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Everything posted by quickdraw_mcgraw

  1. I have a friend who graduated MAC MD. Then came to a surgical program, for which he felt he was wholly unprepared. He called his MAC education a "$30 000 library card" since all they told him to do to solve a medical problem was to read.
  2. But, remember when you are hired, you are not the boss. Usually a nurse manager is in charge along with a community board. I have seen serious personality conflicts arise, those people had to start all over again. The resources they use to attract you, you will pay for. 30% of your billings is an average. I guess it's all about if you want to be in charge of your practice or merely another health care employee. I get the impression that's what some FPs feel like.
  3. Well let's see... 1. Buy billing software 2. Buy scheduling software 3. Buy accounting software 4. Buy computer on which to install this software 5. Advertise for secretary, or administrative assistant. 6. Advertise for nurse RN/RPN 7. Review above resume's 8. Hire secretary 9. Hire nurse 10. Rent office space 11. Probably should get a business line of credit now, you have rent and salaries to pay. 12. Get independent practice license. 13. Get OHIP number application, average wait 3 months. 14. Make sure your line of credit is big enough (see # 11.) 15. Equip your office, you will need exam rooms, exam tables, various medical implements and disposables (ie speculums, otoscopes, BP cuffs, tongue depressors) (see number 14.) It's quite a bit of work, but rewarding, your are setting up a business.
  4. I am curious why it is alright to censor a discussion just because some people complained about it. That's not fair. It was clearly popular, an interesting topic, and one that is quite controversial.
  5. Watch a two year old child dying of leukemia, right to their death, while trying to save them. Then try not to believe that they must be in a better place. If you don't, and just think they're worm food, IMO you don't belong in this field, because you don't have a soul and are no better than Mengele.
  6. If you do something or suggest something that is outside of the normal practice pattern of your peers, they, the CPSO, could take your license away if they could make an argument, however weak, that you were an unsafe doctor. That's the double edged sword of self regulation
  7. The media and patients like to remind us about our oath, well, in the true oath, abortion is not allowed. ________________________________________ THE OATH OF HIPPOCRATES I SWEAR by Apollo the physician and Æsculapius, and Health, and All-heal, and all the gods and goddesses, that, according to my ability and judgment, I will keep this Oath and this stipulation — to reckon him who taught me this Art equally dear to me as my parents, to share my substance with him, and relieve his necessities if required; to look upon his offspring in the same footing as my own brothers, and to teach them this art, if they shall wish to learn it, without fee or stipulation; and that by precept, lecture, and every other mode of instruction, I will impart a knowledge of the Art to my own sons, and those of my teachers, and to disciples bound by a stipulation and oath according to the law of medicine, but to none others. I will follow that system of regimen which, according to my ability and judgement, I consider for the benefit of my patients, and abstain from whatever is deleterious and mischievous. I will give no deadly medicine to any one if asked, nor suggest any such counsel; and in like manner I will not give to a woman a pessary to produce abortion. With purity and with holiness I will pass my life and practice my Art. I will not cut persons labouring under the stone, but will leave this to be done by men who are practitioners of this work. Into whatever houses I enter, I will go into them for the benefit of the sick, and will abstain from every voluntary act of mischief and corruption; and, further, from the seduction of females or males, of freemen and slaves. Whatever, in connection with my professional service, or not in connection with it, I see or hear, in the life of men, which ought not to be spoken of abroad, I will not divulge, as reckoning that all such should be kept secret. While I continue to keep this Oath unviolated, may it be granted to me to enjoy life and the practice of the art, respected by all men, in all times. But should I trespass and violate this Oath, may the reverse be my lot.
  8. Hey, You're preaching to the choir. But it's even worse in Ontario, new policies at the college are so vague that they could be interpreted as I had mentioned. We are told in Ontario that the CPSO is not your friend.
  9. The College of Physicians and Surgeons of Ontario is currently working on a policy that would allow them to know a doctors personal health history. If they felt someone with a medical condition was a danger to patients, and it's pretty arbitrary, they could prevent you from practice if the policy goes through.
  10. I do call for whole weekends. That's surgery though. It's the price you pay for getting to do things as cool as surgeons do. It's worth it for me, I love putting people back together. Instant gratification.
  11. That student learned one important lesson. Never trust a nurses assessment, you are the doctor, or will be and you have the knowledge to properly figure things out. He or she was the most educated person attending to the patient at the time. When will they own up and admit they made a mistake. Medical students don't have the ability to make assessments over the phone. Always go look at the patient, examine the patient, think, then call the resident. Trust no one, use your brain, and load the boat.
  12. So, Are you practicing yet? If so, is it what you were expecting?
  13. The non-OHIP work is seeing injuried patients for insurance companies so the companies can take away the patient's benefits. Your job is to call the patient a liar and say they, the patients, are really not that badly disabled. Benefits gone, insurance company closes a file, you make money. So you do get paid really good money to be a wanker. But, whatever right, who really went into medicine to take care of patients. We all did it for the money, prestige, and the adoration of the opposite sex. "Money and Lifestyle"...... I need to go puke.
  14. Yes, You will be taxed less. But the money has to stay in the corporation. That means you can't spend it. So if you want your money you have to pay it do yourself triggering a tax. If you want to live a very middle class lifestyle in a neighborhood with teachers, fireman, and people in retail, that's fine. But if you want to have the nice car, house, etc. You will need to pay yourself that money. That's why most people do not incorporate until they are completely debt free.
  15. Although it wasn't mentioned recently in this thread, there was talk of "huge" signing bonuses. I've looked into these bonuses, they are anything but huge. They havn't changed since 1969. Now $10K/yr to max $40K was quite a bit back then, it is not now. I wouldn't uproot my life for that and the government is stupid to think anyone would. But then again, the government manages healthcare, and it works so well.
  16. Hours used to be 100+ hours per week just a few years ago. So pretty much 60 hours of daytime work per week plus a couple or three nights of call per week is the way it goes. The way I see it is that you have to operate to be a surgeon, you also have to see rare cases and operate on them. If you're not in the hospital, how can you do it? Reduced work hours will mean longer surgical residencies 6-7years. Oh well. I am willing to pay that price to cut.
  17. GP pay after expenses is about 100000 to 150000 then taxes are taken from that. So net after taxes assuming a marginal tax rate in Ontario of 46.5% is between 55 000 and 80 000. So you put in your bank account every month 4000 to 7000? My mental math is not great. But I am very sure of those incomes. These days a GP has about 30-40% overhead expenses.
  18. There is another thread that covers this. But if you want to do surgery, you commit to long hours and the fact that you can't leave your job at work. You will always have patients in the hospital waiting for or immediately after surgery and the nurses will page you if there is a problem. You will of course want to know. But that is what you must commit to if you want people to trust you to cut them open.
  19. They don't tell you this when you apply for med school. Ah well, I get to cut people open, that's pretty cool. I just hope it's cool at 3am when I am 55.
  20. Interesting ideas, all of them. Most residents get the biggest LOC they can and enjoy their life. You will always have steady pay. You will never be downsized or laid off or fired, unless you really screw up. Enjoy some cash while you're young because nothing is sadder than a middle aged guy in a sports car. Own your sports car before you go bald.
  21. Up for 7 am rounds, 8-6pm OR, evening rounds home around 7:30pm. On call 24-36 hours straight about twice per week. Round on your patients every weekend, hour or two. Thoracic surgery, keep your pager always on because you are on call 1:1 the whole rotation. This information isn't published. This similar for most acute care surgical specialties; ortho, vascular, neuro, general, thoracics i can't think of any others, but I have been on call this whole long weekend and only had a couple of hours of sleep per night.
  22. But none are physiatry right? Fair enough about Toronto, but if there was a strong Sports Surgery Program in Toronto like in Ottawa (Don Johnson) or London (Pete Fowler, Bob Giffin) things might be different. Al Gross is a specialist in arthroplasty and structural allograft. He hasn't fixed an ACL in years. I wouldn't go into physiatry to do sports medicine. If you want to take care of player's gonorrhea, go into GP sports medicine. If you want to actually fix sports injuries in the big leagues, become an orthopedic surgeon with a two year fellowship in Pittsburgh, Chicago, Duke or Denver where the big research is being done. Fowler went to Duke.
  23. Anyone going into surgery this year might likethis. Zollinger and Zollinger's Atlas of Surgical operations. Normally $300 new. I'll give it away for $50 I have Greenfield's Surgery too for $50. email me cersack@yahoo.com
  24. Generally professional team docs in North America are Orthopedic surgeons with 2 years of fellowship in Sports related surgery. The major Toronto team physicians are Orthopedic surgeons.
  25. These are quality adjusted life year questions. The more potential years to live is the better choice. So pick the 6 month old.
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