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About guy30

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  1. I'm curious, you said most urban and sub-urban hospitalists in the US are IM, are there not many FM hospitalists there? I always thought it was common for FM in the states to work in hospitals too? Also, when there are FM docs working as hospitalists in the US, any difference in scope of practice between FM and IM? It's an interesting comparison since in the US, IM and FM residency are both 3 years long but in Canada FM is 2 years and IM is minimum 4 years (often 5 nowadays).
  2. This would be province specific but my understanding is that IM geriatricans have access to the IM billing codes which would pay better for consults etc. Some docs would also be on ARP's (especially given the nature of lengthy geri consults) which I imagine should pay the same for the same work done? Don't know for sure though.
  3. It differs city to city but from what I've seen, +1 COE docs work the same as IM geriatric docs ie they both work as geriatricians doing inpatient geri ward coverage, consults, and outpatient geri clinics. I haven't seen a difference in scope of practice or community consultations but again, this might differ city to city. Between CFPC and Royal College practice areas, I haven't seen much practical difference in day to day work between staff docs trained from either college in EM, COE, Palliative Care, Sports and Exercise Medicine, or Addiction Medicine. The areas that would have different scopes of practice (or are 'night and day') would obviously be GP Surgery, Primary Care Obstetrics, and GP Anesthesia.
  4. These are not new programs, just that more and more programs that had previously interviewed and selected candidates directly are now also joining the CaRMS match process instead.
  5. You get a score and for IMG's, this will impact your residency applications and ability to get interviews during CaRMS.
  6. I've heard that research has shown that amongst patients, trust and respect is highest with their family physicians in general compared to other specialists. I think the 'lack of respect' thing is more of a perceived thing within the medical community (maybe more among medical trainees)? I say perceived because in practice I've seen numerous specialists praise family physicians in the past but maybe those are just anomalies.
  7. Not a dentist but isn't this a problem with the assessment/licensing system for dentists in the end? If dentists are passing the exam, obtaining their license, but still providing subpar work, it seems like the NDEB hasn't assessed them properly and the concern or advocacy should be with them in raising their standards and not with the dentists who follow their 2 year assessment process successfully to ultimately become licensed in Canada?
  8. I would honestly say that Australia is an amazing place to live if you're comparing it to the USA... especially nowadays with their mass shooting epidemic. But both countries and Canada obviously have their pro's and cons though Canada and Aus are fairly similar as I mentioned before, kind of like cousins in different hemispheres. In terms of medical training, I think the average standard in Aus is going to be higher than in the USA as there is a lot of variability in the quality of residency programs. There are obviously going to be some really top notch training programs in the USA at your high end Ivy league schools but also some terrible programs at private hospitals not affiliated with major universities or teaching centers. Healthcare system as a whole is definitely going to be better in Aus compared to the USA from an access point of view and just in general with how the system is run. The USA doesn't really have a system per se but more like a ton of hospitals run as corporations doing their own thing. The Aus health system is also much more similar to the Canadian health system than the American health system as I mentioned before. Yup feel free to PM me, can't promise super prompt responses but I can try! haha
  9. There are certainly regional differences in terms of how easily and how much of an urban academic teaching hospital you are likely to get for internship. As you probably know, some states will even prioritize their own Aus graduates who are international students over inter-state domestic students. However, for the vast majority of Australian medical graduates that want an internship, those that want one will get an offer somewhere, even if it's a super rural area or with some of the newer private hospital internships attached to a one year return of service contract offered now as part of the Aus governments expansion in internship positions. The internship stats show it (you might need to google it or obtain it through the Australian Medical Students Association). Main caveat being major red flags in their application and an individual's willingness to go anywhere and actually commit to the training for their contract period. If it gets to the point where they're super desperate even after applying to hospitals across the country, job positions do even pop up in the middle of the year as people go on leave etc. They treat the process much more as a job in the application process than how things are done with CaRMS. You can even get paid overtime at work! The nice thing about doing internship in a super rural area is that it is often an interesting and challenging learning experience, and after one year you have the ability to apply back into more urban areas just like everyone else since you'll have your general registration (essentially kind of like your LMCC but it allows you to work across the country). I'm certainly happy to chat with some of your colleagues if they're having issues? Did they all get internships in the end? Still looking to apply to Canada? Feel free to PM me if they need advice.
  10. Unfortunately I don't think the rates of Canadian students who are Australian Medical School grads staying in Aus is really tracked publicly but the community of international students isn't huge so who is staying in Aus and who is applying to the USA or Canada for residency is generally known within the community, at least definitely within each medical school especially since people need to prep for the LMCC exams or USMLE exams ahead of time. The CaRMS data for just under half of Aus grads matching to a Canadian residency each year is just based on those who actually apply back to Canada obviously and not those who stay with no intention of applying to CaRMS. I would say at my school roughly 80% of the Canadian students stayed in Aus and just continued on with their internship and postgraduate training without applying to CaRMS. Of the remaining people who did apply to CaRMS, in my year everyone who applied matched in the first iteration but on average for other years, I would say roughly 50-75% matched in their first application and the other 25-50% just continued working in Aus and the re-applied in a subsequent year and matched. I think that would be consistent with the CaRMS stats in general. I would also say that all of the people I know who applied to the USA matched in their first application. I think that those are pretty decent match rates for IMG's though anecdotal in the end. The other thing with Aus applicants is that they generally have the option to just continue working in Aus so they may be more selective with which programs they apply to since the training opportunities may end up being better in Aus if there are quite limited residency positions in Canada for a particular field of medicine. Also the risk of not matching to Canada is not as high since there's usually a job that they can continue with in Aus.
  11. Australia in general is a great place to work if you're interested! Similar to Canada but different in some quirks, and also warmer haha. Getting PR and eventually citizenship is generally not an issue once you start working as a doctor after medical school. There's usually ways around financing including personal savings, government student loans, and bank line of credits that get most people through. It certainly isn't cheap for international students but probably similar in tuition to what American medical schools charge.
  12. The majority of Canadians who study in Australia actually don't come back because they end up liking it there, get in to the training system, and end up staying there either long term or finishing up their postgrad training and moving back to Canada on reciprocity agreements between the two countries eventually. Australian grads that do apply to the USA or Canada for residency generally have fairly good match rates. Aus grads generally do quite well in the Canadian postgrad training system and the Australian healthcare system is significantly more similar to the Canadian health care system than the US health system is to the Canadian health system so the transition is actually smoother for an Aus grad from what I've seen compared to American grads. A lot of misperceptions about obtaining postgraduate training for Aus grads but for an international student who is an Australian medical school graduate, the match rate for an internship is roughly similar to the match rate for CMG's in CaRMS over the last several years (as noted, there may be different pathways that need to be undertaken if not successful in the initial round of job applications, similar to going through the 2nd iteration in CaRMS, but pretty much almost everyone that wants a job is able to eventually get one somewhere). The match rate for Australian domestic students is basically 100% unless there are some major red flags. They call it such an 'internship crisis' in Aus because the Australian Medical Students' Association advocates for all Australian graduates, whether domestic or international students, and have been successful in the 'internship crisis' campaign over the last decade in getting the Aus government to further expand internship training positions so that as close to all Aus grads have an internship after medical school. For post-graduate training in Aus, once you do your internship, you're basically on the same footing as any Australian student in apply for post-graduate training positions. Everyone is essentially treated the same based on merit for post-graduate training. Whether you were an international student or domestic student in medical school essentially doesn't matter anymore. In the Aus system, most people work as a Resident Medical Officer/House Officer (think kind of similar to an extender or an off-service resident) for different services to gain more experience and beef up their applications or figure out what they want to do in life before applying to post-grad programs but there are some programs where people can apply to right after internship (the most obvious being GP/Family Medicine training). Hope that helps!
  13. I would agree with this. I think from what I've seen in general, community hospital FM hospitalist teams tend to take on more acuity with an average patient load of roughly 25 patients (some ALC/rehab type patients may be in the mix too). Large academic centers on the other hand tend to use their FM hospitalist service for lower acuity patients probably owing to the huge GIM teams staffed by tons of residents able to take on higher acuity cases. These are of course generalizations and as staff, you can often dictate the type of acuity you are willing to accept as well. Things will also be quite different province to province depending on how FM docs are utilized in a province. There are not many enhanced skills (+1) hospitalist programs in the country and all the FM hospitalists I've seen have not had additional training but pretty much all practice full scope FM (some are even doing deliveries in the same hospital while on hospitalist service, in an urban center!) or hospitalist full time at multiple centers.
  14. 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?
  15. 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.
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