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MD2015:)

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MD2015:) last won the day on December 29 2018

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  1. I am in IM fellowship and doing a med ed masters during PGY5 this year. My PGY4 year was much busier clinically and I have a lot of spare time this year. Half of my co-fellows are doing grad school (with a goal of academic jobs with either teaching or research afterwards) since we only have do do 2-3 days a week of clinical time if we do a masters concurrently. I pay for my own tuition but I am only working a few days per week and getting the full PGY5 salary so it is worth it for me. The people I know who did the same masters in the years above me all got academic jobs as clinician teachers/educators.
  2. I dont know how much has changed since I did the exam 5 years ago. When I did the exam peds, ob, surgery, IM, ethics, and psych were all weighted equally. IM and surgery had way more content to learn than the others but were worth the same. Toronto Notes was very helpful. I focused on mastering the chapters for peds, ob, ethics, and psych and spent less time on IM and surgery because they were so broad. I think I scored in the top 5-10% or so with this strategy. I actually ran out of time on part of the exam and left a bunch of questions totally blank and it still worked out ok.
  3. If you feel like learning medicine then anatomy, physiology, and pharmacology might be the most relevant. You could read the sections on the human body/medicine from MCAT prep and maybe pharmacology and genetics. Basic science content from MCAT is not as directly useful. In med school and residency I used a tiny amount of my knowledge of physics, chemistry, biochem, bio but not much and I don't think it would be worth your time to study them.
  4. My friends found derm and optho to be useful. They also found electives in their areas of interest useful (IM for hospitalist, addictions medicine, etc)
  5. I switched from FM to IM because I found out I am a lot more detail oriented than I thought and I wanted the time to be be able to go into depth with clinical cases. I liked acute medicine and complexity a lot more than I thought I would. I didn't like some areas of family medicine (derm, ortho, optho) and so I was happy to not have to see it. There were other areas of FM that were ok but I did not mind going without (peds). I knew that the IM track would be longer and that residency would be tougher so I spoke to a lot of people and did a lot of thinking about the decision. IM residency was tough - tiring and hard. But now I am done it and I am so happy that I had switched programs! If I had to stay in FM then I probably would have done hospitalist and some other stuff and would have found a way to be very happy, but IM ended up being perfect for me.
  6. I did not think about switching from FM to IM I was about 3/4 of the way through first year - I had completed a couple months of IM and also 4 months of FM as well as other subspecialties. I did CTU fairly late in the year and loved it and decided to switch to IM. The people in IM at my hospital (senior, chief resident, attendings, IM site director) spoke to the program director to advocate for me to switch. Once the PD said that the switch may be possible then I met with PGME and had a formal interview with IM and then they let me in. Then I told my FM program. If you already know that you want to switch then I would contact PGME for advice. Not sure what the best timing is to approach the other program. I think halfway through the year once you have a chance to settle into FM would be ideal. If you can do IM rotations in the first half of the year then this would let the IM program have a chance to work with you to see if they would want to take you. The main issue that you may face is that it may be hard or impossible to switch as an IMG. I know several residents who switched residency programs but none of them were IMG. The IMGs that I know of were not allowed to switch.
  7. In the past you could probably do some shadowing but with COVID you might not be able to. Most clerks are not back in the hospitals yet so I doubt shadowing would be easy to come by. Research in your speciality of choice would be a good idea to show interest, learn more about the specialty, and to meet some of the doctors in the program.
  8. Yeah I'd consider doing more undergrad courses if you for sure want to do med school in Canada unless some of the schools will look at 4th year only or heavily weight your masters. wGPA needed for U of T is >3.9. Your experience sounds amazing by the way! Unfortunately marks would have to be probably at least 3.8ish or 3.9 to get past the GPA cutoffs I think
  9. I switched from FM to IM after 1 year and I know several other people who switched programs during residency. I am a CMG. I did not apply to IM in medical school because I did not realize that I liked the specialty then. I found out I liked it during PGY1. I know of some IMGs that tried and they would not let them switch programs - this may depend on the province as there are different types of IMG contracts between provinces. I would ask your PGME office.
  10. I was put on the waitlist several years ago and heard that U of T waitlist does not move much...but I got in and so did my friend! So there is hope -good luck to you all!
  11. I got accepted of the waitlist for U of T several years ago and the acceptance was 4 weeks after I was waitlisted - I think maybe 1 week or so after people had to give their final answers for ontario but I cant remember exactly
  12. It doesn't matter. Agree with above - if you are interested in inner city health then pick Fitz. I was at WB and some of my clerkship rotations included oncology and so maybe if you are interested in oncology you might end up doing a bit more of it at WB. TGH is a transplant site but I didnt really get any exposure to transplant. You can do electives at any site you want in 4th year so you can work with whoever you want. My friends from MAM did a ton of electives downtown and did not have difficulty matching to residency.
  13. Go for it! A few classmates of mine were able to match to great programs after getting rejected for an interview. They emailed the PDs and had their files reconsidered. Others were told no or were allowed to come for an interview but were not chosen for the program. If you feel very strongly about a program then you don't have much to lose by emailing them (except your money if you need to travel to get there!).
  14. I think there are some restrictions for IMGs and transferring programs. Someone that I know of asked my PGME office and was not allowed as an IMG. Not sure if this is the same in every province or not.
  15. It looks like she did sign the card but did not date it. Super interesting case thanks for the link. I feel like someone would not go to the trouble of getting the card, signing it, and carrying it around if it was not their wishes. If their beliefs had changed they would likely remember to take the card out of their wallet. I wouldnt want to be the doctor in that situation tho! I'm not really sure if there is a right answer to this case. Very very interesting ...another thing that is interesting is that the card said "i fully realize the implications of this position" but it doesnt say what the implications include....so then there is some question as to does she know all of the consequences of refusal (renal failure requiring dialysis, living with an anoxic brain injury, death, etc). If the card actually said i fully realized the implications including death then maybe that would make it look like there is fully informed refusal..I dont know... ( ""As one of Jehovah's Witnesses with firm religious convictions, I request that no blood or blood products be administered to me under any circumstances. I fully realize the implications of this position, but I have resolutely decided to obey the Bible command: 'Keep abstaining ... from blood.' (Acts 15:28, 29). However, I have no religious objection to use the nonblood alternatives, such as Dextran, Haemaccel, PVP, Ringer's Lactate or saline solution."" )
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