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The Ace of Spades

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The Ace of Spades last won the day on July 6 2019

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About The Ace of Spades

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    In your end-o

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  1. You pay taxes on the net income, not the gross income.
  2. To be blunt, your primary motivation is financial. There are better ways to make money.
  3. IM+subspecialization gives you more flexibility unless you really really really like the physics/tech side of Rad Onc. If you do Med Onc or Heme, you can always do some GIM work if you wanted to. I can cover CTU weeks if I want to, for example.
  4. This may not be the case... according to fellows at my old program, there is talk about extending PGY5 by a month or two to make up for lost procedures. Haven't heard anything official yet so just rumors at this time.
  5. Not the OP or in GIM, but the billing "tithe" is definitely a thing at academic centres. The academic centre I trained in took 10-20% of all billings (even stuff you did *IN YOUR OWN PRIVATE CLINIC*) to go into the Department of Medicine pot.
  6. Can a group of independent specialists (Y) in a city (X) start calling themselves "X Y Associates" without any beaurocratic hurdles? It's not a partnership so wouldn't need any contracts or anything like that. Just something to put on the office and letterhead etc to sound more cohesive as a group and maybe increase visibility.
  7. Talk about the city. Yes, you have some free time during residency no matter what people tell you. Is there a local sports teams? Good restaurants? Fun festivals?
  8. Also you have less control of your life. Section head delegates you to give the med school lecture for your specialty? Department head wants annual review meetings and research productivity meetings? Easier to say no to things in private practice.
  9. Most fellowship programs consider US IM training to be equivalent to Canadian IM training, so it is certainly possible to apply.
  10. I don't want to reveal too much information, but I have a relative that is a practicing physician with Bipolar I.
  11. The smaller the specialty, the more important the social events are.
  12. Before considering gastroenterology, make sure you like internal medicine first. GI is a great specialty that hits on most of the OPs points, and you don't have to love internal medicine, but a solid IM background is essential to practice. Also you have to do CaRMS twice.
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