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Dr Chris Elliot
July 2017
chriselliot@unsw.edu.au
www.drchriselliot.com
http://Paediatrics.Online/compromise
Compromise

 “You are honest”
 “You have worked part-time”
 “You have pearls re what you thought went well and
not”
Why me?

 It’s compromise, not balance
 There’s definitely a job out there for you
 The maths of sharing
 You’re better than you tell yourself
(aka: Anything looks good on a website)
 A day in the life
 Getting a job
 Earning an income
 Taking care of yourself
 Q and A
Take-Home Messages

Balance

Compromise

Every day is messy…

 Clinical skills – seizures, ASD, anorexia, palliative care
 Time management
 Prioritisation
 Avoid decision paralysis
 Interpersonal management
 Administration
 Fatigue
 Life intruding into work
 Child in their context
 Teaching and education
 Self care – eating, resting, pacing
 Asking for help
A range of skills

 Staff Specialist – St George 0.4 FTE
 Staff Specialist – Randwick 0.2 FTE (locum)
 Private Rooms – Hurstville 0.2 FTE
 Editorial Board – JPCH and Medicine Today
 Chief Investigator – SuCCEED Study
 Father, husband, friend, son, photographer
 Anything looks good on a website
My current roles

You’re better than you
tell yourself

My wandering path
 2009
Exam
 2010
Baby
 2011-12
Year off
 2012-
2014
AT
 2013
AT Project
resubmission
 2013
Gen
Paeds
Locum
 Training
time not
approved
 2014
unpaid
work
 2014
Second
Locum
 2014
Open
rooms
 2015
Permanent
job
 2016/17
SCH Locum
 2013
JPCH
 2016
Medicine
Today
 2017
SuCCEED
Study
 2015
Rooms
Scrabble

 Being a preferred applicant
 Who you are is more important than what you do
 Keep people in the loop
Getting Your Job(s)
Pitch yourself! Apply! Practice!

 The more you work, the more you work
 Average 2-3 hours per day extra
 I’m paid 3 days / week therefore I work about 4 days
How Much Work?

Year 1 Staff Specialist Income:
 $100 per hour = $800 per day
 or $200,000 per year which includes:
 5 weeks annual leave
 5 weeks study leave (TESL)
 Sick leave / family leave etc
 PLUS Superannuation
How Much Money?

Private Specialist Income:
 $300 per hour
 Less 40-50% costs
 = $150 per hour
 At 6 hours of clinic per day = $900 per day
 42 weeks per year = $189,000 per year
 You can work more than this or charge more than
this, and you’ll earn more
 No on-call unless you add private hospitals
How Much Money?
https://onthewards.org/house-of-god-rule-15-part-6-finances-and-farewell/

 My wife works 3 days per week
 I work 3 days per week
 … meaning we earn 6 days of income per week for 3
days of work!
The Maths of Sharing

Amazing and Stressful

 It’s compromise, not balance
 There’s definitely a job out there for you
 The maths of sharing
 You’re better than you tell yourself
(aka: anything looks good on a website)
Take-Home Messages

Thank you!
http://Paediatrics.Online/compromise

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Work-life Compromise in Medicine

  • 1. Dr Chris Elliot July 2017 chriselliot@unsw.edu.au www.drchriselliot.com http://Paediatrics.Online/compromise Compromise
  • 2.   “You are honest”  “You have worked part-time”  “You have pearls re what you thought went well and not” Why me?
  • 3.   It’s compromise, not balance  There’s definitely a job out there for you  The maths of sharing  You’re better than you tell yourself (aka: Anything looks good on a website)  A day in the life  Getting a job  Earning an income  Taking care of yourself  Q and A Take-Home Messages
  • 6.  Every day is messy…
  • 7.   Clinical skills – seizures, ASD, anorexia, palliative care  Time management  Prioritisation  Avoid decision paralysis  Interpersonal management  Administration  Fatigue  Life intruding into work  Child in their context  Teaching and education  Self care – eating, resting, pacing  Asking for help A range of skills
  • 8.   Staff Specialist – St George 0.4 FTE  Staff Specialist – Randwick 0.2 FTE (locum)  Private Rooms – Hurstville 0.2 FTE  Editorial Board – JPCH and Medicine Today  Chief Investigator – SuCCEED Study  Father, husband, friend, son, photographer  Anything looks good on a website My current roles
  • 9.  You’re better than you tell yourself
  • 10.  My wandering path  2009 Exam  2010 Baby  2011-12 Year off  2012- 2014 AT  2013 AT Project resubmission  2013 Gen Paeds Locum  Training time not approved  2014 unpaid work  2014 Second Locum  2014 Open rooms  2015 Permanent job  2016/17 SCH Locum  2013 JPCH  2016 Medicine Today  2017 SuCCEED Study  2015 Rooms Scrabble
  • 11.   Being a preferred applicant  Who you are is more important than what you do  Keep people in the loop Getting Your Job(s) Pitch yourself! Apply! Practice!
  • 12.   The more you work, the more you work  Average 2-3 hours per day extra  I’m paid 3 days / week therefore I work about 4 days How Much Work?
  • 13.  Year 1 Staff Specialist Income:  $100 per hour = $800 per day  or $200,000 per year which includes:  5 weeks annual leave  5 weeks study leave (TESL)  Sick leave / family leave etc  PLUS Superannuation How Much Money?
  • 14.  Private Specialist Income:  $300 per hour  Less 40-50% costs  = $150 per hour  At 6 hours of clinic per day = $900 per day  42 weeks per year = $189,000 per year  You can work more than this or charge more than this, and you’ll earn more  No on-call unless you add private hospitals How Much Money? https://onthewards.org/house-of-god-rule-15-part-6-finances-and-farewell/
  • 15.   My wife works 3 days per week  I work 3 days per week  … meaning we earn 6 days of income per week for 3 days of work! The Maths of Sharing
  • 17.   It’s compromise, not balance  There’s definitely a job out there for you  The maths of sharing  You’re better than you tell yourself (aka: anything looks good on a website) Take-Home Messages

Editor's Notes

  1. Serenity, proportion, construction, zen
  2. Both hands doing different things, creating activity but mostly making a mess Compromise means not being the parent or the doctor you really want to be, and watching other people do those jobs better than you are (you think)
  3. Clinical skills Research Quality improvement Administration Education
  4. EAP