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skyuppercutt

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  1. Well, the short answer is residency kinda really sucks. I work every other weekend, don't make a lot of money, my sleep schedule sucks because I do a lot of call and I'm not making a lot of money. People my age are partying, traveling, sleeping when they want to and have jobs that are a lot of fun. That being said, would I trade this? No, because I love what I do and would do it over and over again. I run into people who aren't in healthcare and lost their jobs because of covid, while I know mine is secure. I know I will make a lot of money later in life and I think I'm having fun. Here's a caveat though, I know that I am an exceptionally happy person by my nature and I have yet to meet someone who is as happy and carefree as I am and I still feel that residency sucks. Other residents who I've spoken to say that they ask themselves on a daily basis why they ever decided to go into medicinne and how if they haad the option to not do this again, they would NOT do medicine at all. Do what you will with this information and I hope it was helpful
  2. I always asked for feedback mid rotation or a couple of days in and said something wonderful like "we've been working with eachother for a couple of days now. I'm really interested in this specialty and was wondering if you had any feedback on my performance and about what I can do better moving forward" this puts the thought in their mind. At the end of my time with them, I would ask for a letter to see if they will sat yes or not. If not, then oooo poopy. if they say yes, then I would just something like "AMAZEBALLS" or "WOWZY" followed by "thank you so much, do you prefer that I reach out to you closer to when CaRMS is due or would you rather I get things together now for an early letter?" if they say later (most did) I would send them my CV, list of interesting cases we had together and how much of a MOFO BOSS I was and stuff I learned while working with them. This method worked out pretty well for me, others may have done things differently though... GOOD LUCK
  3. Any idea how one could get involved with this? Sounds super interesting!
  4. Best not to speculate and wait to see what they officially say. As far as I've heard. Start dates won't be postpones (in Ontario)
  5. Here are 3 recent threads about this. Feel free to look through them because some answers are really detailed. Maybe add any questions you have to some of these existing threads becuase a couple of people are likely following them:
  6. Hey! Thank you so much for doing this! I lol'd at the pun *After typing this up, I realized it is actually quite long, so I apologize in advance. Feel free to PM me any answers that you think should be private. If instead of typing out an answer you prefer to chat, I could PM you my number and we can talk then I could post a summary of your reply for others to see* Right now, I'm a PGY2 in internal medicine and I am very much torn between GIM 4 year vs GIM 5 year vs maybe ICU. I feel that I am mostly leaning towards completing the 4-year GIM program and starting an outpatient clinic in the GTA (somewhere between Mississauga to Scarborough, so pretty flexible) with a group of other IM, GPs and peds residents. Ideally, I would also have a hospital appointment somewhere to do some inpatient medicine. I'm kind of at a loss of what to do though, especially that by now most of my co-residents have already booked all their electives for PGY2 and 3. Here are my thoughts and please feel free to correct me if I'm wrong (I've bolded my questions if that helps): There really is no big difference between the 4 and 5 year GIM programs other than the fact that the 5 year would allow you to work in an academic centre and maybe allow for more elective time to pursue an AFC like thrombosis. (Would you still be able to persue an AFC with the 4 year program?) Being in an academic centre allows you to have residents that can take call and you have easy access to several subspecialties that you can refer even slightly complicated patients to. This is a great plus, but comes at the cost of the academic centre taking a certain percentage of your billings (I heard this can be anywhere from 20-50%). Is that billing part true? Does the 5 year program have an exam in addition to the royal college exam that we now write in 3rd year? Billing, finding a community job and starting a clinic is otherwise the same between the 4 year and 5 year program. Is that true? I enjoy procedures and don't mind call (at least right now), but feel that as I get older I would rather not do overninght call, because it makes me feel that I'm shaving years off of my life. I am interested in ICU partially from the procedures point of view and partly because I've heard they can bill a significant amount From a procedure perspective, right now I'm very comfortable with paras, thoras, central lines and some chest tubes. I'm not sure though if I was in a community hospital doing an overnight shift (or moonlighting), if I would be able to intubate a decompensating patient with an even slightly difficult airway (All my glide scope intubations have been very straightforward) or float a temp wire for someone in heart block. Is this fear out of proportion with reality or is this a skill that I would be able to pick up over the next 2 years of residency? Is this even a skill I would need as an internist working in a community hospital? Many senior residents that I have spoken to have suggested that if I am consider a 5 year GIM program that I might as well just do ICU, since it opens up further avenues of employment. This doesn't seem like a bad idea, except when I think of why do the extra work as an ICU fellow? I looked up the billings of ICU attendings when the Toronto Star article was released and I was actually underwhelmed with a lot of them compared to what I expected/saw GIM docs make in a busy community hospital. Obviously this doesn't take into account other modes of funding and the fact that many only do a couple of weeks of ICU a year. When I asked similar questions on other forms. I've been quoted things like 300-500/year for GIM docs working in clinics 5 days a week before overhead. Is that inline with what you see/know? I get the sense that doing an ICU fellowship for the sake of being more comfortable with intubations and dealing with sick patients is overkill, especially if the billings are not as great and the lifestyle isn't as fabulous as that of a 4/5 year GIM doc. Any ideas or general sense of what the Job market would be like for a 4 year GIM doc at a community hospital in the GTA in 2 years? I know it's hard to predict, but I can't imagine it would go from "You will definitely find a job right now" to "We are 100% saturated as is the case with ortho" in 2 years? How difficult was it to get a job lined up and is that something you only really started to look into during your 4th year? Thank you so much in advance for offering to do this FAQ. I'm sorry again for asking so many questions. I am kind of at a loss of who to turn to, so seeing this post actually made my day, especially with the timing of it.
  7. Initially, yes I did, but as I went through questions I realized that I didn't have enough time to do that and just stuck with the main points
  8. Are there any resources that you would recommend to read/learn about those things?
  9. I never did the step 1. Wrote Step 2 CK on a wednesday and LMCC part 1 on the friday in the same week. I spent 1 month prepping by doing Uworld for step 2 ck. I just did questions, felt nervous going into the exam. On the wednesday, I just went home and slept. Thursday I played video games until about 5 pm then read the ethics section of toronto notes. Friday wrote the lmcc part 1. Passed both with a decent margin. Didn't really care about my step 2 score, but I got a 250 or 260, not sure if that's good or not, but meh whatever lol. For context I wasn't the smartest student in medical school, but I'd say above average, maybe in the 60th percentile of my year. For the uworld questions I did not do them all by any means. I think I may have gone through somewhere between 1200-1500 questions. There were still over 1000 questions that I didn't go through in uworld, but I just didn't care because I wanted to enjoy the weather and work out to get abs before residency (didn't happen LMAO) Good luck! You'll be fine, with 3 months (maybe that's too much studying too). Enjoy the time before residency and make sure to travel!
  10. Thank you so much for the write up. This is really informative. One quick question about the above text. Does this mean that if I'm asked to assess a ward patient for something random e.g. they're having abdo pain and are constipated at 2 am I could bill $138? <-- lol that's more than my current 26 hour call stipend
  11. I'm not sure if it's just the program I'm in, but often times it feels like our internal medicine department and PD are pushing people to apply to GIM and shunning those interested in doing a 4 year program. Is that a legitimate concern or is there an agenda that I'm not aware of i.e. it looks bad for the program if many residents are doing a 4 year program?
  12. Pretty much what lactic Folly said. Also, I've always wondered why questions like that really mattered. Would you not apply to a program because they requested your transcript? Probably not. If you did apply and didn't get an interview, would it matter that the reason was from a weak undergrad transcript vs any one of the million other reasons why people don't get a transcript? Probably not. I wouldn't waste my time discussing this in a personal statement. Also, programs don't need to talk to each other about this. If they wanted to see it too, they would just ask for it instead of asking another program.
  13. Family med, ER, GIM a bit too. But that being said it doesn't matter, because people should pick a specialty based on what they like about it, not whether or not it's easy to find locums...
  14. well Carms is a contract. my understanding is that you can apply to the usa at anytime even after fellowship. I just wonder if you'll be able to get strong references and all that especially if your PD knows you are willing to break the contract to go elsewhere. sorry about the match
  15. If you want to set up an outpatient office, for sure you'll be good. General cardiology you won't have trouble finding a job, especially in the community, but the volume is lower. If you want to do other stuff like caths or EP, the job market is a bit tighter at the moment. I think doing echos or cardiac imaging is still okay. Keep in mind that cardiology is a 3 year fellowship (6 years in total including the 3 years of IM that you do first). Also fellowships like cath, EP, cardiac imaging are an additional 2 years on top of that (cardiac imaging may also just be 1 additional year if you want to focus on echos, although I may be wrong about that. That's what the cardio fellow told me when I spoke to him about it when I was on call. As a side note, welcome to medical school at western! If you want to do some shadowing in internal, reach out to your IM mentorship group or something. I've had a couple of your upper year classmates do observerships with me and I may be your senior at some point during your training
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