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F508

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F508 last won the day on March 29 2019

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  1. Purpose of getting disability insurance earlier is to lock in an insurer/lower rate before developing medical issues. Depends on your age, your residency length, debt/dependents and risk tolerance. Since my residency was only two years and I'm young, I didn't get one after medical school since it was provided by my provincial residency association. I figured it would be low likelihood that I would develop something and was willing to take the risk (Worked out for me in the end.. but I know, I know, you can never predict if something happens.). As long as you buy a disability insurance within 6m of graduating as a resident, you benefit from no medical and similar discounts from RBC.
  2. I studied only in English and was in an Anglo bubble before med school. Went to one of the francophone schools and knew a handful of students in the same situation. Unfortunately, hard to generalize.. I will say in general, most Anglo students will get through med school without any problems. Some went on to match to competitive specialties. I think I would have performed better both during preclinical and clerkship if I went to an English program. During preclinical, there's a lot of small group learning and I found it hard to follow all the discussions especially during the first year. However with time, my French improved and it wasn't much of an issue anymore. You don't need to study translations of different medical terms now, that'll be easy to catch on. During clerkship, I found I wasn't as eloquent when answering questions on the spot. Even though my French was eventually very good professionally/ for medical communication, my French was not as good in respect to socializing/networking. Clerkship evaluations can be quite subjective and is in part influenced by how much they like you as a team member. Harder to relate to them (to the same level that I would with Anglos) because we had different cultural backgrounds (music, movies, TV shows..). I don't regret anything though. My French has improved significantly and I am now comfortable to work with francophone patients and to work in French hospitals. Even if you are in the Mcgill network, a lot of your patients will be Francophone. Being able to communicate and evaluate patients in their mother tongue is invaluable. Even though I feel like I could've achieved more, at the end of the day I learned how to function in another language and that is priceless.
  3. I think it really depends on the program and school. Look on the Carms R3 program description page for details. For ER, programs in my area expected us to start at least by P2-P3. I think it's because of their teaching schedules / common intro month scheduling. For shorter programs (<1 year) and programs with less rigorous teaching schedules, I would assume they are more flexible. It really is program specific.
  4. Family medicine is not comprised solely of incremental adjustments of HbA1c and BP...... patients present to you with a multitude of complaints, literally anything and everything. Career satisfaction comes from being a generalist and knowing a little about everything. Throughout my residency, I have counselled parents about newborn problems, delivered babies, inserted IUDs, counselled about diabetes, counselled for depression, performed a multitude of intraarticular injections, accompanied families when their loved ones were losing their autonomy / facing a cancer diagnosis, helped someone quit smoking, diagnosed skin ailments, removed foreign bodies, given patients the knowledge/tools to better their health / to prevent ER visits / reduce their health anxiety, etc. My patients trust me to tell me their secrets and fears. My staff have diagnosed malaria in walk-in, performed abortions, worked in rural Northern Canada, worked for Doctor's Without Borders, worked as hospitalists/in obstetrics/in EM. As a family doctor, you are the first line of contact. You have the flexibility to transform your practice throughout your career. Throughout my residency, I saw the value of my generalist training. The staff that performs scopes doesn't remember how to treat HTA, defers to the patient's family doctor, delaying care. The IM subspecialist didn't remember how to treat hyperkalemia. The pediatric subspecialist doesn't remember what is a normal adult HR. The medical team doesn't think of fracture to explain the patient's sudden decrease in mobility. Of course for a lot of these specialties, they don't need to know these particular things to function within their domain. I am a specialist of common diseases in the general population. I don't want to only know one organ system. I don't want to only treat one small subspeciality of medicine. I don't want to know how many different ways we can resect a certain body part. I love working with people of all ages. I derive career satisfaction knowing that I have the knowledge to guide my friends and family through a large range of health issues.
  5. Not just FM... Surgeons at my center have had all elective surgeries cancelled.. Doctors all across the board have been affected. FM are easily re-deployed to other areas of need (Er, wards, long term care). Other specialties have been redeployed, sometimes as pseudoresidents working under other specialists e.g. wards
  6. I think there are incremental increases in salary every year. When I was in R1, I had around 1500 every two weeks including premiums and no additional insurance package. No idea about rural premiums.
  7. I don't think there's a difference between family medicine and specialty in terms of resident salary. The call and teaching premiums on my paychecks are standardized regardless of how many hours are spent on them during my rotation. Even within one specialty, there's variation in paycheck amounts depending on which insurance package you picked, if you authorized them to withdraw tax amounts before filling taxes, bonus premiums if you have a leadership role (chief resident, resident associations, etc)
  8. If you only had 1 elective as a CCFP +1, which rotation would you choose based on most important knowledge to gain / high yield for 2wk-1m rotation ?
  9. Did you do the STARS program or know people who have? Is this an emerg/acute medicine rotation (do you stabilize the patient before transfer) or more of a pre-hospital EMS type rotation?
  10. Has anyone done a STARS elective as a cfpc R3?
  11. I'm not sure I would recommend calling the PD... maybe the PD's office (assistant, secretary etc) but not the PD themselves. Email would definitely be a better bet
  12. Most of the Saudi / other sponsored residents don’t speak a word of French though and make it through their residency program without issues. I guess it’s because they’re mainly in hospital settings (where it’s easier to find someone to translate or to switch patients with another trainee). If you’re in clinic one on one, it definitely makes it more difficult to accommodate. I wonder if it would be possible for you to switch sites. If you’re in FM, some of the on island sites are much more anglophone than others. Feel free to DM to brainstorm solutions
  13. Advantage of doing an elective: - it'll be closer to CaRMS, so they'll remember you more. Your knowledge will also have improved, so more chance to impress them - you'll rotate at another site, where you'll get to know different staff. The more people who vouch for you, the better your chances (however admittedly, exposure also depends on luck. You can do a whole month and only work with a staff 1 time.. so hard to make a lasting impression) Ways to get face time without the extra elective: continue extracurricular invovlement in ER things so they'll remember your face Best advice is really to ask the current residents at your school
  14. Can anyone comment on the quality of training of the mother-child / obstetrics program at their faculty (either from doing the R3 or just from your experience on obs rotation)? Would you recommend or not?
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