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Everything posted by JohnGrisham

  1. IIRC doing the alternate pathway is a bit tricky, you have to somehow be a resident of the US for a period of time for example and be active in FM in the US... You have been resident in the United States for least six months" You are actively involved in family medicine in the United States. Do a +1 in EM, Geriatrics, Palliative care somewhere in Canada.
  2. There certainly were many in my medical school class that had FM as their number one choice right from the beginning. I think around 40% of the class matched to FM, with a split of 30% FM only applications and 10% back up with FM from applying to EM, OB, DERM etc. The majority of people who match FM, had FM as their first choice, and certainly many only applied to FM.
  3. A lot to unpack. The billing structures, wouldn't make sense to be a Family doc who focuses on eye health. I mean, could you? yes. Would it be kind of odd, yes. You'd need to do a lot of self preparation, because the MD degree wouldn't teach you as much to function as a pseudo-optometrist as...actual optometry school would. Just a note that Optometry in Canada is very different than the US, the scope of practice here is very different for Optoms. Not nearly as wide as the US. Good luck , there is nothing else in medicine that you think you would like? There is a whole lot to choose from, other than just ophthalmology, but if thats your passion, then maybe it is a better idea to go back to Optometry school and cut your losses sooner rather than later. You could also complete MD, try for ophthalmology, and just go back to OD school after if you are unable to secure a residency in Canada/US. You'll just lose the 3 years of MD. But knowledge can't hurt.
  4. If you want work life balance, why spend minimum of 6 years of training (med school + residency) with very little of it? That sounds very odd. As a therapist, im assuming you make at least 100$/hr. You already have a good opportunity to maintain work life balance, and just "learn more" on your own. Now if you simply just don't enjoy your current work, then thats a diff thing all together.
  5. Not familiar with the politics of things, but this is obviously not a real plan. The article doesn't even make sense, how can they open up a medical school that fast? This is clearly a classic example of promising the world, without actually understanding how things work. Political showmanship with zero substance.
  6. Practical learning 100%, and focus on EM specific topics/readings.
  7. Kinda, cardiologists and respirologist at my centre do CTU work all the time, because they don't have enough work. Academic centre though, not really doing GIM work at community hospitals AFAIk.
  8. Quiet over GIM? You could pretty much cater your practice as GIM and just do community referrals, and make a focus in rheum if you wanted to.
  9. 100k billings, pay over your 30% overhead (30k), and then you have 70k income pre-tax. Then 50k leftover after income tax into you're account. You don't need to be incorporated, it just depends on how billings are collected.
  10. More like 34$, but i see that you were using rounds numbers
  11. If you do a 2 year FM residency in ON, you still need to do 5 years ROS. This is the common kicker that makes people pay out, because other provinces aren't as unfair with time length. 250k is a small price to pay, of having 5 less years in a place you don't want to be in - remember, some people have their lives in other provinces waiting for them
  12. Unfortunately, not all preceptors choose to work with trainees, nor do they enjoy it. So don't take it personally - most will tell you directly or indirectly if you are NOT meeting expectations. Otherwise don't read too much into it if you're getting vague "keep on reading and working hard" comments. Especially if you're only working a few times/week with a preceptor. This continues from medical school into residency; unless you end up working with the same preceptor for longer periods of time, or in a smaller speciality with alot of 1:1 contact.
  13. Canada or the US is a small drop in the bucket of overall physician compensation. If you cant get into Canada, and get in somewhere in the US, you're fine.
  14. Many areas of what MD's do could be argued as "not needing an MD to do", but it's varied scopes of practice and niche areas that some people like working, so not necessary to axe them all together...
  15. They do have nurses that assist in some places in Canada.
  16. Trouble is when you are in-patient, you're not available for clinic work and patients get unhappy when their doctor isn't available weeks at a time. Unless you're doing evening clinics etc, which some patients might even like haha.
  17. Exactly. Not everyone will get to work in the hospital, or in a niche clinic. Understand and embrace the bread and butter of the field as a baseline, and then hope you can carve out a practice over time that suits your needs and interests.
  18. As stated above, the patient population isn't for everyone. Often work with patients who have a lot of social issues, and non-medical (but equally important) aspects of their care etc.
  19. That is incorrect. You can apply and be accepted to medical school, just like anyone else. Multiple dental students in the past have done this no issues. Dental grades wont count though.
  20. Unless i misinterpreted the post - OP is a premed shadowing? So certainly as they stated they are in a province where it is not allowed anyways technically... Or i grossly misunderstood the post, and they are actually a medical student now! In that case, definitely still be polite and not get in the way too much, but if they took you for shadowing that means they are more than willing to interact and have you involved in communication etc. So appropriate questions and showing interest is definitely okay and encouraged
  21. You are a shadow, only speak when being spoken too, and if you do speak without being prompted, make sure its something insightful/clarifying - and not something to be said just for the sake of saying something.
  22. 100% this. Just because staff are choosing not to eat, doesn't mean you can't eat / they don't want you to eat. They are also not your babysitter, so make sure you advocate for yourself and say "hey, after i finish this dictation, i'll just grab a bite to eat". There is rarely a reason that you can't not eat. I've met some med students who have made exclaims, and its usually because staff doesn't pay attention and just assumed you already went, and the student was too timid to go and eat due to odd misconceptions. Always eat. Definitely try and pack a lunch though, if your hospital's cafeteria is unreliable.
  23. BUt AcADemIA is BeSt GIM in the community, is ripe for opportunity if you're willing to work hard!
  24. I think you will have to simply stay in the US, as short term pain, for long-term gain. Sucks, but you would have otherwise been there for school anyways if it wasn't for COVID - so functionally the situation shouldn't be much different(unless you were already commuting everyday from canada and living at home on canadian side? Which case, then yes, that double sucks.)
  25. No medical student is being forced to stay post-call. Anyone who is, should be telling their admin asap, and that will be addressed swiftly. Canadian schools are pretty strict about this, and most attendings know better than to keep medical students post-call. There really is zero reason any medical student should be staying post call - residents and attendings can handle literally anything a medical student is "needed" to do.
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