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  1. If you have to, just do it. You won’t be the only one. It’s common around Carms. Same for bringing your stuff to interviews.
  2. Disadvantage is time and cost. USMLEs are expensive (easily 5k+ all included).
  3. https://www.cbc.ca/news/canada/edmonton/alberta-government-plans-sweeping-changes-through-2-omnibus-bills-1.5338632 Oh boy. I hope the AMA fights this and that the government receives a lot of blowback on this.
  4. Ease, a lot of time you form temporary relationships while on electives, and may be out of touch by then. Also Carms doesn’t delete your old files, so it’s much easier to reuse them.
  5. Yup, and it’s obvious to residency programs when you reuse letters if you’re going through Carms the second time for this reason.
  6. This thread is really inflammatory, and as a specialist I certainly do not think family MDs are overpaid.
  7. My two cents being a recent grad in a small, middle of the road specialty (and no further mental health rotations since med school mandatory ones) Take the time off to be well. Those treatment programs are hard to access, and have the best chance at helping you recover and maintain resiliency long term. Eating disorders carry a non-significant mortality and morbidity, and sub optimally treated combined with the rigours and inhumane stresses of medical school you may find yourself in a rough or worse spot. Long term, what will be most important to you is your health, not on how fast you completed medical school. It’s more common than you think to have to take time off for both physical and mental illnesses, and this is one of the ones that will transcend both. If you decline the program now but find your symptoms worsen while in clinicals or in residency, that just makes it that much harder to get a successful match/career. Imo M2 is far enough from Carms that I don’t see it impacting things. I’m not saying this lightly, but people would take time off for cancer treatment, and I would put this in the same category. Focus on your wellbeing and maximizing that, which in turn will maximize your success ongoing. I’ve reviewed enough CaRMS applications and been on the other side of the process to see that what matters most is research/recommendations/personal statements and not a year off for non-professional reasons. My program has taken multiple applicants who have needed an extra year for whatever reason, be it academics/health/whatever. And like NLengr said, keeping details brief but professional can help, and no one can bat an eye. Some discretion can help, such as documentable physical illness and then no one should bat an eye. I can’t comment on the licensing aspect, but as much as a pain it is to answer that yes here have been issues in the past, the colleges just want to know you’re well. For the people I know PERSONALLY that have taken time off for mental health issues at some point or another during training, it’s not been an issue for them to practice or get jobs/licenses after residency. I can’t speak for hypercompetitive specialties, but I can’t imagine that this would exclude you from those. What I can imagine is things getting worse and your performance suffers and then doors start closing. So take the time and treatment, start a year later, and when you come out on top, even if it’s a bit early, you can use the time to shadow/research/etc and *those* things *will* have a material impact on your carms apps in the future. So while there is a monetary opportunity cost here, I think the personal risk could can be quite high in eating disorders without treatment, and would take the offer presented. Just one opinion. I hope things go well for you and treatment helps. Also like NLengr, look after yourself, but also don’t forget to love yourself too.
  8. I didn’t mean for these two statements to be exclusive. Once you have your job it’s ok, but you still have to hustle to get one. You’ll be better off served doing fellowships rather than continued locums and being passed up by people who have fellowships. Jobs are still competitive but they’re getting more frequently posted.
  9. Yeah, it’s definitely gotten better. Wouldn’t say great at this point, but better. Signs are pointing up though. Carms state are still wildly unpredictable but it’s been somewhat more competitive as of late, but still nothing crazy.
  10. There’s some job mobility after finding a job, often times within first three years. Your first is not often your last. I’d say most graduates are happy. Have not heard of any recent people being stuck in Locum hell - only one grad 15 years ago.
  11. For what it’s worth on rad onc employment: http://caro-acro.ca/wp-content/uploads/2016/10/2016-CARO-AGM-HR-Report.pdf https://www.redjournal.org/article/S0360-3016(19)30651-0/fulltext https://www.redjournal.org/article/S0360-3016(19)30699-6/fulltext
  12. Both are very academic specialties. There will some geographic restrictions to where you can practice with both, but moreso with RO. Agree with above - shadow and ask current resident/fellows to see which is right for you. Both are great specialties.
  13. You really want to speak to people in your own specialty about this. Too much specific to scopes/referral patterns/etc to be able to comment in a meaningful way, I think.
  14. Can’t due to mutually accredited schools through cacms or lcme or some organization of something. It’s far out. But putting them in the IMG slot is a NON STARTER because of that.
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