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Retirement and the afterlife

Retirement and the afterlife. Rural GP locums & other issues. John Mackenzie, 2009. Monash 1966 (inaugural graduation year). Monash 1974. Working Life. Intern & RMO W’Bool - 1975 & ’76 SHO/ reg Northampton & QVMC -> ‘80 GP Portland -> ’83

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Retirement and the afterlife

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  1. Retirement and the afterlife Rural GP locums & other issues John Mackenzie, 2009

  2. Monash 1966 (inaugural graduation year)

  3. Monash 1974

  4. Working Life • Intern & RMO W’Bool - 1975 & ’76 • SHO/ reg Northampton & QVMC -> ‘80 • GP Portland -> ’83 • S/reg neonatology and O&G, NETS and assistant to medical director, Mercy –>’88 • GP Tyabb -> May 2008 : “Retirement”.

  5. Usual retirement model • Retire at 65: Work full time up to age 65, then suddenly stop ! Problems: • Unfair if ill health or death. • Sudden void (stress = loss of spouse). => GPs have an alternative ..

  6. Early semi-retirement • Start spending the kids inheritance • When: • you and your spouse still young and fit • no mortgage stress • no school fees => Can continue in semi-retirement past 65 .

  7. Book: “The 4 Hour Workweek”

  8. Tax issues • Less work (1/3rd work) = lower tax rate (½ income) • Over 60, salary sacrifice 100% into super (taxed at 15%), and draw a “pension” from your fund (tax free). • Small Business Exemption from CGT (eg. on sale of freehold).

  9. Work options in semi-retirement • Continue working in same general practice, but work less, eg. cut back to 2 days per week • Hospital A+E shifts • Aged care from home (Dr Charlie Arter) • Special interests: drug and alcohol rehab, skin, travel medicine • After hours GP co-operative (MediCentre) • Civilian MO in the ADF (Cerberus) • GP Division/ Network (board, subcommittees) • GP locums – urban, overseas (Ireland), rural

  10. Rural GP locums (Apollo Bay) • Mainly normal general practice + run small hospital • acute medical in-patient care (4 beds) • emergency medicine • simple radiology • Don’t need to be “super-Doc”

  11. Improved rural GP support • Ambulance officers and nurses better trained. • Phone support from ED consultants, NETS, PETS, ARV, and “hotlines”. • Mobile phone • Internet • Laptop computer – library of clinical support

  12. The joys of rural GP locums • Delight of being needed and appreciated. • More organic pathology (“real medicine”), less social work and paperwork (“bullshit”). • No responsibility of running a business, employing others, partnership problems. • Travel and accommodation paid by employer -> cheap family holiday. • Well remunerated.

  13. Typical rural GP locum

  14. Rural GPs need you • Critical shortage of rural GPs => desperate need for locum relief to prevent rural GP burnout.

  15. Burnout • Rural GPs ageing, dwindling • Outer metropolitan GPs overworked • Patients stressed

  16. Remedy • Multivitamin ? • Naturopath’s “detox” diet ? • Self-medication with EtOH ? … NO => Less work, more leisure time.

  17. More time to enjoy life …

  18. Key messages • Don’t leave it too late to enjoy life. • Avoid burnout. • Consider semi-retirement whilst still young, fit and able.

  19. “I’m outa here. You beauty”

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