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About icewine

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  1. As long as your ABFM is through an ACGME residency you do not need to take the CCFP exam as you are applying under the CCFP designation without examination policy. After submitting your paperwork you are sent an eligibility letter from the CFPC which you then use to apply for provincial registration. Once registered you submit proof of registration to the CFPC, at which point you are granted the CCFP designation. The "Note" has no bearing on getting the eligibility letter from the CFPC as long as you meet the "Recognized Training" requirements. Issues arise when you apply for provincial registration. Some provinces may require residency training in obstetrics for registration while others may not have strict requirements (but encourage you to not include intrapartum care in your practice).
  2. I went down the Australian medical school route many years ago and am now a full fledged doctor working in Australia. If you had asked me say 10 to 15 years ago whether or not to go to an Australian school with the plan of staying long term I would have said yes. The rate limiting step at that time was getting an internship spot and back then international students were mostly successful in doing so. Nowadays it would be remiss of me to give the same advice. I'm well removed from applying for internship and am a bit out of the loop but spots have tightened up considerably, with international graduates having a more difficult go of securing an internship spot. There are some initiatives such as the Private Hospital Stream training program that are meant to provide internship spots specifically for international graduates but I am not that familiar with the program in terms of the number of positions and locations. Even if you are successful in getting an internship spot, entering a speciality training program is getting more and more difficult. In fact many would now consider entry into speciality training as the more significant hurdle as compared to getting an internship spot. Having said that, emergency medicine is not terribly competitive to get into. Rural GP training, depending on which state you apply to, is also not difficult to get into. Surgical specialities, on the other hand, are notoriously competitive with many prospective surgeons doing years of non-accredited "unofficial" surgical training. Tuition for international students has also risen considerably. Tuition at the school I attended has almost doubled compared to when I was a student. I was in a similar position many years ago, with multiple cycles/interviews and not being able to get over the hump and I can empathise with your situation. However it was a different training landscape when I headed down under and it was far cheaper to attend. To be honest I am not sure what I would do today if faced with the same circumstances. Barring any significant development such as becoming an Australian citizen, continuing to apply in Canada might be the better option.
  3. That is a good reflection on rural FM training. It is only one example but I would imagine most recent graduates of rural FM training would be similarly skilled. Though I must say I do find surprising your confidence in procedures favoring the rural FM graduate over the +1 EM graduate(s). I would have expected a similar proficiency between them. Again though, only one example.
  4. Do +1 EM residents typically reach that number of intubations during the training year? Asking out of curiosity, as two to four weeks of anesthesiology rotations looks to be the norm after a brief glance of some of the different +1 EM programs around Canada. Residents would be intubating non-stop during those weeks to achieve those numbers, I would imagine!
  5. icewine

    2019 CaRMS unfilled spots

    100% agreed - ROS ("the stick") are a poor solution to rural retention issues, regardless of who fulfills them - CMG or IMG/CSA. From an Australian GP point-of-view: we have developed more of a "carrot" strategy, with several states such as Queensland and New South Wales offering a postgraduate Rural Generalist Pathway and which will soon roll out nationwide, as well as very generous Commonwealth annual bonuses to GPs who practice in rural areas. And we still have problems retaining rural GPs. It is a very complex problem to tackle, to state the obvious.
  6. icewine

    2019 CaRMS unfilled spots

    I'm a few years now removed from my own clerkship, but in my own experience - yes we did learn the basics so by the end of medical school we could function at an intern level. I think the difference (and please correct me if I'm wrong) is that in Canada the level of responsibility during clerkship is higher. For instance, if we take the internal medicine example - we learned how to admit patients and formulate management plans. Typically however that learning took place by shadowing the intern or resident, and only during and after intern year would we then be responsible for the actual admission/management. Whereas in Canada I believe medical students bear that responsibility from senior clerkship onwards. I think it would be fair to say that an Australian doctor at the end of intern year is roughly equivalent to a Canadian medical student at the end of medical school, with exceptions of course.
  7. icewine

    2019 CaRMS unfilled spots

    Gotcha, I see where you are coming from. Medical school clerkship in Australia is hands off, I agree. The senior medical students are not an integral part of the team, and will typically pass a rotation without too much effort. Postgraduate training however is of very high quality. The various postgraduate training colleges (RACS, RANZCOG, RACGP et al) have some of the highest standards in the world, and IMHO produces specialists easily equal to Canadian/American/British trained specialists. Interestingly Australia has similar issues to Canada when it comes to accessing postgraduate training spots and workforce planning.
  8. icewine

    2019 CaRMS unfilled spots

    Good luck to those going through the second round. Interesting statement. What are you basing this on? I'm asking as an Australian educated and postgraduate trained doc.
  9. Do you have any links or further information on the +1 trauma year for CCFP-EM? I've only come across trauma fellowships for Royal College-trained EM doctors. I was under the impression that fellowships for CCFP-EM were very limited, which is one of the disadvantages of doing the +1 route. The only fellowship I know of for CCFP-EM is the emerg ultrasound fellowship at the Scarborough Hospital.
  10. icewine

    Mccqe 2

    Thanks for the responses. I'm a Canadian IMG, in Australian general practice/FM training. I'll be sitting my GP written exams and OSCEs not too long afterwards so I'll probably focus my studying on those exams, rather than the QE 2. It seems like acute scenarios are fair game so I'll review the ACLS and ATLS situations as well.
  11. Any advice on how long to study for the QE 2, as well as advice on any study resources? I'm scheduled to sit in October so I have about 3 months or so before the exam. I'm planning on reading through Hurley's OSCE and Clinical Skills Handbook. Not many prior threads on the subject, I'm afraid. Thanks!
  12. icewine

    Mccqe P1

    Any advice on how long to study for the QE2? I'm in general practice training so I don't think I'll have to spend too much time reviewing things but just wanted to get an idea from others who have gone through the exam.
  13. icewine

    How to be an effective speaker

    ++ to Toastmasters.
  14. Agreed. Class sizes at Flinders are less than half that of UQ and they're still pretty unwieldy at times. OP: Honestly it's a toss-up between the top Carib schools and Aussie-pros/cons to each. Better rep at Aussie schools but quality of education is probably the same; also if you're looking at Oz the only schools you should be applying to as an international are in SA (and probably the ACT as well but I'm not too sure on their intern situation so you'll have to do further research). The top Carib schools prepare you heaps better for Step 1 and you will want to write at least that regardless of where you want to practice. Look into DO schools as well.
  15. icewine

    Studying med in Flinders - OZ

    Do you feel you have a decent chance at American schools? If you think that you have a good shot of getting in then perhaps you should try to defer for a year. Your professional life will be heaps easier if you graduate from an NA school. If you do decide to come to Oz then come with the expectation that you won't be able to get an internship spot. IMO SA internationals will be able to get spots for the next 2-3 years but beyond that I really can't say. I spoke with a SA IMET representative (they handle internship allocation) and there were ~20 extra spots in the Jan. 2012 intern cohort (Dec. 2011 grads) after SA+interstate domestic and SA internationals had been allocated spots. There will be roughly 30 extra grads next year (Jan. 2013 intern cohort) but the SA IMET rep said ~15 spots would be created so the rep was fairly confident SA internationals who want an intern spot will get allocated. However, the situation gets a whole lot murkier after 2015 as state governments (except Tasmania) have guaranteed an intern spot for domestic grads up until that time. SA internationals have always had the best shot at getting intern spots because: 1. SA didn't have the massive increase in med students as compared to other states and 2. SA internationals are prioritized higher than interstate internationals when it comes to intern allocations. Thus as long as spots are guaranteed for domestic grads in-state then SA internationals should still be OK for internship. But what happens when that guarantee is no longer in place? That is something that should be at the forefront of any discussion regarding whether or not to come to Flinders. Again, if you do decide to come don't expect to stay for internship. In terms of the school itself: good quality, good reputation, high tuition. You need to be motivated in the PBL system but if you put in the work you will be fine.