Synth1

Those examples are beyond obscure, rare genetic syndromes and embryology are not core clinically relevant knowledge.

So you made an account just to post this? Clinic-based family medicine is a grind with ever expanding bureaucratic headaches and significant non-clinical task burden. On top of that most other things you can do with family medicine training pay better, and as a clinic-based family doctor you are running a business with overhead. Your overhead goes up with inflation, but pay from the government does not. It's a real squeeze. Many residents are choosing not to do clinic-based family medicine in favour of other things for these reasons, and many older doctors are moving away from it or retiring. This is where the "crisis" comes in. Lots and lots of unattached patients, and I see the negative consequences of that all the time (i.e. cancer not diagnosed in a timely fashion, no follow up for issues etc.) The fix is making it a more attractive option by reducing administrative burden and increasing pay so that it matches inflation and is at least equivalent to things like hospitalist or ED.

Oh man I sure hope not, you should be able to be present and enjoy the birth of your own child. The culture in medicine is so toxic sometimes.. like how is this even a question.

It is obviously not a money grab at $38 per applicant.

Results are out

Yeah you just call them.

1. $10 2. Depends on whether you are planning to apply for rural loan forgiveness, if you are going to get the max amount deducted (i.e. $8000 x 5) I would just pay whatever the minimum is and worry about the rest later.

If it is indeed the case that the number of unmatched CMGs is due to speciality preference it's a bit of a stretch to say they are an "afterthought" in favor of IMGs. The reality is that residency spots are driven by demand of a given specialty, and not everyone can do what they want. If today's med students refuse to match to FM that's their choice but it may result in not matching at all, and if there are tons of FM left over spots because of that why not open them up to IMGs in the second round. It is a bit entitled to complain about not matching when you only apply to competitive specialities.

I don't know how you open this post with a statement that the issue isn't pay. What you are describing is absolutely an issue with pay. If salary is not keeping up with inflation in the context of overhead that's an issue with pay. If admin time is disproportionate with other specialties and unpaid that's an issue with pay. Also, in BC with the new payment model there IS compensation for admin time AND pay has increased significantly. That is the kind of change that needs to happen across the country (though things are already pretty good comparatively in ON with FHOs). We are in agreement that a 3rd year is unlikely to affect FM pay, but I think there is some recognition that FM needs to be more attractive financially, and BC is one of the few provinces walking the walk. Also, FWIW that NP stuff was walked back significantly. I think there is some acknowledgement NPs are part of a solution but not the solution, and that they are not necessarily cheaper.

Family medicine is approximately 50% off-service in both years though (5-6 blocks per year in most programs), we are basically the scut workhorses of the residency system. If the third year is just another year of the same thing I am firmly against. If the third year is directed by learning goals or functions as a supervised practice year it could be beneficial. I'm not as optimistic as you that it will translate in to any improvements for the profession financially or otherwise.

I found First Aid for the USMLE Step 2 CK to be the most helpful resource for clerkship. Quick overview of high yield info for all rotations without getting in to the weeds with two much detail you don't need as a clerk. If you are willing to pay shipping I would gladly give you my copy.

I was considering the same two specialities in 4th year and ended up only applying to family. No regrets at all, I'm happy with my choice and the shorter training time and flexibility are huge perks. Lots of people on here trash talk family, so you'll likely get a few posts like that in this thread but I think it's a great choice depending on what you like/where you want to end up etc. There are also Peds-focused opportunities in FM. The children's hospital where I'm training just created hospitalist-like positions for inpatient that are intended to be more looking after more straightforward Peds cases. Feel free to DM if you want to chat more.

There is no etiquette but to me it makes more sense after the match so you can let them know where you ended up.

That's your entire idea in every thread, and it's conjecture. You don't have a crystal ball, or insider information, you're just hyper-focused on the negative. And like I said, it's a self-fulfilling prophecy when you are actively discouraging everyone from doing it. We get it, please move on.

I'm not reading anything in your response that justifies telling everyone you can to avoid family medicine at all costs. Are there problems in our health care system? Absolutely, and it's not just a headache for family doctors. The grass is brown and dried up everywhere. Are family physicians under compensated? Sure, but you can still gross 300-400k pretty easily as a family doctor working full time. I don't care to get in to the nitty gritty of specific fee codes or isolated events such as that Newfoundland thing. And Ophthalmology is about as straw man as you can get. It's no secret they are overpaid relative to other specialists. Things will continue to evolve, and are definitely not as rosy as they were for prior generations of physicians, but to say that primary care family medicine is over (as you have repeatedly) is alarmist and not based on anything but conjecture. I think many of us would appreciate it if you could fix your broken record.