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rogerroger

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rogerroger last won the day on September 9 2017

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About rogerroger

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  1. I don't know if this WAS accurate historically. But I can spot huge differences from the reality of what I know first and second hand. Another thing, huge variations occur. What you take home can swing by +200K within a province and between provinces within some given specialties depending on location. So big caution on using averages... But I strongly believe that regardless of your specialty, if you want to figure out ways to crush "the average" you can do it. Just need to be creative. You can also decide to work a minimal amount and live comfortably as well but be well below the average. Take home point, take such numbers with a big grain of salt.
  2. rogerroger

    Working during CCFP-EM fellowship

    After watching those CCFP-EM folks as an FRCPC-EM resident, I can't imagine working. The CCFP-EM year is intense and super short. You gotta be a knowledge sponge. I would focus on learning as much as possible and forget working. This way, after those months are up you can hit the ground running in the ED. I imagine you would probably thank yourself for doing so once you are finished the program.
  3. I was over 150K after debt consolidation at the end of med school. I paid my own way with minimal assistance. Depending on where you live and circumstances you can hold your debt at about a constant level or chip away at it as a resident. Now as a staff it is MUCH easier to pay off. What I paid off in a year as a resident I could pay back in weeks as a staff. I think under regular circumstances most people can pay off med school debt in 1-2 years without much trouble if you live like a normal resident. Really has not been a burden. So unless you have debt well above the norm, interest rates go way up (they will - so be mindful over the decade) or have some special circumstance, don't stress too much about sub-200K med school debt.
  4. I would argue that if a candidate is willing to take "any" specialty in "any" location they will almost certainly match if you are a reasonable human being producing CO2. But this bar is pretty low. You are really scraping the bottom of the barrel of expectations in this scenario. People should have "very good" chance at getting a 1st, 2nd choice specialty they love. This should not equate to "must do" family medicine in some northern place as a backup either. Happy careers and inspired clinicians are not born from such tactics. But it will mean this for more and more medical students. This will continue to be the case until both (1) funding and (2) political will, changes. If you are going into medical school in 2017, you best be ready to do family medicine in a non-major urban center. There is a growing chance you won't have a choice in the matter. You might be told differently, but this just does not match the numbers, political will, money or trends. FYI. Removing IMGs from round one won't stop this process either. It might give some temporary relief. But it won't fix it. There is a general trend here and the root cause is due to too many CMGs being produced. This is a byproduct of the previous decade's policies coming to a head.
  5. We did, imbedded in the first few weeks of medical school. It was the epitome of useless.
  6. This is the new reality. You could predict this happening back in 2011 if you looked at the numbers. It will only get worse. So buckle up. In the late 1990s everyone was all worked up about physician shortages. So the politicians increased funding for med school seats. This got votes. This continued from the early to late 2000s. Residency spots also increased at a slightly less rapid rate from the 2000s until around 2008. When the funding dried up in 2008, residency spots stayed static or decreased. Meanwhile, med school seats continued to be expanded. IMG reforms exacerbated the situation. Canadian IMGs were increasing, and they were strongly advocating for a seat at the first round table from the early 2000s onwards. Now a decade out all of this is coming to a head. There is little incentive politically to open up residency spots in big cities or in smaller programs (with some special exceptions). The political incentive is actually the opposite. Force medical students into under-serviced areas in under-serviced specialties. So don't expect anything to change until the funding situation changes AND the political impetus changes. If you are going to med school today, you gotta be realistic about this reality and more importantly, okay with it. Otherwise, there are other options out there with greater freedom and less risk.
  7. rogerroger

    Extracurriculars

    Research won't make or break you IMHO. Clinical skills and personality come first. But if all other things are equal, being skilled in research (something a single publication in a non-related field probably won't reveal), certainly won't hurt you. I think research in med school is best viewed as a strong EC.
  8. rogerroger

    Why not family med?

    Old post but just noticed this response. If taking great satisfaction in successfully managing multiple critically ill patients gives me a "complex", then I will wear it with pride. But if you or a loved one ever require the services of my colleagues or myself then you should be thankful such career satisfaction is found in these trying circumstances. Otherwise there would be few people around to help. Such motivations are found often in critical care, trauma, emergency medicine and many other specialities that manage the most acute patients day and night. Such motivation is every bit as valid as those who enjoy building longitudinal patient care relationships etc. in family medicine or elsewhere. Different people like different things. It is a good thing it's like that considering the diversity of care settings existent.
  9. rogerroger

    Discussing social/medical issues

    CMAJ published a bioethics series in the 2000s. A must read for all applicants IMHO. I posted the link a few times in the past. Search my posts if interested.
  10. rogerroger

    Mind blowing stats.....

    Might be interesting to see what happens if adcoms agreed to anonymize regional geography of the applicants. Won't happen though. That dog won't hunt politically with the provinces. I imagine the CaRMS meat grinder could meet regional needs by brute force if need be. It already does this somewhat. Its an interesting philosophical argument that goes on often in post-secondary education. Social needs versus most qualified applicant. I tend to favor the later. But get the argument against this.
  11. rogerroger

    Undergraduate Grades

    Sympathies for those that need to submit undergrad transcripts. Using such a measure to rank or assess post-grad applicants is totally divorced from modern assessment theory and evidence. Would almost make me want to forget applying to the program. Evidence for doing things in education and medicine is important...
  12. rogerroger

    Extracurriculars

    Here is my perspective from the other side of the CaRMS file review curtain. Importance before interviews from most to least: electives at program applying > LOR > electives in speciality > published research in speciality > other electives > published research in non-speciality > EC's in med school > grad school stuff > anything else before med school > other misc. interests etc. How important this is depends on your desired speciality and program. Keep in mind my experience is with a program that accepts a handful of people from over a hundred apps. So adjust what I'm saying to your situation. Want one of the top 5 competitive specialities expect many many people to have apps strong in the top most important things listed above. Somewhat the same in a top desired program in most specialities of average competitiveness. For those interested in a less competitive speciality and / or flexible in program choice - just appear to be a normal human in person on electives. The listing above is much less important.
  13. Advice. Don't be like me. Over a dozen letters, two specialties. I procrastinated and left only 72 hrs. Four days before I broke my arm skiing and spent lots of time sitting around as a patient unable to write anything worth sending. It all worked out in the end. But was very unpleasant at the time. Be kind to yourself and finish this early.
  14. rogerroger

    ROMP Electives

    I did a ROMP elective back in the day. It solidified my desire to never go rural. It was useless for CaRMS with the exception of giving me expirences to talk about for staying in urban locations. So maybe some unexpected and limited usefulness for some specialities and locations.
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