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Showing content with the highest reputation on 11/16/2017 in all areas

  1. 2 points
    Dreaming_to_be_a_doc

    Applicants 2018 intake

    Haha same! I didn’t want to open it and then realized that I’m ok for now... lol
  2. 1 point
  3. 1 point
    dreamteam22

    Applicants 2018 intake

    Did anyone else feel like they received a rejection email from NOSM only to find out it was an "application complete" email lol... Heart skipped a beat Tuesday morning.
  4. 1 point
    Depending on the place, rural FM programs can give more ER exposure on a regular basis during FM blocks, which is the main advantage. There is no hard-and-fast preference for rural residents in the +1 programs. More time in ER means more learning opportunities and experiences which can be showcased on ER electives and in interviews. I wouldn't say doing ER rotations in a rural setting is better than in an urban one, however, though there are some pros and cons. Rural ER rotations give some more independence, but volumes can be quite low, acuity is often quite low (more comparable to a walk-in clinic in many cases), and management options are limited by available resources. In true rural EM, you're not going to be doing intubations or lumbar punctures either, since the docs there won't do those things. And, as bloh says, rural FM, often done by FM docs without a +1 in EM, is highly variable and some are not very good at what they do. Urban has less opportunity for the true high-acuity (crashing) patients as others get preference, but you get volumes and usually exposure to those who decide who gets the +1 EM fellowships, which is a big advantage. From a pure learning perspective, non-academic, non-rural EMs can be the best if you can find a willing and capable preceptor. These are centres without regular EM residents but are in cities or large towns. They're staffed by EM docs (RCPSC or 2+1 FM) and have most - though not all - of the services of a major urban academic centre, with a high volume of patients and good mix of acuity.
  5. 1 point
    Nietzsche_hammer

    Cote R et année préparatoire.

    Pour avoir été dans l'armée moi-même et connu des gens qui ont passé par le collège militaire c'est loin d'être aussi facile que tu le penses. L'armée tu vas te faire chier et te faire gueuler après. C'est des gros sacrifices, oui ça vaut la peine, mais tu peux souffrir de problèmes psychologiques par après. À toi de voir si les risques en valent la chandelle. J'étais que membre du rang et je me levais à 4h45 tous les matins et je me couchais à 23h avec des standards de fou. Tu vas avoir la pression de l'armée et celle des études. Tout va être contrôlé t'auras aucune liberté. Ironiquement, à toi de choisir. Un ami qui a passé par là c'était son plan B parce que le cégep avait pas marché pour lui.
  6. 1 point
    Agreed completely. However, I still think that anyone who succesfully completes medical school should be gauranteed a FM spot somewhere in Canada. IF you choose not to take that, and go unmatched to retry for your chosen field - fine, but that is a calculated decision. I dont think everyone is entitled to their field of choice, but rather entitled to practice medicine in some form. Perhaps entitled is not the right word..but it would seem pragmatic that if someone successfully completes medical school and the QE1 without issue, they should be good to go into a FM program. If there are people who don't fit the criteria for this, then they should not have been allowed to graduate in the first place. Many people may still not choose to take that FM spot in some other province at a rural site, but i sure bet alot of people would jump at that, over going unmatched twice. Maybe they would take the risk the first time around and try again, but at the 2nd time around...im sure some people would start singing a different tune of going unmatched twice versus getting a training spot in a field that is versatile and will pay the bills. There is no way to get 100% complete match with user preferences and training spots available. If you absolutely would never want to practice FM in some shape or form coming into medical school, then thats your decision to make to continue in. The numbers are clear, not everyone gets to be a surgeon. There is no need to do this wish-washy return to open license GP training ad-hoc. Cut a few CMG/IMG spots in the less needed specialties, move that funding over and create 2x more FM spots(probably a simplification, but i would assume 5 years worth of funding could translate to 2x 2yrs of FM training?), and put a bit of extra funding into some additional FM spots at some of the more tertiary sites that might be a bit more "rural" and can tolerate capacity...and additionally cut enrollment by a few spots per school. Problem solved. The match rate will still not be 100%, because many will still choose to forgo that FM spot and try again, but it should be an availability. There would have to be some sort of mechanism to make sure the CMGs get priority for these extra spots, perhaps keeping them as CMG only spots in 2nd round.
  7. 1 point
    Maybe neuromuscular fellows? Ive heard of them doing muscle biopsies. I certainly never did one, never saw the results of one, and never had to interpret a report (this I'm assuming would all be done at a highly specialized neuromuscular clinic, and on my rotation I basically saw a ton of myasthenia gravis and nerve entrapments and that's it). The reality IMO is that edict (the above poster) is right. It may be interesting for med students to do path, but for most its fairly academic and way outside the scope of anything they'll ever do. The issue is that there is far more basic stuff not adequately taught in most curriculums.
  8. 1 point
    Agree. Most physicians won't be looking at the slides of their patients, but most will be receiving pathology reports. Being able to interpret test results is very important, and knowledge deficiencies leading to misinterpretation of a report can adversely affect patient care. Unfortunately, I feel this was really not addressed very much in medical school (and this is after a few pathology electives). We had a solid histology and pathology component (online modules plus lectures) but this had more a preclinical / basic science focus. Are there any good resources out there? I use labtestsonline.org, but that is more for clinical chemistry. Fortunately, in the hospital there are test ordering guides from pathology, as well as multidisciplinary cancer conferences where cases are discussed with pathologist in attendance. If all else fails, I have phoned the pathologist before doing a non-routine biopsy. My end of the conversation sounds something like this "how much tissue do you need... how should I send it... the lesion is really deep, do you think an endoscopic biopsy would work as well"
  9. 1 point
    Histology was one of my favourite parts of pre-clerkship UBC. It was ran really well and our instructor Karen Pinder (I think) was an amazing instructor.
  10. 1 point
    I think some basic understanding of how path works would be nice. For example, someone requesting cytogenetics on a specimen that's been sitting in formalin for 7 hours shows that person has no understanding of what a cytogenetic analysis involves. Doesn't have to involve extensive histo knowledge, but recognizing the limits of H&E interpretation. For example, if it says "indefinite for dysplasia" on an esophageal biopsy, the clinician shouldn't freak out.
  11. 1 point
    Praise_Kek

    Correction Examens - Injustice?

    T'es tellement une personne désagréable. L'auteur du thread a clairement raison sur le point qu'il tente d'expliquer. Un examen de 20 questions, c'est crissement ridicule et n'évalue absolument pas la connaissance ni la compréhension des étudiants. Btw, juste pour te contredire: À UL, AKA la meilleure faculté de médecine, l'auteur du thread serait bien plus heureux. => Si une question est annulée, le point est donné à tout le monde, justement pour éviter que les étudiants soient pénalisés en raison d'une erreur provenant du professeur et non des étudiants. => Tous les examens sont uniformes et standardisés. De ce fait, nous connaissons la valeur de chacune des questions durant l'examen. Aucun secret. Sais-tu ce qu'est réellement du nivellement vers le bas, Snowmen? C'est de ne pas crisser en dehors vos professeurs incompétents qui ne sont pas foutus de rédiger des questions qui ont de l'allure et ne même pas prendre le temps de les relire avant de distribuer l'examen aux étudiants. Incompétence pure et simple. Votre faculté est même pas foutue de faire la différence entre un candidat collégien ou universitaire. HIGH TIER UNIVERSITY ça mon homme! (Le tu est personnel et te vise particulièrement)
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