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blah1234 last won the day on October 26

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About blah1234

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  1. Apologies, out of consideration for their privacy I wouldn't feel comfortable sharing even ballpark numbers. I will say they do well but not 7 figure well if that is at all helpful. There should be no worries about them starving or struggling if they are responsible with their money. Unfortunately, more MDs than I would like to see do live irresponsibly (sometimes paycheque to paycheque). Numbers are also only part of the picture. There are considerations like practice location and mix that also play into professional satisfaction.
  2. I'm confused. Why would you want to attend an American Medical School if you are already studying at a Canadian medical school. What advantage would it give you if you are looking to practice in Canada.
  3. Writing a note that's is 3 lines long and only comprised of letters and/or special characters is the only way they know how to communicate. We can't expect our surgical colleagues to give us a novel like our ID friends. I will accept finger painting though if they provide it.
  4. That's always a challenge as many students are very good at pretending they are interested even if they aren't that truly passionate. Perhaps that's not too bad of a reality as many students will still need to be enthusiastic, hard working, likable, and be a good culture fit. This is in combination with research and extracurriculars that take up substantial time and effort. At the end of the day programs are looking for people they can work with for the next 5 years. If people are putting forth those characteristics on a constant basis it may be difficult to discern who is genuine and who isn't. However, it may not matter as you'll probably be a solid worker for the program if you demonstrate those other qualities for good or bad reasons. Also, it's important to know that PD and staff aren't perfect people either. Many are also aware of the compensation component of their field and aren't blind to that part of the equation.
  5. I think the original question was around why those fields were competitive. Money was one component that people raised. From that perspective I do believe it is important to convey the landscape rather than some case study on the theoretical max. That is as useful as saying FM is solid because you have the ability to earn 7-8 figures a year with weight loss clinics because Dr. Bernstein could do it. No doubt that there are many physicians in Alberta that are very successful however the majority of future physicians in Canada will not be practicing in Alberta. More importantly, I have my doubts about how long Alberta can sustain their billing schedule given recent provincial turmoil and economic issues. My goal for this forum is to promote tempered information and advice for students. Some students will be wildly successful and while others will only be modestly successful. I think it's important to keep that in mind as your posts often give the impression that medicine is some sort of game that needs to be optimized.
  6. A large problem with this type of compilation is that it gives a current snapshot of a job market that is really only usable by medical students early in their training. That means a substantial number of students will be facing a job market that could be a decade out. So much can change in a decade. While I am generally a believer that things will slowly get more competitive for all specialties over time I do think that technology and funding changes could dynamically change the spots and needs for fields over that time frame. If anything I feel like the only useful categorization is using three general classes. Short (e.g. FM), Long (most FRCPC), and Extra Long (e.g. neurosurgery). Anything more detailed is really going to depend on the unique situation of every trainee. In some fields the number of trainees across Canada is so small that individual ability, networking, reputation can start to play a disproportionate role compared to any sort of descriptive statistics of the overall group. Just my two cents.
  7. I agree. I know this is the case with certain high billers in Ontario. For logistical reasons you bill everything under one number (which is becoming increasingly frowned upon) and then the pot is divided up accordingly. There are 100% physicians out there that bill 7 figures individually but I do not think that's something most medical students will be capable of doing for a variety of reasons. This is anecdotal evidence but none of my friends Derm, Opthal, and Plastics do that well. We are quite close as I help with their financial planning so I know their situation decently well. You will do well in any of those fields but I really want to caution people against thinking that everyone goes off and prints millions a year. I'm not trying to downplay the income of physicians for selfish reasons but trying to provide a perspective of someone who is a staff and has friends and colleagues across the country. Most of all nothing good lasts forever and the health care system and its expenditure (aka our reimbursement) will be the target of future years to come.
  8. 1200 roster billing doesn't get you to 400-500k unless you are doing things out side of the clinic like hospitalist, ER, or whatever.
  9. Amazing analysis! I would say that for many professionals, a switch to medicine doesn't always make sense financially. We do very well in medicine and I think it's a smart financial choice for many people but it is a harder argument to make once you are already in a stable career. Never discount the ability for healthcare professionals who are eager and hardworking to move up the ranks through further education (which can often be subsidized and done part time). I'm close friends with many nurse managers and higher who have packages that many MDs would only dream of when you consider their responsibilities and hours. Another understated point is the ability to maintain a healthy lifestyle with your partner who could also have gainful employment. I have many colleagues that have a stay at home spouse to ensure the household is somewhat functional and I can't say they are ahead of a lot of my dual-income friends. Medicine is a great job but the road can be long. I am a big proponent of doing it out of interest and some degree of passion. If finding a secure job and a paycheck is all you are after I would say there is a good chance you could run into burnout and disillusionment in the future. It's easy for students to say they will be average or above average in billings but now that I'm a staff I can see clearly there are people who cannot keep up the stress and the pace their entire lives and have to scale back. Worst of all I see people who did that entire stretch of training and actively dislike their careers. I don't believe that does them or their patients any good.
  10. I wouldn't. I think residency was so crazy that I'm surprised I made it through the first time. Staff life is still busy but I like what I do. I suppose if I hated my day job and would rather quit medicine I could see myself re-entering if there was a true passion field I wanted to do. However, I would have no idea if that field would be a true fit as with most things in medicine. The residency training to get to the very end in most programs would probably also be super tiring at an older age. Also, I'm not sure if it financially works out once you're a staff. There would need to be some sort of crazy differential in pay to make up for the lost years of earning not to mention all those busy residency hours are paid poorly. I feel like if you're willing to grind then you can probably do that in any medicine field (e.g. practice up north every once in a while). I do work with people that redid residency so it clearly does happen to some degree. I don't know if I could survive another one haha.
  11. I'm a staff and I will say that I work with many colleagues who are not passionate about medicine and are pretty unhappy. I think if you go into medicine just for the money every day is going to be a drag. I'm not saying you have to dedicate your whole life to medicine (unless you're in certain fields) but I would say you should have something to drive you other than the pay cheque. I honestly think medicine does a poor job of conveying how tiring the training is for most fields. This compounds with the fact that the geographic flexibility isn't there for all fields. I suppose you could do something generalist like FM to keep your options open. I can say I have many classmates who are in FM and live very fulfilling lives outside of medicine and doing great. I will say that on the other end that I have many friends who are always looking for ways out of FM because they don't like the job. I think this is also supported by anecdotal evidence that you see on the physician facebook groups. You will do financially fine as a MD no matter what you choose. However, I always caution to students to stay away if they are just chasing a pay cheque. There's more than one path to happiness and medicine isn't that path for everyone.
  12. Some of my friends have call schedules comparable to residency. I suppose at least you get paid properly for your work instead of the stipend we got as residents.
  13. It's good for medical education. However, being active on social media is a liability in my opinion. Say the wrong thing and it can be used against you and unfortunately we are held to a higher bar as professionals. It's a headache that I don't want to deal with.
  14. It really is the mismatch between expectations and reality that creates bitterness down the line. I think as a profession we do a really bad job of conveying the reality to students. It's hard because things can change so much in 5 years and also students are primarily exposed to academic physicians who may not be fully up to date with the latest job dynamics. The only source of true information I find is people who are about to finish training and are embarking on their own job search. The US/CAN training mismatch is also an important consideration. Last I remember there are some curriculum difference in fields such as neurosurgery that make it so training isn't fully transferable. However, I am not a surgeon and this is purely second-hand information I've heard from friends in those fields over dinner.
  15. Yea, the visa sponsorship is the main bottleneck from what I understand. All these other non-attractive elements don't even matter if you don't have work authorization.
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