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Everything posted by NLengr

  1. NLengr

    Where to pay tax?

    Go to an accountant (one who deals with medical professionals). Let them deal with taxes and the headaches associated with them. When I was a resident and fellow I paid taxes in the province I was working in, as opposed to my "home" province.
  2. Just ignore all the rural medicine promotion that the med schools get on with. They're trying to address the need for rural physicians. If rural living isn't for you than just don't apply to rural residencies.
  3. NLengr

    LOC after Residency

    I'm with National for my LOC and mortgage (I swapped the LOC as leverage to get a better mortgage rate). I did that during my fellowship. They just swapped mine over to a professional LOC. Same rate.
  4. To me anyway, dermatology seems like the most mind numbingly boring specialty on the face of the earth. My specialty is well compensated but I have come to realize I value time off more than extra cash. I could make more money if I spent more time working but I'd rather play hockey, hang with my family/friends and drink beer instead of banking an extra 10k a month. I think it's pretty common for a lot of staff.
  5. For residency, the royal college will require you do research as part of your training. No matter what specialty you go into you will end up doing research during residency. How much and how intense is basicaly dependent on the program. Once you are in practice its a different story. You can get a community job and never do research again (although some community people voluntarily are involved in some research). If you decide to get an academic job, then expect to do some research. The university will require it. How much you is dependent in where you work and what kind of job you are doing I inside your program (are you research focused, admin focused or teaching focused).
  6. NLengr

    PULSE 360, Coaching, and the Disruptive Physician

    Used it as a resident. It's garbage. Little more than a way for people to bitch about each other and take out petty issues. Nursing and allied health have very little idea about what its like to be a resident, fellow or staff. They complain about inane, pointless things and often evaluators will contradict each other. I would frequently get told on the same feedback sheet that I returned pages promptly and also took too long to return pages. Comments like "smile more" would be mixed with comments like "cheerful". Just clueless or contradictory statements. Absolutely not helpful at all. And filing them out for other people was just as stupid and pointless. I'd frequently just make silly or non sense comments to get them done as fast as possible (here's a tip: residents are busy. They dont appreciate adding pointless paperwork). I dont know a single resident who took them seriously. I found the entire process completely useless and so did every resident, fellow and staff I worked with. Clearly something dreamed up by some HR moron looking to make a quick buck off hospitals for doing essentially no work. Reminded me of the clueless policies and statements I would see coming out of HR when I worked in industry before I went into medicine. Giant waste of money for the hospital and university. Giant waste of time for everyone involved. /summary: one of the most useless things I participated in during my training.
  7. GTFO asap before someone changes thier mind.
  8. Commute to work is pretty short (7 minutes and I live "way out of town" according to most people who live here). If you are a rural specialist you can probably do more than a non academic urban specialist if you want to. In urban areas that have academic centers, community based specialists may end up referring more cases into the teaching center. The counter to this is if you are rural you have less back up so maybe you don't do some cases the urban guy do for that reason.
  9. My fellowship encouraged moonlighting to be honest. Learning to operate all on your own with being the person ultimately responsible (as opposed to the fellow) is an excellent teaching experience in itself.
  10. Of course most people would prefer to stay in Halifax. That's the reality of life in Canada. Most young people have no desire to move rurally. This is especially true in Atlantic Canada. As someone who works a rural practice, I don't blame them. It's hard live in a rural location, let alone to be a rural physician (or any professional for that matter). Except for a minority of the population, people don't like living in rural areas. I hate it. I have zero interest in staying rural. I am only here because I needed the job (my field has a tight job market). As soon as I get the chance I'm moving to a bigger center.
  11. Half the ER staff at my center are gun nuts. Nobody cares.
  12. Radiology and Optho are consistently mentioned as areas that are being targeted for "compensation realignment" (or whatever political mumbo jumbo they call it).
  13. I don't think adding USMLE type scores into the Canadian Residency match help anyone to be honest. 99.9% of people in med school are smart enough to finish residency. 99% of people have the work ethic to finish residency if motivated. The tests are looking at general medical knowledge, not knowledge specific to a specialty. Just cause you are good at memorizing general medical knowledge doesn't mean you will be a good surgeon or psychiatrist. The skills and thought process are just so different.
  14. NLengr

    OMA Membership vs CMA membership

    CMA had a ton of textbooks and journals online. Also some discounts on stuff. As for MD financial access, I don't know of this is true anymore. The CMA recently sold MD Financial to Scotiabank (don't get me started on that deal.....) in order to focus on advocacy (again, very stupid in my opinion). Scotia said a CMA membership would no longer be needed to access MD Financial I seem to recall.
  15. NLengr

    Orthopedic Surgery

    The Royal College is way harder than the US boards, at least in my specialty.
  16. ENT and urology are also tight on jobs. According to the last Royal College report anyway. Pretty much just assume that: 1. Any academic job will be hard to get 2. Any surgical job will be hard to get
  17. I used to buy lottery tickets when residency got really tough. It was a marker of how stressed I was.
  18. I honestly wonder how many people would have quit during residency if they didnt have the debt stopping them.
  19. NLengr

    Pre-clinical vs Clinical years

    You don't really need to learn doses ever. You just use an app if you need to know and you dont have them memorized from repeat usage.
  20. NLengr

    Working during CCFP-EM fellowship

    At my center (rural secondary hospital) we have the CCFP-EMs come through for a month of anesthesia sometimes. I have seen at least one of them pick up an occasional ER locum shift.
  21. This one seems more interesting because, from what I can gather, they are offering med school seats to people prior to undergrad starting. Kind of like that Queen's program (but with different program criteria obviously). Someone can correct me if I'm wrong.
  22. So are you good if you move out and do a 5 year undergrad living on your own? Or are they tied to your parents income no matter what?
  23. I didn't I got paid purely based on assist fees and covering cases off the board prn. Didnt do any call (although I could have covered staff call if I had wanted) or locums. Made about 120k I think. It was a pretty sweet year. But I know other fellows who took a 20k pay cut from PGY-5 salary and had to cover call as basically a staff without getting any extra pay. Staff would scoop up all the cash. Fellowship varies depending on how big of jerks the staff are. Hahaha
  24. NL spent like drunken sailors over the past 10 years because of oil money.
  25. They already look a a pretty diverse set of measures to determine admission. Objective criteria like grades and MCAT count less than they ever did. A bunch of weight is put into MMI answers, ECs etc. You are free to tell your story of personal financial struggle, illness or tragedy in the application. It gets considered in the mix of everything used ti decide in admission. Nobody is gonna start mandating seats are set aside for people based on family SES. Also, do you have any proof or studies to back up your assertion that a large number of students admitted to med school were motivated to apply for monetary reasons? Because based on my experience, the majority of people who I see entering medical studies aren't primarily motivated by money. I'm gonna call BS on your claim unless you produce some proof.