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NLengr last won the day on February 18

NLengr had the most liked content!

About NLengr

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  1. Specialty dependent. In my specialty, the academic guys don't make much less at all. Plus they have a way easier life on call and on top of that they don't really need to look after post ops, ER/floor consults, patient paperwork, dictation etc. The pay cut is a trade off for getting the services of residents/fellows.
  2. Plus they have slaves (wait....residents and fellows) to make their clinical work and call much easier.
  3. Lots of academics are ffs too. The difference comes down to the fact if you are researching or teaching you can't see as many patients per week or perform as many procedures per OR day. You also tend to see more complex cases (which take longer to see) because you are in a tertiary care center.
  4. Agree 100% with rural care being a liability for the system. Rural Canada is dying slowly. The rural population is aging. And it costs much more per capita to supply care to rural populations. As for rural vs. urban outcomes in emergencies or acute situations: they are worse. Everyone knows it. You just don't have the resources rurally. At my center (rural center 4.5 hours from tertiary hospital) you aren't getting PCI or neurosurgery if you have a big MI or a head bleed. That's just part of the tradeoffs you make when you decide/have to live in a rural area. (I say have to because many of the docs here, including myself, would never choose to live here if we could help it).
  5. I agree. I would also report to the CPSO or whoever if you believe someone is passing themselves off fraudulently as an MD. As for knowing more than an NP as a resident, I am also in agreement with that. I'm a FRCSC surgical specialist and I still know more about general medicine than most, if not all, of the NPs who work with me.* Most lack a shocking amount of medical knowledge. When I was a resident, I knew even more general medicine. In my experience, NPs are like early to mid year R1's with an independent practice licenses. * Alternative explanation: I work with idiots....
  6. Agree. 70k is not worth 3 years separation.
  7. NLengr

    NP vs. FP

    In my personal experience (and that of a few of my co-specialists I am told), the quality of the consults coming from our local NPs is generally lower than what comes from our family docs.
  8. I actually have some disability through OMA and some through another company. There was some reason we set it up that way after the kids where born but for the life of me I can't remember why.
  9. Once you incorporate your taxes and financials become much much more complex. You need professional advice. It is well past the point of doing it alone.
  10. Yeah that really does suck. I hope you can get home at the end of it all if that's what you want.
  11. I thought the same thing. 70k is a pretty low debt level for the end of med school.
  12. More family med spots wouldnt be so bad if there was a decent way to re-enter the match or change specialties later on. Right now carms is a one shot deal essentially. You are almost stuck with whatever you match to for the rest of your life.
  13. I have never heard of anyone learning that in residency either, no matter what the specialty. At best, you get some very superficial education. I know I didn't get much at all. I learned it all myself, from my colleagues or from my parents (my family had a small business before my parents retired). Most physicians in general are business owners. The majority are still FFS or AFP.
  14. I have always used a local firm that specializes in physician taxes. One was a moderate sized firm when I was a resident/fellow. No issues with them and they were well versed in physician/resident tax issues. Now that I am a staff, I am in a different province. I use a small firm that basically solely does physician accounting. The guy who owns it is very good (works as a consultant to CRA too). Costs a bit extra but I am willing to pay for knowledge. The best way to find an accountant is to ask around to other staff who they are using.