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tere

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tere last won the day on October 31 2017

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About tere

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  1. So it might also be about keeping derms in the province at large .. not just underserved areas.
  2. I agree with a lot of your earlier analysis on positive vs negative rights with respect to the case. It seems to me that the lawyers are trying to blur the two - but they're also using "discrimination" which is a headline-grabbing accusation and helps the media report the case sympathetically and thus build public support. But when it comes to ROS, I also don't think it often serves its most basic function of addressing underserved areas - e.g. ON has the most IMGs, but the ROS is almost meaningless since it only restricts people from the biggest centres. UBC has added a ROS CMG position into the first round which I think shows in theory that CMGs can also be used for ROS positions - it probably helps that it's in derm, a highly competitive specialty, where people would be willing to accept the conditions (which do seem to be more stringent than ON).
  3. It's hard to tell the exact numbers - but there are a number of QC IMGs, some of who have posted on this forum (QC is the 2nd largest province). McGill doesn't have the same French-language proficiency requirements as the other QC schools (with some exceptions) and so basic French would be much less of a general issue. From last year's CaRMS - there were 14 IMG matches at McGill vs 35 at Ottawa and 69 at UofT. Many native French-speakers would have the ability to apply to English spots as well. https://www.carms.ca/wp-content/uploads/2018/06/r1_tbl43e_2018-1.pdf
  4. tere

    Family Medicine VS Dermatology

    It all depends on the province - this chart was posted earlier this year and gives the public gross (FFS) billings for dermatology and most other specialties. I don't know of similar info for private billings. In AB for example, it seems derm is very high paying, but much less so in BC (almost a factor of 3:1). http://www.canadianhealthcarenetwork.ca/files/2018/03/20-years-compensation-chart.pdf
  5. tere

    Med School admission rant

    I agree with a lot of what you said, but wonder if this last point is more a consequence of most applicants being "science heavy" rather than being more "artsy".
  6. tere

    Med School admission rant

    Even if there's not many "required" courses, most schools look for the MCAT and thus a lot of people will take a few science courses to help prepare, as you did. Also, given the nature of the admissions process, where most people apply as broadly as possible, if one school requires course X, then many people will take it in order to be eligible to apply to that particular school. So that might mean many take OChem, even if there's one or two schools where it's actually required. The biggest thing in undergrad is getting a strong GPA to make you competitive - while a strong anatomy background wouldn't hurt you in med school, there's usually no point in planning too far ahead, given the uncertainty of the process. It's also usually a good idea to have some solid backup/alternative plans and so to choose a major accordingly - admissions could take more than one cycle and there's just way more applicants than seats.
  7. QC doesn't have separate streams and the number of matching IMGs, even at McGill (where language wouldn't be as much of an issue) is much lower than ON, suggesting that the parallel streams do increase the number of IMG matches. It's been previously speculated that familial influence could be more of an issue in resident selection for CSAs whose parents are prominent physicians. I'm not sure that it would be any different than the current selection procedures for CMGs with such parents, though. A number of CaRMS programs do have language criteria, but I think they're within their rights to look for that kind of qualification in some cases (although there's not that much switching between the two official language groups from med school to residency).
  8. The legal perspective: "Health lawyer Lisa Feldstein noted discrimination in law can be permitted in some instances, but discrimination that violates the Charter or human rights codes is not allowed.“There are examples where making decisions to treat groups differently may be lawful,” she said. “One thing I would note is the College of Physicians and Surgeons, in our model of self-regulated health professions, [is] actually there for the benefit of the public, not the physicians. Their duty is to solely protect the public interest — I think the college may fall back on its duty to the public.”Feldstein said, if the petitioners are successful, she would expect the decision to be appealed, but added that CSAs in other provinces would likely follow suit." https://www.thelawyersdaily.ca/articles/7468/discrimination-claimed-in-british-columbia-medical-residency-placements-
  9. Ok - just did that. I get 47K equity, which is still a lot after 5 years, but I wonder in 3 years whether as low interest rates will be available, given all the BoC signalling. It's predicted there will be two to three hikes over the next year or so.
  10. Saw this too. A couple small thoughts - it seems as if the lawsuit is possibly trying to draw a distinction between CSA and immigrant-IMG in their petition ("right to leave .. and to return"), but I'm not sure if legally that could be or would be the case. Historically it seems that IMG positions were originally created with the immigrant IMG in mind - but of course CSAs are eligible for those positions by virtue of being Canadian and having obtained a MD outside of US/Can. When I read this, there's a jump from "rights" to "apply to CaRMS". I associate "right to return to work and study" and "liberty rights" as not being a strong enough to imply CaRMS - i.e. separate questions since for example they clearly have no restriction on being able to return to Canada. But constitutional arguments can be unexpected winners - it seems Ford was stopped momentarily in his city council downsizing b/c of a constitutional case (lost on appeal).
  11. Wouldn't those numbers depend on a good downpayment and of course maintained very low interest rates? I mean 57K equity after 5 years seems like it would have to be a shorter term with a smaller mortgage, not maybe the full 350K. Also, I think since NAFTA was renegotiated, it seems the BoC is very likely to raise interest rates, so it will be harder to pay off principal with higher rates.
  12. tere

    Income and Lifestyle

    Well radiology is complicated, clearly. The income stats on the CMA profile for radiology report an aggregate for *all* medical specialties together. However, other components like overhead and hours worked seem to be specific to the discipline. With respect to the legal case, according to the Star, their FOI was specifically for the top 100 billers: "The case originated in early 2014 with a Freedom of Information request from the Star to Ontario’s health ministry for physician-identified data on the top 100 OHIP billers. In its FOI request, the Star asked for physician-identified billing data on the top 100 billers for the most recent five years available, which back then was 2008 to 2012, inclusive. The request captures about 160 doctors." https://www.thestar.com/news/gta/2018/08/03/appeal-court-ends-secrecy-of-public-payments-to-mds.html
  13. tere

    Income and Lifestyle

    The income reported in the CMA profile is based on all medical specialties - not exclusive to radiology at all. So I agree, it's not accurate for radiologist income. It does say the overhead is specifically for radiology, however. I was simply trying to understand the situation with Ontario radiologists - the OMA is going to appeal to the Supreme Court to protect the names of mostly radiologists from being published by the Star, a move which is being greeted skeptically by some. A couple years ago another article came out saying that radiologists also formed the greatest proportion of 1 mill+ billers, in ON. So, given this context and the numbers being thrown around for different specializations, I was curious as to what the radiologist situation in Ontario exactly was - and how it might differ from the national portrait of radiologists. Some other threads on this forum looked at older reported income levels in ON showing that radiologists were indeed the big billers in ON post-overhead. Unfortunately, as far as I know, there's very little data specifically to Ontario - it could be they have much higher overheard? or work longer? and I was simply curious as to what specifically the differences may be.
  14. tere

    Income and Lifestyle

    Well, sure - I agree with most of your conclusion. Nonetheless, there are nuances - people want to generally be close to friends/family, for example. Being in smaller unfamiliar communities has been a source of discontent for some. Sure some specialties may facilitate this to different degrees, but not everyone enjoys the same type of work. With respect to profiles, the data for FM would be averaged too. Would it be somehow more non-representative for radiology, which was the original comparison? I mean radiology seems to be an outlier in terms of income, which is being brought to the forefront with the name the billings court case - it's not pediatricians. One thing that surprised me in the CMA data was that the overhead seemed so similar to FM - I would have thought that radiologists equipment expenses are much higher. But, maybe there's some sort of averaging effect going on between hospital and non-hospital based or different provincial standards? Do some radiologists have minimal overhead? Personally - I understand the pressure of academic lifestyle, but I would agree that I have a somewhat unique background and that academia is really it's own domain.
  15. tere

    Income and Lifestyle

    That's speculation on the income level - no doubt the incomes could fall, but radiologists are going to clearly fight that. For sure radiologists aren't the largest contingent of physicians, but I was responding to your comment regarding work-load and income level, etc.. This relatively small group does dominate the headlines when it comes to income. I looked at latest profile, which was 2018 - could be it's based on aggregate info which somehow doesn't reflect some of the realities, and no doubt new technology is being introduced, but there are many other acute care specialties, which also have high demands.
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