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NutritionRunner

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NutritionRunner last won the day on June 12 2016

NutritionRunner had the most liked content!

About NutritionRunner

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    Allied Health Team Member

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    Ontario
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    Nutrition, dietetics, public health, community nutrition

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  1. You clearly don’t understand the metabolic changes that occur when on a very low calorie diet. It is very well established that it is neither possible nor healthy to remain on a very low calorie diet for an extended period of time, and that once calories return to normal, healthy levels, weight gain is going to occur.
  2. It’s an extremely low calorie diet, and most of the people who go through with the programon regain the weight. Since we know yo-yo dieting is more harmful than being overweight, it appears quite sketchy to me. I’ve seen a number of clients who went to a Dr. Bernstein clinic, lost weight, but then regained it all plus extra weight. So it seems totally sketchy to me.
  3. NutritionRunner

    What's On Your Mind?

    I have a completely different success story from most here. I’ve just been accepted to a PhD program in Aging and Health! I will be a very different kind of doctor from most posters here, should I make it through the program, but I am determined to do so. There is actually a shortage of RD PhDs, so programs that train dietitians are having a hard time filling the faculty positions that are required for them to remain accredited (a certain number of faculty members need to have both the PhD and the RD in order for the program to remain accredited to teach future RDs). I’m SO happy and delighted! I can’t wait to start my program this fall!
  4. NutritionRunner

    Any 1 year masters programs?

    Human Health and Nutritional Sciences at Guelph has a one-year master’s (but it’s not online).
  5. Even in urban centres (outside of GTA) there is a huge need for family physicians. When we moved, I was not able to find a family physician for over a year, despite major efforts to secure a family physician. In the end, it is only because my partner is a member of the Canadian Armed Forces that I was able to find a family physician, through one of their family programs. This is despite living in an urban centre that is home to a medical school. There simply aren’t enough family physicians out there for every Canadian. Especially when you are forced to move every 3-4 years, which is the case if your partner is a member of the CAF (which is why these access programs exist for CAF dependents exist, even if they don’t solve the problem - I know CAF dependents who still don’t have a family physician, despite being on a wait list for 5+ years, simply because there are no family physicians taking new patients in their area).
  6. I did my graduate studies at UofT. UofT is great for grad studies. For undergrad... not so much. HUGE class sizes (very little opportunity to get to know your instructors), lots of classes taught by grad students or adjuncts/sesssionals. Not a lot of chances to set yourself apart from the crowd. I did my undergraduate studies at Guelph, and while I loved doing my grad studies at UofT, I would have been miserable there as an undergraduate. No where near as many supports for undergrads as at Guelph, too many large classes, especially in first and second year, and too much isolation. For graduate studies, the resources at UofT can’t be beat, but those aren’t readily available for undergraduates. It’s better to go to a university where you will receive more and better supports for undergraduate studies.
  7. Yes, the career managers take into account the member’s desires for a posting location, but when it comes right down to it, especially early in your career, you are sent where you are needed. For example, if the vast majority of physicians are requesting postings to Toronto, Ottawa, or Vancouver, they obviously won’t all be accommodated. There will still be a need for doctors in Gagetown, Petawawa, Cold Lake, Wainwright, and other places like that - you could easily end up posted there if that’s where the military decides you are needed, even if you request a posting elsewhere. The benefits and pension are certainly nice. Lots of vacation time too. Also, the vast majority of the time (I.e. in Canada)., physicians will be seeing mostly young, healthy, fit patients. Some of the older individuals serving might have musculoskeletal issues from years of deployments and things like being paratroopers or combat divers, but they’ll still mostly be fit and healthy. That can be appealing to certain individuals. Having PT (i.e. time for exercise) built into your work day (i.e. you are expected to exercise on work time) is a nice perq for some people too. Of course, there are also nice OUTCAN postings available, especially when you have a few years in. Places like Germany, where the CAF Europe support base is, which has a need of military physicians and other health care professionals. Career managers do try to take into account members’ preferences, but in the end, the military will send people where they are needed.
  8. Well, on base they just hire civilians, and since Afghanistan, we haven’t had any major deployments, so having more civilian vs military doctors hasn’t been a big problem. Now that the government has decided to deploy medical personnel on peacekeeping missions again, they are in need of more military physicians, since obviously civilians don’t deploy. The CAF is chronically short in many MOCs. For example, they are always short of engineering officers. Engineers can earn more on civvie street, and not everyone wants a military lifestyle. It’s also why a lot of military engineering officers get out after their 20 years (even though they don’t have a full pension at that point, they do have a small pension) and then get hired by civilian companies. Their new civilian salary plus their small military pension makes for a very nice income.
  9. NutritionRunner

    2018 CaRMS Second Iteration Interview Thread

    While military life certainly isn’t for everyone, it does have its perqs. My partner is an army officer, and one of his friends remustered from engineering to medicine (medical training paid for by the military). Perqs: great benefits (including benefits for dependents), a decent salary, a great pension, and as a primary care physician, seeing mostly very healthy, fit individuals; the ability to train in specialities that the military has need of down the road. Downsides: being posted every so often (don’t know how often postings happen for doctors, but for typical officers, every 3-10 years), potentially being posted to places where you don’t enjoy living and/or your spouse/partner can’t find a good job in their field (i.e. places like Gagetown or Petawawa), having to provide a certain number of years of service in exchange for your training being paid for. Being deployed isn’t a big deal for anyone in the health services - they are within the “wire,” as that is where the hospitals/MIRs are located, so the actual threat to your life is minimal. However, if you don’t like being separated from your partner/family for 6 months at a time, that could be an issue. My partner has been deployed to Haiti, Bosnia, Iraq, Kuwait, the Middle East. Afghanistan, and Africa, and I’ve never really worried about his safety, although I do miss him when he is gone! Oh, the extra money while deployed is a nice perq, as is the possibility for OUTCAN (i.e. outside Canada) postings, where the family can come along, places like Colorado, Washington D.C., many places in Europe (NATO postings and others), etc. Military life is not for everyone. But for the individual who enjoys that sort of challenge (along with their partner/family if they have one) military life can be absolutely wonderful. I don’t regret marrying an army officer for a single moment. For all the temporary stresses it has resulted in at certain times, it has provided us with far more benefits than I can count. Anyone interested in a spouse’s perspective on military service can PM me. Yes, it means I’ve taken a lot of one-year mat leave contracts, as we are posted every 3-4 years due to my parnter’s MOC, but as I have excellent benefits through him, that hasn’t been a big deal. For others, the downsides of military life are huge. It’s up to each individual to determine whether working as an officer in the Canadian Armed Forces is the right choice for them. I personally think it’s great that the military is providing some residency positions for CMGs who haven’t managed to secure a residency position. The CAF needs doctors, that’s no secret, but it can be a very rewarding career for the right type of person.
  10. NutritionRunner

    Rise in competition last 5 years

    It’s not a dumb argument. Plenty of people in allied health are very happy with their careers and never considered medicine at all (obviously some of them did consider medicine, but either didn’t get in or changed their minds). I’m one of those people who changed their minds, mainly due to three factors: 1. Suffering not one, but three severe concussions, and no longer able to handle sleep deprivation well at all. 2. Talking to attending physicians, residents, and clerks, and realizing that I would not actually enjoy either the training process nor the uncertainty of where I would end up for training and then my first job after training (geographically limited due to family commitments). 3. Finding an allied health career that I was passionate about, and paid plenty enough to keep me living very comfortably, living debt-free, being able to afford my hobbies, and being able to take vacation twice a year. You don’t need $200,000 year to live very comfortably in many places in Canada. $60-80,000 per year is more than enough, especially if you are married to someone who makes just as much (or more) and if you don’t have children. Now, if you have children, that’s another matter, as raising kids can be very expensive, depending on where you live. But not everyone wants or has children either. A DINK (double income no kids) couple, each making $80,000 per year, can live very comfortably in smaller cities (i.e. not the GTA or Vancouver, but somewhere like Kingston, Kitchener, London, Halifax, etc.) Oh, and some of us actually prefer smaller cities. I could never live in a place like Toronto or Vancouver - too large, too many people, too much noise, too crowded, etc. Even Ottawa is getting too big for my tastes! Not everyone wants the same things out of life, and not everyone in allied health was gunning for medicine.
  11. NutritionRunner

    Online physiology

    BIOM 2000 at Guelph is “baby physiology” as we called it - not very in-depth, and not suitable for health professional programs. For example, in the dietetics program, we had to take BIOM 3200 which was much more in-depth and covered two semesters’ worth of material. If you only need a surface understanding of physiology, then BIOM 2000 at Guelph is a good course - the people I knew in the Adult Development or Child, Youth & Family programs (who just needed a basic understanding of physiology, not an in-depth one), found the course quite fair. Lots of memorization, of course, but that will be the case with any physiology course. If you need a more in-depth understanding of physiology, BIOM 3200 is the way to go at Guelph - just be prepared for a lot of work, as it’s a two-semester course compressed into one semester. Oh, and you need to have a biochemistry credit to take it (none needed for BIOM 2000, so that tells you one of the differences between them right now). It was a very fair course when I took it, though (BIOM 3200) - I ended up with an A+ in the course.
  12. NutritionRunner

    Challenges of Family Medicine

    The family physicians at our clinic don‘t do a lot of diabetes counselling themselves, because they have me (the dietitian) and the Certified Diabetes Educator RN who do all of the diabetes education, and we have medical directives to do basal insulin starts and A1c blood work, and the RN CDE can also start bolus insulin and adjust basal and bolus insulin. The family physicians, do, of course, prescribe and adjust medications, but they just don‘t have the time to do serious lifestyle intervention counselling. Either the RN CDE or myself also do the glucometre education and advise patients when and how often to test - again, the family physicians simply don‘t have time to go through all of that. We consult with each other, of course, especially if there are any questions or if glucose control is extremely poor, but the bulk of the diabetes education is left to the RD and the RN CDE.
  13. NutritionRunner

    Challenges of Family Medicine

    You also have to realize that in some places, waiting lists for the patient to get in to see a dermatologist can be quite long. In our clinic, our physicians do the simple skin biopsies, not only because it is easier for the patient, but also because the waiting list for dermatology is considerable (this despite being in a city that is home to a medical school). We do have patients see a dermatologist via OTN (video-medicine facilitated by a nurse), but obviously the dermatologist can‘t take a biopsy via videoconference. It‘s the same with numerous other specialities, including endocrinology and neurology - we use OTN not only because its more convenient and facilitates access for our patients, but also because waiting lists can be of considerable length.
  14. NutritionRunner

    Challenges of Family Medicine

    Exactly! Not to mention, in the setting where I work, a community health centre, many of our patients have enormous difficulty getting to specialist appointments, for a whole variety of reasons, including not being able to pay for the taxi there (if it‘s not on a bus route), having major anxiety over meeting new practitioners (with many CHC clients it can take a while to build up trust and establish rapport), having difficulty getting to new and unfamiliar places, or not being able to afford and extra trip on the access bus that week or month. Our physicians are all on salary, so they aren‘t earning anything extra for the procedures they do. The ones who do low risk OB do earn extra for deliveries, but they don‘t for pre- and post-natal care, or for IUD insertions, etc. It‘s sad that so many physicians, medical students, and residents posting here are focused on the amount of money they earn for a procedure, instead of on what is best for the patient.
  15. NutritionRunner

    Challenges of Family Medicine

    I suppose it depends on how you define “urban centre.” I’m not in the GTA, Vancouver, or Montreal, but I currently work in a city that is home to a medical school, so I supervise medical students and work with residents all the time. Our MDs do the minor procedures described, and two of our family physicians also do low risk OB. Previously I worked at a community health centre in another city (again, not any of the “big three” but certainly not rural either) and the MDs there did minor procedures, but no low risk OB. It might be different in “traditional” family medicine practices, but certainly in CHCs, which serve traditionally underserved and marginalized populations, family physicians can do minor procedures as part of their practice. It’s just far easier for our clients. For that same reason, our RPNs do any blood draws for blood work and then send them to the lab for analysis. Asking our clients to go elsewhere to get blood drawn would place an added burden on them, with the result that many simply wouldn’t have the needed blood work done as getting to a lab would be difficult for them.
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