first session. We've got people saying high, which is lovely, however, being Hi, Molly. Molly, I know this is your first time joining us, and he has been so I can see there are more people there. So say a quick hello. The style of this is going to be slightly different to anybody who has joined one of these before. You will still get the opportunity to do a cheeky evaluation at the end and get your certificates because you will have been participating and watching. But we won't be showing any slides. We are just going to be in conversation. Now Phil and I had a bit of a bit of a chat about what we might talk about. And, you know, the topic is medical education saves lives. And it's not just medical, it's healthcare. For me, Health care, professional. There's dawn Dawn, we know is going to be joining us soon as well on one of these sessions. And Kimberly, good evening. So drop it in there where you're from, what your role is now feel well, I don't know about when other people do their sessions, but we seem to have people that appear a lot, and it's so lovely. Did he see repeat names that come through and particularly from other countries? But I'm gonna kick us off then. Now we've saved that ground. There's no slide. You can just listen. You can Potter around, but I'm going to kick off with a question for you, if that's all right to start us into a bit of a conversation. And you just said about making sure that medical education gets to the right people that it can get to hopefully millions and millions of people. But how are you going to make that happen? And How do you know when you're making that happen? I think it's going to be my first question that will roll into a bit of a conversation. Yeah, it's really good question. Um, I guess backing up to think about what is the problem is really important. And what problem are we trying to tackle? And if we're really going to save lives, then you know, how do we best do that? And, um, one of the kind of numbers that when when we were starting metal, that was like an ear worm for me that I just couldn't get out of my head was the number of healthcare professionals that we need to train on Planet Earth, which is 18 million more. And it's by 2030. That's what the World Health Organization says. We need to train 18 million more healthcare professionals by 2030 and it can take up to 15 years to fully train health care professional. It can take hundreds of thousands of pounds or dollars, regardless of what currency you look at it. And, uh, that's currently fluctuating a lot, uh, tens of $500,000. Um, so but it's really expensive. So um as we got some big problems and then The Lancet, one of I guess one of the most trusted medical journals actually talks about how we face grave deficiencies in our healthcare training capacity. So we've got like, we need to and 18 million healthcare professionals. But we don't have enough resources to train even the ones we have on the ground right now, so that creates a bit of a problem. Um, and and so we're kind of talking about Well, how does how does healthcare education save lives? I think it's pretty simple, actually will help to train more people. And I think it's really important to, um uh to to think about how many healthcare professionals are going to need in the future. Because we talked. We talked a lot about artificial intelligence. We talk a lot about technology, replacing healthcare professionals and so on. Actually, I don't think we need to worry at all. We need so many more healthcare professionals that actually we might be grateful of a little bit of artificial intelligence. We might be grateful of a little bit of technology in the future to help us, but that need for more people. Health cares about people ultimately. And the need for more people, um, to work in healthcare is super important. Uh, why we don't have enough. And actually, um, that disproportionately affects people around the world. So in the countries which have the greatest need or the areas which have the greatest need, there are the least resource. Um, uh, there are, like, 11 countries in the company of Africa which don't have a single medical school, and I find that intolerable. Uh, that's not right. Right? Um, there are about 20 countries, um, on the count of Africa was only a single medical school. In fact, um, there is a disparity between high and low income countries of up to five times fewer resources to actually teaching free healthcare professionals in low income countries versus those in high income countries. Um, so it's It's a really big problem. It's a global problem. How do we know that we're going to tackle it, I guess. Was the other part of your question um uh, like the number of healthcare professionals increasing the number of healthcare professionals that we are training as healthcare community increasing. And we think the only way to do that is collaboration. The only way to do it is digital. Um, if we truly to scale up to the quantity that we need, we can't keep doing things the same way. We need to make training more accessible. We need to help it cross borders. We need people from Liverpool to be able to join sessions that are being run from London and Loss An and Los Angeles and Cape Town. Those you know, those cross country cross border collaborations are really important. So have I answered the question you have, and I couldn't help but think you're sounding more sounding very public health, so as opposed to cardiothoracic surgeon, which is a very different space. But I'm really pleased because my background public health, that's where I've been for a long time. And there is something about addressing the neck that sit there and helping to address those needs that are that are out there. We know it's only going to get worse, and those inequalities are widening so totally so. If I think too, what we've done it learned with nurses. We didn't have such a big ambition to start with. You saw the need and and And was that that was that was 2020 when you saw the needle, when you took the plunge to see the need. Yeah, so I guess one of the first times that we noticed it was in February 2020. It was before kind of lock downs that were happening around the world. Um, we actually planned. We existed as a company, right? We existed as a company before covered, and, um, it was actually pretty tough. It was pretty tough to get, um, kind of webinars or anything like that to happen. It was like, I wonder what it was. It was bizarre, kind of. You know, this was this weird, wonderful beast. It was like some sort of unicorn that nobody had heard of. Um, nobody really wanted to engage in. And they all seemed a bit complicated And, like, stuff like that, it was, uh it was just just not the done thing, I guess. Health care. And in February 2020 we were actually running a face to face event in Birmingham in the United Kingdom, and we were bringing healthcare professionals from around the UK to allocation in Birmingham. We had kind of academic staff in Birmingham. We're going to be doing some teaching training and we're running out of metal. And we didn't feel like that was responsible at that moment in time. So we haven't been locked down, but at the same time, we didn't think it was appropriate to be bringing healthcare professionals from around the country to a single place. Just becomes a super spreader event. You know, metals in the headlines for all the wrong reasons why we didn't want that. So we decided with, like, 48 hours notice we're going to change this to virtual. That was the place that things were changing at that point in time. So it was, um it was kind of really frantic kind of change of pace. And what we actually noticed was we three x number of people who actually attended, which was really interesting. Um, so we had, like, a handful of people who read your face to face and very quickly in $40.03 x, the number of people that we were able to teach and train on that teaching session and that I think was a bit of a penny dropped moment for us. of, um, maybe there's something in this. And when we look at the problem, is this a potential solution to actually teach and train more people in in a more accessible way? Um and, um And then, yeah, coated kind of petrol on the fire for that? I guess not because there was a new technology, not because it was like there was some quantum leap in the technology, but I think it was a quantum leap in the acceptance of the technology of to say, like, this is normal. This is okay, this is interesting. We should do this. And to do that across the entire population was it was Yeah, right place, right time. Yeah. And to not do it across the population to do it fast. I think that's the one thing that came three with codeine and the pandemic was the pace of change. Whether that was good or bad, with the pace of change really had to push things. And for you to have done it in two days, that was a very fast process. Uh, I will. It's reminding me. So I ran my last face to face training in March, so I was and it was It was early March, and no, it wasn't. It was about the 16th of March. It was a couple of days before lock down started, and I put it off to a machine to teach a room full of practice nurses Now again upon reflection. But there was a commissioner wanted me there. It was the way we did it. And I was the only person on the train. It was really odd. Um, and that was on the Monday. No, it was on a Tuesday, and by the Thursday I had to do another session with in one's worth with a load of counselors and that we had to switch it from from face to face to virtual. And I didn't have a clue what to do, but I didn't want to let them down. So that's where I quickly learn how to use a different platform, you know, maybe won't name and shame we Absolutely. But we used a diff platform which in its time worked fine for me. Absolutely fine. I was having to learn while doing and, you know, and it was and it was okay. It was okay. I can't say it was my finest moment, but but it was okay. But I think so. So in thinking about medal and what you've done, because actually your achievements have been pretty astounding. What would you say? Your most proudest moments. You know, what were your milestones or the bit? Bloody hell, that was brilliant, you know, big bit. Uh, in case you don't remember what pill and I still knows, I swear, and everyone that's done a session with me knows that I might get a bloody hell or something like that. And and that's because it's the real world. We have dogs barking dog, you know, Amazon gets delivered things. That's another bit. I would say that it's done for changing the world. That of education is that the real world has to kick in. You know, you do have the real world sits around, you're not sitting in an artificial classroom anymore. But go on. What is your What is your big moment? Um, I think for us it's one of those, like, pinch us movements, that this sort of stuff makes a difference. And that's what gets that's what gets me out of bed in the morning is what gets other team members out of the bed in the morning. And it's when you see that real life impact of this sort of stuff. It's like, really makes you pinch yourself to say, I can't believe we get to do what we do And that's never about numbers. It's never It's never the numbers that actually make you excited. It's the personal impact that it can make on an individual. So, yeah, we want to make an impact on a scale. Yeah, that's really important. But when you actually zoom down in on the individual contributions that makes that's, that's the real impact moment. Why? Because we're all humans. And actually, that's the thing that makes your heart race and gets excited. And And I guess there was one of those one of those moments in the spring of this year, when I mean you'll see on the right hand side in our chat box that we ask people to verify themselves before, um uh, chat in metal events. It keeps it super open. It means an organization can truly open the gates and say everyone is welcome completely advertising event across the healthcare community. Um, you don't have to worry about kind of embalming or any of that stuff. It's just really nice and secure you can trust. The people here are joining, and occasionally a couple of times a week, we get people to reach out and say, Hey, I can't verify myself for whatever reason and we have a process in place to help those people. Um, but in the single day we had in the high tens, if not into the hundreds of people reaching out to say, I can't verify myself. We haven't seen this before. Like what's going on? Um, who? Who heads up support that metal? Amazing. It's amazing what a big like to see. So it's incredible. So you've actually reached out to some of these people and said, Why? Why can't Why can't you verify yourself just to figure out what was going on? And as the answers started to come back where you saw a bit of a pattern of what was happening and they were saying, I don't have access to my institutional emails right now and do you know what? I don't have access to my I didn't get a letter from the dean of my university to say that I can access medal. I think it was important. Thanks very much. Um, offense. Um and what was happening was actually, these were Ukrainian medical students who had to leave the country at a moment's notice. A wonderful organization. Who? I I know you. You know, uh, some of those involved, but, uh, Crisis Rescue Foundation, Amazing organization had recruited hundreds of healthcare professionals around the UK, actually teach and train Ukrainian medical students virtually during the war. And as part of that process, they were using metal. And, um, that was a real pain for the moment. Um, not only where they teaching and training Ukrainian medical students, but they were doing at scales. They were teaching 2000 Ukrainian medical students seven times a day every single day for, like, two months. Um, and they weren't doing it like some sort of imperialistic UK. Teach the Ukrainian medical students kind of thing. They were doing it so they could actually free up the clinician's on the ground who are trained clinicians who were teaching and training face to face to instead provide face to face patient care center, bolstering the medical resources on the ground And that was a real pain in the moment. Why not? Because it was It was. It was an amazing group called the Crisis Rescue Foundation. But they were using our technology and being empowered with our technology to do. And that is exactly where we want to be. So, as I said, the Crisis Rescue Foundation Sharon is a force to be reckoned with, isn't she? She is incredible. Um, so joy. Yes, you will be. So Yeah. So totally amazing shower. And she was done. She did the vaccine taxi. She's and all sorts of stuff and some. Yeah, I've joined in with her taking blood pressures in random places around the country to people who would not be able to access services, care and education. That's that is wonderful. I love that. Well, if I can share some of the pinch movements that we had with with nurses and we do want to tell you I was set up differently, so I may have sort of shared this story with you before, but I got over it early on. I took it to ambush, um, just to let you know. But I didn't have symptoms at that point. So I hope hopefully I didn't even get too many people. But I I literally was floored by it. And I had a you know, I had to stop all my working stop. So that was fine, because I couldn't go to work anyway. Gave it to my daughter. She ended up being hospitalized. You know, I was I was very giving when it came to cave in back in the early days. Um, and then I remember seeing some of the lectures that were coming out some of the webinars. And I remember thinking and apologies to all of those, but I just felt like the great and the good talking about stuff that I didn't think was important. Well, that there was other stuff that was still going on. I was thinking Cove, it is really important. Of course, we need everything there, but I don't want people to forget about BP. And people are still going to be having heart attacks. And what you know. So I didn't want people to forget that, and I thought I'm really bored. What can I do? I've had to go at this other platform ages ago. I'm just going to see what happened. So I did this. I called it the basics of BP. Half an hour of me talking about the receptors and dinner ladies and dinosaurs and stuff and put it out there on the, uh what's the word but on a link? And, you know, over 100 people signed up in a couple of days and I thought, Well, this is incredible. So I did another one and that went and it just sort of hooked on. Now. I wasn't trying to do anything fancy. We were literally using surveymonkey to do evaluations. We're using two different platforms. I thought people want certificates We were downloading and mail merging certificates for hundreds if not thousands of people all doing it as volunteers. Because because that's what we we didn't know. We just thought it was going to last a short amount of time. I started saying to my main job, or you want to come and go at this. It's so much fun. You get to teach and you can't get it wrong, but you can get it wrong clinically. But it doesn't matter if the washing machine is going or if you need to go and answer the door because because it's, you know, we're giving it away and we're trying our hardest, and we're working within our code of conduct and and it's all fine. So we did that for a little while and started getting people together, and I sort of got more and more to start with nurses involved because they were like, You know, I love a bit of that. I love to do a bit of diabetes And then at one point I thought this was back in 2020. I thought I might need to start thinking about going for some funding. I'm still on that page if I need to think about getting for some funding, but you know it will happen, it'll happen. And and so I did a quick survey of just what it was like. You know, I thought I'll just find out what people were saying, what people were thinking different to the evaluations that we do at the end and the one that came back for me. Well, there's a couple of comments that came back and won that resonated with me when somebody wrote back. You don't know what this has done for me. You don't know. I really struggled during Covitz. I'm not at work and not felt, You know, that whole survivors guilt where people were having to shield themselves. This was a nurse who was having to shield herself. Couldn't go to work. I felt awful because she couldn't add, but But she was feeling. But at least she could still feel like she was doing something and that something was learning a little bit more. And that one. Really? Even now, I'm getting to pills from it because, you know, I think we became a space in those early days of 2020 where people could for half an hour, 40 minutes. Just forget about the crap that was going on on the walls, out in the community, out in their place, wherever they were. And they just came and learned or refresh themselves on. Nothing to do with David, you know? So we have friends who were, You know, I have friends who was a sexual health nurse who is now working on a reward because they've been redeployed. But if you could come back to just think about what was what was really in your heart but that you've been working in for many years. That's what they really felt. And and it's just to me just really resonated that what we were doing was something, something right. And then we started to realize that people liked our style of being a bit chatty. And our style was we wanted you to just feel like you're having a coffee with your mate and having a chat about something and that we didn't want to make things complicated. We wanted to make things simple and that often we wanted to have a space where people, you know, that I do BP do BP a lot. And you know, often you get to talk to you. As a nurse, you get taught how to take the BP. But you forget you running angiotensin and all of that. And as you get a bit older and you've been around for many years, it's very hard to go and so so remind me what that is again. What is after load? What is all of that? You know? And so it was almost filling those little spaces where we are. And so you know, we're now to and bit years in. And we have these amazing team people that volunteer. We will get some funding one day. I know. You know, I know that's not the issue for this while so I've still got people doing it in the volunteering for it. Um, I don't know how long we've got people to keep volunteering for it, but as long as we keep having that and I think it's because for me because of guys like you with medal allows us to continue doing what we're doing, so I don't before I have to pay myself for the other platforms, you know, I paid for the platforms to do the education. Now we have it, and it's just fantastic. So I just had another moment. Another, um, and this is why I wanted to get, you know, when you were talking about really honing down in and you, you know, you were just talking about all those Ukrainian people who were healthcare professionals who were being trained. I did another survey out recently. It's still live, called lone, with nurses in me, because again, I wanted to collect the story's because stories are what make it come alive? They're They're They're They're They're the real flavor, you know that you can hold it. And And I think actually, I saw one of the nurses on here. So we've had a few sessions where people have written in to us and told us the difference they have made how they've changed their practice. So I saw that somebody had attended a mental health, but in physical health conditions, um, one of our mental health sessions. And they said that they wrote it and so they went back. They were doing an assignment. They wrote an assignment about what they learned online with nurses using medal, and then decided to go back to their back to their place of work and change the process so that patients being discharged with long term conditions had a mental health assessment before they left, all because of a 30 minute session. You know, it's just so for us, it's not about changing the world. It is about helping people to want to go and do something else. It's that bite size. We're not gonna make full study days diplomas, all of that. We're just gonna want you to go and learn a bit more of find out a bit more that's there and you make it happen. You make it happen. So we couldn't do it without you, Uh, goes to the way it goes two ways, right? So we couldn't We couldn't survive without actually the amazing healthcare organizations and healthcare professionals. And And I think it's that kind of community approach, which is really, really important if we if we wanted to scale up the amount of healthcare professionals that we train. Um, I guess you're I We could just be like on our own, and we could try to teach more and more people. And, um um, it just doesn't work. You know, I think that really needs, like, a team effort. It really needs everyone coming at this from every angle on working together and in that healthcare community, because that is where the that's where the real value is right when we work together. When we collaborate. When, um when everyone in this community is pulling in the same direction, then that means that collectively, we can solve some really big and challenging problems, and, um and I think that's that's the kind of posture where we got to where we felt like our position was simply to enable and empower and, um, rather than make this all about us, rather than us having to be on every single event and talk about us in every single circumstance. The right posture for us was to enable and empower. The amazing organization is amazing teaching professionals who want to deliver healthcare education but just are, as you described, left with, like, clunky tools. And the administration begins to put you off right. So when you start to look at how that happens, people were setting up like an event Bright plus Okay, I'll say that Zoom call, plus, like then in the zoo call like pasting in like a surveymonkey or a Google form. And then there's like ubiquitously in every organization. There's someone called Steve copy and paste names from a Google or a Surveymonkey thing into like a Microsoft Word document template. It saves them as pdf, and then they either email them out individually or the mail, merge them and have locked down their computer for like, three hours whilst busy mail merging like 300 certificates or whatever, and then they're downloading something from June because they only have, like, a big amount of storage. And then they added, Somewhere else is on demand because that's nothing. And then they add in the same surveymonkey or Google for link into the on demand content. And then there's no guarantee that anyone ever watch that video like, What are we doing? Like, What are we doing? Like, these are people who are just passionate about delivering healthcare education. We need to do everything we can to support them, Not like leave them with this, like, taped together mass of like, 20 tools where it takes, like, two hours to administer a one hour teaching session like Come on like this is madness. Um and so and so we felt. If we can sort of those real pains for organizations, then maybe Maybe, maybe we may be able to bring those organizations with us on that journey to make their teaching and learning more accessible and welcome people from around the world. But if we give them the tools to do it and, um and I think I think that's never going to, I think that's never going to work unless we all kind of pull together and work together in that space. So, um, yeah, it's kind of interesting to hear you talk about, um, some of that journey, and, uh, well, I just, you know, pop on the chat. She said I don't miss mail merging certificates, so Well, we've, you know, we've delivered, I don't know, three of the last time we counted, which was a couple of months ago, I think 350 different webinars 20,000 healthcare professionals. 20. Yeah, 20,000. Some were using the old system. Most of them were using the new system, which is much better. But we did mail much thousands and thousands, and thousands of people email it back. I didn't get a certificate. We put the teens and they said, Oh, it was painful pain painful. And actually, it's only because of this collaboration and the style on the pace of change. Um, and that willingness for me to say fill, can I have this? And then it sort of magically happening or you say, Well, I've already got it going. That's really allowed us to be able to do what we do, and that's allowed us to have well we've got nurses, but not just nurses. We've got all different healthcare professionals with our pharmacists. Physios? Um, yeah, and And our range is widening as well on the sort of the topics and where we want to get to in the same style and format. That 30 40 minutes, That's all you're going to get. Actually, I've got different coming up, but But that's that, you know, for us to be able to continue doing that now, I often I do often, um, talk about meddle in a very kind way. And I'm always promoted, you know? You know, and I would say I'm not on commission. I'm not on commission, but it made my life so much. You know, I'll drop you an email. I'll drop you an email. Still trying to get to the council to use this morning because I was doing a face to face session. Um and I know I know face to face sessions are you know, to me you can have both. There's a place and a time for both. It was wonderful doing some face to face absolutely wonderful, and I resisted. So I was one of the one's pre K did. I don't want to do anything remotely. I didn't want to do any webinars I didn't want to do. I certainly didn't want to do online training, Whatever. That because I've done it. Mandatory training where you try and click What? I'm going to go on fire, you know? And what pencil can you pick up off the floor? And I used to just do that of how quickly I could click through it the least amount of clicks just to get through the mandatory training. So I think the world has come such a long way since David's in making this style much more accessible. So where do you think the future of training is going, then? Um, where is it going? Yeah, it's really interesting. Um, so, uh, we don't think that virtual is going away anytime soon. Um, particularly those shorter, Like up to 60 minute type sessions. They're here to stay. It doesn't make sense for people to travel kind of 60 minutes to hours to attend the 60 minute teaching session and then drive home again. We don't think we don't think that's gonna go away anytime soon. Um, interestingly. And I love that you're you're making this on demand. Um, we think that on demand is actually going to become really important, but only in the right format. So only in a engaging, interactive format we think that's going to be really important. Why, um, if we are truly to think about accessibility, if you're truly to think about again, that scale of training that's needed live is awesome. But it's not a magic bullet. And, um, if you live in a resource for setting, actually watching a live thing is kind of pretty crappy. Actually, you know I'm going to have to go to a specific place with a specific Internet connection might not be a good time for me, and I'm actually being able to watch at a time. And importantly, an Internet connection is really important. And that's not just in the resource ratings, right. I live in Northern Ireland, and sometimes I know the Internet here is pretty patchy, and I have to watch on a specific Internet connection at a specific time if I want to do something, so it depends on kind of, uh where you live. So I think on demand is actually going to become really important and engaging on demand conversation on demand. Conversational teaching and training will be will be really important, not that kind of clicking through everything. And I think that I think that's gone. I like I don't think that should return. That's not learning. That's kind of forcing someone threw something that's not actually teaching or training the mental thing. Um, I think I think I think that's only going to increase. I think that shorter sessions are only going to increase. Um, we've seen some really magical things happen with hybrid when it comes to kind of those bigger events as well. So Congress is a conference is really important for, um, learning and training, and we've seen some incredible things. So another one of those pinched me moments was, when we as we part the British Association for Pediatric Surgeons in Birmingham this year amazing organization doing, um, really high quality education. And they they use metal to completely hybridize there. Congress. So they set up poster halls. They digital post holes. They set up parallel sessions. They have their main stage kind of hooked up fully hybrid, so everyone in the room can actually chat on the phone to the people who are attending at home and like no sign. And I think it was like, really magical. And one of the amazing things that happened there was that someone from the Yemen actually presented their research on stage. That sounds awesome, right? But when you take a step back and you think How awesome is that there are no commercial flights in or out of the Yemen and that person had the same right to present the research that surgeon had the same right to present the research and International Congress because it was made accessible. I think that's got to be, uh, the future it's got. We've got to think about how we include people and even though we can attend face to face and I love seeing people face to face to write, I'm not a complete hermit. Um, you know, I actually, just because we can have coffee together because we can see each other together does not mean that those people who have been joining us for the last 2 to 3 years should suddenly have the door closed in their face, right, And it's really, really, really important that we as a healthcare community. Continue to say you are welcome. And we're here together in this space, and we continue to welcome you. Um, and even those big Congress is going back to face to face. If we really want to push into accessibility, we've got to think about hybridizing. We've got to think about how we include people. It might seem like fast. It might seem difficult. It's really not that difficult. And the impact of it far, far, far outweighs any fast that could go in all It takes a little bit of conscious about talk to us if you think about doing it because we're happy to help. And we've done it so many times before and it actually is a breeze, um, and the impact that can make us massive. So, um yeah, just some some ideas about where the where the future is going from our side. I'd be interested here from your side. Yeah, so I mean, for me face to face, I'm loving going back. But they're my small little ones. I see a small little ones, you know, specific and things like that. Look at that and you've already got a bit there for you. You don't Don't worry. Philippians contact. It's lovely. I do think that that again, those short sessions I'm pondering on letting them be on demand for learn with nurses. One of the reasons why I didn't very early on was because, um, we found a lot of people felt that they wanted to join in. They wanted to join in and they wanted to be part of a session. So we may. We'll get to a point where we'll run both. You know, we'll have some on demand and we'll have some, um, we'll we'll run them live as well. Um, because people still, um, part as well because of the trainers, they enjoy doing it and feeling that you're interacting like we can talk here to the chat and stuff. So I think there's a slightly different dynamics. I do wonder where the world of er six and I started to look into that one because I think you could get really amazing training it, but only once. It got really quite slick again. And I've seen er do some. I mean, I've seen it transformed my daughter's world. We are, so she was quite restricted on mobility. She went clubbing one night for half an hour in a virtual club. She was, like, more like dancing, you know? But she didn't have to get changed. She didn't have to, you know. So I think there was a space for VR to make it even more interactive and alive, you know? But I don't know about all of the headsets and stuff yet, but I'm sure that's going to be a space to go find. You heard it here first. I think clubbing with learning with nurses, that sounds like a We like to keep it relaxed, but we have. We think we have started and they've been going quite well. And it said, For me, it's another way of learning because one of the things and I'm sure well, you joined us on the CKD one once you remember, when that front is where the magic happens and it was all, um, I try to make it easy to get in your brain, and if it's in your brain, it will stay and you can tell your story. And it's useful for patients that, um but we found another style, and that's our quiz is people love the quiz. A 10 question quiz. Score yourself. People are sharing their results, and for us, what it does is we don't see who's what answered what. But we can see what are the popular answers that people don't get right, which help us to inform what we might talk about next and what we might do. But, yeah, we find we love a quiz and people still, you know, we have competitions. We put it up over Twitter. Our latest one is V T, and the hospitalized patients are average score is 42%. You think that's bad? That's bad. You know, you kind of think Well, we all know about V T A. We all know about, but actually the same with heart disease and women average score about 49. 50% are scores are amazingly high now. We can't guarantee that it's not just only health care professionals that join in, um, like when you've got it on medal but actually were splashing around in the health care professional world. You know, nobody, very few people on Twitter were randomly going to find us as you know, the way we're at. So we found. It's that short, engaging way, and everyone loves a bit of competition. Um, and we found that's a good way to get people to want to come and learn a little bit more. No, thank you. We're doing. I'm going to submit my answers because the poll is out. And so we do love a pole, and that's what we love about. Well, with with with with medal is the ability to do the polls as well. So we've got a couple of minutes left. So if anybody does want to post a question so we've been chatting away. And just while you're thinking about if anybody wants to pop the question, fill and I tend to communicate on a Sunday morning, um, randomly over Twitter and we both do lots of emojis. I put lots of full stops, and that's how sometimes when, when you first were going medal live your first one. I was like, I'll do it. Give us a go, let practice. We'll work out any glitches, we'll sort it out. Um, so that's kind of when we come up with our ideas. But if you've got any moment or two and you got any thoughts, comments, questions. Pop them in the chat for us. I should have said it earlier on, Dawn said. They've got an annual symposium, and we want to find a platform with some sort of online technology without the headache of disjointed work. Medal bill. Yeah, and I think you've done on that. You're the same. Dawn Stevens in There can't be more than one Dawn Stevens around who's going to come and join us and do some, um, metal metal metal, along with nurses in conversation about parish nursing, which I met Parish nurse is I did a session ages ago on BP, I think on cholesterol. And in fact, we know that Dawn message does about some sort of something that she had online with nurses that made a difference to her practice. It is you, Dawn. I knew it might have been you, and you thought it was you that actually we were doing women in heart disease. We did a session on women and heart attacks and stuff and how it's different to in men next day. There she was with a woman sorting it out, found the heart problems that wouldn't have been found before. So amazing stuff. And we can only do this through collaboration and Yeah, well, Phil, 10 past eight. Neither of us have got to be on our hands. How is this working? We barely swore, but you've not swollen at all. I just said bloody, maybe shit. But that was all right. So I think we don't have a future we might need to get. I know. Sorry. So look, Dawn said it was life changing for how amazing is that? Just And those are those pinched me moments. Those are the ones that are there. Surely the next heart disease in women. I've got to repeat them so they will be coming back. But we do have if I'm going to tell you a little bit about the future, if that's all right. So we're gonna have lots more of these style sessions where we have a bit of a chat. I've got two organizations to do, but not just women in heart disease, because it's wider than women. But beats cad, which is about spontaneous coronary artery dissection. Some of the trustees, their their healthcare professionals and women are going to come in conversation session with me. and they may well do some webinars and trying to get people to build up into their sessions. Um, another one is with the International Heart Spasms Alliance, which again is another small charity that has come through this one. And it's only come about from us doing those women's series. We've got something from White Swan coming to talk about fibromyalgia and not fibromyalgia, as in what is fibromyalgia. But actually, what is what's been going on in social media and people saying when the little spiders go out and find out about it? So very interesting way of looking at data from a different perspective. So those dates are all going to be coming out over the next few months and do look out for the night. These are going to be on demand, so I must remember not to swear. I'm sorry, Phil. I must have to swear I'll fail, but I must remember not. Well. I don't see the big words, only the little ones, Um, and so they're going to be on demand, and I want to turn these things into podcast so that people can listen because we know a lot of people listen to our stuff. There's a lady that wrote in, she said. She listens to stuff on inhalers while training for the half marathon, and we have other people. Well, I'll tell you another day, I'll tell you where people tend to listen to us. But we did a little said, Well, I'll tell you now. This little survey is we have people and this again is actually coming back to that accessibility. There was somebody in Scotland. You have to climb a tree to get enough WiFi to listen to a session. So you know people want education. They want training, but they want it to be good. They wanted to be accessible, and ideally, they want it to be free because budgets are getting tighter. And I know that through the through the lock down, and certainly over the last couple of years we've had lots of nurses to come back to us and say, I couldn't have done my revalidation without loan with nurses. I couldn't have collected enough training time with one person who had gone on holiday and got caught abroad and can come back for months and months and missed their revalidation period so they could do it with the training. So I think going forwards we've looked of exciting times ahead. I think we'll get to meet each other in real life in a couple of weeks if we sort it out. So well, I'm gonna leave the last the last round up, the last something to you, if that's okay throwing you on the spot. But I don't really know how to follow that, but yeah, I mean, just really thank you from us. So thank you to learn with nurses. Thank you to all of your educators. Thank you to those if you hear joining tonight, right, You're doing it at a quarter past eight UK time. Um and I know a number of you from the UK So you're doing it in your evenings. Um, thank you for everything that you're doing in health care. And thank you for wanting to continue to improve your skills and learn and train so that your patients can benefit. And ultimately, our communities can benefit. So just massive. Thank you from us. If we could leave you with, uh um a a message. That's really to to say that collaboration is key. We're really proud to work alongside all of you. If any of you wanted to join us on that mission, I'm really happy to talk to anyone. You can pick us an email. Hello at metal dot org. And we'll come back to you really quickly. Really happy to help you teach and train people. I think collectively we've got to all work together. Um, but from us, just a massive thank you. A big thank you for us to Well, Phil, that's that's done. Thank you to everybody for joining us tonight for our first session. Um, it was just a chat, and it was lovely. So you learn with nurses in conversation? Uh, over and out. I think we're there. And see you next time. Thank you. Everyone take by. Okay.

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