Jump to content
Premed 101 Forums

jnuts

Members
  • Content Count

    199
  • Joined

  • Last visited

  • Days Won

    1

jnuts last won the day on December 30 2015

jnuts had the most liked content!

About jnuts

  • Rank
    Member

Recent Profile Visitors

The recent visitors block is disabled and is not being shown to other users.

  1. Standard dog whistle. Engage or not at your preference. Those who think one way will read it as acknowledge of positive change or at least dismiss it as a neutral comment. Those who he's speaking to will read it as an indication that the minority is receiving preferential treatment enforcing their victimization. We should all easily be able to read this type of comment for what it is by now.
  2. Agreed. It's not as though we're a significant part of the work force but it's not uncommon. Permanent immigration status is key to getting out of academics.
  3. Agree, no real tiers in Canada, each university has strengths and weaknesses. This is a life goal question. If you want to be a doctor in Canada go to med school there. If you want to resettle to the US then go directly to med school here (but expect a lifetime of decreased opportunity unless you can get permanent immigration status). If you want to do research in Canada primarily l'd reconsider doing medicine at all. MD academics in Canada have the same obligations and tenure track obligations as non-MDs. There's little to no prestige and true hybrid positions are almost non-existent. Invariably you'll end up shunted to the side you're better at. Direct competition with non-MDs on the track is almost impossible. The best advise I had from one of my PIs when I was making the call between research and medicine was that if you try to do both you'll do neither well (this was a highly successful MD/PI with tenure in Toronto). During residency we had a parade of surgeon scientists give guest lectures. A standard question they were asked by our dept chair was "what advice do you have for residents who are considering a similar career?" Almost universally the answer was to "spend more time with your family." If you want to dabble in research, medical school will teach you to do that. You don't need the Masters. The limiting factor is time management.
  4. Agree with the above RE: US jobs (esp in ortho). Even though academic jobs in the US are less desirable, they pay about the same as a standard Canadian position with the potential for more. Salaries go up by 30-100% in the community with underserved areas paying the high end. Alternative revenue streams--e.g. surgical center co-ownership, stock and investment options--are also common. I had a conversation with one of my colleagues about leadership track positions and his honest answer was that income potential is equal or better as a surgeon so very few orthopods will bother. For anyone entering or considering orthopaedic training in Canada, my current advice is make sure you have an escape plan before you start and jump through the hoops in a time appropriate manner. I had to go back and do the USMLEs late in my residency and it wasn't fun. I think the US is reasonable, and increases to desirable if you have immigration rights (and can tolerate living here). Some food-for-thought about supply and demand below: Supply-demand issues are complex and also need to anticipate changes in demand for the service. The broad consensus in the US is that there is a massive under-supply of orthopods due to the predicted rising demographic demand for geriatric services (hips and knees mostly). I think it's common knowledge, but it bears repeating that elective procedures are revenue generators for hospitals in the US due to procedurally coded insurance reimbursement to hospitals. By contrast, in Canada funding for everything other than the surgeon and possibly the assist comes from the hospitals general fund. Some alternative funding models exist for some procedures but there is usually capitation and efficiency incentivization which has the same effect as general budgeting. Though there are some cultural differences regarding willingness to undergo surgery, the demographics largely hold true in Canada as well as the US. The primary modulator of demand in Canada is the social willingness to fund surgical procedures filtered through the political lens. Access to the US training market is pretty similar to Canada and more Orthopods are trained in the US per capita. IMGs can/are trained more easily here as there is access for visa holders for training though specialty certification is limited to Americans and Canadians in the absence of a domestic residency in surgery. But there's still a real labour shortage that's anticipated to worsen. Blaming over-training is oversimplifying the larger root cause analysis of over-educated underemployment for surgeons. That said, I've written darker posts about why Canada continues to train more surgeons than its willing to employ (not the same as what is needed) and advocated that Canada should decrease the number of trainees or take responsibility for finding other prospects for them. I've advocated for an increased role for associated health professionals to pick up the gaps currently filled by residents. Certainly the comic disingenuousness of the ROS program needs to end. I'll still stand by most of those points. However, I'd like to highlight the other side of the demand issue. There's a market failure in Canada such that the demand for surgical services is moderated by the various governments. Things could potentially change overnight due to political pressure or structural changes. That may be on the horizon, I don't really keep my finger on that pulse. I do think the employment market will change in the future due to the underlying demographics but when that will happen is anyone's guess. There are lots of other odd things about the Canadian market especially in orthopaedics to factor in. Average retirement age and work product efficiency jump to mind. All those factors need to be considered to get a real answer and predictive capability over the surgical labour market.
  5. I assume it's program dependant to some extent; but I wouldn't worry that much about homophobia negatively affecting the match process. Even a decade ago when I matched--I'm openly gay and very up front when it comes up--it wasnt much of an issue. Most academic programs in Canada have 1 or 2 LGBT faculty at this point. Even a decade ago, the only time it came up was at one program where it was suggested that I wouldn't like living in a more rural community--which I took as a dog whistle at the time. But in retrospect, the person who told me that may have been (correctly) intimating that the program would not have been a good fit for any number of other reasons.
  6. The US takes a lot of IMGs and this forum is correct that the Israeli schools have a great reputation and match record in the US. Canadians may struggle a bit more than Amercians applying to the US for residency as double red flag applicants (foreign school and visa requirements). But it's certainly not impossible. You just won't be as competitive as an American citizen and therefore program/location choice may suffer. Applying to Canadian residency as an IMG from anywhere is notoriously difficult--50% success rate est. from Ireland which has had the most successful matches historically. The Israeli schools may have an equal or better match rate in Canada; but the overall number of students is much lower. I never met one resident from an Israeli program in 5 years at one Ontario University. Canadian programs don't step outside of their comfort zone or take chances without a very good reason. I'm worried that going to an Israeli school would make a Canadian residency difficult if not impossible to obtain. I'm open to correction if there are any CSA students who successfully matched in Canada from Israel and dont mind sharing their experiences.
  7. Applications are rolling. Late applications may be successful (but your chances are lower). There are second round interviews in June some years.
  8. I thought these are mostly the McGill crowd. They are still actively recruiting US citizens for undergrad med if I'm not mistaken. https://www.mcgill.ca/medadmissions/applying/categories/int/post-graduate-residencies
  9. Very difficult question to answer. There are not a lot of jobs available for surgeons, especially in orthopaedics. Someone else can speak to General Surgery. Getting a staff position as a new graduate anywhere (CMG or IMG) within 3-5 years of graduating would be an exceptional result. ROS is rarely, if ever, enforced for surgeons (which is why no one is responding). A more common question than if you're permitted to do fellowships would be 'how many fellowships will I have to complete before I can get a job at all'.
  10. 'Plan-to' becomes irrelevant when your status runs out on a J-1 and you have to return.
  11. In the US the specific hospital will take a much stronger role in credentialing than Canadians are used to. In other words, it's up to the individual hospital. I'd say working with just the LMCC is more likely in the largest academic centers but not an option most places
×
×
  • Create New...