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Everything posted by medisforme

  1. After l was accepted by UCD I looked into it, and the process was overwhelming and confusing to say the least. I consequently decided against going overseas and continued to apply in Canada. I applied more times than you and eventually got in, and considering the current difficulty of CSA's matching back to Canada, I would advise you to consider applying to med schools Canada for at least another couple of years. You are essentially uprooting your entire family for at least 10 years if you decide to study in Ireland.
  2. Hey all, Just wanted to put this out there on behalf of one of my colleagues who was inquiring. What type of employment could a foreign trained physician with a public health and preventive medicine residency along with a masters of public health expect to obtain in Canada? The person is realistic about not obtaining a residency spot in Canada but was inquiring about realistic job prospects Anyone have any ideas? Would it still be possible to obtain a position as a medical health officer?
  3. medisforme

    Pediatric neurology

    Why is it a stand alone specialty for residency compared to other peds specialities which are all fellowships?
  4. medisforme

    Filing taxes question

    Once any big tax company hear's you are a doctor, they will do your taxes for free until you are done residency (with the hope you will stick with them once you are done). I have had MNP do my taxes for free for the past 6 years. They do everything to maximize your return and I am positive any reputable company will know what to do with your provincial residency status.
  5. medisforme

    Which Site and Why

    SMP grad here. I would agree with all the positive attributes other members have posted here. One negative that hasn't been brought up that affected me a lot as my wife and son did not live in Kelowna with me is the difficulty travelling back to the lower mainland in the winter (ie. on weekends). The connector and coquihalla can be precarious. I witnessed several accidents on the highway over three years, and was involved in one myself (the driver of the vehicle I was in IMO was going too fast for the conditions but I digress). Also, at least twice I was stuck in the lower mainland past the weekend as the highway was closed or conditions were treacherous. I tended to be white knuckled the entire drive. Finally, I unexpectedly missed out on a couple of events I had signed up for due to the conditions (ICC visits, conferences etc...). Of course, you can bypass this by flying all the time (though this is more expensive and only practical if you live in Vancouver, which I didn't) or just not going home. Anyways, just something to be aware of.
  6. I I interviewed on the same day as IMG candidates for UBC psych. There were apparently about 50-60 interviews for 2 spots. I can't imagine how many people applied. Your odds are not good in Canada to say the least. I know in US getting into psych as an IMG is much, much easier due to the sheer number of spots. It seems to be a less popular specialty in US compared to Canada.
  7. Anyone attended the CCFP review course put on by Dr. Simon Moore in the past and have a review course manual they would like to sell. You can post here or PM me. Thanks.
  8. medisforme

    MCCQE Part 2 Preparation

    1. Ask senior residents for the MCC "resource sheets/practice questions" they used 2. Use whatever resources you used to practice for MS4 OSCE 3. Podcast- Dr. Mike Kirlew LMCC prep is helpful but he goes into way too much detail IMO and its overly focused on critical care stations which only make up about 15-20% of the actual exam. I just listened whenever I was driving for the month before the exam. 4. Others on here (including Dr. Kirlew on the podcast) will tell you to practice with partners over and over again. If you are confident in your clinical skills this really isn't necessary. I spent about one hour in total doing a few histories with a partner and nothing more. The only benefit of it is to practice your timing. The tricky stations are the ones where you have to do a hx and px, so you have to time the stations carefully (quite a few stations required a hx and px during my testing day).
  9. The only thing I would add to the OP is that you don't lose marks if you talk for seven minutes and don't reach the prompt questions. A lot of great candidates already address these questions in their initial response. The marking scheme is actually very simple and based on your overall response. It has nothing to do with leaving time for the prompt questions. Having said that, a lot of candidates tend to blabber and repeat themselves in their answers, the prompt questions help steer the candidates in the right direction. As an aside, I also used a professional company which I found helpful. It gave me some new approaches to questions and a good strategy for tackling answers. Yes, they are a complete rip off.
  10. medisforme

    What to do?

    I am surprised this has not been brought up yet, but why have you waited until now to even think about doing any interview prep? You really should have been working on it since your first application. I had to apply to med school 4x as well (and I was older than you when I started). Each year I did a variety of prep (1:1, group interviews, mock MMI, did some counselling/mock MMI with a professional company etc...). If you really want to get into medicine, you need to constantly be trying to improve your game. It is just so cut throat these days with hundreds of very qualified applicants.
  11. If you are a reasonable applicant, I don't think you need that many interviews to match to family. I only applied to four FM programs (I applied to psych as well), and many of my friends only applied to 2 or 3 programs (I actually only had one friend who did not match to one of their top 2 provinces/schools for FM and none of us were star applicants). None of us were ever that worried about not matching. One thing I did, was ask one of my psychiatry preceptors to write reference letters to both FM programs (specifically an FM focused letter) as well as psych programs in order to make my FM application stronger and not look like I was all in on psych. Of course, you have to test the waters first before you ask a preceptor this as some might not be so open.
  12. A lot of people are ranting about LMCC 2, though I do personally see some of the utility of it for family medicine residents. Our CCFP oral exams are basically testing our ability to carry out a glorified social history so I think there is some utility for family practice residents for doing the LMCC to show we have a good approach to common primary care scenarios and can take a proper history and physical. What I don't get is why other specialties are required to do this exam when they are going to be put through the ringer with their own Royal College Exams. MCC has some statement on their website about ensuring high quality, generalist physicians. Is't that what a family doctor is? Why does a vascular surgeon or pathologist need to be a good generalist physician? I would think some specialties would have powerful enough lobbies to get the exam waived or something. Finally, as it is now, family medicine residents (and to a much lesser extent emergency medicine residents) have a massive advantage on the exam. The majority of the scenarios are straight out of a primary care office. How many specialty residencies rotate through obs/gyne? Less than half? How about peds? It seems like a lot of the candidates are doing stations they may not have done since third year med school. It seems quit unfair, I am surprised there hasn't been a major backlash or uproar to have exam cancelled for Royal College programs (aside from premed101 rants).
  13. To echo some of the above discussion, I definitely think regional centres are the best combination of volume and acuity. The majority of them only train FM residents so there is no one else to take procedures. I am at a regional centre and have no interest in EM, but just walking through the ER on a different rotation I have been invited to do intubations, assist with codes, casting etc... I know there are a few regional hospitals in BC that have very good +1 match rates for FM residents because of the experiences they get in residency. Regarding the preference for Rural FM residents. I could be wrong, but my understanding is that the +1 program was (is?) originally intended for FM docs to practice emergency medicine in a rural setting. Not sure if that belief still predominates the selection committee's thinking.
  14. medisforme

    LMCC discussion

    Most of the negative feedback on here seems to be from specialty residents (which is completely understandable). I was just curious if FM residents feel the same way or if (like me) you see some utility of the exam for our specialty.
  15. medisforme

    BC resident salary

    I am married, two kids and a mortgage and the salary is definitely no where near enough (my partner is currently not working due to medical illness). I am continuing to use my LOC to make ends meet. It is actually an extremely stressful way to live. Counting the days until residency is done. My co-residents who are single, renting an apartment, have little problems making ends meet. ps. I am at a regional site, not Vancouver.
  16. medisforme

    Fam Med Residency Program Comparison

    Any programs without royal college residencies will give you more hands on and probably more responsibility. Different programs have different strengths. Urban programs are great for things such as addictions, working with marginalized populations, EM, high volume obs etc... Rural sites will definitely push you to maximize your procedural skills and train you for cradle to grave FM (which really doesn't exist anymore outside rural settings). Regional sites are usually a balance between urban and rural. Finally, remember you can do electives wherever you want as an R2. There were some residents in the year ahead of me whom I hardly ever saw as they were constantly away doing electives.
  17. medisforme

    Fam Med Residency Program Comparison

    Another thing I found surprising is how diverse the actual hours/call schedule is from program to program. I am in what is known as a "princess program." The only 24 hr call we have is for obs and peds nursery we do out of BCCH. FM residents are supernumeray (we are not a service based residency) for all call (both FM and off-service call, though we are always first call). I have a family and so like the relative ease of the program. I have friends in other FM programs both in BC and Alberta where the residency is completely service based and the hours are absolutely insane for FM (ie. one friend in a notoriously busy FM program, worked close to 100 hours/week on obs rotation, other friends out of province the off-service hours are the same as for a specialty residents, 36hr CCU shifts, 0500 starts for surgery rotations etc...). Something to think about when picking a program. In general (though far from a rule) the non-academic sites tend to be more family friendly.
  18. Just to update those (especially future med students), Scotia Bank extended my line of credit to 275,000 a day after I applied. I do not know what is up with RBC, but I would advise those on the fence to consider Scotia Bank for their LOC. I also found their customer service exponentially better.
  19. My only comment to OP is that I would argue not all Irish schools are all that supportive in helping students apply back to USA and Canada. I met numerous IMG's, studying in Ireland, on the Carms trail who were basically skipping out on clinical electives (after explaining the situation to their preceptors of course) to attend Carms interviews. Their school did not provide time off for North American interviews. The smart ones booked electives in North America during the Carms period, while some were planning on flying back to Ireland 1-2 days after interviews ended to restart clinical rotations.
  20. medisforme

    Lmcc 2 Whitecoat

    Really? I will have to go and get one I guess. Haven't worn one since second year medical school. I can't imagine it would be an issue wearing one with your name on it.
  21. medisforme

    How To Stay Motivated In The Face Of Rejections

    I was accepted on my fourth application (had interviewed the previous 3 years). My grades were only good enough to apply in-province. For most people paranoid about how they interview, as others have said there are hundreds of applicants interviewing who are just as qualified, a rejection does not necessarily mean you are a bad interviewer. The average applicant applies 3 times before they are accepted, so for every all-star that gets in on their first try there is someone who gets in on their 5th try. There is an enormous amount of luck getting into medical school these days (especially with the large number of stellar applicants), the only thing you can do to combat that is keep applying year after year.
  22. At my residency site the hospitalists are insanely overworked, and they are having a tough time recruiting new ones (one of the hospital NP's was working a shift the other day because they were so short staffed). I frequently see them after their shift is over on the wards because they have not been able to see all their patients yet (shift is 8-6). About 85% are FM's and 15% IM physicians. Their are a few that solely work in the hospital, most do a combination. The IM docs just take extra shifts to supplement their income. The insane ones work clinic, then overnight hospitalist, then back to their clinic the next day. Residency wasn't busy enough for them.
  23. Some examples of my Carms socials. The Saskatoon FM social was at a really cool Irish Pub. I wore (nice) jeans and a hoody (I absolutely hate dressing up aside from wearing suits for Carms). Some were dressed like me, others quite formal and a majority in between. As long as you don't dress like a freak, it doesn't really matter. I also wore jeans and a hoody to the UofA FM social. I felt a little underdressed there compared to everyone else (though it was so packed with people, most of whom you could not tell was a resident or med student, so I didn't really care), I was surprised as it was at a bar/pub as well. UofA psych, I dressed nicer (slacks and collar shirt) as it was at a trendier spot. Most applicants and residents were dressed similarly.
  24. To play devil's advocate, medical school isn't nearly as hard as many people make it out to be (I would say probably less difficult than some of the degrees discussed above). If you keep up with your reading during the first two years, and are remotely competent in clerkship, you will have no problem graduating. There are hundreds of rejected medical school applicants each year who would do just fine academically in medical school (regardless of their degree). I personally don't feel difficulty of a degree should play a part in the application process.
  25. medisforme

    Family Med Site Selection

    Re: applying to FM From going through Carms last year and talking to classmates and co-residents; if you have zero red flags, did 1 (preferably at least 2) family elective and are remotely personable, you will match to one of your top 3 choices. Myself and many of my classmates only applied to 3-4 programs and none of us were really worried about not matching.