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Aetherus

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Aetherus last won the day on November 7 2019

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  1. The biggest difference between Mac and Ottawa is the fact that one program is 4 years and the other is 3 years. This is so much more important than the theoretical home school advantage.
  2. Queen’s has the best set up for electives in my opinion. We have 6 weeks in 3rd year after you have completed 3 core rotations, and then you have another 8 weeks in September/Oct/Nov pre-carms and then you have 2 weeks in january. The 6 weeks in 3rd year are fantastic as it is easier to set up electives at that time as no other school has elective time that match with this. Furthermore, it allows you to test drive whatever specialty you are interested in so that you don’t realize in 4th year after doing a few electives that it is not a right fit and then you dont have time to fix your schedule to be competitive for anything else.
  3. I had to make this decision 6 years ago and chose to attend Queen’s. I do not regret my decision one bit. In fact, Medical School at Queens was the best 4 years of my life.
  4. Feel free to reach out if you find yourself having to make a decision in a few weeks from now.
  5. A few more important factors should be weighed in your decision. Do you know what specialty or area of medicine you are interested in? If the answer is no, or you are interested in something highly competitive (plastics, derm, Ophtho), I would strongly suggest not going to a 3 year program. There is a real disadvantage of not having any summers off. Furthermore, the elective schedule is less idea at 3 year schools and it makes it harder to make a good impression. I can only speak to Queen’s as I graduated from there. I absolutely loved my time at Queen’s. In my biased opinion, it is the best school in Canada. I have posted several times in the Queen’s forum as to what makes it a great school but here are a few points: 1. Collegiality: Being the smallest class in Canada, you get very close to all your peers. However, I think there is so much more to the collegiality on display at Queen’s. This extends throughout your career. People identify as Queen’s alumni and anytime I work with a staff that graduated from Queen’s there is instant bonding over this. Furthermore, even after graduating, our class stays in touch. I’m currently in a major city across the country from Kingston and we have a Facebook messenger group with all of the recent Queen’s grads to set up times to hang out or to help each other out. 2. Academic Excellence: I truly believe our curriculum is expertly designed to teach you all the things that are clinically relevant and that you will require going forward in Residency. We do very well on the LMCC Part 1, Part 2 and our match rate is consistently amongst the best in the country with several people matching to the most competitive specialties. 3. Clinical Teaching: Queen’s Faculty are all on alternative payment models in which they have a base salary. This means they can spend the time to teach you in clinic or in the OR without it negatively impacting their income. This results in a fantastic learning environment as a clerk. 4. Faculty: The faculty are fantastic and super supportive. The associate dean Dr. Tony Sanfilippo is a gem. He will have regular town hall meetings with all the medical students to keep them updated on everything going on in the medical school. I don’t know of any other school that has this level of interaction with the administration. 5. Kingston: Kingston is absolutely beautiful. It’s small but there is always something to do. There is 50k + students during the school year so it is always pact with people and buzzing with life. You are right on Lake Ontario and the St-Lawrence River so lot’s of water. A lot of history as well as it was the first capital of Canada.
  6. Sorry, misuse of the word operate. I am using it as operate=run a practice. So what I’m saying is that it is easy to set up a practice with only clinic days and no OR.
  7. How? Insurance pays for the whole bottle for each treatment. The remainder of the bottle would be thrown out otherwise. But instead they use it for other patients that are uninsured.
  8. I’ve seen certain physicians get patients with coverage for Botox acquire the bottle and then they keep the bottle and offer the Botox free of charge for patients who don’t have insurance coverage for it. This way everyone gets it for free.
  9. I understand all of this and I’m not advocating to be a hero-martyrdom. As a resident, there is often situations where you are the only physician to assess the patient and you report to your staff. I think it’s unreasonable in these situations to put your staff at risk (who may be older and more likely to have complications, and is arguably more useful to the system) when you could simply see the patient. Sure, if the patient has to be seen by the attending regardless, then maybe we don’t need 5 different people to see the patient. But there are many other situations where, as a resident, you will need to assess these patients. I agree that clerks should not see these patients as they are unable to provide independent care and are just exposing themselves unecessarly.
  10. I don’t think this is feasible. You are a physician, and whether or not you feel comfortable seeing a patient, it is your duty to provide care. If the proper equipment is in place (PPE) than you have no reason to compromise the patients care. Furthermore, the main exposure threat is with regards to patients coming in to clinics and are asymptomatic or have not been labelled as a COVID-19 case. Once they are identified, we have the proper procedures in place to prevent transmission.
  11. I agree that for less competitive specialties, first choice specialty rank is more useful. My point was specifically regarding highly competitive specialties where there is a handful of applicants every year that get 0 interviews despite being a “serious” applicant. In these cases, we are underestimating competitiveness. You have to assume that no one applying to plastic surgery is backing up with the specialty for example, so the discrepancy between first choice applicants and total is largely due to people not getting interviews in my opinion.
  12. I guess my point was more that it is very difficult to assess competitiveness based on the information provided by CaRMS for a few reasons: 1. Total applicants for a specialty is relevant for highly competitive specialties but over estimates the competitiveness of less competitive specialties where a plurality of people will be backing up. Hopefully, this year we will have more insight into all this with CaRMS having interview data. The most important metric will be to determine how many applicants did not get interviews at all. 2. The stats in general are a poor reflection of the CaRMS process for one simple reason: Quebec and the rest of Canada are agglomerated together in the stats. I understand that CaRMS may not want to separate a province from the stats, but it is impossible to deny that the reality of the Quebec match and the rest of Canada are very different. Very few applicants cross polinate between the two systems in terms of interviews, and even less match. It would be ideal if CaRMS offered separate stats for english speaking institution vs french speaking institutions. For example, Ophthalmology is made to seem much less competitive than it actually is as there is a total of 13 spots in Quebec that most of the rest of Canada does not access. This means that in reality there is only 25 english speaking spots for anywhere between 50-75 applicants. Quebec is also more likely to apply to two competitive specialties int he match (plastics + ophtho) which further confuses the picture.
  13. Not sure what data you are using for this but I tried to reproduce your results and I got vastly different numbers for the first three specialities on the list. Also, I’m not sure how accurate it is to use only people who picked the discipline as first choice. Often times, for highly competitive specialties, students may not rank the specialty first as they did not receive any interviews. It skews the results and makes those specialties seem less competitive by only taking into consideration people who ranked it first.
  14. I think theres a few threads that IMLove has not linked that also speak to why Queen’s is the best Medical School in Canada. 1. Community spirit. Queen’s has one of the smallest and tightest knit community. Having graduated 2 years ago, I still have events with the classmates that have moved to the same city as I have. Furthermore, graduates keep fond memories of Queen’s and are always ready to help out if you reach out. This community feel extends further than just Kingston. When I speak with attendings that graduated from Queen’s, there is an instant connection there. 2. Administration: Queen’s is one of the best run Medical Schools in the country. The curriculum is outstanding and they constantly modify it to incorporate feedback from prior years. Dr. Sanfilipo is a gem and actively engages the medical student body through Town Hall Meetings where he will update the medical students about what is going on in the medical school. Dean Reznick was great too (he is stepping down this year). He would host every medical student at his house for dinner with his wife by groups of 10. 3. CARMS: Probably a little early for you to start thinking about this but Queen’s consistently has one of the best matches in the country. This is not only with respect to match rate but also when looking at success rate for competitive specialty. 20% of my class matched to the Top 5 most competitive specialty for that year. This is no fluke, the medical school is invested in the success of each medical student and helps you achieve your goal. 4. Kingston: Best student town in Canada. Everything is walking distance which means that you lose no time in traffic or for your commute. 5. Salaried Physicians: Queen’s is special as all the staff (99%) are salaried. This means they are not feeling forced to see as many patients as possible and will allow you to take your time with patients and will offer great teaching. 6. Preparation for LMCC: Pretty much all schools will prepare you for the LMCC but I felt Queen’s did a great job. We write the NBME after each block (this might have changed since I went through). The LMCC Part I and II were a joke. I got 93 percentile and 96 percentile with limiting studying. I would say a large part of that is due to the approaches I learnt at Queen’s. I have graduated 2 years ago and my 4 years at Queen’s were the best years of my life. If you have the opportunity to join QMED, I would grasp it with both hands.
  15. Family contacts don’t count for anything at this level? I can quote you several anecdotes that would go directly against that for both CMG and IMG applicants. It’s naive to think nepotism doesn't exist in residency selection.
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