INSPIRATIONAL EMJOHN HEYWORTH

EM

•Most exciting

•Most interesting

•Most stimulating

•Most rewarding

•Sexiest

Fact

YOU MADE THE RIGHT CHOICE !

THE ENVY OF OTHER SPECIALTIES

• We see everything – completely comprehensive casemix

• We are the first contact

• Virgin diagnosis

• Most interesting 15 minutes of any case

ON THE OTHER HAND

• Full on

• Physically tough

• A bit scary

• Emotionally draining

• Fairly relentless

• Burnout iceberg

DENIAL AIN’T JUST A RIVER

EM – A YOUNG PERSON’S SPECIALTY ?

DEFINITION OF MIDDLE AGE

Someone 10 years older than you are now . . .

AGE WAY POINTS

•50

•55

•60

• Is there life after 60?

•The view from Iceland

60 IS THE NEW 30 - DISCUSS

EM IN PERSPECTIVE

Previously in EM during 2 millennia . . . . .

• Golden days of Emergency Medicine

• Casualty

• SRs ran the show – virtual Consultant

• 1:2 supernumary

• No Consultant jobs

• Then 1:1 / 1:2

2016 EM LANDSCAPE

• Mostly EM

• Consultants + +

• Floor based

• Shifts

• On-call

• Nights

MORE LANDSCAPE

• (Many) more patients – compliment and privilege

• Inappropriate attenders – discuss

• 95%

EM WOBBLE?

• It’s in your DNA

• Need to be busy

• Infinitely interesting

• You’ll miss it when it’s gone

• Your drive to do good

SUSTAINABILITY

• Five year plan

• EM core

• Diversify

• Sabbatical

• Part-time

JH – VIEW FROM THE 4TH TRIMESTER

• Career break

• Next phase

• Next next phase

• Zero hours contract

• New office

PURE EM

• Patients

• The ED team

• Cake

YOU ARE IN EXACTLY THE RIGHT SPECIALTY . . .

AT EXACTLY THE RIGHT TIME !!

LIFE IS A BOWL OF CHERRIES

LIVE, LAUGH, LOVE

YOU’RE WORTH IT