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Showing content with the highest reputation on 07/10/2018 in all areas

  1. 2 points
    Didn't see that the CaRMS stats were out until now, a few weeks after the fact, but wanted to get a competitiveness breakdown out there, particularly given the difficulties experienced with this year's match. I've attached the full data set, but wanted to highlight the larger specialties directly here as well as offer a few comments. As always, my preferred metric for competitiveness is the percentage of individuals who rank a specialty first overall who match to that specialty. Those matching to an alternative discipline are also listed, as it provides a sense of how easy it is to back-up to another specialty when shooting for a particular first choice specialty. This metric is not a perfect representation of competitiveness, nor is it the only one available, but given available stats I believe it has the most value to those approaching the match and deciding on their CaRMS strategies. All stats are for the 1st iteration and for CMGs only. First Choice Discipline Percent Matching to Discipline Percent Match to Alternative Discipline Percent Unmatched Family Medicine 96.4% 1.0% 2.6% Internal Medicine 88.9% 9.1% 1.9% Diagnostic Radiology 88.9% 6.2% 4.9% Psychiatry 85.8% 9.0% 5.3% Anatomical Pathology 84.2% 7.9% 7.9% Physical Medicine & Rehabilitation 83.9% 12.9% 3.2% Orthopedic Surgery 80.4% 3.6% 16.1% Radiation Oncology 77.8% 14.8% 7.4% Pediatrics 77.6% 19.9% 2.6% Neurology 76.4% 16.4% 7.3% Neurosurgery 69.2% 11.5% 19.2% Anesthesiology 68.5% 21.2% 10.3% General Surgery 63.6% 10.8% 25.6% Obstetrics and Gynecology 63.4% 28.6% 8.0% Urology 58.3% 25.0% 16.7% Ophthalmology 52.1% 29.6% 18.3% Emergency Medicine 50.4% 37.4% 12.2% Otolaryngology 47.2% 22.6% 30.2% Dermatology 43.3% 48.3% 8.3% Plastic Surgery 34.6% 23.1% 42.3% A few thoughts on these numbers: 1) Across the board, a competitive year for surgical disciplines. These specialties have slowly been losing residency spots due to their generally poor job markets, but demand seems to have largely stayed put despite this, driving competition up. With over a quarter of people applying to Gen Sx, ENT, and Plastics going outright unmatched in the first round, and over 15% in pretty much all other surgical disciplines speaks to the risks involved going down that career path. To be a surgeon these days, you've got to really want it, and fight for your spot. 2) By contrast, certain moderate and high competitiveness specialties can be rather safe with an appropriate back-up plan. Derm and OBGYN have overall combined match rates (first choice + alternative) close to the weighted average of all specialties. More people who picked Derm first ended up in a back-up specialty than in Derm itself, a figure fairly consistent with previous years. Part of this may be driven by those with weak interest in the field - say a person who is essentially going for FM but taking a long-shot on a Derm program on the off-chance it works out - but considering that obtaining a Derm interview in the first place isn't a guarantee, I think there's something to be taken away by those specific numbers. 3) Likewise, two specialties this year had a combined match rate better than FM, generally considered the safe specialty to apply to - namely, IM and Peds. Here I do think individual circumstances play a role that prevents a simple interpretation of these numbers, as those who pick FM first tend to apply less broadly than those going for specialties, and most of those backing up from IM and Peds will end up in FM. Still, there was a growing inclination that Peds and increasingly IM were competitive enough that you had to gun for them like you would a surgical specialty, ignoring a back-up entirely, and I don't think that's true at all. Back-ups remain viable, especially in these specialties, if approached correctly. 4) Rads continues on the pathway towards non-competitiveness, a journey it's been on in fits and spurts for half a decade now. As someone who gave Rads a good hard look in pre-clerkship without ever really coming around to the field, I'd be very interested in exploring what's driving this trend. My guess is a combination of increasing work requirements, slowly declining incomes (though still exceptionally high, even by doctor standards), and a growing medical student preference for patient contact are the main drivers, but even that seems like it's missing something. 5) As was already apparent, this was a rough match overall. Too many left without a residency position after the first round and as is now being exposed, medical schools and provincial governments had no real plan to address this. Now that the dust has settled, the last-minute efforts to provide emergency residency spots in Ontario, plus the military opening up additional spots after the match, have helped improve the immediate crisis. Yet, the underlying math of the situation has yet to really change. As we approach the time when the final residency numbers get set, here's hoping some more wiggle room enters the system. While the vast majority of graduating CMGs will have a good outcome, even if nothing changes, that bad outcomes for a small subset are now virtually assured is very concerning. For all those reading, please remember that unmatched CMGs are more than ever victims of circumstance and should not automatically be considered weaker or flawed candidates. One mildly frustrating change with the reported stats this year is that CaRMS has not provided the numbers for people who match to a given specialty when it is not their first choice. That makes it harder to identify specialties that are good options to back-up into, though I strongly suspect this continues to be FM and IM. Lastly, a few caveats on the data above. First, this works off of first choice rankings, which are not always straight-forward. Some individuals will put a single program in one specialty followed by a ton in a second. Some will want a particular specialty but get no interviews and be left with only their back-up options to rank first. Many will apply in a limited geographic area, or generally utilize a bad match strategy which results in them going unmatched for reasons that have little to do with their chosen specialty's competitiveness. Second, while I have listed all specialties in the excel spreadsheet attached, please interpret the smaller ones with caution. Lots of variability in these specialties year-to-year that make definitive conclusions almost impossible. Finally, some specialties have chosen to offer streams with slight differences from the standard program - such as those with an academic or research focus - that appear as a completely separate CaRMS discipline in the stats. This makes interpretation of these specialties much more complex, as these slightly different streams undoubtedly share the main applicant pool as their main streams. This means if someone wants, say, a Clinician Investigator Program as their first choice but would be perfectly happy with just the normal stream, if they end up matching to that normal stream, they're automatically shown as falling into a "second choice" program, even when they really didn't. This is particularly bothersome for the Public Health programs, which are split between "Public Health and Preventive Medicine" and "Public Health and Preventive Medicine including Family Medicine", but are essentially the same specialty. Same could be said of the lab-based programs, which are shades of the same thing under different names. There's not nearly enough transparency in residency matching and these shenanigans make what little data we have even worse. If I've gotten anything wrong with the numbers, please let me know and I'll correct it ASAP. I try to double-check things but something can always slip through and sometimes the source material gets things wrong too. CaRMS stats 2018 First Round.xlsx
  2. 2 points
    drown besk

    The slow decay of dentistry

    Honestly not down to study hard and get a 3.98 gpa to go to a Canadian dental school, then endure 4 years of rigorous training and education just to struggle to get a stable job cuz of someone with 3.45 gpa who paid for their degree elsewhere
  3. 2 points

    Orientation Packages

    I’m also eager to get the orientation package! As for the schedule: Did you receive an email (to your application address) with your paws login? Once you log into paws, check your sask email and it includes the details for how you can register for the courses. That gives you an idea of the schedule. I also found a weekly fall 2018 schedule here (https://share.usask.ca/medicine/one45/kbase/Curriculum Calendar.aspx) I’m not sure if it’s completely accurate, but it’s way more detailed.
  4. 1 point

    LoC refused, advice??

    Don't go back to them its obvious they don't know what they're doing. Check RBC or Scotia.
  5. 1 point

    LoC refused, advice??

    Makes no sense!
  6. 1 point
    Well, how confident you feel about your answers can be misleading. To this day, there are still explanations I don't agree with in the practice tests I've taken (very few, but still). In any case, if your confidence somehow reflects how well you did (and that's not a given), you should definitely feel very confident on most passages, and then maybe 1-2 passages where you think you might have made some mistakes. Sometimes I was making only 3 mistakes and getting 129-130. Best of luck!
  7. 1 point
    To be honest, I felt very good about pretty much every answer I had put for my CARS during the actual test day and I scored a 129 despite some unfortunate circumstances (servers going down mid-CARS leading to having to wait, lose momentum, and rush a lot of questions as a result). However, my performance and confidence in CARS definitely increased with every passage and question I would do; going from sub 125 in the first practice exams to 127 in my last practice exam (3rd one) to 129 on the final, so practice does help a lot. Ultimately, the goal should be to be able to deliver answers with 100% confidence as you would for any other section for which you would study for (ex.: for biology/physics/chemistry, if you study for it, you can generally give answers with confidence). I believe that what stops people from being confident in 100% of their answers in CARS (as they would be for another section for which they have studied extensively for) is their inability to separate something that they assume when reading a text from what the text explicitly says. Oftentimes, you will feel torn between two answers, and will have to make a guess. But with each passage and question where I guess wrong between these 50/50s, I look back and ask myself: "This answer (the wrong one) looked so right to me before. How come?" And this way I was able to find out what biases/assumptions my brain would automatically make when reading these texts; and by recognizing them, I was able to filter the wrong answer out for every 50/50 question that I had during the actual test. Hope this helps.
  8. 1 point
  9. 1 point

    LoC refused, advice??

    Don't freak out. The guy your dealing with just doesn't have a clue. Find a local Scotia/RBC advisor who is familiar with med students. My Scotia advisor is great and does alot for students over email/phone, so if I can't find a local one, let me know and I'll connect you.
  10. 1 point
    I didn't feel like I was "guessing" but I wasn't confident in everything either. More so I felt like I was picking the "best" answer when I could justify more than one of the responses.
  11. 1 point
    The thing is everything judges themselves differently. The best if you are consistently scoring 129 or higher on the practice exams, then it should demonstrate that you can perform equally well on the actual MCAT.
  12. 1 point

    UBC Admissions Statistics

    I completely disagree. I feel like going to a smaller university is actually more advantageous. You have more opportunities and chances for advancement and volunteer exposure. I had an NAQ of 40 and AQ of 39 and I went to a smaller university. That score would not have been possible if I went to UBC or a larger school
  13. 1 point

    UBC Admissions Statistics

    Hi, I am a 2016 UBC MD grad. There were at least 6 people in our class (myself included) who attended University of the Fraser Valley for undergrad. I definitely don't think you are at a disadvantage by attending a smaller school. In many ways it is an advantage (easier to get reference letters from profs for example). There are just so few applicants relatively speaking who apply from these schools, it seems to a lot of people they are at a disadvantage (most high school medicine gunners are aiming for UBC/SFU/maybe UVic right off the bat for whatever reason).
  14. 1 point

    Physician political orientation

    Uhh you mean you’re taking the black and white approach lol? I was arguing against that exact approach. You can most definitely look at it case by case. In terms of dirty needles I guess it could come down to : income, desperation, again bad habits from growing up, so many different reasons to get to where they are. I’d say it can be a lack of choice really, in some cases, not all, but some.
  15. 1 point
    Okay good i was panicking a little
  16. 1 point
    maybe the silence is just a sign there's still a lot of spots left...
  17. 1 point

    What’s a Competitive Application

    ....well that is the case It extremely rare for them to not to interview someone with the cut offs. The reason is simply the cut off was set specifically to create a set number of people eligible for the interview.
  18. 1 point
    Wow, accepté en médecine vétérinaire
  19. 1 point
    Yeah, that's a tough spot. Polite persistence is what I would recommend. Be direct in asking what you're looking for, whether that's a chance to get further into the research project or clinical opportunities. Often these preceptors won't say "no" to any requests, but will try to string you along with vague promises or by saying they'd like to but can't for whatever reason. They want you to keep working for them. Just keep asking. They can't take you along with them in clinic? That's fine, do they have a colleague who would be willing? They'd love to go over your research questions but never sit down to do it? Ask when, provide times. None of those times work? Give a bunch more. Get them to set timelines and firm commitments. When they go past their timelines to get back to you, send them another message reminding them of your earlier discussion. Do it politely, do it respectfully, and don't do it excessively (for example, if they ask for a week to get back to you, give them at least that week), but do it persistently. Don't avoid being a nuisance, just be a reasonable nuisance. My first real research supervisor was an incredibly busy person who was upfront about telling me to annoy them. Best research advice I ever got. It is a bit of a balancing act, as it's possible to go to far, but doing nothing gets you ignored. Keep holding up your half of the deal (do the scut work and do it well) while gently pushing them do hold up their implicit end of it. If in doubt, start slow and ramp up as necessary.
  20. 1 point
    I have already earned and redeemed the points for my trip.
  21. 1 point

    Waitlist Support Thread - 2018

    do we know what gpa they are at?
  22. 1 point
    You realize the PCs are doing an amazing job so far right? You have to be mega biased to even suggest they've been average. In fact, I would have given Ford a disapproval rating despite voting PC and give him a strong approval right now. Ohip+? Freezing public sector admin wages? Hiring freeze? Calling Drs to come negotiate asap to repair the harms done from Wynne? And there's still more.. they're doing a fantastic job. Also Ford is one guy, the PC cabinet is another. Literally any single cabinet minister right now has more talent than the whole NDP party did combined. And you have to let go of the Mike Harris thing dude... it was so long ago. Other PC govs have been way more fair to doctors across Canada. Harper was more fair to Drs than Trudeau has been. And that's why a majority of doctors voted for PC.
  23. 1 point
    I loved Marianopolis. Motivated students, great teachers. I don't think Marianopolis increases your chance of getting into a top university, rather top students gravitate towards Marianopolis and thus they have a higher number of students in top universities. Marianopolis is hit or miss. If you're a top student, being among strong students will boost your R-score because you'll have stronger group strength and a smaller standard deviation. However, if you're middle of the pack it will be hard to get a great r-score and if you're below average your r-score will suffer. You might have a better chance getting a better r-score elsewhere. Hard part though is predicting which group you will end up in... I know students who excelled in high school, but didn't do as well in Cegep. Also, all the top students from high school go to Marianopolis, so inevitably a portion of those top students will no longer be top students at Marianopolis. Public transport is not that inconvenient for Marianopolis. It's a 5-10min walk from Villa-Maria station
  24. 1 point
    Time Stamp: 7:42am Accepted/Waitlisted/Regrets: Accepted!!! GPA: 3.81 ECs: Currently working as a research assistant, previously worked at a local non-profit working with marginalized populations (drug using population, homeless, Indigenous, people at risk of HIV/HCV) developing and implementing an overdose prevention program, two years volunteering as an outreach worker (harm reduction/needle exchange), standardized patient at NOSM, 2.5 years as a Toastmaster (with leadership and communication achievements, and involvement with the executive committee), board member with Elizabeth Fry, ~10 years doing receptionist work at local walk-in clinic, two summers working at Science North, several research projects throughout undergrad and graduate degree (first author on two papers), multiple conference presentations, volunteer medical work in Africa, and physician shadowing throughout Northern Ontario. Decision (will you accept your offer)? YES Campus: East Fourth times a charm... I am slightly in shock and absolutely over the moon. I can empathize with those of you who did not receive offers; there were many times when I wasn't sure if this day would come. Keep trying and keep improving yourself. It WILL pay off one day I will keep my fingers crossed for those of you on the waitlist (especially you, rural_roots).
  25. 0 points
    Your attempt at appeal to ridicule accomplishes nothing. His point is valid.