there's often been quite limited training and education I most care that lots of secondary care teaching out there that we can that we can do but it doesn't really often apply to the sorts of things that we that we see really so today is very much a hope that we're going to teach you skills and techniques that actually you'll be able to use in the real world we'll be presenting some information in large group formats and then the key feature is that we then break into smaller groups and the delegates get chance to look at individual areas in depth then also to practice the skills in real time so it's a real hands-on experience coming to workshops like this really helped us refresh those skills that we learned early on and sometimes also helped us hone those skills make them kind of more focused and more powerful so we can give the best to our patients it's been a really rounded package of information practical advice and resources that I can take back into my clinical work but also it does offer 12 credits that are matched up together for your CPD learning which is a great addition to any single year's appraisal and all of the resources it also leads into so that you can add them to your clinical repertoire once you're back in practice all the trainers here who felt their experience the muscular's crystal have learned an awful lot we've all changed our practice in fact simplified our practice so I'd encourage everybody to think come here it will change your practice they'll be patient you