insomnias

Isn't the general trend that you'll bill more as a community attending than academic attending? This, of course, completely ignores the benefits of having protected research/teaching time and residents to do your paperwork/etc.

We're supposed to keep the details confidential till voted on, so wait until the end of the month I guess. The QoL stuff really just brings this province closer to (not at) par with other provinces, so nothing super exciting.

If we're thinking of the same province, yeah, that one's a toughie. On one hand, the pay is nowhere near what I want to see. On the other hand, it adds a lot of QoL stuff that I'm 99% sure wouldn't come through arbitration (the result of voting no). So do you swallow a bitter pill now in the hopes of getting something better when it's renegotiated in 2024 (since it's retroactive to 2021)?

Given that the squeaky wheel gets the grease, everyone dissatisfied with this and/or planning to cancel their CMA membership in protest should contact CMA to indicate that this was something that mattered. After all, if they don't hear it from their membership, they won't be able to act on it. Am I optimistic we'll get a positive result? Not really, but it's 5 mins of my time so might as well

As an applicant who interviewed at AB, two things probably affected this: the FM-PRoC, and the interview itself. I found the urban interview to be bizarre (I won't elaborate further for obvious reasons), and I have friends who shared that view. Those of us who ranked AB high did so because of location. If we didn't want to be in Edmonton, it would've been ranked much lower. Applicants from other schools probably didn't want to be in Edmonton as strongly, and so the interview brought the program lower down.

Anyone know how this might affect grads pre-c2025 applying to fellowship/second residency?

If you're still curious: Switzerland - you won't get to do residency here without a medical degree from the EEA, or having had your medical degree recognised by an EEA country. Germany - you have to have your German at a C1 (maybe B2 depending on state), pass some exams, and then you can apply to residency which is generally 5 years for most specialties (or longer if you opt to go part-time), but it's like applying for jobs. Consequently, you need to know someone in the department if you want to get a position, you need to re-apply every year, and education is more self-directed + standardized than in Canada. On the plus side, residencies can be easier to get in many fields because they have a huge doctor shortage. My friends who went this route generally did a master's and/or PhD in Germany while getting their foreign MD recognized.

The only hard-and-fast rules are that you have to take them all within 7 years, and step 3 can only be taken after graduating AND after finishing steps 1 and 2. Step 2 can be done first. In general, most people who know during med school that they'll write the usmles will do step 1 after 2nd year and step 2 will either be in third year if they're applying to the US match or at the end of 4th year, at the same time as the MCCQE1 due to content overlap (which can itself be done any time 15 months prior to graduation, so you could in theory do both in third year - it just makes more sense to do it in 4th year because most med schools have review courses in M4)

I considered it, but the deadline on a chargeback is 45-120 days from the date of purchase (most of us purchased in December 2019, covid struck in March 2020, there were months of uncertainty until we finally knew for certain in like mid-2021 that they wouldn't happen)

Well there go my plans to get a 2br apt in residency and rent out a bedroom to med students on visiting electives to cover my rent :p c2023s: as a c2022, I know exactly how terrible this feels, especially if you were hoping to match outside your university. If it's reassuring at all, you'll be the second-and-a-half class that's gone through this (and unlike my class, you don't have the situation where you paid the $200 to register for the AFMC portal in anticipation of summer electives before covid became a thing, and the AFMC decided they won't refund the money, which is straight-up theft imo but who am I to say anything). Furthermore, everyone else in the class of 2023 is going through this as well, so you'll be on equal footing for residency applications. Although it feels like this hurts your chances of matching out of your school, the fact of the matter is that not everyone will rank their home program #1, so there will by necessity be inter-university movement, and, for my university at least, there was no significant difference in in-school vs out-of-school match rates. Finally, this helps those of you who are undecided, since there's less pressure to go for 8 full weeks in the specialty you decide you like, because not everyone can get multiple electives at their home school - it's easier to sell indecision on interviews as "I couldn't get more than 4 weeks". I've done some really cool electives which I wouldn't've been able to do if visiting electives were a thing, and I've saved a ton of money. All in all, I'm pretty happy with how fourth year ended up going. I think. Ask me again how I feel on April 12 at noon.

Med students are some of the most highly-selected individuals for their ability to write tests, including SJTs like CASPer and MMIs. We wouldn't be in med school otherwise. Adding on yet another test of the same flavour is hardly defensible. In the end, residency is a job, and perhaps CaRMS should be treated more like a job application. If the program selection committee wants more non-peer-reviewed, un-validated ways to narrow us down, fine, but we already have to pay to apply to their programs - perhaps they should put their money where their mouth is: If they believe FM-PRoC is useful, then they should cover the cost themselves because, quite frankly, it's not my problem that they're spoiled for choice, and you can't claim to want greater socioeconomic diversity in your medical school / residency if you're going to expect people to pay further costs out of their own pocket, regardless of what the actual cost is and what their earning potential may be. Nor can you claim to want diversity of experiences when you're literally marking people against how close their opinions are to those of current residents/physicians.

So...is anyone else tempted to boycot the programs requiring FM-PRoC before our underclasspeople end up with another test for residency applications? For FM applicants, CASPer is required by NOSM/UMB/USK FM....and bizarrely, U of A PHPM+FM requires CASPer, not FM-PRoC, despite spending the first two years in FM. For those not in the know: For those wondering how it's scored (which might actually be worse than CASPer?):

To those who stumble upon this thread later, it's no longer possible to request your letters from CaRMS as per https://carms.zendesk.com/hc/en-us/articles/4409984307725-Previously-applicants-were-able-to-request-and-obtain-reference-materials-and-third-party-assessment-information-provided-through-CaRMS-for-their-applications-Why-has-this-changed- because "Referees have also shared that applicants have contacted them after accessing a reference to ask that the referee modify and re-submit it"

My program has had similar caps for 22s this year. The workaround is to do rural or community electives in the specialty of interest.

The tl;dr I got from staff when I looked into this was that it makes more sense just to drop to part-time in Canada and travel to wherever you want to live instead of trying to work there. Getting a non-EU degree + training recognized in an EU country is a huge hassle, although it's certainly possible depending on the country. The UK only accepts family medicine, psych and radiology training as equivalent. Ireland doesn't have any overarching rules about what Canadian training they consider to be equivalent to Irish training. Beyond that, some countries (e.g. Germany, depending on specialty + length of time spent in residency and practice) will accept your training if you can prove linguistic fluency. Other countries (e.g. Nordics) will require you to do some retraining and/or ROS. Other countries, OTOH, bar non-EU grads entirely, like Switzerland (which only recognizes your training if you've worked in an EU country for 3+ years and are a citizen of an EU country).