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NLengr

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NLengr last won the day on October 13

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About NLengr

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  1. I could use that now. Everytime I sort the recycling I end up asking my spouse at least once "do we recycle this here?"
  2. Our division head during residency had an MBA and a passion for administration. He started doing a couple half days a year on business topics (incorporation, finances, practice set up etc) which were well received. But that involves someone having to take the initiative to do those kind of lectures and unfortunately, all programs don't have such a person. Personally, I think the RC and CCFP need to step in and require X amount of business training per year (say 6 hours or something). Then leave it up to the programs to figure out how to supply it. As for the lack of human resources knowledge, part of it is probably due to the fact that the academic programs and universities are the major players in allocating residency seats. First, they have no major interest in making sure our human resource supply meets our needs. Second, academia does a terrible job of putting people with business type skills into leadership positions. At my residency university, the main criteria for getting promoted in the administration was publications and research. It was so bad, our division head had to fight the university to get promoted to the leadership position, despite an MBA, experience creating and running a journal and experience leading our national specialty organization. But he wasn't churning out esoteric research papers, so the university couldn't see how he would make a good leader. You end up with guys who are really good at research being put into leadership roles for which they have little to no skillset (or interest in developing that skill set) and as a result, the leadership is ineffective much of the time.
  3. Because we are total shit in medicine when it comes to human resources planning, finances, mentoring etc.
  4. Yes. Highly involved in my program when I went through. If you didn't have the residents support your application, you were dead in the water. Truth be told, the only people who matched where those ranked highly be the residents and the staff.
  5. In Ontario I always understood those non saudi IMG spots came with extra provincial government funding for the university vs a CMG spot. And the university likes extra cash a lot more than they like helping their students.
  6. I've also never voted conservative in my life. Only voted Liberal or NDP. But spending 2016-2017 with the liberals calling me a tax cheat over and over has soured me on the Trudeau liberals.
  7. Considering the massive tax bill I now pay every year, I am putting lots of money where my mouth is.
  8. Did the CBC vote compass last night. I ended up tied between the Liberals and the Conservatives. /pain of being socially liberal and financially conservative..... //Trump impeachment keeps distracting me from the Canadian election.
  9. Speak for yourself. I was recently called in the middle of the night for a trauma patient with life threatening intra-abdominal bleeding. Luckily I have memorized the entire Krebs cycle. It was the only thing that saved his life..
  10. If too many people fail, they will just adjust the marking scheme/curriculum. They will realize that something is wrong in that case because they know you guys aren't a bunch of idiots. Again, you'll be fine as long as you aren't at the bottom.
  11. Well, they can't fail the entire class. So it's like running from a hungry grizzly. Just don't be near the end of the pack. /not comforting but true.
  12. I also agree that scope creep could be a concern. For the record, in my health region, we definitely have an easier time getting NPs to go to very rural small population areas than MDs. Part of it may be the fact that there aren't a ton of NP jobs around here so if they do want to work as an NP, they end up going to a very rural location. I'm sure the independence is appealing for them too.
  13. I agree they are pretty much the only option for extremely rural or remote communities. Many places are just not economically feasible to have an MD in, on top of the fact that pretty much no MD wants to live in those places (and if they do try it they almost always move within a few years) making recruitment a massive and ongoing issue.
  14. That's because as the MD, the buck stops with you. You are the one ultimately responsible for the patient. When you aren't the one carrying the ultimate responsibility, your outlook and behaviour tends to be much different.
  15. I always say there is a 1:3 ratio of nursing. For every nurse that works like a dog, three others do as little as possible.
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