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ArchEnemy

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ArchEnemy last won the day on August 19 2018

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About ArchEnemy

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  1. ArchEnemy

    Type of Research to do for Carms...

    For the top 3 most competitive specialties (Plastics, Derm and Ophthalmology), I don't think any of them favour PhDs judging from my classmates who matched into them. They do seem to favour research productivity, which clearly you have shown with your publications. The specialties that really value advanced degrees would be Neurosurgery and Cardiac Surgery, but neither of which are considered "competitive" from the numbers perspective. Publishing in respectable journals within the field is the most important. A publication in a respectable journal will generally be regarded as "quality" research by extension.
  2. Plastic surgery is prestigious, but I think you may be disappointed if you went into it for the money or power. The principles that helped you to get into medical school, are the same principles that will help you get into a competitive residency -- hard work, research, leadership and strong interpersonal skills. A lot of those questions regarding how to go about seeking opportunities will be answered in the first few months of starting medical school.
  3. I think the main point is that universities should consider reducing the number of specialist positions (especially those with high unemployment rates) and increase the number of FM positions. Despite the large number of FM positions, there remains a significant shortage of Family MDs overall.
  4. Agreed. Yet plastic surgery continues to the most popular specialty. Among the top 10 "most competitive" specialties, 5 of those are surgical specialties despite limited OR time and job prospects. I think medical schools should do a better job at explaining to students the reality of the situation, since most residency programs will not due to an inherent conflict in interest.
  5. The RC membership seems to be mainly for physicians to track their Mainpro credits (for CPSO) and display the FRCPC designation. If you are tracking these credits using an alternative system, I don't see any reason to need it but I would contact them to be sure. Email: membership@royalcollege.ca. Telephone: 613-730-6243; toll-free 1-800-461-9598 On the FB group for Canadian physicians, there were a couple of specialists who resigned from their RC membership without repercussions. However, they were told by CPSO to re-join the RC membership when they re-entered practice. US physicians are able to join RC without writing the RC exam due to the reciprocal agreement. Extrapolating from this, I would assume that Canadian physicians who have passed their RC exam can reactivate their membership without rewriting the RC exams...
  6. Yes, I do think that clinic pay after overhead should be similar to hospital pay, assuming the similar work hours in both cases. In both settings, the doctor is responsible for providing the best level of care to their patients based on evidence within their respective fields. Currently, our system rewards volume rather than health outcomes. There is increasing data showing that as the demographic of physicians shift from predominantly male-dominated to balanced (slightly more females), the volume of patients seen are decreasing, but the health outcomes (readmission rates, mortality rates) are improving. Surely, the higher quality of care should be rewarded? The acuity of the patient should not be used as the main surrogate measure of the physician's value, or worse, their income. A neurosurgeon may be very capable at managing an unstable patient with an epidural hematoma, but that same neurosurgeon performing a 60min psychiatry consult for a patient who is acutely suicidal, or a 60 min internal medicine consult for an elderly with aspiration pneumonia and acute CHF exacerbation is probably not ideal. There may be administrative roles that physicians in a hospital may have to assume, but likewise with physicians running their own clinic (stock their own supplies, pay their own staff, manage coverage during staff vacations etc). So yes, I do believe that clinic pay (after overhead) should be similar to hospital pay (after overhead). I believe that hard work should also be rewarded. If a physician does work 1.5x as much their peers, they should be paid accordingly. Unfortunately, releasing the Top 100 physician billings without proper accounting of overhead costs, only serves to penalize these hardworking individuals.
  7. Thanks for clarifying. Just running some numbers here. Many of the radiologists at SickKids are salaried and have an annual income of ~$450k (2018 sunshine list). I assume their overhead would be minimal (<5%). This would translate to a pre-tax of ~$430k. Physicians who own their practice with 25-30% overhead (Rheum, Endo, Allergy, Derm) bill OHIP ~$375k (before overhead). After 25% overhead, this would be equivalent to a pre-tax $281k. Now the question is: do the salaried staff radiologists at SickKids work 1.5x the number of hours compared to Rheum, Endo, Allergy or Derm? I suspect probably not (Based on CMA profile, which I know is not the best resource).
  8. I have heard that it is a group of several ophthalmologists (~ 10) billing under one physician.
  9. @rmorelan Could you comment on what overhead expenses are usually incurred by the average Radiologists working in a hospital? What about a radiologist who operates a private medical imaging lab? I seem to have a grasp on overhead for every other specialty except radiology. Thanks!
  10. Your program can absolutely refuse to release you and block your transfer. I can only imagine what life would be like for the resident thereafter
  11. ArchEnemy

    too late to even consider derm?

    Speaking french can't possibly be the only requirement for admission into dermatology in Quebec right... @daleader I think it would be worthwhile writing the USMLEs. In the US, it is very common for applicants to do a 1-year research fellowship before gaining admission into the competitive residencies. A high USMLE score is the key to matching to the competitive specialties.
  12. Sure way to never get accepted into any Canadian residency programs (possibly even US residencies).
  13. ArchEnemy

    Dermatology -> Ophthalmology

    Ophthalmology and Dermatology are quite different, so applying to both may harm your application to both. If you are interested in Ophthalmology, i would suggest sticking to just Ophthalmology and try to distant yourself from Dermatology going forth. Like ZBL suggested, do some electives in Neurology or back-up with Family Medicine.
  14. I think Lactic Folly really nailed it in this sentence. People do develop moral conscience as they mature. There is also a lot more on the line now that these "bullies" are in medical school. I attended U of T, where the faculty has instituted a safe avenue of reporting critical incidents such as bullying. More information can be obtained here https://md.calendar.utoronto.ca/student-professionalism If found guilty, these "bullies" will receive professionalism lapses that will affect their chances of applying to residency during CaRMS.
  15. This is the CPSO policy on Hepatitis or HIV. https://www.cpso.on.ca/Policies-Publications/Policy/Blood-Borne-Viruses This section would be most relevant.
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