Working at Taranaki Base Hospital Emergency Department

Taranaki Base Hospital (TBH) is the primary hospital serving the city of New Plymouth and the greater Taranaki region of New Zealand. The population of Taranaki is approximately 120,000 with about 50% living in New Plymouth.

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In 2019 the Emergency Department (ED) at TBH had 33,712 presentations with 6,511 pediatric cases. It has two resuscitation bays, 15 acute beds, two paediatric acute beds, two subacute beds and two chairs for ambulatory patients, as well as a four-bed ED observation unit. Construction of a new and larger ED is planned to begin in 2020. The local consulting services available include general medicine, general surgery, vascular surgery, orthopaedic surgery, otolaryngology, ophthalmology, OMFS, urology, paediatrics, obstetrics and gynecology, psychiatry, anesthesiology, and radiology.

The majority of the consultants at TBH ED are fellows of The Australasian College of Emergency Medicine (FACEMs). This easily meets the requirements for FACEM supervision. Consultant and RMO shifts are 10 hours, with the consultant shifts having a two hour overlap to facilitate the Workplace Based Assessment (WBA) process. The department is unique in that there is currently an ED consultant present in the department 24-hours a day.

Twelve-month ACEM accreditation

The Emergency Department at Taranaki Base Hospital (TBH) is proud to announce we are accredited for 12 months of emergency medicine (EM) specialist training by the Australasian College for Emergency Medicine (ACEM). TBH was accredited for six months of FACEM training in 2015, and 12 months in 2018. ACEM has designated TBH as a rural-regional hospital that meets the standards for Paediatric Logbook (PLB) status.

Structured teaching program

The Thursday structured teaching program is protected and divided into two sessions. The first 1.5 hours is the general departmental teaching which includes all RMOs and trainees. This is a topic-based program that includes ultrasound training, simulations, journal club, and quarterly morbidity and mortality (M&M) meetings. All trainees participate in presenting educational topics during these meetings. The next 2.5 hours is FACEM trainee specific, and includes Primary and Fellowship examination preparation, as well as Viva and OSCE simulation.

The FACEM training is tailored to the individual needs of each trainee currently rotating through the department. We are able to identify and focus on the areas needing development to help foster a well-prepared trainee. We can accommodate trainees at all levels of progress with a multifaceted approach to examination preparation. While at Taranaki Base Hospital (TBH), several of our advanced trainees have successfully passed their Fellowship examinations, and OSCEs.

“I completed the last years of my training at TBH. One of the key advantages of working at TBH is access to a huge range and number of high acuity and challenging cases. There is a great ratio of FACEMs to RMOs so that there is time for bedside teaching and supervision of these more complex cases. The SMOs are all very approachable and the nursing staff very supportive. I have broadened by training here with a year in ICU/anaesthetics and six months in paediatrics, both of which were invaluable and fantastic departments to work in. The Fellowship exam training program is run by dedicated FACEMs with protected teaching time that helped me get though my FACEM exams. If you are looking for a supportive working environment with access to great cases and opportunity to further experience in other specialties I would strongly recommend working at Taranaki Base ED!”
Tim Petterson, FACEM training graduate

Our trainees also report that our ED has a strong culture of bedside teaching with ample opportunities for procedures. They have excellent exposure to diverse case-mix that sees multi-trauma, high acuity paediatric cases, and complex geriatric presentations. The trainees value the approachability of the consultant group and the supportive environment. There is the possibility for access to non-ED terms, and our trainees have been able to obtain attachments with anaesthetics/ICU, and paediatrics.

"The [ACEM] inspection team was impressed by the positive atmosphere evident and commends the leadership and the consultant group for fostering such a nurturing environment conducive to learning. The proactive and strong engagement from the consultant group makes the ED a very desirable place to work and is evidenced by the contentment expressed by those interviewed."

Ultrasound training

Point-of-care-ultrasound (POCUS) is an integrated part of our daily practice and assessments. All of our ED’s RMOs are taught the basics of POCUS assessment including pulmonary, basic cardiac, EFAST, gallbladder, aorta, early pregnancy, IV-line placement, and ultrasound-guided nerve blocks. The Director of ED Ultrasound leads a regular group image-review sessions for the purpose training and quality control. Your instructors have are highly experienced in POCUS and understand how to efficiently teach you ultrasound techniques.

As you gain confidence, you will learn other assessment tools, such as DVT, ocular, testicular, renal, MSK ultrasound, small-bowel obstruction. paediatric surgical emergencies, fracture evaluation, central-line placement, and advanced cardiac ultrasound. We will help you gain competence and confidence.

Medical simulation

Medical simulation is an integral part of our training program and it is used to facilitate optimal interprofessional teamwork and communication. Dr Chris White has extensive training and experience in medical simulation, and oversees the ED in-situ simulation. These simulations provide a realistic environment to practice resuscitation skills and prepare for your OSCES. High-stakes procedures that are rarely encountered are practiced in this safe setting. Interdepartmental trauma simulations are held with the Department of Surgery and the Auckland-Based NetworkZ program, and simulations with the Department of Paediatrics are conducted regularly.

Trainee mentoring programme

Taranaki ED provides the opportunity for voluntarily ACEM trainee mentoring. The programme will ensure confidentiality and mentoring will be separated from the supervision and performance management of the trainee. The programme will strive to be culturally safe and accessible to all trainees. It will support the diversity of our trainees equally and accommodate differences of gender, ethnicity, religion, cultural background, and sexual orientation. The programme will utilize ACEM resources to assist in providing an effective programme.

Our consultant staff

Co-DEMTs

Local WBA Coordinator

Clinical Director/DEM

Associate CD/DEM

Local ACEM Mentoring Coordinator

FACEMS and SMO

FACEP: Fellow of the American College of Emergency Physicians
FACEM: Fellow of the Australasian College for Emergency Medicine
CCFP(EM):Canadian College of Family Physicians – Emergency Medicine
FCRAP: Fellow of the Royal College of Paediatric Physicians

More Information

For more information about our program and available placements, our DEMTs will be happy to talk to you.

Kelly Austin (DEMT): Kelly.Austin@tdhb.org.nz
Susie Flink (DEMT): Susie.Flink@tdhb.org.nz

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Last updated: Thursday, February 25, 2021