In this interview with Kaishin Tanaka we talk about his pathway and experience as a Junior Doctor in Neurology, Neurosurgery and Neurointervention terms. We breakdown the neurosurgery training pathway in Australia and also talk about how to become a neurologist. Including the basic physicians training program. I hope you enjoyed it as much as we did.
Please note we do not represent any of the colleges of physicians or neurosurgery. Double-check the details on their websites to ensure accurate information. Cheers!
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In this interview with Kaishin Tanaka we talk about his pathway and experience as a Junior Doctor in Neurology, Neurosurgery and Neurointervention terms. We breakdown the neurosurgery training pathway in Australia and also talk about how to become a neurologist. Including the basic physicians training program. I hope you enjoyed it as much as we did.
Please note we do not represent any of the colleges of physicians or neurosurgery. Double-check the details on their websites to ensure accurate information. Cheers!
Shout the next Coffee: buymeacoffee.com/DrSyl.AU
Become a Member: youtube.com/channel/UCiOBkubL46VQT9mPqrnJlrQ/join
Become a Patron: patreon.com/DrSyl
and this is it's very taxing exactly and
0:02
as a neurosurgery registrar you you do
0:04
work long hours obviously you make sure
0:06
you get your divorce before the training
0:08
because doing a divorce during your
0:09
training will be very
0:11
popular to get one after you finish
0:13
everything okay right
0:15
[Music]
0:19
hey guys and welcome to another video dr
0:21
still here junior doctor from sydney
0:22
australia and today i'm talking to dr
0:24
kaishin tanaka
0:26
he's the registrar on the neurology team
0:28
that i'm with thank you so much for um
0:30
having a chat to us
0:32
i feel like you've done um almost every
0:34
term that's related to brains you've
0:36
done neurology neurosurgery neuro
0:39
intervention and i thought it would be
0:40
great to talk to you a little bit about
0:42
the basic physicians training program
0:45
your pathway why you love the brain and
0:47
your story yeah so first off though i'd
0:49
like to know was there ever a patient
0:51
case or anything that you saw clinically
0:53
that made you like fall in love with the
0:55
neuro side of medicine
0:58
i i don't think there's a specific case
1:02
that made me
1:04
um think of like euros what i want to do
1:07
oh my gosh
1:09
this is a
1:10
realistic okay what is it it's going to
1:13
be in a stroke it's a stroke let's go oh
1:15
we're not the team in charge of stroke
1:17
right now so
1:18
there are there are doctors going to
1:20
that stroke call don't worry
1:22
um
1:23
what was i saying yeah so yeah there
1:26
hasn't been a specific patient um
1:28
there's been several patients along the
1:30
way which has
1:31
made me
1:32
or which has you know affirmed my
1:35
interests in the field
1:36
i think for me um my interest in euros
1:39
started
1:40
when i was probably when i was a medical
1:42
student um
1:44
as we were going through our rotations
1:46
in different specialties when i got to
1:49
my neuro rotation
1:51
just learning the science of everything
1:52
and learning how there's still so much
1:54
that we don't understand
1:56
how you could read a textbook and they
1:58
would have a name for an anatomical part
2:00
of the brain but they don't know the
2:01
function of it it just you know
2:03
fascinated me and
2:04
made me want to go into that field to to
2:06
understand it better
2:08
and also maybe to maybe understand
2:10
myself
2:11
better as well really so it's kind of
2:13
like you're using your own yeah to
2:15
discover your own
2:16
somehow i felt like that could
2:18
yeah that could satisfy that kind of
2:20
curiosity as well how much of the brain
2:23
do you think we actually understand
2:25
i think as a percentage i i think
2:28
that question
2:30
the answer that question changes every
2:32
year that we get more research does it
2:34
get bigger or smaller i think it gets
2:35
smaller it's like we we think we've
2:37
gotten somewhere and then we realized oh
2:38
it actually there's this whole other
2:40
side of things that we didn't
2:42
know about and um you know it just opens
2:44
up more questions yeah exactly i reckon
2:47
that begs the question like do you think
2:48
we would ever fully understand the brain
2:51
and if we go along that trajectory of
2:53
thinking i think that you start when you
2:55
start going to that it kind of ends up
2:57
being a philosophical discussion about
3:00
um
3:01
you know what is
3:03
the brain what is consciousness like
3:05
what is it what does it mean to
3:06
understand the brain well we deal with
3:08
that exactly you deal with that in
3:09
neurology all the time exactly so what
3:11
are some of the interesting cases you
3:12
saw
3:13
yeah so
3:13
[Music]
3:15
from when i was
3:17
working in intervention there was a
3:20
a case with a
3:22
child about seven to ten years old
3:26
he came into our hospital
3:29
[Music]
3:31
after he had played he was playing on a
3:33
see-saw and he'd just fallen off and
3:36
became completely unconscious after that
3:38
um
3:40
he he came to a hospital we found that
3:42
he had um
3:44
a lot of blood in his brain um and after
3:47
they did a contrast scan they could see
3:49
that he had this enormous aneurysm that
3:51
was taking up like a third of the size
3:53
of his the space in his skull
3:55
essentially yeah it was huge huge
3:57
aneurysm so we think that that was
3:58
obviously there before the the fall yeah
4:00
it was just no one obviously hadn't he
4:03
hadn't had scans for whatever reason i
4:05
mean he wouldn't have had to he was fine
4:07
until that point
4:08
um and he's obviously this aneurysm is
4:10
obviously ruptured so he's been living
4:12
with this aneurysm the size yeah his
4:14
brain yeah his whole life he falls off
4:15
the scene
4:17
it's popped and yeah so he's had this
4:19
massive hemorrhage into his brain so
4:21
guys aneurysm is when a blood vessel is
4:24
dilating so someone had an anatomical
4:26
abnormality so big a big blood vessel
4:29
and then it's weakened because it's so
4:31
dilated and it's popped after a fall
4:33
yeah yeah so
4:35
he came to our hospital um
4:37
because he was in the area he would have
4:39
otherwise gone to a children's hospital
4:40
because it was such a critical
4:43
case
4:44
he came to us um and then that's when i
4:46
i was involved from the morning he came
4:48
in the morning and we were basically
4:51
trying to figure out what to do with him
4:52
for the entire day so he he went to the
4:54
interventional department first
4:57
we tried to coil the aneurysm and
4:59
stabilize the the bleed
5:02
he and just to kind of break that down a
5:05
little bit for like medical students and
5:06
people who don't do medicine coiling an
5:07
aneurysm yeah you're basically also then
5:10
filling up that kind of
5:12
uh enlarged blood vessel with a bunch of
5:15
metal coils so it just physically blocks
5:17
blood from
5:19
flowing out through that right side
5:22
stops the blood yeah right right by
5:24
filling it up with something else
5:25
essentially yeah
5:26
um so we tried to do that um and it was
5:30
it seemed to be somewhat successful but
5:32
he was still
5:34
very uptuned and and obviously unstable
5:36
so unconscious and yeah unconscious so
5:38
he needed to have surgery to decompress
5:41
that um which i also got the privilege
5:43
of discovering in for as well
5:45
and so i got to see them decompressing
5:47
this child's brain so how do they do
5:48
that so opening up the skull essentially
5:51
just making an incision a rather large
5:53
one taking out a piece of bone and just
5:56
letting the brain relax and so when they
5:58
take the bone off is it a circle that
6:00
they just they kind of pull up and do
6:02
you see the brain you see the brain
6:03
swell right i see the brain swelling out
6:05
and you can see how tense it is you can
6:06
see the blood as well that's it in the
6:08
brain do they remove some of them yeah
6:10
you generally kind of wash it off um you
6:13
know trying to release some pressure but
6:14
you're basically just trying to take out
6:16
the skull so the brain can just
6:18
expand out have room to expand it
6:20
doesn't
6:20
um get constricted in the confined space
6:23
of the skull because that's the main
6:24
concern if if uh
6:26
if a brain is um got too much pressure
6:29
inside um and you don't believe the
6:30
pressure then it damages everything in
6:33
that just leads to permanent deficits
6:35
basically what happened after so after
6:38
that he
6:39
stayed in the icu for just just
6:41
overnight just because um they wanted
6:43
him to be stable for transport to a
6:45
child's children's hospital um and he
6:48
was subsequently transferred
6:51
um following on from that um we did a
6:53
review of his imaging um on our end
6:56
um and we found unfortunately that he
6:58
actually suffered
7:00
had suffered a stroke another stroke
7:03
whilst he was having um the
7:05
interventional procedure which we
7:06
couldn't see the time
7:08
because he was being brushed off to
7:09
surgery and everything
7:11
and
7:12
it was one of the reasons why the
7:14
children's hospital was actually having
7:15
a lot of difficulty
7:16
waking him up from his um sedation
7:20
so unfortunately what actually happened
7:22
we had found is he had um
7:24
he had developed an ischemic stroke so
7:26
there was actually a clot that developed
7:27
in one of his other blood vessels
7:31
it's a complication of having had the
7:33
having to trying to do the coiling
7:35
procedure right yeah because that's one
7:37
of the risks of coiling procedures so
7:40
you're fixing one problem that saved his
7:42
life that day yeah because causing
7:43
another problem yeah yeah yeah yeah they
7:45
have a very much longer term exactly
7:47
yeah so he just i mean just this kid had
7:51
everything that could have gone wrong
7:54
which is yeah very unfortunate
7:56
um
7:57
but i think for me it just showed me you
8:00
know how much we can do
8:02
um it showed me how much um care needs
8:05
to be taken within this specialty and
8:06
within um treating someone from a
8:08
neurological quantity yes and what i
8:10
remember like i did a new research term
8:12
as a student yeah and that was the one
8:14
where you would see people go from very
8:16
unconscious to very conscious very
8:18
quickly if you if if anything you can do
8:20
but then if things don't work out like
8:22
things can go bad so quickly and it's
8:24
all about the like you just have to be
8:25
so careful very very sometimes you can't
8:27
control it obviously of course yeah yeah
8:29
complications can happen without your
8:31
control and i mean that's one of the
8:34
other sides of it i suppose just having
8:35
um
8:37
consideration of the fact that you're
8:39
when you're the one who's doing these
8:40
procedures
8:41
um you know a lot of um
8:44
responsibility is placed on yeah it's a
8:46
lot of um privilege but it's also a lot
8:47
of responsibility and it's a privilege
8:49
to have that response yeah exactly
8:51
exactly
8:52
yeah yeah um so what what so how were
8:56
you and did you always want to do
8:57
medicine or what was your pathway into
8:59
the medical world and then into
9:00
neurology did you were you born in
9:02
sydney no no i've had a very complicated
9:06
backstory i was born in the u.s
9:09
born in the u.s grew up in the uk
9:12
came to australia around high school
9:14
just before high school
9:17
wanted to do medicine i'd say from
9:19
[Music]
9:20
first year uni did you have an english
9:22
accent when you got to australia i did
9:24
very very strong i'm i'm wondering if
9:25
now i can actually kind of just if
9:27
that's yeah
9:29
it was much stronger yeah it was much
9:31
stronger when i first
9:33
was in australia and then it kind of
9:38
um but yeah i'd say i think i wanted to
9:41
do medicine from
9:43
from when i did my first year of
9:44
universities and what did you do at
9:46
university uh i just did a bachelor of
9:48
science as my undergrad okay and you did
9:50
a bunch of different science courses i
9:52
majored in um medicinal sorry i mean
9:54
majored in medicinal chemistry
9:57
so i had some exposure to biomedical
9:59
sciences
10:00
and that's really what i think made me
10:02
want to pursue medicine as a career and
10:04
so then did you do post-graduate
10:06
medicine yes whereabouts university of
10:07
sydney you said yeah how did you find
10:09
that
10:10
um overall it was fine people find it
10:13
very overwhelming when they've done a
10:15
like you did a science undergrad which
10:17
gave you a bit of a footing yeah but
10:18
still people find it like super that is
10:20
true yeah i mean there are definitely
10:23
parts of doing the course which were
10:24
difficult um and i mean
10:27
medical education is something that i
10:29
think is still an ongoing process of
10:32
improvement for all you know educational
10:35
institutions around the world there's
10:36
probably no perfect way of doing it but
10:39
um you know it's it was definitely a
10:40
help having the science background
10:43
um definitely had some difficulties um
10:45
with you know ongoing clinical learning
10:47
as well like it's difficult i understand
10:49
from a
10:51
from an educational institution's point
10:52
of view it's difficult to always have um
10:55
you know clear
10:57
guidelines as what to learn because it's
10:59
you know it's always changing and
11:00
there's lots of things
11:01
um but
11:02
you know i suppose that was what i found
11:04
difficult sometimes was just knowing
11:07
what i needed to know and how much i
11:09
needed to know and it's difficult for
11:12
anyone to kind of define that as you go
11:14
along as that so do you think that's why
11:15
it's so hard to
11:17
like
11:18
teach medicine like you're saying how
11:20
like it's a process of improvement which
11:21
is a very nice way of saying like it's
11:24
it's imperfect globally there's no
11:26
perfect medical course yeah but like why
11:27
is that why is it so hard
11:30
yeah i think yeah like i think um
11:33
definitely
11:35
the fact that there's just so much stuff
11:36
in medicine
11:38
um
11:39
knowing
11:40
as a medical student what you need to
11:42
know and what you
11:44
can sort of maybe just know roughly
11:46
about is difficult
11:48
um especially when you get thrown in
11:50
textbooks from every single direction
11:52
and then you're everything i need to
11:53
learn all of a sudden one of my pet
11:55
peeves of medical school is like when a
11:57
niche
11:58
like um
12:00
specialist comes in to do a niche shoot
12:02
and gives you a textbook to read like
12:04
the whole textbook it's like that's
12:06
unrealistic we can't read a textbook on
12:07
every specialty yeah guys like just be
12:09
realistic what do we need to know when
12:11
we call you for help that's what we
12:12
exactly yeah yeah yeah so it it can make
12:15
things difficult when you're trying to
12:17
study for exams if you hadn't really had
12:19
that kind of
12:20
framework to begin with
12:22
you may have been kind of
12:23
reading things which may not have been
12:25
um what they wanted you to know about in
12:27
the exam
12:28
yeah um they're clear
12:30
exactly yeah everything about everything
12:33
that's how it felt yeah exactly so i
12:35
think that was one of the main
12:36
difficulties i found
12:39
okay so then you made it through medical
12:40
school congrats yeah that's that's not
12:42
easy for anyone
12:43
um and tell me about your junior doctor
12:45
years
12:46
yeah so i did internship at royal north
12:48
shore hospital uh and then i was a
12:50
resident there as well and then i did an
12:52
sr mario which is a senior resident here
12:55
after that that's what i'm doing next
12:56
year so this year i'm a resident yeah
12:58
yeah
12:59
um
13:00
i really liked working at royal north
13:03
shore hospital i think it was a great
13:04
hospital for me to train at and learn
13:06
the basics did you do any neuro or
13:08
neurosurgery yeah yeah absolutely
13:11
i did a neurosurgery and a neurology
13:13
term oh wow and i got also
13:17
some exposure to other terms i did a lot
13:19
of cardio related things as well well
13:21
that's good because um the heart and the
13:23
brain the two most important organs some
13:25
might argue yeah a lot of strokes of
13:27
course because of the bad hearts yeah
13:29
yeah
13:30
i was also very fortunate that royal
13:32
north shore is a hospital that does
13:34
interventional neuro procedures as well
13:37
so i got exposure to that through
13:39
my hospital in a neurology term uh
13:42
neurology and as a senior resident as
13:44
well and did you so did you do a
13:46
specific neuro intervention
13:48
correct yeah so my my senior resident
13:51
here was focused on neuro intervention
13:53
okay and for people who don't know what
13:55
like for medical students who are
13:56
interested in the brain and want to kind
13:58
of understand what neurology versus
13:59
neurosurgery verse neuro intervention is
14:02
what's how do they split up and what's
14:03
the difference between them yeah i mean
14:06
it's uh
14:08
as with other specialties you can kind
14:10
of look at
14:11
the
14:13
organ systems as a split of a surgical
14:15
versus a medical type of thing
14:17
so neurology is the medical
14:20
side of the neurological system and the
14:22
disorders of it and neurosurgery is
14:24
obviously the surgical sign
14:26
um really the the split just comes down
14:28
to the types of pathologies that you're
14:30
dealing with so
14:32
if you're having tumors or other kinds
14:34
of lesions that physically need to be
14:36
cut out yeah there's no there's no pills
14:38
like you can move yeah
14:39
you can truly do much yeah
14:41
other than just going and doing
14:43
something about it surgically on the
14:45
other hand if you have something that
14:47
you cannot cut out
14:49
or you can't go in and do something
14:51
about like a stroke or
14:53
someone who has a myelin demyelinating
14:56
condition like multiple sclerosis then
14:58
you need to treat that with medication
15:00
and that's where the neurologist comes
15:02
in
15:02
okay
15:03
and so you did your residency in the
15:05
neuro intervention and now is is this pg
15:08
wife
15:09
this is my pgy7 euro yeah so you're
15:12
seven years out and we're up to your
15:13
fourth year of your junior doctor years
15:15
yeah yeah
15:17
so i did um two more years after that as
15:20
a neurosurgery registrar oh right you
15:22
did that as a senior as well yeah it was
15:24
a registered registrar yeah yeah so and
15:26
did you want to get on the program were
15:27
you trying to be able to i yeah i did
15:29
want to i mean neurosurgery and
15:32
neuroscience that was something i'd
15:33
always been interested in i wanted to
15:35
try um giving neurosurgery a go um
15:38
obviously it is a much more
15:41
difficult pathway to pursue in terms of
15:43
getting onto the training program
15:45
um and so my rationale was to give that
15:48
a go first and make sure i have like all
15:50
the
15:51
relevant experience to give it a proper
15:53
try
15:54
um because it's much easier to go from
15:56
something
15:57
competitive to something that's not as
15:59
competitive to get into if you didn't
16:01
want to you know change
16:03
specialties so from neurosurgery high
16:05
competitive high competition do your
16:06
best to get on and if it doesn't work
16:08
out or they expect too many years out of
16:10
you you can then go for a neurology in
16:11
your own intervention which is still
16:12
competitive which is so competitive but
16:14
the competition for that is not at the
16:16
training stage it's actually at the
16:19
consultant level and the sort of senior
16:21
level so okay um it just meant that i
16:23
could progress my training along as a
16:25
junior quicker and get to an area that
16:28
i'm interested in still want to work in
16:30
you know anyway yes you know
16:33
um and did you apply for the training
16:35
program and do interviews and what were
16:37
they like yeah yeah yeah you know
16:39
the surgical biosurgical institutions i
16:41
i only went through the application
16:43
process once okay um
16:45
the i basically just had to a student
16:47
exam and then go through with my cv and
16:50
references and everything um that year i
16:53
didn't have
16:55
the the curriculum or the cv points um
16:59
that they needed and so i was doing that
17:01
as a trial run right
17:03
um and then subsequent to that they
17:05
changed the
17:07
entry requirements for getting into
17:09
neurosurgery and so that would have
17:11
added on
17:12
two more unaccredited registrar years um
17:16
which i had considered doing um
17:19
and i was you know almost going to just
17:21
stay at my
17:22
um
17:23
other hospital that was working out as a
17:25
neurosurgery registrar previously
17:27
um and but then i sort of felt as though
17:29
like new intervention was something i
17:31
had done as a senior resident as i said
17:33
before
17:34
you know it was something i could see
17:35
myself doing as a career i was very very
17:37
interested in it anyway um and you know
17:40
i could go through it as i'm doing
17:41
physicians training as well and without
17:43
needing to all the unaccredited
17:48
yeah like you have to pay how much does
17:49
it cost to apply to it
17:51
yeah so the exam itself i think maybe
17:54
cost me about five thousand dollars five
17:56
grand for an exam is it multiple choice
17:58
it was multiple choices that's horrible
18:00
yeah there's nothing in that that should
18:02
cost five thousand dollars
18:03
that's so bad yeah but that's really
18:06
rough five grand for a multiple choice
18:07
exam
18:08
um okay and so
18:11
so what's the normal pathway so you do
18:13
uncr like for people who are interested
18:14
in neurosurgery uh training can you
18:17
explain the pathway to become a
18:18
neurosurgeon and compare that to the bpt
18:21
neurology yeah so neurosurgery
18:24
uh in australia basically you um you
18:27
just to get onto the training program
18:29
which is five years i think five or six
18:31
years
18:32
you basically just have to get into the
18:34
accredited um college um program so
18:37
that's the the neurosurgical society of
18:40
australia's college training program
18:41
yeah so you've done med school you're
18:43
you've done your intern and residency
18:45
and then you're a resident and then
18:47
you're applying then you're working as a
18:48
registered applying to this
18:51
the college yeah and then that's your
18:53
that's when you get on yeah five years
18:55
but it takes years to get up yeah
18:56
exactly that's your goal um at least
18:58
from
18:59
finishing as a resident to then moving
19:01
forwards
19:02
to neurosurgical training um is to get
19:04
onto the program basically and to get
19:06
onto the program you need
19:08
a combination of things so as i said
19:10
there's an exam that you have to sit
19:12
every year you apply
19:14
you have to get a certain score on that
19:16
exam it's just a neuroanatomy-based exam
19:19
you have
19:20
point requirements on your cv
19:23
and that usually consists of
19:25
things like experience as an
19:26
unaccredited neurosurgery registrar uh
19:29
things like publications presentations
19:32
posters
19:33
and also your references so
19:35
previous consultants that you've worked
19:37
with um you know vouching for you
19:40
and this is it's very taxing because you
19:42
have to work full-time like no part-time
19:44
applications really really like if we're
19:46
being honest get in
19:48
and then you have to do the research and
19:50
the audits and the
19:56
you're the one who's there in the
19:57
weekends exactly and as a neurosurgery
19:59
registrar you you do work long hours
20:01
obviously you make sure you get your
20:03
divorce before the training because
20:05
doing a divorce during your training
20:06
will be very
20:07
popular to get one after you finish
20:09
everything okay right
20:11
now it's much easier to get
20:13
or partner afterwards
20:14
it's harder to do it yeah fair enough
20:17
um okay and then once you're on with
20:20
those points then it's just for the
20:22
college yeah exactly requirements yeah
20:24
yeah then you just once you're on it's
20:25
usually smoother you just do what the
20:27
college wants you to do um it's not easy
20:29
either when you're on because you still
20:31
get you're still at the mercy of the
20:32
college because they they will they can
20:34
send you to whatever hospital needs
20:37
really they choose where you go they do
20:39
you put in preferences but they will
20:41
ultimately
20:42
say where you go and
20:44
it's because it's an australian and new
20:46
zealand-based
20:47
organization
20:48
so you can potentially be sent to new
20:50
zealand you can potentially be sent to
20:52
other states in australia as well
20:54
yeah
20:56
and then there's an exit exam because i
20:58
remember one of my registrars
21:00
when i was a student um doing
21:02
neurosurgery was that was a really tough
21:05
exit exam to becoming the final exact
21:07
big boss consultant fellowship exam
21:09
fellowship yeah yeah it's a
21:11
uh i only know roughly what it involves
21:14
it it consists of a written paper as
21:16
well as a an oral viper yeah the oral
21:19
virus yeah and that's when they grill
21:21
you on cases
21:24
of inflammation yeah and a lot of
21:26
pressure yeah and i'm sure that costs a
21:29
healthy bit
21:31
i'm sure because it involves real people
21:33
yeah so that's the neurosurgery pathway
21:35
what about neurology if i want to become
21:37
a neurologist what do i do so neurology
21:39
in australia so you
21:41
it's a
21:42
it's a medical specialty through the
21:44
college of physicians
21:45
you have to complete basic physician
21:47
training which is um
21:50
training which makes you go through
21:52
multiple different uh medical
21:53
specialties
21:54
um and it's what we call bpt
21:57
we use the term bpt it's basic physician
21:59
trainee so it's it's it's a registrar so
22:01
more senior than a resident less senior
22:03
than a more senior doctor yeah and you
22:05
do a lot of medic a lot of medicine so
22:07
you need to know your animals you need
22:09
to know your geriatrics exactly even if
22:10
you want to be a neurologist you didn't
22:12
know it all yeah yeah and then once
22:14
you've done all the required things in
22:16
bpt you sit your
22:18
exit exams i guess for bpt which
22:20
consists of a multiple choice exam which
22:22
covers the whole of
22:24
internal medicine um it's basically like
22:27
a
22:28
medical school exam on steroids right um
22:33
yeah and then you do your clinical exams
22:36
and you just did what because you've
22:38
just finished some exams yeah i've just
22:39
done the written yeah okay and there's
22:41
also the ascii is that what we're gonna
22:43
do no i haven't done that one yet and
22:44
that's coming soon it's coming if i pass
22:46
the written fantastic so you have a
22:47
little bit of a time now you've finished
22:49
your your written you don't know your
22:51
results so you can be existential about
22:53
that yeah you can limbo but i'm not
22:55
obligated to do anything at this point
22:57
because
22:58
it's a little bit a little bit a little
22:59
bit yeah yeah yeah so once if i pass
23:02
these exams i will move on to clinical
23:04
exams which are the oscis right um and
23:07
again yeah that's just basically um
23:09
where they assess you on your
23:10
ability to examine patients and
23:12
formulate detailed plans and management
23:15
you know plans in them yeah yeah and
23:18
then you become what an advanced trainer
23:20
is yes and then after that you that's
23:22
when you break into your
23:23
chosen sub-specialization so for me i'm
23:26
gonna need neurology but yeah it would
23:28
be you could choose medical oncology you
23:31
could choose renal medicine um
23:34
cardiology you know whatever you want
23:36
whatever you want yeah yeah cool
23:37
um but yeah so
23:39
it's a marathon really isn't it like
23:41
you've been doing this you're eight pgy
23:43
seven seven yeah seven so you're like
23:45
seven eight years out of med school
23:47
almost um how do you balance the work
23:49
life
23:50
uh
23:51
balance like or do you have you like had
23:53
problems with burnout or is it been yeah
23:55
crazy right everyone's different right
23:57
yeah you can handle exactly different
23:59
intensities of workload everyone is
24:01
different i i i mean i think just me my
24:05
personality i think i am
24:07
drawn to kind of high pressure
24:08
situations and fast-paced kind of things
24:12
um
24:13
and so i
24:15
like i really loved my um time as a as
24:18
armor and uh neurosurgery registrar i
24:21
think i learned a lot and
24:23
even though it was hard work and long
24:24
hours um i i enjoyed everything i
24:27
learned a lot right so can you say that
24:29
you haven't had burnout like i don't
24:31
i've never felt burnt out fantastic
24:33
personally i i think my interest in
24:37
my specialty has kept me going yeah and
24:39
that's not that you know not everyone
24:42
can say that
24:44
um lots of people obviously don't have
24:46
the same kind of um feeling towards um
24:49
you know whatever training they do
24:51
um
24:52
and you know that's just everyone's
24:54
different yeah everyone's different yeah
24:56
all right thanks so much for chatting uh
24:58
okay i think that's we'll have to wrap
25:00
it up uh now because everything's
25:01
running out of battery again but um
25:03
before we go what's your favorite part
25:05
of the brain and why
25:06
yeah that's a very difficult question i
25:09
think um
25:10
because i i like i mean i think the
25:13
brain is just a single organ but i if i
25:15
had to say something yeah
25:17
um and it's not really a specific part
25:19
but it's
25:21
i don't know the gray matter of the
25:23
brain i mean i guess that's where the
25:25
cortex that's just
25:26
yeah the stuff happens yeah that's right
25:28
where so what is the gray matter give us
25:30
a little run yeah the gray master is
25:31
basically
25:32
as the name suggests it's the gray color
25:34
part of the brain which if you if you
25:36
see it in your um
25:38
you know textbook pictures of um
25:41
of uh you know cross sections of the
25:42
brain it's the kind of the outer layer
25:45
of of all the nervous tissue and it's
25:47
basically where all the nerve cells are
25:50
basically and it's where all the like
25:52
fun happens that's where all thought and
25:54
consciousness and stuff is really really
25:56
happening the rest of the brain is just
25:57
like uh circuitry it's just getting
26:00
information from point a to point b as
26:02
far as we know yeah as far as we know
26:04
yeah
26:04
if you look into it maybe we're wrong
26:06
and there's more questions to answer the
26:07
connections are probably just as
26:09
important as the cells themselves
26:10
nowadays yeah probably
26:12
thank you so much for the chat just for
26:14
the record we don't represent the
26:16
college of physicians or anything yeah
26:17
this is informal advice so make sure you
26:19
double check everything with the
26:20
websites thank you so much for the chat
26:22
um we've got to go back up to the ward
26:24
and i'll see you all in the next video
26:26
guys
26:26
don't forget to like and subscribe
26:28
see you guys yeah
26:31
thanks man
26:32
that was fun