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Everything posted by goleafsgochris

  1. Honestly shame on the posters here who are making 250k seem like something that can be reasonable obtained by an optometrist. I am a neurologist and regularly work with optometrists. 100k would be doing well. 250k—maybe if they OWN a business employing optometrists? In which case that’s an absurd thing to say, because in any field if you own a business you can make 250k. Why not suggest the OP drop out and become a janitor, because maybe she’ll own a janitor company and make 250k lol? The issue is that young ppl will read this stuff and believe it and will factor it into their career choices. To the OP—really depends on your interest in medicine IMO. If we assume you’re going into family med, from a financial perspective it may not be worth it to lose 6 years of income. Tbh I might not bother looking back at it. Medicine will likely give you more variety, but I have doubts you’ll be happier 10y from now.
  2. My school had these, but most people didn’t complete them, and no one ever checked.
  3. Say GPA is worth 33% of your app. The difference between 3.83 and 3.87 couldn't be more than what, a few percent? Getting 4.0 is 3 full year online courses would raise you to 3.84, which would maybe get you 1%, if that? This is going to sound harsh, but please listen--as someone who has done application reviews when I was a med student, its almost incomprehensible how inefficient that is. Its like saying you want to improve your ECs so you are going to take up archery for the first time because if one day you make it to the Olympics it will increase your score. On the other hand, training/practising for Casper or interviews could pretty easily increase your score by 5-10%--and might take what, a bit of money and a few hundred hours max?
  4. goleafsgochris

    Unhappy in medicine?

    Amazing advice.
  5. goleafsgochris

    Are there any normal non arrogant pre-meds?

    There is a range off people at every level. There are pre-med assholes, but I don't think its a higher percentage than in med school or residency. You probably just got bad luck in the people you stared to work with. Try your best to move on, focusing on it will not help.
  6. goleafsgochris

    Canadian Physician Statistics - 2016

    The standout for me tbh is that seems like too many IMGs. Also that family physician salary is not great considering overhead.
  7. goleafsgochris

    Undergrad vs Medical School

    This might be school dependent. I found the opposite (albeit I went to UTSG for undergrad). I found undergrad, when I was "in semester", often took up 80-100 hours/week (not joking). Preclerkship (outside of Toronto) was closer to 50 hours a week. For me, at least, it was hugely easier, and far far less stressful. Clerkship of course is a different beast, but it completely varied for me by rotation, with some including study being well under 50 hours/week, and some such as gen surg being closer to 80-100 at times with studying+call.
  8. goleafsgochris

    Stress level

    Neurologist who does 90% outpatient work, finished residency in 2017. My day to day job now is not stressful. I sometimes find it stressful if I'm falling behind in the day and am late seeing patients, but that's like a 2/10. I would agree that conflicts with staff can be somewhat stressful, but at least in my case, this is very minimal. I do a week of call and see hospital consults every 2-3 months. Ive heard others find this week to be very stressful. For me, its so much less call than I did as a resident that I find it almost enjoyable to get some variety. That being said, the nights and need to make decisions on more serious cases is MORE stressful, maybe a 3/10 for this? PGY-5 with the exam was a 10/10 stress, for sure. That was the most stressed I was in any year of my life, including med school and undergrad.
  9. Deleted, realized others had made the points I was making already
  10. goleafsgochris

    Question Regarding being "On call"

    You need to do pure outpatient work (generally) if you don’t want call. This is family, and tbh can be most non surgical specialties if you limit yourself to clinic work. Your income will suffer for it tho. Also agree with others that this is incredibly naive/childish to worrying about this before even getting into med school. It’s like a first year poli-sci student worry about privacy when they get elected prime minister
  11. goleafsgochris

    Income and Lifestyle

    Yep, pre-tax post-overhead.
  12. You need the GPA for each year of school (Year 1- 3.55, Year 2- 3.87, etc), and whether all the years were full time or not.
  13. goleafsgochris

    Income and Lifestyle

    If you want to live downtown: You need a starter home. That can be a 500k condo. Once you pay a decent chunk of that, and it goes up in value, get a townhouse or a nicer condo. Once you pay a chunk of that off, go for a bigger home, etc. Rosedale/forest hill/bridal path is out of reach for GPs but almost all other areas aren't unless you want the nicest house on the block. Source: am a neurologist 2 years out, who makes more than a family dr but not a TON more (325-350k this year likely). Bought a condo for 600k, increased in value to 900k, my partner and I just sold it and bought another condo a few months ago for 1.1M. Once you have that a 1.5M townhouse isn't out of reach. If you want to live downtown you need to be willing to sacrifice some size/space, even if youre wealthy. Of course as others suggested the option is there to move to the burbs, but I don't want to do that--I frankly don't need the space, and although you may disagree if I wanted a big suburban house I would have been a teacher and made 70k and not gone through 13 years of school. You will have options if youre a GP, but yeah it wont be a house in downtown Toronto the size of a big house in the suburbs unless you're netting CEO wages. Edit: LittleDaisy pretty much summarized this above with points #1 and #2 haha
  14. goleafsgochris

    Speciality Closest to Derm

    Wow I didn't catch this. Derm is THE highest volume specialty...they often see patients more quickly than orthopods do in their fracture clinics. I think OP may need to actually experience some of these specialties in more detail to grasp the pros and cons. "Interest in material" in medicine is nice, but cool pathology often in no way correlates to how the experience of a specialty is, and IMO is a pretty terrible way to choose a specialty if you haven't at minimum done shadowing. Take it from a neurologist, the disease process may sound cool but that doesn't necessarily mean youll enjoy doing a 75 minute Parkinsons consult.
  15. goleafsgochris

    Speciality Closest to Derm

    I agree that rheum/allergy are probably the closest. That being said...the day to day of both of those is INSANELY different than derm. I would strongly strongly recommend doing an elective in these before you get the sense they are that similar to derm, because they really aren't very similar; its more they are totally different specialties which happed to have derm findings. Same with general internal. There really is no specialty like derm aside from family with a derm-focused practice.
  16. Yeah and if anything Rahvin13 is sugar coating it. Because Mac takes into account all your grades even from your first undergrad, even if you got a 4.0 in a new 4 year undergrad it wouldn't be enough to make you competitive for Mac. You need a second undergrad to make you competitive anywhere.
  17. N of 1 but I read it (it was my only exposure to ethics at the time) and got into both schools I got an interview at. I did feel the content helped significantly in my interviews.
  18. goleafsgochris

    OHIP Billing

    Are these the codes that Family docs bill for your sort of standard office visit (like if a patient comes in for, say, adjustment of HTN meds)?
  19. Im a year out and it still feels weird. Its hard to describe how bad the royal college year is. Much of medical training is painful but that year was at least for me far and away the worst. I liked the gif essay though.
  20. I remember in med school doing a sports med elective. Even those docs didn't really base much on the exam, aside from "can the patient point directly to where the problem is." Stuff like Lachmann's wasn't really used--if they suspected an ACL tear based on the mechanism and the knee was swollen you were gonna get an MR reguardless of maneuvers. Similarly Im now in neurology, where physical exam is supposedly really important--but I only make decisions based on really really obvious physical exam stuff if at all, and as you may point out, almost all my patients come to me with brain imaging anyway.
  21. goleafsgochris

    Tattoo perception?!??!?!?!?!

    I don't think it matters at all in your average clinical setting. That being said, you need to be aware of the fact that while MOST people you encounter will not care, SOME will immediately judge you for it. (For example, I have been told before by an interviewer a story that a candidate came with tattoos showing, and they were basically laughing at the poor judgement and tossed the file). So basically- like others have said, I highly recommend covering them in interviews. And maybe in an elective where you need a letter (if you want to be extra cautious). Otherwise no big deal.
  22. goleafsgochris

    Clerkship resources

    Case files 100% for me. Read it as early as possible in each rotation
  23. goleafsgochris

    Need advice - failed MCCQE1 by 1 point

    Sorry to hear, that one point definitely hurts and would be frustrating. As others mentioned, you don't have to tell anyone and it doesn't affect residency (at least in Ontario). I would still write it in the fall. You don't need a year, I would just spend time going over high yield topics like peds, OB, psych; and maybe take a vacation week close to the exam so you have some time to cram to make sure you take care of it. Don't feel bad at all. It really is a mild setback. And at least IMO its fairly understandable to want to slack for that exam especially after matching for residency.
  24. goleafsgochris

    Physicians Who Work Part-Time

    Im neuro not psych (but Im a year out of practice and have some outpatient psychiatrists at one of the clinics I work at). Theres easily enough volume (they have impressively long wait lists), but they get a ton of no shows which is frustrating, because they are torn between just losing income or double-booking and dealing with potentially long days and long wait times for patients if everyone shows up one day.
  25. goleafsgochris

    Physicians Who Work Part-Time

    If you do only outpatient, you can in any specialty. From a neuro perspective, I have seen those that don't to hospital work do 3 days/week. Of course, you make 60%ish of the money you would make working 5d/w. Ive also seen in neuro (and psych) people choosing to do 4 long-ish days of fairly compact 8am-5pm seeing patients, meaning by the time youre done dictating its often 630-7. The 5th day is either taken off or used to catch up on some notes. In this way you get a 4 day work week and it approximates 5 days in terms of pay, which is nice because you only have to travel to work 4 times. Ive considered that once im in practice for a few more years.