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How hard is it for a U.S.-trained EM doctor to work in the UK? Near impossible without re-training oneself? Anyone know?
I think you need to look at the whole picture: socialized medicine without tort reform & educational cost reform (which most of the other countries have) is bad.Not a comment on the OP (well, not primarily), but it always amazes me of physicians who complain about the rise of "socialized medicine" in the US, and then start wondering if they can get a job in Canada or Australia, or the UK...
Not a comment on the OP (well, not primarily), but it always amazes me of physicians who complain about the rise of "socialized medicine" in the US, and then start wondering if they can get a job in Canada or Australia, or the UK...
I think you need to look at the whole picture: socialized medicine without tort reform & educational cost reform (which most of the other countries have) is bad.
Many people opine regarding relocation to other countries as the clinical practice environment is more robust & sustainable.
Just my $0.02
-d
I'm a US student currently rotating in the UK on an elective. The British doctors I've met are not optimistic about the future of the NHS. Certain services and specialties are starting to be privatized because the NHS is so in the red. One example they gave me was psychiatric services in the southwest part of the UK being contracted out to Virgin. UK medical students that are about to graduate will get the shaft because the UK government just slashed their pay by about 30% and changed the definitions of "overtime" to after 10PM and Sundays.
Not sure what that means for a US-trained doc but it seems that there's a lot of turmoil on the horizon. There may be better opportunities to do international locums here, but who knows.
Taxes are high, EM consultant salaries are much lower, and schedules are comparable or worse.
Seriously?I'm writing this from Hong Kong. Next month I'm going to Australia, South Africa, UAE and posibly Europe. Thailand is scheduled for January.
Seriously?
Yes. I used my American Airlines points to book free First Class tickets on Cathay Pacific. Then my Marriott points are being used at the Ritz Carlton Hong Kong. My 5 day luxury trip is costing me around $2000 total. The points were all paid for by the locums job as part of travel. It seriously is an awesome way to do things. In fact I have so many points from my locums travel that I have to book a vacation every 2-3 months just to use them.
I know a lot of docs who have practiced in Afghanistan and Iraq too.
I once practiced for six weeks in the UK.
I once practiced for six weeks in the UK. I have also practiced in Chile and Qatar.
I know a lot of docs who have practiced in Afghanistan and Iraq too.
How did you practice in the UK? What steps did you have to take to be able to practice there? Or was this military-related somehow?
How did you practice in the UK? What steps did you have to take to be able to practice there? Or was this military-related somehow?
I'm in Australia now, and there are tons and I mean tons of UK doctors fleeing the NHS for Australia (and I've heard New Zealand too). I suppose it could be sample bias but the UK (and Ireland) doctors I've met (from various specialties including EM) have all -- every single one -- told me how much more their pay is in Australia (vs the UK) and how much less they work in Australia (vs the UK).
Positives of being an EM physician in Australia:
The main downsides of Australia are:
- An EM "attending" (i.e. consultant or staff specialist) in Australia is paid around $350k-$450k per year (though a lot of this is fringe benefits to reduce your tax load).
- You work 4 shifts per week x 10 hrs per shift, and 1 of these 4 days is non-clinical (i.e. teaching med students, residents, registrars, doing "research").
- You never or very rarely have to work overnights (i.e. past midnight). Actually, you usually work 8-6pm type hrs during the week. Usually on week days too i.e. Mon-Thurs or Tues to Fri or other weekdays. You don't often work weekends. At worst you'd have to work till midnight but very rarely past midnight.
- However, you get overtime ("penalty") pay if you work overnights or weekends or other odd hours outside your regular hours.
- A lot less medico-legal liability.
- Patients are generally pretty appreciative. It's sometimes considered a bit weird if they don't say "thank you" (or similar).
- The workload as an attending or consultant isn't as grueling as it sounds like in the US, because you are overseeing a lot of registrars rather than directly doing the work yourself, it's more of a supervisory role. Of course, if you want, you can get as involved as much as you want to, but it's not expected.
- You get approximately $25-$30k per year for CME (aka "CPD" continuing professional development).
- 2 weeks paid CME.
- 6 weeks paid vacation per year.
- You get sick leave too.
- You can usually supplement your salary by locuming if you want. Locums pay anywhere from $2000-$3000 per day, from what I've seen, plus airplane tickets, car, hotel, sometimes meals are paid for too.
All that said I sometimes still miss the US and think about moving back home...
- The high cost of living (including taxes -- roughly 45%!).
- The Aussie dollar has historically been a lot weaker than the US dollar.
I just PM-ed you.How long have you been working in Australia? That's something that I'm interested in doing after residency.
I'm in Australia now, and there are tons and I mean tons of UK doctors fleeing the NHS for Australia (and I've heard New Zealand too). I suppose it could be sample bias but the UK (and Ireland) doctors I've met (from various specialties including EM) have all -- every single one -- told me how much more their pay is in Australia (vs the UK) and how much less they work in Australia (vs the UK).
Positives of being an EM physician in Australia:
The main downsides of Australia are:
- An EM "attending" (i.e. consultant or staff specialist) in Australia is paid around $350k-$450k per year (though a lot of this is fringe benefits to reduce your tax load).
- You work 4 shifts per week x 10 hrs per shift, and 1 of these 4 days is non-clinical (i.e. teaching med students, residents, registrars, doing "research").
- You never or very rarely have to work overnights (i.e. past midnight). Actually, you usually work 8-6pm type hrs during the week. Usually on week days too i.e. Mon-Thurs or Tues to Fri or other weekdays. You don't often work weekends. At worst you'd have to work till midnight but very rarely past midnight.
- However, you get overtime ("penalty") pay if you work overnights or weekends or other odd hours outside your regular hours.
- A lot less medico-legal liability.
- Patients are generally pretty appreciative. It's sometimes considered a bit weird if they don't say "thank you" (or similar).
- The workload as an attending or consultant isn't as grueling as it sounds like in the US, because you are overseeing a lot of registrars rather than directly doing the work yourself, it's more of a supervisory role. Of course, if you want, you can get as involved as much as you want to, but it's not expected.
- You get approximately $25-$30k per year for CME (aka "CPD" continuing professional development).
- 2 weeks paid CME.
- 6 weeks paid vacation per year.
- You get sick leave too.
- You can usually supplement your salary by locuming if you want. Locums pay anywhere from $2000-$3000 per day, from what I've seen, plus airplane tickets, car, hotel, sometimes meals are paid for too.
All that said I sometimes still miss the US and think about moving back home...
- The high cost of living (including taxes -- roughly 45%!).
- The Aussie dollar has historically been a lot weaker than the US dollar.