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Everything posted by ellorie

  1. ellorie

    Preparing meals in med school

    Yeah vegetables are my biggest hurdle. I hate them.
  2. ellorie

    Preparing meals in med school

    Our program just came out with like a ten part evening seminar with readings as part of their resident wellness initiative. It isn’t mandatory or anything but still. Like, what???? It sounds somewhat interesting but guaranteed will not make me more well how about 1-3 hours in the morning some day where I can just sleep or go to the dentist or whatever?
  3. ellorie

    Preparing meals in med school

    What I really mean is, when they say to themselves “our residents are exhausted and burned out, we need to allocate 1-3 hours to resident wellness” instead of planning some awful seminar with readings, they say to the residents “residents, we see that you are exhausted and burned out. Here is 1-3 hours to improve your wellness. Do with it as you will.”
  4. It probably depends on the trauma. For better or for worse (actually it’s definitely for worse) some things are far more stigmatized than others. If it was for example a sexual assault or abuse or something like that, people get very edgy about that kind of stuff for all kinds of awful stigmatizing reasons. If it was for example a death of a relative or something, most people will be able to tolerate hearing that.
  5. ellorie

    Preparing meals in med school

    I think they could improve it by instead giving us time away from work to eat, sleep, see our friends, and attend to our basic medical needs.
  6. ellorie

    Preparing meals in med school

    Meal plan in advance, make big batches on the weekend and freeze stuff so it’s ready to go. Bring your own lunch as much as you can. I like the blog Budget Bytes for easy and cheap recipes.
  7. At my school, it was radiology. All I did basically was sit in a dark room behind the resident. I literally had a concussion for part of the rotation and nobody noticed any difference because I did so much zero.
  8. It depends on the province. Alberta and one (i think) other province gives you interest free status during residency. I paid off my Canada loans with my LOC and left my Alberta ones alone because they won’t be in repayment until I’m done.
  9. ellorie

    Electives Residences

    I used AirBNB for my electives and that worked well for me.
  10. ellorie

    IM Programs that let you moonlight

    I think it’s a leftover from the idea that once you’ve passed the LMCC 1 and 2 you could theoretically practice in some capacity. Our exam isn’t until R5 and people moonlight well before.
  11. When I did my paeds emerg rotation there was one staff who didn’t have an EM fellowship and refused to see any orthopaedic/MSK complaints (and some other stuff). It was super annoying because you’d have to wait until another staff was available to review and once they were all tied up in trauma and the patient had to wait like three hours because this staff “doesn’t do feet”.
  12. ellorie

    Stress level

    Overall I find residency (pre-PGY5) to be far more pleasant than medical school. You have some autonomy, you get paid, and you're not studying all the time for useless exams that are unrelated to your interests. I found PGY1 stressful due to the rotating nature. We are luckier than most in psychiatry because after PGY1 we stay in the same place for 6 months to 1 year at a time. Once I moved off the block system my stress level decreased substantially. Also, we don't do any more off-service after PGY1 and that helped exponentially too. I hated being off service. The major things that stress me out now are call (more physically than anything, I just find it's taking a bigger toll on my body as I get older/do it for longer) and patient-related stress. And obviously now starting to stress about the exam and job-finding and stuff.
  13. ellorie

    How to do well on clerkship?

    I typically showed up about 5-10 minutes early. But that’s my habit anyway.
  14. Unless you’re me Love psychiatry, hate everything else lol. But I went to medical school purely to become a psychiatrist so it’s a bit different.
  15. ellorie

    Resident Dinner and Learns

    I would not, for several reasons. One is that my specialty has unique issues and I don’t see myself wanting to attend a generic talk when I can attend the specific ones offered by my program. Two is that my program does offer education on these things. And three is that I would wonder why a company is buying me a free dinner and what that means about the accuracy and bias of the information. I typically discuss these things with my mentors and classmates so that I can get information that’s tailored to my needs.
  16. I don’t know, I would think a failed year would be a red flag for many programs, if not as bad as some others. Hopefully some people will chime in but I’d think all you can do is explain it in your application and shine in the other aspects.
  17. A diagnosis won’t have an effect on your application. The university is not entitled to know at any point in the process. However if you want to be a physician there is a certain obligation to manage your health. The stress on you isn’t going to decrease. Early treatment could make the difference between being able to practice medicine and spiralling downhill under the pressure. And I say that as someone who has been down this road (not with an eating disorder but with other mental health stuff).
  18. The CPSO doesn’t track absolutely everybody - they don’t ask about if you have a diagnosis, they ask if you have a medical condition that “could interfere with your ability to practice medicine”. Many people with MDD or GAD or whatever reasonably conclude that their illness is mild enough that they can answer no, and they go on their way. I also know people who have disclosed and not been monitored. I disclosed, was monitored for two years with the PHP, which was not the funnest thing but also not awful. The PHP was decent with me and were not alarmist or eager to take me off work - they allowed me to work with significant symptoms as long as my psychiatrist approved it and never forced me on a leave. After two years the CPSO realized that I am fine and is now uninterested - though I expect a peak of re-interest when I apply for my independent license. The delays and extra paperwork was the worst part. It felt very stigmatizing but it was not the end of the world. As to being a physician with a mental illness it adds an extra layer of difficulty but it can certainly be done and it also has its advantages in terms of understanding what it’s like on the other side. Happy to chat more about this by PM.
  19. It will be fine. Everything you need to know, you will learn in residency. Particularly PGY2.
  20. A consultation in sum total takes more than an hour for most people - for a complex patient you may need to bring them back, and it also takes time to do a decent/thorough consult note, as well as calling for collateral. The documentation takes up a lot of time in psychiatry. Additionally, most of my mentors say that they see fewer patients in a day just because of the emotional drain and how mentally taxing it is. If you want to make a ton of money as a psychiatrist, you probably can. ECT is quite lucrative, emerg work, other things with premiums. It's not like we don't make money. We make very decent money, so it's not absolutely low paying. But the average psychiatrist typically makes less than the average [some other thing]. We don't have a lot of procedures that can bump income, documentation takes a long time, and there's a particular mental drain that makes it really difficult to just grind through endless numbers of consults. Also the no show rate does depend on your practice setting and can be quite high.
  21. I went through this in Ontario, with medical school and licensing and residency and accommodations and CPSO and all of that. PM me if you have questions. Happy to discuss in more detail privately.
  22. ellorie

    Let's Discuss Finances

    I believe OSAP does and so do federal/Canada loans. Alberta does not
  23. ellorie

    Addictions med: family or psych?

    If you do it from psych you will probably feel much more comfortable managing concurrent disorders and doing psychotherapy. If your interest is more suboxone, methadone, withdrawal management kind of stuff, either path is probably equally fine.
  24. ellorie

    Lines of Credit

    I’m pretty sure you actually can get one through them - they’re partnered with National Bank or something. https://mdm.ca/features/avoid-over-borrowing-with-a-medical-student-and-resident-line-of-credit Just, most people go with Scotia instead. Or whatever bank they were already with.
  25. I believe only FP and psychiatry can bill psychotherapy. Which makes sense. When we do psychotherapy we are applying evidence based modalities, not just talking to people for a longer period of time Psychotherapy training is not part of a neurology residency as far as I know. And GP psychotherapists typically do additional training.