First free CPD training workshop delivered via Revalidate

On 9 May we organised our first free CPD training course as part of Revalidate, a new membership scheme that we are offering to locum doctors who work in the UK through Global Medics.

Revalidate is free to join and members benefit from free CPD training courses and a range of other offers designed to support them with their ongoing learning and revalidation.

The first course was a full day training workshop in central London, titled Revalidation and Appraisal.

Delivered by the British Medical Association and fully accredited by the Royal College of Physicians, this workshop covered the requirements for annual appraisals and five-yearly revalidation, with a key focus on the unique challenges that these processes can present for a locum doctor.

Six CPD points and certificates were awarded to all attendees on completion and feedback on the course content was excellent. One delegate stated:

“The BMA workshop was great, really interesting and extremely useful. I wish I’d had the opportunity to attend a course like this before”
Dr Castillo Fernandez

To join Revalidate and receive exclusive invites to courses like these, visit www.globalmedics.com/revalidate

London Winter Run

Global Medics Ealing are supporting the London Winter Run

On Sunday 5 February, the team at our office in Ealing is taking part in the Cancer Research UK London Winter Run. With nearly one in two people being affected by cancer at some point in their lives, the team members have decided to raise vital funds for Cancer Research UK.

The Route

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A whole host of winter characters including penguins and polar bears will join the charity run this year. Starting at Trafalgar Square, each runner will set off on the course with a burst of snow. The course will pass through many of London’s famous landmarks including Nelson’s Column, Adelphi Theatre, The Savoy Hotel, The Royal Courts of Justice, St. Paul’s Cathedral and Westminster. The run will end at Downing Street where participants will receive a well-earned medal and victory hug.

Team Global Medics

The following members of our team will be running the 10k distance:

  • Andy Whitaker
  • Anwar Sarwar
  • Birju Shah
  • Chantelle Muhsin
  • Dawn Edwards
  • Jas Sandhu
  • Kathryn Dougal
  • Kiran Bhamra
  • Kristine Belka
  • Maha Atrushi
  • Meenakshi Beeharry
  • Mickael Horan
  • Natalie Baker
  • Vicky Ebel.

Preparation

Latvian race walking champion Kristine Belka is holding running classes twice a week to give all participants a chance to increase their fitness and stamina in preparation for the run. You can check our team in training below.

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Get Involved

You can find out more about the charity event at http://www.londonwinterrun.co.uk/.

You can also donate to this worthy cause by clicking here.

EM/GP Roles in Beautiful Lakes Region, New Zealand

Global Medics New Zealand is urgently seeking GP/ED/Rural Specialists to work in Taupo Hospital (North Island) on either a 6 month fixed term or permanent basis from July 2016.

This is a fantastic opportunity to live and work in one of the most beautiful regions in New Zealand.

The following salary and benefits are on offer:

• $152,000 NZD – $216,000 NZD per annum
• Relocation package plus CME allowance
• Assistance with obtaining MCNZ registration and insurance

About Taupo Hospital
Taupo Hospital is a level 2 hospital providing medical and rehabilitation services with ambulatory clinics and a day stay surgery. It has a 24/7 emergency department, 11 bed inpatient unit, day unit and theatre plus outpatient clinics staffed by medical consultants and visiting specialists. There is also a maternity unit, pharmacy, radiology, district nursing and clinical nurse specialists supported by an administration team. You will be the solo ED doctor on site and may be required to stabilise road trauma patients before they can be taken to Rotorua Hospital.

About the Taupo region
The lakeside town of Taupo provides a base for visitors who love to fish for trout, ski Mount Ruapehu and explore the local geothermal phenomena. Popular Taupo experiences include the Huka Falls, geothermal walks, lake cruises, New Zealand’s first public cable wakeboarding park and guided kayak expeditions to see the rock carvings at Mine Bay. Taupo is also a fantastic region for year-round mountain biking, with the recent completion of the Great Lake Trail. Along with cycling, there’s excellent hiking and golf opportunities.

For more information see:
http://www.greatlaketaupo.com/

To be eligible for this role you must have:

• FRCGP/MRCGP with CCT & experience working in ED
• FCEM with CCST/CCT

Specialist training must have been completed in the United Kingdom.

For more information call Adam Benko on +64 (0) 9 281 2455.

Australia – Competition Winner Holidays in Singapore

Dr Koh was the winner of Global Medics Australia’s win a luxury holiday competition and decided to take his family of four to Singapore. Dr Koh was kind enough to write a few words about working through Global Medics as a locum doctor and to share a few holiday pictures of his family at Universal Studio in Singapore.

“I have been working with the Global Medics for the past year and half and have truly enjoyed the relationship. I worked registrar shifts in both surgery and emergency, while trying to share family duties with three children. Global Medics has made that possible for me with the provision of suitable locum shifts.

I found most consultants at Global Medics well trained with delightful attitudes. That ensured seamless transition for me to move between different assignments while maintaining good work rest balance. I went into the draw last year after referring few of my colleagues to them and came out winning $2500 of travel prize money. Global Medics arranged the quick delivery of the prize for me to book a family trip to Singapore. I would strongly recommend Global Medics.”

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Make the Move to Stunning Queensland – Permanent Doctor Jobs in Central Queensland Hospital & Health Service

Global Medics Australia is pleased to be partnering with the Central Queensland Hospital and Health Service (CQHHS) to recruit a number of permanent doctor positions from Junior Doctors to Clinical Directors throughout 2016 and 2017 for their diverse and growing Queensland health service.

CQHHS employs over 3,200 staff who are focused on patient safety and delivering public hospital and health services to a local population of around 250,000 people. Rockhampton Hospital is the main referral centre with regional hospitals in Gladstone, Biloela, Yeppoon, Emerald and Moura. In addition CQHHS has a number of regional Multi-Purpose Health Services and Outpatient Clinics across the health service. During 2014 to 2015 more than $200 million was spent on infrastructure within the health service including state of the art technology and major refurbishments.

As CQHHS continues to grow, whilst treating more than 295,000 patients per year there are current and upcoming permanent roles for Junior Doctors to Clinical Directors within:
– Emergency Medicine
– Anaesthetics
– Intensive Care
– Surgery
– Obstetrics and Gynaecology
– Paediatrics
– Radiology
– General Medicine
– Rural and Remote Medicine
– Dermatology
– Psychiatry

With amazing weather, easy access to the great barrier reef, national parks, and stunning beaches, there are a number of benefits to working and living in Central Queensland including:
– Permanent salary packages up to $500,000 per annum depending on the role and location
– Relocation packages (single and family)
– Flexible holiday and professional development leave
– Continuous medical education and career development opportunities
– A diverse range of patient presentations
– Lower cost of living
– A wide choice of roles available in coastal and rural towns and metropolitan cities
– Sponsorship visas for overseas doctors

To view the current permanent doctor jobs in CQHHS click here or to find out more about working and living in Central Queensland and future job opportunities contact us at au@globalmedics.com.au

Hundreds of New Locum and Permanent Doctor Jobs for 2016

Now that the holidays have come and gone, now is the perfect time to consider a career change or extra locum work.

As a leading international recruitment agency for doctors, Global Medics is in a unique position to assist doctors to secure a new permanent or contract role, extra locum shifts or longer term locum assignments within:

  • A&E / Emergency Medicine
  • General Practice
  • Mental Health
  • General Medicine
  • Radiology
  • Surgery
  • Anaesthetics
  • Pathology
  • Radiology
  • Medical Administration

With our international footprint of local offices in the UK, Australia, Ireland and New Zealand, our team of specialised Recruitment Consultants have been assisting thousands of doctors find their ideal role for the past 15 years.

To view the latest locum, contract and permanent doctor jobs CLICK HERE or follow us on LinkedIn, Facebook or Twitter for the latest blogs, job updates and industry news directly into your news feed.

Locum Jobs for Junior Doctors across New Zealand

Global Medics is a leading supplier of doctors to all DHB’s across New Zealand and has been for the past four years. As the demand for Junior Doctors continues in New Zealand, this is an excellent time to consider locum work.

So why should you, a Junior Doctor choose to do locum work? There are many benefits including:

– Well paid hourly and daily rates.
– Extra income to assist funding studies and courses.
– A variety of locum dates and shifts, ranging from one day to three months.
– A wide selection of city and rural hospitals across the north and south islands.
– Experience working with a variety of Consultants, great networking opportunities and exposure to different patient presentations.

From a hospital’s perspective, you enable them to continue to deliver their services and relieve their internal staff workload. Hospitals would struggle to cope without locum Junior Doctors.

We currently have a wide range of locum jobs available for Junior Doctors within emergency medicine, surgery, general medicine, paediatrics and psychiatry.

Our dedicated team of Recruitment Consultants, who specialise in the Junior Doctor market, liaise directly with the hospital on your behalf and provide you with all the information to ensure you are well prepared before you start your locum role. We aim to deliver a personalised service including:

– Locum scheduling/planning services to ensure we book you for the right job and the right time.
– Coordinate all your locum arrangements, including travel and accommodation.
– Assistance with the hospital’s compliance requirements.
– The latest and widest range of locum jobs across New Zealand.

To view the latest Junior Doctor locum jobs in New Zealand CLICK HERE or contact Adam Benko at adam.benko@globalmedics.com or call +64 9 281 24 55.

Are you looking for locum work during December and January?

As a leading staffing provider of locum doctors internationally we currently have hundreds of locum jobs with our clients during December and January to cover holiday leave and increased patient demand. This is a great time of the year to pick up extra locum shifts, secure longer term locum assignments or gain experience working in a range of leading hospitals or clinics.

You will have a choice of locum jobs across a range of dates; city, regional or remote locations; with a number of clients paying for travel, accommodation or additional benefits. Currently we have a range of locum jobs for doctors within:

– Emergency Medicine/Accident and Emergency
– General Practice
– Anaesthetics
– Intensive Care
– Surgery
– General Medicine
– Obstetrics & Gynaecology
– Mental Health/ Psychiatry
– Paediatrics
– Pathology
– Radiology

Contact us to find out more information, or click the links below to view the latest locum jobs.
Australia locum jobs
New Zealand locum jobs
Ireland locum jobs
United Kingdom locum jobs

Approved NHS Framework Locum Agency – Global Medics UK / Doctors on Call

With the recent announcement from the Department of Health (DoH) introducing a ban on NHS trusts using ‘non-framework’ agencies in the UK, our latest blog explains what a framework is and the benefits for doctors choosing a framework agency. Global Medics / Doctors on Call is an approved framework agency and has been supplying qualified doctors to the NHS for over 14 years.

What is a framework?
In temporary (locum) staffing, a framework is a list of approved suppliers (agencies) who have been vetted and audited by a framework body to provide assurances to clients (NHS trusts) that they can supply doctors of a high quality and at a competitive price.

To be a ‘framework supplier’ agency, each agency has to apply through a tender process and provide information about their organisation, their policies and procedures, and their ability to supply locum doctors to the framework clients requirements.

Who benefits from being on a framework?
For doctors the main benefits of choosing a framework agency is a larger selection and variety of locum jobs and security of working for a fully vetted and approved agency.

For NHS trusts, once an agency is approved on the framework they can expect:
– Fully vetted doctors who comply with the NHS employers standards
– Revalidation of all full-time locum doctors
– Competitive locum pay and charge rates
– Regular audits by the framework bodies to ensure doctors are fully vetted in line with the NHS employers standards

 How many staffing frameworks exist in the UK?
There are three main staffing frameworks, consisting of:
– Crown Commercial Services (CCS)
– Health Trust Europe
– London Procurement Partnership

Why is Global Medics / Doctors on Call on the framework?
We choose to be a framework supplier because it reassures our customers we are delivering a high quality service, and it also enables us to offer our locum doctors the largest choice of assignments and the reassurance of working through a vetted and approved NHS staffing supplier. Being on the main CCS framework we are also a designated body for the purpose of revalidation and so can support our doctors in the appraisal and revalidation process.

 

For further information visit www.globalmedics.com

New Tier 1 Supplier Win – Maidstone & Tunbridge Wells NHS Trust & £500 Doctor Referral Program

Global Medics United Kingdom is pleased to announce that we have successfully won a new Tier 1 supplier contract with the Maidstone and Tunbridge Wells NHS Trust. The trust has two main hospitals at Maidstone and Tunbridge Wells and a specialist cancer centre based in Maidstone. The trust plays a crucial part in delivering health services to the local population of around 500,000 people living in Kent and the South Coast of the UK.

What does this mean for our locum doctors?
– Tier 1 means that Global Medics / Doctors on Call receive all locum shifts first, enabling our doctors a wider choice of adhoc and longer term shifts.
–  Competitive locum pay rates based on preferred supplier status.

There is a high demand for locum doctors across all specialities and grades to work at the Maidstone and Tunbridge Wells acute hospitals or the specialist cancer centre based in Maidstone.

New doctor referral program
We like to reward our locum doctors with the introduction of a new doctor referral program which pays £500 for every new doctor referred to Global Medics / Doctors on Call in the UK until 31st December 2015.

You will get paid £100 as soon as your referred doctor is booked and completes 35 hours of locum work at the Maidstone and Tunbridge Wells NHS Trust and then a further £400 once your referred doctor completes an additional 65 hours of locum work, all locum bookings are through Global Medics / Doctors on Call in the UK.

Email your Global Medics United Kingdom / Doctors on Call Recruitment Consultant or all@globalmedics.com with your candidate referral, please include your colleague’s full name, mobile number and email address.

To view the latest locum jobs in the United Kingdom CLICK HERE

 

 

Referral Program Rules (as at 19th October 2015)
– Doctors must be referred by 31st December 2015 to be included in the £500 referral program.
– The referred doctor must be able to work in the UK within the next six months and registered with the GMC.
– The referred doctor has not worked through or currently registered with Global Medics United Kingdom / Doctors on Call.
– The 100 hours must be worked within six months of receipt of the referral email/introduction.
– The referred doctor must be advised that a Global Medics United Kingdom / Doctors on Call Recruitment Consultant will be in contact to discuss locum jobs and the registration requirements.

Training Blog – De Winter’s T Waves

By Dr Peter Kas at www.resus.com.au

De Winters T Waves were first described by the author in an article to the editor of the New England Journal of Medicine (1) in 2008. They are considered an ST-elevation myocardial infarction (STEMI) equivalent and a myocardial infarction can be missed in a patient as they do not have the classic ST-elevation appearance.

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Using ECG’s from a large database the authors described a new ECG pattern without ST elevation that indicated proximal left anterior descending (LAD) coronary artery occlusion.

The pattern was seen in the precordial leads and comprised:
– ST segment depression at the J point of precordial leads of at least 1mm
– Upsloping ST segments
– Peaked positive symmetrical T waves
– VR also showed small ST Elevation (1-2mm)

This pattern was recognised in 2% of patients (30/1532) with anterior myocardial infarction.

It was described as a static pattern, rather than evolving with changes to the ST segments. Since then other studies have shown evolution to classic STEMI does occur. This is now considered to be an anterior STEMI Equivalent.

In 2009 Verovden el al (2) duplicated these findings in patients with anterior wall myocardial infarction. The distinct ECG pattern was identified in approximately 2% of patients with LAD stenosis, in that study also. These patients were more likely to be younger and male and tended to have hypercholesterolaemia.

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References
1. De Winter Rd et al A new sign of proximal lad occlusion, NEJM 2008:359: 2071-2073 Nov 6
2. Verovden NJ Et al Persistent precordial “hyperacute” T waves signify proximal left anterior descending artery occlusion. Heart, 2009 Oct; 95(2): 1701-6

Global Medics Attending the 28th Annual Congress of the Society of Intensive Care Medicine

Berlin, Germany – 4th to 7th October 2015

The Global Medics team in Ireland and the United Kingdom will be attending the 28th Annual Congress of the Socitety of Intensive Care Medicine (ESICM) in Berlin, Germany from 4 to 7 October 2015.

The event will be attended by thousands of intensive care and allied healthcare professionals from around the world, with a program led by top international experts and young specialists who will present on, discuss and debate the hottest topics in intensive care medicine. For further information on the event go to http://www.esicm.org/events/annual-congress

Global Medics will have a stand at the event which will be attended by our specialist Recruitment Consultants who will be discussing locum and substansive career opportunities in Ireland and the UK. They will be on hand to answer any general questions about working in the HSE or NHS.

We look forward to meeting all the Anaesthetists and Intensivists attending the event. If you would like to schedule a one-on-one meeting in advance please contact Liam McGrath at liam.mcgrath@globalmedics.ie or Sarb Ram sarb.ram@globalmedics.com

 

To view the latest anaesthetics and intensive care jobs in Ireland and the UK go to www.globalmedics.com

Training Blog – Unstable Pelvic Fractures

By Dr Peter Kas at www.resus.com.au

Pelvic fractures are most often associated with massive trauma. In terms of skeletal injuries they account for about 3% of all injuries. However they have the potential to result in haemodynamic instability, leading to significant mortality. Approximately 10 years ago the mortality from multi trauma with pelvic ring disruptions and haemorrhagic shock approached 60% (J Orthop Trauma 2002 16: 553-61). Today that number is less than 20%.

The instability from pelvic ring fractures results mostly from “open book” fractures. This is a direct result of the increase in pelvic volume that occurs with these, accommodating a larger volume of bleeding. Bleeding is usually venous from the pre sacral plexus (80% of cases) It may also be arterial from a branch of the internal iliac artery.

Searching the literature for the best approach to these unstable pelvic fractures, rapidly uncovers the fact that there are no randomised controlled trials. At best we have case series and case controlled studies. So at best level IV or V evidence. In fact there are less than 40 papers of relevance and most are retrospective studies. The approach to this patient group is mostly dealt with via consensus statements.

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Mechanism of Injury
Pelvic fractures differ based on the direction of forces that cause the injury.

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Upward/ Downward Force – this causes a vertical displacement within the pelvis resulting in distraction at the pubic ramus and the sacroiliac joints.

 

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Anterior/ Posterior Force – this is the classical pattern of force in motor vehicle accidents. The result is, that it opens the ring.

 

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Lateral Force – these forces cause the pelvis to collapse inwards.  They close the pelvis and rarely cause haemodynamic instability.

 

Approach to the haemodynamically unstable pelvic structure
Below are a set of simple questions allowing a literature review in this area:
1. What is the role of the pelvic binder?
2. What role does FAST have?
3. When is it time to go to theatre?
4. What is the role of external fixation?
5. What is the role of pelvic packing?
6. What is the role of angiography?

What is the role of the pelvic binder?

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Pelvic binders reposition fractured parts, reducing pelvic volume and width, close to that achieved by definitive stabilization.  (J Trauma 2005 Sept, 59(3) 659-64). It stabilises unstable fractures (Injury 2009 Oct 40(10): 1031-5) and can limit/ decrease venous blood loss. It should be applied and left in position, until there is fixation or haemorrhage control.  The best position for the binder is over the greater trochanters and the pubic symphysis.

What role does FAST have?
The FAST abdominal ultrasound scan is used to ensure that there is no intraperitoneal compartment haemorrhage, that may be the cause of the haemodynamic instability. In some cases of retroperitoneal haemorrhage there may also be blood in the peritoneal compartment.

When is it time to go to theatre?
The hemodynamically unstable patient with a positive FAST study needs to go to the operating room.  At this time they receive definitive treatment for intrabdominal injuries and the pelvis is stabilised. Whilst in the operating room the pelvis can also be packed.

What is the role of pelvic packing?
Pelvic packing on its own, is effective in controlling haemorrhage. (Injury 2009 April 40 (4) 343-353) and its benefit extends to children and adolescents. (J paediatric surg 2012 Dec, 47(12) 2240-50). The effectiveness if packing is increased when used with a C-clamp. (J Emerg Trauma Shock 2011 4 (4) 477-82).

Pelvic packing should be performed when a laparotomy is performed, or if there is a delay to, or lack of angiography services for embolization. When angio is delayed for more than 2 hours, pelvic packing decreases the need for blood transfusion over the next 24 hours and outcomes are improved (Injury 2009 Jan 40(1) 54-60).

What is the role of angiography?

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Angiographic embolization controls arterial haemorrhage.  It is lifesaving, as packing may control venous bleeds but doesn’t usually control arterial bleeds. It should be performed within 30-45 minutes. The procedure itself can be time consuming, which means that you will be working on an unstable patient in the angio suite. The procedure can be repeated if necessary.

 

Let’s put it all together
In a haemodynamically unstable patient with a Pelvic Fracture, a PELVIC BINDER is applied.

– A FAST is performed.
If POSITIVE and the patient goes to theatre for laparotomy and pelvic stabilisation as well as packing if required.
If NEGATIVE and Angio is available within 30-45 minutes, the patient goes to angio. If angio is not available or will be delayed the patient goes to theatre.

– If the patient goes to angio and embolisation occurs and they are stable, they go to ICU.

– If the patient has had pelvic packing and now stable, they will need a Contrast CT to look for a ‘blush’ (arterial bleed).

– If you work in a centre where there is no angio and the patient is unstable, they should go to theatre for packing and a C-Clamp and then be transferred to a trauma centre with facilities.

Below is a consensus document from 2014 which reflects the management approach just described.

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Association of Nigerian Doctors in Ireland Inaugural Dinner

Global Medics Ireland was honoured to sponsor the first inaugural dinner for the newly formed Association of Nigerian Doctors in Ireland. Over 100 Nigerian national doctors travelled from all over Ireland to attend the event.

The inaugural dinner had a number of speakers on the night which included the guest of honour, Her Excellency, The Ambassador of Nigeria in Ireland, Dr Bolere Elizabeth Ketebu. Dr Ketebu highlighted the significance and impact of Nigerian doctor’s migration with the purpose of providing a formidable platform for networking amongst African and Irish businesses with the sole purpose of harnessing each other’s potentials. Also Dr Yewande Olupitan premiered a fantastic montage of Nigerian Diaspora and outlined the special relationship Nigeria has with Ireland in the past number of years.

Sandra Whitty from Global Medics Ireland was delighted to be involved in the event and received the following message from the Chairman of the Nigerian Association who is a Locum Consultant Psychiatrist through Global Medics:

“On behalf of the Association of Nigerian Doctors in Ireland, I want to thank Global Medics Ireland for sponsoring our inaugural dinner.”
Yours truly, Dr T E Anyansi (Chairman of the Nigerian Association)

The dinner was also a great opportunity for doctors to share their experiences of working and living in Ireland, as there is over 8000 African doctors practicing in Ireland, 2200 from Nigeria.

Global Medics Ireland has assisted a large number of Nigerian doctors secure their ideal role in Ireland whilst providing an individual and personal service throughout the entire process. To view the latest locum and salaried jobs in Ireland CLICK HERE or email Sandra Whitty at Global Medics sandra.whitty@globalmedics.com

Sandra Whitty, Global Medics Division Manager wishes to thank the association and to express our continued support of the event. Global Medics Ireland looks forward to supporting and assisting many more doctors who wish to emigrate from Nigeria to Ireland.

Below are a few photos from the inaugural dinner.

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Global Medics Ireland Sponsors the CMUL Kennedy Squad

Global Medics Ireland is pleased to be a major sponsor of the Cavan/Monaghan Kennedy cup squad ahead of this year’s prestigious tournament in the University of Limerick.

Ronan Corrigan and Mark Compton of Global Medics flew from Dublin into Scotland ahead of the recent CMUL match against Glasgow Celtic to unveil the sponsorship which would see the players receive a new kit and kit bag.

Speaking in Glasgow Celtic’s media room in Lennoxtown, Ronan said, “On behalf of Global Medics we are delighted to be teaming up with the young stars of the Cavan Monaghan Underage League and if tonight’s performance against Glasgow Celtic is an indication of what the future holds, then I have no doubt these players will, like Global Medics, be internationally recognized names”.

Team manager Oliver Martin thanked Ronan and said, “On behalf of everyone connected to the squad I would like to thank Ronan and Global Medics for their sponsorship and I think it says a lot about the quality of our players and their reputation on a national level that we can attract sponsorship from a company of the International standing of Global Medics”.

To read the full article CLICK HERE

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Training Blog – Stylet or Bougie for Intubation

By Dr Peter Kas at www.resus.com.au

I’ve been teaching airway workshops now for many years and have put over 3,500 doctors through the Advance Airways Workshop (click here). I know there has been some work done on the bougie vs the stylet, but I was recently told that the stylets are so “yesterday” and everyone is using a bougie first now. Really? I want to look at the literature on this.

In a 20 year old study¹ they found that the gum elastic was superior to the stylet in terms of intubation success rate when tested on simulated Grade 3 view. This study used simulated views rather than actual and they didn’t consider Grade 4 views.

Noguchi et al ² compared the gum elastic bougie to a stylet when applying cricoid pressure. Well, I can stop right there, because cricoid pressure is out. But let’s persevere. The conclusion was that the gum elastic bougie was superior over the stylet for tracheal intubation during cricoid pressure application.

There were some potential limitations including the study design, bias and that those applying cricoid pressure, were not blinded. The most important finding however is that the success rate and duration of intubation was not clinically different between stylet and bougie. So, it’s of no use to us.

Here is a recent study. This was a randomised control trial ³ carried out on 56 patients. A difficult airway was simulated by application of a rigid cervical collar. Now this study does make me think a little. It isn’t the manikin studies done in the past which showed low success rates of stylet compared to bougie (66%) ⁴.

Arguments made against the stylet include the potential for damage to soft tissue as well as effectively intubating blind. In respect to the last comment, the stylet is no different to the bougie, where you are intubating blind.

The technique I’ve always taught is to place the tube in, in such a way that you are intubating for below upwards giving you a direct view.

My take on all this is that you use what you are used to. You will always perform better with this approach. In manikin intubation models where operators were used to stylets, the success rate with stylets overshadowed the bougie significantly, by twice as much.⁵

My approach stays the same:
1. Size 3 Macintosh Blade
2. Size 7.5 Endotracheal tube
3. Stylet (not protruding past the edge and bent at 35° angle)
4. If difficult, try a bougie

 

Reference Materials
1. Getaure PS, Vaughan RS, Latto IP. Simulated difficult intubation in patients with potential cervical spine injuries. An indication for the gun elastic bougie. Anaesthesia 193, 18: 630-33

2. Noguchi T, Koga K, Shinga Y, Shigematsu A. The gum elastic bougie eases tracheal intubation while applying ericoid pressure compared to a stylet. Canadian Journal of Anaesthesia 2003; 50:7: 712-71

3. Kahn R, Ashraf Kan F, Azam M. Comparison of the stylet and gum elastic bougie in tracheal intubation in a simulated difficult airway. Anaesthesia Pain and Intensive Care. 2014; 18 (3): 256-25

4. Paul AK. Drugs and equipment in Anaesthesia Practice. Elsevier, New Delhi, 2004. 252.

5. Gregory P, Wollard M, Lighton D, Munro G, Jenkinson E, Newcombe RG, O’Meara P, Hamilton L. Comparison of malleable stylet and reusable and disposable bougies by paramedics in a simulated difficult intubation. Anaesthesia 2012, 67, 371-376

 

A Guide to the Consultant Psychiatry Job Market in Ireland

Global Medics Ireland works in partnership with the Health Service Executive (HSE) to supply Consultant Psychiatrists to hospitals all throughout Ireland for short and long term roles.

There is currently a large demand for Consultant Psychiatrists in Ireland with earning potential up to €200,000 per annum within the following areas of psychiatry:

– Child and Adolescents
– General Adult
– Intellectual Disabilities
– Liaison
– Old Age
– Addiction
– Learning Disabilities
– Rehabilitation

Ireland has many beautiful villages, towns and cities all within commutable distances. There are jobs in the bustling city of Ireland’s capital, Dublin or the small picturesque city of Cork. If you prefer a quieter lifestyle there are also many opportunities in the scenic countryside.

Our local expertise within the Irish psychiatry market means we have assisted hundreds of Psychiatrists over the past eight years to secure their ideal job in Ireland whilst providing a personalised service throughout the entire process. For Psychiatrists outside of Ireland we provide advice and assistance with the Irish Medical Council (IMC) registration, immigration and visa requirements, and relocation to Ireland.

To view psychiatry jobs in Ireland CLICK HERE or contact Sandra Whitty on sandra.whitty@globalmedics.ie or +353 1 20 20 240.

Global Medics Ireland – Supporting the Local Community

A Good News Story

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On Tuesday 26th May 2105, Monkstown Boxing Club held a presentation event in their club at the Mounttown Community Facility in Dublin, Ireland. For the past eight weeks, club coaches had been teaching the basics of Amateur Boxing (Ireland’s number 1 Olympic Sport) to boys who signed up to the 8 week Beginners Boxing course; all the boys are aged between 9 and 12.

At the presentation evening was Mr Ronan Corrigan (Global Medics Ireland, Managing Director) who was on hand to present and awarded 47 certificates of completions. The boxing club is very thankful to Ronan and Global Medics Ireland who have sponsored the club over the past year with supplying tracksuits & equipment.

Ronan said, “It was an honour to present the certificate of completions on the night and to sponsor the club within the local community over the past year as part of our corporate responsibility. It’s been very rewarding watching the dedication of the coaches and the enjoyment and skills the boys have received during the course.”

Full article http://www.iaba.ie/47-budding-boxers-complete-monkstowns-beginners-course/

 

Make the Move – General Practitioner Jobs in Canada

Global Medics Canada are currently working with a number of General Practice clinics who are seeking experienced General Practitioner interested in relocating to Canada for short, medium and long term roles in both regional and city locations across Canada including Alberta, British Columbia, Ontario and Saskatchewan.

Canada offers General Practitioners very attractive earning capabilities ranging from $300,000 to $830,000 per annum through a fee for service model.

In addition to excellent earning capabilities some local health authorities or communities will also offer the following benefits for non-city roles:
–  A site visit during the interview process which includes flights and accommodation to the regional area to visit the clinics and the local area.
– Relocation incentives.
– Relocation assistance with accommodation and transport.

Global Medics has assisted hundreds of General Practitioners over the past 6 years who are eligible for registration in their province of choice to secure their ideal role in Canada and provide a range of assistance throughout the entire process including:

– Medical licensure requirements and process
– Matching General Practitioners with the right roles and locations
– Arranging all interviews
– Site visits to Canada during the interview process
– Immigration and work permit assistance
– Fee Canadian financial advice for doctors relocated to Canada

Canada has consistently been voted as one of the top destinations for General Practitioners due to leading primary care facilities, lucrative earning capabilities and excellent work life balance.

To view the latest General Practitioners jobs in Canada CLICK HERE or contact Andrew Whitaker at andrew.whitaker@globalmedics.com or +44  (0)20 8566 4111.

 

Training Blog – Hypothermia in Cardiac Arrest in Children

By Dr Peter Kas at www.resus.com.au

A study in the NEJM (25th April 2015) by Moler et al. ‘Hypothermia in Out of Hospital Cardiac Arrest in Children’.

We know that hypothermia works in adults and more recently studies showed that we don’t need to cool patients to extremely low temperatures. In fact it is important to strictly control the temperature and not allow them to become febrile. Hypothermia in children has not been properly studied in cardiac arrest. What has been done has shown no benefit. In fact, work done on traumatic brain injured children and hypothermia showed a trend towards increased mortality (NEJM 2008; 358: 2447-2456).

This study looked at 411 children from ages 2 days old to 18 years old and patients were randomly assigned to therapeutic hypothermia or normothermia.

Inclusion criteria were patients that had a cardiac arrest requiring chest compressions for at least 2 minutes and who needed to remain on mechanical ventilation following return of spontaneous circulation.

Temperature management occurred for a total of 120 hours. The hypothermic group were kept at a core temperature of 33°c (32.0-34.0) for 48 hours then warmed to 36.8°c (36.0-37.5) for the remainder of the time to make up the 120 hours.

The outcome measured was good neurological outcome at 12 months. The proportion of survivors with good outcomes were: 20% in hypothermia vs 12% normothermia (p=0.14). There certainly was a trend towards better outcomes however these results were not statistically significant.

So at this time hypothermia in children out of hospital cardiac arrest confers no benefit over normothermia.

Training Blog – Head Injury in Children

By Dr Peter Kas at www.resus.com.au

Up to 60% of children that come to Emergency Departments with a head injury have a CT brain scan even though less than 1% have an injury that truly needs it. That is an important and significant fact!

Children are brought into the Emergency Department frequently post a fall or with a minor head injury. Sometimes they come directly from home and sometimes from their local doctor. In unwell children with significant head injury a CT scan is needed, however most head injuries that we see in children are low risk injuries; falling over whilst playing, hit their head on a wall or the common fall and “hit the edge of the coffee table”. Those are the cases we need to sort. The worst position to be in, in my view is when parents come in expecting to get a CT brain scan for their child because their General Practitioner has told them they need one. This is when we need to have confidence in the evidence.

We now have guidelines that tell us what to do in children with low risk head injury and they include variables such as age and height of fall and even length of loss of consciousness. They are accepted, validated and widely used and help us discuss in an open and straightforward manner with the parents, the appropriate management of their child. They are the PECARN RULES. PECARN stands for Paediatric Emergency Care Applied Research Network. The paper is titled ‘Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study.’ Lancet 2009; 374: 1160-70.

This was a prospective cohort study with over 42,000 patients. They included children that didn’t have coagulation issues and no-one with GCS < 14. One of the most important things I took away from this paper was that the chance of a clinically significant traumatic brain injury in this children with minor head injury was about 0.85%. So if you did nothing at all when one of these children came in (and I’m not suggesting you do this) in 99.15% of cases that child would be fine.

The aim of the study was to determine a group of low risk criteria where the risk of a significant brain injury was less than the risk of CT induced malignancy, which is about 1 in 2000 scans.

The great thing about this study was that they split the results into 3 groups:
1. Those children that needed a CT brain scan.
2. Those children that could be discharged
3. Those children where observation was recommended.

The children studied were split into 2 groups: < 2 years old and > 2 years old.

<2 Years Old Group
If the GCS is < 1 year old or if the child has an altered mental state, which included agitation, somnolescence and repetitive questioning a CT brain is recommended as there is a 4.5% chance of significant injury.

If none of these findings are present we are already in a risk group of less than 1% chance of significant brain injury and these patients can be observed or sent home.

image 1

The next question to ask is; is there a scalp haematoma-anywhere except frontal or has there been a loss of consciousness (LOC) > 5 seconds? Here we have a time frame for LOC. If the LOC is less than 5 seconds it’s OK.

The third question to ask relates to the severity of mechanism? Severe mechanism is defined as a fall of > 0.9m. Here we actually have a height reference. Others relate to high impact object or a motor vehicle accident which is a rollover or ejection or someone has died at the scene etc. If any of those things are in place there is about a 0.9% risk of significant injury and observation of these patients is recommended. If there is any deterioration a CT can be performed. It is an area where there can be discussion with the parents and depending on their wishes, the physicians experience and how young the child is, a decision can be made. I watch all these children.

If none of these findings are present there is a less than 0.02% chance of a significant brain injury. This translates to 2 in 10,000 or 1 in 5000. The risk of CT related malignancy approaches 1 in 2000 children scanned. So the risk of a significant injury is much less than the risk of malignancy, so these children can be sent home.

> 2 Years Old Group
In the > 2 you old group the same areas are covered. If GCS is <15 or there are signs of altered mental status as before or there are signs of a base of skull fracture (as shown below):

image 3

Otherwise we need to know if there has been any LOC, any vomiting, severe headache and as before a severe mechanism of injury. What changes in mechanism now, is that the height is increased to a fall of > 1.5m. If any of this second group are present, observation is recommended as there is a 0.9% chance of significant brain injury. If none are present then discharge is advised as the risk of significant injury falls to < 0.05% i.e., less than 5 in 10,000 or 1 in 2000, which is about the risk of a CT.

Watch the Video
Dr Peter Kas gave a 14 minute talk at last year’s EMCORE on the PECARN rules as well as his own HAGLE formula.

Launch of the Global Medics Training Blogs

Global Medics is pleased to be in partnership with www.resus.com.au with providing a series of fortnightly teaching materials and video blogs. Here at Global Medics we value the importance of continuing professional development for doctors at all levels, we hope that these blogs will be informative and of interest to you.

Associate Professor Peter Kas is a leading Emergency Specialist in Australia, conference guest speaker and owner of www.resus.com.au which publishes teaching materials, training videos and event/conference information.

We would like to launch the first blog with two interesting topics below (training video and teaching module) provided by Associate Professor Peter Kas.

Hip Relocation Made Easy

Here is a short video on the Whistler technique for putting in hips. It’s quick, easy and really doesn’t allow you to hurt yourself. You use your legs to give you the traction, just watch and see.

I call it the under-over technique: I put my arm under the knee of the affected side and rest my hand over the good knee. I will use this a fulcrum. Both ankles are stabilised and all I do is straighten my legs and lift up, putting traction on the dislocated hip.

 

Pseudo vs Real Seizure

If you have worked in an emergency department for a few years you will have seen a pseudo-seizure and hopefully have picked it. In those early days, I had trouble making the diagnosis and I had seen neurologists get it wrong. Now they are a little easier to pick. I’m not one to do prolactin levels and blood gases in this group, although I do look at pulse oximetry, which should show a decreased oxygen saturation, during a real seizure. Here are some other tips that might help you. Be careful as there are always exceptions and always err on the side of giving your patient the benefit of the doubt.

I look for seven things.  Sure the history and everything that has occurred around the event has to make sense but if I’m unsure this is what I use.

  1. The seizure lasts longer than most normal seizures, for example five minutes verses one to two minutes.
  2. There is a very brief one to five minutes post ictal period.
  3. The patient may be awake post seizure but not communicating (beware ‘Locked-in’ syndrome).
  4. The patient remembers all events that occurred during a generalised tonic colonic seizure.
  5. There is forward pelvic thrusting during the seizure, very indicative.
  6. There is turning of the head from side to side during the seizure.
  7. There are asynchronous limb movements during the seizure.

So you have made the diagnosis, now the way you handle it with the patient is important. Some patients need to simply be asked to stop. Whatever approach you take, it shouldn’t be threatening, but one that tells the patient you realise they are under great stress and to invite an open discussion, so you can assist them. Psychiatric review will of course be required.


We hope you enjoyed these two topics in our first training blog. 

Global Medics Australia will be holding a half day ECG and ACLS re-cap session at our Sydney office, further information regarding this event will be posted in the coming weeks.

 

 

Planning for the New Year

For many of us, the dawn of a new year creates opportunity to consider career options, set goals and / or plan the activities we consider to be important. Whether you are new to a medical career, about to embark on post-graduate training, have just completed your training or simply wish to explore new horizons in an established career, now is also a good time to consider whether locum work would help achieve some of the goals you have set.

In a previous blog, I briefly commented on the many reasons why doctors consider locum work as part of their annual planning. Whether you are a seasoned locum, or have never done any locum work before, the best starting point is to ensure you are registered with a reputable and established locum provider as soon as possible. Doing that now provides you with ample time to find the locum position that best meets your needs or requirements, and takes the pressure off trying to finalise paperwork in a last-minute dash to land a role.

Of course, if you are planning to do locum work overseas, then starting the process early is even more important. Also, discussing the specific requirements you may have with an experienced recruitment consultant helps to set expectations and ensure the locum opportunity provides clinical stimulation, financial reward and personal satisfaction.

At Global Medics, we take great pride in the services we provide to all our doctors. For that reason, so many doctors return for repeat or future locum placements with us. We build sustainable relationships based on our international reach, local experience and meticulous attention to the needs of our doctors and requirements of our clients.

Wishing you a prosperous 2015.

Practical Tips for New Locums

Whether you are interested in working at a large tertiary training hospital, a remote site medical clinic or anything in between, there are multiple roles available. As clinicians, we are often focussed on the clinical aspects of the role – case mix, support, supervision, infrastructure, training opportunities and the like. Whilst these considerations are important, all locum assignments also require a fair amount of paperwork, administration, logistics and practicalities. It is important that you check with your locum agency what support they offer with the following:

Medical Registration
If you are planning to locum in another country, you will need to be registered with that country’s medical board. The process can take some time, and often requires a fair amount of documentation and supporting evidence. Some countries may also require you to complete an interview or examination, and they may have different categories of registration – each with its own rights and limitations. Make sure you understand what is required, plan ahead and are aware of the implications of the registration category you will be eligible for.

Visas / Work Permits
Some countries require overseas doctors to apply for and be granted a visa before travelling to that country. In simple terms, a visa allows you to enter the country, and stipulates the conditions of such entry. Be sure you understand what your right and obligations under a particular visa category is. It is also possible that the country of destination requires international visitors to hold a work permit before being allowed employment. The work permit again stipulates the rights and obligations of the employee. Also note that some countries have combined their visas and work permits into a single document and process.

If you plan on travelling with any family members including children, it is very important that you also understand what rights and obligations pertain to them. Common questions to ask include whether they would be eligible to attend school, take up employment, qualify for certain benefits.

Insurances
All international travellers should have health insurance coverage. There are multiple providers in both origin and destination countries who would be available to provide quotes and a detailed breakdown of the insurance on offer. Make sure you know what you are paying for, what is covered, and what is not. If you are not sure, ask your insurance broker, lawyer or financial advisor to assist.

Medical Indemnity insurance is another key consideration. Some public health facilities will provide state / federal / government based insurance for all doctors working at that facility. Our advice is that all doctors give serious consideration to purchasing their own private Medical Indemnity insurance irrespective of what is offered by the employer. With a general increase in the number of malpractice claims and litigation, the peace of mind gained from having your insurances in place, is well worth the investment.

Whilst your locum agency should be able to provide general guidance on all the above, remember that most agencies are not licensed financial or legal service providers and hence you are best advised to seek further guidance from professional advisers.

Global Medics has almost 15 years international medical recruitment and advisory experience. We work with leading professional service providers in each of the countries where we do business, and can provide you with the details of independent professional services on request.

Private Psychiatry Practice Opportunities in Australia

Have you ever considered setting up a private psychiatry practice and earn up to $750,000 per year?

Global Medics Australia is working closely with well-established private hospitals throughout Australia that have opportunities available for RANZCP doctors to build high earning practices in a short space of time. There are permanent and part time VMO job roles available within Queensland, New South Wales, Western Australia, Tasmania and the Northern Territory.

The hospitals we work with offer excellent support systems to help with the transition into private work. Doctors will be provided with secretarial staff, marketing, advertising and consulting allowing you to concentrate on working with patients. A mixture of inpatient and outpatient work is available depending on personal preference.

A large demand for private psychiatrists exists within the hospitals that we are working with and due to this there are long waiting lists to see psychiatrists. This means you will have access to a very generous referral base of patients, allowing huge earning potential from the outset.

Experience/Qualifications Requirement:

  • Fellowship with the Royal Australian and New Zealand College of Psychiatrists.
  • Specialist Registration with AHPRA.
  • Doctors holding a Vocational Registration with the MCNZ are eligible for this role.
  • Newly qualified Overseas Trained Doctors with RANZCP are eligible for DWS area roles.
  • IMG’s working in Australia who are under a moratorium are also suitable.

For further information regarding these opportunities please contact Benjamin Griffin on +61 2 8248 2924 or benjamin.griffin@globalmedics.com.au

Choosing the Right Locum Agency

If you are someone contemplating locum work, then you most certainly have given some thought to whether it is worth registering with a locum agency. If you are an existing locum, then you probably receive between five and ten calls per week from various locum agencies canvassing your CV and references. With so many agencies to choose from, how do you decide which one will be best for your specific needs or interests?

Over the past 15 years, I have witnessed a significant rise in the number of doctors who are willing to consider locum opportunities. The reasons, of which there are many, won’t be covered in this blog but I am sure you will agree are often multiple. Whatever yours may be, finding an agency who not only has the scope and capabilities to source the best available jobs, but also understands the often very personal and specific requirements of the doctor and his or her family is more important than most would appreciate.

In my view, the professional relationship between a recruitment consultant and a doctor is the single most important attribute of a successful locum career. The recruitment consultant must have sophisticated knowledge of the market in the therapeutic area in which they work, thorough understanding of the clinical skills and capabilities of the locum doctor, and the ability to match the demands of a role with the attributes of their candidate.

In turn, the locum doctor must have confidence in the ability of the recruitment consultant to understand their needs and objectives, find suitable roles, negotiate appropriate remuneration and provide necessary support with documentation and logistics.

This “partnership” between a recruitment consultant and locum doctor develops over time and is a function of trust. Spending time researching the various locum agencies, and making sure you pick the one that is best placed to further your locum career, is time well spent.

Global Medics has been providing locum services to doctors around the world since 2001. The business is structured to allow recruitment consultants specialisation in their fields of business together with a sophisticated support capability – finding the best jobs around the world. Many of the doctors who work through Global Medics have been with the company for many years, and keep coming back based on the quality of service provided.

If you are interested in finding a locum role that is ideal for you, give us a call, we are available 24/7 and look forward to speaking with you.

Global Medics Australia – Win a luxury holiday to the value of $2500

Global Medics Australia has continued to grow and develop new partnerships with leading hospitals and private practises across Australia as their first choice for their locum doctor staffing requirements.  Our clients across all states require experienced Australian or New Zealand registered doctors for a wide range of short and long term assignments within the primary, acute and mental health markets.

In conjunction with our existing candidate referral program, Global Medics Australia is launching a new candidate referral competition where you can be in with a chance to win a luxury holiday package to the value of $2,500.

To enter, simply refer a doctor colleague to Global Medics Australia who is interested in locum employment, the more doctors you refer the more entries you will receive into the draw.

Contact your Global Medics Australia Consultant or email referrals@globalmedics.com.au with your candidate referral, please include your colleague’s full name, mobile number and email address.

Visit www.globalmedics.com for all our latest locum and permanent opportunities in Australia, New Zealand, Ireland and the United Kingdom.

 

Competition Rules
– The competition draw will take place on 19 December 2014 with the winner advised on the same day.
– The holiday package is for flights and accommodation only, and is up to the value of AUD 2,500.
– You can choose your own destination and accommodation or Global Medics Australia will provide options.
– All fights and accommodation will be booked and paid by Global Medics Australia and is not redeemable for cash, all other expenses are at your own cost.
– Your referred candidate must be an Australian or New Zealand registered Doctor and has not worked through Global Medics Australia within the past two years.
– Your referred candidate must be advised that a Global Medics Australia Consultant will be in contact to discuss locum opportunities and the registration process.

Global Medics Survey – Insight 3

Work-Life Balance Matters

In our recent survey of doctors from around the world, 84% of respondents indicated that a favourable work-life balance was a key consideration for them when considering new employment opportunities. This is hardly surprising given the overwhelming view that a career in medicine requires hard work and long hours, often under significant stress and with insufficient personal and professional support.

If the work is that hard, one may ask why would anyone want to be a doctor? Yet, more than 80% of respondents indicated they would choose the same profession if they had to do it all again – 60% in the same speciality of medicine, 21% in a different speciality. Only 16% said they would follow a different career if they could start over. Of those who indicated they would pursue a different career, GP’s were the most represented, and specialists the least.

Although about 60% of respondents said they would encourage younger people to study medicine, this represented only about 50% of female respondents, but 62% of male respondents. There were many interesting comments about the best advice a doctor would give to an aspiring medical student – some of which will be summarised in a later blog.

Coming back to the question of work-life balance, there appears to be a significant opportunity for employers to think carefully about the way they structure long term career options for their medical staff. It is evident from our work that doctors value this more than any other consideration when weighing up career options.

From a recruitment perspective, Global Medics has invested heavily to ensure our recruitment consultants understand the value of offering career or locum opportunities which extend beyond the requirements of the work day.

Speak to us – you will be surprised how much we can help.

Global Medics Survey – Insight 4

Pursuing Locum Opportunities

Over the past 13 years, we have worked with thousands of doctors from around the world to find suitable locum opportunities in their destinations of choice. In our recently completed survey, almost two thirds of respondents indicated they would be interested to do more locum work. At first glance this seems to be quite high, as many doctors also value job security – not something you would attach to locum stints.

It is only when we look at the responses more carefully, that we begin to understand the underlying reasons for these seemingly conflicting data. As I mentioned in a previous blog, work-life balance is now the single most important factor when thinking about the career environment. We know from previous research, that locum work often allows for greater take-home remuneration and significantly more flexibility in how time is apportioned to professional activities. In an environment where locum opportunities for high quality clinicians abound, it is then not surprising that job security is less of an issue for those who have traditionally held to permanent, single employer employment.

Having said that, the locum market is also changing as smart employers seek to capitalize on the availability of suitable candidates to fill vacancies. Although employer preference remains to have permanent employees fill all vacancies, their appreciation for the fact that factors such as annual leave, illness or resignations will always be part of running health services, has prompted more tailored approaches to attracting the best locums for these periods. These include more flexible working conditions, higher rates of pay, greater personal and professional support and consideration of personal and / or family commitments as part of the “locum package”.

To such extent have these models developed, that we now see an ever-increasing number of career locums entering the medical workplace. Although our most recent survey did not specifically seek to explore the rate at which permanent employees are pursuing career locum employment, it is our impression that this trend is rapidly gaining momentum.

Global Medics continues to work closely with leading employers and the locum community to share knowledge, practices and experience, and our team will be more than happy to discuss how we may be of service to you.

Global Medics Australia – Win a luxury holiday to the value of $2500

Global Medics Australia has continued to grow and develop new partnerships with leading hospitals and private practises across Australia as their first choice for their locum doctor staffing requirements.  Our clients across all states require experienced Australian or New Zealand registered doctors for a wide range of short and long term assignments within the primary, acute and mental health markets.

In conjunction with our existing candidate referral program, Global Medics Australia is launching a new candidate referral competition where you can be in with a chance to win a luxury holiday package to the value of $2,500.

To enter, simply refer a doctor colleague to Global Medics Australia who is interested in locum employment, the more doctors you refer the more entries you will receive into the draw.

Contact your Global Medics Australia Consultant or to referrals@globalmedics.com.au with your candidate referral. Please include your colleague’s full name, mobile number and email address.

Visit www.globalmedics.com for all our latest locum and permanent opportunities in Australia, New Zealand, Ireland and the United Kingdom.

 

Competition Rules
– The competition draw will take place on 19 December 2014 with the winner advised on the same day.
– The holiday package is for flights and accommodation only, and is up to the value of AUD 2,500.
– You can choose your own destination and accommodation or Global Medics Australia will provide options.
– All fights and accommodation will be booked and paid by Global Medics Australia and is not redeemable for cash, all other expenses are at your own cost.
– Your referred candidate must be an Australian or New Zealand registered Doctor and has not worked through Global Medics Australia within the past two years.
– Your referred candidate must be advised that a Global Medics Australia Consultant will be in contact to discuss locum opportunities and the registration process.

Greece – Doctor’s Day in Athens and Thessaloniki

Athens 4 October or Thessaloniki 5 October 2014

Please Register to attend this event

Global Medics currently have a number locum, contract and permanent roles for Greek Doctors interested in exploring career opportunities in the United Kingdom. With over 14 years in the industry, Global Medics is one of the leading international providers of Doctors to hospitals and healthcare providers operating in five countries including the United Kingdom, Republic of Ireland, Australia, and New Zealand.

Our Doctor’s Day events are coming to Greece, come and meet us in Athens on 4 October or Thessaloniki on 5 October 2014.

Free information seminars on the day will include:
12.00 – The General Medical Council (GMC) registration requirements specifically for Greek registered Doctors.
13.30 – English language requirements for the United Kingdom, Republic of Ireland, Australia and New Zealand.
15.00 – International career opportunities in the United Kingdom, Republic of Ireland, Australia and New Zealand.

In addition we will be offering individual consultations with members of our specialist recruitment team who will be able to discuss and tailor a career plan specifically to your requirements.

Exciting career opportunities particularly for:

  • Dermatologists
  • Pulmonologists
  • Histopathologists
  • Oncologists
  • Microbiologist
  • Haematologists
  • Radiologists
  • Psychiatrists
  • Anaesthetists
  • Gastroenterologists
  • Accident & Emergency

Doctors and Consultants from other Specialties are also welcome to enquire about career opportunities.

The events will be held at the following locations:
Athens – Saturday 4 October 2014
Royal Olympic Hotel
Αθανασίου Διάκου 28-34

Thessaloniki – Sunday 5 October 2014
Mediterranean Palace Hotel
Σαλαμίνος 3 και Καρατάσου, Θεσσαλονίκη

Please register to attend this event 

Global Medics Survey – Insight 2

Registration Processes a Significant Barrier to Physician Migration

Over the last 15 years we have noted a significant increase in the number of physicians who have shown interest to travel internationally for job or career opportunities. What started initially as an interest in short term locum work has evolved to a more structured and deliberate attempt by many physicians to gain international experience – often then returning to their home countries at the end of the assignments.

We, and others, have done a considerable amount of work to understand the factors that motivate and detract internationally mobile physicians to seek work in a country other than their own. As one would expect, there are many considerations that influence this decision: lifestyle, remuneration, training opportunities, logistics, language and culture, family commitments and more. Interestingly, in our most recent survey, the administrative processes in obtaining medical registration in a destination country ranked as the single most significant factor detracting doctors from moving overseas. Almost 7 out of every 10 doctors who said they would be willing to consider international opportunities, listed medical registration processes as the single most important factor preventing them from doing so.

This is a staggering statistic. Although I always knew it played a role in decision making, I was surprised to see the rating that high. On further questioning, the rationale becomes more evident. There is no meaningful reciprocity between the specialist Colleges – even though the assessment processes, curricula and training programs are substantially similar – at least between the traditional Western curricula countries such as New Zealand, Australia, the United Kingdom, Ireland, Canada and South Africa. The process and requirements are complicated, cumbersome and not designed to be user friendly. I know of several instances where different people at the same regulator have provided conflicting advice to the same enquiry based on their own understanding of what is required. Often the costs associated with a new application is considerable, the timelines vague and the needs or expectations of potential employers disconnect from the (lack of) urgency with which new applications are assessed and an outcome provided.

In defense, regulators will often argue that their processes are necessary to protect the public from clinicians who are not suitable (or not comparable) to the standard of medicine practiced in that country. This position is often linked to extreme, and often isolated examples of malpractice by International Medical Graduates – and so the need for existing processes is legitimized.

Whilst nobody will argue with the notion of ensuring that physicians are competent to practice safe and high quality medicine, it seems the pendulum has swung too far. Given the very significant need in most public health systems for experienced, capable and competent clinicians the opportunity for regulators to design their processes so it meets both the needs of the user and the reasonable safety demand of the public seems obvious.

Global Medics has almost 15 years’ experience in moving doctors between countries – working to ensure the employee, employer and regulator processes remain connected. If you are thinking about a career overseas, talk to one of our specialist Recruitment Consultants located in one of our local offices In the United Kingdom, Ireland, Australia or New Zealand or visit our international job board at www.globalmedics.com

Global Medics Survey – Insight 1

Every year we conduct a survey of select doctors from around the world, registered with Global Medics, to identify and understand important trends in the medical workforce which impact our business and our industry. This year, just under 500 doctors completed the online survey between 13 May and 01 July, with the majority of respondents from Australia, the United Kingdom, Ireland, New Zealand, South Africa, India and Canada.

More than half (54%) of respondents identified as specialists, 74% are male and almost 60% were in the 36 – 55 year age bracket. Two in five respondents were in full time permanent employment, and a third were doing locum work at the time. Two thirds of doctors surveyed indicated they work in the public sector, and a further 26% had dual private-public appointments.

Amongst other things, the survey set out to understand which employment factors are important to doctors seeking a new role; how these factors relate to recruitment and retention, job satisfaction and overall performance; how doctors prefer to engage with the careers market; what opportunities and barriers exist for international employment; overall satisfaction with their career choices; and best advice to people thinking about a medical career.

I was interested to note that overall, “remuneration” had dropped back to only the fourth most important consideration when thinking about new career opportunities. Can you guess what factor topped the ranking? It appears that our appreciation of a lifestyle – balanced between work, personal and family time – has emerged as the single most important factor in determining what careers (or jobs) we now prefer. Interestingly though, the idea of what constitutes the “ideal” working environment seem less structured and signals opportunity for the best employers to pay more attention to the value they offer to their physician employees in creating long and mutually rewarding professional engagements.

There are many more insights from the survey which I will share over the coming weeks. In the meantime, please feel free to add your comments about the findings of our survey in these snippets to our blog page. I am interested to hear how they relate (or not) to your experience.

Medacs Global Group Launches Job Board

Medacs Global Group is pleased to announce the launch of its next generation Job Board. Global Medics, the medical recruitment arm of Medacs Global Group, specialise in the seamless movement of doctors between locum, contract and permanent jobs, and between countries. Over the past 14 years, the company has linked with an estimated 50,000 doctors to fill some of the most demanding jobs with clients ranging from large hospitals, to remote site clinics and private general practices.

The Global Medics new Job Board links registered doctors with permanent, contract or locum job opportunities in each of the Group’s operating countries including; the United Kingdom, Ireland, Australia and New Zealand.

As more and more doctors begin to explore the mobility of their medical qualifications and training, the need for a single yet powerful site to connect the world’s leading employers with the world’s best doctors is self-evident. But the Job Board is much more than just another job website, registered users have access to the latest jobs, can apply for multiple jobs in multiple countries and upload their CV and information. The Global Medics website also offers doctors useful information about destination countries, informative blogs and international events.

In the weeks since the launch more than 400 jobs have been posted. The launch of the Global Medics Job Board signals a great step towards the Group’s continued efforts to be the premier provider of high quality doctors and career opportunities to the medical community.

Any doctor, from anywhere in the world can access the site through their internet connection. Registration is quick and simple, and allows the opportunity to view, and apply for suitable jobs found on the Job Board. A Global Medics Recruitment Consultant will be in touch to discuss more detail about the role, and clarify how they can best assist you with the application.

The Global Medics Job Board puts you in touch with some of the best jobs around the world. Go to www.globalmedics.com to find your next locum, contract or permanent role.

UK Careers and GMC Revalidation Day – Saturday 11 October – Birmingham, UK

Global Medics will be holding another UK Careers and GMC Revalidation Day based in Birmingham, UK on Saturday 11 October 2014 between 9:00am and 5:00pm. Services on the day include:

GMC Revalidation and Annual Appraisal Information
An in-depth presentation and Q&A session regarding the GMC Revalidation requirements by our Responsible Officer – Dr Alastair Baker.

As Global Medics is a designated body, we will have onsite Appraisers who will be able conduct or provide information regarding the GMC yearly appraisal requirements.

NHS Locum and Permanent Opportunities
Throughout the day our specialist recruiters will be on-hand to discuss upcoming locum and permanent opportunities across the UK.

NHS Locum Compliance
• Complimentary BLS training with the option to purchase a CPD certificate
• On-site Phlebotomist
• General NHS compliance assistance
• NHS Safeguarding and Health and Safety training with CPD points

International Career Opportunities
We will be providing information about careers opportunities in Australia, New Zealand and Ireland.

To find out more information regarding the format of the day or to confirm your attendance please email register@globalmedics.com or call Tracy Wright on 020 8566 4111, numbers are limited.

Global Medics Annual Doctor’s Survey

Over the past 15 years Global Medics has worked with thousands of doctors from around the world to create unique and valuable career, lifestyle and income opportunities. We value the thoughts and feedback from all our doctors to be able to understand the current healthcare market and to be able to provide an outstanding service to both our candidates and clients.

We are currently seeking feedback from doctors through our Annual Global Survey, to view and complete the online survey please click on the following link: https://www.surveymonkey.com/s/WWKC966

The online survey does not collect personally identifiable information, results are completely anonymous, and only reported in the aggregate. The survey will take less than 10 minutes to complete online.

Global Medics Revalidation and Career Day – June 2014

Global Medics would like to invite you to our Revalidation and Careers day in our West London office on Saturday 14 June 2014 between 9:00am and 4:00pm, services on the day include:

Revalidation Presentation with our Responsible Officer – Dr Alastair Baker
Two presentations starting at 10.30am and 2.30pm covering revalidation and annual appraisals, followed by an in-depth Q&A session.

NHS Locum Compliance

• Complimentary BLS training with the option to purchase a CPD certificate

• On-site Phlebotomist

• General NHS compliance assistance

• NHS Safeguarding and Health and Safety training with CPD points

International Career Opportunities
We will be providing information about careers opportunities in Australia, New Zealand and Ireland.

NHS Locum and Permanent Opportunities
Throughout the day our specialist recruiters will be on-hand to discuss upcoming locum and permanent opportunities across the UK.

Global Medics Office Address
Ealing Cross 85 Uxbridge Road Ealing, London W5 5TH
Off street parking available and complementary car pick up from Heathrow Airport

Closest Tube and Train Stations
Ealing Broadway – Central & District Tube line, Great Western Train & Heathrow Connect

West Ealing – Great Western Train and Heathrow Connect

South Ealing – Piccadilly Tube line

To find out more information or to confirm your attendance please email register@globalmedics.com or call on 020 8566 4111, numbers are limited.

Irish and British Doctors Travel the World with Global Medics

With our global presence and local expertise across two continents and four countries we are well situated to assist Irish and British Doctors to explore a wide range of permanent or locum international career opportunities.

Working and Living in New Zealand
Global Medics New Zealand works with a large number of clinics and hospitals across the North and South Islands placing General Practitioners and Hospital Specialists within the General Medicine, Psychiatry and Surgical markets. Salaries in New Zealand are fixed according to the years of specialist experience and make for a very high standard of living.

With a very straightforward medical registration process, we can offer international Doctors a range of opportunities from a six months fixed term contract right through to permanent roles based in coastal, rural or city locations.

New Zealand’s reputation for providing an outstanding work-life balance combined with a leading healthcare infrastructure holds true, providing Doctors with excellent career opportunities and a variety of easily accessible lifestyle leisure activities in stunning surroundings including skiing, hiking, biking, fishing, boating and surfing.

To find out further information regarding opportunities in New Zealand email nz@globalmedics.com

Working and Living in Australia
Global Medics Australia place doctors within all grades and specialities across all of Australia. Benefiting from a diverse client base we are able to offer locum and permanent positions within multiple sectors including hospitals, general practice clinics, government projects and the resources industry. Remuneration in Australia is amongst the highest in the world.

Registration in Australia is achieved via three simple routes and can often be completed within three months. Our expert in-house support team assists doctors in making the transition throughout the entire end to end process including AMC, colleges, registration and immigration matters.

Australia is a culturally diverse country with a varied geography and many different climates. From the snow covered mountains to rolling green hills across to the red desert centre, no two areas of Australia are the same. Australia also boasts some of the most liveable cities and beaches that are envied by all, there is truly something for everyone and perfect for those seeking a true work-life balance.

To find out further information regarding opportunities in Australia email au@globalmedics.com.au

 

Sunday Times Award Confirms Global Medics as No 1 Choice for Doctors

For the second year in a row, Global Medics has been awarded the top healthcare recruitment spot in the Sunday Times International Track 200 league table. Once again we have beaten off all our competitors in the market place, proving that we really do provide doctors with the best jobs in the world for career progression and travel.

Compiled by Oxford research company, Fast Track, the table lists private UK based companies that have shown the fastest international sales growth from 2010 to year ending March 2012. Global Medics achievement within this table is backed by an impressive growth figure of 71.3% and an overseas market share that currently accounts for 70% of business. Sales can be accredited to underlying base-business growth and robust emerging markets for the company beyond the UK into Ireland, Europe, Australia and New Zealand.

Growth has been driven by our reputation for providing quality, compliant doctors to the healthcare sector, which enables us to work with some of the leading international medical institutions, including the National Health Service (UK), Health Service Executive (Ireland) and Medicare (Australia).

James Orr, Group Business Development Director for Global Medics, comments:

“Our increased growth within international markets is testament to our ability to meet our doctors’ and clients’ needs within the ever changing healthcare environments that we are faced with today. Not only have we been recognised once again in the Sunday Times league table, we are also the highest placed healthcare recruitment company, which speaks volumes for the way we do business.”

We believe our success is built upon being much more than a simple recruitment company; we give doctors the opportunity to make professional and lifestyle choices that enable them to travel the world. We are driven not only by our desire to find the best doctor for the job but also by working in partnership with them to navigate career paths, manage the migration process and ensure back up support throughout.

In turn, clients benefit from the company’s international resource capabilities and its skill in providing alternative solutions to their requirements, often sourcing for roles others cannot deliver against, such as challenging and remote geographic locations. Strong partnerships with clients are built upon Global Medics’ ability to make a difference and supply the right doctor at the right time.

Global Medics is a leading medical recruitment company for doctors, working across two continents in four countries – the UK, Australia, Ireland and New Zealand – and provides career and immigration advice for doctors looking to work abroad. For further information visit www.globalmedics.com.

For a ‘Better Life’ choose Global Medics to manage your medical career

As the OECD announces the best countries in the world for life satisfaction, following research findings from its latest ‘Better Life’ Index report, Global Medics has cause to celebrate; each of the four countries it places doctors in around the world are featured in the Top 15 list:

The survey compares the well-being of 34 member countries of the Organisation for Economic Cooperation and Development (OECD) and is based on 11 categories that are deemed ‘essential in the areas of material living conditions and quality of life’ – health, housing, income, jobs, community, education, environment, civic engagement, health, life satisfaction, safety and work-life balance.

With life satisfaction consistently cited as the main driving factor for the many of the choices we make today, now could be the time to rethink your medical career and work in a country that delivers the best standard of life possible to you.

Global Medics has over 12 years’ experience placing doctors in locum, short-term and permanent positions in acute, primary and mental healthcare around the world. Providing expert career management and advice on visa application and medical registration, Global Medics can help doctors find the best positions in the UK, Australia, Ireland and New Zealand.

So whether you want to work and live in Australia, the world’s happiest country, take advantage of the excellent education system in New Zealand, enjoy lower than average OECD working hours in both Canada and Ireland, be part of the strong sense of community spirit in Ireland or experience the positive well-being of life in the UK, then get in touch with us today and see what world of opportunity awaits.

 

Global Medics is a leading medical recruitment company for doctors, working across two continents in four countries – the UK, Australia, Ireland and New Zealand – and provides career and immigration advice for doctors looking to work abroad. For further information visit www.globalmedics.com.

2013 Healthcare Industry Analysis by Global Medics

Australia’s leading guide to our ever-changing market

Health services globally are under significant pressure to balance increasing demand for high quality care with perpetual funding and resource constraints. In this dynamic environment, more and more clients are reviewing how they plan, implement and deliver “more with less”.

Through countless conversations with our clients around the world we have discovered that healthcare leaders are increasingly looking to their peers in other industries, such as financial services and the mining sector, to understand what they are doing to remain resource efficient and competitive in the workplace.

To better understand the current market situation and prepare for the inevitable changes in trends, we have conducted an impartial survey that looks at current issues from two separate perspectives: Executive (strategy and planning) and Administrative (delivery), in both private and public sectors, given that both parties play a key role in healthcare provision. Our findings clearly demonstrate the tensions between the two with regards to preference in tactics to achieve common goals; however, our report also puts forward potential solutions designed to turn those unavoidable tensions from stifling to productive.

What we found is that there are many healthcare sector challenges in Australia, which are also reflected in countries around the world; this enables us to learn about possible solutions and their effectiveness. As one would expect, there are also issues that are unique to this market, but for which we may adopt and adapt solutions from other sectors which have proven successful. This approach – lateral innovation – provides a very useful tool and opportunity for us to think differently about the challenges we face and the solutions we may offer.

Findings: Executive vs Administration

The survey consisted of varied questions around day to day operations, high level strategic planning, agency relationships, and overall market challenges. The questions were structured to facilitate open–ended and anonymous responses to key issues and to enable robust analysis of the current market.

Because of our dualistic approach to investigating the changing landscape of healthcare delivery, the findings were highly interesting. On the one hand, Administration listed limited staff to fill rosters, compliance issues and the expectation to limit the risk to the business without the necessary tools allocated, among their greatest workforce challenges. Executives, on the other hand, were most concerned with bureaucracy around funding, tightening budgets and retaining productivity for existing staff with the limited resources available.

The issues shared by both revolved around cost containment and risk management. Especially prominent were concerns about the sufficiency of internal systems and manpower to prevent the possibility of doctors entering the workplace who had not been screened effectively, including reference checks and compliance and immigration checks. The potential solution to this problem – the use of recruitment agencies – also appeared a somewhat divisive factor. Permanent employees were seen by Executives as a route to saving money, whilst locums were seen as a convenient method to fill the required vacancies more efficiently by the Administration level.

A look into the underlying market issues also revealed the added challenge of retaining high performing employees, a priority that has taken over from dedicated Human Resources search and selection capabilitiess. The pivotal questions here are:

  • How to design funding and training programs to engage employees on a consistent basis
  • How to produce a structured career development plan, provide adequate tools for staff to ensure they can achieve their goals
  • How to mitigate the loss of staff including intellectual property, relationships and financial investment, all with a shrinking budget in an environment of changing market paradigms

Shifting trends: towards an individualised approach

The priority and approach disconnect between Executives and front line staff can be clearly seen throughout the industry, across both public and private institutions. This issue has derived from pressure on budgets and the expectation of delivery with fewer resources at hand. It was also noted that the internal communication of changes to strategy, staffing and internal infrastructure remains a frustration to Administration staff, who believe for the most part there is limited transparency around the security of roles at a day to day operational level. This in turn has an impact on staff morale and productivity.

Pressure on all Executive level staff to generate innovative ideas around lowering existing costs will be the greatest test over the next 18-24 months. Because of the “lag” effect of these measures, the long term metrics need to be well thought through. With this in mind the push towards a more commercialised approach in workforce planning can already be identified in several health facilities, and is also championed by a few senior staff who bring cross sector experience to the table.

We predict the trend for the coming years will be a shift from the outmoded ad hoc services provided by agencies, towards an individualised strategic approach requiring agencies to understand the goals and objectives of each individual hospital, therefore eradicating the ‘blanket’ approach to recruitment. Account management and personalised service offerings will be instrumental in third party suppliers developing long term relationships with hospitals as the market tightens. While both clients and suppliers are facing challenging times there are positive practices that have been discussed, scoped and implemented to ensure the industry continues to move forward.

Global Medics is a leading medical recruitment company for doctors, working across two continents in four countries – the UK, Australia, Ireland and New Zealand – and provides career and immigration advice for doctors looking to work abroad. For further information visit www.globalmedics.com.

Job Opportunities Set to Soar as Global Medics Announces NHS Framework Agreement Win

STOP PRESS: Global Medics is awarded a place on the framework agreement of the Government Procurement Service (GPS) for the provision of locum and permanent doctors to the NHS.

This exciting win will enable us to provide you with hundreds of new and unrivalled job opportunities to work across all specialities and healthcare markets within the NHS throughout the UK, and build on the contract wins and opportunities we have developed over the last few years.

The contract, which is structured into ‘Lots’, commences on 29 April 2013 for an initial three-year period and covers:

  • Lot 2 – Locum Provision: vacancies will be available for ad hoc and short-term locum jobs and our specialist rapid response supply division. Doctors on Call will have details of all positions available to you.
  • Lot 3 – Direct Engagement: permanent and long-term recruitment has been included in the tender process for the first time, so if you are looking for this type of career move then get in touch with our dedicated permanent division team.

James Orr, Group Business Development Director, comments:

“We can meet and manage all of your career aspirations through this new contract win and will be working harder than ever to ensure that we are the preferred provider of choice by hospitals, trusts and GP practices, in order to offer you a greater choice of work within the NHS – whether in the acute, primary or mental healthcare market.”

We have fantastic vacancies available for you not only in the UK but also internationally, from Australia to New Zealand and Ireland. As always, please make sure that your consultant knows your availability so we can ensure access to the widest choice of roles for you.

Everyone who works for Global Medics has an important role to play in achieving our mission, so we look for talented and passionate individuals to work for us and in return we provide rewarding opportunities and the chance to share our success. Therefore, if you wish to speak to our dedicated members of staff to discuss what opportunities are available to you to advance your medical career, then call or email us on the details below.

Tel: +44 (0)20 8566 4111

email: info@globalmedics.com.

 

Global Medics is a leading medical recruitment company for doctors, working across two continents in four countries –  the UK, Australia, Ireland and New Zealand – and provides career and immigration advice for doctors looking to work abroad. For further information visit www.globalmedics.com.

Revalidation: the new Hippocratic Oath?

As the NHS falls under increasing scrutiny in the wake of the Mid Staffs crisis and with five additional trusts currently under investigation, public hysteria and lack of confidence in the health system and the level of care administered by healthcare assistants, nurses and some doctors is unsurprisingly at its highest.

However, whilst there is a definite need for an urgent call to action to prevent this level of neglect happening within an NHS hospital again, it is important to remember that this treatment of patients is still very rare. NHS patient surveys point to an overwhelmingly more positive hospital experience, with over 90% of patients leaving hospital saying that their care was good or very good.

In light of Danny Boyle’s epic tribute to the NHS, played out in front of an international audience of 900 million at the Olympics opening ceremony last year, we would do well to remember the ground-breaking work and social care afforded to everyone in the UK through this country’s unique healthcare system.

Despite budget cuts and hospital departmental closures, the Hippocratic Oath still remains at the heart of the way doctors’ practice medicine: treating the sick to the best of one’s ability, preserving patient confidentiality and teaching the secrets of medicine to the next generation.

The recent introduction of revalidation echoes the standards of care and ethics outlined in the Hippocratic Oath and will ensure that UK doctors continue to ‘act in the best interests of their patients and when unjust circumstances arise….strive to correct the injustice harming their patients’, which is the mainstay of the oath as described by medical ethicist Dr Denis Sokol.

Revalidation

So what is revalidation? Introduced across the UK on 3 December 2012 by the Secretary of State for Health, it is the process by which all doctors – NHS or private sector – are legally required to demonstrate to the General Medical Council (GMC) that they are up to date with the latest training, are complying with the relevant professional standards and are fit to practice.

Revalidation will be required by doctors every five years to ensure that they meet the standards set by the GMC, according to their speciality, in order to be able to maintain their licence to practice. It will be compulsory for all licenced doctors in England, Scotland, Wales and Northern Ireland.

This will not only ensure best practice by doctors but will also reassure patients that their doctor is regularly being checked and that his or her medical skills are up to date and they are working to the correct professional standards.

Revalidation is an ongoing process, determined by regular appraisals with a doctor’s employer and patient feedback will also be taken into account. It is anticipated that the majority of licensed doctors will be revalidated for the first time by March 2016 and moving forward they will be required to revalidate again every five years. According to the NHS: ‘In these ways, revalidation will contribute to the on-going improvement in the quality of medical care delivered to patients throughout the UK.’

How does Revalidation Work?

  • Revalidation is based on the evaluation of a doctor’s performance, is indicated through on-going appraisals and doctors will need to gather a portfolio of supporting information for these appraisals.
  • Supporting information will include continuing professional development, colleague and patient feedback, complaints and compliments review, quality in practice information, significant events review, and Statement of Health and also Probity.
  • Each doctor will be assigned one Responsible Officer (RO) from a designated body (i.e your main employer) and only UK organisations can be designated bodies.
  • Your RO will ensure that good systems are in place for your revalidation, such as appraisals and clinical governance systems.
  • The annual appraisal system is very thorough and adheres to strict standards to ensure that it fully reflects a doctor’s ability to practice.
  • The RO will report back to the GMC with their recommendations on a doctor’s fitness to practice, based on the overall outcome of an annual appraisal over a five year period.
  • Their recommendations will determine whether a  doctor’s licence is renewed or not.

Doctors on Call (DOC), part of the Global Medics, is a rapid response supplier of locum doctors to the NHS framework and has been officially confirmed as one of the designated UK bodies for revalidation. With a team of five Responsible Officers throughout the UK, DOC has built an online Portfolio tool for doctors to help them manage their requirements – building a portfolio has been cited as a major concern for doctors. In addition, regional road shows will be staged to highlight the steps and processes required for revalidation. For further information call 0800 0320 040.

Additional Information:

Every licensed doctor should expect to be contacted by the end of January 2013 with details about when their revalidation process will start and who their RO will be. For further information about the process and what is involved, visit the following websites:

 

Global Medics is a leading medical recruitment company for doctors, working across two continents in four countries –  the UK, Australia, Ireland and New Zealand – and provides career and immigration advice for doctors looking to work abroad.  For further information visit www.globalmedics.com.

Doctors Down Under – Working the Australian Way of Life

For many, the dream location to live and work has to be Australia, with its sun baked beaches, crystal blue waters, ancient rock formations, tropical rainforests and year round sunshine. With four Australian cities recently ranked in the Economist Intelligence Unit’s 2012 Global Liveability Survey  Top Ten – Melbourne was number one for a second year in a row – what’s not to love?

The good news for doctors is that there is a continuing demand for international medical graduates (IMGs) in Australia, a demand which has been considerably helped by the changing immigration laws over the past 20 years. Today, IMGs can gain a temporary visa for up to four years (previously only two) and in 2004 medical practitioners were included in the skilled occupation list for immigration. According to a recent study by Health Workforce Australia, the country “has a strong reliance on overseas trained doctors. In 2009, one-quarter (18,458) of working doctors in Australia obtained their first medical qualification overseas.”

Often the decision to move abroad for work is fuelled by lifestyle choice and Australia’s laid back ways and good weather are renowned for attracting healthcare professionals from many countries around the world, especially the UK and Ireland. So if this is the place for your next medical career move, what’s involved?

There are plenty of websites that provide detailed information so do your research first –www.doctorconnect.gov.au is particularly useful. In addition, recruitment agencies such as Global Medics are able to provide all the information you need to help navigate your chosen medical career path abroad and settle in once you are there.

Skills Recognition

Medical practitioners who haven’t worked in Australia before should visit the Australian Medical Council website to assess their skill level by taking the AMC Trial Exam online. This will identify the correct registration pathway for you – Competent Authority, Standard or Specialist – details for each can also be found here.

Medical Registration

You can only apply for medical registration once you have been offered a job and you will need to contact the relevant board for the state you will be working in. There are six Australian states – Queensland, New South Wales, Victoria, South Australia, Western Australia and Tasmania – each with its own Medical Registration Board. The relevant board must assess and recognise your medical qualifications before you can apply for a visa and work as a Medical Practitioner in an Australian hospital or medical organisation.

Visa

Detailed information can be found on the Department of Immigration and Citizenship website. As a rule the 457 visa is required by Medical Practitioners looking to work in and be sponsored by hospitals. The 422 visa is normally used for doctors employed as General Practitioners to work in General Practice (GP) Surgeries.

Medicals

All temporary visa applicants and any accompanying family members will require medical examinations and x-rays.

Locum Work

If you are looking for a locum position in Australia, the majority can be found in regional and rural hospital facilities – metropolitan cities only tend to need locum cover on an ad hoc basis. As a guideline a doctor will need to be PGY2+ to commence and some rural hospitals will require a specific set of clinical skills and prior experience working in a rural setting.

Permanent Work

Specialists must be either be Board Certified or Fellows of their respective specialty college and General Practitioners will need four years or more post graduate training or experience to be able to work in Australia.

How long will the process take?

As a general rule, on receiving a job offer to actually starting your new position in Australia, you should allow between three to five months for non-specialist positions and more for specialist level posts, depending on the state.

So if that Australian lifestyle is calling and you dream of progressing your medical career down under, get looking now. The possibilities are endless; you will find positions for all specialties in metropolitan and rural locations – from the coastal towns of Queensland, just a stone’s throw from the Great Barrier Reef to the buzz of cities such as Sydney, Melbourne, Canberra and Perth. Whether it is just you or your family looking for new opportunities, you can be assured that you will be living and working in one of the most desirable countries in the world.

Global Medics is a leading medical recruitment company for doctors, working across two continents in four countries –  the UK, Australia, Ireland and New Zealand – and provides career and immigration advice for doctors looking to work abroad.  For further information visit www.globalmedics.com