What I know now I wish Id known back then

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
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Resilience
Commitment
Enthusiasm
Service
Sacrifice
• Important next step
• Part 3
Ready for Engagement
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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
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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
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Quality and safety
Governance
Recruitment
Credentialing
Complaint management
Redesign
College
DEMT
DEM
Toxicology
Medico legal
Models of care
Email
Mandatory training
Research
Meetings
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Paediatrics
Trauma
Ultrasound
Policy development
Teaching
Simulation
EM certificate and diploma
Information technology
Aged Care
HITH
MAU
ECI
Prevocational training
CPD
Audit
Social events
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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!
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Timing off, external factors prevail, unprepared for the job market,
family commitments, opportunity passed
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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
2010
1940
Simon Rodda
Emergency Physician
Staff Specialist Bowral and District Hospital SWSLHD
VMO Royal Price Alfred Hospital SLHD
Simon.Rodda@sswahs.nsw.gov.au
0438582043