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drake19

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  1. Not 100% sure. As a resident, I was moonlighting at Urgent Care and some FM clinics I interviewed at in the U.S. do not require board certification (Am Board of Fam Med) Medical Director of one of our FM clinics had no board ceritification - go figure. All you needed at these clinics was your license and DEA (prescription for controlled substances) In fact you don't even need board certification to obtain your license in my state. I would look into reciprocity from CFPC to ABFM....I know for sure there is reciprocity from ABFM ---> CFPC
  2. to answer your question yes you can work in U.S. after residency I compelted U.S. residency but am a U.S./Canadian citizen...so not 100% sure how visa thing works. my brief understanding is there are two visas available J-1 and H1b - the J1 visa requires you to return back after you complete residency but can be renewed, H1b visa I believe allows you to stay in the U.S. and work after graduating from residency. you will need to get a green card/permanent residency, visa such as the H1b, or get married to an American i would talk to residency programs that offer the H1b visas and ask them
  3. I'm not knowlegable at all about how Royal College specialists work But just for family medicine if you wanted to bypass the supervision/pathway 3 as well as the CFPC exam, and go straight to independent practice certificate...this is reply from CPSO there is reciprocity between CFPC and ABFM-Fam med. The ABFM exam is much easier, no OSCE just 200-300 multiple choice questions. WE get tons of practice with 10-20 years worth of exam questions. In your review of qualifications, you indicate that you wish to apply for an Independent Practice certificate of registration. For your information, the College’s Council has approved a policy that provides a route to registration in Ontario for eligible applicants who have obtained CFPC certification without examination under the CFPC Alternative Route to Certification or CFPC Recognition of Jurisdictions Outside of Canada (US, UK Ireland and Australia). The prerequisite qualifications to apply under the Policy for the Recognition of Certification without Examination issued by the CFPC are: CFPC certification without examination, on the basis of completion of residency training in family medicine and the certification exam in a jurisdiction approved by the College of Family Physicians of Canada; passed the MCCQE Parts 1 and 2
  4. in the path for the pathway 3 for a US medical school grad - they include D.O. or M.D. as long as the D.O. graduates from an ACGME accreditated residency (which will be the norm as everything will be ACGME soon) and is board certified and meets the other pathway 3 requirements which are the same for a M.D. for non-primary care specialites the road block is trying to find a supervisor - i.e. if you are doing pathway 3 as a general surgeon not sure how the supervsiro thing works whereas with family medicine your supervsiro just review your charts, etc. even if you are D.O. and can't come back to Canada at least you have a job close to the border - prospects are not so good if you have a UK/Australia degree with no residency or job.
  5. i second this....i remember at my UWO interview - one of the first questions they asked was -- do you see patients as a medical student
  6. you don't need to take the CCFP - you will be taking the Am Board Fam Med exam two pathways -pass the ABFM (Am Board Fam Med) exam and graudate from US ACGME residency and get your state medical license -alternatively do the above and pass LMCC1,2 and you don't need the supervision period when you come back to Ontario
  7. see my post - it wil answer all your questoins 1) Ontario only accepts ACGME accreditated residencies 2) I have no idea how OB training would work - they have Women's Health +1 PGY3 in Ontario 3) Take the LMCC1,2, get your state medical license, any tiny mistake you make (gap year, etc.) needs to be explained in so much writing to the Ontario College in your case if you don't take LMCC1,2 you will be under pathway -3 application requires - state medical license, U.S. medical school grad, U.S. ACGME resiency, Canadian citizenship if you take your LMCC1,2 you are in a different pathway - you don't need the 1 year supervision and end of year assessment and billing cut to the office/supervisor - you will save $100,000+ if you take LMCC1,2
  8. having gone through the U.S. medical school route, U.S. residency, and now almost finished my application back to Canada to practice - I recommend in the following order alternatives to UK/Austrlia 1) U.S. M.D. - viable option for residency 2) U.S. D.O. - as above 3) Carribean - U.S. rotations, U.S. curriculum, U.S. residency options as backup 4) UK/Australia - less chance of backup to U.S. reality is if you go to UK/Australia you already a crappy chance of getting Canadian residency and also crappier chance of getting into U.S. residency as back-up.
  9. I only had one colleague I could talk to who went through this, had zero guidance on premed101 so thought I would share my experience: summary: if you want to practice in Canada - go to a Canadian medical school/residency alternatives - in order of preference 1) U.S. medical school M.D. 2) U.S. D.O. 3) Carribean (4) avoid UK/Australia if you plan to come back to Canada/US - more difficult to get U.S. rotations, different curriculum - and IMO have a viable backup for U.S. residency at Carribean schools my Ontario application (Pathway 3) was very rigorous and much more expensive than my U.S. license application -Ontario application will take about 6 months; (initial app $4000, $500 to fly down for 1 day for supervisor interviews, $2000 in lost wages due to interview, ~$5000 for end of year assessment, 25% cut to supevisor/office) - when all said and done probably $100,000+ (since 25% billing cut to office/supervisor) - US license - took 1 month and $1000 USD. With much higher wages (for urgent care, not sure about other fields), lower tax, malpractice/license covered by my clinic -take the #$@$ lmcc1, 2 - lmcc1 in 4th year of med school and lmcc2 2nd year of residency - you will be in a different pathway - and save alot of $$$ and hassle background: dual citizenship U.S./Canada graduated from U.S. residency/ US med school grad - application back to Ontario to practice under the pathway 3 application in order to qualify need to have graduated from U.S. medical school, (LCME accrediated), U.S. medical license, US ACGME accrediated residency if you graduated from a non-U.S. medical school (i.e. Carribean) i believe it is pathway 4. in order to be in independent practice under pthway 3 - need 1 year of supervision, and end of year assessment pass looking back things I would have done differently: this stuff will only make sense if you are in the applicatoin process, pathway 4 for IMG-grad from U.S. residency is similar: -since i didn't take LMCC2 - I need supervision for 1 year - this was a big expensive mistake -i took LMCC1 4th year of medical school - I highly recommend taking it in 4th year- approximatelys USMLE step 2 and 3 -no taking the LMCC2 is a big expensive mistake, LMCC2 only offered a few times a year - need to apply early and plan -best to take in 2nd year of residency - can only take after 1 year of residency -to apply for LMCC1/2 there is a big application process especially for LMCC2 - I had started the application for LMCC2 wihch requires residency verification - this step took 5-6 months. I ended up not applying for LMCC2. - if you pass the LMCC exams you can apply through a different pathway and don't need supervision for 1 year (have to arrange a supervisor approved by college, very expensive, they take a cut, and assessment at end of 1 year is also very expensive) -arranging a supervisor (if you have not taken LMCC) was very time consuming, expensive. You have to find someone not related, etc. that meets College standards. Had to find one on the website they provide you - complete stranger, flew back, lost wages, fortunately first person I interviewed agreed. -Ontario license application was very rigorous compared to U.S. and 5-6 times more expensive about $4000 in the end. -my state U.S. license took 1 month to process - the Ontario one will be about 6 months -for the ontario application they have only a few meeting dates a year and in order to get your application assessed by the registration committee you need to have a completed application at certain deadlines. Unfortuntaely some documents can only be completed by July 1st (after you graduate from residency). advice is to start going over the application before July 1st and start sending things immediately after July 1st. -they need 3 letters of recommendations - i would get these confirmed before you leave for residency. -they need a letter of standing from the state licensing board - this took the longest as my state licensing board was not efficient - took 2-3 months -before I sent in my initial application - they told me I could start sending in credentialing documents. I would wait until application is received before sending in USMLE transcripts - I sent these in before they received my applicaiton. This is a time sensitive document that expires and for whatever reason they opened it but didn't save the file, long story short had to resend it again - another $70 USD wasted -the college basically wanted to know everything from 1st year of medical school on - fortunately no hiccups for me but any hiccup such as year off, criminal record - need a lot of pages of explanation -criminal background check (Ontario) - you can actually do this not in person - way to apply online and have relative pick up for you - check the judicial and criminal matters option for criminal back ground check - this took several weeks Pros: can be with my family and going back to Ontario. This is only the reason i'm coming back Cons: lower wages in Ontario for primary care - i have to share 25% with the outpatient clinic when i return - i share 0% with the office in the US and they cover my malpractice. I basically get a wage and bill for the office. I work in a North-eastern state in urgent care - i get approximtaely $1500-2000 gross a shift USD, net is probably $900-$1000 and work about 4-7 shifts a week. I would get paid less than half in Ontario. I intervewed a several primary care sites/urgent care sites - i never heard of sharing a cut of billing with the office - when I applied to Ontario - offices take a cut anywhere from 25% to 35%. You are already getting killed with Canadian taxes - take home pay in Ontario probably 30% of gross. let me know if you hvae questions
  10. there was another Western Family Medicine resident who lost his license https://torontosun.com/news/crime/doc-who-secretly-videotaped-woman-having-sex-loses-licence
  11. i just received the applicatio for the 3rd pathway (US med grad, from US ACGME residency) appplying back to Canada was wondering if any people here have experience with this pathway was wondeirng how long everything will take to get started with clinical practice? Thanks
  12. why is there so much data/analytics out there regarding carms. At the end of the day you apply wisely and to the specialty you want. Not sure if this data really affects anyone. -the only tried and true trend is that med school and residency/fellowship will only get more competitive from here so apply wisely and be the best candidate you can be I guess is the message every year.
  13. -first make sure you pass your MCCQE exam part 1 - don't want to fail that for next year's applications -make sure you end year strong and build contacts for letters and rotations this upcoming year -also consider prepping for part 2 exam although you need about 1 year of internship before you can take that exam. -during your year off there are only a few things you can really do 1) clinical - in your case family medicine observerships/externships, once you graduate I don't know if it is possible to do an actual elective/selective/rotation -consider delaying graduation so you can continue to do electives/selectives 2) academics - publications I think are the most important/productive thing you can do in terms of academics -I would not consider MPH or Masters unless it is something you truly enjoy and will get publications out of it -consider taking USMLE Step 1,2,3 - its always good to have a backup plan -you should really take a good hard honest look at why you didn't match and ask for advice, seek help -if you need help with interviews i recommend applying to the states as there are about 500 family medicine programs and probably even more internal medicine programs -they usually pay for your hotel, meals, etc. so budget wise will help -also a good opportunity for interview practice and a shot at resisdency. -for FM interviews in US, interview day consists of a few candidates and you get anywhere from 2 interviews to 10 interviews in a day so really good practice for interviews.
  14. Residency programs don't know...there was a resident who was about to be a staff physician and then it was revealed that they had failed part-2 exam multiple times...there is a loop hole to the system though if you have taken the USMLEs they are equivalent in some pronvinces
  15. Masters are pretty useless and plus you'll have to explain them during your interview. There are only a few thing you can really do. Either delay graduation so you can continue to take elective. If you have already graduated I would urge you to take your us step so you can apply to the nrmp. Other things include research with actual Publications. Try to find a clinical job that involves patient interaction like scribing or ask prev preceptor if you could work at their office. do not do a masters unless you can actually get Publications from it or it is something you are passionate about the Masters is really a waste of time on your year off Options are limited unfortunately if you can Pony up the dough you can actually do electives in the US after graduating their companies in the USA provide electives
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