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peace2014

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  1. peace2014

    CaRMS 2019 Prelim Data

    Completely agree, getting US citizenship/green card is a huge hurdle. But let's not forget that there are way more doors that can open for you if you match to a US residency program. More desirable locations to practice, opportunities in industry (pharma, banking, consulting....) not to mention you can still come back to Canada to practice. Either way it is a risk you have to take, the US residency program or stuck in a poor location and staying there for the rest of your life.
  2. If I was a patient that received a cancer diagnosis from a screen, I would sue the hospital.
  3. peace2014

    2019 CaRMS unfilled spots

    Right because in Canada, no residents work 100+ hour a week, get verbally abused or get subpar training... Let’s not just assume that the programs that the US students SOAPed or later matched are that malignant. Undesirable for unmatched Canadian student can mean tons of debt, no residency at all or be stuck in the middle of nowhere doing FM residency with ROS (and I can guarantee you that the variety of cases in those places are not as good as an urban centre). Even if US shuns you if you got a poor USMLE score, it is still much more IMG friendly. Just ask any IMG
  4. peace2014

    2019 CaRMS unfilled spots

    This is NOT so bad at all! Many of the people SOAPed or later matched into competitive specialities (interventional radiology, radiology, EM, gen surg, anaesthesia, OB/GYN). Plus we do not know the circumstances of these students (might be IMGs/Carribean students, aiming for ortho, poor board scores, DO student???). Literally only one person got SOAPed to FM. In Canada, if a school got the SOAP match result shown on **DELETED**, it would be incredible! In Mexico, it does not take 8 years of education just to land a residency, and let's be honest, they do not have the best healthcare system, we should not compare ourselves to them. Consider the fact that we have similar med education system as the US and the fact that it is so competitive to get into med school, QUALIFIED students should expect to at least match!
  5. peace2014

    2019 CaRMS unfilled spots

    On a somewhat related note, anyone regret their decision to pursue medicine vs other fields? The match is so competitive and brutal, the job market is poor, might have to live in the middle of nowhere, long training and work hours and to top it all, the government is always trying to screw us with cuts.... I guess the grass is always greener on the other side.
  6. peace2014

    2019 CaRMS unfilled spots

    Tell that to all the software engineer guys who gets a high paying job super easily
  7. peace2014

    2019 CaRMS unfilled spots

    Tech is nothing like medicine, especially since the Canadian medical system is regulated by the government. The argument is that since the taxpayers fund pretty much all the training and services, they should benefit Canadians by giving CMG jobs. Only if the system was completely privatised by a corporation would it be like tech where if you got a degree from Asia, you can practice here with no problems.
  8. peace2014

    2019 CaRMS unfilled spots

    All those solutions sound good short term, but have you seen the wait times for patients for elective orthopaedic surgery and MRI scans? Decreasing med student enrolment is not a permanent solution! We should increase residency spots and more importantly, increase healthcare infrastructure to help physicians get jobs. Taking medicine off immigration skilled job panel also sounds like we are preventing talent from other countries. With our current system, innovation is already stifled, we need to get TALENTED (not mediocre) physicians from abroad. We should never compare Canadian match system with the US, and the Canadian matching system is definitely at least a cause for concern. In the US, people gun for specialities, in Canada, there is a much higher focus on family medicine. US MD graduate would rather go unmatched than match into a less competitive field. I have not heard a USMD graduate who was competent, passed their boards and failed to match into family medicine. In Canada, this is not the case unfortunately. On top of that, USMDs want desirable locations, while Canadians basically get what they can get even if its ROS in an area where you have to drive an hour to get food. Don't forget, US have WAYY more residency spots compared to graduates, the match numbers never tell the whole story.
  9. That is why it is so critical for Canadian med schools to teach students to have more diverse and innovative careers, not just narrowing them to “ I have to sacrifice all my time and efforts in order to practice rural family medicine” mentality that’s prevalent in Canadian medicine. Not all students are fit or want to be primary care physicians. In US it’s amazing how many MDs there are in pharma, biotech, tech, consulting, banking, government, etc... it’s absolutely astounding that our talented CMGs are not exposed to the alternatives by their med schools. Diversity is what makes a career truly meaningful, doing the same sh*t day in day out is miserable. No one finds that satisfying.
  10. The reason these medical students go to consulting or ibanking or startups is not because they can’t match. They decided to go because they wanted to use their skills to go into another field since most of them have prestigious Ivy League MD degrees. Their MD degree is versatile. I know a lot of people don’t want to hear it, but If you got a degree from a Canadian med school, the unfortunate truth is that if you can’t match, you also can’t get those lucrative consulting positions because Canadian MD degrees are not as versatile. Also I also don’t think it’s that bad for USMG to match and find employment. The reason USMG has a slightly lower match rate is that US MD students have a much higher proportion of students going into specialities and taking a gap year for research is not frowned upon compared to Canada. Plus US match rate is calculated as number of graduates that match to their speciality of choice, the placement rate (rate for getting into any residency program) for USMD or DO is like 99%+. The situation in the US is much better, but this is just my opinion and observations
  11. peace2014

    More females than males in medicine?

    There are many more men applying to engineering schools than women as well (seems like there are more men interested in math I guess), not just in “tech” particularly. I have a feeling though for medicine, the application ratio is much closer to 50:50. So “if” the application is truly biased to one gender it is considered unfair. For medicine particularly, I honestly do not believe it is a field where one gender performs better than another due to biological differences even though there are studies out there saying it is (having done research myself, people who do those studies already have an agenda to begin with, why else would you start a research program like that?). Even in medicine, women tend to go to primary care specialties and in Canada, primary care is emphasized “particularly” heavily (which believe or not, it’s imo not the best thing, but that’s another issue) therefore med school self selects for applicants well suited in primary care. In the US where primary care is not as emphasized, the ratio of men:women in med school is much more even. Let’s not forget that despite >=50% of graduating med students are women, the proportion of new women faculty members in major US research heavy medical schools is way lower. It seems to me, different genders tend to gravitate toward different directions in their careers and it reflects how the field is evolving (either for better or worse unfortunately). If we want equality, we should “encourage” more women (and men) to pursue specialities and research based careers not just family medicine, making med school admissions admit people with wide range of interests and skills
  12. That’s what I don’t understand... is there significant barrier preventing orthos from getting a job in the us?
  13. So I guess CMGs can't even use US as a viable option then.... So its either match in Canada or bust. The best thing about the US is that after training, you are almost guaranteed a job in at least a fairly reasonable location near a metropolitan centre. I guess the grass is always greener south of the border.
  14. But from this thread, it appears that CMGs do not match fine and are unsatisfied with their career choices after residency as well. Wouldn't applying to US residencies help guarantee you get a position (or a speciality you want) and a job south of the border after training?
  15. Concerning US, I have a few questions: 1) is it hard for current canadian med student to land a "decent" but not top tier residency in IM in USA with good UISMLE scores? 2) Is US a better place for physicians to work? Such as more desirable locations, better treatment and higher compensation? 3) Are residency programs and later employers willing to sponsor H1B visas? 4) Are the conditions for physician employment much better in US compared to Canada?
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