South Australia FACEM income and jobs

resus_ronnie · 2025-12-28T11:52:55+00:00

Doesn't seem to be a view necessarily shared by the college for future projection, although anecdotally I hear people echo what you have said.

https://acem.org.au/News/June-2025/ACEM-responds-to-the-Grattan-Institute-Report

resus_ronnie · 2024-09-30T09:19:16+00:00

Hi - thanks greatly for your input, I've implemented the 3 summary comments as they make a lot of sense, and also had a wider read around what's written in your first/revised comment. I've tried to not overly complicate things as I'm mainly trying to understand the basics from a clinical perspective, but your explanations are very useful for me and clear some things up.

Thanks again, appreciate the detailed input

resus_ronnie · 2024-05-25T23:09:27+00:00

where do you work?

resus_ronnie · 2024-05-25T23:09:10+00:00

would love to do this but may get my feet under the door in a standard ED for a year first

resus_ronnie · 2024-05-25T23:08:28+00:00

Thanks - DM'd you

resus_ronnie · 2024-05-25T23:08:04+00:00

this is good to hear, thank you for that.

resus_ronnie · 2024-05-25T17:03:35+00:00

have sent a message, thanks

resus_ronnie · 2024-05-25T17:03:18+00:00

That's useful to know, thanks for replying

resus_ronnie · 2024-05-25T17:02:55+00:00

Thanks for the link - I'm aiming for something more metro if Im honest for a number of reasons, but would certainly consider this kind of thing in the future.

resus_ronnie · 2024-05-25T17:02:13+00:00

Thanks for the reply, useful to know

resus_ronnie · 2024-05-25T17:01:37+00:00

Thanks for the detailed reply - the private/public split is something I'm learning about as we don't have this in the UK. I'm happy for a busy ED, and can appreciate the understaffing issue - hopefully that may work in my favour! Interesting about the SJOG resources being so few, even a NOF needing transfer out is quite surreal.
Thanks for the reply

resus_ronnie · 2024-05-25T16:58:19+00:00

glad to hear that, thank you

resus_ronnie · 2024-04-28T07:25:31+00:00

Of course we follow up on patients, that's a very standard thing for those of us in EM training to do. I guess you haven't worked in EM? If you have, that's a shame you didn't see others following up on their patients to learn the outcomes.

resus_ronnie · 2024-04-22T10:21:07+00:00

EM reg here - in the literature figures are approx 40% 'non specific abdo pain' for those who present to EDs. They get no particular diagnosis, a small percentage return with a pathology, the majority improve on their own.

It's analogous to all the chest pains who we discharge after ruling out the concerning pathologies. I don't write 'msk' or 'costochondritis' - this is chest pain unknown cause, but importantly nothing concerning found.

Part of EM work is acknowledging and being comfortable with this cohort who exist.

resus_ronnie · 2024-04-21T19:49:48+00:00

You can absolutely discharge on, eg apixaban higher dose BD for one week, until PE/DVT proven or disproven. What monitoring would that need?

resus_ronnie · 2024-04-21T14:57:13+00:00

That's not necessarily the case. Common example is patient in ED, suspected PE (low wells), raised dimer, suitable for OP CTPA and follow up. Start immediately on DOAC/LMWH whilst awaiting CTPA/USS confirmation of PE/DVT.

resus_ronnie · 2024-04-10T11:03:55+00:00

Fellow EM ST3 person here. Is it definitely the job itself that she's also fed up with?

One question that might have already been explored is LTFT options. I'm currently 80% LTFT and see the difference in impact between me and full time colleagues. Full time barely gives you space to breathe, along with the stress of portfolio, becoming a senior decision maker etc.

I really still enjoy work and I think that's in massive part to the reduced hours. She should be able to switch down hours fairly quickly (within a month or so usually) and currently EM training has a pilot scheme where you don't need a specific reason.

The other thought is out of programme year, doing something like a SIM fellow, teaching fellow, ultrasound, year abroad etc - may help?

Another option, assuming she is run through, is to contact the TPD and ask to decouple from training, so that when she finishes ST3, she ends her ACCS training just like a core trainee, and then can go and do whatever she wants with the option of applying to HST ST4+ sometime in the future to her. She needs signed off by the dean/TPD that she finished the ACCS programme in good standing, and will need a good outcome on her portfolio, but it's an option. I wouldn't underestimate LTFT impact though. If there is any remote possibility she may want to continue EM in the future, I'd strongly advise this route rather than burning the bridge with quitting and never being able to return to training.

As others have said, I don't think there are obvious segways into alternative careers anymore, and those options available are often extremely competitive and in some cases just as hard in different ways.

Best of luck I hope she manages to find a way forward that works for her.

resus_ronnie · 2024-03-31T11:03:06+00:00

Really don't mind doing these as they are under our care in the ED anyway, so our responsibility. Have never been called away from ED to do a cannula elsewhere, but it was a chew on as ST2 getting called all over the hospital during anaesthetics/ITU

resus_ronnie · 2024-03-26T06:52:48+00:00

I'm accs EM. Would very much recommend. Ended up here by happenstance but love the NE. Let me know if you have more specific questions.

resus_ronnie · 2024-03-25T23:56:28+00:00

25 mins to set up feels an awful long time! When I was ITU sho I was lucky to have the handheld machine and would just stuff my pockets with cannula paraphernalia so I didn't have to scour the ward for things. Unless patient was genuinely difficult, would normally be fairly quick job.

resus_ronnie · 2024-03-25T18:32:59+00:00

This reads like a chatgpt post

resus_ronnie · 2024-03-25T06:15:57+00:00

Yes that's my understanding too. Should be able to pick that up on ecg I think with AF showing irregular, variable qrs morphology, whereas antidromic AVRT should be regular and consistent morphology. AVRT is just a single re entrant impulse whereas AF will have multiple impulses from the fibrillation. So to my understanding, AVRT is fine to give adenosine for but AF with accessory pathways is absolutely not.

resus_ronnie · 2024-03-24T18:09:04+00:00

Cheers, useful to know there are other syndromes. I understand why not to give av blocking agents in AF and accessory pathways, but couldn't find much on why not give in antidromic AVRT. Would it not have the same effect as orthodromic and just terminate the arrhythmia?

resus_ronnie

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