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JohnGrisham last won the day on March 1

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About JohnGrisham

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  1. I wouldnt call getting into a USMD the easier way! Not at all. Those that get into USMD were just as qualified for Canadian MD but likely mostly just unlucky or at a slight deficit that the rigid Canadian system woudnt allow one to overcome. Is the person who got rejected by Canadian MDs for a low verbal reasoning score but got into many USMDs including Harvard "taking the easier way out"? I dont think so. An old undergrad colleague couldn't get passed a 7 on verbal reasoning back in the day but consistently scored 14 or 15 on the science sections. She took it 3 times. Was ESL but otherwise very social and her conversational English was excellent. She had no issues building rapport and being extremely involved in a non obnoxious premed way. Id try and let it go and remember you still made it through a very competitive process.
  2. Definitely a common sentiment, but some FM programs in "less desirable" provinces will definitely still rank to fill.
  3. I think this is school by school basis. Certainly at the more popular programs like UofT, UBC and UofA, this will not be easy to back up into FM.
  4. Would you rather do family, than re-apply the following year to the speciality? Thats a question you should ask yourself, because obviously you spent a lot of time and energy to that field. You can always apply to those family programs the following cycle if you really would be okay with them, rather then unmatched a 2nd time. if the answer to the question is yes, then do what archenemy said and apply to some FM programs this year. If not, i dont think its worth spreading yourself even further thin to programs you wouldn't be happy with (based on what you said about middle of nowhere), acknowledging that you would rather be in "UBC/toronto/calgary" but feel you wouldn't have a strong app for them and not apply this current year.
  5. If you don't go to one of the top 4 carribean schools, then honestly, I don't feel bad for them when they don't match. Already going to the carribean which is very easy to get into, and not even bothering to do a few minutes of research to go to one of the more reliable schools. Be smart.
  6. Way too late. Wait for next year, patience is a virtue. The low MCAT is probably a no-go for USMD, but you can try if you dont mind potentially flushing the money down the drain for the small shot. USDO may be more doable with the strong GPA..and if your non-academics are strong.
  7. Many city based FM programs are chill, or have the potential to be chill. Don't go to a rural or mid-sized program where you are more so in front-centre versus being a fly on the wall or the "extra" resident on off-services.
  8. 500 is a pretty low score, so i would retake it.
  9. r/personalfinancecanada **DELETED** subforum. Get learning!
  10. Contact the ABFM directly and ask, they will have your answer.
  11. Unlikely its a true salary but an estimate, since most are still fee for service. Don't believe the numbers off the shelf. Unlikely unless in a truly rural area to have a true-salaried job for a GP at 275k at only 40hrs.
  12. Generic community hospital. First two was just assisting and other 4 was doing them fully with staff at my side in case something went wrong. Prior to these 6, I had seen two done as just a fly on the wall on a different rotation. So was aware from a practical theory p.o.v. Of course, other people who did emerg(even at the same hospital) never even saw one happening. Apart of it is being read up on it, or the very least have gone through the med-carts at your hospital to see what kind of procedure kits they have are. Hence to my point of getting access to the experience is hit or miss, and really depends on how much time you spend hanging around in that environment; which correlates with being in that specialty with potential access to it. A lot of luck with timing (or lack of luck for the patient being in that position ha). As well letting staff know "btw if theres any procedures that come through, i'd love to pulled out of the patient im seeing to assist if possible". The internist on the inpatient ward heard this and then called down to the ward to see if i wanted to do a paracentesis. A relatively easy procedure sure, but builds in muscle memory of getting used to the bedside U/S and how to put the apparatus together properly for the fluid retrieval. So getting a few of those under my belt was great! To other people this is nothing special at all, but for me it added a tiny bit of comfort that "okay if someone ever asks me to help or to do this on my own if im a junior staff, I can somewhat think my way through and not be completely blind from a practical stand point". An r2 doing their first chest tube on their 2nd to last FM rotation, is no better off than an MS3 on their first rotation of emerg. Procedural skills are step-wise and if you don't have experience doing them, you don't have experience doing them. Theoretical knowledge aside of course. To add to the variability: i have never inserted a foley catheter in a male, never done an in/out, and still am terrible at doing periperhal IVs due to lack of exposure.
  13. Agreed with this. Not sure why people see MS4 as being magically much different than R1 for example, especially in FM. Many MS4, are indistinguishable from the mid-year R1s, and do plenty of procedures. You can always build up your experience if you seek it out, things don't magically change when you get the title of resident...I would think that taking initiative and responsibility would be a +, and if you already have done procedures and participated in codes, resus' etc, you'll be that much more prepared for when you hopefully get to experience them as a resident and further build from that and impress preceptors. Maybe my experience was atypical, but i logged 50+ lac repairs, 10+ reductions and was able to take care of the conscious sedation(supervised but unprompted), and did 6 chest tubes. On 2 week anesthesia, in a controlled pre-op setting of course, did at least 40 intubations (sub par hit rate of success on first try, and some more difficult ones with a glidescope). Talking to colleagues who did their undergrad med rotations in community hospitals, this doesn't seem atypical. If you know you already want to go in that direction, get the practice in at any opportunity available - the more time in the discipline you have, the more potential opportunties walk through the door. That said procedures aren't the end of the world, and shouldn't take priority over developing your clinical acumen and decision making skills - which is priority. But you want to be equipped with the bread and butter skills and be interchangeable with different tools.
  14. IM Residency is not easy. You already make 6 figures with 40hrs/week, with much less responsibility and scut work...and benefits. You are doing better than many doctors when you factor in hours and opportunity cost. Most doctors do not have benefits lol, not even many who work in the hospital. Most FM docs who work in a hospital setting are defintiely not getting pensions LOL. As well, its a minimum of 6-7 years of schooling for FM(in case you need to do MCAT prep, extra coures), and then an extra 3 years if you do IM.
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