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medigeek

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  1. They are the biggest threat (along with PAs) to our profession.
  2. Except in a crash situation Just do the IO.
  3. The university policy is not allowing travel back to Canada? Or do you suspect border issues (no evidence there should be any?)
  4. If your goal is rural then pick a more rural (not necessarily remote rural btw...) program. Not sure where you are but most provinces have good ones. Urban residencies tend to be more outpatient focused, but that's not always the case either. I would also ensure the elective time is there so you get more a more urban/suburban inpatient/ICU experience and get exposed to high acuity and complexity patients. USA programs are more inpatient heavy and a majority prepare you to do what is essentially GIM work in Canada. Some of the exceptionally good ones (ex. ventura county) train you for managing day to day high-acuity ICU patients etc.
  5. Huge variance. The best FM programs in USA will be better since they essentially prepare you to take care of ICU patients, Ob, etc. The very good FM programs in Canada are also excellent. Also programs can have weaknesses and strengths and you have to see if those fit your personal goals. I will admit there are some FM programs in Canada/USA that are all-around weak. Residents don't do anything beyond bread and butter stuff/constantly refer things out, inpatient training is weak, peds exposure isn't good, not much high acuity exposure in ED, Ob experience is poor etc. Those can be true for any residency but when you combine them all together.....
  6. More of a learning point since Carms happened - but prestige is almost always in your head.
  7. Good points! Thanks. How about regular CCFP. I've seen regular CCFPs sort of work through rural to medium sized community settings in the past 5-6 years. Did you see any of those during your training and how they transitioned?
  8. How does the CCFP+1 training compare to what you experienced? I figure you most likely trained alongside them.
  9. I'll add to this question. Let's assume high efficient outpatient doc vs EM doc capable of doing above average shifts vs hospitalist in a good higher earning pay model.
  10. And rewind the clock to a decade ago in the US where it wasn't that bad and another decade prior when it was even better. Your view is very shortsighted and delusional. Looking at how things are at the present time and ignoring all the other variables (legislation for independent practice, increased midlevel practice rights, increased training of midlevels, etc.) is honestly either a lack in common sense or typical Ivory tower screaming. And our "highly regulated system" also gave NPs independent rights on top of letting RNs prescribe birth control and pharmacists prescribe antibiotics. The only thing stopping them, literally, is a smaller work force than the US and being unable to bill for services. Otherwise, we'd have all walk ins staffed with only midlevels like the US. CRNAs doing half of surgeries virtually alone. ICUs run by midlevels like in the US. Hospitalists being half midlevel half physician. And new consults being seen by midlevels alone. That's the reality of the US system and there's 0 reason it can't happen here.
  11. Yeah.... no. You're dead wrong on this and are another sell out physician who led to the issue in the US in the first place.
  12. Haven't EM residency spots been very stable for years? The job market is still excellent for EM and there's a large number of old docs retiring very soon and actively retiring at the moment. So not sure how we'll get saturated... Nonetheless, my post was primarily a warning about midlevels. Need to take notes and learn lessons from the American side and not let it happen here. In USA, ICUs, inpatient services, almost all urgent cares/walk ins and even a huge chunk of specialty services are run by NPs/PAs. Let that sentence sink in for a minute.
  13. Just a sign of how things are trending in USA and what to beware of and prepare for up here in Canada. They now have their own "residencies" and are training midlevels to go out into underserved areas and work solo. Even the "supervision" models are nonsense and no physician ever checks their work. And to add insult to injury, these guys are training (aka stealing procedures from actual residents) and getting paid more for it.
  14. Lol and they complain about having "tough jobs" as if everyday people have easy jobs. Like they don't even work the full 6-7 hours they're there. They have their prep times, recess, lunch... it's insane how little work they actually have to do during the day. Then complain about grading and other stuff, like duh? It's a stretch that they even work an actual 40-45 hours and even if they did work 50ish hour weeks - they'd still be extremely well compensated. They continue to milk this and have no shame. And if it's all about class sizes, how about a 10% pay cut (which would still leave them with exceptional compensation) along with smaller class sizes? Would they accept that?
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