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Hanmari last won the day on September 16 2018

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About Hanmari

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  1. I haven't asked this to any staff because I feel like it'd get me weird looks. It might do so here as well. But regardless, has anyone heard of or seen any practice models, in any specialty, where the part-time practice is structured such that you work for a certain number of months per year and then are completely off for the other months? I've only ever seen staff taking weeks off at a time. Doing outpatient work and finding locums to cover for the months you are away seems to be the most plausible option, but I'm wondering if there are other ways to achieve this. Are there hospitals or clinics that will allow this kind of practice, and if so in what context? What's the reasonable limit if there are such practices, e.g. can you work for just half the year? Are there college rules against stuff like this for the sake of patient care? I understand the question is vague and broad but I've never seen anyone do this across all the specialties I've been exposed to so I'm casting my net wide. Thanks!
  2. Finally went net worth positive as of this month, between the remaining LoC and my TFSA. I had a low debt load bcz of grants in med school, but regardless, it's been a frugal journey thus far. I'm buying myself an extra meal out this week to celebrate. Yay /humblebrag What's a good next step? Continue as now and mix the LoC paydown with building the TFSA? The TFSA is, as it should be, all equities and could send me crashing back into the red tomorrow. Or should I start saving for royal college costs...or is that too far away? What'd everyone else do around this time of their lives? I am all ears for your wisdom.
  3. Don't put yourself in the financial situation where after 24 years of practice you can't call it quits when you're hit with something like this.
  4. It's been a long work in progress but I'm slowly easing these thousand year old conservative blockheads into tolerating me in increasingly casual wear Society needs to grow the hell up and realize what I wear won't change the efficacy of the meds I prescribe I fully expect t-shirt and beach shorts by end of residency
  5. You could get zero on this exam and you'd still be "ready to work" if you did your residency and passed your royal college/CFPC
  6. I suspect this probably differs based on specialty prospects but generally speaking how early in the last year of residency do people apply for jobs? What if you wanted to take some time off after residency - say a few months or maybe even up to half a year - how would that change things in terms of when to apply? I presume it wouldn't fly to go into an interview and tell them you'll start in six months. Just asking out of curiosity even if there's a long way still to go for myself. Thanks!
  7. Fear not, medical education will beat this doubt and weakness out of you and turn you into a machine whose engine requires no frail warmth but only the nourishing oil of evaluations and indentured labor. Go forth fearlessly and melt the alloy of your youth into the white heat of servitude. Soon you shall not even recognize female faces, just like the 90-year old on your ward who swears to you the rhino on their MoCA test is a fucking hawk.
  8. I wish I'd picked a hobby and made it second nature. It's tough to develop new hobbies or broaden your horizons once you're a cog in the system. I'd have picked a single long-term interest and really delved into it, like take classes it in or something. To the point where it becomes effortless to do it in everyday life because that is the only way it won't shrivel up from the nuclear fallout of medicine. It's tough to spend any time on hobbies even when you're in med school, med school is time-consuming and difficult. So is every stage after this until retirement. There is never a good time to start. All you can do is start cutting out the tiniest bits of time you can find and throw it at something you care about in a meaningful way that will build up and make that hobby easier to do over time. If you already started in undergrad, good on you, keep it alive. And if you can't even find that little amount of time, that's alright. Lots of people can't. But pay attention to that fact. Really be aware each step of the way that you are giving up precious things for medicine and importantly, come to terms with that. You might still regret it but you will regret it less than if you had gunned obliviously. And god forbid if you get hit with a terminal illness before you reach whatever goal you've planned, at least you'll know what you gambled on was by choice and you might be able to go down laughing.
  9. I'd strongly advise against doing anything more than 2 weeks of vacation at a time even if you could. As Rorzo says you'll miss those weeks when you're going for months with no break. Vacation in residency is more of a sanity preserving exercise, although you can certainly make those short weeks count.
  10. I'm sure a lot of people have seen the first post of this series already. The third and final entry has recently been published, and I think overall it is a great read. First post now links to parts 2 and 3: https://in-housestaff.org/resident-wellness-is-a-lie-part-1-1319?fbclid=IwAR2N0Q7oNg_22fcEzcENvK1WmxdoRubSuJsL1CsyJzX0290Db4nWU3k_bwM
  11. I swear if I was allowed to bill even 10% of the dollar amount for the billing codes for each patient, I'd be a much more motivated worker...it's sometimes not even about the amount of money, it's about the feeling of knowing there is scalable reward for my effort.
  12. Agreed on increasing residency positions, who doesn't. Not sure what he means by "learn local". There's no concrete plan suggested for that one. Does he mean that residency programs would prioritize their own medical school students? I would only be in favour of delaying specialty choice if it does not prolong residency. And I would only be in favour of reinstating the rotating internship if they brought back the GP license with it. Not sure about what he means by reducing exam studying time either. Does he mean fewer exams in medical training? If so, then sure.
  13. Each to their own, but I have never derived any comfort from seeing those worse off; just because they shit melena doesn't mean I shit gold. It also doesn't do wonders for clerks who always feel mediocre to feel like even their suffering is nothing to write home about. I do agree with reminding ourselves that others have done the med ed path before us. A big crowd of people make it through this alive every year. We'll all get there someday.
  14. I mean, becoming staff is not the end, right? ;P I am just being a friendly reassuring resident for my students! Surely I get a good eval for that. In any case y'all staff staying resilient with no one above you to lift you to your feet are amazing. I am sure, amongst many other things picked up along the way, that it must take the same kind of focus on your true life goals that I encourage all my students to remember.
  15. Go into it with few expectations and you won't be disappointed. Hold on tight to your memory of true life and your humanity and don't let the scut eat into it, and always know that in the end you will be able to return to the life you deserve. Every time you hate your life in clerkship say to yourself that life is actually more than just this bullshit. Every day you go into hospital tell yourself you are one day closer to autonomy. You don't need to agree to or even rationalize the status quo to be resilient, you just need to show your staff that smile in that very moment they fuck up your day, and not let it shitstain your memory of happiness.
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