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NutritionRunner

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NutritionRunner last won the day on June 12 2016

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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. This is completely anecdotal, but the only IMG CSAs I’ve worked with (5 in total, out of a larger number of residents rotating through the centre where I worked prior to pursuing a PhD) have been Irish grads. I don’t know if that’s because the family medicine program here locally prefers Irish grads over other IMGs, or if there is some other reason. I am not in Toronto, but another Ontario city with a medical school.
  2. Anecdotally, the two Mac Health Sci grads I know *personally* did not go to medical school, but rather physiotherapy and veterinary medicine. Obviously a lot of Mac Health Sci grads get into medicine (and choose health sci because that is their goal) but students in that program certainly don't universally make it into (or even desire) medicine.
  3. NutritionRunner

    Biology vs. BioMedical vs. Health Sciences

    What types of courses do you enjoy? Math, science, psychology, sociology? Courses where the answer is either “right” or “wrong?” Courses where you do lots of writing? All of those will determine which program you will enjoy the most. Do the minutiae of biology interest you? The social determinants of health (which are huge by the way)? Are you better at lab work or writing papers? Examine your strengths and weaknesses, and choose your program based on those, combined with your actual interests (you tend to do better in courses that you actually enjoy).
  4. NutritionRunner

    What do you think about this blog?

    Yes. In Ontario CHC physicians qualify for HOOPP pensions. You do have to be willing to spend the time with very complex patients, and really understand and GET the social determinants of health, or you will be frustrated and not enjoy CHC work. You can’t bill extra for paperwork (whether government-required paperwork, i.e. disability applications, or private paperwork, i.e. sick notes). I, personally, found CHC work to be much more rewarding than “standard” primary care work, because I was truly making a difference in my patients’ lives. Others, who are more focused on earning $ may not enjoy CHC work. Those who don’t want to deal with complex patients won’t enjoy CHC work. Those who don’t understand how adverse childhood experiences impact adult health won’t enjoy CHC work. Those who don’t believe in the fundamental influence of the social determinants of health won’t enjoy CHC work. Those who think they know better than allied health won’t enjoy CHC work. But for those who truly appreciate their allied health colleagues, who GET the social determinants of health at a fundamental level, who truly enjoy providing health care to populations who have traditionally been marginalized and/or ignored, then CHC work is incredibly rewarding. I’ve moved into academia because I want to do research that will hopefully influence how we provide care (once you’ve been in the workforce for a while, you see the enormous gaps and want to figure out how we can improve things). If I hadn’t, I would have spent the rest of my career in CHCs. It’s incredibly rewarding to see a client through from assessment to discharge, and to actually make a real difference in their lives. There are super challenging clients, and sometimes you wonder why you are even there, but when you actually make a huge difference in someone’s life, then that makes all the no-shows and challenging clients worthwhile. When they are able to stop taking antihypertensives because their blood pressure is normal with just diet and exercise, or when they can manage their blood glucose levels with diet and exercise, you know you have made a difference.
  5. NutritionRunner

    What do you think about this blog?

    Also don’t forget that family physicians working at Community Health Centres in Ontario are on salary. Pure salary. The only exceptions are the doctors who also work opioid replacement clinics as part of their CHC work or who do low-risk OBS as part of their family practice. Physicians who just do regular family practice in CHCs are on salary. The ones I’ve worked with are very happy with that model, but you have to enjoy the work environment, which is quite different from FHT or FFS family practice.
  6. NutritionRunner

    How to do well on clerkship?

    Thank you for emphasizing the importance of respecting your allied health care staff. I can’t tell you how many residents (not clerks, residents) I’ve worked with who think they know more about nutrition than a master’s-trained registered dietitian. They don’t. Guess what? Allied health have a “say” in your final evaluation, so treat us, and our expertise, with the respect it deserves!
  7. This. As a dietetic intern, in one position, I essentially spent 3 months seeing clients independently, meaning that the dietitians I was working with weren’t in the room with me, and while they had to co-sign my notes, they didn’t have any direct contact with the clients I saw. I wasn’t paid anything for that work, and didn’t receive any stipend (in fact, I was paying for the ‘priviledge’ of working as an entry-level dietitian). There were even two clients I saw completely through the nutrition care process, from assessment through to discharge, with no direct involvement of the dietitians I was working with. Sure, the dietitians were there as backup if I had questions, was unsure as to how to proceed (and they certainly were there when I had clients who I didn’t feel I was able to properly provide care for), etc., but in many cases I was working as a novice dietitian, without any compensation (and I was paying to do this work, instead of being paid or even receiving a stipend. Granted, I was only working 40 hours/week, but it was still uncompensated work).
  8. NutritionRunner

    Saudi Arabia to relocate students from Canada

    There are most certainly other jobs where you are expected to work as much as they need you to, without any additional pay. Army officers, for instance, sometimes are on duty for weeks at a time, with no overtime pay, and maybe 3-5 hours of sleep a night when in the field or deployed. When my husband was DCO (Deputy Commanding Officer) of a regiment, he worked 6:30AM to sometime between 8PM and 10PM weekdays, and at least one weekend day for at least 8 hours. Didn’t earn anything extra beyond his regular salary. The only time he earns extra money is when he deploys overseas. Otherwise, he is expected to work as long as the army needs him to, no overtime or extra pay.
  9. 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.
  10. 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.
  11. 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!
  12. NutritionRunner

    Any 1 year masters programs?

    Human Health and Nutritional Sciences at Guelph has a one-year master’s (but it’s not online).
  13. 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).
  14. 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.
  15. 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.
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