Originally Posted by take everything
Can you outline how Ireland compares with Aus/NZ in terms of:
Are you too busy chasing after some xray report, say, to learn anything like in Ireland, or are the roles more distinctly clinical.
You can only speak for surgery yeah?
But maybe you could comment on Medicine as well.
Ok. I have worked in both surgical and medical rotations so I can speak about both although more about surgical. I'll try to keep it general for now.
Obviously the more senior you get the more the responsibilities and hours working are needed. In Ireland there is a 48h/week work limit as outlined by EU law. This is clearly never met in most cases and we have all heard about doctors working >100h/week. Overtime is often not paid which makes it worse.
In NZ your pay scale is determined by the bracket of hours you work per week. For example <40h, 41-50, 51-55, 56-64 and 65+ Each would have a increase in salary depending on how long you worked. Every single hour above this is paid promptly without question at a pre-negotiated scale set by the Doctors Union.
I found that workload can be busy at times but almost never oppressive. There are always other doctors who are having a quiet day or two and they often are happy to come aid you when you are struggling. This is always reciprocated of course when the tables have turned. Suffice to say that the workload would always average out as less than you would be handling in Ireland. A 35 patient load on one House officer would be deemed 'Madness' whereas in Ireland that would be a norm. I've been lucky to have 2 whole weeks over the last year when all my bosses were off so I had no patients at all...I kept myself busy though helping others that were enjoying the 'madness'
Excellent. If you are keen and show interest you will be trained and taught on any area that interests you. I often had private tutorials other than the official ones set by the medical council on common hospital clinical issues. Consultants are more than happy to have you scrub in with them and assist on procedures. There is protected teaching time during the week and that's not for trainee's either.
As things are usually not as busy as in Ireland you will get far more one on one chances with seniors to practice and learn new skills.
Bloods, Radiology and all general management of the patient is part and parcel of any junior doctors life. Learning to prioritize and manage the chasing of results is a very important task and in itself is a learning opportunity. As you become more senior that task is delegated to your juniors so consider it a right of passage that we all go through. I personally managed to program my IPAD to be able to access the hospital network at anytime so I had all the results at hand pretty much whenever I needed them.
In summary the general consensus from myself and my classmates that moved to NZ/OZ is that you work fair hours and loads and retain a great quality of life compared to Ireland. The money is competitive and the training is excellent if you are keen. You never chose to become a doctor for wealth or to be bitter and miserable. Balance is strongly advocated and encouraged.
Hope that helps!