Sue Ieraci completed EM training in Sydney in 1990, then worked for six months in Canada, where she had many assumptions questioned. She has continued to question conventions during a long career as a clinician, department head, regulator and health system consultant. Sue has now separated from the public hospital system, and has many reflections to share as well as ideas for making EM a sustainable practice, especially for women and like- minded people of all gender identities. She will also share some reflections from recent travels.