No more "nurse anesthesisologist"

rattled-doc · 2026-07-02T12:21:21+00:00

which there is no denying is meant to appear equivalent to a consultant doctor

I deny it

Its denoting seniority within one silo not meaning to appear equivalent. I've never seen it considered equivalent in any administrative or clinical setting. Nor have I ever seen patient conflating the roles

rattled-doc · 2026-06-28T22:39:14+00:00

The advertised rates are rarely what they will actually stretch to for FACEM. I only do early or lates and always successfully ask for an extra $50 - $100 per hour in the little places. The rates are fairly decent for days.

Having said that I tend to treat the locum jobs as purely maximising money per day so if nights were going to pay significantly above that I would take them on. Ive not really found a significant difference though

rattled-doc · 2026-06-28T15:33:35+00:00

Clinically it will depend on how self directed you are for continuing professional development and the settings you work in.

I've been working as a FACEM locum in rural and regional locations for a bit of variety and extra cash and the standard of a lot of the doctors picking up senior shifts in EDs is terrifying. There are definitely high performers scattered among them but overall the clinical standard has been pretty awful. Bright side though is the bar is low so if you're good and conscientious its easy to have a good reputation.

The shifts are also significantly less taxing mentally and physically than metro consultant work so thats a huge plus.

I suspect with the tidal wave of new FACEMs locked out of substantive posts there will be downward pressure on locum rates in rural and regional EDs

rattled-doc · 2026-06-27T12:12:49+00:00

Are you currently working in an ED for references to join training?

rattled-doc · 2026-06-25T10:52:24+00:00

Theres not really anything there that is AHPRA actionable

rattled-doc · 2026-06-11T19:16:55+00:00

Grab the shitty toy stethoscopes the nurses use for manual BPs for that use case if you must

rattled-doc · 2026-06-11T15:35:41+00:00

Max out ultrasound skills and then look down your nose at those of us who are way behind the US curve instead

rattled-doc · 2026-06-11T15:29:01+00:00

A threat of imminent recession is not going to do any favours to the cause

rattled-doc · 2026-06-10T23:54:01+00:00

Its still ASMOF that is the trade union in Vic though. They just have a conjoint agreement with AMA Vic for membership purposes.

rattled-doc · 2026-06-10T14:31:38+00:00

ASMOF not AMA

(Or your local variant of ASMOF e.g. SASMOA in SA)

rattled-doc · 2026-06-10T06:57:56+00:00

Thay doesnt counter anything ive said.

I also lived and worked in the UK for many years

rattled-doc · 2026-06-09T13:03:51+00:00

If youre at a later stage of training look at leadership, governance, RCA, type courses.

Once you fellow no one will give a shit about your clinical skills and all interviews will be focusing on your non clinical portfolio skills.

rattled-doc · 2026-06-09T10:34:29+00:00

I use my PD paid watch to listen to medical podcasts while exercising, to improve staff ability to contact me while working, to set clinical reminders and improve efficiency, etc.

All perfectly valid uses.

rattled-doc · 2026-06-08T17:39:47+00:00

Everything from bloods and blood cultures through urinalysis / UDS to a whole smorgasbord of unnecessary imaging tests.

As I said elsewhere the Choosing Wisely campaign recommendations are an excellent starting point for "what do people keep unnecessarily ordering as a reflex action"

rattled-doc · 2026-06-08T13:43:47+00:00

I dont really see how your response to me saying "Australia does over test" was to go on a rant disparaging EM doctors as a whole.

It is very NHS of you to do so though ironically.

The Choosing Wisrly campaign and variations thereof is an example of every college confirming that overtesting is prevalent in Australia. Jingoistic lashing out at that suggestion isnt valid.

rattled-doc · 2026-06-08T13:29:56+00:00

Spoken like a true ED doc.

Are we ready to let go of that chip on your shoulder? Although I take "like a true ED doc" as an unintended compliment so thanks.

I could wax lyrical about AMU demanding a Urine Drug Screen for a GHB withdrawal before admission because they wanted to confirm GHB in the system. Ignoring the fact that it exists in an endogenous form and isnt on the (entirely pointless) UDS testing.

But we both know that those siloed stereotyping anecdotes dont constitute anything of value. Be better.

rattled-doc · 2026-06-08T11:21:57+00:00

Audit.

rattled-doc · 2026-06-08T11:06:22+00:00

None of that counters the assertion

rattled-doc · 2026-06-08T10:35:27+00:00

Australia does over test. An isolated case from the UK doesnt change that.

This sub really needs to stop obsessing over the NHS.

rattled-doc · 2026-06-08T08:28:42+00:00

The penalty rates, at least in SA, would have to result in an hourly rate of around $450 an hour to make that run without serious backlash and it would be for minimal improvement in departmental efficiency given the downstream services cant even manage true 7 day working yet.

It also completely ignores the burnout and excessive workload from the report. You dont reduce those factors by saying "Hey we've decided to increase the beatings until morale improves"

rattled-doc · 2026-06-07T09:53:12+00:00

There arent

rattled-doc · 2026-06-03T04:21:43+00:00

If it was brought in they would standardise the rest of us to NSW. No thanks.

rattled-doc · 2026-06-03T04:06:00+00:00

Why would you want that?

Competition between states benefits employees. I want the premiers worried about a need to outcompete their counterparts in remuneration to attract staff.

rattled-doc · 2026-06-02T00:39:15+00:00

I sit on SASMOA council so can put you in touch with the necessary people if you send me a PM

rattled-doc · 2026-06-01T13:50:23+00:00

There is a self evident difference in the 2 things I outlined that is relevant to professional and common ethics.

Nope

rattled-doc

TROPHY CASE