Your Career in Ed Final

7/27/2019 Your Career in Ed Final

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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

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