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Dr Dave Homewood on how locuming can help you decide on your career path

November 5, 2024
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Dr Dave Homewood on how locuming can help you decide on your career path
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https://www.institute.medworld.com/our-doctors-articles/how-locuming-can-help-you-decide-on-your-career-path

After finishing school, I aspired to be a professional jazz musician. After a few unsuccessful auditions, I decided to take a gap year before starting a science degree at Melbourne University. Travel and work grounded me in the realisation that music was my passion rather than a profession. Thus, I began university initially in a rather undifferentiated state.

Exposure to anatomy, physiology, and pathology made me realise my love for medical sciences. So, in my final year of undergraduate study, I took the GAMSAT and applied to medical schools. My decision to do medicine was based on a love of medical learning, exposure to the positive impact doctors can have on their patients, and the tangible gratification of the work.

Life in medicine in the 21st century is a complex and convoluted ‘choose your adventure’ that junior doctors should intuitively navigate.

Many of my mates from medical school always knew what they wanted to do. It just felt right to them. Ah, the complexity of choice! My problem has always been that I’m passionate about everything that I do. I love sports, music, learning, carpentry, gardening, and cooking up a storm. I was exposed to fantastic sub-specialty surgery as I started my surgical residency. Still, I found I’d lost a part of myself, living a unidimensional life spent almost entirely in the hospital. So, I decided to take some time to figure out what I wanted to do when I grew up.

I bought a van, spent three months retrofitting it, and then headed off on a trip around Australia with an open heart and mind, a surfboard, and a stethoscope.

Doing locum work allowed me to fund the trip and, more importantly, keep up my clinical skills on the road. I worked in Bairnsdale to avoid the floods, in Lismore to get some ICU time, in Gold Coast for six weeks of Orthopedics, and Sunshine Coast Private doing ward cover. There were pros and cons to each place where I worked. On balance, the great people at each hospital were the continuing highlight.

The biggest life-changing factor of the year off has been having time to reflect and decide what I want to do with my life and clinical career. Having space to reflect has allowed me to think through all the key considerations regarding what I find meaningful and what I need in a job. From these reflections, I realised that despite the sometimes onerous time commitments, surgical training was something I very much wanted to do. So, I decided to embark on the path to urological training.

On a personal note, locum work has allowed me time to travel internationally, during which I’ve met my current partner, started a diploma in cuisine, restarted my triathlon training, and re-established contacts for an English urology research year I will be doing next year.

In short, I started this year a bit lost, and a year of locum work has given me time and financial ability to take a step back and re-evaluate my life plan. I’ve decided on a career path, re-ignited many of my passions, and fallen in love. If you’re reading this as a junior doctor who is lost, unhappy, or searching for more, I couldn’t advocate for taking a year to sit with the biggest question of our career and allow yourself quiet enough to hear the answer.

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