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PRINT Conference 2016: Careers in Critical Care
- 1. Jake Barlow MBBS MPH Anaesthetic and ICU Registrar The Alfred Hospital @cjdbarlow jakebarlow.me/print
- 2. Requirements for CICM • Be a doctor • Don’t be an intern • Pay money • Work 6 months in ICU • (And get references) • Easy to get on • Jobs can be hard to find
- 3. Requirements for ANZCA • Be a doctor • Don’t be an intern • Pay money • ~35-40 positions state wide/year • Interview 2:1 • Guaranteed job
- 5. My path – Not the only path • Internship • Critical Care HMO2 • Critical Care HMO3 • (Joined CICM) • ICU Registrar • (Jointed ANZCA) • Internship • Medical year? • Surgical year? • Critical Care/Medical • ICU/ICU/ • Relieving/Anaesthetics • Critical care
- 6. Extracurriculars • Do something you like • Master of Public Health • Probably not worth it on its own • Master of Perioperative Medicine • Ehhhhhhhh • Research • If you like it
- 7. Extracurriculars • Teaching • Courses • Some are good, some are bad • Alphabet courses • ALS2 • APLS • EMST • ATACC • Airway courses • Ultrasound
- 8. Extracurriculars • Conferences • SMACC • Other, lesser, conferences • Posters – easy • Meet people • Inspiration • Team/life stuff • Army reserve • Sport • Volunteering
- 9. The Bottom Line • Clinical stuff matters most • Work with the people who do the selecting • Be: • Good • Keen • Likeable • Willing to work • Have something else • Be interested in it
Editor's Notes
- I’m currently an ICU and anaesthetic reg from The Alfred Hospital I’ll be talking about the application process for both programs and things I think you can do in the next few years to give you the best opportunity to get where you want to go
- Requirements for both programs are pretty similar Key thing for ICU is the six months of ICU experience – this can be really difficult to get for some people Talk to your MWU about getting this – may need to do it over 2 years Once you have your 6 months you should also have your references Getting on is pretty straightforward as far as I can tell No interview Need to apply for jobs each year – college AFAIK does not regulate trainee numbers and may end up in a position with more trainees than positions
- The hard requirements for anaesthetics are not onerous The process is competitive though Limited positions Interview about 2 people for each position Once you’re on your set – guaranteed job for the duration of the program The key is getting to interview. The key to getting interview is to do time in a department.
- But theres more to it than that
- The rotations you do are the most important You need to make sure you do ICU and anaesthetic time if that’s what you want to do Look at the rotations: The Alfred crit care HMO2 is a great surgical year Other hospitals HMO2 surgical years give you anaesthetics or ICU – those are great options At some stage, you will probably need to do a critical care year. Plan strategically – I targeted the HMO3 job as an intern.
- This is the stuff which I think people get stressed about I’m a bit of a nut for doing things so I may not be the best yardstick for what is reasonable I think: You need to have something It’s less important than being clinically good and being likeable This is the discriminator – how do you choose between two people who you like equally and otherwise have pretty similar degrees of experience The key thing I think is to DO SOMETHING YOU LIKE MPH I did one cause I wanted to learn about stats It was a very expensive way to lean stats I’m not sure it added all that much to my resume It did open up other opportunities in research and writing book chapters because I did well and I liked it Master of Periop In vogue with wannabe anaesthetic trainees In the words of an SOT, selector, and course convenor – I’m not sure it adds much really Research Is good if you have it Leads to other opportunities Please don’t publish crap
- Teaching Is great Needs to be DEMONSTRATED I did some bedsides with medical students this one time is not enough Get involved with regularly scheduled programming Courses Balance between having enough seniority to employ them (to get the value) and resume building early on I did a lot of courses early and don’t regret it ALS2 is great, I wish I’d done it earlier I’ve heard great things about APLS – doing it later this year EMST has a lot of faults and isn’t good practice if you see a lot of trauma regularly, but the approach is good. Also its required by a lot of programs so do it – put in your application as soon as you get registered, the waiting list is a couple of years. Airway courses I would leave until you’re at a point when your managing airways regularly – potentially 2nd or 3rd year Ultrasound is great If you have access to an ultrasound machine where your working then do a course as an intern Vascular access, lung ultrasound, and FAST are great skills to have as a resident – I got to do them a lot and still do now Echo is also great, and required for ICU training now, but probably wait till your in a training program to learn
- Conferences are great Easy resume padding Free holiday Also educational Poster presentations are easy! Pick a topic, do a review, publish a poster Other stuff Critical care is a team sport Anything which demonstrates the ability to work with a group of people helps Sport, uniformed services, volunteer stuff is all great
- Clinical stuff matters most Work with the people who do the selecting Be good Failing that be keen and likable Do something else that you enjoy, it will snowball into better opportunities