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 Email 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 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