Avaneesh's Drawing

Drawing Selected for Front cover of School Swimming Gala Magazine

  Pay it Forward for School

Millenium Stadium, cardiff

Riddles for all .... by boys

1.                  How can you drop a raw egg onto a concrete floor without cracking it?

Concrete floors are very hard to crack! 

2.                  If it took eight men ten hours to build a wall, how long would it take four men to build it?

No time at all its already built. 

3          How many birthdays does the average Japanese woman have?

Just one. All the others are anniversaries.

4          If you had three apples and four oranges in one hand and four apples and three oranges in the other hand, what would you have?

Very large hands. 

5                    How can you lift an elephant with one hand?

It is not a problem, since you will never find an elephant with one hand. 

6                    How can a man go eight days without sleep?

He sleeps at night.

7          Why it is impossible to send a telegram to Washington today ?

Because he is dead.

8          If you throw a blue stone into the red sea what will it become ?

It becomes wet. 

9                    What often falls but never gets hurt ?

Rain

10                . What is that no man ever saw which never was but always will be?

 TOMORROW

11                What looks like half apple?

The other half

12                What can you never eat at breakfast?

Dinner.

13                What gets wet while drying?

A towel. 

14                What 3 letters change a girl into a woman ?

AGE. 

15        Bay of Bengal is in which state?

liquid 

16        What is white when dirty and clean when black?

...... Let me know the answer pl

The Gate to His Freedom ------ by Ava

The Gate to His Freedom 

 Avaneesh Shah

In a dark, craggy, spartan and fetid cave, there was the sound of injustice. Millions of meek, poor and ill tramps were being enslaved in the darkness of the cave, guarded by droids. They had been mining in an area with not much food, no entertainment, and no bed of any sort or any other facilities. Their possessions are only: one pickaxe and some old, mouldy, clothes worn through generations. They even never collected what they found while mining.

But deep inside the mine, there was a little boy. He was forcing his weak and small little arms to lift the huge, cumbersome pickaxe. Then he thundered it on the rock. But that was when he saw it, a glow. Or was it a glisten? It was emanating elegantly, enveloped in the chalky rock. The boy plucked it out of stony rock and held the invulnerable rock next to his almond shaped eye.

                        It was a diamond.

                        An actual diamond.

       His name was Jonathan. An imaginative child who wants to become an explorer. He was mind – blown by the fact that he found a diamond. But then his mind went back together after a droid towered over him.

                “What is that in your hand?” asked the droid in a creepy manner.

       “No ‘in, rocks in my hand,”

                        He even was not educated properly. But he was intelligent enough to put it… no `fumble` it in his pocket. But still he could not go on this forever. He had to leave. He had to leave now. The guard had just went past him. This was it…

                        He sprinted as fast as his small legs could carry him. Everyone stared at him in shock and sympathy and fright. But as he dashed bravely there was one thing he forgot. The cameras. It pictured every move of the miners 24/7. But the alarm was sounded when it noticed Jonathan. Guards rushed from all entrances. Miners were screaming, crying. Jonathan running down the cave he knew there would soon be no exit. He was as white as fear.

                        He left the cave. The cave which he spent his whole life in. But at that moment, the light had pressed against his small, delicate eyes – blinding him. He slowed down. But he was still running. Once he got used to the light, he saw a whole army of droids holding weapons. Then he looked straight ahead and saw a huge gate shining with the reflection of the sun. It read `Hawk slavery camp`. But he cannot read. All he knew was that it was the exit. But it was closing. Adrenaline engulfed him.

       Chuuk!

       He was injured on the shoulder. He was hit. Bullets kept on showering on him. He kept running. The spotlight was on him. 200 yards away…

       Boom!

       The Gate had closed.

                The Gate to his freedom.

                        A bullet headed to his face…

                        “Michael! Stop day dreaming at his instant!” shouted his teacher, “Or your maths work will be homework!”

                        He carried on working. It was only a movie he had watched last night.

To be continued…

HAPPY DIWALI

Wishing all my family and friends a very Happy Diwali and a Prosperous New Year ahead

Ganpati festival 2014

Thanks for all the reader for your support make me update this post will try to do it every year.

Lalbaugcha raja
(http://en.wikipedia.org/wiki/Lalbaugcha_Raja)

Mitul at his friends house

CESR / Article 14 in the General Surgery (TWO)

To make life easy, I started the new application on the GMC website to have a look at the form I did this almost a year before submitting the application and copy pasted the CESR form in Word Document which I have uploaded. If you wish to download the form please click on the link below or send me a message and will send the form.

(((((http://www.scribd.com/doc/238120385/Blank-Form-CESR-Article-14-GMC)))))

Once you have clicked the link it will give you the download option.


I am writing this blog not for me but for those who want to seek CESR - Feel free to email me or write on the blog to change things you might feel help others

So far I have emailed my doc to atleast 10 people in different speciality 

I am also appointed as a Consultant Surgeon

CESR / Article 14 in the General Surgery (ONE)

CESR (prev called article 14)

It is a route for Doctors who wish to join the Specialist Register, whose specialist training, qualifications or experience (clinical and non-clinical) was partly or completely acquired outside of an approved CCT programme in the UK. It is equivalent to a CCT and certifies that the recipient has all the competences defined in the CCT curriculum, and so is eligible for admission to the Specialist Register.This can be obtained in CCT Speciality, Non CCT speciality and Academic or Research Medicine. Most of the SAS doctors tend to apply for CCT speciality.

Pre-requisite for CESR in CCT Speciality:

You must have either: a specialist qualification in the specialty you are applying in OR at least six months continuous specialist training in the specialty you are applying in

Pre-requisite for CESR in non-CCT Speciality:

You must have either a specialist medical qualification from outside the UK in any non-CCT specialty OR at least six months continuous specialist training outside the UK in any non-CCT specialty.

Period: GMC normal assesses application and answer within 6 months of submission but you need approximately 2 years of planning:

Important Tips for Applicants:

1.                  Look at Speciality Specific Guidance, if some of the evidence is not available perhaps consider delaying the application.

2.                  Look at Speciality Specific Checklist if available from respective Royal Colleges

3.                  Please check approved speciality and subspecialist curriculum from Royal colleges,  it keeps on changing e.g. The general surgery curriculum was changed in 2013.

4.                  Read guidance on GMC websites. GMC has recently changed the amount of documentation one can submit for CESR. They expect specific documentation.

5.                  Choose your references carefully they need to comment on your clinical competences, at least six referees (from the last 5 years) are required preferably to give eight to ten(from earlier experience).

6.                  Emails are good sources of information about yourself from colleagues and could be used as an evidence.

7.                  Don’t delete any emails which are work related. The positive comments on it about work can be used as evidence.

8.                  Discuss with the collegues in your speciality who had been successfully granted CESR to get guidance for your application.

9.                  Attend CESR seminar, BMA organises this with help of GMC. It will give fair idea about the work you need to do.

10.              Curriculum  is a key. Visit JCST website, look at what is requirement for your speciality (http://www.jcst.org/quality_assurance/cct_guidelines). If you do not meet the criteria delay the application.

11.              Discuss with the trainee in your speciality about his ARCP and requirements for successful completion of ARCP and CCT. You need to have more evidence than a trainee to complete CESR.

12.              You will not be granted CESR if you have not completed exit exam in your speciality. "The successful completion of the Intercollegiate exam  demonstrates your depth and breadth of knowledge is equivalent to the standards required by the  CCT curriculum"

13.              Please re-write your CV from scratch. The application form and CV must correspond,  submitting a CV that does not contain the required information will delay your application and also if you have not submitted all evidence as mentioned on the CV will also delay your application.

14.              Please write page number of each of document when possible printed or write it yourself it is very helpful.

15.              Use lot of polly pocket to store all the evidence.

Validating the evidence.

Original documents which are on headed paper with hospital stamp and original signature e.g. letters do not need validation is submitting original. All photocopied evidence should contain on every page of each document a hospital stamp, validators name (printed and in full), validators job title (printed and in full) and validators original signature. 

If you submitting evidence gathered from Princess of Wales – needs to be validated by somebody from the same hospital.

If a document has multiple pages (for example, a logbook or appraisal), the first page must show the stamp, signature, name and job title as described above. The rest of the document can simply show the stamp and signature. (In such case you case ask your validator to write that “He has verified this page and another …. Pages of this logbook or appraisal document of Mr/Dr XYZ) Make sure logbook or appraisal document has your name on it.

Authencating your evidence

Evidence showing registration with overseas medical regulators or qualifications gained outside the UK have to be authenticated by a solicitor or from the overseas awarding body. (You will still stamp, sign and date)

Confidentiality

Annonymise all patients information, information of colleagues you have assessed or written a reference for. No Name, addresses, NHS numbers, GMC numbers or email address. Gender and Date of Birth is allowed.

Use white eraser ink to anonymise all evidence. Marker pens are not best

GMC take patient and colleague confidentiality very seriously. They can inform Royal College about this and will also omit evidence that is not anonymised. PLEASE CAREFULLY CHECK EVERYWORD OF DOCUMENT YOU HAVE PROVIDED.

EVIDENCE (Suggestions)

Domain 1 Knowledge Skills and performance

1.                  Primary medical qualification, any overseas qualification with overseas syllabus validated by your overseas Head of department or Professor

2.                  UK exams, exit exams

3.                  Logbooks – surgical, Total consolidated experience, year wise experience last 5 years also complete logbook of surgical training (please explain the year of logbook as per CV and mention period and name on each page)

4.                  DOPS and PBA to level 4 for speciality specific and general surgery index procedures (at least 60),  CBD and observation of teaching.

5.                  Courses  - relevant courses in your speciality

a.                  Divided courses as clinical, teaching, managerial

6.                  Conferences

7.                  Research

a.                  Thesis

b.                  Original articles – mandatory to have original article published in your speciality indexed journal

c.                   Other publication like abstracted publications, Letter to editors, technical tips, commentary,

d.                  Presentations – International, National, regional and local

8.                  Teaching, training, assessing and appraising

a.                  Evidence of teaching courses attended

b.                  Feedback – personal and team

c.                   Lectures delivered in various teaching courses

d.                  Organising teaching course

e.                  Assessing juniors – CBD, CEX DOPS

f.                    Appraising colleagues as an appraiser

Domain 2 Safety and Quality

1.                  Audits

a.                  Completed full cycle audit in last 5 years with other one phase audits

b.                  Audit on service delivery, infection control, quality control audits – very helpful

2.                  Participating in various committees in the hospital e.g. MDT, research risk review group or data quality with minutes of meetings.

3.                  Training in infection control, radiation hazard etc

4.                  Upto date personal immunisation

5.                  Lot of evidence from Domain 1 will also be considered for this Domain 2 so please mention also in Domain 2

Domain 3 Communication Partnership and Teamwork

1.                  Structures reports from prev exams

2.                  Assessments used in prec Domains

3.                  Testimonials or old references

4.                  Cancer MDT letters

5.                  Letter to GP, colleague and patients – anonymised

6.                  Letter to you from GP’s, Colleagues and patients – anonymised

7.                  360 degree feedback

8.                  Management diplomas

Domain 4 – Maintaining Trust

1.                  References

2.                  Structured reports, testimonials and assessments

3.                  Complaints

4.                  Compliments – card letter from patients and colleagues

References are key for a successful application

Lot of evidence can be used in more than one Domain so please use it

Triangulate all information properly

if you need more information please email me or send a message and will send or give specific info you need. 

This information is based on the personal experience. I would strongly recommend to use GMC website for all information. please contact me if you need to discuss any thing. There are more practical information I cannot share on the blog.