Join 27,000+ doctors and dentists in the 'Investing for Doctors' Facebook group: https://facebook.com/groups/investingfordoctors
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In this episode of the Investing for Doctors Podcast, I sit down with fellow colleague Dr Lex Narushevich to unpack the harsh realities many hospital doctors in NSW are facing — from unsafe rosters and unfair pay gaps to the emotional toll of systemic neglect. Lex shares firsthand insight into what’s really happening inside our hospitals, and why reform is no longer optional — it’s urgent.
We explore the "gaslight and guilt" culture, broken salary structures, unpaid non-clinical work, and the mounting pressure on clinicians across specialties.
Whether you're a trainee, consultant, or working outside NSW, this episode will resonate deeply — and might just light a fire.
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TIME STAMPS:
00:00 - Hook/Intro
01:28 - Lex's Background/Disclaimer
01:45 - The “Gaslight and Guilt” Problem
04:20 - Unsafe On-Call Rosters
07:00 - Systemic Health Issues Beyond ED
10:05 - NSW vs Other States: Pay & Conditions
13:30 - The Locum Pay Gap
16:20 - Study Leave (TESL) – A Broken System
18:50 - Salary Packaging & Tax Inequities
21:15 - Poor Pay for Unsociable Hours
24:00 - Staff Specialists Working for Free?
26:10 - Non-Clinical Work: Unpaid & Essential
28:00 - Contract Changes & Forced Redeployment
30:25 - Night Shift Burnout with No Incentives
33:15 - Unfilled Training Positions in NSW
35:00 - Emergency Departments as a Warning Sign
37:10 - Psychiatry Workforce Crisis
39:30 - Reform or Collapse?
41:00 - “Goodwill Doesn’t Pay the Bills”
43:00 - NSW Government Negotiation Deadlock
44:30 - Final Thoughts: Why This Matters
45:45 - Outro & Disclaimer
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SHOW NOTES LINKS
https://au.linkedin.com/in/mian-bi
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LISTEN TO THE PODCAST
Spotify: https://spoti.fi/3FoBRAy
Apple Podcast: https://apple.co/4iks50N
Amazon Music: https://amzn.to/3DoyJnP
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FIND US HERE
Website: https://ifdgroup.com.au/
Facebook Group: https://www.facebook.com/groups/investingfordoctors
Facebook Page: https://www.facebook.com/investingfordoctors
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DISCLAIMER
The information provided in this podcast is for general purposes only and should not be considered personal advice. Always consult with qualified professionals or experts in the relevant field for personalised advice tailored to your specific situation.
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