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Birdy last won the day on January 30 2019

Birdy had the most liked content!

About Birdy

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    Kinda Bossy
  • Birthday 03/15/1987

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    Hamilton, ON for now

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  1. Clusters of 2015 matriculants were called grapes because of our purple bags. You guys get to be busy bees! I think it’s nice. I’d have been happy with it. The colour is a dandelion yellow. Nice and rich. Dandelions thrive on any surface in any conditions no matter what you do to them. Maybe you guys can be like them.
  2. Nope and I’ve been asking around and contacting MCC. No one is saying anything new about when it’ll be. I graduate in March and would really like it to be over with before then. IMO they should just waive the requirement for this year but that’s probably not happening. I can hope though.
  3. As far as I know, once you pass, you pass.
  4. My family doc doesn’t teach med students or residents which was Important to me. We just found her through a list of family docs taking patients in the area. I did switch to her from a crappy one I had previously and I’m very happy with her care as she’s attentive, evidence-based, and treats me like a knowledgeable patient, but not a colleague. When she’s taking a history or talking to me about medical conditions she does speak to me at my level, but she also makes recommendations and suggests courses of treatment as she would with any patient. She’s careful to remind me that I am not my own doctor, but she also understands that I do have more insight into things and she’ll trust my judgement on exam findings when having a phone visit. She doesn’t just order or prescribe whatever I want unless she agrees with the need for it. I call her Dr. S, not her first name, to maintain a bit of distance. My rheumatologist, though, appointments with her are more relaxed/collegial. She’s about my age, just recently finished fellowship, and has kids with similar concerns to mine. Plus we’re in a Facebook group together and I’ve done a horizontal elective with her. I do call her by her first name but it’s because we’re more peer-ish.
  5. They haven’t missed half. They’ve missed 3.5 months out of 16. They’re returning next month, I believe. I don’t know what Mac is planning (I’m a resident, I don’t keep up on everything the med students do) but I’m pretty sure they have options to recover some of the time.
  6. I was a late comer to liking EM. Came into med school planning on FM with extra reproductive health. Detoured to OB/Gyn for a while. Did my emerg block and an elective and loved it. Decided on FM since I definitely wanted to continue with reproductive care as well. Currently planning to apply for +1 EM (will be doing part time emerg whether or not I get it) and will do part time emerg and have a primary care reproductive health focused clinic in addition. So even though I flip flopped in med school during my short three years (it’s really 2 until you’re doing carms) I am super happy with where I am.
  7. Mac students have the option of taking an additional year for research and some do additional electives. Not many do it, but it is possible. Lots of Mac grads do PM&R and Emerg. Everyone I knew who was gunning for those matched to them. I think people agonize more over finding a “perfect fit” specialty than is warranted, and I say this as someone who did precisely that. People do switch residency programs not infrequently, and there are alternate paths to many types of work.
  8. Read cases. Know common guidelines from the SOGC. Would be helpful to have an approach to initial assessment for as many of the following as possible BUT DON’T FEEL LIKE YOU MUST KNOW ALL OF THIS: - abnormal uterine bleeding + post-menopausal bleeding - amenorrhoea - dysmenorrhoea +/- chronic pelvic pain - menorrhagia - contraception counselling - bleeding/pain 1st/2ed/3rd trimesters - assessment of labour - postpartum assessment - STIs and Vulvovaginal complaints (discharge, itching, dysuria, dyspareunia, lumps and bumps, etc.) Thats the super common stuff. You don’t need to be an expert, you don’t need textbooks on this stuff memorized. But have a general idea about what you should figure out and know your important “don’t miss” diagnoses like ectopic pregnancy. Sounds like a lot but honestly as you see the clinical cases it’ll sink in super quick. Remember, the whole point of you being there is to learn. You’re not expected to know everything on day 1.
  9. I feel like Mac is known for trying really hard with MedEd; designed the MMI, PBL, and CAsPER. Tends to be cool with going against the grain in things. People joke about our non-traditional training but... enh. It’s working for us.
  10. I started med school older, poorer, and fatter than most students and have health issues and a bunch of kids. Did I fit in? Nope. Still had a blast, made some good friends, and I think my experiences have helped me become a good doc. Yours can very much do the same.
  11. Hey! PGY-2 FM. I have unfortunately fairly active rheumatoid arthritis, another connective tissue disorder, and was pregnant both during med school and residency. Both the RA (and immunosuppression associated with being on a biologic) and the pregnancies and breastfeeding involved accommodations. I also had a medical leave in med school due to postpartum depression. My med school was typically accommodating and reasonable to deal with. I encountered students who had other conditions (one comes to mind who had post concussion symptoms for an extended period) who were well accommodated with things like modified schedules. I did have a test delayed when I was pregnant because I’d been in the hospital all night, and an OSCE delayed by a year because I would have had to do it while 3 weeks postpartum. While I have not sought much in the way of accommodations in residency, the ones I have asked for have been met with a lot of support. I do know of residents who have modified schedules, specific site assignments, had accommodated time for licensing exams, etc. Reasonable and medically necessary accommodations will be made. You must be able to provide documentation stating that you have a medical need for X, Y, Z (does NOT need to disclose reasoning or diagnosis.) The school can push back if they don’t feel it’s a reasonable expectation but almost all universities have some sort of accessibility department that can help navigate things. There is stigma when it comes to licensing and having mental health issues in particular. Dr. Goldman interviewed me for his show actually because I’ve gone through it but because of pushback I got on it, we agreed not to air my episode. As to groups, I don’t know of any for all medical learners. I’m in one for physician moms with health issues, but would love to hear of a more general one too. edit: also you may deal with some irritating interactions in med Ed where everyone assumes that all students/residents are fully able bodied. Attendings who try getting the entire group to run up multiple flights of stairs while rounding, for example, or group social events for mandatory groups that necessitate activities that would be challenging with respiratory, cardiac, or mobility challenges. There is the assumption that no one in the group might be disabled and so no attempt to welcome or invite requests for accommodations or alternate activities. I found this very frustrating in med school and rarely socialized with colleagues because I didn’t want to constantly be the stick in the mud.
  12. Just want to say thanks for posting this. I’m 9mos out from finishing FM and while my current attending is amazing at chatting numbers with me, so few are so it’s hard to make projections. Planning to do rural FM plus part time EM (applying for +1) so this is helpful perspective.
  13. I’m an FM resident in a program that has overnight call in only one rotation (OB/Gyn.) We were required to do four night shifts per emerg block, but I would imagine - not speaking for my program here but just my own impression of how wonderful they tend to be - that sort of thing is likely to be able to be accommodated. We do have home call when on our core family rotations but I’ve literally never been called. And we also do call until 11pm on other rotations, but because there’s no post-call day it ends up being as many hours as if you had done overnight call, it just allows for a solid amount of sleep in between. I feel like most non-rural FM programs can likely be modified in such a way as to accommodate your needs. I have an autoimmune disease and deal with pretty significant fatigue as a result. Hasn’t been much of an issue.
  14. Can be a lot of things. Limiting your choices geographically, ranking specialty #2 programs ahead of your first choice specialty, doing poorly at the interview or social (especially for very small fields), or red flags on letters. I don’t know that it’s necessarily knowledge; people who are choosing residents are often very concerned about how well they fit into the clinical and educational culture of a program. How well they work, how well they engage with the team. Being smart but being an ass is less likely to get you into your preferred specialty than being not-a-superstar who has letters showing they’re a great team member who works hard and can be relied upon. all this IMO, of course. I only applied to one specialty.
  15. As ellorie said, depends. When I have clerks I love sending them home early because I loved it when my residents did that for me. Still love it when my attendings do it. If it’s a frustrated huff of “just go home” then you should probably ask if they have performance concerns. As a general rule, though, if someone says you can leave early, thank them profusely and make sure to show up on time the next day bright and ready to work.
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