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Edict

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Edict last won the day on November 17

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  1. I wouldn't do gift card but i would do gifts. Like a bottle of wine, or scotch, if you know they like that sort of thing. A box of chocolates etc. always does wonders. Honestly.
  2. I think there's a lot of stigma against this, I honestly would not recommend this unless you planned to practice in Pakistan for life.
  3. Link? Can't find anything about this
  4. Stigma is a percentage of it. However, understand that one of the biggest "risk factors" of going unmatched is having previously gone unmatched. There will be some percentage of candidates who have red flags on their CV or aren't going to be desired by residency programs in general. Unfortunately for them, this will always be there. Sometimes its as simple as a bad eval, maybe they lost their temper, were rude, made a racist comment etc. Othertimes it could be a consistent pattern of misbehaviour. It could even be a criminal matter. Or much more innocently, it could be a personality issue, work ethic, lack of insight issue. This is all a very small percentage of candidates, less than 1% of med students, but still enough to be a dozen or so students across Canada a year probably. That will probably also factor into why subsequent match rates are low. Programs aren't looking at candidates on a purely numbers level. They are looking at your potential growth as well. In fact, that is probably what they care about more. Just taking an extra year to do more research is not going to make you a better candidate for a competitive specialty unless a specialty somehow had doubts about your commitment to the specialty but loved you otherwise. Another possibility is that it was a very competitive year and the following year your chances might be better. The way I see it, there are three main reasons a program might select you after a gap year: 1. you changed specialties last minute, they didn't see enough commitment to the specialty but they thought you were otherwise a strong candidate, in this case doing research, elective etc. will help 2. you applied to small specialty and by a freak accident it was a competitive year (this is less common than people are told, a lot of programs will say this, but in reality unless the program is very small like under 10 spots a year, it is unlikely that there is much year to year variation in competitiveness) - in that case applying the next year might help 3. candidate factors - i.e. you didn't rank enough programs, you didn't apply broadly enough etc.
  5. Clinical research is probably the most common research pursued by MDs in general, but especially in Canada. This is because clinical research requires less funding and resources and can be done essentially out of a laptop in most cases. If you have experience in basic sciences, the question to ask yourself is, did you enjoy it? are you curious to see what clinical research is like? In the short term, doing a clinical masters will probably produce more publications, but that depends on how long it takes you to get started etc., perhaps if you did the same basic science research you did before, you may be more productive. In the medium term, i think doing a clinical masters will give you a perspective on clinical research, which is more likely to be applicable to a career in medicine, but you don't need a clinical masters to dabble in clinical research, most med students do clinical research during med school, whereas doing basic science research in med school is less common due to time commitment. In the long term, the benefit really depends on what you like and what you end up doing. The majority of doctors do little to no research, I would say 80-85% or so of doctors are in this category. Out of the 15-20%, probably 90% of those do clinical research, so very few doctors do basic science research as a staff physician. There are a number of reasons for this. One of them is difficulty in finding the time to run a proper basic science lab, another is the lack of good remuneration as well as the amount of training needed in order to run a lab. Running a lab is like doing two busy jobs at once, so you can pretty much imagine the time commitment necessary. Again, these are just estimates and vary by specialty, but especially in Canada, physicians doing basic science is pretty rare, mostly concentrated in a few big academic institutions.
  6. The biggest detriment of this would be pushing the "gunning" process even earlier. I don't think this is a good idea for that reason. AFMC portal has already attempted to standardize the electives process. You can see from their attempt that every school has their own peculiarities that they have refused to drop. I think it is a great idea to standardize and make the elective process more streamlined, but we can see this was already tried and it was a gargantuan effort just to get AFMC portal up and running, I think there are a lot of entrenched policies that will make further change challenging at best.
  7. It probably won't be true anymore. They may go regional though, they might look for at least one elective in the region. One of the strategies that is going to become bigger is to do an elective in a school in a related specialty and trying to have a meeting with the PD of the specialty they are actually interested in to demonstrate interest.
  8. Only go if you know theres not a chance in hell you will get into medical school in Canada/US Allo. Or if you absolutely know you will never want to work in Canada. You have to tell us which school this is or at least the country this is for anyone to help you. Europe isn't a school, its a continent with 700 million people ya know. The other thing is, are you even sure you will be paying the european fee? A lot of countries have wisened up to this act and only allow you to pay european fees if you lived in europe for a number of years before entering there.
  9. I think you should rewrite it. CARS tends to be pretty stable, your score probably won't go down by too much and could go up. As it stands you aren't a shoo-in for Mac anyways, so there is enough room for improvement that I think it is worth it.
  10. The discrepancy will still exist but will be reduced, which is better than what it is now. Not all PDs know about this, in big specialties where the PD job is a pretty big part of your career, they will, but in a smaller specialty where the PD job is small part of it, PDs might not really know. Certainly, having more electives in the specialty will mean more chances to get letters, better performance in said specialty by the end of your electives, and more networking which will help a lot in competitive specialties. I can't imagine this wouldn't have a positive impact for those from schools with more electives.
  11. While I agree with the downsides, I do think the upsides will materialize. Look at the end of the day we are talking about a zero sum game here. It doesn't matter what we do, someone is going to be left unhappy with the match. I don't think this is what the reformers were trying to change anyways. The main benefit of this entire elective reform was to even the playing field between medical schools because as it stands, different medical schools get varying amounts of elective time. I don't think it was ever fair that Calgary had 10 weeks of electives while UBC had 24.
  12. I would stick with surgery to be honest. Its normal to have a bit of cold feet going in. A lot of surgery doesn't fit the stereotype. Unless you genuinely think surgery isn't for you or that you like family medicine more now, I would probably trust your original instincts.
  13. Stethoscopes are already obsolete on the wards. By the time you enter residency and definitely by the time you finish residency ultrasound will likely become the new stethoscope.
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