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Everything posted by Edict

  1. It won't, all that matters is your essays and high school grades.
  2. I think the stuff aired out in public pales in comparison to what must be going on in private. It's a big issue and people are pretty aggressive about their billing, which makes sense.
  3. Edict

    CaRMS 2019

    Yeah, the big mistake Canadians have is we think that they will hire us no matter what. Centers routinely hire foreigners who offer a skill set that they can't find in Canadians and these jobs are for life.
  4. But 99% are stroking towards the US, its still a real issue in non-heath fields. The US is actually very safe, sure i'm sure the relative risk of living in the US as opposed to Canada and being killed by a gun is high, but the absolute likelihood of being killed by a gun in the US is still incredibly low.
  5. Yeah, Canada is losing big, when working in the US means twice the pay often with equivalent or slightly higher expenses, the pull factor is just too strong. In IT it is so strong that in essence the best go to silicon valley or NYC and the rest stay here.
  6. Education is important but the problem Canada faces is that the best and the brightest leave our country because salaries and opportunities are just better in the US. Canada takes in some very bright and smart people but they end up leaving for the states and no one can blame them. If you look at salaries outside healthcare, people doing the same job in the US, including the exchange rate, make double what you'd make in Canada. I know more friends in T14 law schools in the states than in Canadian law schools, the majority of my friends in IT work in NYC or SF and a good 25-50% of the people i know in finance are working in the US as well. Some will come back, but many won't. Now, this isn't really easy to solve, we have a smaller population which means we end up serving as a bit of a vassal state for the USA, but i think that is more of an issue than trying to get everyone a university degree. It is very common now to see people do a university degree and follow that up with a college degree to get a job.
  7. If you don't have family support or money from a previous job, debt accumulates quickly. Most schools charge around 25k a year in Ontario at least, if you assume living costs are around 20k a year for a single person (more if living in downtown Toronto), thats 45k a year of debt each year of medical school. Add in debt from undergrad and that easily exceeds 200k debt by the time you graduate. Subsidies from the government do exist and they often can take 5-10k off of your tuition in the form of OSAP grants. If you apply for other forms of financial aid you can often find another 5k sometimes more, per year. So all in all you can reasonably expect to end up 30-35k negative each year assuming no family support.
  8. Like others have mentioned, residency and med school are separate. You can do med school in one place and do residency anywhere across the country. People are more likely to stay in the same area for a number of reasons: 1. they are from there 2. they have liked and decided to settle there 3. they had the connections there and their more preferred choices did not take them There are certain advantages when you apply to your home school, especially for a competitive field like Emerg, your chances are best at your home school.
  9. Edict

    U of T Med with high McMaster grads

    For undergrad, i think the city really doesn't matter much. I agree that Hamilton is a bit of a letdown (albeit improving, but at a place slower than Toronto). However, there are actually benefits to moving away for undergrad and oftentimes going to a smaller city where you are almost forced to hang around and interact with your classmates is a positive thing. I think this is the reason so many people go to Queens, Western, Mac for university as well, you grow more than if you were to hang around where you are from or in a huge bustling city that can feel overwhelming. School spirit definitely is inversely related to how big of a city you are in. Once you hit medical school/residency, i think many people look to move back to where they came from. Additionally, the connections built from health sci are equivalent to the connections you build from medical school. Those health scis who go to medical school often have the largest social networks within medicine, so that can be an advantage as well.
  10. Edict

    U of T Med with high McMaster grads

    They do as well, but also many McMaster grads are from the GTA and would like to do medical school in Toronto. All in all though I think the % of Mac Med that comes from McMaster is similar around 40%.
  11. In a sense, the diminishing importance of grades is a good preparation for your future career. After undergrad, grades become less and less important in almost every career. In undergrad, you study for grades, but now, you study for your own knowledge. One of the great things about medicine, is that what you study directly affects your career, very few careers are like this. The knowledge you learn now will save lives one day.
  12. Yes, there is a lot of flexibility in the community generally. You may have to accept less compensation or you may have to sacrifice certain things but if you want to work slightly less hours than the average, it is most likely doable. Urology is a pretty broad specialty ranging from men's fertility specialists to renal transplantation. If you choose something more lifestyle within urology, you'll be fine with working less hours. At academic centers, urologists will very likely be putting in 55 hours easy and yes there wouldn't be freedom to work less until maybe the late stages of your career where you can rest your laurels on your seniority.
  13. Edict

    Does Undergraduate school matter?

    Medical schools don't care where you did your undergrad at all. They don't care how "difficult" your GPA was to earn. If you think about it, it is very difficult for a school to really adjust for a "difficult school or program" in an objective manner that everyone would agree to. Difficulty of your GPA depends on so many other factors as well, including what courses you take, what electives you take etc., so schools would rather take everything at face value and look at other parts of your application instead. The most likely reason not many UOttawa students ended up at UofT Med is because few people want to do what you want to do and go more remote and away for undergrad.
  14. I would argue that CC requires more broad based knowledge than ID. A lot of ID day to day is algorithms and following a few set ones. They see a huge breadth of patients, many of them complex, but ID generally does the simple, which abx to give and leaves.
  15. Yes, I agree. I think I was most blown away with what one "could" potentially get away with at Mac. If you aimed for a less competitive specialty like family, you could potentially coast and end up 2 years of residency later making real staff level calls with what I would argue is limited knowledge. It is all nice to teach social medicine, but not at the expense of clinical medicine, which is really our basic job requirements at the end of the day. I mean, we haven't even talked about how surgery has essentially all but disappeared from the preclerkship curriculum at some schools.
  16. The question is, why are you interested in two fields? I think it isn't unreasonable to show interest in both, but the sooner you decide on one the better. These fields have similarities but they also have differences, so I would explore both. It probably is possible to be competitive in both, but it is also possible that you end up with neither. I think there are a few applicants each year that all programs would rank highly. If you are one of those that have it all, it is quite possible to end up in whichever specialty or location that you want.
  17. That sounds like a proper medical school curriculum haha.
  18. I think specifically it was the balance of social medicine vs clinical medicine at Mac particularly. There was very little clinical medicine teaching at Mac, huge topics were covered in a single lecture or a simple tutorial, with little oversight. Our only CXR teaching was 1 hour on normal and 1 hour on abnormal x-rays. We spent a full 3 hours each week discussing social medicine topics. Some of the tutors were not physicians, one only had a masters degree, which meant for that entire unit, the group had essentially no one to lead them through a very complex and challenging organ system. I don't mind having the social medicine at all, but not when there is barely enough teaching of clinical medicine itself. It is all easy to say "physician teach thyself", but if that's the case, why are we paying 27000 a year again? Definitely, without any guidance, no one can feasibly distinguish what is important and what isn't important. Some students insisted on the importance of the molecular aspects of medicine in tutorial only to later confess after clerkship that all that ended up being useless. UofA itself may have been different, I know UofA tends to lean more traditional and may have had a better balance. Even now, nurses are surprised when they find out how little we know about practical day to day things on the ward, like rectal tubes, PEG tubes, NG tubes, much of this you have no idea about until you hit clerkship and some of it, you only find out in residency.
  19. Well first off, don't let just one episode one time be the judge of your dexterity. You don't know for example if your classmates have already done hand ties before. Even if they learned it once, they will learn it the 2nd time much faster. The answer to your question depends on what kind of surgeon you want to be and what kind of surgery you want to do. The short answer is, even if you aren't super dextrous, you can be a surgeon. The long answer is that, if the surgery you want to do is complex and requires small fine movements with serious consequences if things go wrong, you may not want to pursue the specialty in that case. Likely, the bottom 10% of people actually don't have the dexterity it takes to make a surgeon in some surgical fields. There have been cases of people who have gone through residency and were not allowed to graduate or graduated but could not find a job because of poor surgical skills. Sometimes because of dexterity issues, sometimes because of work ethic/attitude. I wouldn't worry about this based on that, in all likelihood, you are probably just fine. The fact that you are able to learn, is a good sign. If you took hours and hours and you still weren't able to do it, that might be a sign.
  20. I agree with this, i think i disagreed mainly with your last statement of your first paragraph, which probably just wasn't worded right. "Without a strong USMLE and at least one or ideally more of the others in check, the match rate from a Canadian school to the US is essentially zero." Some people do apply to the US for family/friends or to join loved ones. In those cases they may just be aiming for a certain city. We both agree that for those people you don't need to be a super star and essentially you can match similarly to an US MD grad, although it may be a slight disadvantage overall.
  21. I disagree with this, I don't think you can truly say this with facts to back it up. I don't see why someone with an average USMLE, CMG, no connections to the US but does electives, wouldn't match to a regular specialty. If anything, a CMG would be a unique applicant and some larger programs may take one just out of novelty and curiosity.
  22. For McMaster it is 90% not 95%.
  23. You can, but the problem is you will find it a very uphill battle to find a residency in Canada. The competition is very fierce and there are many people that are more preferred by program directors. It is very possible that you will not find a residency that will take you and your skills will get worse and worse. It is very common for physicians who immigrate to Canada to never work as physicians again.
  24. https://omsa.ca/sites/default/files/page/24/omsa_hhr_guide_2016.pdf A lot can change in 10 years though just as a warning.