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cleanup last won the day on January 14

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  1. Let's assume you're paid 40% of billings. That means you have to bill $1.25 million (after lab fee deductions) in 6 months. That's ~210k a month or 52.5k a week. That's 10.5k a day on 5 days. Even on 50% of billings it's still billing $10k a day. Are they some sort of robotic machine that's made of carbon fibre & titantium? Forgive me for my skepticism. Visiting oral surgeons can bill 5 figures daily on the regular (but I doubt many of them bother working 5 days a week, month after month), but as a fresh grad staring at Northern Canada teeth, MODBL caries & gross fractures inside thick, solid bone, I'm not so sure. If you manage to do that for 6 months, when you come back the concept of vacation won't even make sense. You'll be a different person. You'll also be disabled.
  2. Just a shot in the dark here but I don't think you're gonna have much luck with that. You better write the boards.
  3. That's a question I can't answer. Every GPR is different, but GPRs are generally hospital based or have some significant hospital component, while AEGDs are mainly school-based and may or may not have any hospital experience. GPRs will involve more exposure to overlapping medical fields like emerg, anesthesia, ENT, plastics, while AEGDs may or may not. AEGDs often involve tuition as well, while GPRs often don't. It's all programme dependent. Second question is very context-dependent as well, unfortunately. All depends on which programmes you're picking.
  4. cleanup

    This Is Insane

    Everyone goes through existential angst. If someone hasn't experienced it yet, it simply means they haven't run into the right obstacles yet. It's the human condition. It's important to have the self-sufficiency and mental fortitude to realize that there are aspects of your life that bring you vitality & confidence, and those things will be threatened, taken away, destroyed or lost somehow. It will happen to all of us. Putting all your eggs in one basket as he is doing is unwise. If you read some of the articles/interviews floating around you get the impression that this guy has nothing else going on in his life.
  5. cleanup

    This Is Insane

    Think of it this way. The way he behaves (no issues traversing ethical, moral & social boundaries to advance his own agenda & disregard anyone in his way) means he clearly has nothing going on in his life other than his relentless pursuit of 'Get into medical school.' I find that sad, to be frank. It's extremely one track and reeks of an insecure, unfulfilled, externally-focused person who we should feel sorry for rather than be indignant at. These are people who only have one thing to hang their hat on: I do 'well' in school and I'm 'intelligent.' How boring. If he doesn't get into medical school, or maybe something/someone threatens either his credibility as a physician, his entire identity & confidence collapse. That should frighten him.
  6. OP is asking about Western vs. U.S. schools. Main concern seems to be clinical exposure, not money. If they want clinical exposure under supervision and see a bunch of stuff, GPR/AEGD is the way to go. Can you see/learn a lot in an associateship? Sure, but it's probably more likely you'll learn a grander variety of things in an academic setting. That was my experience at least. If you want to make money, then sure, go work. But don't expect to learn more clinical things than you might in a GPR. If they go to Western they'll be saving by not spending it all on U.S. tuition. One year of lost income (and not entirely lost, you'll still earn at least enough to pay for living expenses on a GPR) is not going to kill you. To be frank, if your only concern is "How do I make a lot of money," there are more efficient ways of doing it than dentistry.
  7. Oh sure. It's a way to bootstrap financial independence. Things like "Never buy coffee out," "Only eat out twice a week," and intentional budgeting. Just don't want people to get the wrong idea and run too far with it. What we do, and do not, spend on, needs to be very intentional, as with anything else in life. And you and I both on the camera gear. I have many expensive hobbies & interests! But they all bring me joy and I am focused and careful with how I invest my time & money in each. Also the leather boot theory of socioeconomics really rings true here. Don't cut costs where it won't treat you well in the long-run. Do good research, think long & hard, and often the best purchase for you ends up not necessarily being the most economic one.
  8. You know, I thought the same thing to myself, but now I have 4 ways of grinding coffee and 6 ways of making it and have spent thousands and thousands on coffee gear. I'm crazy though. OP, don't sweat the small stuff and most expenses you have are easily manageable when you graduate. Everyone here is focused on spending less & being more frugal. But it's not fully about spending less or "getting more for your money". It's about being more deliberate and intentional with how you spend. Think deeply & truthfully about whether or not you need something, whether or not whatever you're spending money on brings you fulfillment or joy, and whether or not you truly can't find another way to make it happen in a more cost-effective manner (which may indeed be more fulfilling as well, such as cooking at home). But the reason why I discourage people from simply being essentialist and spending less and less is because there are plenty of things that, for you (not necessarily for others) are wholly worth spending more, even 'a lot' of money on, regardless of what other people think. That can include good food, vacations, a car, even luxurious things if it's done with mindful moderation and brings you true joy. Don't worry about spending less. Worry about spending better.
  9. cleanup

    Working in med school..?

    I recommend trying to enjoy your youth, which is hard enough in school.
  10. You think that. But future generations will not. Even young folks born in the last 15 years or so have a grossly different view of technology than millenials and Gen X'ers and every generation beyond. The entire concept of AI even becoming a small part of our modern life was foreign just 20 short years ago. You couldn't get people to agree to self-driving cars. But the fervor couldn't be stronger. I trust my car to drive itself 90% of the time I'm on the highway. I couldn't have imagined that, nor could I trust it, when I was a child. People didn't even trust the Internet in the early to mid 90s. People didn't trust cars in the late 1800s. You cannot stop progress (and I mean this only in the sense of technological progress, not social progress). As Seth Godin says, every industry is funnelling inward to less and less human resources and human investment. This has been a continual push since the agricultural age. Just because our machines have gone from industrial to digital doesn't change anything. It only accelerates it. Image processing, whether 2D or 3D, is very, very easily done by computers. IMO the only thing holding it back in the end are political & social barriers, but with time (and enough money from the right people), even those disappear. You know those CAPTCHAs by Google where you have to click "All images that contain CARS" or "ROAD SIGNS" or "ROADS" or "STORE FRONTS"? All that is is Google collecting data to train self-driving cars. The same concept (and on top of that, machine learning) can be used to train computers how to identify, diagnose/interpret and report on almost anything. Not just medical imaging. It could be argued that imaging diagnosis is one of the simpler things to train a computer to do.
  11. Every time I've needed a minor in-office surgical procedure from a physician (namely ENT & derm) I've been billed out of pocket for it. There's always some reason. They need a particular instrument or technique not covered by OHIP. Or, more worryingly, I was billed for something completely different on the derm side of things because it wasn't OHIP covered and could be fee for service, whereas the actual OHIP code I should have been billed reimbursed the MD at maybe 1/5 what I actually paid. Reason being? That I can afford it and I needed the procedure. Funny thing this derm office was grossly disorganized and one of the assistants literally accidentally left an OHIP fee guide lying around in my room while I was waiting. I took a glance and to be frank, I was pretty surprised at how low a lot of the reimbursement is. In the end it's just money and I didn't really care, but still left a bad taste in my mouth, especially given that I'm no stranger to unscrupulous clinicians. In the case of the article linked above the billings are high because a) admittedly, many folks on reserves have plenty of dental issues, for a litany of multifactorial reasons, and b) for certain procedures there's no need to submit for pre-approvals and no question as to "why was this done?". I'm sure plenty of gray-area unnecessary treatment is done.
  12. I didn't think this was a thread to air out complaints or dirty laundry. That said, not that I'm saying there aren't sketchy practices like this abound, but it's certainly not isolated to dentistry.
  13. Thanks for the recommendations guys. Second time I've heard Linchpin. How to Make Friends and Influence People is a classic of course. So far my 3 are: The Courage To Be Disliked The 7 Habits of Highly Effective People Discipline Equals Freedom
  14. It's really difficult to figure out where certain numbers come from and where they rest. Keep in mind that these top dentists pulling in high 6, low 7 figures a year are likely owner-operators earning money from hygiene and other dentists as well. As discussed above the only associates I know doing above $250-300k a year are very seasoned, working 5-6 days a week and working very fast. Personally I can't stomach the physicality of it. I need to slow down in order to protect my body and make sure I don't feel like absolute trash after only half a day. I do well above average for associates and by no means really want to earn more if it means working harder. I'd rather work smarter.
  15. Where the hell did you go to school? That's a blessing.