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About MarsRover

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  1. I am just wondering if there are any programs that are noted to provide good preparation for +1 in ER. I see from the carms data that UBC tends to match really well. Specifically upon looking it seems like prince george and kamloops are tailored for ER, similarly abbotsford. Just wondering if any of the streams in vancouver are known to be successful for matching to +1ER or any other programs in general.
  2. MarsRover

    Elective location diversity?

    Fair enough. I am based on the east coast now, and would be going to do a 4 week elective and a 2 week elective. I am applying for family medicine, and they seem to have a lot of 4 week electives. Mainly I plan to be there because there is a 4 week elective in a location I want to explore, as well as one in vancouver. My issue has been that I will very likely match to the variety of family medicine programs at my school. However, I will likely add an elective from another school on the east coast. Although it sounds like you may feel its good to still just do more in the West in general to show interest in going west?
  3. I was wondering if anyone has any input on how much location diversity a person should have with their electives. I am happy to stay at my own school for residency, but would much prefer to go to UBC. But my preferences are definitely UBC, then my home school before any other school. So my plan was to do 2 electives (6 weeks) at UBC and the rest at my home school. Is this bad? Should I do electives at more locations even if I don't plan to attend those schools? I will be pursuing FM.
  4. I am confused when looking at UBCs AFMC portal. On the checklist for submitting an application it says " Ensure you have completed and turned in your mandatory educational licensing application package for the College of Physicians and Surgeons of BC (see more information in the "Licensing Requirements" tab below." but on that tab it says "To obtain a license students must complete the CPSBC Application Package (Access to this document is provided when students are confirmed; the password will be included in an email)." Also under required documents it says "A recent and clear photo of yourself (Registrant Account) Quebec Schools and Ottawa U: English Language Proficiency Scoresheet (McGill and OttawaU Anglophile stream excluded) AFMC Student Portal Immunization and Testing Form Additional Immunization Document/s Professional Standards Acknowledgment Form" So I am just confused if I should be filling out the CPSBC application form or not. As its not a small amount of work and requires making a CV, scanning government documents, getting the school to sign it etc.
  5. MarsRover

    Struggling in Med School ...

    Interest groups are essentially useless on your resume. I am convinced the giant jump to join lots and be involved. Is just putting that residual pre-med energy of joining things and resume padding to use. Because the reality is pre-clerkship you could do absolutely nothing and just enjoy your life and still land in a competitive specialty
  6. Stupid question. But if a faculty has multiple streams do you interview multiple times or just for the program?
  7. I was came upon this link "http://www.ominecamedicalclinic.com/omc_services_surgery.html#bbatchelor" and it was talking about two GP's in rural BC and the scope of surgical procedures they will do. I was just curious how common this actually is? I am assuming that it must be limited to fairly rural locations, and job prospects not exactly high given OR shortages.
  8. My go to resource is a thick book of sudokus nothing impressing attendings like someone who's got some good material and some guts. The rest of that boring medical stuff can be taught.
  9. MarsRover

    FM Hospitalist Questions!

    What level of procedures would a person get working as a hospitalist? The family doctors in my centre actually round on their own patients that are in the hospital. So not a true hospitalist position. But I don't tend to see many procedures... is this true of someone doing a dedicated job as a hospitalist?
  10. I think it is definitely true that in general medical students come from a disproportionately wealthy background
  11. MarsRover

    Unhappy in medicine?

    I feel I may have been a little poor in my explanation. I certainly didn't mean to belittle any of those specialties (not that i think you are particularly suggesting i am - just in case anyone reading thinks i am). More I think that i can relate in the OP that when you put a ton of pressure on needing to find this perfect specialty that will make you happy it can be easy to become cynical and reductive when evaluating specialties. Ie. i mean i didn't entering expecting like Dr House. i think we all know thats not real. but then i did come from having just started to scratch the surface of research (ie saw the positive and none of the negatives). So then expecting this specialty that would involve a lot of problem solving, always new stuff, using the skills i had learned in unique scenarios etc etc. Ie kind of like a doctor from years in the past. So then entering say a specialty at first it's like oh cool cardiology is the one who does this. then they do have their set group of cases that become routine - not to say it requires no thought. just its like yea ok this protocol is to start.. if these meds don't work we can then try these. So then with all that pressure its super easy to become reductive and be like oh this is boring and algorithmic. then next specialty have same thoughts. I just think that when you sort of just try to take the pressure off and relax. just think all i need to find is a job i like not some perfection. focus on the fact that you just want to help people and have a life and be friendly with your colleges. suddenly when the patient that came in with STEMI but their unique issue meant the cardiologist started a different drug. you will see that as oh that's cool they were thinking - not just again oversimplifying as okay this is just some other fact they memorized and know now nothing interesting. That knowing the algorithm is imporatnt but knowing when to deviate from it is what makes a physician. just as a learner its easier to miss that when you are just starting to learn the algorithm and also are under stress trying to find some ideal. Likely at some point all specialties will become at least a little routine day to day and thats a good thing really. But obviously there are still some unique differences. i find internal goes into details more than i care to or subspecializing doesnt fit me. I like the surgical fields a lot but not the lifestyle. so i think OP obviously will have some individual things different than me. just figured it was important for them to realize that the pressure they were putting on themselves probably contributes to this. With that said i have always had this feeling radiology would be really cool and challenging with or without IR - but again its one of those things that you need to just relax and calm down. As a med student if you don't understand it much the OP could again just be like oh well that seemed boring they just read a lot of films and said what they saw. but that definitely not what radiology is. I found radiology hard to understand if i would like as a student shadowing. But since starting clerkship it has seemed really cool the times physicians call the radiologist just generally describing the patient's symptoms and being like "what should we do." So again OP should definitely IMO just calm down and try to just enjoy the rotations and keep their eyes out for just things that are interesting to them .
  12. I think it is because they are around eachother a lot.. but also because they happen to understand what the other person is going through a lot too. In terms of while in school can study together or relate to what is needed Also personalities are more similar. med students/residents tend to have a certain personality haha.. it seems to be more in medical students, then less in residents. then i find attendings seem to have more variety in their personalities. i guess we are all just really stressed with figuring oh what to do and gunning to get into med.
  13. MarsRover

    Unhappy in medicine?

    Basically I am saying once you take the massive pressure off having to love and find this specific field that has all these things, and just accept it is a job things get easier. then just ask what job do you like your coworkers, the lifestyle, and the patient presentations/care. Probably any other route you take will end up having just a "job" feel at some point. I find certain fields of medicine definitely have more people who view it as their life or purpose - so personally i will chose a specialty that has more people who view it as a job
  14. MarsRover

    Unhappy in medicine?

    Hey. I had similar feelings to you. I imagined medicine with a lot of thinking aspect. So then I would start a new sub-specialty of internal and at first love it as I was learning more, and it seemed like they were there ones who sussed things out more. Then realized it was just going through 3-5 bread and butter cases, then some zebras. Even general internal which should be seeing stuff from everything has some of the same bread and butter stuff, and then even stuff that's out of it usually fits into a bit of an algorithm - either that or okay initial tests that catch 80% of stuff were negative lets just reorder a tonne of tests and see what comes back. Emerg wasn't much different. Oh she has stomach pain in a focal point? Lets just throw in a chest work up just in case. Oh she is having chest pain? You are telling me it's right sided and dull - ecg, trop, bnp work up just in case. what I love is learning new information, so at the start of each rotation it feels super cool and fun. then I would realize that this specialty too has a lot of algorithms. Not that i had them mastered of course. There is also a lot of "just in case" medicine. Which makes it seem like there is less thought and analyzing etc going into it. But that is likely just how we as students see it. With that said right now I love plastics, I love how reconstruction cases require a lot of planning and thought to make things look aesthetically pleasing and even some other stuff still requires a unique approach to how can i tailor this to look good on the patient. With that said my advice is how I dealt with it. I STOPPED trying to imagine medicine as some ideal amazing career for the future that I would love and have all this fun problem solving etc. Then it takes the pressure off and it can be like oh yea I do still like helping people, clinical medicine is interesting even if sometimes routine, AND I want to love the other aspects of my life. Instead I am just going to try to see it as a JOB, and pick the one with the best lifestyle - for my life goals that is ER or hospitalist. I think stuff can become routine after years of it, even say plastics for me, and that requires a brutal residency, hard job market, poor control over where you life, limited ability to ever travel, and difficult hours as an attending. Perhaps at times in ER I can't work them up as much as I like, but the others only work that up. ER work can become algorithmic but at least the patients coming in always have an interesting story. More than anything though I just like working with ER docs the most, we are most similar in personalities. They also tend to see ER as a job and want a life outside of medicine, and are okay that you do too. Also during emergency situations the algorithm will feel like a life line, and also working with some wounds that come in is fun problem solving too. I did consider switching to an MD-PhD cause I was good at research and loved it. It is amazing actually using what you know to probe and wonder okay this pathway works in X way, but what if we do Y to it. Asking and answering unknown questions. However, I think that is an idealization of research. Do you like reviewing other peoples papers? Writing grant applications? Teaching students? Grading papers/exams? Not being in the lab directly because of all these responsibilities and instead having students do the fun procedural part for you?
  15. In the ER I work in which is mainly Fam docs this isn't true. Mind you most the new ones have the +1 em, and the older ones have been doing it for a while. But they definitely all work a fairly equal amount of shifts in trauma/Acute/non-acute.