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What I know now I wish I had known back then
New FACEM Forum
October 31 2014
Take a big breath
Exam finally over!
• Hooray
• It is a mile stone
• It is an achievement
• It should be celebrated
• Not the end
Career just starting? • 5+ years of dedication to emergency medicine training
• Demonstrated
• Resilience
• Commitment
• Enthusiasm
• Service
• Sacrifice
• Important next step
• Part 3
Ready for Engagement
• Planned or unplanned? • Willingness to get involved • Motivated • Team work- sense of belonging • Commitment- seeking security • Need to Progress • Keen for new challenges and achievements
No shortage of work • Plenty of work to do
• Population growth, aging population, increasing chronic disease burden, new technologies, emerging disease, patient preference for emergency care etc
• Evolving workforce requirements SSU, HITH, MAU
• Recruitment lags demand
• Opportunity may not exist at your preferred site
Where are the jobs?
• Tapped on the shoulder
• Word of mouth
• Electronic Job advertisements
• DEM
• DMS
• Locum agencies
• Follow
• Wait
• Make
• Be prepared
• Take
New responsibilities
• Buck stops here • Clinical floor management • Increased interruptions • Increased decision frequency • More Conflict • Error prone • Important to be in a supportive
environment
The chocolate box
• Variety of “non clinical” opportunities
• Already have an interest
• Alignment of interests with job opportunities
• You are allowed to try more than just one
• You don’t need to be subspecialised the minute you complete the fellowship
• Tightening job market
• Quality and safety
• Governance
• Recruitment
• Credentialing
• Complaint management
• Redesign
• College
• DEMT
• DEM
• Toxicology
• Medico legal
• Models of care
• Mandatory training
• Research
• Meetings
• Paediatrics
• Trauma
• Ultrasound
• Policy development
• Teaching
• Simulation
• EM certificate and diploma
• Information technology
• Aged Care
• HITH
• MAU
• ECI
• Prevocational training
• CPD
• Audit
• Social events
• SSU
• Liaison Psychiatry
• Medical Board
• Medical Staff Council
• Retrieval
• Mentoring
• Fellowship coaching
• Primary coaching
• Performance management
• Industrial
• Disaster response
• Rapid response systems
• Drug committee
• Conference organising
• Exam hosting
• Equipment purchase
Over committed • Sense of duty
• Organisational commitment
• Maintaining goodwill
• Money
• Opportunity
• Maintain work life balance
• Take annual leave and study leave (paid or unpaid)
Derailed! • Timing off, external factors prevail, unprepared for the job market,
family commitments, opportunity passed
• Get help
• Non technical skills development
• Interview preparation and practice
• Career perspective
• Management sponsorship
Support • Seek feedback
• Have a constructive coping strategy
• Networks
• Mentors
• Coaching
• Identify and lead with your strengths
Zero hours = flexibility = zero commitment = zero engagement?
• Personal decision – circumstance vs preference
• Working Multiple sites - overcommitted
• Regular commitment rewarded – don’t forget your leave requirements
• Access to non clinical time - Derailment
• Weekend and afterhours solo work – unsupported isolated
• Financial and time management – pay attention
• Zero hours ED VMO in NSW becoming the norm?
Advocacy
• Our forebears are fatigued
• We are not representing ourselves
• Not enough of us are stepping up
Hospitals are owned by governments to provide services to patients • We play an important role
• An engaged clinician improves organisational performance and patient satisfaction
• Develop your non technical skills to their potential
• More patients suffer needless harm and death through poor management and leadership than clinical incompetence
Evolution
• Your career will evolve as you develop post fellowship
• Find a supportive, innovative, secure, collegial culture, know your limits, set your boundaries and engage
1940
2010
Simon Rodda
Emergency Physician
Staff Specialist Bowral and District Hospital SWSLHD
VMO Royal Price Alfred Hospital SLHD
0438582043
