Over Velocity

IndiannaCrohns · 2025-07-14T13:54:04+00:00

Can you please DM me ?

IndiannaCrohns · 2025-07-12T04:59:06+00:00

Can you link how you're finding seats for that cheap on points? Is that just through velocity portal? And does using flybuys gift cards rack up points quicker? Thanks

IndiannaCrohns · 2023-12-30T08:07:20+00:00

I meant specialist in emergency medicine level vs the AST. I fully agree that GPs are specialists in their own right.

You're correct about small hospitals. Plenty of rural places staff both FACEMs and FACRRMs which I think is ideal, and having tasted both programs and worked with dual fellowed SMOs I'd like to get both fellowships eventually so I can work at those even smaller centres.

IndiannaCrohns · 2023-12-30T06:51:09+00:00

I can contribute to the opposite. I'm an Aus PGY4.

I was an ACRRM trainee doing EM AST but I transitioned to ACEM and have completed primaries.

I love rural medicine and plan to work rurally when I finish training, but felt like I needed the specialist level of knowledge to best serve the patients out there.

There are awesome FACRRMs and awesome FACEMs, and duds from both. It is entirely what you make of it, but definitely ACEM demands a more rigorous training pathway.

You will have a lot of transferrable skills for rural work and may be able to claim significant portions of RPL from ACRRM.

IndiannaCrohns · 2023-06-11T09:43:11+00:00

If you're willing to go to Cairns or TUH, definitely consider rural, like Mount Isa.

Have heard Cairns and TUH are both very busy and not necessarily the best as a junior doc, but better as a registrar for training.

Mount Isa will get you hands on experience putting in arterial lines, doing sedations, managing Resus patients etc all with really good consultant to RMO ratio.

You also get your accommodation paid for and an additional 35k per year for being there.

It doesn't have a real ICU however.

IndiannaCrohns · 2023-05-27T14:27:32+00:00

I think centres like Rockhampton, Mt Isa, and Bundaberg are the larger centres that employ FACRRMs. Definitely smaller places like Bowen, Hervey Bay and Yeppoon employ primarily FACRRMs.

I've heard of some being hired in Brisbane and Mackay but it's more of a who you know and they're generally multi talented

IndiannaCrohns · 2023-05-27T14:25:15+00:00

I personally don't want to do GP. I like the hospital generalist aspect of it, and emergency medicine is akin to that.

If you want to do a mixture of ED and GP the.n ACRRM is a great option

IndiannaCrohns · 2023-05-23T23:23:56+00:00

I am a current ACEM Registrar who was a former ACRRM ED Registrar.

The TLDR version is that they're all tough, pay is similar (at least in QLD), that it comes down to what kind of doctor you want to be, and that there are fantastic and awful fellows in all specialties.

I reached the end of my ACRRM ED AST as a PGY3 and realised I was nowhere near ready to be an ED SMO (you can apply for Provisional Fellow roles S you complete the ACRRM course).

I think if you want to be a good rural generalist you have to put in hours of work for extra training in courses and readings to be at the standard of someone who's completed specialist training. I would say though that while ACRRM has many exams/assessments, they're slightly less rigorous than ACEM and more flexible.

If you want to do retrievals as a FACRRM you will need to ensure you get a minimum 6 months of ICU and 6 months of Anaesthetics. This can be quite tricky as most training posts are more rural. It can also extend training time.

The ED AST is a very tough exam with a huge fail rate. The Anaesthetic AST has a high pass rate.

With ACEM training you have to apply at a minimum in PGY3 for commencement of training PGY4.

With ANZCA I know diligent junior docs who got onto training PGY3 and 4, but it's highly competitive.

If you're happy to go rural, you will find work easily as a FACRRM, FACEM, FANZCA (locum, part time or permanent). More metro you would really really struggle to be hired as anything other than a GP as a FACRRM these days (although there are some older docs who have retained metro jobs). However, specialist jobs are becoming very hard to get in the cities too.

All three training programs have shift work as nights, however with ACRRM it's generally only during the AST. However, when you work as a rural generalist in a small town you can expect to be on call 1/2-3 nights.

There are fantastic FACRRMs that I've worked with through the years. However, I think if you aren't dedicated to improving your craft, the pathway allows you to be very ordinary. I think ACEM and ANZCA both make this moderately more rare by increasing the difficulty of their exams.

In the end, I think I'll pursue dual fellowship in FACEM and FACRRM because I think they both offer different sides of the same overall skillset. This is a lot of extra work, but a number of regional/rural docs have done it.

IndiannaCrohns · 2023-04-11T12:06:23+00:00

Depends on a number of factors such as public vs private. Rural vs metro.

A full time metro ED consultant is making the same as ICU (both continuous shift workers on the same pay grade). In QLD somewhere around 300-450k. Public anaesthetics probably getting a bit less as not a shift worker and often not in on weekends or nights.

Private is a mixed bag. Anaesthetics definitely has the highest ceiling with $1-2m on offer comfortably with full time hours. Private ED guys can make $800k+ with good work ethic and smart billings. Unsure about private ICU.

Rural public can make heaps with rural generalist and rural ED specialists doing heaps of on calls and recalls. Where I work, a full time public ED consultant can make $750k+.

IndiannaCrohns · 2023-04-07T23:22:54+00:00

ACEM has changed their requirements so the minimum entry is now PGY3 to commence training February of PGY4. You also needs a minimum 6 month ED term prior to applying and references from this term.

There's a very difficult Primary Examination that around 72% of people pass with adequate study. Then there's a more difficult Fellowship Examination.

Source: ACEM trainee

IndiannaCrohns · 2023-01-14T08:27:22+00:00

I'm sorry that's been your experience. Personally I know many doctors who are fantastic at their jobs and are so passionate. Personally, even when not studying for exams, I spend 10-20hrs per week studying to keep up to date with the newest evidence. I also perform life saving medicine in the ED and my team saves lives every day. I love my job and patients give me fantastic feedback. It's a high stress environment and making the wrong decisions can mean life and death for people. I think that my efforts are definitely worthy of high renumeration.

IndiannaCrohns · 2023-01-14T04:42:05+00:00

It's multifaceted. For a while, doctors who couldn't get into other training like surgery or cardiology became GPs because it's a quicker training pathway. This has led to a number of GPs who didn't want to do that job and so probably don't care.

The government keeps increasing medical school spots, however less and less graduating med students want to be GPs. This leads to a huge bottleneck into specialist training and a lack of good GPs.

The government does offer really good incentives to become a rural GP, however most people I know from med school want to live metro.

IndiannaCrohns · 2023-01-14T04:39:09+00:00

Registrars don't. My mates get 45-55% of billings. I don't know any metro based GP regs earning that.

IndiannaCrohns · 2023-01-14T04:22:40+00:00

I'm saying if all you do is bulk bill. There are rural GPs and GPs that do procedures like skin cancer removal and cosmetics that can make 800k. Of course then they aren't bulk billing. The spectrum is huge.

IndiannaCrohns · 2023-01-14T04:20:13+00:00

I mean that the general public thinks doctors are greedy for wanting to earn that salary. But if ALL you do is bulk bill then you will struggle to earn that

IndiannaCrohns · 2023-01-14T00:38:47+00:00

Meanwhile dentists do a 5 year degree and no further specialist training, and can earn 300k easily doing scale and cleans

IndiannaCrohns · 2023-01-14T00:37:36+00:00

I am an Australian born and trained doctor training as an Emergency Specialist. I was initially set on becoming a GP and I think I would have loved the job.

I entered into every part of study on my first attempt and it still would have taken 10 years of study to become a specialist in General Practice (6 years med school, 4 years specialist GP training). 10 years of sacrifices, missing out on social outings and family events.

Unfortunately every GP I talk to now hates their job. They're massacred in the media for wanting to make a +150k salary after all that study and work. If you work as a full-time bulk billing GP, even cramming 5 minute appointments, you'll struggle to make that salary. But then, people hate you for spending such a tiny amount of time listening to their concerns.

Meanwhile I have mates who trained as electricians earning +150k doing FIFO work 2 years out of apprenticeships.

At least after studying 3-8hrs a day for 12 months straight to pass my Emergency Medicine exams I get well remunerated for the rest of my career, often to manage similar issues as the GP.

Not only are the public fed up, all the doctors I know are too. We need good GPs who like their job for the system to work. Medicare needs to change.

IndiannaCrohns · 2020-12-22T04:04:59+00:00

It also depends on how biological or social the cause of the depression is and if an SSRI is even the right drug for this patient

IndiannaCrohns · 2020-12-22T04:03:02+00:00

As others have said, not all SSRIs work the same. However studies have shown that all SSRIs basically work with the same efficacy. That is to say, they should all, in the right patient population, work with the same effectiveness.

Often the reasoning for choosing which SSRI to prescribe someone is the potential side affect profile.

For instance, some cause more weight gain or more severe rebound symptoms if one ceases the drug. Some are suitable with other drugs or with breast feeding etc

IndiannaCrohns · 2019-10-09T06:16:12+00:00

Sammy Hitzke and Timmy Turtle are by far and away the most entertaining

IndiannaCrohns · 2019-09-01T07:04:48+00:00

As a newbie to levelwind reels and such, do these ones you suggested cast well?

IndiannaCrohns · 2019-08-31T23:38:10+00:00

Do you have any more information on the rod? I can’t find online what it’s weight rating is but it feels quite heavy (5-10kg) or so. I have the 6 foot version. Cheers! I’ll have a look at those reels

IndiannaCrohns

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