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Lactic Folly

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Lactic Folly last won the day on May 10

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About Lactic Folly

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  1. Lactic Folly

    ADHD in top 10

    I didn't sense that at all. The delivery may have been blunt, but goleafsgochris is just sharing what they have seen going through medical school and residency. I think most other future applicants reading this thread will appreciate the realism and the fact that their senior colleagues are taking the time to alert them of potential pitfalls that lie ahead.
  2. Agree that you want coaches who will give you as much constructive feedback as possible. It's one thing to provide a confidence boost to someone who needs it, but most everyone starting out this in this process will have room for improvement. Did these coaches have a background in medical admissions? Are you near a university where you can access in-person coaching? Even family/friends may be helpful to pick up on body language cues, as they will be motivated to help you succeed.
  3. Lactic Folly

    Research in Med School & Residency

    Not in itself - it's understandable that people will explore different areas during medical school and may switch focus as their interests evolve. It's about the total impression from your application (including personal letter, electives, and references).
  4. Lactic Folly

    Research in Med School & Residency

    Congrats! For residency applications, research is beneficial in demonstrating interest in a field, and making connections within a department who can provide references and vouch for you at the program selection committee meetings come CaRMS time. As such, you'd want to work with MDs in the field you are applying to. The main consideration for continuing in a basic science lab is if you envisioned pursuing that research into residency (i.e. applying for a clinician investigator stream).
  5. Lactic Folly

    UBC vs U of A

    Congrats! If you can envision yourself attending either school, then you can't go wrong with your decision either way. I suppose the first question that comes to my mind is - where do you want to live for the next 4 years, and where do you want to eventually end up?
  6. Lactic Folly

    Drop out rate?

    Thanks - perhaps we can refine the questions as "what keeps people late in their careers from wanting to retire" versus "what keeps people going for the long term when they start their training and practices". Although enjoyment and fun are similar, I also think of them slightly differently, though I'm not sure whether others make the same distinction. To me, fun is more in-the-moment excitement, while enjoyment includes a sense of satisfaction that will linger on in one's memory after the experience has ended. Sometimes late-career physicians are able to scale down their practice a bit and divest themselves of low-satisfaction admin duties. Even if they don't, their accumulated experience allows them to handle tasks with more ease and efficiency. When I have the space to delve into an interesting case, or teach without other time pressures or distractions (i.e. on one's day off), it can indeed be 'fun'. When these same experiences occur during a busy clinical day, they are often very challenging to juggle and accommodate without (or even with) working around the clock. My experience on such a day has essentially no resemblance to the carefree fun I might experience on a holiday. However, when I look back on the day, I enjoy having spent that time with students, and am glad I made that space for them. It is meaningful and is why I continue to do it for the foreseeable future.
  7. Do you know if you want to do family or specialize?
  8. It's natural to have some of the same feelings as starting at a new high school, which may sound a bit surprising given that most people have completed undergrad +/- some work experience prior to starting medical school, but I'll leave it at that. There are some good reads out there about the difference between fitting in and belonging. By virtue of your acceptance, you now belong in this profession, and hopefully that knowledge will help release some of the anxiety about fitting in. Congratulations! Life may throw curveballs regardless, but the changes that are coming will be an amazing opportunity for growth that you've worked hard to achieve.
  9. Lactic Folly

    UofT vs McGIll

    I think there is a definite advantage in doing postgraduate training where you want to work, especially if it's a more competitive urban area. For example, you could start tailoring your training to a department's anticipated needs if there is opportunity (e.g. upcoming retirement). That being said, there is still the fellowship phase for many specialties, where you could arrive in a city and start to network that way, albeit on a tighter timeline. I think the advantage for matching to the same school for residency is there but less pronounced, and would mostly be due to increased familiarity with the home school candidates, and perhaps the thought that local grads are more interested in staying for residency, plus the logistical factors as Edict mentioned above.
  10. Lactic Folly

    UofT vs McGIll

    http://carms.ca/wp-content/uploads/2017/05/Table_29_Match_Results_by_School_of_Graduation_English.pdf There is a large proportion of students matching to their home school in other provinces as well, so I do wonder how much of that is due to applicant preference vs the preferences of the program. Can't speak to UofT specifically though.
  11. Lactic Folly

    U of T vs. MacMed

    I just wanted to say that I appreciate the frankness of the above post, given that the author identifies as a Mac graduate. Seems that most if not all of the important factors have been covered in this thread.
  12. Different values. McMaster's Faculty of Health Sciences vision is: Within a culture of innovation, exploration and collaboration, we lead by learning from what was, challenging what is and embracing what could be." The vision for University of Alberta Faculty of Medicine & Dentistry (a school which has promoted their students' LMCC results in the past) is: To build an exceptional socially accountable Faculty through leadership in education, research and patient care and to be recognized as graduating highly skilled doctors, researchers, and health care professionals for Canada. (italics mine)
  13. Lactic Folly

    U of Alberta vs. McMaster

    I agree with this. Regarding the enrichment year, doing one essentially negates the main advantage of a 3-year program. In addition, as it does not start until after the pre-clerkship phase is completed, its timing is less advantageous CaRMS-wise than doing research during the summer between 1st and 2nd year in a 4-year school.
  14. Lactic Folly

    U of Alberta vs. McMaster

    There are established linkages between surgery and research in a broad range of fields including machine learning, probably more so than with emergency medicine in Canada if I had to guess, though I could be wrong on that. https://www.ncbi.nlm.nih.gov/pubmed/27119951 A search reveals a scientist at McMaster who is doing research in machine learning and trains surgical residents/fellows in research. https://rhpcs.mcmaster.ca/who-we-are/ranil The McMaster Surgeon Scientist program has biotechnology/innovation as one of its areas of focus. https://fhs.mcmaster.ca/ssp/ I provided links to UofT residency programs since you expressed an interest in returning to Toronto. There are Clinician Investigator Programs at other schools as well, which are designed for residents interested in research careers. Your undergraduate program will primarily serve to get you into the residency program of your choice. Some research during your MD years would help, but I don't know how much time you would have for learning additional subjects like math/comp sci during Mac's program. Your time would likely be better spent learning medicine and working on strengthening your application for highly competitive fields such as the ones you are considering. With summers off in Alberta, you could set up months-long research projects in Toronto if you wish. When I meant that research could be time consuming, I meant in general, not with reference to GIM in particular which should not be longer than pursuing research through other Royal College specialties. Again, it depends if you see yourself building a career as a clinician researcher (PI), or being a clinician who simply participates in some research. You would want support from your department to apply for grants, etc. more than simply going down in clinical hours and pay, although your group scheduling would need to accommodate that as well. Again, it's easier if you're working somewhere that already has dedicated research personnel to support these activities. That's why I am unsure of your emphasis on FM being able to set up shop anywhere, as you will want to be close to a university performing research in machine learning/AI if you are seriously pursuing this path. This will determine your practice location more than needing to work in a hospital ER. I don't have firsthand knowledge of the EM job market, but any hospital with an emergency department needs it to be staffed, and it's flexible for anyone with privileges to pick up ER shifts, as long as the hospital and ER group are willing.
  15. Lactic Folly

    U of Alberta vs. McMaster

    Also, not sure what you mean by funding hinging on a hospital - both hospital-based EM and traditional fee-for-service clinic-based FM bill the government directly for their services. The emergency medicine physician holds hospital privileges, but provides services as an independent contractor, as does the FM physician. It's the surgical specialties which are more constrained by availability of hospital resources (in particular OR time).
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