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But the tendancy in most Australian departments is for the case mix to be different with a higher proportion admitted, more patients looked after by the ED for 24 hours, and properly worked up rather than assessed to be discharged or admitted. Andy Webster -----Original Message----- From: Accident and Emergency Academic List [mailto:[log in to unmask]] On Behalf Of Adrian Fogarty Sent: 15 December 2002 14:45 To: [log in to unmask] Subject: Re: Job in Perth Australia ----- Original Message ----- From: "Craig Ellis" Subject: Job in Perth Australia > 55,000 patients. > 9 FTE consultants, 10 registrars and 30 SHO's Fascinating Craig, but if this were a UK advert, then it would read along these lines: 55,000 patients 2 FTE consultants, 2 registrars and 10 SHOs Something here is telling me that any "re-engineering" we require in this country, relates only to how we are going to "engineer" a growth in our medical staffing base of around 300 to 400%! Did someone call me cynical the other day...? Adrian Fogarty P.S. I had enhanced staffing yesterday until 5pm. The department ran like a dream, waiting times of around 60 minutes, but enough work to keep everyone busy. There were normal levels of attendance, and no-one was sitting round idle. I reverted to normal staffing after 5pm, and waits climbed to 240 to 300 minutes etc. The solutions to our particular problems seem so obvious to me, and "re-engineering" is but only a small part of the solution as I see it. Although I accept there is some room for queue engineering, at the end of the day there's a limit to how much you can re-engineer the patient consultation and management itself. Many patients and procedures are time consuming, there's no way round that.