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Everything posted by brady23

  1. brady23

    Cap in number of Electives

    Good points. I do think the elective cap is a good idea though - there's so many specialties where there's this hidden expectation that you do almost all your electives in that specialty to show interest, which closes you off to other specialties. Now it's possible to target your top 2 specialties, and not be scrutinized for it. I see the flaws in this as well, for example if your top 2 specialties are unrelated, splitting your electives may do more harm than good. However, I do think it's a step in the right direction, because it's just too risky to go all in for a specialty.
  2. Yes definitely feel like this is a huge change for them. As someone who did struggle in CARS, I do feel for those who've retaken the MCAT multiple times to get that 130 in CARS, and thinking they had a guaranteed interview at Western (after all, it's been like that for years) - it is really draining tackling that beast of a test. I mean - they haven't even included Psych in their MCAT scores even though there was always talk about it, I feel like the ABS could've been a post-interview factor as there is some subjectivity to it like the interview, but that's just me.
  3. Wow - they did a complete 180 with their invites. An ABS is so subjective so to go from it being 0% weight to 100% weight is crazy to me. I'm assuming there are multiple blinded reviewers as well, which makes it even more subjective. I really do feel for the applicants who strived to meet their ridiculous MCAT cutoffs in the past, only for them to throw this curveball.
  4. Probably about 5-10% of them. You definitely have to be hard working but it's possible.
  5. messing up consults how? like not being able to take a complete history or forgetting to ask important questions?
  6. Sorry to hear that :( It's a little disheartening to know that referees will write bad letters - if you can't write a strong reference letter/ don't believe in the candidate's capabilities, don't accept their request of a being referee. I know it's rare, but these kinds of things put so much jeopardy to the candidate's application, and CARMS is enough of a beast as it is. Another unfortunate part is that sometimes it depends on the referee's writing skills. They can have good intentions but if their letter is just lukewarm and they can't translate their feelings well onto paper, then the applicant did everything right and just got dealt a bad hand.
  7. brady23

    OHIP Billing

    What is the difference b/w A005 (Consultation) - $77.20 vs. A007 (Intermediate Assessment) - $33.70 for Family Doctors?
  8. brady23

    What do you think about this blog?

    Anyone know what the job market is like for CHC salaried physicians? And most of the jobs would be clustered around downtown Toronto I'm assuming?
  9. Their average hourly rate comes to about $200/hour based on OHIP billing An initial consultation (which may take an hour) is ~$200 Repeat consultations (which may take 30 minutes each), so they can do about 2 per hour is $210 Even with no-shows, you're still making a decent amount of money (and a psychiatrist I was shadowing did say that the no-shows are not that frequent)
  10. Just from anecdotes I'm hearing from upper year students, I get the vibe that clerkship drains you mentally and physically, makes you jaded, where you are chronically sleep-deprived, working hours in a hospital only to come home and having to find time to study for all types of exams every few weeks. It's hard to find the time to see your friends as regularly as you did, and your weekends can be spent sleeping in a hospital. We always talk about resilience but I feel like the long hours we put in clerkship makes this not possible. Our training is intensive, and reducing our workload comes at the expense of learning less or extending our training. Any solutions/proposals that you can think of that would improve burnout in clerkship? I've always thought something as small as having the day after call can do wonders, or having one weekday off per week could be worthwhile, but not sure how realistic this is as hospitals do rely on clerks for their functioning as well, and it does cut into our learning time as well.
  11. I feel similar too! I really do miss my old friends and we still do a good job of keeping in touch At times, I do wish I had stronger bonds with my classmates, but it does feel a bit like high school to me and I just don't fit in - sure I can be friendly and cordial with people, but it doesn't extend to anything outside of the classroom
  12. https://www.thestar.com/news/gta/2018/10/22/oma-leaders-back-plan-to-narrow-pay-gaps-between-medical-specialties.html I think the OMA is trying to re-align income from the top 4 specialties (cardio, GI, radiology, optho) into the lower-paying specialties (28 of them), which seems to be a promising change
  13. Just out of curiosity, what are your quips with the McMaster curriculum? I know they have optional anatomy and it's largely self-learning/group problem learning based, but don't know much more than that
  14. I've had a preceptor tell me that clinically, the best students are the ones from Western/Queen's This was just an anecdote but I did find it interesting
  15. brady23

    Interview Selection

    It is actually crazy how much subjectivity there is in the application process - who reads your essays, who interviews you, etc. I know they do their best to minimize these biases but they still exist
  16. brady23

    Undergrad vs Medical School

    The volume of information you cover in medical school is crazy. In undergrad, one month of content is like a week in medical school. I could go weeks doing minimal work in undergrad and study a few days before the test, but in medical school, there's work (almost) everyday if you want to keep up with the material. But it's also different because you don't need to strive for 90s anymore. Also the last 2 years (clerkship) will be completely different. Pretty sure it's normal to be sleep-deprived and stressed, because you have real responsibilities at the hospital, spending 9-5 at the hospital (and sometimes more, being on 24h call, weekends) and you also have to write exams every 6-8 weeks - so being an employee and a student at the same time can be challenging. I guess to summarize, you have WAY more free time in undergrad compared to medical school and you're only responsibility was studying but in medical school (in 3rd and 4th year), you'll have dual responsibilities at the hospital and studying as a student. That's not to say you have no free time in medical school, you definitely do, just have to use it wisely and ensure you don't burnout!
  17. brady23

    Family Medicine Income

    How much of your income gets taxed after overhead? I'm assuming it's not the marginal tax rate (i.e. ~50%)
  18. brady23

    5th year or masters

    Yup, if you can bring your verbal to 129 and get another 3.7+ GPA year, Western definitely seems possible
  19. Is this significant in CARMS rankings? For example, looking at the 2018 CARMS Data, UofT had 133 FM spots and 89 UofT candidates who ranked FM first, McMaster had 85 FM spots and 77 McMaster candidates who ranked FM first. So if applicants have sufficient FM electives, and considering that there's no red flags in the interview, do most schools select their own candidates just based on the fact that the majority of their electives/letters were from well-known faculty at the school?
  20. brady23

    How to do well on clerkship?

    Is there a "hidden expectation" that you should show up 15-30 minutes early (especially because lateness is really frowned upon)?
  21. brady23

    How to do well on clerkship?

    How good do you have to be with your physical exam skills when you start clerkship? To my understanding, they'll ask you to examine a patient on your first day/week. I wouldn't even be able to pick up a murmur (unless it was really obvious) on a cardiac exam for example
  22. I hope there are more positive changes in the remuneration for Family Doctors with these negotiations. The government has placed too many restrictions on where new grads can practice for the newer funding models which is unfortunate.
  23. brady23

    GP hospitalist job market

    What's the benefit of doing GIM for 5 years then vs. subspecializing, if a nephrologist can still do GIM work? Even if it takes several several years to find a nephrology job, they can still practice GIM like a regular GIM physician?
  24. I'm sure they'll realize it was an honest mistake, and it won't really affect anything
  25. Ya I usually watch them on 2x speed, and pause to make notes There's too much information for me to write the notes by hand on my iPad