Jul 312011
 

Positions available for Registrar and PHO positions in the Caboolture Hospital Emergency Department

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Jun 142011
 

Please click the link below to download the pdf file of the job ad for Cairns Base Hospital:

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Apr 152011
 

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Mar 262011
 

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Emergency Med positions available

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Mar 012011
 

25-26 March 2011

Hilton Sydney, Australia

Please see attached flyer for more details.

Emergency Ultrasound Workshops ASUM

 

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Feb 042011
 

Royal Hobart Hospital (Tasmania)

Looking for emergency registrars / trainees:

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Jan 112011
 

Deadline for applications is 29 January 2011:

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Dec 232010
 

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Emergency Medicine PHO’s and advanced trainees welcome.

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Dec 152010
 
*This is the second of a series of reviews that I will be doing as I locum through different hospitals in Australia. I tried to do a simple search online to find locum doctor experiences with different hospitals, and so far, I haven’t found much. I hope this helps other doctors who are thinking of locuming to different hospitals.

Calvary Hospital

Bruce, ACT

From the Calvary Hospital ED orientation handbook:

“Calvary Hospital is is situated in the northern suburbs of Canberra. It is one of two public hospitals in the ACT. Calvary Hospital also has a private hospital co-located with the public hospital. Calvary Hospital is the closest hospital to the centre of the city, 2 universities and several high school and colleges. It is also the closest hospital to the population growth centre in Canberra, Gungahlin (see attached map). This has resulted in a steady growth of presentations to the department between 3-4% per annum.”

1. Workload / Casemix:

Pros – Twenty percent of patients are children. Both adult and pediatric presentations are mostly medical (e.g. – cardiac,  infectious) Major trauma patients are brought directly to the referral center which is TCH – The Canberra Hospital. The emergency department is split into  Acute and Subacute areas. Category 1 and 2 patients in Acute, Cat 3, 4, and 5 in subacute. There were 3 doctors assigned to the acute area, 4 in subacute. As a locum doctor, you are usually placed into the subacute area, hence the work is relatively not as stressful. However, with any triage system, a patient may be mistakenly placed into a lower category but actually requires higher acute care. Not exactly a walk in the park, but compared to Tamworth Base Hospital, a much more relaxed atmosphere.

Cons – If you are looking for massive trauma, brains spilling out, doing chest drains left and right and the occasional open cardiac massage, Calvary ED is probably not appropriate for you. Since GP clinics are quite hard to get into (allegedly 2 week waiting period), a large bulk of patients are GP-type presentations (request for repeat scripts, man-flu, D&V’s, etc).

2. Consultant Support / Colleague Support

Pros – I did 2 early weekend shifts (0800 to 1700) during my shifts at Calvary Hospital. Consultants were on the floor most of the time during the day and were just a phone call away at night. The consultants were very approachable and happy to help out with any clinical problems. You will be working with doctors who are seconded from The Canberra Hospital and other Locums as well. Calvary hospital apparently has a chronic shortage of doctors for the ED. The junior doctors and registrar are happy to help and are very welcoming of your presence.

Cons – Nothing much. I’ll probably have to work a night shift to see how things change after dark…

3. Nursing Support

Pros – The nurses were generally nice and very helpful. The lesser acuity of the patients probably didn’t stress them out as much as other places. Most have cannulation / phlebotomy skills but since I was the new person, the nurses would opt to help out the training registrars there because they have to look after the juniors as well. Working in the subacute area, you would usually do most things by yourself like in any other fast-track area.

Cons – Not much.

4. Pathology and Radiology

Pros – All pathology tests that you would reasonably need in the ED are available. Xray, CT and USS are available by request during the day. You only need to call the radiographer. No begging needed! 2 hour-turn around time for results.

Cons – Requests are computerized and take a bit longer than just writing CXR on the form. There’s always a page long questionnaire for each patient. Could possibly take a bit of time for newbies like me. There’s also only 1 viewing computer for radiology images. Irritating to be waiting behind someone at times.

5. Housing and Transportation

Pros – Calvary Hospital will provide for airfare, taxi and hospital accomodation for the weary travelling locum doctor. The room I got had 2 beds, a fridge, a bathroom with towels. There was a common room with a kitchenette where people can cook or reheat food.

Cons – The room was a bit dated, the wiring ran outside the walls which indicated a bit of remodelling / renovation but under a tight budget. The kitchenette was a but unkempt – probably the locum people’s fault!

6. Pay

Pros – They pay 150 per hour for day shifts and 170 per hour for night shifts. You can opt to be paid through your ABN so you can charge tax and get full payment until tax time.

Cons – I would have liked at least a 3 day run of shifts to justify my plane trip, but I guess I was a bit of a last minute addition to the roster.

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Dec 072010
 

*This is the first of a series of reviews that I will be doing as I go locum through the different hospitals in Australia. I have tried to do a simple search online to find locum doctor experiences with different hospitals, so far, I haven’t found much. I hope this helps other doctors who are thinking of locuming to different hospitals.

Tamworth Base Hospital

From the www.hnehealth.nsw.gov.au website:

“Tamworth Hospital provides 265 beds with a 24 hour Emergency Department, high level Surgical and Medical services, including a Cardiac Catheterisation laboratory with both diagnostic and low risk interventional procedures, Burns Service, Rehabilitation services (including Brain Injury), a Diabetes Centre, Banksia Mental Health Unit, Renal services, Oncology, Radiology and Pathology.”

1. Workload / Casemix:

Pros – Good amount of pathology going through the doors from kids with bad asthma attacks to a man with complete laceration of all flexor tendons at the wrist with compromised blood flow to the right dominant hand. I don’t think I ever got bored through the night.

Cons – If you are looking for relaxing / easy locum shifts where you would be just treating small cuts and lacerations, this is not the hospital for you. I observed some of the medical staff getting a bit overworked / pressured with the number of patients and the acuity of the cases (myself included!)

2. Consultant Support

Pros -I did 3 nights (2200 to 0830)  during my shifts at Tamworth Base Hospital – consultants were just a phone call away if you need to call them. They were actually nice about being called even during the early hours when you need advice. I even had to call a consultant in at one point because I had 2 ongoing problematic patients. I think they are quite understanding of locum doctors.

Cons – None really, except  that I thought I was going to have a proper introduction to the department (staff and where things are kept) but sadly, nobody came eventhough I was 30 minutes early for my shift. It did say on the acceptance of employment letter that I would have a proper orientation to the place.

3. Nursing Support

Pros – The nurses were generally nice and very helpful. Although with any new encounter of health professionals, you do not know the exact capability of each other. I didn’t really mind when they asked me if I had airway skills and the like because I knew they just wanted to clarify what I am capable of doing.

Cons – I didn’t have a problem much with the nurses in the ED, but some of them can be quite bossy (as with any other place I’ve worked with before). As with the ward nurses that did a “Metcall” for NGT insertion, let me say that I am not fond of being a ward-call slave (I mean ward-call doctor).

4. Pathology and Radiology

Pros – All pathology tests that you would reasonably need in the ED are available. Xray and CT are on-call, and you don’t need to ask permission from the Radiologist before you can get a CT. However, if you need to get the official results of a CT, you better have a rock-solid explanation why you woke him or her up at 2 am!

Cons – Having to defend the need for an official reading of a CT in the wee hours of the morning – I thought getting run over by a car was a pretty good mechanism…

5. Housing and Transportation

Pros – Tamworth Hospital will provide for airfare, taxi and hospital accomodation for the weary travelling locum doctor. The room was spartan.

Cons – You are not allowed to share the room with your wife, so we opted to stay in a motel for the duration of my stay.

6. Pay

Pros – They pay 110 per hour for day shifts and 130 per hour for night shifts.

Cons – 3 weeks have passed and I still haven’t been paid!!! This is an ongoing issue with NSW health I was told. Makes me want to reconsider doing locum shifts in NSW again…

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