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blah1234

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  1. Is the school aware of this diagnosis? I will say that there are publicly published cases of medical residents that couldn't transfer into FM from their speciality when their mental health compromised their residency performance. While I agree above that FM is not necessarily stress free it is 100% shorter than a surgical specialty and will generally offer a more relaxed environment. You only have to talk to FM residents regarding their week-to-week and exam prep year to understand the difference between their lives and that of residents in busier specialties. I'm not trying to disparage FM residents as they still have busy rotations and responsibilities but on average they will have less busy schedules. OP: I think you are smart to be thinking about this. I don't think it's great that you might have to compromise your future career path but I think the most important thing is finishing some sort of residency program.
  2. Locums would be the easiest way. This could be easy depending on your speciality. Doing this in a established position is more difficult. Most groups want people to split the workload and not have to cover each other for months at a time. Also dependent on your specialty. Cruise ship medicine is something I've heard good and bad things about. I feel like working locums and taking time off would be more lucrative and relaxing than being tied to a cruise ship work schedule.
  3. I agree that the incentives are not enough for many physicians to compensate the downsides of living in a rural area. Lack of good schools for children, lack of family/friends, lack of dating opportunities if single, etc. Paradoxically, I think from the outside the incentives look generous on public budgets and in the news so I don't think there's much push to further increase pay. For better or for worse our profession is heavily tied to public perception and need so I think the only way forward is down.
  4. Given my experience on the admissions committee it would be difficult for you to be admitted because of the way the evaluation criteria is structured. GPA is a huge factor and unfortunately there are tons of students these days with amazing GPAs, work experience, and extracurriculars. I wouldn't say your case is a lost cause as you do have an interesting story but I want to convey the challenges moving forward. I also want to emphasize that there is the risk that medicine may not be what you think it is either. While it may fulfill some of the things you are lacking in your current endeavours, many physicians are also unfulfilled with their careers. Piling on additional training time that could exceed a decade will be a heavy cost at your current life stage. It is a big decision to make and I would personally counsel people in their 30s to not take the chance. Although I am a professional that made the transition and am happy with my work I have seen far too many friends and colleagues have their lives adversely affected because of the cost of medical training. Perhaps it is a pessimistic view but I think physicians who are trapped in medicine do themselves and their patients a disservice. It is a shame that our training system doesn't offer more flexibility to alleviate these problems but we are stuck with what we have unfortunately.
  5. I think providing rural incentives hasn't had the greatest success in the past and it will be increasingly unaffordable for the government given continually rising healthcare costs. Installing the structure to force doctors to work might be the road forward for provinces looking to address rural demand for physicians (a.k.a get rural votes). I'm curious what the supreme court would say in such a situation. I'm not sure if our right to work anywhere will outweigh societal need for physicians in rural areas if shortages get really bad. I think in previous rulings it has been established that it is a privilege to be a regulated professional (doctor, lawyer, accountant, etc) rather than a right. Not sure how all the arguments will lay out as I'm not up to date on all the case law but I think it would be complex on both sides. Regardless, I think the environment will continue to move in an antagonist direction for physicians across Canada.
  6. There are still worse places to work than Alberta in Canada. I think the provinces are being smart by squeezing us instead of providing incentives. Cheaper in the short run for their budgets and it's not like we can all leave for the US or other countries.
  7. I would always recommend to my learners to backup and apply broadly. You may not get the field you are passionate about, but the consequences of being unmatched are too high these days. Even if you hate FM at least you are a licensed individual practitioner and have access to many jobs that require it. Many unmatched students have very few options moving forward which is a tragedy.
  8. I agree. The system isn't designed to consider our job aspirations well. Medical Schools want good match rates but they aren't really held accountable to if their students find jobs at the end of residency. Another problem with medical training is that what you might love as a medical student may not be what you love as a staff physician. The view of the job is so different at every stage of training (medical student/resident/staff) that I'm not sure if people are making informed decisions. You can love GI physiology and pathology but you might hate the actual day-to-day of being a GI and scoping. I think this issue might have been alleviated to some extent if there was more flexibility in the system. As it stands you can only end up being one kind of doctor which pigeonholes people.
  9. I honestly think it's awful how there's so much pressure to learn knowledge that for the most part isn't useful clinically or as a staff physician. However, I will agree that this will pass one day and that your performance on some basic science midterms has no bearing on how you'll be as a physician. Some of the most capable physicians I work with were never the brightest in pre clerkship and struggled with the material too.
  10. If you don't live within your means you'll work until you die.
  11. This is a doable number if you work a lot. I agree it's not sustainable in the long run though. I've seen too many people burn out from this job instead of keeping a sustainable pace.
  12. I think the CPSO frowns upon walk-in clinics and wants to impose more onerous requirements such as being in charge of continuity if the patient doesn't have a regular FM. Feel free to correct me if I'm wrong though but this is what I've heard from friends.
  13. I have more GIM friends that wish they just did FM hospitalist than FM friends that wish they did GIM. That being said I think both are fine jobs in the long run. Both jobs probably get mundane over time despite the differences in bread and butter. The residency intensity of IM isn't for everyone though.
  14. I agree with this. Some people want to save the fee they pay to the agent. While it may look significant it is marginal in my opinion. We have spent so much of our life working that I would rather spend as much time as I can with friends and family. I also enjoy clinical work more than billing which I consider to be extremely tedious. I would rather pick up the extra call shift or two instead of spend the extra couple of hours each week doing my own billings. If you study the billing schedule yourself you should be able to catch almost everything for the billing agent anyway.
  15. There's private work available from insurance companies in PMR. It's not for everyone though as it's not a traditional therapeutic relationship.
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