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Edict

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Edict last won the day on June 12

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  1. It also depends on what your goals are. If your goal going into medicine is to become a subspecialist, I would think carefully about applying. Training can be anywhere from 6 up to a dozen years post-medical school for some surgical specialties and grueling, something i think can only feed on the wild imaginations of naive 20 year olds. But if your interest is in family medicine or in some form of primary care in the community, then it is definitely a reasonable and sound financial and lifestyle decision.
  2. It does get better. As a resident, you will get less feedback and less criticisms and the hours while worse will also be more efficient as you aren't repeating what others have already done. Also, you will be making money. In the community, once you are staff, you make money for every consult you do, and i've seen their notes, a few scribbles and a dictated consult note, it can take you less than 20 minutes to make 190 dollars or so. No one in the community pushes back on consults because they bill. You can choose your hours, sleep in, travel the world, locum wherever you want etc. Right now, you are seeing the worst of it, but it gets better and eventually you reap what you sow. While you probably don't love CTU, IM is much broader than just CTU, you just have to get used to it until you can finally do what you want. When you take a step back, you'll realize that its so easy to get complacent in medicine and see the negatives rather than the positives. Our jobs are stable, well paying and in some cases very flexible. You can't get that in any other industry.
  3. Juggling 3 specialties is hard, but it does depend on how competitive you are for the other two and what kind of program you want. If you want a competitive location, it would be challenging, but if lets say your dream location isn't something many others want and you are competitive for im and fm already, i don't see any problem with applying for these 3 specialties.
  4. They definitely don't care but some people put it others don't it doesn't matter. Surprisingly enough it does come up at some points, even in residency, i guess people are just curious.
  5. I think you'll find happy and unhappy residents just like you'll find happy and unhappy medical students. People also have good and bad days, good and back weeks/months and so it really is hard to generalize. Residents work long hours yes, but at the same time, residents get to do the widest variety of things they will ever get to do in their careers and they also don't have that ultimate responsibility like staff do. Ultimately, there is no substitute for time put in, you'll notice that in many european countries, training is less split into residency and staff, and more split into a pyramid. Work hours may be mandated to be less, but training is often longer or progression isn't guaranteed and there are still places where the "contract" is broken regularly. While I don't know which system is better, I do think that we should accept our privilege to be working a profession with a stable career, stable pay which is well respected and helps people. Especially with coronavirus, it made me think about how lucky we all are to have a stable career.
  6. In order to best help, can you explain why did you just realize you like derm?
  7. ER in well resourced areas are surprisingly algorithmic, but even then there will be many times where theres no algorithm to follow and you need to make a clinical decision. I mean ultimately, this is the reason doctors are doctors, to be able to have the knowledge to make decisions that don't follow an algorithm. Cardiology as well is pretty algorithm based due to the amount of research done in the field. Despite all that, physicians as a whole are probably still one of the least algorithm based fields out there.
  8. While I agree that jobs in an ideal world should be easier to come by, I don't think the situation right now is untenable. The days of waltzing into a job are now over, but at the same time, we've increased medical school spots, we've made it harder to kick out residents who aren't performing to par and this is the result (according to the old guard). The process of getting a stable job not in a preferred location is only challenging in some specialties like surgical ones. I generally tell people considering surgery to first be open to the idea of the long training and the long hours, but second to be open to the idea of forced to move you and your family around. Its rare to see a surgeon not have to move around for at least one of residency, fellowship or staff.
  9. Mac students typically do research longitudinally. The program while shortened doesn't have that many mandatory hours, only about 12-15 a week, which means that you have a lot of free time. Those who want competitive specialties usually use this time to do research, network, shadow, ECs. At the end of the day, if you want to match from Mac to a competitive specialty, it does take a bit of extra effort because of the shortened timeline. Clinical research exists in almost every specialty and definitely in the above specialties, some specialties are more research focused than others, but in almost every competitive specialty you can find people doing some form of clinical research.
  10. It might be the system, Mac students get 8 weeks of these quasi pre-clerkship electives that vary in mileage from simply shadowing to actual baby clerkship kind of work. I don't know if Calgary gets the same, but I will say that I wouldn't judge a school's students by early clerkship electives, literally an extra week or two of experience can make a huge difference on their comfort level and capabilities. By the end of all your training, those extra few weeks here and there won't make a difference. With that being said, I do find and still find that those early clerkship electives are useful to get your feet wet and explore specialties, but should not be used by the school as an excuse for true "pre-carms electives". It is much harder to get letters out of those rotations than when you have finished all your cores and are right before CaRMS.
  11. You ultimately need to be smart about studying. There is no way you will know everything, they say med school is like drinking from a firehose. The most important thing in my opinion is to study what you need to know. Some medical schools have well laid out structured curricula, others (like Mac, where I went) don't as much and generally speaking I would supplement that curriculum with a textbook or online curriculum focused on tests like Toronto Notes or USMLE Step 2 CK prep especially if you go to a school that give you a lot of self-study time and flexibility. Time commitment depends on how much time commitment you spent on your non-science degree. The general rule is treat medical school like a full time job 40 hours a week. The actual number of class hours varies but I have seen 12-20, it isn't that much. If you are a keen bean and want achievement in medicine beyond what is considered "typical", you should prepare to spend more time, up to 60 I would say. Don't go over 60, that is unhealthy and you increase risk of burn out in clerkship and residency.
  12. I think out of the Ontario schools, Western and Queens seems to produce the most surgical keeners as a %. But also Western has a rep for the most hardcore surgical programs. You come out of these programs a top surgeon or you drop out.
  13. Stereotypes and random facts that i've gathered. UofT - med school - competitive, research heavy, pretentious, diverse patient population, big on competitive specialties, people want to stay local for residency McMaster - med school - 3 years, PBL, no anatomy, research heavy (clin epi), verbal/EQ focused school, hippie, either super young or non-trad Queens - med school - small, tight knit, less research, good matches in CaRMS, QuARMs, big on competitive specialties Western - med school - high MCAT score school, SWOMEN, good matches in CaRMS, big on surgery Ottawa - med school - GPA/EC school, french stream, chill laid back, lots of fam med matches NOSM - med school - rural, northern ontario, small, nice, tight knit, friendly
  14. Understand that while DO title seems like a big deal right now, the difference in your life is huge. Your chances of landing not only a residency are higher with DO, but also a preferred residency location as well as preferred specialty. You also will likely end up with higher potential lifetime earnings. Ultimately, it is your choice, but just keep that in mind as well.
  15. I'd probably guess York University. The GTA is the largest population center in NA to only have 1 medical school and there certainly are a number of hospitals that currently are underutilized while others across the province are packed with medical students. It would be a massive undertaking however, turning community hospitals into teaching hospitals would ruffle a lot of feathers. Given the general supply of doctors in Canada however, I would probably start it off with 100 students a year and take those positions from the other Ontario schools.
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