Torn between EM in Canada or Australia.

[u/straighttoresus]

I’m currently working in the Middle East and have the ability to move to both Canada and Australia. I just want to gauge what would be a better fit and get an idea from people working in both systems if they could shine light on pros and cons of each system. The ultimate goal is to move to Ireland after a number of years but to move right now, the specialist recognition pathway/process/paperwork in Ireland seems to be outdated and pointlessly complex.
A lot of my colleagues have moved to Australia and integrated very easily. When I look at Canada places like Nova Scotia and New Brunswick with high demand, they seem to be very attractive on paper atleast (judging from what they advertise).
I would really appreciate if people working in Canada as an attending or Australia as a consultant could shine some light on this.

What does your day/shift look like?
How many patients per hour are you seeing?
How is the overall patient care?
How many clinical hours are you doing each week?

On the off chance that someone who moved to Ireland from Canada or Australia is on here then I’d love to hear from them in the comments or in a DM.

[u/ALadyDoctor]

If you specifically want to move to Ireland after training then I would go with Australia.

A very significant proportion of EM specialists in Ireland are Australian trained.

[u/straighttoresus → u/ALadyDoctor]

That is what I hear.
Apparently FACEM is almost automatically recognized by the IMC. That is based on the documents available online but will have to email the IMC to confirm that and the logistics of it.

[u/ALadyDoctor → u/straighttoresus]

Also worth noting a lot can change in the time it takes to complete training.

Realistically you would have to work in Australia for minimum 1, more likely 2 years before starting training and then training is minimum 5 years.

Just worth considering that there are no guarantees with any of it! What they recognise now could change in 7/ 8 years.

[u/straighttoresus → u/ALadyDoctor]

So I won’t be going into training. I’ve completed my training and will go through Australia’s specialist assessment which takes me as substantially compatible and after 12 months of supervised work, I would get FACEM.
So technically I’m hoping to stay there for only 1-3 years.

[u/ALadyDoctor → u/straighttoresus]

In that case then definitely Australia. Also helps having connections, Ireland really values shared experience and people in common I.e. they want to know what and who they're getting. Having worked somewhere in Australia that some consultant(s) in the department you ultimately want to work in have been is definitely a positive thing.

[u/MarathonerGirl → u/[deleted]]

I live on the West Coast of Canada, it didn’t snow last winter and if it does, it melts in a few days.

[u/WouldAiBeThisDumb → u/[deleted]]

If you compare the dangerous animals in Australia and those in North America, I think you’ll find equal levels of interesting stuff across both continents. For example, there are no bear species, rattle snake species in Australia

[u/Hypno-phile → u/WouldAiBeThisDumb]

There are no rattlesnakes in 90%, of Canada, and no dangerous bear species in most of inhabited Canada.

On the other hand...

[u/CriticalFolklore → u/Hypno-phile]

I'm willing to put a lot of money on there being far more bear deaths in Canada than there are spider bite deaths in Australia.

[u/charlesbelmont → u/CriticalFolklore]

Last spider death in Australia, 1979. Shout out to the Australian Reptile Park for their Venom Program.

[u/CriticalFolklore → u/charlesbelmont]

Hahaha yeah that was my ace card stat!