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ellorie last won the day on February 9

ellorie had the most liked content!

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About ellorie

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    danger zone
  • Birthday 07/22/1989

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    Toronto, ON
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    Medical Student

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  1. I would take that with a grain of salt. If it was normal for all CC3s to be functioning at the level of R1s there would be no point doing a clerkship. When I’ve supervised clerks very few function at the R1 level and most are exactly where you are in terms of struggling to get focused and oscillating between being over inclusive and leaving things out The best way to get better is to get direct observation followed by specific feedback. So get a staff or resident to watch your interviews, exams, and presentations and give you feedback on exactly where you could have condensed/focused more etc. And also observe staff and residents when you get a chance and ask them questions (later/if they have time) about why they focused where they did/left certain things out/had a particular thought process. I always tell my clerks, get good and then get fast. It’s normal when you are starting to take too long and get too much information. It’s actually good to be thorough until you are skilled enough to know what you can safely leave out. Totally developmentally normal. FWIW I got good in PGY2-3 and got fast in PGY3-4. There’s a reason our training is so long.
  2. Not sure - I don't have much interest in doing inpatient work so I haven't much looked into it. Inpatient is more lucrative, I think.
  3. Damn. That’s pretty good. In Ontario, an hour of group pays the same as an hour of individual which is...silly.
  4. I doubt it would be a red flag - probably if it's a smaller program and your application was strong otherwise, someone would look who your supervisor was and ask them about you if they were concerned about it. Obviously it's better to have a strong letter from a supervisor there, but I wouldn't think it's the end of the world unless it's an ultra competitive program. There's a lot of word of mouth that happens, especially since it's your home program. It would be more of an issue if the supervisor actively disliked you. That happened to me in Calgary and I'm pretty sure I got blackballed, but I think that would have happened whether or not I had used the letter (still shouldn't have used it though). Luckily I didn't much want to match there anyway and the feeling was pretty mutual by the end of a truly terrible two weeks. If you had a generally good relationship with this supervisor, you could also say to her that you understand why she would not be able to write you a great letter, but that you are hoping to match to the program, and would she have any recommendations about other things you could do to strengthen your application and show interest. With letters, it can be helpful to say at the beginning that you are hoping for a letter and ask what you would need to do for that to be possible - some supervisors will then try to increase your time with one person, or all talk together to compile a letter.
  5. Yeah I mean sure the training is shorter but does three extra years of staff earning really out balance an entire career’s worth of making significantly less? I actually think that specialists and family docs should make roughly the same. The disparity for family medicine also makes no sense to me. It’s less formal training but not less highly skilled/valuable.
  6. I don’t mind being paid the same as FM. What I mind is getting paid like half of what other specialists get while doing work that is equally skilled and difficult. However as I said, we make good money and I have no complaints on an absolute level.
  7. There is a need for psychiatrists all across Ontario including the big cities. You might not be able to get your dream job at the hospital of your choice but at worst you can rent an office and build a practice almost anywhere fairly easily and at best, it really isn’t hard to get a hospital job somewhere, though I can’t speak to those areas specifically.
  8. Man I gotta say, a 6 figure income of any kind sounds pretty incredible to me. I have no complaints whatsoever. I would say 200-300k is about what you make with a moderately busy outpatient practice, mixed consults and follow up. That’s probably where I’ll be. People who make more work more hours but also probably do more lucrative things - inpatient work, CL tend to make more, ECT can be pretty lucrative apparently, you can also do a high volume of very fast outpatient consults if you know what you’re doing, but I don’t really like to do my consults that way. Psychiatry isn’t a big fellowship specialty. If you want to work in a big city in one of the Royal College subspecialties (child, geri, or forensics), you most likely need one but otherwise general psychiatry jobs are pretty plentiful. People who want to do CL fairly often do fellowships in the US but you can definitely get hired without.
  9. All other things being equal, it is generally better to do medical school as close as possible to where you want to end up, for any number of personal and professional reasons. However just because it’s better doesn’t mean it’s the only way. If you have your eye on matching back and do the right things to achieve that, it shouldn’t be too much more awful than CaRMS is by default.
  10. I think most people who are truly gunning for a competitive specialty will now show it by scattering their other electives in related areas. But that’s just my now far from the process opinion.
  11. I didn't get a summer before 4th year at my medical school - we were still in clerkship and then went straight into electives - so I'm not really sure. If you have the option of doing more electives, I would say that's probably ideal, especially if you're able to get any away electives done to try out and get exposed to more programs. It means you get a feel for more programs, and potentially have the opportunity to get more LORs. It seems to me that the time frame might be a bit late for research to really get much done before CaRMS, but you could certainly try to write up a case report if you saw something interesting, or see if any staff have a small project that you could get involved in. I had some research, but not much and nothing major. When I went through, all the programs, even U of T, were clear that they valued clinicians as much as researchers. I think really the most important things are to do as many electives as possible, make connections with staff and residents, have coffee or meet up with as many people as you feel comfortable to chat about different programs and interviews and all of that (also helps for the "why X program" question if you've gone and gotten the inside scoop), and keep an eye out for meaningful patient encounters to throw into your letters.
  12. See if any of the residents at your home program will sit down with you. Residents are closer to it than staff and can give you the dirt on different programs. Especially more junior residents. My dirt is all out of date now. Also, get residents to read your personal letters when you write them and give you feedback. An R1 did this for me when I was applying and it was helpful. I didn’t have a lot of extracurriculars either and it didn’t seem to matter much. My sense is that in psych your reference letters and personal letter are pretty important. But I haven’t actually been involved in CaRMS from the other side. Too tired and salty.
  13. Everyone is way more interested in the free food than in who is there, if it’s anything like the rounds I remember.
  14. It’s awful that you’re going through this I have to say that when I interviewed at McGill in my specialty, I told them that I spoke no French, and they told me that it “wasn’t a problem” and that there would “always be medical students to translate or something”. I think their attitude has changed towards being more upfront that it’s actually a huge barrier but I also think that some programs do misrepresent the ease of being an anglophone in Montreal. I thought that this would be untenable in psychiatry so I luckily ranked it very low. But if I hadn’t I could very easily have been in the situation you are. It’s absurd to me that they wouldn’t protect time for you to take a course.
  15. McGill is a decent program as far as I know - I interviewed there but did not do a rotation. But I wouldn’t underestimate the difficulty of practicing medicine even in Montreal without speaking French. I also hear that these days they are much more heavily factoring language proficiency into their rankings but that’s second hand.
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