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shematoma

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shematoma last won the day on March 4

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  1. shematoma

    Psychiatry Residency in Canada

    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.
  2. shematoma

    Thank You notes

    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.
  3. shematoma

    2019 CaRMS unfilled spots

    This is probably true of people in most if not all specialties... how does it explain the neuro spots in particular?
  4. shematoma

    2019 CaRMS unfilled spots

    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.
  5. shematoma

    2019 CaRMS unfilled spots

    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.
  6. shematoma

    2019 CaRMS unfilled spots

    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.
  7. shematoma

    2019 CaRMS unfilled spots

    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?
  8. shematoma

    2019 CaRMS unfilled spots

    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.
  9. shematoma

    2019 CaRMS unfilled spots

    You're making up definitions now.
  10. shematoma

    2019 CaRMS unfilled spots

    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.
  11. shematoma

    2019 CaRMS unfilled spots

    No. Sorry to burst your bubble but it's only superficially a merit based system.
  12. shematoma

    2019 CaRMS unfilled spots

    Most of us have colleagues and/or superiors who are IMGs so we have to use diplomacy.
  13. shematoma

    2019 CaRMS unfilled spots

    I think most CMGs would agree that the CMG quota needs to be increased (and at the expense of IMG spots if need be), but we've been too scared to make a fuss and too busy trying to make ourselves competitive to try and match again. The people who do match in the first iteration have no incentive to act. Now that it's finally hurting to have so many of us go unmatched, perhaps we will take up the fight in court too.
  14. shematoma

    2019 CaRMS unfilled spots

    On the net, more CMG-designated spots are filled by IMGs in the second iteration than vice versa. The change this year by Alberta, Manitoba and Ontario is a step in the right direction by preserving the quota for CMGs (of which there are barely enough for all the English speaking CMGs). But in the longer run we need at minimum to consider cutting first iteration IMG spots
  15. shematoma

    2019 CaRMS unfilled spots

    There are plenty of CMGs unmatched and one more round to go. It will not go unfilled.
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