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medisforme

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medisforme last won the day on August 31 2019

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About medisforme

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    British Columbia
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    RN

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  1. You have to look up the individual programs and rotations, because they are all over the map. At my FM residency program, obs and intermediate care nursery were 24hr in-house call and insanely busy. The typical FM call was hospitalist call 1:4 and hours were 5-11pm. GenSx was technically 24hr call but the surgeon tended to be first call after 11pm and only called us in if they thought we could learn from the case (which was rarely the case as most of the time you would be called in for the surgical assist and nothing more). Some FM programs in BC are in-house overnight hospital call 1:4 and super busy (ie. chilliwack) and others are FM home call, mainly dealing with telephone calls.
  2. the pre-requisites were bio 12 and chem 12. The first and second year nursing curriculum consisted of 3 credits of superficial A&P, 3 credits of supercificial path and 1 credit of pharmacology. No basic science taught.
  3. I agree with the above post. It is more for the benefit of getting a good start to medical school than it is for selection criteria. On a personal level, I came into medical school from a nursing background, which is really quite devoid of basic science. I was incredibly overwhelmed during the first 3-4 weeks of medical school as most of the material was relatively new to me, while it was essentially a simple review for most of the students (things like genetics, DNA science, bacterial translocation, cell biology etc...). However, with a little extra studying i was able to keep afloat and managed just fine.
  4. To clarify my point, it was in reference to residency interviews, nothing more, and I clearly said it doesn't reflect my personal opinion. There is nothing wrong with voicing interests in areas of family medicine during a residency interview. The only point I was making is that certain applicants were docked points when they ONLY discussed interest in one area of family medicine and did not touch on the longitudinal aspects of the specialty.
  5. EM is the obvious one, I think most people know better than to do that. The couple of times it happened during our interviews, it was applicants discussing wanting to be a hospitalist or a sports med clinician.
  6. There are very few people who would have done both exams, so you probably won't get any answers from personal experience. I think it is pretty well acknowledged the Royal College exams are much more difficult for a variety of obvious reasons. For context, I studied about 3 hours/day for 3 months for the combined CFPC oral/written exam and probably could have studied a little less. My understanding is that a lot of R5+ residents are studying 4-8hrs everyday for a year to prepare for the Royal College exam.
  7. Re: Derm residency. My understanding is that it is heavily IM based for first 1-2 years and you work like a dog until you actually start your derm rotations.
  8. One other note, that doesn't reflect my personal opinion but I noted from a couple of local site leads whom I interviewed beside. Applicants were docked points if they solely expressed interest in a niche/subspecialty area of family medicine (sports med, ER, hospitalist, obstetrics are the 4 that come to mind) during the interview without discussing concurrent interest in longitudinal care (though given the enormous number of applicants, I really don't think this would make or break your application).
  9. 1) PBL/CBL preceptor (with UBC at least) pays decent given how relaxing the work is, though if you don't live near campus, there would be a lot of travel involved which can affect other potential work duties that same day. From my experience, it was mostly docs close or at retirement doing these gigs. 2) Botox/skin cosmetics 3) pharmaceutical company (i met a few docs doing this, though I personally don't see how this would be in any way rewarding aside from the financial aspect). 4) From a family med perspective, there really isn't any money to be made from being an interviewer, examiner etc... You sometimes get a small "honorarium" but your main reward will be CME credits. Most of it is essentially volunteer work. There is more money to be made (can't remember how much) creating questions and marking written licensing exams. 5) One of my colleagues runs obesity education groups out of his practice (all MSP billable) and makes quite a bit of money doing this.
  10. I purposely did 90% of clerkship and residency outside of vancouver, and I never met an FM+1 COE anywhere. I am not even clear what their role is compared to a "regular" GP with an interest in elderly care. I am guessing jobs for them are confined to larger cities. Outside of Vancouver, they are screaming for docs for residential care, it is very easy to find work. In Vancouver, it is obviously more difficult to find work/jobs in niche areas of family medicine.
  11. The other thing no one has mentioned is being completely up to date or your province's billing codes. It is worthwhile to take a mini course or memorize the billing codes so you can maximize your billings. A couple of local GP's here recently hired a company to review their billings and it was found they were underbilling up to 50k/year. Never assume your MOA/manager is maximizing your billing, you have to check it yourself (at least initially until you have them trained how to bill).
  12. Agree with this, In BC at least, lumps and bumps for GP's is remunerated extremely poorly, and that doesn't take into consideration the money GP's have to pay for equipment, sterilization etc... Prior to covid, I had slowly been decreasing the amount of lumps and bumps, it is just so much easier to refer to plastics/derm.
  13. The other reason its hard to fail a clerkship block is that its not like you show up at your final clinical evaluation and are suddenly told "you failed, sorry." There are requirements for mid rotation evaluations and preceptors are obligated to tell you if you are not meeting clerkship requirements so you can make appropriate adjustments etc... Most med students who struggle are able to take this feedback and improve their clinical performance, hence, usually fairly difficult to fail the clinical portion. There was a well known incident at UBC probably around 10 years ago, where two med students failed their surgical block but were able to successfully appeal it as they were able to show that there was no documented feedback on their performance nor suggestions for improvement from their preceptor, throughout the clinical block.
  14. At our local program, those that have done ICU electives in the past are being credited with call shifts for "helping out" for 18-24 hour shifts in the ICU, starting lines, handling labs etc...
  15. Just a word of advice for everyone asking about billing. You should indicate what province you are in/want to practice in so appropriate advice can be given, as billing info is DRASTICALLY different from province to province (ie. 1) there are no time codes for billing in BC, 2) in response to a previous poster who indicated that mental health visits pay more, mental health visits in BC (termed counselling appointments) pay less per 10min then a typical office appointment )
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