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Snowmen

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Snowmen last won the day on November 27 2019

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  1. If you're a clerk and therefore seeing patients, and you still decide to engage in the behaviors you describe (parties, etc.), you totally should get red flagged. Clear lack of judgement and professionalism. When it comes to behaviors that are allowed under current rules (ie: going to a restaurant, seeing a couple of friends, etc.), I think that's fine.
  2. While I agree that nurses shouldn't completely replace MD surgical assistants, Quebec has a training program for nurses at the MSc level that roughly translates to "Surgical first assistant nurse" where they basically reach the level of an MD surgical assistant. For instance, one of them in cardiac surgery would do saphenectomies solo and what not. In general, I agree that MDs are worth having as surgical assistants. As you mentioned, they can typically do more especially since many of them are actually fully-fledged surgeons themselves. For instance, we had a plastic surgeon near retirement who assisted for ortho cases and he could basically do the whole surgery by himself. It saves a ton of time especially for surgeries where you're doing a bunch of smaller things or when things don't go exactly according to plan (ie: someone can control a bleeding that doesn't feel like stopping while the main surgeron keeps working on the actual surgery).
  3. As mentioned, some fields are dependent on academic centers because of the need for specialized equipment or interdisciplinary teams/programs. For instance, my specialty could be done in the community but this would be severely restrictive (no access to anything beyond simple bedside procedures in a financially sustainable way, no inpatient component possible, no infrastructure for sub-specialized outpatient clinics, etc.) so the vast, vast majority (90% or so?) end up practicing in academic hospitals and have affiliations with a medical school.
  4. Pas besoin d'investir dans un Cardio Master à moins d'être résident en médecine interne et de vouloir aller en cardiologie ou en médecine interne générale mais le Cardio IV vaut la peine. Il y a réellement une différence avec un Classic III qui est un stéthoscope d'évaluation ("nursing") plutôt que diagnostic. Par exemple, beaucoup plus facile d'entendre un souffle subtil ou des petits crépitants avec un Cardio IV plutôt qu'avec un stéthoscope plus "cheap" pour avoir fait la comparaison. En plus, la garantie dure 10 ans donc tu es sûr de pas avoir à en racheter un pour toute le doctorat et la résidence (à moins de le perdre).
  5. You spoke to an idiot. Call one of their professional LOC specialist or something like that. They usually have some kind of list.
  6. When the actual patient is there, stay quiet. If you have questions, don't hesitate to ask them after the patient is gone. If a resident is revising the case, you shouldn't interrupt but once they are done, I believe it's fine to also ask questions about the case. The couple times I shadowed as a med student, the attending would usually give some explanations about the case before we'd see the patient so I'd understand what's going on and would then explain his thinking afterwards before asking if I had questions.
  7. You can't offer private medicine for services that are covered by the RAMQ unless you withdraw for the RAMQ. This is to make sure physicians don't have separate RAMQ and private billing waitlists for the same service since it would be easy to prioritize the private billing waitlist as it brings in more money. If you are still affiliated with the RAMQ, you can privately offer services that aren't covered.
  8. I know quite a few GPs who were doing surgical assists 5 days/week. ER is also very easy to do full time. Hospitalization will usually work as one week shifts but that's also possible. Some also do it full time, all year like a GP at one of our hospitals.
  9. Learn french ASAP if you don't already speak it. Then, if you at least back up with FM, it's extremely unlikely that you won't match to a program in Montreal. Also consider the fact that Sherbrooke also has family medicine programs in Longueuil and St-Jean-sur-Richelieu which are Montreal suburbs.
  10. Home call or call that isn't as busy will tend to be grouped together more than busy, in-house call shifts (ie: internal medicine). For instance, residents in my specialty typically do home-call shifts from 17h to 8h on the next day for 3-4 straight days.
  11. Except the people who get in with a really low GPA have unicorn ECs like the ones mentioned above, which you definitely don't. I don't mean to be rude, but people need to be realistic at some point. You have neither a good GPA or good ECs from what I could gather from this thread. You need to work on improving those instead of scouring the internet to find a loophole to apply.
  12. It's just a pass for CMGs but nobody knows what a pass is in terms of percentage.
  13. Hello folks! My MCCQE1 is supposed to be a week from now but I don't know whether I should take it or change it. I had a school exam on the 1st May that is modeled after the MCCQE1 where I did well after a month of studying (got an A-) but I just haven't had any motivation to study since then so I barely did anything. I'm also moving during the same week which isn't helping at all. I did some practice exams from the MCC as well as a complete practice exam and I usually end up around 70% for the multiple choice questions and 75-80% for the clinical decision making questions. I'm guessing that it's more than enough for a pass but it's hard to say since we don't know what the passing score is in terms of percentage or how representative those exams are compared to the real deal. Should I take it in a week as planned and risk losing 1300$ or move it to a later date and prepare better?
  14. It's about on par with most other surgical specialties which are all awful. They technically weren't lying.
  15. To not match to FM in Quebec, you'd have to actively try not to considering the amount of leftover spots every year. Hopefully that doesn't change with the increase to the medical school spots recently announced.
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