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cleanup

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cleanup last won the day on January 14

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  1. Love Stephen Covey. You may be interested in Adlerian psychology. I'm reading "The Courage To Be Disliked" which speaks from the same underlying principles. Both Carnegie & Covey were big fans of Adler.
  2. cleanup

    UBC Invite/Regrets 2019

    Can I please ask why everyone labels these threads as "regrets"?! It's baffling to me. Am I dumb and I'm missing something?
  3. I manage any immediate complications first, and just tell them. Informed consent is huge but you don’t always have time to go over every potential complication or adverse outcome. I’ve learned how to succinctly and casually go over the most important stuff in a way that informs, clarifies, doesn’t overwhelm and doesn’t terrify the patient. I keep it light. But going over things at least briefly means as a clinical you can’t lose. If it goes smoothly, you’re a hero. If a complication happens but you told them, you look like you’re thorough and competent. I can genuinely say I have never had a patient become upset at me. Not once. Maybe a little disappointed at the situation, but never upset with the care they received. I’m fortunate in that way but it’s also because I speak and carry myself well, which ultimately affects patients perception of you much more than the work you actually do, at least in dentistry. That can be both a blessing and a curse depending on who you are and your personality. Im sure it’s similar in many private practice environments in medicine.
  4. I've: drilled the wrong tooth called the patient the wrong name for an hour straight (this was literally last week and my patient coordinator was just too nice to tell me during the appointment even though she's usually very blunt with me) broke off a ~2cm piece of maxillary hamulus and caused a massive sinus exposure (removed part of the sinus floor) while extracting an ankylosed 17 caused a pulsing bleed (broke the alveolus on the palate and exposed the greater palatine artery) the while extracting a 16 on my second day of practice broken a few files during endos cut tongues a few times with the highspeed (eh, it happens) And etc. And I consider myself clinically a pretty decent dentist. These things are gonna happen. You can't stop the waves, but you can learn to surf.
  5. I teach third years on occasion. You guys have literally just started interacting with patients in a way that goes beyond hygiene/cleanings. It's completely normal for this to feel foreign, awkward, nerve-wracking, anxiety-inducing, the-walls-are-closing-on-me-please-end-this-now. And in a school environment, it can be really strange since you feel like there are multiple people breathing down your neck. It's for this reason I really try to take a different approach most instructors do with students; I'm there to help you guys learn, to make the situation enjoyable and fun and as casual as possible, not berate or put you down for doing something I wouldn't do or differently than I think you should. It's completely unreasonable for me to expect you to know exactly what to do, how to do it, when to do it, and then execute it to my standards. The truth is, when you walk out of clinic, you shouldn't be pondering "Did I do good? Did I do that well?" you should be thinking, "Did I learn something today? Yes. Okay. Good. Onto the next." I know it's hard not to get tunnel vision with what you're doing, but try to take a step back and realize that you're there to learn. You are indeed, there to make mistakes. I know that sounds catastrophically wrong, but it's the truth. It is a school, first and foremost, not a dental clinic. The patients receiving care bit is sort of just a necessary consequence. I assure you that, in the end, although it's a long road, it all evens out, and your learning continues heavily into private practice. I'm 3 years into private practice and only now can I say that I feel pretty confident with 90-95% of the situations I encounter on a daily basis in general practice. I still refer things out, and even with some bread-and-butter things I still run into trouble, because it's the nature of it. But I approach situations like this differently. I used to approach it with the occasional "I'm not sure what the fuck is going on here" mentality and allow fear or anxiety to take hold. Now I approach it with the mindset of "I'm just here to do my best and take good care of my patient and maybe learn somethign along the way" and I allow that to take me wherever it may. It has allowed me to become a better dentist, both clinically and non-clinically. You're not just a student of dentistry, you're a student of life. Treat it that way and you'll feel less anxious about your situation. Zoom out a little bit. It'll be fine.
  6. cleanup

    Life in dental school vs work

    If you mean purely from the dental component, I enjoy working way more. If you mean from a life component, you always want what you can't have. Once you start having to deal with the grander responsibilities of life as a whole, school seems very appealing.
  7. Uh ... Why do you want to go to dental school?
  8. Don't know 'til you try, and we can't give any advice unless you tell us more, unfortunately. In the spirit of brutal honesty, I don't think the reason of having a disability will 'make up' in any way for a low GPA, or allow an admissions committee to overlook a low GPA. The reasoning behind it will not matter to them, in fact, they'll likely ignore it, since allowing random subjective circumstances to colour their perception of an application just immensely complicates the job they have to do. Dental applications are already straightforward enough as they are. I don't necessarily think that's a good thing, it just is the way it is.
  9. cleanup

    How much will I really make?

    OP, I understand the practical concern behind your question, but I think ultimately your question comes out of a need for reassurance. Will you still be able to live and provide for your family on the 'lower' end of the payscale as an associate? Sure you will. You won't starve. Not at all. The question of how much you can 'expect' to make in year 1, 2, 3, 10 years from now is not a question anybody can reasonably answer. It truly does all depend on how hard you want to work, what kind of dentist you want to be, where you want to live. No one is messing with you when they say that incomes are extremely, extremely variable. Dentistry is an odd duck in that sense. I think everyone goes through these money/financial woes for the first few years of practice and then they strike some balance between how hard they want to work and what income they receive, once they begin to understand the grander realities of the field, what they are willing to sacrifice for income and what they are not willing to sacrifice for income. At some point everyone hits some sort of sweet spot where they think "If I earned more, that'd be great. But if not, that's okay too. I sure wouldn't want to do XYZ in order to earn more." I guess I'm coming from the perspective of tough love here. I get what you're saying, everyone wants black & white. Everyone wants someone to say "Hey, guess what? You're going to achieve everything you want right now and the world will be your oyster," but even if people did tell you that, I don't truly think it would assuage your anxiety. The assurance of "It's going to be okay" really does have to come from within. A faith/trust in the path and decision you've made. Everybody's ability to stick to their guns varies. I can say that as a dentist, you will be able to provide for your family. What I cannot answer is if you think the amount of work and stress you deal with will be 'worth' the financial reward you receive. Because that is the true question you're asking, but unfortunately it's a question no one can answer. If you want nitty gritties, I think anyone earning 200k+ as an associate their first year out is either a) working like a dog (6 days a week) or b) doing some reaaaallyyyy shitty and/or unethical dentistry. But certainly, if you work long hours/many days, are at a busy office, and/or do high end procedures, you can earn a 250k+ income as an associate. There are way more people in the typical 120-175k range on a normal (4-5 days a week) work schedule. That is a good income. You can provide for your family on that income. You won't be buying a 5-bedroom house and a new BMW every few years, unless you want to put in the work to a) own a practice or b) work a lot harder. You have to decide for yourself if that's what you want to do for the income you want to earn. There are dentists who earn high 6 to low 7 figures, through any number of means, but there is no set 'path' to that end point, and not many people do it, or even want to do it. If people want a more consistent, reliable, typical work schedule with a higher income right out of school, family medicine really is the way to go especially in the GTA.
  10. cleanup

    The slow decay of dentistry

    I'm starting to hit both my stride and my 'burnout' wall right now. It's strange how it works. I feel more competent and comfortable than ever before, but I also feel tired and overworked and like too much of my life is devoted to dentistry. Luckily, hitting my stride is giving me some opportunities to scale back on work and bring some balance back to life, even if that means income taking a hit and swallowing my pride a bit. In the end, there are far, far more important things than work.
  11. cleanup

    U of T Med with high McMaster grads

    I know what you meant. My point is that it doesn't matter much. To be frank, I think your professional education and any training in residency, fellowship, etc. is magnitudes more important than undergrad. There's really no reason for undergrad to exist other than for some folks to 'figure shit out' and maybe develop some study skills & social skills, or find a way to grade people and rank them. Otherwise if professional school is the horizon, the actual knowledge (fundamentals of health & science as you mentioned) gained during undergrad is nominal at best. It just doesn't matter that much. You could really cram all of the actual useful knowledge into a year or two of study.
  12. cleanup

    U of T Med with high McMaster grads

    I'm not. I went to undergrad then dental school at U of T and I've been in private practice for coming up on 3 years now. U of T dentistry is filled with healthsci grads as well.
  13. cleanup

    U of T Med with high McMaster grads

    The grand majority of people going into healthsci understand undergrad is largely just a stepping stone to get into med school. Also the definition of 'superior health education' is pretty fluid. I'd argue that going into a programme where everyone has a similar focus, can rally around you for support and cameraderie and in all likelihood are all future colleagues is pretty great. Who cares if the learning isn't as intensive as other programmes. I'd argue that's a plus for the most part. Med school and residency is where you truly learn; healthsci is just a 3-4 year vacation where you figure out how to make it happen with all your future doctors. I say this entirely biased as a U of T lifesci grad who spent 4 years in hell.
  14. cleanup

    U of T Med with high McMaster grads

    I work in Hamilton two days a week. It's on the up-and-up. It's no Toronto or Montreal but it has a great food scene. And McMaster itself as a school has a much greater sense of community than U of T ever will. Trust me on that one. I loved my time at U of T but that was largely because of Toronto itself, not because of the school. You have to decide which one's more important to you.
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