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Birdy

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Birdy last won the day on January 18 2016

Birdy had the most liked content!

About Birdy

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    Kinda Bossy
  • Birthday 03/15/1987

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    Female
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    Hamilton, ON for now

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  1. I was very interested in OB and family med and (later on) emerg as well. I still love OB and in some ways there are aspects of it I am sad about not being able to do - like infertility medicine and gynae surgery - but I eventually chose family medicine (I did not apply to any other specialties) because of the flexibility, and because I can integrate a lot of the stuff I love about OB into my practice. Plus I can do emerg too, which I really enjoy OB residency is pretty brutal and, honestly, I just don’t think I’m up for five years of working like that. Lots of people told me ‘oh it’s only five years, then you have the rest of your career!’ But I’m tired. I don’t want to be almost forty before I’m earning staff income, and I’d be paying off my student debt until my oldest kid is in university. That wasn’t what I wanted for myself or my family. Family med - which I legitimately like because I can do a bit of whatever strikes my fancy - gives me the flexibility I need, a shorter, less brutal, and somewhat customizable residency (especially my program, which is amazing and I love it,) and it means I’ll be able to pick up and go work where I want. If you’re interested in such a variety, I strongly encourage you to consider family med.
  2. Not many OBs deliver all of their own patients. They typically work in groups and there is a call schedule and whomever is on call delivers. That’s not to say that OBs who deliver all of their own patients don’t exist, but they’re not as common these days.
  3. I don’t even have an undergrad degree, while I had med classmates with multiple advanced degrees and lots of published academic work. Thing is, the med school part of your education is very much a separate beast from whatever you’ve done before. It requires its own set of skills and talents in areas lots of people with strong academic backgrounds may not have exercised before. You’re all coming into it on relatively even ground for the stuff that really matters. I think it’s important not to compare yourselves to others. Work to be the best you can be and to ensure you’re meeting the objectives of you’re program. Be nice, work and study hard and make sure you’re a good team member in clerkship. It’s not possible for everyone to be the best at this, but show willingness to learn and work hard and I think that’s going to take you a big part of the way. Can’t really speak to surgical programs since I didn’t apply to them, but just generally focus on yourself, not others.
  4. Birdy

    Income and Lifestyle

    Pretty much. I mean, my PGY-1 salary is the best income I’ve ever had. I’m actually feeling pretty comfortable on it. Hours and benefits are worlds better than most jobs I’ve had previously. I’ve honestly worked a lot harder for a lot less money for most of my adult life.
  5. Birdy

    Income and Lifestyle

    Easy: don’t live in a big city. I’m looking at having a really, really nice lifestyle on a reasonably average family doctor income down East, and I have a big family. We’ll be looking at very nice homes around $350k-$400k in the areas we’re considering settling once I’m done residency.
  6. Oh I know I can take longer, I just don’t want to. It’s purely my own decision, I haven’t faced any pressure one way or the other from my program. Not everyone enjoys long parental leaves, so please don’t tell me what I want. This is my fourth child and I know my own preferences. I enjoy working outside the home. My husband prefers being at home caring for the children. This dynamic works for us.
  7. Might try seeing about sneaking into it since I have nothing to do as I’m off work until after my maternity leave. Cant hurt to try anyway. Part of wanting to figure things out a little earlier is that I’ll need to approach these agreements somewhat differently because I’ll be off-cycle - finishing in December - due to my six month maternity leave. Lots of the contracts require starting practice within 1-4 months of finishing residency, but that would be during the school year for my kids and I’d rather see about negotiating a longer lead time sort of thing. Thanks for the info about the talks; I’ll pop a message to one of the PGY-2s.
  8. Hey people, I’m a PGY-1 FM in Ontario but not planning to practice here, since I’ve always wanted to head back East to practice. Since I have a ton of student debt, almost four kids, and many provinces are more than willing to incentivize new doctors to come their way, I’m looking at a few ROS/incentive possibilities to help lighten the load. They range from $38k-$110k with agreements up to five years. I’d considered signing one in med school but decided against it to keep my options open, but now having decided on family practice for sure, I’m comfortable going for it. I’m hoping to hear from people who looked into recruitment incentives, whether or not you decided to sign an agreement. Also just looking for advice What sorts of things should I be looking to ensure are included or excluded? Is it appropriate/acceptable to ask one province if they are capable of/willing to match a program from another province? Whom would be best to review the agreements before signing (financial advisor, lawyer, PGME advisor, provincial associations?) Any suggestions for things to consider would be appreciated.
  9. I found OMA the cheapest. And yes you absolutely need home/tenant insurance. As someone who had a $60k+ claim after a house fire, I’m so damn glad we had that insurance. It saved our butts.
  10. I have certain numbers in mind for myself, yes, and plan to balance a certain desired income level against my desired family time. I don’t see myself working part time, but I also don’t see myself working consistent 60+ hour weeks like some do. I’m a family medicine resident and the potential for higher income with other fields was not a factor that swayed my decision away from FM. The flexibility with FM was my main draw. When my kids are older and out of the house I might want to work more for a few years then scale it back when I approach retirement, but for now I want the ability to have a reasonable schedule and decent enough income to pay off my debt and have a steady lifestyle.
  11. I now feel a bit bad that I didn’t send my med student (small site. I’ve only had the one) home early on any of the days he was working with me.
  12. Birdy

    Clerkship resources

    As the others have said, Case Files are useful. The Mass Gen Pocket Medicine book is a handy one for IM, as well, though not so much presentation to diagnosis workup. The books I found most helpful generally for practical/useful knowledge on the go - the stuff that makes you a helpful med student - were the pocket survival guides that Mac had for IM, psych, and paeds. I’m sure each school has their own versions of some of these. Less ‘book knowledge’ about what the six major categories of common aetiologies of XYZ are, but more helpful for figuring out workups and management.
  13. I set rules around when I was allowed to work on school stuff and very rarely broke then. Throughout med school, I looked at it as my job, and prioritized the things outside of medicine that make my life what it is. I loved medical school and enjoyed it, but my real life is my family and friends and pets and pursuit of my interests. So I made sure to prioritize those things. I don’t talk to my husband constantly about medicine (though he has been subject to a few of my rants on inequalities...) We talk about the same stuff we talked about before I went into medicine. We just occasionally talk about medicine too, since it’s my job and it’s interesting to him as someone who receives health services, even if he doesn’t share my passion for it.
  14. This too. I came into med school planning to do FM. Considered OB/gyn very seriously for a while (still love it) and briefly considered emerg but decided a five year residency isn’t for me, and figure that the amount of OB/gyn I can do as a family doc is sufficient. Plus I can (try to) do a +1 EM if I decide I still really want to do emerg later. But if I were sitting here staring down the barrel of a five year gen surg residency right now instead of a pretty chill FM program, my thoughts on this topic might be different.
  15. There have definitely been some amazing perspectives here, and I think you’ve gotten some great advice. I definitely agree with what others have said about reaching out to your school resources and seeing if they have someone you can talk to about this decision. I’m fairly junior (starting residency in two weeks) but I definitely would tell my past self to go to medical school if I had the opportunity. There have been additional frustrations and headaches for me along the way, but I very much feel like this decision was the right one for me and I am very happy with the path I have chosen. My residency program is very lifestyle-friendly and I’m really looking forward to a flexible career in family medicine. It hasn’t always been easy, but for me it has been worth it. For lots of people, they find out that they don’t feel it was worth it. None of us can tell you which direction your doubts will play out, which is why I think it’d be really helpful for you to speak with someone in person. I can say that deciding to keep my life outside of medicine as normal as possible has been a big deal for making this whole thing easier. I’ve refused to let medicine overtake my whole life or significantly alter our family goals (even though plenty of people think I’m nuts for adding two kids during my training) so I’ve managed to keep the important parts of my identity untouched. To me, that’s been a very important part of why this process hasn’t been so overwhelming. Don’t feel like it has to be all or nothing with medicine. It is possible to have a life and be a medical trainee too.
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