Mike Turconi is a CoROM MSc student working as an advanced care paramedic in Canada with experience in austere medicine; he shares insights from his career and academic pursuits. He discusses his experiences in Canada, Ukraine, and Tanzania, highlighting the challenges and rewards of working in austere environments. Mike also provides advice for healthcare professionals interested in this field. Keywords austere medicine, paramedic, healthcare, clinical practice, academic pursuit, career advice, remote medicine, critical care, humanitarian work Takeaways Austere medicine requires a different mindset and approach to problem-solving because it requires more resources and diagnostic equipment. Clinical experience in austere environments provides valuable learning opportunities and requires a willingness to engage in all aspects of patient care. New healthcare professionals interested in austere medicine should open their minds, look at problems from different perspectives, and be prepared for unconventional solutions. Mike Turconi emphasises the importance of enjoying and excelling in one's current role rather than constantly seeking the next certification or degree. Chapters 00:00 Introduction to Mike Turconi and His Career 03:01 Transitioning to Austere Environments and Clinical Practice 12:57 Experiences in Tanzania and Lessons Learned 38:56 Advice for Healthcare Professionals Interested in Austere Medicine