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JohnGrisham

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  1. JohnGrisham

    Paying for US med school tuition?

    Is ontario not giving you anything? My friends seem to get quite a bit OSAP and half-grants built in, much more than 60k over 4 years BC is giving the poster above you. Thats <15k per year, and i dont think BC gives much in grants.
  2. Yes, exactly the actual "medicine" aspects. Some rotations, or weeks, i definitely was simply just relying on prior knowledge and functioning as-is, without any new knowledge acquisition on the wards, or informal teaching etc. Just don't get in the way, present your findings(to then be completely ignored), and rinse repeat. But other times was not as bad for sure! I can see why there's a huge mantra in the US for clerkship of "get the required work done and get home to study UWORLD". Even on clinical heavy, on the ward rotations...i still think i actually learned more "medicine" from being at home, left to my own devices. But thats likely just a product of busy clinicians, who dont have the time or energy to teach around cases your seeing.
  3. The amount of learning I had on some m3 rotations was very minimal on the actual ward. Learned more with case files and aafp.
  4. Planning things for residency, have read PARO, is there any hidden agenda type things or things not to miss when embarking on this? Things you wish you would have known, or hidden expectations of programs or expectations etc. Any and all insights appreciated!
  5. The difference is in the coop fields you tend to have far clearer goals and outcomes. I did far more tangible and measurable work in coop terms than as a clinical clerk. And I was paid appropriately, far more than minimum wage. You're a learner too, but you still have defined work that you are expected to complete and perform. I dont think any of the healthcare fields have paid clerkships/rotations. Med, dent, nursing, physio, OT etc. Nor should they as some feel. Yes you're contributing but the main goal is to be learning as an apprentice.
  6. Out patient office based family practice is one of the likely exceptions to the med student time/money sink. A well functioning ms4 can manage the average patient on their own with minimal oversight and can definitely be a net positive and more so. Scenario: geri patients. Get the med student to spend 30mins with them to be thorough, dealing with social aspects and see 10 patients. That saves you time as an attending to see quicker patients and allows the older patients to feel heard and not be rushed etc. Win win win.
  7. Oh, I agree clerks shouldn't be paid. Just wanted to provide anecdote that clerks do sometimes function fairly independently for day to day things etc. Yes resident and attending can do things 10x faster but having the MSI making calls or spending extra time with family, things that come with managing their 4-5 patients, does free up some time so the JMR or SMR doesn't have to. Yes there is teaching as well, so it evens out but sometimes...not always, there can be a net + in time out of the med student than time put in. The vast majority of the time though, med students are a time sink.
  8. When an attending yells at you for taking notes like you are, youll change :). In seriousness I was the same way as you for the first week of rotation One, then I was "yelled" at for doing so and went straight to chart. No need to be perfect in the chart. Notes are written often and its not the end all be all if you miss something (you will!)
  9. After the first week, I never needed orders signed off in CTU. I think atypical compared to other classmates admittedly. My senior residents trusted me to run anything exotic by them, otherwise I was free to note "discussed with dr. X". All the basic day to day labs never needed to be discussed after it was shown I was competent enough in week 1. Even on my ED rotation, most preceptors told me to order whatever I wanted if I thought it was indicated except again, exotic things like special very low yield assays etc that were expensive without justifying it to them. Any basic imaging like radiograph, CT and US was fair game. As with all emergency room type labs.
  10. That's assuming one would get into the Canadian school even after the 2 year masters. Masters doesnt usually make a significant difference in most dent school admission processes. If you can afford the funds, go to the US and Australia asap and get the process going.
  11. If you want to do a derm residency in the US potentially, then yes you defintiely need some US derm electives. If you are seriously considering the US, then you need to add extra time onto your degree or risk going all-in on the US and not Canada etc. Heavily disadvantaged for elective time compared to 4 year programs from the perspective of dual applying Canada/US. Not saying its impossible without adding extra time, but very difficult.
  12. USA 100%. Now with the removed limits and restrictions you can apply for.most specialities without any limits other than the self imposed IMG stigma. With a 260, and assuming your step 2s go well you can go for whatever you think is in your reach in the US.
  13. JohnGrisham

    IMG advice

    Theres nothing wrong with doing the 6 year UK program and applying to Canada part-way through to medical school here. No different in time with the fact that youd need to do an undergrad (or more) in Canada the more traditional route. At least with the Uk option, they can keep applying while in UK med school, and then continue to apply until they can apply for CaRms to match for residency.
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