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Fresh fry

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Everything posted by Fresh fry

  1. In a rough patch so not capable of an objective answer (if such a thing is ever possible). Never considered dent and not particularly suited for it. Never want to have to base care on a patients ability to pay eg: pulling teeth because it's cheaper than the alternatives. This week though I would give anything to pick another career, perhaps a non-surgical specialty, but something not involving medicine altogether is more appealing. Things that are getting to me is: 1) the broken system 2) a backwards culture towards education 3) no time for anything except work and studying. I'm sure it will pass and there have been times where this has been the best thing that has ever happened to me. I don't think anything worth having comes without struggles and sacrifice, just not sure where the line is.
  2. Yup, except the family part. I wish I could do it but it makes me miserable. Can't stand the Doc McStuffins crap, the same people with the same problems, fixing insulin for people who won't exercise, tweaking inhalers, beta blockers, coumadin. Screening, oh god I hate screening. Not having enough time to do a good job. Glad there are good people out there that can do it but I would kill for a short residency in something I could do. This is definitely not my last career, pay the bills, stack some cash, then maybe switch out to working in the stock room at walmart where I never have to see another human again.
  3. Second verse same as the first: you need a solid few years of full time undergrad GPA. Unlike some people on here you know you are actually capable of pulling off the grades (not just claiming you can). Now you have to go get them. GL
  4. Ok Ok Ok here is what I propose: We will look the other way when you write "clinical correlation is required" and try not to give you too hard a time with the weird superfluous findings, but when we come to you with a CT request that is completely pointless but our semi-retired staff is unwavering in their insistence that we get the scan, you guys just take pity on us and try to keep the radiation dose as low as possible. Deal?
  5. Thank you for your input, it's always good to get advice from different perspectives. I think you are taking away something from what I wrote that I did not intend. I must not have been clear so thank you for bringing this to my attention. I am in no way advocating that the OP needs to do anything but study. As someone who completed their undergrad in 3 years and is currently a busy surgical resident with a young family I completely understand the importance of work-life balance. What I said, or rather what I intended to impart, was that when it comes to choosing a university with the intention of getting into medical school I would skew the deciding factors towards things that affect one's GPA over more trivial things like social aspects. To me these are things like class selection and availability, access and presence of high output researchers in health science fields, and degree programs offered. To clarify I have at no time suggested that the OP do nothing but study. That being said as anyone who has been on this forum for any length of time will attest too, unless the OP wants to find themselves needing to apply multiple times and face multiple rejections, the key to success in getting accepted to medical school in Canada is unarguably a strong full time undergraduate GPA and everything should be done to facilitate that while maintaining a good work-life balance and remaining active in strong and fulfilling ECs.
  6. The way I approached all MMI questions (and CaRMs interviews, guess for basically any interview questions I have been asked) was "what is the purpose of the question?". Are they asking you about a contentious topic because they want to know your opinion? Possibly but with the very limited information provided I would assume that the point of the question was to determine whether you are able to see a contentious issue from all sides. Take the trump travel ban for example. Say there is a question asking you if you support the ban, sure maybe on some level they want to know if you are a crazy right wing bigot (red flag) but more likely they are trying to see if you can identify the feelings and motivations behind those that do support it. Many of your patients will have completely unreasonable beliefs and you need to be able to identify why it is that they feel this way. Just the other day I had a woman who was convinced she wasn't able to breath well because we didn't let her go for a smoke. She felt that this was the reason why she was dyspnic. Of course that isn't the case but it doesn't help the situation to provide her with the "right" reasons why she can't breath and simply state them. You need to identify with her concerns and her beliefs in order to change them otherwise you just come off as authoritarian. From my experience MMI questions are almost never concerned with what your opinion is, they are a tool to get at your thought processes and your ability to empathize as well as identify motives that may be contrary to your own. Other times they are to assess how rigid you are in your thinking and whether you can think on your feet. For any questions involving controversial issues my approach is 1) identify the competing beliefs 2) highlight the positive motivations for both 3) highlight the possible misconceptions 4) state my opinion referring to the evidence already stated. So for the made up trump question I would say something like: "Because of the heightened media focus by certain outlets in the US there is a common misconception that refugees from certain countries are at higher risk and are less likely to integrate into US culture, something that is highly valued and differing from our own 'mosaic' approach we take here in Canada. I understand given this misinformation why many would be in favor of the ban. they simply feel that it is a common sense approach to what is essentially a non existent threat that has dominated the news cycle and stems from xenophobia. I feel that the right response is to oppose the band as these are the people who are fleeing the very monsters we are accusing them of being etc etc etc"
  7. This is Canada so all the universities you mentioned are pretty much equal in terms of the education you are going to get. All of our schools are top tier and will prepare you for med which is why what school you went too doesn't play much of a role in things like jobs or med/grad school applications. I have never heard anyone say "oh that person went to UBC, they must not be very good, lets take the applicant who went to McGill". The only real differences will be: 1) class sizes 2) class numbers (bigger schools have more classes offered and thus more flexible schedules which can be very important) 3) programs and specializations offered 4) access to researchers. I know you are only in grade 11 but if you had a certain research interest than that might affect your choice of school as you might want to go to a place where they have someone active in that specific field. The dorms, swimming pools, social stuff is all trivial. You are looking for an education not a summer camp. If you are thinking of medicine then I would go to a school where I could focus on my grades, take the courses I needed to take (so avoid small schools that may only offer certain courses at certain times and may have wait lists) and save as much money as possible. The last thing I would care about is the social vibe because if you are serious about med than you are going to be missing out on a lot of it anyway. You need to get the highest GPA you can, everything you do from here on out should be to facilitate that. GL
  8. The only chance you have at North American schools would be to take full-time undergrad classes and then apply to schools with a weighted GPA calculation. There is no benefit to doing grad school or research or working on your ECs at this point. My opinion about the Caribbean is that it is a giant scam for rich kids and doctors children. You will most definitely need to re-write the MCAT at some point. I started my undergrad at 28 and med school at 31. I always try to help people out who come here asking for it and I have a soft spot for old people who took a different path. That being said you essentially need to start from the bottom and I don't know if this is really worth it to you. I think you are at least 10 years out from staff as a family doc, and that is if everything goes right. You have a hell of a lot of academic baggage. I would think long and hard before setting yourself down what will be a very expensive and time consuming endeavor for what is essentially a slim shot at pulling this off. Which ever way you decide to go I wish you luck.
  9. Agree with other posters: U of C is your best bet. If you have been on this forum for any length of time you will know that fulltime undergrad GPA is the biggest factor for acceptance. You are definitely on the low side but Calgary tends to be the best place to go for non-trads. Being in province is a big boost. I would still apply broadly including the Ontario schools, especially Queens and McMaster. The next biggest hurdle is your MCAT. My advice is throw everything you have at it and get it done once. Living like a monk for 6 months and doing nothing but studying is better than rewriting the damn thing over and over again. GL
  10. You will need to provide your breakdown of gpa by year. Have you written the MCAT? What are your ECs?
  11. Bolded for emphasis. Testify brother rmorelan!
  12. This is common to all medical schools not just U of T. Here is a similar thread. http://forums.premed101.com/index.php?/topic/94293-bad-interview/#entry1033276
  13. CaRMs was worse for me but nothing like the uncertainty of finding a job. It is four years away and already keeping me up at nights. I wish I had some great piece of advise for the OP about how to pass the time and keep your finger nails intact but I got nothing. Maybe there is some solace in knowing you are not alone and that this is part of the "right of passage". Maybe you will take comfort in the thought that one day soon you be writing a post similar to this trying to comfort someone following in your footsteps reliving a small bit of the anxiety you experienced years back before you were finally accepted. In all situations the one thing that works a little bit for me is that it has been my experience that with a little bit of persistence and time the right people will get in, the rest is a matter of logistics and patience. Keep the faith.
  14. It is very difficult to be objective about these things and you have no idea what they are looking for in some situations. Unless you tripped coming through the door and told the interviewer that you are prejudice against all races, it probably didn't go as bad as it did in your head. I thought I blew my interview in Calgary (many years ago). They asked us to interpret a painting and I totally missed the point, There were other stations that I thought I did poorly on too but in the end they accepted me (went to a different school). Here is the crappy part: there is nothing you can do now to change anything, you have to do what all of us have done before you and try your best to get through the next couple months without driving yourself crazy and second guessing yourself. It's done, it's over, you did your best at the time I'm sure. Take a deep breath and we can chat more if your fears are confirmed.
  15. 99.5% hype about .0002% reality. I have a molecular biology based undergrad with a pile of bioinformatics and genetics courses. As a resident now, in a research heavy field, I use absolutely none of it on a daily basis. There is no "revolution" and there is nothing on the horizon, at least in this country. It is all potential right now and it is all hype to sell research and get stuff published. The clinical aspects of genetics is incredibly limited and I don't see a day where we are routinely getting full analysis done on people. No matter how cheap they make it there is all the insurance aspects of sequencing everyone, will never happen. If this stuff interests you then by all means go for it, but from my experience I have just not seen anything that makes me suspect that a degree in computer sciences or bioinformatics will be clinically relevant in the next 30 years (your career span) despite all the hype of my undergrad professors and popular science articles. I definitely would not try and build a career on it. Granted this is the perspective of a surgical resident and we aren't known for our deep thoughts and intellectualism.
  16. Ummm I would say that isn't even close to remotely true and would suggest that you major in 1) something you can do well in 2) something you enjoy 3) something you can do for a back up career
  17. I can't imagine a scenario it would come up and I can't imagine a way it would help you. If I was the interviewer my judgement would not be positive. GL
  18. As a surgical resident my ideal imaging report would be: 1) Type of imaging including list of phases. IE: CT abdo with arterial, venous, portal venous, and non contrast 2) Indication for imaging: Why I, or whomever, asked for imaging. Ex: RO ACUTE APPY (in all caps) 3) Summary including all caps answer and or all caps incidental finding. Right at the very top, the very first thing, and yes 80% of the time no one will read the rest of the report hence the caps. Just pertinent positives and negatives.IE: NO EVIDENCE OF ACUTE APPY, normal bowel gas, no free air, no free fluid, INCIDENTAL 2MM R ADRENAL MASS. 4) Suggestions for follow up imaging or indicate that no other imaging would be useful: IE: This is not an ideal study to look for cholelithiasis, suggest abdominal U/S. Given body mass could also attempt PTC placement +/- cholangiogram with contrast. Suggest F/U CT for incidental pulmonary nodule in 6/12. 5) Systems based pertinent break down. IE: Billiary tree is non dilated and free of air. Gallbladder measures 4cm with no evidence of sludge or wall thickening. Liver is unremarkable except a 3cm hemangiomatous legion in segment 5 as previously mentioned. Spleen is unremarkable with no evidence of aneurysm in splenic artery and a well shielded splenic vein. Pancreas has mild fatty infiltrates consistent with previous scan the pancreatic duct is not appreciated. Portal vein is poorly visualized in this study. There appears to be no pathological processes involving any portions of the large and small intestine. Bony structures are consistent with a patient of this age. Incidental plebolith in lower pelvis is unchanged from last image dated dec 2015. Meat and potatoes, question asked, questioned answered. No buzz phrases like "clinical correlation required", nothing crazy to show off how much more you know than me like "there is an anomalous branch of the SMA that is consistent with VanHoutten syndrome which is a benign finding attributed to 5% of Philippino men born in 1960-65 that has no impact to clinical care or the reason you asked for the scan but I read about last night and have been waiting to include in a report all day". But that's just me.
  19. Kramer always says "you don't sell the steak, you sell the sizzle". But then again he did get fired from a job he didn't even work at.
  20. Nope. It is a tital cover your but statement. We asked for the scan because of what we found clinically or what we suspect.
  21. I thought we were passed this crap. Does anyone actually still think this counts as an EC?
  22. Absolutely interviewers will push on you, and in this case they are trying to get you to say the wrong thing which in this scenario is anything along the lines of the husband finds out. This whole scenario is designed for you to withstand the pressure and stick to what is right which is 1) respecting your patient's individual privacy 2) safeguarding your patient's private information even in marriage 3) knowing what your role is. This is designed to trip you up in exactly that way, they want you to get hung up on "he is going to find out anyway". Doesn't matter! There is no "practical" argument to me made here. There is your legal and binding duties to maintain this patient's secret, even from her husband. You can't even tell the real father either because he may not even know about the kid's existence. If I am marking this station and any combination of words you make results in you 1) pressuring the mom to "come clean" 2) tell the real father 3) tell the husband he isn't the father, you fail. And I will make you uncomfortable, and I will say things like "he is going to find out anyway he isn't dumb, he can just google it". You need to know your professional obligations and your legal boundaries and you need some guts to know when you are right. I remember an OSCE where the scenario was giving someone antibiotics for an URTI, it was 8 minutes of an actress pleading and she was really good. She got mad, threw things. You failed the second you caved.
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