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Valentine

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  1. Questions 1. Does a doc need to complete a residency to open a private cosmetic clinic? 2. How does a doc get the training necessary to practice cosmetic medicine safely? Stuff like botox, injections, etc 3. Can any doc from any residency do cosmetic medicine?
  2. Mac ortho has been having accreditation difficulties. They were under "intent to withdraw" status. I do not know if this has been rectified.
  3. How to prevent ****ty useless parents: Mandatory vasectomies at birth. Think of it as a vaccination against bratty children. Should you be deemed suitable to raise one or more youngsters, your vasectomy will be reversed.
  4. The most important thing when it comes to any application process for anything, is connections. You could be the brightest, most handsome, most ambitious and accomplished applicant in the pool, and it wouldn't matter because the son or daughter of Dr.X, who is friends with Dr.Y on the interview committee, is also applying.
  5. My advice is to avoid FM if you want to work in a larger urban center. In large cities, FPs generally do the maintenance work and well baby visits only. Any interesting or vital illnesses that arise become the domain of the pediatric specialist. The only way to do FP interestingly is to do it in a small area where YOU are THE doc. So, my advice is to do pediatrics.
  6. Where does everyone think the spots will go?
  7. NPs are one more reason to avoid going into FP. I've been saying this for a long time: family medicine is in a dire position right now, and its only going to get worse. If any premed or med student asks me what I think about family medicine, I tell them to avoid it unless they were completely enthralled by its philosophy. The field is facing enough problems as it is, and the future looks bleak. Follow the numbers: less students are going into FP every year. Medical students are not fools - they as a whole realize that FP is a total lemon of a career choice right now.(yes, I said it.) If they're unsure of a career choice, I tell them to go into internal since it allows one to explore more options than family med. Honestly, I would not be surprised if family medicine was primarily a nurse's responsibility in the future. An unfortunate, dismal prognosis which is more politically feasible than recruiting more doctors.
  8. You make a good point here. Those who have an aptitude for business would thrive in an FP setting. However, as it stands most medical students are there to do medicine, and medicine is I assume what they expect to be doing for most of their lives. Thus, why put all of that business effort into an FP office that may fail when you can just do ophtho and bill crazy amounts.
  9. Neither does being the president of your local/national/international do-gooder association, or being able to charm and flash a smile at the right times. Currently we have no consistent way to determine who will be good doctors.
  10. From the NOMS website: ""Specialty training delivered through NOSM includes General Surgery, Internal Medicine, Anesthesiology, Pediatrics, Orthopedic Surgery, Obstetrics/Gynecology and Psychiatry which are all accredited by McMaster University and/or the University of Ottawa. Community Medicine is also offered as a NOSM-accredited specialty program."" This residency list is far more succinct than at most, if not all, other schools in Canada, which isn't surprising since its a new school. Thus, if one desires to do a residency in something other than the above listed, then they should go somewhere else. Again, from the NOMS website: ""NOSM, while preparing students for the full range of clinical disciplines in medicine, will focus on training general practitioners of medicine, family doctors and specialists, who remain generalists across their specialties. NOSM will develop physicians able to practice and engage in research anywhere in the world but who have a particular understanding of people in northern and remote settings."" So, although the training of NOMS will be on par with any domestic medical school, the focus will be on training physicians that will be able to work in rural settings. This is where logic sets in: rural, northern communities do not commonly have academic institutions. Thus, if one desires to work academically, they should go elsewhere. I'm not trashing on NOMS. It has a purpose and it is not dancing around its purpose: to train doctors for rural communities. This is essential and its about time there's a medical school that prepares its future graduates for rural medicine. However, not everyone wants to be a rural doctor, so applicants should think long and hard before attending NOMS if they're more attracted to urban environments or a future in academic medicine, or if the career they want isn't on the residency list offered at NOMS. In any case its important that you actually understand what you read.
  11. Yes. Both in a small rural area and in a major center. The small rural area doc basically did everything besides surgery, and referred only when he was truly stumped. The major center doc juggled medications while referring any thought-provoking problems to the specialists, and this was de-rigeur for the area...not very interesting work. Talk to any student about the lack of pay a GP makes compared to basically anything else. For instance, these rural bursaries are minuscule relative to the yearly net of basically anything else AND you have to move rurally, which most students do not want to do. So why not just do opthto? I hate it when med students(or worse yet, clueless pre-meds), laypeople, and doctors pull the argument that we shouldn't be in it for the money. Why is it ok for basically any other profession to be in it for the money except physicians? Physicians sacrifice a lot of their time, financial credit, and energy to provide a crucial service to society. When family physicians are not paid well, it is construed that those physicians are not important, only necessary.
  12. Hi, according to the CaRMS website, NOMS only offers residency positions in FP and community medicine. If one desires to make connections during clerkship in fields other than those listed above, then NOMS will make that far more difficult since no other residency positions are offered at NOMS. NOMS is a school that caters to students who are apt to practice rural family medicine, according to its mission statement. Thus, students who think they'd be open to doing something other than rural FP or com. med. should opt to attend another medical school.
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