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guy30

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  1. guy30

    DDS or keep applying to MD?

    I don't know much about dentistry but don't people who go into Maxillofacial surgery do this all the time? As in complete Dent, then Med, and then a Maxillofacial surgery residency?
  2. This would be similar to the timing of the USMLE for US med students where they do their step 2 CK and step 2 CS exams during the first half of MS4 between Aug-Dec of 4th year.
  3. guy30

    FM + 1 EM ... where to start

    I've seen some +1 EM docs hold faculty positions and do EM research through the Department of Family Medicine at my school. Not sure how common this is though.
  4. I don't think it's that unusual to have CCFP-EM docs work in Level 1 trauma centers. In fact, I think at the very least a large minority of the docs in the departments I've worked in have their CCFP-EM. I also don't think they did a trauma fellowship year either. Usually when you're working with a staff you won't know anyways unless you ask around cause it doesn't really matter from a practical or clinical standpoint in the end. The situation might be a bit different in terms of hiring nowadays though. Not sure how many new jobs are available at Level 1 centers and when there are, not sure what the hiring patterns are. I would imagine these jobs are more limited now and FRCPC docs would usually get first pick at hiring though things like experience etc. can play a role too.
  5. guy30

    CCFP(EM) in the US?

    Yeah I've heard of the LMCC being considered equivalent in some states too but I couldn't find anything specific to back that up in my quick search so maybe someone else has more info on that? In terms of doing ER in the US, I think it's important to differentiate between being able to do it and actually getting hired to do it. As a CCFP(EM), you'd be able to become board certified in family medicine which has a scope that allows you to practice emergency medicine. However, to be hired in any major center (and to have insurance companies be willing to pay you) it will be difficult and just like in Canada as a family doc, you'd be more likely to be hired in a peripheral community or rural center.
  6. guy30

    CCFP(EM) in the US?

    I believe the answer is generally yes, you need to have all 3 steps of the USMLE done in order to have a license to practice medicine in the US. In addition, each state puts requirements on the minimum amount of post-graduate residency training an individual must have obtained in order to obtain licensure. I think it needs to be ACGME accredited training but they don't always explicitly say that. I'm also pretty sure all Canadian residency is considered equivalent to ACGME so both the FRCP and CCFP(EM) training should count this should count. The minimum number of years for residency required may differ between US grads and IMG's with IMG's often requiring more. I would think CMG would be considered in the US grad category here but they only state that for one state (Maine). Generally the US grad requirement is at least 1-2 years and IMG requirement is about 3 years. Again, both FRCP and CCFP(EM) fit the bill here. This table outlines it pretty nicely: https://www.fsmb.org/licensure/usmle-step-3/state_specific
  7. Yeah agreed that a fractured collarbone alone would not merit urgent attention. Apparently the label of being the worst hospital in the western world was based on a host of other factors though. "A report on the hospital by Quebec's health watchdog unrelated to the coroner's report said it underperforms compared to other Quebec hospitals, which that same watchdog ranks as the worst in Canada and the western world. The health watchdog report gave the Gatineau Hospital a D- for emergency care. And since no other hospital in Quebec has ever received a D- score before, "we are forced to conclude that the statistics indicate that this hospital is among the worst in the western world for health care possible," the watchdog's report concludes in French. That comment was then echoed in the coroner's report into Gauthier's death."
  8. Just read this article and thought it was quite shocking for a Quebec hospital to get this label from both the coroner and Quebec's health watchdog. Anyone ever rotate through Gatineau hospital? I wonder if it's a manning issue in their emergency department. "Gatineau Hospital among worst in western world for ER care, report finds Man with ALS waited more than 10 hours to see a doctor for fractured collar bone" http://www.cbc.ca/news/canada/ottawa/gatineau-hospital-coroners-report-1.3736927 (edit to fix link)
  9. This is quite interesting! I'm a bit of a geek for this stuff but I have some more specific numbers to add for Canada, the US, Australia, New Zealand, and the UK I just quickly googled if anyone was curious. So comparing the number of medical students, population size, and the med student/population size in millions ratio: Canadian med student intake (2014): 2921, population size 35 million, 83.45 USA med student intake (2015): 20,631, population size 319 million, 64.7 Australian med student intake (2015): 3210 domestic (3777 total), population size 23 million, 139.5 for domestic students NZ med student intake (2015): 583 domestic, population size 4.5 million, 129.6 UK med student intake (2010, domestic numbers?): 8085, population size 64.1 million, 126.1 The ratio for Canada about 2/3 that of Aus, NZ, and the UK but the US is about half that of Aus, NZ, and the UK when looking just at domestic students. This means that for domestic students in their respective countries, it is much easier for students in Aus, NZ, and the UK to get into medical school compared to Canada because there are about over 1/3 more spots comparatively based on population. The numbers for the US makes it look like the US is crazy competitive but it's important to note this is just for MD schools and doesn't include DO numbers so I imagine including DO schools would bring it similar to the ratios for the other countries? Oddly enough, the countries with higher ratios have more public funding for education compared to the US. I wonder why there aren't more med student positions in the US if it's such a private market? Another interesting point to note is the OECD physician to population ratio in each country which is: Canada: 2.6 USA: 2.6 Australia: 3.5 NZ: 2.8 UK: 2.8 OECD average: 3.3 If anyone is interested in looking into the numbers further, these are the sites I used. Also, it would be useful to get a more recent UK med student numbers if anyone has it! https://www.afmc.ca/publications/canadian-medical-education-statistics-cmes https://www.aamc.org/data/facts/applicantmatriculant/ http://www.medicaldeans.org.au/statistics/annualtables/ http://www.kingsfund.org.uk/time-to-think-differently/trends/professional-attitudes-and-workforce/medical-workforce http://www.oecd.org/els/health-systems/oecd-health-statistics-2014-frequently-requested-data.htm
  10. Agreed, the only jurisdictions with cross-recognition/certification for family medicine are the USA, Australia, UK, and Ireland. I don't know how we'd be having a massive importation of Libian, Nigerian, and Egyptian family docs unless it's a super rural location and even then, they wouldn't be squeezing other docs out of the job market then..
  11. guy30

    Irish/australia

    I don't think any schools in Aus start in Sept. Different seasons in the southern hemisphere so their Feb/Mar start date is equivalent to the northern hemisphere's September start date (ie just after the summer holidays for both hemispheres)
  12. This is definitely something people looking to do EM in the US shouldn't bank on but I'm curious if the number of years required for Royal College certification will change with the move to competency based models for residency? Probably something nobody will really know for some time but it'll be interesting to see in the future..
  13. guy30

    Caribean Medical Schools

    Interesting read and it really is sad... I guess people need to keep in mind you're ultimately going to a 3rd world country and to a university who's main purpose is not world class research, education, or creating a medical workforce for their own country etc., but rather one that was created for the purpose of using people as cash cows, relying on a foreign country for half your education during clerkship, and with no possible resources or infrastructure to fall back on and support you post med school in the home country if things don't work out. As such, they're ultimately not going to be very invested in you. That and though the US is probably more merit based across applicants compared to Canada for residency selection, it clearly is not completely objective if a person of this caliber and marks had so much trouble even getting interviews. I can't believe how smart this guy is though. Those are some pretty high USMLE and shelf scores and a lot of US MD/DO students he would have beat out on in a standardized way. This all despite the stress of constantly having his life uprooted from city to city at the last minute and being seperated from family etc. It does seem odd though that he struggled so much getting interviews for MD schools though, I really wouldn't think the spelling of his name would be that big of a factor but who knows.. especially with all the bigotry coming out of the US lately :S
  14. Out of curiosity, are students at schools that use a grading system (ie French schools), disadvantaged when applying to residency/CARMS compared to P/F schools if your grade is not that great? For example: Someone with a 51% at a French school may be looked at more negatively compared to a student with a Pass grade at an English school (even though theoretically both students may of had the same grade if both schools used a graded system but a PD would not see that).
  15. guy30

    Ont Gov Capping Physician Pay

    I don't know much about Germany's healthcare system but from reading the Wikipedia page you posted, it seems like it's more of a multi-tier system and actually a bit more like what Obamacare is trying to achieve in the end for the US with universal health insurance coverage but multiple funds in the private and public sector? It seems like in Germany, there are around 130 public health insurances for people to choose from and many more in the private sector whereas in Canada, it is a single payer provincial public insurance system, and in Australia, it is a single payer national public system with various private insurances you can then choose from. I personally think that a single payer system within the public sector is better in the end since it helps increase not-for-profit focused purchasing power, increases accountability for governments, and helps standardize what people are getting from their public health care in the end.
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