your career in ed final
TRANSCRIPT
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Your Career In
EmergencyMedicine
Information for prospective trainees
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Why Emergency?
Clinical Flexibility
Lifestyle
What is the job like?
What about the training program?
Find out more
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Why Emergency?
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What does an Emergency
Physician do?
We are true acute generalists who manage
problems in everyone from birth to death We are diagnosticians
We are resuscitation leaders
We are proceduralists with a wide range oftechnical skills
We are coordinators of acute care, often forentire regions
We are strong believers in evidenced based
medicine
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Every day is differentIn what other job could you
Resuscitate an arresting 50 year old
Reassure worried parents of a newborn
Reduce a dislocated shoulder in a 20 year old
Run off to a MET call on the delivery suite
Recognize and treat malaria in a returned traveller
Rule out a PE in a spritely 70 year old
Return home on time, with no on call
All on the same day!!!
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Teamwork Dont sit alone at a desk
all day Work alongside your
peers, juniors, students,
nursing staff, alliedhealth, wardies,
paramedics and
occasionally police in adynamic environment
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Leadership Learn to safely and
efficiently coordinate thecare of multiple patientsat once
Become a real clinicalleader, running apacked resus
Advise care and
arrange retrievals ofpatients from all overyour state
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Teaching Teach on the floor every
day
Teach your colleagues atregular sessions
Attend and teach at
courses and workshops ineverything from
ultrasound to APLS
Join an academicdepartment and become
a lecturer
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What about when my training finishes:
Subspecialities
Emergency
Medicine Toxicology
Disaster Medicine
Trauma Hyperbaric
Medicine
Environmental
Medicine Academic
Ultrasound
Intensive Care
Paediatrics
Retrieval Medicine
International relief/disaster
Administration
Public health
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Lifestyle and flexibility
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Lifestyle
ED registrars work fixed hours with minimal or no
on call Get regular mini-holidays without taking leave
Enjoy uncrowded beaches and ski fields on yourweekdays off
Have a great bunch of people to share your time off
with
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Flexibility as a registrar Work anywhere in Australia or New Zealand
No forced secondments by your college so you donthave to worry about moving every six months
Family friendly: Do your entire training part time and
have time out
Develop an area of interest, pick your own terms,
travel and work overseas, do aid workyour skills
can take you everywhere
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Flexibility as a specialist Work full time, part time or locum shifts in the public
or private sector Subspecialize, work in ICU, do research
Work all around the world; fellows of ACEM are
sought after everywhere
Jobs are available in most places most of the time
No need for rooms, or secretaries or business
managers, or locums if you want a holiday or
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Lifestyle as a specialist Earn good money and have the time off to actually
enjoy it Minimal oncall
Flexible rostering and hours
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What is the
job like?
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So what do ED registrars like about
their job? I love the variety and the
challenge
Every day you turn up towork, you have no idea whatyour day will bring!
I like being autonomous as aregistrar, and being able tomanage all aspects of a sick
patient
I like the casual atmosphereand team work; no suits orward rounds
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So what do ED registrars like about
their job? We are the experts in the first
6 hours of every major illness;we deal with all the acutephysiological disturbance andget to do all the procedures,then we send them off to theward!
Its stressful at times, butyouve always got back up anda great team around you
Having midweek days off toenjoy the outdoors is awesome
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Challenges in Emergency
Medicine
High intensity clinical work, usually in public
hospitals, negotiating with other specialties,
administration, government
Non-clinical/ management responsibilities
Requires decisiveness, resilience, awareness of
limitations, good interpersonal skills
Requires maintenance of broad knowledge and skills Limited patient continuity of care
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Training
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Training Doctors can come to ED from a
wide variety of backgrounds at allstages of their careers
All your training can occur in one
state or region, or all overAustralia/NZ if you prefer
All your training can be done part
time, and you can have time outfor travel or families
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Where can I train? 99 EDs accredited are for Emergency
Medicine training 88 in Australia, 11 in New Zealand
40 tertiary
36 urban 23 rural
Length of accreditation 6, 12, 24 months
Accreditation of other areas if accredited bythe appropriate specialist college
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ACEM principles of training Criterion referenced assessment = everyone good
enough will pass You need an understanding of
basic mechanisms of disease and bodily function
practical aspects of research
Recognition of prior learning
Facilitation of joint training
Flexibility of training
Trainee choice
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Advanced training 30 months emergency (6 months non-tertiary)
18 months non-emergency
Pick your own terms and tailor your own program
6 months of accredited Anaesthesia or ICU
ED Registrars do Paediatrics, NICU, Medicine, Surgery,
Rural, Retrieval, Hyperbaric, Education, Toxicology,
Administration and more
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Advanced training: Dual training
Dual training programs for combined tickets in
ICU or paediatrics are available, and haveminimized the amount of required time and
number of exams
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Training overseas In any UK ED accredited by BAEM
up to 12 months possible some additional non ED time may be accredited
Training in other countries possible with priorapproval
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Find out more
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Find out more Contact ACEM
Contact the trainee representative for yourstate/NZ
Speak to the Director of Emergency Medicine
Training (DEMT) at your hospital Talk to an ED registrar
Give ED a try !
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Dr Nick Taylor 2009. Many thanks to A/Prof Bob Dunn for content and photos and A/Prof Drew Richardson for photos