My first day - reflecting on a role model

December 2019

ACEM - Your ED

It’s not my first day ever in ED that has stuck in my memory. It’s my first day back, after a year out to study, teach and work out what to do with myself.

I was at a loose end. Broken. I had been scared off clinical medicine. Time away helped, but I missed the sense of purpose and identity that came with being a ‘real’ doctor.

I arrived early. Dressed in plain clothes. The butterflies in my stomach fluttered so hard I thought they might escape through my mouth.

I timidly joined the ward round, led by a woman with presence. She had curly blonde hair and intense eyes. She scribbled on a piece of paper towel as we moved around the department.

‘Who are you?’ she asked. ‘Clare’, I replied. ‘@%#*!’ she said. ‘Not another Clare.’ We paused for introductions. There were five Clares on the round.

‘Pick up a patient’, she suggested. I hesitated. ‘You’ll be right, pet’, she said. ‘I’ll help.’

Later, she overheard me getting a grilling. Calcium gluconate versus calcium chloride. She sidled up. ‘Ignore him’, she whispered.

An extraordinary role model had entered my life. Caring, intelligent, thorough, hard-working and as direct as they come. I felt safe. I knew instantly that I wanted to be just like her when I grew up.

Clare Skinner

Dr Clare Skinner is a specialist emergency physician with interests in leadership, advocacy, workplace culture, quality and safety, clinical redesign and health system reform. Her current areas of focus include transformation of the emergency department workforce, improving care of people with mental health symptoms, building positive culture in hospitals, and fostering diversity and inclusion in health services. Clare works as a clinician, manager and educator. She is a frequent contributor to academic journals, mainstream media and medical blogs on topics related to hospital practice and culture. Clare is a regular speaker at emergency medicine and leadership conferences and seminars. She was selected in the Top 50 Public Sector Women NSW in 2018.

https://clareskinner.com
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Changing minds: Reflections of a mental health champion

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The gender pay gap in emergency medicine