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Dr Jeremy Chin

25 April 2021

Jeremy Chin is a RANZCOG Fellow, who grew up in Melbourne and is now based at the Royal Darwin Hospital, working across the Top End. His service provides outreach to district/regional hospitals and remote communities across approximately 250,000 square kilometres, often with the help of light aircraft, an outreach nurse, and support from local health services and communities.

 
Why did you choose medicine?
To make a tangible difference at scale by finding solutions to hard problems.
 
Why O&G, in particular?
It offers us the opportunity to be part of something humbling, unique, and transformative. As individuals, our care has impact; as a speciality, our care is shaping the next generation.
 
What are you passionate about in your field and why?
We work in, contribute to and are a part of health systems. And, every day, we see the results of those systems. Most of those results are good. Some are satisfactory. Occasionally, the outcome is harm. If, like me, you believe that every system is perfectly designed to get the results it gets, then we have a long way to go in designing better systems to ensure that we get better results. We know that sixty percent of healthcare is well supported by evidence, thirty percent is waste, duplication or of low value and ten percent of healthcare leads to harm or adverse events. This is despite skilled individuals coming to work every day with the best intentions. So, what am I passionate about? Driving health system change so that skilled individuals come to work every day with the best intentions... and leave work having played a part in achieving the best patient outcomes.
 
What does a ‘normal day’ involve?
I spend half my time working clinically and half my time in a management role. Both aspects complement each other and are rewarding in different ways. Most clinicians would be familiar with what a 'normal' clinical day involves. Perhaps less have had in-depth exposure to what management 'looks' or 'feels' like. In O&G, we are trained to reduce complexity into understandable, manageable chunks. Training for obstetric emergencies is one way we achieve this. Learning to 'do' operations is another. In management, often challenges are less well-defined, decision-making is collective, involves risk & trade-offs, and usually has some residual uncertainty. Should we expand a service in one area, if it might require diverting resources from another? What are the risks to morale, well-being, and workforce efficiency & effectiveness by reshaping employment arrangements? How can we take measurable steps to reduce harm and adverse events in healthcare? How might we judiciously employ artificial intelligence in the workplace to improve care? How can we best utilise new technologies to reduce inequity for women living in remote communities? What strategies should we employ to address systemic racism in healthcare? How can we make our workplace inclusive for individuals who identify as LGBTIQA+? Further education (such as an MBA) is really helpful here, particularly if the training includes healthcare management, as well as the opportunity to learn from other industries.
 
Are there any challenges and/or wins?
Challenges: all of the above (as a start).
Wins: playing a small part of the big successes our teams achieve, collectively. 
 
What activities are you currently engaged with at the College?
Effective communication is critical to safe patient care. We are currently redeveloping a Communication Skills workshop that will better equip trainees with the skills to manage real-world communication challenges. Like many, I have found this College activity particularly rewarding and I would encourage everyone to explore the many and varied activities the College is undertaking. At its best, the College represents and reflects all of us, in all our diversity, with all our experiences, looking forward.
 
How do you wind down?
I read voraciously. Usually with my wife. Sometimes with a pinot.
 
What do you do outside of work?
On weekends, you can find me on my gorgeous bicycle, in lycra. In these cases, it is usually not with my wife, nor with a pinot.




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