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leviathan

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  1. Like
    leviathan got a reaction from DentalDayum in Alberta physician refuses to prescibe birth control   
    Primary care is the field responsible for the first contact and for long term management of a patient with preventive care + chronic disease management being key. A thoracic surgeon, who only works as a consultant, is not responsible for primary care of a patient or things outside of the reason for the consultation. A primary care physician performing specialist procedures is an exception to the rule, is not considered primary care, and has no logical bearing on your argument.
     
    I'm not sure if I'm for or against this family doctor, but the points you made aren't helping to support your position.
  2. Like
    leviathan got a reaction from distressedpremed in Proposed tax changes - what will that mean for us   
    Like many others, I'm going to sit down with my financial advisor and accountant and have a serious discussion about how these changes, along with the higher marginal tax rate (which I didn't really make a fuss over), will affect my long-term financial security. With a weak dollar, significantly higher taxes, and declining salaries (when adjusted for inflation), I'll be thinking about moving to the US. I've already completed all the USMLEs and waiting on the results of the American board exam for my specialty which I just wrote last month. 
    If the govt introduces a nice pension plan, EI, mat/pat leave, sick leave, vacations and other benefits that empoyees get, I wouldn't care. But to equate my situation with an employee as if we should be taxed the same is a joke.
  3. Like
    leviathan got a reaction from Doc93 in Are exams taken during residency?   
    Annual in-house and mock American board exams for my specialty, finishing with the beast that is the Royal College. So glad that is done with and to have my FRCPC! 
     
  4. Like
    leviathan got a reaction from Snowmen in Proposed tax changes - what will that mean for us   
    Like many others, I'm going to sit down with my financial advisor and accountant and have a serious discussion about how these changes, along with the higher marginal tax rate (which I didn't really make a fuss over), will affect my long-term financial security. With a weak dollar, significantly higher taxes, and declining salaries (when adjusted for inflation), I'll be thinking about moving to the US. I've already completed all the USMLEs and waiting on the results of the American board exam for my specialty which I just wrote last month. 
    If the govt introduces a nice pension plan, EI, mat/pat leave, sick leave, vacations and other benefits that empoyees get, I wouldn't care. But to equate my situation with an employee as if we should be taxed the same is a joke.
  5. Like
    leviathan got a reaction from JohnGrisham in Bank of Canada Rises Rates - again!   
    I owe it to this forum for saving me a few hundred bucks a year by recently getting my LOC dropped by 0.25%.  
    We are so very lucky that the rates stayed as low for as long as they did. Like you guys, I'm glad I focused on paying down my LOC rather than using my residency salary to invest. Just want to get rid of that damn LOC debt and be done with it!
  6. Like
    leviathan got a reaction from tameimpala in Friendliest IMG provinces?   
    Unless I'm mistaken, IMGs are eligible to apply in the first round for CMG positions in Quebec, and no return of service. I'd say that's pretty friendly! The downside to Quebec is I think you have to finish the NAC-OSCE, MCCEE, and MCCQE part 1 to be eligible.
  7. Like
    leviathan got a reaction from guy30 in Anybody else concerned about the flood of IMGs?   
    As an IMG and resident in Canada, I can't really see a problem. We all go through the same residencies which is where the vast majority of our real training comes from. If there are any glaring problems with any graduates, Canadian or otherwise, I hope they would be identified early on. Those deficiencies can then either be rectified, or worst case scenario the individual is exited from the program. After that, the Royal College or CCFP should be rigorous enough to ensure only quality graduates make it out to independent practice.
     
    I am curious as to these alleged reports of IMGs struggling in Canada, though. The only report I ever saw was out of UBC, where the failure rate of the grads was higher. In that case, UBC has been known to exclusively train immigrant IMGs who still struggle with English, and have been out of medical school for a long time. I've never heard of any problems with IMGs passing exams who are recent graduates and fluent in English, in the rest of the country.
  8. Like
    leviathan got a reaction from LittleDaisy in Working As A General Internist After Critical Care Residency?   
    I don't have a good sense of that since I already have an ICU/IM job lined up for me. I have heard there are really no GIM jobs in either academic or community hospitals in all of greater vancouver, though there are lots of locum opportunities and they sometimes lead to a permanent position if they like you. I don't know if the same is true for other big cities around the country. There are some GIM people on these boards so I wonder if they can verify what I've heard.
  9. Like
    leviathan got a reaction from LittleDaisy in Working As A General Internist After Critical Care Residency?   
    I'm an ICU fellow, IM background. I'll be working in a community hospital with a large ICU and also covering internal medicine. There are plenty of similar community jobs available around the country if you're not picky about location. 
  10. Like
    leviathan got a reaction from bearpuppy in Writing the USMLE and fellowship/other purposes   
    For residency/fellowship requiring a J1 visa = state specific.
    For getting a H1B work visa from the federal government to work in your specialty after residency, you absolutely must have all the USMLEs done, regardless of what the individual states require.
  11. Like
    leviathan got a reaction from LeBronto2019 in The case against family medicine   
    Sorry that you're unhappy with residency. It sounds like your main issue is just about reputation and prestige. So basically if you're very concerned about what other people think about you, then don't be a family doctor. That said, I don't have the same feelings as you about what people think about family doctors.
  12. Like
    leviathan got a reaction from Edict in Doing Saba To Get A Residency In The Us/canada Or Going To Dentistry In Canada   
    This was my prerecorded message for many years but honestly the match rates for IMGs have remained stable during that time period, which suggests it might be more paranoia.Certainly I think Saba has maintained a >90% match rate. I do agree that your choices of specialty and location for residency are probably dwindling, and even if they haven't changed yet, the match rates can still change going forward. Also of the people who 'match' at graduation, you have to think of all the other people who were expelled or dropped out before being able to graduate and apply for the match.
  13. Like
    leviathan got a reaction from RGK in Im Electives   
    I absolutely would not do solely cardiology. At the worst, do a variety of subspecialty IM electives AND at least one MTU/CTU elective. I don't agree with needing to do emerg or family, unless you want to back up with family. 
  14. Like
    leviathan got a reaction from JohnGrisham in Writing the USMLE and fellowship/other purposes   
    That might be true, I was referring to employment in the US as a fully certified doc. 
  15. Like
    leviathan got a reaction from JohnGrisham in Writing the USMLE and fellowship/other purposes   
    It doesn't matter if the state recognizes LMCC unless you're an American citizen or have a green card. The federal government requires USMLEs to get a work visa.
  16. Like
    leviathan got a reaction from Arztin in Im In The Us   
    This isn't really relevant to the thread, but the answer to #1 is yes, and #2 is extremely slim, unless you have amazing letters from local faculty, tons of research, and 99th percentile board scores. As someone who only had the third facet in my application (well, i had good letters but not from ivy league faculty), I got zero interviews from any of those programs. 
  17. Like
    leviathan got a reaction from Edict in Saba University   
    I agree, I don't really know how they calculate that number or maybe I'm missing something.
     
    That said, I don't think people need to worry as much about the 4 year attrition rate and should focus on the success of those who make it through the program. I feel bad saying it because many of them are friends of mine, but the majority of those people who failed shouldn't have been there to begin with, and they were rejected from the US / Canada for a good reason. Oddly enough, the vast majority of people who failed were from the US, such that by the end of the pre-clerkship phase, there were only a handful of Americans left. I don't know why that might be, maybe the average GPA/MCAT of US students coming was lower because if they had the same stats as the Canadians, they'd be in an American school? Just speculation.
     
    Anyway, I think you do have to strike a balance between accepting people who want a second chance and rejecting those who clearly will never succeed in medical school, but that line can be tough to find. 
  18. Like
    leviathan got a reaction from Robin Hood in Nurses acting like physicians   
    Maybe not for this particular case but overall they are going to make more mistakes. It's common sense that everyone will miss things or make mistakes, but those mistakes will multiply if you put someone in charge with lesser and lesser knowledge/experience.
  19. Like
    leviathan got a reaction from Robin Hood in Any Horror Stories?   
    I've met many people who didn't match the first time around and were lucky to match the year after. I've also read online about people teaching at health care institutions (usually nursing and LPNs etc) who have MDs but never secured a residency, so they are teaching instead for who knows what kind of salary.
     
    As discussed in many other threads - the odds of matching are still pretty good, but maybe not good enough based on how much money you are putting on the line.
     
    And of course many people don't even make it to the point of applying to the match, dropping out far sooner. That said, those people didn't have to spend the full amount of money either.
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