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May 13 • 16 tweets • 5 min read
Big week of advocacy for me. With emergency departments bursting at the seams across Australia and Aotearoa NZ this seemed an apt way to mark #ACEMWellnessWeek. We won’t have clinician wellbeing until we have a safer, fairer, better health system. ⁦ onlinelibrary.wiley.com/doi/10.1111/17…
abc.net.au/radionational/…
abc.net.au/news/2022-05-0…
abc.net.au/7.30/should-he…
abc.net.au/radio/canberra…
smh.com.au/national/nsw/h…
Here are some possible solutions:

croakey.org/at-a-time-of-l…
croakey.org/at-a-time-when…
clareskinner.com/writing/at-a-t…
To understand the causes of access block better, here are useful @acemonline resources:

acem.org.au/access-block
And… with one week to go until #AusPol2022, vote like your health depends on it. Here are @acemonline federal election priorities.
acem.org.au/Content-Source…
The health system is not working. Overcrowded EDs and severe staff shortages are not normal. It’s not fair, it’s not safe. With leadership and vision, it can be fixed.

insightplus.mja.com.au/2021/21/emerge…
insightplus.mja.com.au/2022/11/health…
Thank you to colleagues working in emergency departments everywhere. What you do makes a difference. You are valued by the communities you serve. We are determined to keep advocating for better care, better experiences, better outcomes.
Thank you to FACEM and trainee representatives, and the amazing professional staff at @acemonline, who work hard to support emergency physicians and trainees (as well as me!) in our clinical, educational and advocacy work.
Sneaking this article onto the list - theguardian.com/australia-news…

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More from @ACEMPresident

ACEM President Profile picture
May 15
I have always felt some anticipatory anxiety before working a shift in the emergency department.
When I was just starting out, I thought it was only me. My turbulent insides seemed at odds with the calm exteriors of my cool-as-a-cucumber colleagues. I worried that I might not have what it takes to make it in a physically, cognitively and emotionally challenging specialty.
As I got more experienced, I came to understand pre-shift nerves in a positive light. I used the travel time between home and work to mentally rehearse management of medical emergencies.
Read 32 tweets
ACEM President Profile picture
Apr 17
Emergency physicians, emergency nurses, @acemonline⁩, ⁦@CENAorg⁩, ⁦@NursingCENNZ⁩ have been talking about preventable morbidity and mortality caused by access block for years. acem.org.au/access-block
Access block is the situation where emergency department patients who have been assessed and need a hospital bed are delayed from leaving the emergency department due to a lack of inpatient hospital bed capacity.
Access block is a whole-of-health-system issue that essentially acts as a negative feedback loop.
Read 46 tweets
ACEM President Profile picture
Apr 15
Hospital bed blocks, ambulance ramping: Here’s six suggestions to fix them theage.com.au/national/victo…
As I read through the article it found myself wanting the things requested by everyone else. They are all important and much needed reforms. Most are also on my wish-list.
It might seem counter-intuitive that an Emergency Physician, working at the front door of the hospital, puts better governance and integration front and centre.
Read 13 tweets
ACEM President Profile picture
Apr 14
Re-posting as we head into the federal election - some ideas, and some updated ideas, for health reform - based on two articles written for ⁦@CroakeyNews⁩ from different time points in a global pandemic. clareskinner.com/writing/at-a-t…
The linked thread includes some thoughts on urgent care centres. There is no defined urgent care model in Australia. There are models embedded in emergency departments (eg fast-track or minor injury units) and other models that align more with primary care.
Much is said about people who seek care in ED who might have been treated in primary care. There will always be a small amount of crossover as models and access to care, for geographic as well as financial reasons, are highly variable.
Read 14 tweets
ACEM President Profile picture
Jan 20
It's really important that we don't blame the general public for seeking care inappropriately. The hospital system has been fragmented and difficult to navigate for years.
This is just not a COVID phenomenon - this has been building for years, with increasing out-of-pocket costs.
What we need to do is make sure that we remember how it feels right now. We're seeing the fault lines exposed through COVID.
Read 5 tweets

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