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NLengr

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NLengr last won the day on February 15

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  1. Had this conversation on the weekend with an in-law of mine who is a psych. Story I got was that even in Ottawa, it's not hard to find psych work as the demand outstrips the avaliable supply of psychiatrists. My in-law knew a person who just received a staff job at the tertiary care hospital in Ottawa without a fellowship.
  2. Personally if someone says they can't write a great letter, I wouldnt get one. That's them diplomatically saying they don't want to write one.
  3. Have you also wanted to be unemployed for as long as you remember? seriously, neurosurg has terrible job prospects. Most of them I know ended up doing multiple (2-3) fellowships, Master/PhDs and still had difficulty finding employment. But, I agree with everyone above: you need to go to the OR and shadow. That is the first step to see if you like surgical specialties at all. Personally, I'd recommend trying a couple of them (neurosurg isn't you typical surgical specialty).
  4. Yes. Very smart idea to make contact as early as possible. Make sure you do electives in places you are serious about if it is possible. You want to experience the place for yourself. Make sure they aren't painting an overly rosey picture of the place. Speaking as a parent, I'd say being within 2 hours of family is a huge difference to being 4 hours from family. 2 hours or less can easily be done as a day trip back and forth. 4 hours requires an overnight stay 90% of the time. But 4 hours is better than 14 hours.
  5. I agree too. My thoughts would be to decide what you want to do with your life outside of medicine and then pick whatever job facilitates that life. I would strongly emphasize that if you have any desire at all to work in a certain location in the country, pick something with a good job market and lots of flexibility (family, psych, general internal etc). Picking something with a less than good job market runs a HUGE risk of being stuck working in a town/province you hate. Trust me, you don't ever want to be stuck in that situation. Work will get old quickly and you will still be stuck somewhere you don't want to be. If you want to have kids, these concerns should be near the forefront of your mind. Family support close by is immeasurably valuable.
  6. Do you like doing 6 years of residency, 2-3 fellowships (for an extra 3-6 years of training) and a PhD followed by fighting for the one cardiac surgery job in the country available in Newfoundland or Saskatchewan or Manitoba which you can never leave if you are lucky enough to get it, due to basically zero job market/mobility? If those things don't sound like the most amazing time of your life, stay the hell away from Cardiac Surgery. Hell, if you like a reasonable job market and not having to do pointless extra training, stay away from any surgery. If you like physiology, pathophysiology and disease mechanisms, you are probably more suited to internal. We tend to be less focused on those ans more solution focused in surgical specialties.
  7. Teachers unions in Ontario are very very used to being coddled by the government. Essentially Mcguinty bought them off every election with sweet contracts so they would vote liberal, which they did in spades (and thus kept a terrible McGuinty government in power far longer than it should have been). I don't expect them to suddenly become less demanding of the government just because the Liberals are out. They are used to being appeased. Nursing unions are no better on the behaviour front imo. And I agree with blah1234, doctors are more concerned with screwing each other over than with helping improve the situation for all physicians. Crabs in a bucket mentality. We really are the worst profession when it comes to how we behave towards each other. More honour in a room full of lawyers.
  8. One way record all verbal interactions with the university admin from here on out. And make them put things in writing if possible. Assume they will try to screw you over so you need to protect yourself.
  9. On the up side, every center I have worked in that offered IR didn't have a floor to admit IR patients to. So there was no inpatients to worry about for the radiologist. Show up, do procedure, leave. Someone else is answering pages about grandma's tylenol at 3 am.
  10. NLengr

    .

    Sask also has a pretty strong economy so relative to other provinces, they can afford to pay more to attract and keep people.
  11. So much of this (in all programs, I'm a surgeon and I saw the same behaviour from universities and academia). You are a cog in a machine that, as far as most universities and many academic staff are concerned, exists to advance their career, secure extra money (earning or grants) or lessen their workload. The quicker you learn to trust nobody in medicine, the better off you will be in the long run.
  12. The urology spot at Ottawa was traditionally a forced (by the university) IMG seat that the program wouldn't fill first round if there was no acceptable IMGs. It used to be left unfilled some years but due to university politics over the past 5 years or so they fill it with a CMG in the second round if it is unfilled by an IMG. Universities in Ontario used to love IMG seats because they got extra government funding vs a CMG seat (Don't know if that's still true under the conservatives). The universities were so concerned about the extra money that I know programs at my residency institution were told if they didn't fill an IMG seat because they didn't have the capacity to train the CMGs + IMG/CSAs, the university would cut a CMG seat that year to ensure the IMG/CSA seat got filled.
  13. The case fatality rate will likely continue to drop with time too. There is probably a large pool of people who were infected but never sought medical attention, so were never counted when calculating case fatality rate. I was in med school for the 2009 swine flu outbreak. Initial reports put the fatality rate at some crazy number like 30%. Turns out it was far far lower.
  14. So glad I am a staff now and don't need to start at 6 am anymore. For the record, I'm community based so it's not like I have residents to do my rounding at 6 am either.
  15. Christ, I went into the wrong specialty.....and I'm in a fairly lucrative surgical field.
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