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medigeek

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  1. If often means you're doing just fine and they're probably not paying super close attention. Picking up that a med student is doing super well is kind of tough in all honesty.
  2. I agree and this is a universal issue. Only a minority of programs truly maximize resident training. But I don't think we should willingly just give things up. You can learn stuff on the fly, same as how midlevels do. And I don't think committing a profession to managing algorithmic hypertension and diabetes is the best way to go in the era of technology and proliferating non-physicians. Easy tasks are much easier to replace.
  3. How about instead of letting non physicians take over our role, like they do in the US, we keep our current duties?
  4. We're slowly losing everything, why give up another role?
  5. Maybe if it's X number of weeks per year where X is not 7 on 7 off lol. In that case, unavailability could be justified to a degree. Though I do know one guy doing 7 on 7 off with 2 days of clinic on off days. Haven't asked about the continuity aspect of it but he sees very complex patients.
  6. Yeah I think having a dual or even a triple approach can be nice. Outpatient setup with your own panel (not a walk in) + integrated outpatient niche and then having a significant portion of time spent in the hospital too. This is of course for those looking to do more than just regular clinic.
  7. I would still recommend having something longitudinal with patients to fall back on. Niches can be great but long term may fall part after x number of years (defunding, etc.).
  8. USA residency and lots of inpatient call all 3 years. Lots of ICU 24 hour call. And 6 weeks of nights per year.
  9. Any examples of what you'd consider more competent than the preceptor? Just curious.
  10. I do see quite a few job ads on HFO or hospital physician recruitment jobs for hospitalist positions that essentially state they have a joint team of IM & FM docs and 15-20 acuity medicine patients which does include some post-acuity etc. patients. These are within an hour or so of Toronto (150ish beds). The rehab/post-acuity patient type jobs seem to have completely different types of job ads. Is it mostly metro areas then that are run by IM when it comes to true acuity inpatients?
  11. Easy to get a hospitalist job including in open-ICU settings in USA in most settings as FM. Academic centers and large hospitals tend to be IM, aside from FM inpatient teaching services (which is essentially the same as an IM service anyway). It's just that most FM docs don't want to be hospitalists. But anyone interested easily finds work, including in 400 bed large hospitals etc. and it's alongside IM docs (zero difference in scope). Now there are some settings which are less FM friendly but it's overall not common.
  12. Is there a distinction in community hospitals between an FM or IM service?
  13. I believe they have discussed this and are looking at a way to not exclude rural docs in this context. This includes possibly revising the new criteria soon. "Rural" is also a bit of a vague term. There are places that see a fair bit of acuity and range of pathology but doing a CT involves sending a patient out 25 minutes. you generally need far stronger clinical skills in those settings. And lets be serious here - how many central lines or airways are actual academic staff even doing? They "supervise" them. The small community (aka most of which is "rural") guys are doing the procedures all alone without any help in house.
  14. In general, aren't resident electives restricted now anyways due to COVID? I know med student ones are, not sure about resident ones specifically.
  15. Given that we will be competing with midlevels, I don't think taking the easy simple approach is the way to go. As a profession anyway. We need to offer a valuable service that NPs and PAs cannot provide. And trust me, midlevels can do basic stuff/refer out.
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