shikimate

Luck and preparedness both plays major roles beyond residency application. Even if you are in a field that has lots of jobs, sometimes it takes a bit of luck to find a "great" opportunity instead of an "average" opportunity. It's a bit like house hunting, you can prepare as much as you can as a buyer, but sometimes it's the randomness of the seller side that make or break the deal.

I heard the situation in UK and Australia isn't much better either. Was reading some articles earlier this year about a lot of "GP Surgeries" (aka FM clinics) closing due to lack of doctors in UK. Maybe Canada can poach some GPs from NHS lol, at least we are marginally a bit more affordable than UK and our inflation # isn't as bad as there.

I love how the bureaucracy is always obsessed with "income". WB has more asset than his all of us combined yet his income is less than his secretary. if anything he can make himself have "negative" annual income on paper.

Just out of curiosity, does anyone know how they define low SES?

Home field advantage does make a lot of difference if it's a very small and competitive field. With restrictions on amount of elective you could do I think this is even more so. You'll find home field advantage pervades throughout, including looking for fellowships, jobs and so on.

When it's competitive stream, you have to compete with IMGs or CSAs who may be more qualified on paper. For example, a lot of IMGs have pathology related graduate degrees or research experience. Some CSA would've done electives in pathology because it's known to be more IMG/CSA friendly. Your application is far from a sure shot, because you have minimal exposure. If I were you I'd apply to every program possible and just hope for the best, you can't be picky in round 2.

Well a lot of hospital based physicians don't really have a choice. When the hospital starts getting students you either take it or go to another hospital. More and more community places are supposedly becoming affiliated with medical schools. Just look at UPEI/MUN, supposedly they need to hire 70 additional doctors in PEI to reach the capacity for teaching. They'd be lucky if they don't lose any in the first place! Personally I've never got a single dime for all these medical students I've supervised lol.

I thought York med school was supposed to open like in 2017 or something?

fellowship can be worse, if competitive. Most programs prefer in-house. At least CaRMS is transparent about how many spots and how many applicants apply. A lot of fellowships don't tell you how many people apply there. jobs can also be tricky for specialties with weak demand. Again, either in-house or local connection. A lot of times lucky timing (old staff just happened to retire). Personally I know residents who waited from R1 to R5 for an old guy to retire and it still didn't work out lol. For jobs, some posted jobs are "ghost" jobs. Aka they already have someone in mind but for admin purpose they have to openly advertise it. It all depends on which specialty, some have so many jobs that you get tired of recruiters. Others have so little jobs people do 2+ fellowships. Job market can also change fast, especially in small fields. When I was late in residency before COVID I was cold-emailing places trying to find jobs. A couple of years after COVID I was getting cold calls from places desperate to hire. Go figure.

I think only time will help right now. It's too early to say how it will affect them, only time will tell 1) if they are serious about IM, they might try to transfer or apply in round 2 next year or after they're done FM. 2) they might go through FM and realize they like it more than they thought 3) or they might accept FM and go on with their lives

If you have difficulty with "grieving a long term relationship", I think you may benefit from talking to a psychiatrist. But switching to psych, I am not sure that would really help. Personally I found psych interesting in the diagnostic aspect but the emotional drainage from treating people wasn't worth it. If you switch to psych, wouldn't the emotional burden of psych add to your emotional problems rather than solving it?

So does anyone have individual school # for unmatched after round 1? I feel it's gonna be higher than historical since there are so many open spots, especially in competitive specialties. Maybe some of the gunners misjudged...

AB real estate is red hot for similar reasons. People fed up with Ontario prices are moving out west. Last year there were 2 residents where I trained, both are now practicing in AB. At least for my area, ON is notorious for lower pay (376K vs 500+K), higher taxes, and almost inevitably requiring fellowship to practice. A lot of grads who stay are IMGs, who either has to do ROS or due to family reasons cannot leave GTA.

I mean a lot of the stories about FM was from ON, including the one in Kingston where 3000 people lined up overnight, and the article that talked about poor fee structure was in TorStar as well, so not surprised to see FM in ON getting destroyed. Never seen 20+ empty spots at Queens and UWO.

The number of FM spots left after round 1 is insane, what a blowout loss day for FM. https://www.carms.ca/pdfs/54klrg22KETp_R1_1_OverviewByDiscipline_EN.pdf