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Transitioning to FACEM‐run regional emergency departments: An untapped training opportunity

The increasing number of newly appointed Fellows of the Australasian College for Emergency Medicine (FACEMs) and resulting saturation of permanent positions in metropolitan centres has had the positive consequence of recently graduated FACEMs looking towards regional centres to start their career as a staff specialist. Regional departments, especially those willing to provide flexible staffing options such as part-time fly-in fly-out (FIFO) positions are attracting a young group of like-minded FACEMs who are interested in the clinical challenge and also the opportunity to be involved in maturing an ED from a previously non-FACEM Senior Medical Officer (SMO) department to FACEM-run department. The majority of my FACEM training was undertaken in metropolitan centres, and out of ignorance to the benefits, I had no intention of working in a regional hospital. At the end of my training the only permanent position being advertised was in a regional department more than 500 km from my home. As a result of the clinical director’s vision of creating a sustainable FIFO FACEM staffing model, I discovered a department that had supportive and skilled nursing staff, an interesting clinical load and an opportunity to be involved in creating positive change in a maturing department. These qualities, which I believe are common to most regional departments, make them an excellent site for a training term as an ACEM registrar. Unique clinical experiences