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About icewine

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  1. https://www.cfpc.ca/en/education-professional-development/examinations-and-certification/alternative-pathways-to-certification-in-family-me/recognized-training-in-certification-outside-canad If you have completed a postgraduate training program in family medicine in Australia, Ireland, United Kingdom, or United States you may be eligible for a provisional or restricted license in BC and Ontario with just the MCCQE1. It is probably the same for the other provinces. You would need to be supervised until you complete the MCCQE2. Also review the Health Match BC website: https://www.healthmatchbc.org/Health-Professionals/Physicians/Licensing-and-Registration And the CPSO website: https://www.cpso.on.ca/Physicians/Registration/Registration-Policies/Recognition-of-Certification-without-Examination-I
  2. U of Toronto has a 12 week emergency fellowship which may be an option: https://semedfcm.com/
  3. There is also a 1 year EM fellowship in the US that may be an option. A current list (June 2020) of available fellowships: https://www.abpsus.org/emergency-medicine-fellowships SDN thread about the year (good information found within but lots of comments to go through): https://forums.studentdoctor.net/threads/just-finished-my-em-fellowship.1384555/ If your goal is to work in a Canadian emergency department this looks like a viable route, licensing issues aside. I do not think you would be considered residency eligible to take the FM/EM exam, meaning you would have to work a few years in a Canadian emergency department before taking the exam.
  4. What practice scope do prehospital doctors have in Canada? I have not been able to find much on this. From what I have researched Canadian prehospital medicine seems more administrative in nature. Whereas in Australia where I am based prehospital and retrieval medicine mirrors the British model where doctors will frequently act as first responders and escort very ill patients from facility to facility. In Canada it seems that advanced care paramedics take on this role. Or do Canadian prehospital fellowships allow EM doctors to do this? I am thinking about applying for prehospital fellowships but I am not sure if I should apply in Canada especially if the role is more administrative as opposed to clinical. Many thanks for starting this thread.
  5. https://www.theabfm.org/become-certified/i-am-certified-country-outside-united-states#
  6. I am a GP in Australia and have commented on this topic in the past. See my previous post here - In short, going to Australia is a big risk compared to several years ago and re-applying in Canada might be the better option. I did want to comment on a previous post about training and working in Australia. AFAIK as an international graduate you do not need to sign a statutory declaration stating you will get PR before starting internship. The poster may have been referring to signing a statutory declaration prior to the start of GP residency. In brief: as an international graduate you would only be eligible to apply to a handful of the available GP residency programs and you would need a support letter from the GP residency PD and sign a statutory declaration. Getting the letter and signing the statutory declaration are straightforward. Neither are difficult. Now, getting internship or PR is a different story but I won't comment on that. International tuition is very high. Junior (hospital) doctors however are quite well paid. I believe NSW has the lowest intern salary and it is about 67K. Furthermore the salary is based on a 76 hour per 2 week work cycle. Any additional hours you work over 76 hours in that 2 weeks you are paid for and those extra hours attract overtime ("penalty rates"). You will work more than 76 hours/2 weeks as a junior doctor. And of course your salary goes up every year. A good rule of thumb is that junior doctors will make about 1.5 times what their base salary is. A lot of other benefits as well including a generous professional development allowance and 4-5 weeks paid vacation depending on the state. I couldn't find any accurate figures on average GP salary but I have seen the 180k/year figure floating around. I suspect that figure takes into account work patterns of part-time GPs which would bring the average down. A GP working full time at 4.5 days a week and seeing 20 to 30 patients a day would most certainly make more than 180k especially if they were working in a rural area. In my 2 years as a GP resident in a rural area I earned on average 155k per year and this was not an uncommon amount among my other rural GP resident friends. This was after overhead, which was more than 50%, but before tax. The Commonwealth annual bonus is also paid out to rural GPs and GP residents, which is a lump sum paid every year they are in rural practice or residency. It is paid out annually as long as you are practicing rurally, and the more rural you are the higher the lump sum. The sum paid out to the most rural GPs is 60k. Last but not least we get a pension. Our workplace must match an amount equal to 10% of our salary and contribute it towards our pension, so it is like getting an extra 10% on top of our salary. There are several problems in the GP residency program as well as working as a GP here in Australia which I have not mentioned. Weighing up all the pros and cons I think re-applying in Canada might be the better option. I wrote this post mainly to comment on what I think are inaccuracies mentioned about Australian GP residency and working. Good luck with whatever you decide.
  7. 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).
  8. 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.
  9. 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.
  10. 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!
  11. 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.
  12. 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.
  13. 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.
  14. 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.
  15. 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.
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