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About medisforme

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  1. medisforme

    Voice your opinion about the LMCCII

    That's just for FM year 1 seats. I am guessing the rest are for FM R2's who haven't written, FM R2 re-writes, and specialty residencies writing and re-writing.
  2. UBC chilliwack also has an excellent track record of matching residents to ER. If you perform well and impress during residency, you can work in CGH ER post-residency without +1
  3. medisforme

    Voice your opinion about the LMCCII

    I did FM Residency. There were slots for about a quarter of the FM residents (done by lottery) to do LMCC 2 as R1, the rest did as R2. I think it would be ideal if everyone would do it as R1. In FM, not much study is actually needed. I can see how some specialty residencies would want to set aside time to study, which I have heard would be difficult as R1 given how intense a lot of first year residencies are.
  4. medisforme

    GP side projects/supplemental income

    There are a variety of sessional positions you can sign up for with your health authority, most allow mixed billing. I do OAT clinic and mental health work this way. If it is a slow day, you make $133 and change/hr for surfing the internet (or catch up on paperwork etc...), if it is busy, you bill and make more than that (all without overhead!). Granted, these are easier to come by in places outside of major cities. Also, one of my colleagues does group obesity and diet counselling, and makes a lot of money doing it. He has now hired a nurse to carry out the curriculum he developed. Finally, looking at the fee codes here in BC, it doesn't seem like lumps/bumps/joint injections pay particularly well. Unless you are ultra efficient, it is probably hard to increase your income (vs seeing regular office patients) doing these type of procedures.
  5. medisforme

    CFPC membership

    I think it's around $650, and I guess this would be mandatory given you have to report your credits. for an extra $350/year I guess it makes sense to just pay it. I still think it's a massive cash grab. It's a little sad to think that in some jurisdictions obtaining hospital privileges is dependant on paying for the CCFP designation.
  6. medisforme

    CFPC membership

    For those family docs on this forum who have completed residency. Have you all continued to maintain membership in the CFPC? I am struggling to find what the benefits of maintaining membership is? What the $500-$1000/year gets you (depending on how far out of residency you are) aside from something you can claim on tax day. I am from BC and emailed the College of Physicians and Surgeons of BC and certainly maintaining CFPC membership is not a requirement for licensure. Maybe you don't get to keep the CCFP behind your name? But who really cares as hardly any patients know what that is anyway. Any input would be appreciated.
  7. I try not to think about that because there is no going back now. However, with the opportunities in nursing for career advancement and the associated pay I have little doubt I would be so much further ahead at present in terms of RRSP, education funds etc... I did not go into medicine for the money, but had I know more about the relatively poor pay that family physicians receive relative to their medical training and hours (the amount of unpaid work family docs engage in during the day caught me off guard), I think I would have thought a little more about it before committing.
  8. It's only enough to live on if you are single. Try making that as the sole bread winner with a spouse and two kids. The debt I built up in medical school and residency is so crippling I fear it will be with me the majority of my life given my family situation. I am already engaging in quite aggressive (though honest) billing just so I can keep up with my payments, which is somewhere I never thought I would be when I walked into my first day of medical school full of idealism. I would gladly have traded less tuition and more residency pay for less income as staff.
  9. Hey there! I'm also a nurse looking to apply to medical school. I was wondering how you studied for the MCAT? I've bought the review books but I feel so lost in all the science that I didn't learn from nursing school. Thanks!

    1. medisforme



      The med schools I wanted to apply to all had pre-requisites at the time, so I had to go back to uni for 2 years of sciences.  Taking these courses was part of my MCAT studying.  Otherwise, I purchased all of the exam crackers books, they were really helpful.  I also wrote and rewrote all of the AAMC practice exams (I purchased every single one that was available).

      Good luck,

  10. medisforme

    Working during CCFP-EM fellowship

    If you give even a small modicum of effort, it's pretty much impossible to fail the PIP/research project. It's much more likely the person in question failed their licensing exam. I was told around 7 BC FM residents fail per year, not sure the pass rate in other provinces.
  11. I am a BC resident, did all my FM electives in BC and received OOP interviews everywhere I applied (Alberta (Calgary and Edmonton), Sask, Manitoba).
  12. Hi, I am a 2016 UBC MD grad. There were at least 6 people in our class (myself included) who attended University of the Fraser Valley for undergrad. I definitely don't think you are at a disadvantage by attending a smaller school. In many ways it is an advantage (easier to get reference letters from profs for example). There are just so few applicants relatively speaking who apply from these schools, it seems to a lot of people they are at a disadvantage (most high school medicine gunners are aiming for UBC/SFU/maybe UVic right off the bat for whatever reason).
  13. It doesn't matter which site you do pre-clerkship in, you are eligible to apply to any ICC site. I was SMP and did ICC 3rd year in Chilliwack.
  14. medisforme

    Addictions med: family or psych?

    I plan on doing a moderate amount of addictions work now that I am graduated. The key I have found is to get hired on by health authorities to do sessionals (usually they are 3.5 hours) for both OAT and withdrawal management/detox assessments (I think it works out to $133/hr). This way you get paid per hour and so it doesn't matter if a patient shows up or not. There are also mixed models where you are guaranteed a sessional payment but if you manage to bill above that for the time, you keep the difference. I did some training with docs who were in the midst of trying to build up a methadone/suboxone practice from scratch. This is a massive money loser, as you are paying 1-2 staff as well as office space to often just sit around until the practice builds up (which takes a decent amount of time). Some clinics charge patients a monthly fee ($50 or so) as part of the care they provide. The field of addictions from a family medicine standpoint is not very lucrative to begin with. The only way you would make a good living is to build up a large practice of stable patients (200-300+). The family medicine addiction billing fees just got updated, I assume to attract more docs to this area. You now get paid an initial evaluation fee as well as a suboxone induction fee on top of the regular 00039 weekly fee. Typical OAT clinic/community detox assessments don't take an R3 level of training IMO. I worked with several family docs who learned as they went. Addictions fellowships are more important if you want to do in-patient hospital consults or work in medical in-patient detox facilities (ie. Creekside, St. Paul's)
  15. Might depend on what type of residency you are doing. I had some friends in neurology, peds etc.. who benefited from some extra prep as the exam is heavily skewed towards primary care (and a lesser extent emergency medicine) and they had not covered a lot of the material since med school (obs history etc...). If you are in family medicine, your prep should be minimal. Outside of our program dedicating one AHD to a mock LMCC2, I didn't practice a single physical exam (though did review important points in OSCE style physical exams). Review your general histories (obs, peds, cardiac, psych etc...), have a general approach to critical care (ABCOMIP), have a general sense of time and you will be fine.