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ellorie last won the day on June 29

ellorie had the most liked content!


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. Some staff are also honestly just really really picky and need things "their way" to feel comfortable signing it off. So you don't always need to take it too much to heart. When I correct clerks' notes, if I make changes it's often related to considerations that I don't expect them to know about yet - e.g. I make a lot of corrections and additions based on addressing medicolegal risk. I document very defensively, especially in the ED, and while I teach the clerks why I am doing what I'm doing, I don't really expect them to have the language for that yet. In my specialty there is also just very specific language around things like consent, capacity, and risk - certain words or phrases that need to be used in a very particular way, whereas if it's not your specialty you might never need to know that. I remember when I was a clerk on paeds ED I thought a kid's belly looked a bit round so I wrote "distended" on my note and I got absolutely reamed by the staff because apparently that meant something very specific and pathognomic to her, but I just didn't know. You could definitely ask your staff if s/he has any overall feedback for you about what to work on next - it can be hard to just see their changes and distill it down to how you need to change your approach. Often with clerks it's about some combination of getting more concise (excluding details that are irrelevant to the audience and including everything that is important) and using certain specialty-specific language/phrases that convey certain things. But really the reason our training is so long is that it really does take time. If a clerk were ready to function at the level of a staff, there would really be no point in any of the rest of it. So I wouldn't interpret it to mean that they're displeased with you as a clerk or that there's something wrong with your performance.
  2. How's everybody feeling, aside from all of the exam drama? It feels completely surreal to me! I've been a resident longer than I've been anything/anywhere else in my adult life, so even though I'm staying at the same hospital it's still a bit bizarre. However - CONGRATS everybody!
  3. Oh I don't know, I don't go to UBC - I was just reacting to @PlantZaddy's post.
  4. I think it's like - even in weeks or rotations that are really demoralizing, there are bright spots that remind you why you're doing it. Times where you really helped someone, or made a cool diagnosis, or learned something that really made you feel intellectually stimulated, or had a bonding moment with a colleague. And I think you sort of hang on to that stuff rather than focusing on the shitty supervisors or sleep deprivation or the patients who treat you horribly. And then you just take it one moment or day or block or year at a time, and go on living your life around it as best as you can. I think I've also sort of learned to ration how much I give a shit about things, and what things are worth giving a shit about. You can't take everything to heart or you'll lose it. When I used to care about what every supervisor thought about me, it felt kind of impossible. I also still care very much about my patients individually but I've learned to divorce my morale/self worth from the outcome, a bit, and instead focus on the care I provide rather than feeling like I've failed if patient or environment factors still result in things going wrong. When I'm feeling burned out and have limited resources I try to be very conscious about maximizing them and focusing them where they do the most good.
  5. I think it varies by province - in ON we get 4 weeks, 7 conference days, a floating holiday, and then 5 consecutive days for Christmas/New Year (you get one of the two off). TBH I get through it by reminding myself that all over the world, people have jobs where they work horrifying hours for terrible pay basically indefinitely and get much less respect/appreciation than we do. Like long haul truck drivers. I would way rather be a resident than do that.
  6. Well this whole thread sure is a blast from the past (and my adolescent coming out experiences). Kinda sad to hear that 12 years hasn't improved all that much - except that I think it's been a long time since anyone actually called anyone a homosexual. Happy Pride.
  7. Not really, I just had to do it, because what other option is there? You try to continue with as much of whatever hobbies or activities you find replenishing as you can, and catch up on sleep when the opportunity presents itself. Take your vacation regularly - I'm not a fan of saving it all for huge vacations that come very rarely but some people find it better to do it that way. I try to take a week about every 2 months to recuperate. I wouldn't say we are coping great, but what can you do? We are all absolutely powerless over the Royal College - they do what they want and we are just kind of scrambling to transition to practice while also preparing again for the exam. One day at a time.
  8. Depends what you mean by happy. I had a reasonable amount of time outside of residency to do the things I needed to do. In my program we do about 1/7 call on service, which is miles better than the 1/2 to 1/4 that many specialties do. We also don't do any off service after PGY1. But it's exhausting and stressful and I don't think I know anybody who isn't burned out. Like Rob, I hit the wall around mid PGY3 and didn't fully recover. I still don't regret it - knowing what I know now, I'd have given much stronger consideration to social work or clinical psychology but ultimately I imagine I'd probably have still chosen psychiatry.
  9. One reason that it makes sense is that you could develop a disability or chronic medical condition literally tomorrow - and even if you have coverage now, if it's something that doesn't disable you right away, when you attempt to get DI later you will be faced with a policy that is extremely expensive and/or excludes coverage related to the things that are most likely to disable you. In particular, a fair number of residents experience mental illness or at least would benefit from some kind of mental health care, and once you have that in your history, if you try to get DI that requires a medical, you will end up with DI that likely excludes one of the biggest categories of things that disables doctors. In Ontario you can get the OMA Essentials offer when you finish with no medical, so you can certainly plan to get that no matter what happens. But I personally am not a fan of the unknown - things, plans, and offers change, practice plans change, and if you're still a resident you have no idea what will be on offer at the time when you graduate (though the OMA deal seems pretty durable overall). For example, you used to be able to get RBC in medical school with no medical questions - now they ask about mental health history. In my mind, you want to get the best no-medical policy you can as early as you can get it. I got mine through RBC in medical school back before they asked about mental illness (they now do, which is straight up bullshit) and I'm keeping it forever.
  10. I'd be hard pressed to find a clinical psychologist who would work for 60 dollars an hour, given that they bill anywhere from 200-250 when they work in private practice.
  11. I mean it sort of depends - some people take leaves or start late or things like that. But most people end on June 30th and can start on July 1st.
  12. I am finishing this week - was told by RBC that they have converted my LOC to a professional LOC and that it will never go into repayment.
  13. I ammmmm! FINALLY! I'll PM you so I don't totally out myself LOL - but broadly, academic outpatient job
  14. All the info on moonlighting in ON is on this site: https://restrictedregistrationontario.ca/ Varies depending on program/specialty - you'd have to see if your program is included at your university and what their specific requirements are. That being said, the bare minimum requirement is 18 months of training, so an FM resident would be hardpressed to have time in their residency to moonlight since I'm guessing the last 6 months are exam prep heavy.
  15. Don't think this is true in ON - lots of psych PGY4-5s moonlight in psych without any specialty certification.
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