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tere last won the day on December 15 2018

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About tere

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  1. tere

    Georgetown (USMD) vs. UBC

    I replied to your DM yesterday! Good luck with your decision.
  2. The only route I had was the route I made, with encouragement from a sibling who now works as community staff (but was then in residency). I saved up money and paid down student debt from my original education while working and then afterwards funded more of the "classic" pre-med experience (incl MCAT study time in the summer, volunteering..) over a couple of years. Fortunately, I was accepted to one school in Canada on my first round of application, although it involved its own share of sacrifice and really learning about resilience, etc. I didn't grow up in poverty at all, although there is no way I could have funded going abroad or to the US (or even another year), without leaning on the sibling, which I think would have been a terrible mistake in terms of the relationship. No other co-signor, etc.. would have been available.
  3. I have no issues at all speaking French, can read French newspapers, etc.. but find a learning environment in French to be challenging, similar to what you mentioned above - except I find I can easily translate French to English but not vice versa. So watching a lecture in French and taking notes in English is not a problem, but not the other way around (that's usually how professional translators work as well - One way). Same thing with reading texts in English and then having to speak or respond to questions in French - it just doesn't work that well. I'm not francophone at all - I learned French really only in grade school, not much exposure afterwards, and it wasn't spoken at home. It's possible you and the OP are both French mother-tongue speakers, although immersed in English. Also, in my curriculum - effectively most people learned from notes in French, which I found challenging like you mentioned above. Our pre-clerkship curriculum was PBL which meant a lot of individual study, so maybe that didn't help get over things (although light years ahead from where I started) - my clerkship is more of a immersion experience, but when it really comes down to getting things done I'm still way more effective in English (even though can interview patients, write psych notes etc.. in French). It's possible by the end of clerkship, I'll be 100% in French, but for me it's not been easy I've heard Ottawa allows students to write exams in either English or French - that would have been a HUGE help for me. Edit: I hope this post could be useful to someone, some day. I had no idea of the complexity/difficulty with the issue - however, my case is probably exceptional (non-mother tongue French speaker, little exposure French post-primary, PBL learning, etc..).
  4. That's what I've heard. Some kind of indexing to community FFS, at least in some provinces.
  5. tere

    Out of province

    Ottawa has different cut-offs OOP vs IP. Wouldn't matter in the OP's case.
  6. Accessibility, not intelligence, may be an issue. It might be better in QC because of structural reasons - i.e. candidates can get selected from CEGEP, with much less initial investment in terms of time or money, which may permit more bright, motivated, students from diverse socio-economic backgrounds to get accepted. I tend to think that a solid foundation which can be built on and expanded is a good goal - ultimately, areas that aren't related at all to one's own practice will usually become less familiar. It's good general advice - but doesn't include the tactical suggestions included for example by Lactic Folly. I can't say I've ever met many med students that don't work hard, etc.. The reality is that even getting electives can sometimes be difficult Generally speaking, elective performance is more important than core rotations - at my school we don't even finish our cores until post-CaRMs.
  7. It costs a lot of $$$ to write Step 1. You don't want a failure. I've never heard of anyone even passing without putting substantial effort. It's a big stakes exam in the US or people aiming for US residency. UFAP works but costs $$ too. UWorld and NBME both have self-assessments - costs $+, but are only half the length. These would be useful to assess pre-test readiness. Step 1 gunners often do 1.5 pass of UWorld's 2500 questions. Step 1 itself is up to 280 question over 8 hours. Review >> more time than doing questions blindly. Realistically no more than 80-100 UWorld questions can be done per day including review.
  8. Keep doing what you're doing in terms of asking questions and taking initiative, especially at the school(s) where you're interested in doing residency. Follow Lactic Folly's advice in terms of exploration - it's worth being ahead of the curve when it comes to setting up electives. Keep the focussed attitude that brought to you med school, but make sure you add some balance to avoid burn-out. Don't get too caught up in the social world of med school - I'd go with quality over quantity for friendships. Elective and clinical performance is paramount, but having more doesn't hurt and is sometimes expected/necessary in some programs/specialties.
  9. Probably part of the issue is provincial regulations also - QC is the only province that I know of that strongly restricts where FPs can work - and Montreal is different linguistically and culturally from the rest of QC. Plus FPs in QC have also earned less than many of their Canadian counterparts vs specialists. Finally, McGill has also had more of a specialty vs general orientation in training with many more grads historically going to the US in comparison to other schools.
  10. Forgetting the political issues for an instance - what would be the point of the apprenticeship after a full-license? If not a full-license, how long it would take to get one - mentor dependent? Having an informal mentor is similar, but different than being an apprentice. What would be the motivation for a mentor to give away half of their billings and incur medico-legal or at least reputation risk? All the studies that I've seen suggest better outcomes with 2-year CCFP vs general licensure.
  11. Many in the CFPC want to add an extra-year to FM training, like in the US, as it could be helpful in today's more medically complex environment with competing mid-levels and increased medico-legal risk. So it's wishful thinking to imagine that a full-general licensure would be brought back after a single rotating-internship year. Let's say some kind of limited-license granting rotating internship was brought back, without a full license as the CFPC wouldn't agree to that - then at least half the interns would be trying to get into whatever specialty they want, arranging electives, doing research and getting letters, and would have less experience compared to the past (as clerkship doesn't seem to have the same demands as back in the day). So gunning for specialties would be very similar, but an even longer multiyear campaign. Many of the interns would be unevenly trained because of the competing career directions and might have to extend their subsequent specialty training which would decrease their satisfaction with the model. Afterwards, the interns would end up with some sort of limited license, maybe with different billing codes, etc, and there'd be two class of physicians - those that go onto "full license" and those that stay limited-license practitioners. One could imagine the government would seize the opportunity to limit the "full license" physicians to cut costs and fill rural areas. I doubt the non full-license CMGs, with high debt loads, would be much better off. Plus - all of a sudden many Canadian docs would look amateur and maybe worse compared to other health professionals as well as compared to 4+3-year US-trained FM docs. Not to imagine the huge headache to add the extra-year either into med school or a pre-CaRMs year(s). I'm not saying more flexibility isn't a good thing and there could be better incentives within the system, but programs don't want to lose out on their investment because of a change of direction. I think allowing for more re-entry for licensed physicians could also overall increase productivity and job satisfaction. As I've mentioned before, increased elective diversity and having better clerkship structure accomplishes many of the same goals of the rotating internship. As the general licensure is highly unlikely to be brought back with only an additional year, creating a class of limited-license physicians may be even worse.
  12. tere

    1st year oop but born ip

    You have to convert each grade individually before getting your GPA, but yeah that's how it works at McGill, since they don't have A+. It can also help McGill students applying to ON where A gives 4.0 on OMSAS.
  13. tere

    1st year oop but born ip

    a.You're IP for life in QC . You may also get a weak IP advantage in ON at Mac & Ottawa. b. McGill will use McGill's scale - not OMSAS. c. look into school-specific policies. McGill uses all courses for interview, but for admission uses only pre-req avg. d. check with Mcgill or the ambassadors.
  14. Slight clarification - entry in QC is possible from CEGEP, where students finish with equivalent to first year university and which is similar to a junior college, but not high school. Nonetheless the point is the same - training length is cut-down significantly on average. Side points/Off-topic: It's interesting that in QC where the med interview is uniquely based on academic results, that students will be almost always admitted based on 1.5 - 2.5 yrs of post-secondary results vs usually 3+ yrs of experience in ROC. Clearly saves students $$ and time if unsuccessful, since CEGEP costs much less than university and is available throughout the province. Also same payoff for smaller time/$$ investment. Moving away from pre-reqs in ROC also decreases opportunity costs for unsuccessful applicants. While university educational attainment is lower in QC than ROC, some argue the mix of practical and theoretical training available at CEGEPs minimizes degree inflation often seen in ROC (college after university). Although I doubt degree "deflation" could realistically occur in the ROC given the stigma against colleges, it nonetheless has some advantages.
  15. You're right that having dedicated time to prepare is a big plus for the MCAT. So why not take that time after you submit your thesis? Give yourself a real chance to do well. If you've been waiting 11 years to get into medicine, a couple more months shouldn't make a big difference. Unfortunately your previous attempts will often count against you in the US, but not in Canada. So it's yet another reason to focus all your efforts on applying more broadly within Canada. If you go international, unless you're able and willing to stay near where you do your training (which may take many more years compared to Canada), your odds of matching back to Canada are at best a coin flip. Otherwise, IMGs apply to the US - but that would mean going through a similar experience as the MCAT - of having to study on the side for the US MLEs, in a foreign country, for much higher stakes. You would have to eat/breathe/sleep Step 1 to hope to apply to all over the US for residencies which aren't considered competitive for USMGs. You would likely have almost no time for research. Not to mention the serious financial risk incurred not only by yourself, but others on your behalf, and very high cost - which shouldn't be dismissed.