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LittleDaisy

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LittleDaisy last won the day on December 20 2015

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About LittleDaisy

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    Cégep Student

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  1. LittleDaisy

    fam med vs gen dent salary

    For starter, the office rental cost is so high in downtown Toronto. I don't know many new grads who want to start a practice in Toronto, unless they are geographically limited 2nd to familial reasons. I have read over your previous posts, you have to compromise somewhere. If money is a priority to you, then I don't think that you will be very happy in family medicine. As you are the MRP at the end of day, you have to deal with a lot of <<small>> issues, lab follows-up, Rx renewals and urgent phone calls for patients who worry you, etc. You have a lot of dedicated time that are not OHIP-billable. Perhaps you could consider other specialties with higher money earning potential, just my two cents If you just go a bit further, 1h within GTA, with a good FHO practice, you can easily bill 30 k and up as a GP.
  2. LittleDaisy

    fam med vs gen dent salary

    I have the most recent data from OMA surveying all the GPs in Ontario that the average salary is 360 K pre-overhead, it was published in their most recent magazine, but it's not open to the general public for obvious reasons. For Globe and Mail data, they didn't mention which year the data was collected, it could be well before FHO was created. They also did mention that the "average" does not tell the whole story, which sounds like they know that their average might not be uptodate nor accurate Aggregate data about physician billings is already published. We know, for example, that the average Ontario physician bills $348,000. Family doctors billings average $275,000, while those of ophthalmologists are $714,000. But averages tell only a partial story. For average projected income of a FHO GP with 1000 rostered patients: 357,000 $ pre-overhead (again from OMA, presented to FM residents during our academic half-day, the presentator specifically told us not to share the data with the public). Once again, the government is cutting down the FHO positions as its high costs. For malpractice insurance with CMPA, from what I understand, is that they reimburse 70% quarterly or annually (provided if not alarmingly high lawsuits against GPs) ? The GP's CMPA insurance is not that bad compared to OBS-GYN or surgical sub specialties Physicians' salary or billing still remains the myth, you do have to talk to a several physicians in practice, and read through the laborious OMA reports private to its members only.
  3. LittleDaisy

    fam med vs gen dent salary

    GPs make around 360 K in Ontario, as per OMA data (it is published in OMA magazine), but not available to the general public, GP pay around 30% overhead, with the taxes, you will take home around 210 K. For dentists, it is hard to make money during the first few years, as it is private practice (patients could shop around). Most prefer well-known senior dentists, why don't you if you have fairly good dental insurance of just socio-economically advantaged? The overhead is quite high, as the dental equipment costs more than of the GPs. In urban cities, it is quite saturated with general dentists, as most prefer to stay in urban area.
  4. I would say only ask questions in the OR, if the operating surgeon feels like chatting or asks your question first. Don't ask questions if the staff surgeon is concentrated or in a bad mood, you will be yelled at. When your resident is closing up, ask him or her if you could contribute as well (very often, the staff has already left the room).
  5. I do agree about the meal part I guess that once you live on your own, it is hard to move back with parents. I am also jealous of you able to paying off your debt during 1st year of residency
  6. I am not sure that a lot of UofT residents stay with their parents during residency. Everyone that I know lives on their own or with a roommate. At some point, you do want to become independent and live on your own, just saying I find that you learn a lot about yourself. But finishing medical school with 30 K is a pretty sweet deal!
  7. I agree wholeheartedly, there is some sort of stigmatization of mental health among physicians. Even if you have fairly well controlled MDD or GAD, you have to report it to College of Physicians, who require an annual report of GP or psychiatrist. If you are unfortunately not under control, they sometimes send you to the Physician Health Program, which hasn't been a pleasant experience for some of my colleagues. Career as a physician alone creates high rates of burnout, depression and anxiety disorders, which it is fairly common and should not change one's ability to be a competent physician. Unfortunately, CPSO (Ontario) tracks down all medical trainees and practising physicians with mental health diagnoses. If you are fairly under control and follow up with treatment, there shouldn't be much issue for licensing.
  8. LittleDaisy

    CFPC membership

    I think that you need to keep the membership for CFPC, as family physician, you need to keep up with the Mainpro CME credits annually to keep the CCFP title (some people find it a big deal) I would personally keep the CFPC membership even if it is not required in BC. If you want to move around provinces, it is required in Ontario for example. But if you are not that into CCFP titles, then it is not much a big deal then for your day-to-day practice, as patient barely cares anyway. I am paying 102$ as PGY2, the only perk is the reduced rate for FMF, but otherwise, it is not that helpful to me beside the monthly CFPC magazines?!
  9. I think that 2 year of clerkship with a new rotation every 1-2 months require some adaptation time at beginning (usually 1 week). Most of the time you are just trying to figure out how the new rotation works, and how to fit in with the health professionals & residents who are overworked & staff physicians who may be amazing or completely don't care about you
  10. Yes, I know a few colleagues who have eating disorders, they are under control. When you get into medical school and eventually into residency, you would have to declare it to the College of Physicians, which may require some sort of monitoring through physicians reports.
  11. LittleDaisy

    Income and Lifestyle

    Wow I love this ! Your mentor is brillant lol! I am going to use this for my medical students who are undecided
  12. Aha I won't put it this way. I think that clerkship is a steep learning curve, where you learn what you like in medicine, what you don't like, and find models within your staff physicians. I find that in high acuity services (general surgery), having clerks around definitely help the patient flow . Clerkship is all about learning and finding what kind of physician you want to be. Also, I find clerkship the most challenging part of my life, because of the power differential---> nobody has respect for you, everyone yells at you or shoves you around ( in certain unfriendly services); while you have to remain optimistic and try to put a big grin on your face, and carry on with your learning and trying desperately to impress your residents who are perhaps overworked, or try to impress your staff physicians for LORs (who doesn't interact with you that much tbh). Once you passed through clerkship---> life seems to be easier in residency where you have more autonomy and more respect from the other health professionals.
  13. LittleDaisy

    Income and Lifestyle

    I understand your point PhD2MD. I just have encountered and get acquainted with a few colleagues of mine who are in family medicine by default (after 2 iterations of CaRMS, or last choice in their rank list). In retrospect, some of them have regretted of choosing family medicine out of desperation, and are trying to switch residency, which is very difficult. Family medicine is definitely not for everyone, you have to be very patient and able to deal with every sort of clinical presentation, be willing to admit your knowledge weaknesses and be comfortable with ambiguities , and learn how to deal with difficult patients and set boundaries. You also have to be comfortable with socio-economic aspects of medicine: filling out disability forms, insurance forms, and advocate for the most vulnerable patients----> I have seen a lot of staff physicians doing these non-OHIP billable services for free as they know that our patients could barely make ends meet, which takes a large chunk of your time depends on where you practice. I think that if you don't enjoy family medicine during clerkship, the likelihood of you enjoying it for a career is not very high.
  14. LittleDaisy

    Income and Lifestyle

    I just encountered a few, but overall, I think that they were more than happy to match after 2 iterations, but unhappy with their specialty by default. I think that it is common sense to be unhappy in a residency when it is not your first choice, let alone your last choice.
  15. True I noticed that our staff do like to give the geriatric and psychiatric patients to MS4 or junior residents lol At the same time, you do have to review with medical students and see the patient with them, also teach around cases. In academic family health teams, staff will block time slots during their day schedule to review with residents & medical students, etc. I think that if you want to be an academic staff physician, you have to love teaching, and be willing to take 30- 40% paycheck cut.
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