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NLengr

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Everything posted by NLengr

  1. That would be my worry too. If they brought back a rotating internship and a GP license, this plan would make a lot more sense. Plus fix a ton of issues with CaRMS. But, alas, it will never happen.
  2. NLengr

    Dermatology as IMG

    Like winning 649, it's possible, but not very probable.
  3. What's the logic behind this? Has anyone heard it officially? Is it a case of trying to increase the match rate (since the match is getting tighter)? Is it to try to diversify education (which is a very stupid way to do it imo)?
  4. This profession is nothing if not full of idiots and bullies. Fuck em, although I expect the people from your middle school years have probably matured a bit since then.
  5. NLengr

    Preparing meals in med school

    My hospital is pushing to add a "burnout review" to our annual evaluations. I expect it will be 100% bullshit with the hospital blaming physicians for any "burnout" identified and using those results vindictivly against us. I have zero confidence it will be helpful in any way shape or form and can only be hurtful. I can't wait for some non physician administration moron to lecture me about how to be a surgeon.
  6. Oh I agree. My program has a clerk not show up at all for a 2 week rotation and it still was impossible to fail them.
  7. Honest to God, what kind of douchebag blowhard academic physician fails a visiting clerk on their first rotation? Unless you walked in on them stabbing a patient to death, just give the kid a 5/10 (or some middle of the road grade) and a couple comments on areas to improve.
  8. NLengr

    Preparing meals in med school

    Agreed. If they actually cared they could simply stop treating residents like indentured servants.
  9. It's a fine line between being known to the program and being annoying to the program.
  10. NLengr

    Preparing meals in med school

    They were incredibly demeaning and a waste of precious time. The self care lectures are just done to check a box and pretend the university and hospital care about residents. When the royal college or accreditation Canada or whoever comes by every few years they say "oh yeah, we deeply care about burnout and overwork. We provide teaching about it". But the university/hospital never really takes any resl action on their end to help residents.
  11. NLengr

    Preparing meals in med school

    I married a non physician with a passion for cooking. Hahaha
  12. NLengr

    2019 CaRMS unfilled spots

    In my province at least, the places NPs have replaced family docs are places so remote you could easily argue they shouldn't have a physician there anyway due to a tiny population. In those cases, an NP provides a useful intermediate between a full physician and a RN (or nothing).
  13. NLengr

    2019 CaRMS unfilled spots

    The thing is the government prefers NPs vs physicians. They don't care about quality of care. NPs are employees through and through. They are used to being in a subserviant employee role from thier time as nurses. They don't question what the government says/does, they don't complain publicly, they don't push back against stupid decisions and they don't question government interference in clinical decision making. Politically for governments and health authorities, they are much more favourable. Never make the mistake that health authorities or the government actually care about patients or outcomes.
  14. NLengr

    2019 CaRMS unfilled spots

    Regrets right here. Although mine are driven by issues that arise after residency (terrible location of my job, inability to change jobs due to lack of avaliable positions, bullying and/or incompetent coworkers, negligent/incompetent health authority etc.).
  15. NLengr

    Preparing meals in med school

    Frozen meals made on the weekend are the shit. We even do this now when I am staff for the weeknights. Between an unpredictable schedule and our kids, the time to plan and prepare a meal on a weeknight can be hard to find.
  16. NLengr

    2019 CaRMS unfilled spots

    ROS's do shit all to solve rural recruitment issues long term in truly rural areas. People wiggle out of the ROS or leave the rural area as soon as it is up. You just end up with a revolving door. The issue with rural recruitment is most rural places are dying towns with little on the go to do in your downtime. People (not just physicians) just don't want to be there. I should know, I'm a rural surgical specialist and I HATE working in this place.
  17. NLengr

    2019 CaRMS unfilled spots

    Sweet jesus. That's nuts.
  18. NLengr

    2019 CaRMS unfilled spots

    Medicine is a case of you are trading pretty much all flexibility involving location, pay and work environment for extreme job security. As for residents vs investment bankers (etc.), I don't think anyone has pointed out that bankers are fully lisenced independent workers. Residents can't work on thier own legally. From that point of view, comparison to a staff surgeon is more accurate.
  19. NLengr

    2019 CaRMS unfilled spots

    You need to survive engineering school, which is no easy feat. Back when I did my engineering degree over half the people who started with us failed out. Attrition rate >50%. And that was among the people who actually got into engineering school. Law is also another field where I hear it is flooded with too many students right now.
  20. NLengr

    2019 CaRMS unfilled spots

    But I learned so many long and pointless lists!!!
  21. NLengr

    2019 CaRMS unfilled spots

    12- 24 months of non stop work and studying. Like literally work for 8 hours, then study for 6 when you get home. Every weekday. Weekends were 8 hours of study each day. It was actually insane. My wife was a single mother for the year.
  22. I would imagine it's more important than medicine since it's a competative, private, industry. It's hard to choose your family doc, almost impossible to choose your specialist, but very easy to choose your dentist.
  23. And yet, somehow, we have terrible interpersonal and communication skills by the time we finish.
  24. This is also my belief. I knew some residents (in other programs, not my own), who probably shouldn't have been able to be surgeons and in every case it was because of a inability to make proper cognitive decisions, not because of lack of technical skill. I wish the GP option still existed like someone mentioned above. It would give people so much more flexibility to get out of crappy jobs/no jobs. I would certainly strongly consider closing my current surgical practice and working as a GP right now (either part time with occasional locums till a better surgical job comes up, or permenantly).
  25. Or just lucky. There is always some lucky person who the circumstances just work out for.
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