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Everything posted by NLengr

  1. Elective performance. That was 99% of our matching algorithm. Key features: 1. Work ethic 2. Fit/likeability. 3. Knowledge base re: specialty Everything else counted for very very very little.
  2. Smaller surgical specialty. Most desirable program in the country for our specialty. Consistently got our top picks. I say that in the past tense because I'm not there anymore.
  3. In my experience picking candidates for my program, we didn't care about ECs. They didn't even come up.
  4. If you are down to a couple, I'd honestly just pick whatever city you would most like to live in. Especially if you have already decided you want a 4 year program. None of the schools will give yoga. Bad education if you put the effort in. I'd pick Queen's or UBC to be honest. But that's literally based on the fact that I love Victoria and Kingston.
  5. But the hospital is set up to be fully integrated with the iPads which is why it works so well. The utility of a tablet completely depends on your hospital.
  6. Don't forget if you go to Mac you also start working a year early, so that's an extra 250k+ of earning.
  7. Rads is kind of different than most specialties for the ER though. You need the imaging to make a diagnosis so that you can decide on a treatment plan. It makes some sense to have staff on overnight. The dumping I am talking about is the midnight call for stuff that in the community would wait till 8 am or be managed completely by the ER doc alone (stable kidney stone, minor lacerations, stable pyelo etc). Specialty staff will never tolerate the kind of crap academic ERs foist on the residents. If you have surgery or IM staff covering the pager solo, I guarantee that ER would be holding a ton more pages till 8 am or dealing with things themselves (if not you'd have specialists ripping into ER docs non stop). After seeing what my ER docs handle by themselves here in the community, I sometimes joke that the academic ER at my residency and fellowship sites was little more than a switchboard for calling specialists in for help.
  8. Is that a situation where the staff is doing call solo or do they still have the slaves doing the heavy lifting during the call? It's very different to do solo call alone as a staff than it is to do staff call with a resident protecting you from the crap.
  9. The issue with any idea about reducing resident calls is the calls still need to be covered. So you need to hire an NP or physician assistant or something to do that. Fat chance of any academic physician ever taking first call. The academic specialists would never accept it (they became academics partly to have resident servants, I mean learners) and the ER would never accept it (it's a lot harder to dump crap consults on to a staff).
  10. I had to interpret pathology slides during my royal college exam. I'm a surgeon.
  11. NLengr

    Calling other professions Dr?

    All the staff I work with (docs, nurses, social workers, secretaries etc.) call me by my first name. I correct them if they don't. Hate people using my formal "Dr. X" title when they are just speaking to me. I do introduce myself as Dr. X ti patients though.
  12. NLengr

    Music For Studying?

    I used to listen to "Classical for Studying" on google play music. Occasionally I'd listen to Celtic or NL music without lyrics. /Royal College studying flash backs....
  13. So does Newfoundland.
  14. Work is bad. I am very busy. I have limited inpatient support. So if I am on daytime call for the weekdays (which I am every second month for the whole month) and I admit someone during the week, if they are still there on the weekend i am stuck looking after them over the weekend. The result is I lose my weekend (can't drink, can't leave town). It's been over a month since I have had a weekend where I didn't have to go to work for at least an hour Saturday and Sunday. I am also on call for half my province overnight and the weekend for 1 week a month. I got stuck with Friday and every second Monday for my ORs. Which sounds great but unless I do day surgery cases only on Friday, the weekend is shot once again. The other problem with those days is it prevents me from leaving town and heading back to my home city for the weekend (4-5 hour drive and we have kids). Even if I get lucky enough to not have an inpatient for the weekend I can't be driving my kids over a rural moose laden highway in the dark. So I'd get back to my home town at noon or so Saturday and have to leave noon Sunday. If you have kids, you know this is a terrible idea. To make things worse we have a general surgery group of 4 who cross cover each others in patients on the weekend. But they get the good OR days (Monday, Tuesday and Wednesday) even though they don't need to worry about losing a weekend. They brought a new general surgeon in after me (someone had left) and that new surgeon got a nice OR day because it was "general surgery" time. Health Authority here is bad. I had some nurse administrators and beaurocrats make major changes to the care of patients that I was MRP on without anybody telling me (I only found out the next day on call). There is zero support from the authority for me. They keep me in the dark regarding major issues that affect my ability to provide patient care. I have been asking for new equipment for my ORs to bring us up to modern standards. They dragged their heels so badly it affected patient care. They still haven't solved the problems. And they put a request for proposals out for equipment without confirming what I needed/wanted. It was so bad they actually decided to order equipment I said I didn't want (substandard and outdated) because they didn't want to change a TV screen unit in one of the minor ORs. They didn't bother to tell me. I only found out about that plan by fluke. As for the town, it sucks. Economically stagnant (the one major private industry that sustained the town closed its doors about 10 years ago). Very few stores beyond Walmart, Canadian Tire, Home Depot type store, Home Hardware etc. No decent restaurants. Zero. Not much to do for entertainment at all. No decent bars. Nothing to really do for a date night between myself and my spouse. Little for my children to do beyond the basic sports and dance classes. As for me, it's not easy to even find adult sports to do (i have one game of hockey a week but I would play a lot more if I could but the opportunity isn't there). The town is a hotbed of gossip and pettiness. Because we are from outside town it's hard to break into social groups. We mostly hang out with a few other MDs who are also imports. And because it is so hard to get back to our home city we rarely get to see our long term friends and family who live there. So yeah, it sucks all around.
  15. The thing is I want to be able to stay but honestly everything is just too crappy here.
  16. I agree here. I work in a rural practice. It is hell. Too busy, nothing to do here except skidoo and fish, little for my kids here. I am actively looking for a job elsewhere even though it means leaving the province I love.
  17. He liked alcohol and freedom. His wife really preferred Canada. And his kids were canadian.
  18. I know one who stayed. Did a surgical specialty, then two fellowships. Took a job in Ontario after. Not sure how he convinced the Saudi govt. to let him out of his contract but he did. Really nice guy and he really really dreaded the thought of going back to Saudi.
  19. Nope. Government wants you paying them back. Cause the government is idiots when it comes to medical training and loans. Quebec and Alberta loans may be different.
  20. Call student loans and tell them that's what you want. They'll ask you about repayment assistance, which you likely won't qualify for since they dont count bank debt from med school as real debt and you make an income. Once they figure that out, they'll do what you ask.
  21. I also agree the quality of training outside of first world countries seems to be incredibly variable.
  22. Alledgedly (although I have heard this from several different and respectable academic physicians involved in UofO residency selection, so I think the info is pretty reliable but use your own judgement): It's a spot that the university forced on the program (it was done to multiple programs at UofO). None of the programs wanted those IMG spots. So what is done is to make the IMG requirements so extreme they are almost impossible to meet. Then you go back to the university and say there was no suitable IMG candidate. It goes to second round and you get a CMG. The university gets extra money from the province when they match an IMG to that spot so the university would rather fill those IMG spots with IMGs/CSAs and let a CMG go unmatched. Multiple programs in the university were doing the same approach for years but UofO told the program directors if the IMG spot wasn't filled by an IMG they would take away a CMG spot the following year. So most programs had to start taking IMGs for those spots to protect their CMG spots. I don't know how derm has gotten away with still doing it every year. Connections maybe.
  23. Memorials tuition has been the same since I started in 2007. Regular undergrad is also very inexpensive there. The province has a longstanding policy of keeping tuition very low to attract students.