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JohnGrisham last won the day on December 25 2019

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About JohnGrisham

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  1. Generally, yes. You pull money out, when you are no longer working and don't have a personal income or it is much lower. Whatever you take out of the corporation, will be taxed at your personal bracket etc. Theres other nuances to the corporation of course - but despite the kool-aid, it is not always the best decision for everyone. People just assume that having a corp (with extra added costs/accounting) will always* be beneficial, but then end up doing things wrong* and actually are worse off(minorly) than had they not incorporated.
  2. Don't forget pooled billing - sometimes a number is high because multiple providers are billing under 1 number.
  3. Another thing is, at least for my colleagues who went through the US training system and into residency - doing out of state electives was hardly necessary, outside of unlocking certain hard to get regions like california. Most simply relied on having strong scores and a decent CV and got interviews across the nation in fairly competitive specialties, without needing to fly around and spend $$$ on out of state electives. Only if it was a really top notch big name competitive program would they do an audition rotation. Now with no step score differentiator, i wouldnt be surprised if it becomes more like Canada.
  4. Agreed. Bad news. I'm the first person to question utility of standardized exams, but i would much prefer them then direct nepotism in clinical practice and the even more huge variability in clinical experiences for LORs etc. At least standardized exam is a bit more in your control (sure, I will also admit that there are many systemic barriers that come with them as well...but generally once you got into medical school, you probably are able to account for them with individual skill far more than not.).
  5. Agreed. That said, it *IS* possible. I received my best LOR from a preceptor when i was at that point, that I only worked with a week (same situation, 2 diff preceptors on a team-based service for 2 weeks). That LOR was without a doubt much better than ones where I worked with a preceptor for 3-4 weeks - because they actually took the time to sit me down and give my extensive feedback at the end of the week, before they offered me the LOR. It helped that the residents I worked with all went to bat as well. Backup LORs are better than being at the end of your electives with not enough letters. It happens to people, and its a struggle reaching out for LORs from sources that are less than ideal. One 4 week rotation, I thought "great, I'll have a lot of 1:1 time and this will be the best LOR" and it was a flop - preceptor was away for 1 week, so I was with a locum, then he had a mixed schedule that meant i didn't always work with him. Lots of unpredictable variables - still got an LOR, but likely not as strong and minimal feedback at end of rotation or on official university documentation etc.
  6. But surely, CaRMs has this data based on where people applied, so perhaps if you requested "how many applicants did program X have" they may release the information. They have a data request form, don't know the likelihood of them releasing info though for specific reasons. Really, all the data should be available - there is no valid reason it shouldn't be, regardless of what programs may say. There is so much financial funding and cost towards the CaRMS platform - i appreciate the data they DO provide to learners, but given its non-profit status etc, if theres specific requests, they shouldn't really deny them.
  7. Actually, I could see this scenario happening if you are a junior staff who doesn't understand numbers: With tax credits and getting 65k fully as an R2, you would maybe see a similar amount into your bank account(not actually due to deductions, but lets go with it) Now you're a fresh staff, tax credits run out. You work pretty hard, and have a complex patient panel, lots of mental health, marginalized populations, etc that you cant whip out in 10mins, maybe seeing a bit more per day then you were during your residency - a residency that didn't prepare you that well for billing, for managing longer patients more quickly etc, maybe coddled you as some do with # of patients to see per day....maybe you're locuming for clinics where you're not fully booked.... so you bill 180k for that year. At 30% overhead-split, your gross-take home is 126k. Then you pay taxes and you're left with 87k. 87k versus seeing that 65k-ish. "Only slightly more than residency" Only way i can rationalize it, if you're actually working decently busy like you would in an ambulatory clinic-only setting like you would in R2. verses making 120k gross and then having taxes taken, could be plausible if you misunderstand how numbers work..and only look at what $$ is in your account. Realistically, many people finishing FM will barely break 100k in their first year in their bank account after overhead, taxes and licensing fees, because they haven't adapted the business aspects to their clinical practice etc. Same reason you see some FM residents on off-service rotations like IM and Psych, taking ages to do a consult out of their depth, but then see some who are able to get down to the pertinent issues quicker, write up a SOAP faster, and get to their clinical decisions.
  8. You already have a leg up and speak french, you'll be fine for the spots that no one else wants for sure. They would rather have someone from QC who speaks French...then nothing. Just go to a reputable school, get good training and do electives back in QC
  9. I know a few who took STEP 2 CK and LMCC at same time, most of the studying was the same - in fact they just used UWORLD For STEP 2 CK for their prep, and supplemented with canadian specific ethics/public health for LMCC. Worked out well for them. They did not take Step 1 yet. 3 months seems more than enough, especailly since you dont care what your scores are other than pass. You will probably do well anyways assuming you prep. The canadian system, at least at some schools, is much more geared towards Step2CK, and clinical knowledge, management and treatment then the pathophysio and minutae like path/micro/pharmaco like step 1.
  10. Well, you should have had these thoughts before applying to UCC? You made a conscious decision to apply, so you already put yourself on some sort of path. If it was me, I wouldn't have applied in the first place without first taking the DAT and applying to Dalhousie, given the in-province status. Much cheaper tuition and local training etc. But now you're here. If you can defer acceptance for a year, and in the mean time take the DAT asap and apply to Canadian schools - then do that. If you can't defer, then decide if you can afford it and just go and do it then.
  11. QC seems ruthless. Especially with match day <1 month for you too? Also tuition in QC is puny compared to other jurisdictions. Why did they not threaten you with this 6 months ago when you missed the payment? There should be checks and balances. Still your fault for missing it, but seems overblown response - and very delayed? Maybe some more clear details about when you missed, when they notified you, etc. Why did no one call you?
  12. I wouldn't worry about stigma, many of my colleagues work with canadian dentists trained in ireland and aussie. Commonly, my canadian friends say their aussie counterparts have better hands-on skills experience with certain procedures from dental school, that they didn't get as much access to here. Regardless Canada trained vs proper-abroad, dentistry is getting saturated in many centres, so be prepared to hustle.
  13. If you're francophone, its much easier than anglophones as you have a lot more options for residency in Quebec. Unless things changed drastically, many of the quebec spots are "competitive" and not cmg vs img. If you want FM in quebec and are francophone, you pretty much have to try not to match, thats how many extra spots there is in quebec. If you want something else, still statistically better in quebec than elsewhere. Manitoba has some spots for bilingual people as well where french is required.
  14. Unfortunately I dont think so, you would need to top up to the 3 years, and get ABFM first i think. Though, don't know of anyone going in that direction, only the other way around (US FM to deciding between Canadian fellowship vs US fellowship)
  15. No conspiracy. In both medicine and dentistry, rich middle eastern countries have made connections with North american accreditors(for medicine with the ACGME and Royal College), to pay $$$ to get their programs up to snuff to be off-shore accredited. Locally, it makes them look better to have "Western" "North american" accredidation. It's not necessarily a bad thing.
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