Resident (RMO) in Different Australian States

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outoftheblue

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Hi guys, I am going into internship in SA in 2021 and just wondering about the RMO years after that. I have been trying to ask around and get peoples experiences regarding working as a resident medical officers in different states in Australia. I would like to move interstate to gain some experience in different areas before then pursuing registrar positions (currently interested in gooing through the BPT pathway into adult medicine). Would anyone have insight having worked as a resident in states such as Victoria, WA or NSW. I know it is quite dependent on the team and health network but a general idea would be nice, especially in terms of work hours, work environment, teaching and support when going for things like exams (like the RACP BPT exams)?

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I would suggest asking this question at the pagingdr forums. You might be able to get a good answer here, but given this forum is mostly for international discussion it might take a while and you won't get as many answers.
 
I can only speak of NSW and QLD.

Working as a PGY2/Resident is basically like working as an PGY1/Intern, except you're a little more familiar and competent with doing the job of a junior hospital doctor (clincial reviews, ward rounds, referrals and consults, discharge summaries), but you're still relatively junior so you still get reasonable supervision and support from Registrars +/- Consultants. I think the time you get a bit more autonomy to take on more responsibility is as a PGY3/Senior Resident, as this is a stepping stone towards becoming a Registrar, which is the stage most people enter BPT.

I suspect wherever you practice (throughout the state or country), your experience largely depends on the hospital and specialty you're rotating through. Although I suspect there are some experiences which are very similar; that is, doing medical or surgical ward rounds in any hospital is the same anywhere, just as I would expect working in ICU is standardised across Australia, et cetera. The good thing about Australia is that most standards of care are nationally standardised, with small minor local procedural/policy differences between the hospitals. There will be your variety of toxic asshat personalities and genuinely inspiring people in any workplace.

Best hospitals in Sydney I recommend for BPT is Royal Prince Alfred Hospital, Concord Repatriation General Hospital, and Royal North Shore Hospital. I've worked in all three and have had friends and colleagues also recommend these hospitals. Well supported and good success rates for in-house study programs towards achieving your FRACP. They're also hospitals with robust physician specialty units and specialists with whom I trust to refer my patients to.
 
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I can only speak of NSW and QLD.

Working as a PGY2/Resident is basically like working as an PGY1/Intern, except you're a little more familiar and competent with doing the job of a junior hospital doctor (clincial reviews, ward rounds, referrals and consults, discharge summaries), but you're still relatively junior so you still get reasonable supervision and support from Registrars +/- Consultants. I think the time you get a bit more autonomy to take on more responsibility is as a PGY3/Senior Resident, as this is a stepping stone towards becoming a Registrar, which is the stage most people enter BPT.

I suspect wherever you practice (throughout the state or country), your experience largely depends on the hospital and specialty you're rotating through. Although I suspect there are some experiences which are very similar; that is, doing medical or surgical ward rounds in any hospital is the same anywhere, just as I would expect working in ICU is standardised across Australia, et cetera. The good thing about Australia is that most standards of care are nationally standardised, with small minor local procedural/policy differences between the hospitals. There will be your variety of toxic asshat personalities and genuinely inspiring people in any workplace.

Best hospitals in Sydney I recommend for BPT is Royal Prince Alfred Hospital, Concord Repatriation General Hospital, and Royal North Shore Hospital. I've worked in all three and have had friends and colleagues also recommend these hospitals. Well supported and good success rates for in-house study programs towards achieving your FRACP. They're also hospitals with robust physician specialty units and specialists with whom I trust to refer my patients to.

Thats quite informative and encouraging. Just curious what are your next steps? I know that for internationals who wish to gain an entry into the registrar programs most will need the status of PR to apply correct? Has this requirement been a major barrier for people?
 
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