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shematoma last won the day on March 4 2019

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  1. Please share what you find out! I have been wondering the same thing. If you do a 1 year fellowship, you're still subject to the rotational requirements of the ABFM, which includes general surgery and critical care. So simply doing a palliative or sports medicine fellowship may not cut it, for instance, if your original FM residency didn't include those rotations. If going the CCFP equivalency route, I don't know how you would fulfill the 6 month residency in the US requirement and 6 month actively involved in FM requirement. Does this imply you can practice under someone else's supervision, similar to a PA, for 6 months, and then you can challenge the exam?
  2. The best part of this post.. is how you mention starting medicine at age 25... and despite this you still don't recommend it. That's not much older than the average starting age in medicine, considering how many people have to apply more than once to get in.
  3. Sorry to bump an old thread here. But if I'm getting this right, a CMG who's doing residency right now in Canada, can still apply to the NRMP match for a PGY-1 position, for instance, because they want to change specialties and there is little hope of transfer within Canada. And this is possible because we have not used an US-based funding for our residency? I've also tried to understand why USMGs, once they match to a residency through NRMP, can't apply to the NRMP a second time to change specialties or locations. Is it because they've already used up some government funding for their first residency, so they can't match to a new residency due to insufficient funding to complete it?
  4. It's a combination of grass is greener on the other side... and a matter of you don't know what you're getting into until it happens. When you go unmatched, even a residency doing family medicine in rural Newfoundland might sound great, because it's better than being unemployed for a whole year. No offense to Newfoundland. But then you actually end up in rural Newfoundland and maybe now you hate it because of how far away you are from everything you care about, and you're thinking how great life would have been if you got plastic surgery in Toronto. The CaRMS match is a many-edged sword. Unfortunately the match is for the most part a one-shot deal, it will make and break your dreams. You have to think so carefully about what you actually want, keeping in mind the tremendous risks and costs of going unmatched. There's too many variables to consider. I don't advocate blaming people for ending up in their backup choice, like #27 on their rank list, because they were really choosing between a sharp rock and very hard place. Do you go unmatched and incur another year of debt while doing a 5th year of med school? With no guarantee of matching. Or do you bite the bullet and backup to family medicine in the middle of nowhere? You've spent your whole life working hard for your dream, and now you have to choose between 28 different choices, knowing that your choice is largely irreversible. That's just not fair.
  5. Are there any other stories of successful transfers this year (outside of CaRMS)? I'm hoping to transfer and need some examples of people succeeding at this to give me some motivation.
  6. I highly agree with this. Any psych program in Canada will get you your FRCPC certification. They are all at least decent. But for a 5 year residency, location should almost be your primary consideration. Do you have family or friends in the area? Can your partner/spouse move with you and find work? You'll have lots of spare time in psychiatry (relatively speaking) so make sure you prioritize the important things and people in your life. If you're flexible on a few locations, then ask, does the program you want offer the subspecialty expertise you're looking for, assuming you want to subspecialize. Forensics isn't offered everywhere, for instance. Bigger programs like Toronto and UBC may have niche subspecialties you like, one example being neuropsychiatry - this specialty isn't officially recognized by the Royal College but is by the American Board and may be RCPSC recognized in the future. How much do you like or want to do research? Some of the smaller programs won't be as strong or offer as many resources for research. Some programs may have more call requirements than others.
  7. Thank you notes are a nice gesture but I can't see them actually making much difference to your match result unless it was so close between you and another candidate and you were the only one who said thanks. And that's probably a very rare occurrence. I think it's still nice of people to send them but let's not fool ourselves thinking it'll make or break you.
  8. This is probably true of people in most if not all specialties... how does it explain the neuro spots in particular?
  9. In the old days, graduates of the rotating internship could practice as GP's without any additional training, thus eroding the standing of family doctors since there was little benefit in specializing in family practice for 2 years if you could do the same job with just the 1 year internship. When the rotating internship was eliminated, family medicine became established as its own "specialty" and only people certified by the CFPC could practice as GP's. So if people can get an independent license with just a 1 year internship, family doctors would start having more competition. Thus, they are not keen to having the internship come back. Unless maybe family medicine becomes a 2 year specialty on TOP of doing the internship, which by itself wouldn't grant an independent license but is merely an intermediate step towards a longer specialty.
  10. To the extent you characterize people as "complainers," maybe they have good cause. Let's look at some data. In 2008, there were 2,136 CMG graduates and 2,379 positions available, for a 1.11 ratio. Last year, the same numbers were 2,923 CMG graduates and 2,974 positions available, a ratio of 1.02. As mentioned in a previous post, that includes Quebec which has a surplus of residency spots, so if you exclude Quebec the ratio is more like 0.98. And yet, over the same period, IMG positions increased from basically zero in 2006 to 343 in 2018. Clearly, the growth of positions for CMGs hasn't kept pace with the growth in numbers of CMGs, whereas IMGs went from basically no dedicated quota to having 343 spots reserved just for them. So yes these spots were "created" for IMGs, but essentially they came at the expense of expanding CMG positions to keep up with increased medical school enrollment. The government has limited money after all, and the claim is that hospitals in this country have limited training capacity. So what goes to IMGs comes at the expense of spots for CMGs.
  11. You haven't lost anything in that particular case, but you're losing out as a taxpayer by supporting a training system that regularly leaves qualified CMG candidates unmatched year after year. You could save money by cutting CMG spots and still getting the same results. That's the source of waste. If you gave those unmatched candidates just 2 more years of training in FM, they could be a fully functioning doctor rather than unemployed and unable to repay their student loans. The US has a "fully competitive" system with caveats. Last year the NRMP had ~18,000 USMD graduates apply and a total ~33,000 residency spots. There's a lot more wiggle room for IMGs and US DOs to compete for spots. In Canada last year, we had 2,965 CMG spots and 2,923 CMG applicants. And that's including Quebec, where there's a huge surplus of residency spots. If you remove Quebec, there are more CMG applicants than spots. So unlike the US, there wasn't even a theoretical possibility of all CMGs being matched because there weren't numerically enough spots. Very different than the NRMP system. If Canadian governments hugely increased residency spots so that there are almost 2x as many total spots as CMG applicants, it would be a different story and much easier to justify open season for IMGs.
  12. Looking at those Ottawa spots, they look kind of suspicious. 19 FM (English speaking) spots open is basically half of their 38 spot total quota in the first round. What's going on? Are they just being extra picky this year or is there some other motive? Saving the spots for after second iteration and giving them away in the opaque 'post match process's?
  13. IMGs complain that it isn't a level playing field. They get less spots than CMGs. But maybe what IMGs should be complaining about is that the countries where they do medical school, i.e. Ireland, Caribbean, etc. don't accept them for residencies. These countries were happy to take your $300,000 for your medical training, only to dump you back to Canada to try to get a residency spot. Why don't they take these students and train them for residency? Isn't it the ultimate injustice that they're willing to take your money and give you book training but refuse to give you the practical training you need to become a doctor? And that's the real problem. CMGs can't expect to get residencies anywhere other than Canada. If the world was truly a meritocracy we should be able to compete for residencies anywhere in the world. But the playing field isn't level. The system needs to provide enough spots for CMGs, otherwise we are wasting taxpayer money running medical schools in the first place.
  14. Connections and networking have little to do with "merit." That's like saying you deserved your residency because your uncle happened to be the program director.
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