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MSWschnoodle

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  1. Haha
    MSWschnoodle got a reaction from RichardDegrasseSagan in Newly graduated psych residents - I want to adopt your textbooks :-D   
    Did you recently finish your psychiatry residency?
    Are your books sitting on a shelf, sad and neglected?
    Would you like to give them a new life in a home where they will receive more attention?
    I am offering a loving and attentive home to used psychiatry textbooks available to new homes for a modest adoption fee!

    Looking for:
    Kaplan and Sadock Comprehensive Textbook of Psychiatry (10th Ed)
    Kaplan and Sadock's Concise textbook of clinical psychiatry (11th ed.)
    Stahl's essential psychopharmacology (4th ed)
    Stahl's prescriber's guide (6th ed) spiral bound preferred but flexible
    Possibly interested in other titles too - let me know what you've got! :-D
  2. Like
    MSWschnoodle got a reaction from medifulrn in Non Trad And The Mcat   
    I didn't do any science courses in University and I prepped for the MCAT while writing my thesis. It was tough, but it was do-able   Khan academy was an incredible resource - a real life saver. I used books from TPR along with Khan. 
     
    I want to say there was a non-trad on the forum that scored a 520+ on the MCAT despite not taking any science classes... I think they posted the study plan they used. Maybe do a quick search to see if you can dig it up (sorry, I can't remember who it was).
     
    Good luck!
  3. Like
    MSWschnoodle got a reaction from VivaColombia in PA's not recognized by the government   
    Because the university's primary interest is collecting your tuition dollars and the government funding that comes along with it. At the end of the day universities are a business in addition to being educational institutions and research facilities (they are in the business of education). That's why you can take a multitude of degrees at University that are difficult at best to find jobs in - because people will pay to pursue a degree that is a passion project (I have at least one of them! It was a super interesting degree, I enjoyed it, but it's not employable in the least). It's also one of the reasons why universities don't like being gatekeepers to professions beyond purely academic measures of competence and want professional registration bodies to do the gatekeeping in regards to fitness for practice. That's why every year there are at least a few graduating students who have passed all their courses yet still find themselves caught in an administrative nightmare after sending in their registration papers and being told they have to pay for a bunch of additional monitoring in order to practice that they were not told prior to entering their degree that this would be an issue on graduation. It's really unfortunate but it's also not an easy problem to solve. 
  4. Like
    MSWschnoodle got a reaction from JohnGrisham in PA's not recognized by the government   
    Because the university's primary interest is collecting your tuition dollars and the government funding that comes along with it. At the end of the day universities are a business in addition to being educational institutions and research facilities (they are in the business of education). That's why you can take a multitude of degrees at University that are difficult at best to find jobs in - because people will pay to pursue a degree that is a passion project (I have at least one of them! It was a super interesting degree, I enjoyed it, but it's not employable in the least). It's also one of the reasons why universities don't like being gatekeepers to professions beyond purely academic measures of competence and want professional registration bodies to do the gatekeeping in regards to fitness for practice. That's why every year there are at least a few graduating students who have passed all their courses yet still find themselves caught in an administrative nightmare after sending in their registration papers and being told they have to pay for a bunch of additional monitoring in order to practice that they were not told prior to entering their degree that this would be an issue on graduation. It's really unfortunate but it's also not an easy problem to solve. 
  5. Like
    MSWschnoodle got a reaction from garlic in Post-match depression   
    So this was me post-carms last year almost verbatim. DM me if you want to chat about it. 
  6. Like
    MSWschnoodle got a reaction from ChemPetE in Good luck!   
    UCP is probably a factor but as U of A FM does not have a similar volume of unmatched spots I suspect it's due to Calgary Urban FM having a more non-traditional program structure that some people like and some people *really* dislike. Calgary has had a large number of urban FM spots in round 2 for a few years running. 
  7. Like
    MSWschnoodle got a reaction from Lactic Folly in Psychosis (Schizophrenia) and Low Overall Average   
    Hey AstrocyteKM!
    So first off, congratulations on being so proactive in managing your mental health. Regardless of the field you wind up in that will serve you very well!
    In terms of medicine specifically, I would never tell someone to give up entirely on something that mattered so much to them, but because of the structural issues in medicine there are a few things I would strongly caution you to explore BEFORE heading down the road to medical training. Some of these are considerations for you personally (how to manage call and maintain stability of your health, for instance) but others are very much out of your control (will the college of physician and surgeons in your province of residency refuse your license). Unfortunately many of these issues will not come up until later in your medical training - after you have already invested many many tens of thousands (or even hundreds of thousands) of dollars into your training. This is incredibly unfair to learners who make the (very understandable) assumption that if they make it in to medical school and pass medical school that there should not be a problem licensing them as a doctor and that if they received accommodations in medical school that can receive the same accommodations in residency (which is not the case). Medicine has multiple points where you can get derailed or suddenly be denied entry (medical school admission, graduation, residency matching, licensing etc.). Every year there are people who get stuck at these barriers, unable to move forward, and face huge financial, emotional and psychological consequences. 
    Here are some things I would suggest if you are considering going for medicine (some of these have already been suggested above):
    1. Contact the admissions office and/or wellness office at your local medical school and find out if there is anyone at the school who would be willing to meet with you and discuss the realities of medical training, the potential challenges that could arise for you and what schools/residency programs can (and cannot) do to accommodate you. Some specific things to discuss would include: 26+ hour call shifts, overall work hours, any mental health monitoring policies in place, additional resources the school can offer, accommodations for exams etc if needed and what the school would do in the event that you had something arise with your health (mental or physical) requiring an extended leave (particularly what would happen if you needed multiple leaves because some schools have limits on this). Talk to them about the grade issue as well to find out what the best options are.
    2. Contact your provincial college of physicians and surgeons and ask to talk to someone about any barriers you might face in getting a license to practice medicine for residency or beyond. The college will have monitoring requirements and those can be intrusive and/or costly depending on the province you are in. I would ask specifically how they would manage your licensing if you were to have a relapse during medical training or once you are licensed. If you get wind that they might refuse to license you then I would very much caution you about heading down the path of medical training because without a license you cannot enter residency or practice medicine and you don't want to be 200K in debt and get a letter stating they won't license you. 
    3. If available in your area, consider shadowing some physicians in fields you might be interested in. Talk to them about what the job is like and what the demands are. Talk to them about the challenges they have in maintaining their mental and physical health. Talk about work-life balance and what you need in your life to maintain balance and stability and ask if this is something attainable in X specialty or not.
    4. Talk to your psychiatrist and your family doctor about your goals. They have completed medical training at some point and they (hopefully) know you well (strengths, challenges, talents etc). Explain how important this is to you and ask for their help in seeing if there are ways to problem-solve around the barriers. If you have a therapist it would be worth it to talk to them as well! The road to medicine has a lot of stress and disappointment along with the excitement and rewarding experiences so making a plan and building your skills to manage the emotional experiences you will encounter along the way is an important part of maintaining your health (honestly everybody applying to medicine, regardless of their mental or physical health history, should invest the time to build these skills).
    5. Consider your plan B. Anyone and everyone who is interested in medicine should have a solid Plan B that will also make them happy. There are so many truly wonderful and meaningful careers both in healthcare and outside of it. Think about the things that most draw you to medicine (what is it about medicine that aligns with your values or makes you excited about it) and break those things down into components. For me, the opportunity to interact with people every day, the privilege of being trusted with their story, being able to support people in some of the best and worst moments of their lives and helping people achieve their goals are some of the things that make medicine worth it. They are also the things that made me love the career I had prior to medicine. I would have been VERY happy continuing down my previous path if I hadn't gotten in to medicine because both of them align well with my values. Find the alternate careers that align with your values and explore them. You could find something that is more appealing than medicine or if you discover barriers to medicine that make it too risky for you to pursue (only you can decide how much risk you are willing to tolerate) you will have another pathway to explore. 

    I hope the suggestions above are helpful. All the best as you continue to explore your career options going forward!
  8. Like
    MSWschnoodle got a reaction from MDStudenthappy in Queen's Anesthesia Interview   
    Nothing about this experience as it is written above is testing "mental fortitude". Mental fortitude does not mean allowing yourself to be actively abused by other people. Any program that compares their residents to "human garbage" needs to take a good long look in the mirror about what the actual goal of medical training is. It is in the best interest of every residency program and every physician in the country to have a physician workforce that is competent, productive, collegial and supportive. That starts with building a culture of learning founded in support and mutual respect at all levels of medical practice. A culture where residents/learners are actively abused and referred to as "human garbage" before they even get into the program doesn't accomplish any of those things... but it will put those residents/medical learners at higher risk of burnout and suicide compared to well supported colleagues.

    If we are truly as tired as we say we are of seeing doctors and medical learners die by suicide then frankly there is no room for things like that experience above. If we truly believe that physician wellness and preventing burnout are important goals for the profession then there is absolutely no room for education driven by fear and shame. For those that do run in to that kind of experience on the interview tour, I agree with the suggestions above that these things need to be reported - they need to be reported to CaRMs, to Resident Doctors of Canada, to PARO (or PARO equivalent in other provinces) and they especially need to be reported to the college that accredits these programs. The only way the culture of medicine is going to change is if a consistent message is sent from both physicians and our various representative bodies (be they protective, regulatory etc.) that a toxic fear/shame based culture, dehumanizing behaviours and workplace violence have no place in medicine.
    There are programs who do an excellent job of testing conflict resolution skills and interpersonal skills during interviews - I attended several interviews where these skills were tested and at no point did I feel disrespected or dehumanized. My hope would be that those programs still using the techniques above could reach out to the programs who are testing these skills well for guidance and expertise because regardless of our disciplines we should all have the same goal: Fostering a culture of learning that allows us to showcase our skills and thrive both personally and professionally in the disciplines we have chosen so we can best serve the patients who come to seek our care. 
    To those that had this type of interview experience in any discipline, I am sorry this happened to you. It speaks to how broken the CaRMs system is right now and you do not deserve to be treated like this. You are not the broken part of the system and please do not let any negative experiences you have had during CaRMs convince you otherwise. 
  9. Like
    MSWschnoodle got a reaction from Ziggy3 in Queen's Anesthesia Interview   
    Nothing about this experience as it is written above is testing "mental fortitude". Mental fortitude does not mean allowing yourself to be actively abused by other people. Any program that compares their residents to "human garbage" needs to take a good long look in the mirror about what the actual goal of medical training is. It is in the best interest of every residency program and every physician in the country to have a physician workforce that is competent, productive, collegial and supportive. That starts with building a culture of learning founded in support and mutual respect at all levels of medical practice. A culture where residents/learners are actively abused and referred to as "human garbage" before they even get into the program doesn't accomplish any of those things... but it will put those residents/medical learners at higher risk of burnout and suicide compared to well supported colleagues.

    If we are truly as tired as we say we are of seeing doctors and medical learners die by suicide then frankly there is no room for things like that experience above. If we truly believe that physician wellness and preventing burnout are important goals for the profession then there is absolutely no room for education driven by fear and shame. For those that do run in to that kind of experience on the interview tour, I agree with the suggestions above that these things need to be reported - they need to be reported to CaRMs, to Resident Doctors of Canada, to PARO (or PARO equivalent in other provinces) and they especially need to be reported to the college that accredits these programs. The only way the culture of medicine is going to change is if a consistent message is sent from both physicians and our various representative bodies (be they protective, regulatory etc.) that a toxic fear/shame based culture, dehumanizing behaviours and workplace violence have no place in medicine.
    There are programs who do an excellent job of testing conflict resolution skills and interpersonal skills during interviews - I attended several interviews where these skills were tested and at no point did I feel disrespected or dehumanized. My hope would be that those programs still using the techniques above could reach out to the programs who are testing these skills well for guidance and expertise because regardless of our disciplines we should all have the same goal: Fostering a culture of learning that allows us to showcase our skills and thrive both personally and professionally in the disciplines we have chosen so we can best serve the patients who come to seek our care. 
    To those that had this type of interview experience in any discipline, I am sorry this happened to you. It speaks to how broken the CaRMs system is right now and you do not deserve to be treated like this. You are not the broken part of the system and please do not let any negative experiences you have had during CaRMs convince you otherwise. 
  10. Like
    MSWschnoodle got a reaction from Jazzerciser in Queen's Anesthesia Interview   
    Nothing about this experience as it is written above is testing "mental fortitude". Mental fortitude does not mean allowing yourself to be actively abused by other people. Any program that compares their residents to "human garbage" needs to take a good long look in the mirror about what the actual goal of medical training is. It is in the best interest of every residency program and every physician in the country to have a physician workforce that is competent, productive, collegial and supportive. That starts with building a culture of learning founded in support and mutual respect at all levels of medical practice. A culture where residents/learners are actively abused and referred to as "human garbage" before they even get into the program doesn't accomplish any of those things... but it will put those residents/medical learners at higher risk of burnout and suicide compared to well supported colleagues.

    If we are truly as tired as we say we are of seeing doctors and medical learners die by suicide then frankly there is no room for things like that experience above. If we truly believe that physician wellness and preventing burnout are important goals for the profession then there is absolutely no room for education driven by fear and shame. For those that do run in to that kind of experience on the interview tour, I agree with the suggestions above that these things need to be reported - they need to be reported to CaRMs, to Resident Doctors of Canada, to PARO (or PARO equivalent in other provinces) and they especially need to be reported to the college that accredits these programs. The only way the culture of medicine is going to change is if a consistent message is sent from both physicians and our various representative bodies (be they protective, regulatory etc.) that a toxic fear/shame based culture, dehumanizing behaviours and workplace violence have no place in medicine.
    There are programs who do an excellent job of testing conflict resolution skills and interpersonal skills during interviews - I attended several interviews where these skills were tested and at no point did I feel disrespected or dehumanized. My hope would be that those programs still using the techniques above could reach out to the programs who are testing these skills well for guidance and expertise because regardless of our disciplines we should all have the same goal: Fostering a culture of learning that allows us to showcase our skills and thrive both personally and professionally in the disciplines we have chosen so we can best serve the patients who come to seek our care. 
    To those that had this type of interview experience in any discipline, I am sorry this happened to you. It speaks to how broken the CaRMs system is right now and you do not deserve to be treated like this. You are not the broken part of the system and please do not let any negative experiences you have had during CaRMs convince you otherwise. 
  11. Like
    MSWschnoodle got a reaction from Redpill in Queen's Anesthesia Interview   
    Nothing about this experience as it is written above is testing "mental fortitude". Mental fortitude does not mean allowing yourself to be actively abused by other people. Any program that compares their residents to "human garbage" needs to take a good long look in the mirror about what the actual goal of medical training is. It is in the best interest of every residency program and every physician in the country to have a physician workforce that is competent, productive, collegial and supportive. That starts with building a culture of learning founded in support and mutual respect at all levels of medical practice. A culture where residents/learners are actively abused and referred to as "human garbage" before they even get into the program doesn't accomplish any of those things... but it will put those residents/medical learners at higher risk of burnout and suicide compared to well supported colleagues.

    If we are truly as tired as we say we are of seeing doctors and medical learners die by suicide then frankly there is no room for things like that experience above. If we truly believe that physician wellness and preventing burnout are important goals for the profession then there is absolutely no room for education driven by fear and shame. For those that do run in to that kind of experience on the interview tour, I agree with the suggestions above that these things need to be reported - they need to be reported to CaRMs, to Resident Doctors of Canada, to PARO (or PARO equivalent in other provinces) and they especially need to be reported to the college that accredits these programs. The only way the culture of medicine is going to change is if a consistent message is sent from both physicians and our various representative bodies (be they protective, regulatory etc.) that a toxic fear/shame based culture, dehumanizing behaviours and workplace violence have no place in medicine.
    There are programs who do an excellent job of testing conflict resolution skills and interpersonal skills during interviews - I attended several interviews where these skills were tested and at no point did I feel disrespected or dehumanized. My hope would be that those programs still using the techniques above could reach out to the programs who are testing these skills well for guidance and expertise because regardless of our disciplines we should all have the same goal: Fostering a culture of learning that allows us to showcase our skills and thrive both personally and professionally in the disciplines we have chosen so we can best serve the patients who come to seek our care. 
    To those that had this type of interview experience in any discipline, I am sorry this happened to you. It speaks to how broken the CaRMs system is right now and you do not deserve to be treated like this. You are not the broken part of the system and please do not let any negative experiences you have had during CaRMs convince you otherwise. 
  12. Like
    MSWschnoodle got a reaction from Scorbix in Queen's Anesthesia Interview   
    Nothing about this experience as it is written above is testing "mental fortitude". Mental fortitude does not mean allowing yourself to be actively abused by other people. Any program that compares their residents to "human garbage" needs to take a good long look in the mirror about what the actual goal of medical training is. It is in the best interest of every residency program and every physician in the country to have a physician workforce that is competent, productive, collegial and supportive. That starts with building a culture of learning founded in support and mutual respect at all levels of medical practice. A culture where residents/learners are actively abused and referred to as "human garbage" before they even get into the program doesn't accomplish any of those things... but it will put those residents/medical learners at higher risk of burnout and suicide compared to well supported colleagues.

    If we are truly as tired as we say we are of seeing doctors and medical learners die by suicide then frankly there is no room for things like that experience above. If we truly believe that physician wellness and preventing burnout are important goals for the profession then there is absolutely no room for education driven by fear and shame. For those that do run in to that kind of experience on the interview tour, I agree with the suggestions above that these things need to be reported - they need to be reported to CaRMs, to Resident Doctors of Canada, to PARO (or PARO equivalent in other provinces) and they especially need to be reported to the college that accredits these programs. The only way the culture of medicine is going to change is if a consistent message is sent from both physicians and our various representative bodies (be they protective, regulatory etc.) that a toxic fear/shame based culture, dehumanizing behaviours and workplace violence have no place in medicine.
    There are programs who do an excellent job of testing conflict resolution skills and interpersonal skills during interviews - I attended several interviews where these skills were tested and at no point did I feel disrespected or dehumanized. My hope would be that those programs still using the techniques above could reach out to the programs who are testing these skills well for guidance and expertise because regardless of our disciplines we should all have the same goal: Fostering a culture of learning that allows us to showcase our skills and thrive both personally and professionally in the disciplines we have chosen so we can best serve the patients who come to seek our care. 
    To those that had this type of interview experience in any discipline, I am sorry this happened to you. It speaks to how broken the CaRMs system is right now and you do not deserve to be treated like this. You are not the broken part of the system and please do not let any negative experiences you have had during CaRMs convince you otherwise. 
  13. Like
    MSWschnoodle got a reaction from Chels1267 in Queen's Anesthesia Interview   
    Nothing about this experience as it is written above is testing "mental fortitude". Mental fortitude does not mean allowing yourself to be actively abused by other people. Any program that compares their residents to "human garbage" needs to take a good long look in the mirror about what the actual goal of medical training is. It is in the best interest of every residency program and every physician in the country to have a physician workforce that is competent, productive, collegial and supportive. That starts with building a culture of learning founded in support and mutual respect at all levels of medical practice. A culture where residents/learners are actively abused and referred to as "human garbage" before they even get into the program doesn't accomplish any of those things... but it will put those residents/medical learners at higher risk of burnout and suicide compared to well supported colleagues.

    If we are truly as tired as we say we are of seeing doctors and medical learners die by suicide then frankly there is no room for things like that experience above. If we truly believe that physician wellness and preventing burnout are important goals for the profession then there is absolutely no room for education driven by fear and shame. For those that do run in to that kind of experience on the interview tour, I agree with the suggestions above that these things need to be reported - they need to be reported to CaRMs, to Resident Doctors of Canada, to PARO (or PARO equivalent in other provinces) and they especially need to be reported to the college that accredits these programs. The only way the culture of medicine is going to change is if a consistent message is sent from both physicians and our various representative bodies (be they protective, regulatory etc.) that a toxic fear/shame based culture, dehumanizing behaviours and workplace violence have no place in medicine.
    There are programs who do an excellent job of testing conflict resolution skills and interpersonal skills during interviews - I attended several interviews where these skills were tested and at no point did I feel disrespected or dehumanized. My hope would be that those programs still using the techniques above could reach out to the programs who are testing these skills well for guidance and expertise because regardless of our disciplines we should all have the same goal: Fostering a culture of learning that allows us to showcase our skills and thrive both personally and professionally in the disciplines we have chosen so we can best serve the patients who come to seek our care. 
    To those that had this type of interview experience in any discipline, I am sorry this happened to you. It speaks to how broken the CaRMs system is right now and you do not deserve to be treated like this. You are not the broken part of the system and please do not let any negative experiences you have had during CaRMs convince you otherwise. 
  14. Like
    MSWschnoodle got a reaction from gumballs in Matching to Canadian Psychiatry Residency   
    Hi Gumballs!
    I matched to psych last year. It's a wonderful discipline if it is the direction you decide to go with! :-)
    Figuring this out partway through year 3 is not the worst place to be - psych tends to be an area where quite a few students discover a late interest and programs are pretty familiar with that narrative. Here are a few ideas on what to do to start shaping your psychiatry application:
    1. As Bambi suggested, talk to your attending for an LOR and let them know that you have a late interest in psych and want to know how to build your application
    2. Plan your electives now. Max out the number of psych electives you are allowed to have and do them in a wide variety of places. Choose your other electives to compliment your back up plan and then if you have any electives left over you can tailor those to compliment your psychiatry application (neurology, developmental disability, geriatrics, palliative care, family medicine, developmental pediatrics... all have excellent tie-ins to psychiatry)
    3. Talk to other psychiatrists that you worked with or met while on rotation. See if they have a research project or something happening that you could take a small role in. Not only would it give you something for your CV, it will also likely bring you in contact with more people in the field
    4. If there is a good conference in your city related to psychiatry you could consider checking it out if you can get the time away to do so. This isn't going to make a huge difference in your matching but it will give you more exposure to the field and help you cement that this is really want you want to do.
    5. Start recording the stories for your personal letters now. Make notes about the stories or interactions that made you say "Yes, psychiatry is 100% for me. This is what I want to do with my life". You'll need them for your letters and your interviews. 
    All the best with the rest of clerkship! If you have any questions about being a psychiatry resident you can feel free to send me a PM. :-)
     
  15. Like
    MSWschnoodle got a reaction from LostLamb in Matching to Canadian Psychiatry Residency   
    Hi Gumballs!
    I matched to psych last year. It's a wonderful discipline if it is the direction you decide to go with! :-)
    Figuring this out partway through year 3 is not the worst place to be - psych tends to be an area where quite a few students discover a late interest and programs are pretty familiar with that narrative. Here are a few ideas on what to do to start shaping your psychiatry application:
    1. As Bambi suggested, talk to your attending for an LOR and let them know that you have a late interest in psych and want to know how to build your application
    2. Plan your electives now. Max out the number of psych electives you are allowed to have and do them in a wide variety of places. Choose your other electives to compliment your back up plan and then if you have any electives left over you can tailor those to compliment your psychiatry application (neurology, developmental disability, geriatrics, palliative care, family medicine, developmental pediatrics... all have excellent tie-ins to psychiatry)
    3. Talk to other psychiatrists that you worked with or met while on rotation. See if they have a research project or something happening that you could take a small role in. Not only would it give you something for your CV, it will also likely bring you in contact with more people in the field
    4. If there is a good conference in your city related to psychiatry you could consider checking it out if you can get the time away to do so. This isn't going to make a huge difference in your matching but it will give you more exposure to the field and help you cement that this is really want you want to do.
    5. Start recording the stories for your personal letters now. Make notes about the stories or interactions that made you say "Yes, psychiatry is 100% for me. This is what I want to do with my life". You'll need them for your letters and your interviews. 
    All the best with the rest of clerkship! If you have any questions about being a psychiatry resident you can feel free to send me a PM. :-)
     
  16. Like
    MSWschnoodle got a reaction from teeezyyy in Advice For Finding A Place To Live In Calgary   
    I live far away from the medical school (45 minutes-1 hour commute each way with traffic, 30-35 minute commute sans traffic) and it definitely does play at least a bit of a role in how many 'after school' activities I choose to stick around for. It's not the only factor (my medical school goal is to have my partner still remember what I look like by the time I reach the end of it) but it's a consideration for me. I don't feel super isolated to be honest, but I go to lecture every day which probably helps with that. If I was a podcaster and didn't do extracurricular stuff because of my distance from the school I would likely feel more like I was on the periphery. 
     
    A car is an absolute necessity for me because of how far away I live but I'd honestly say a car is pretty required for clerkship, especially if you are doing an out of hospital call rotation. You usually have to be able to get back to the hospital within 30 minutes if on home call and at 3AM you don't want to be relying on a cab being able to get you right away. You also will have clerkship rotations at different hospitals around the city (and quite possibly outside of the city) and you may have to commute from your clerkship site to the U of C in a shorter time window than the bus would allow on certain days. 
     
    That being said, there very well could be students in clerkship without cars (I just don't know of any off the top of my head), so hopefully they chime in here too! :-)
  17. Thanks
    MSWschnoodle got a reaction from studiesbyjenn in B.A in Psychology into medicine?   
    I'm not the best example, because I also have a Masters, but I have an honours BA in psych and I just finished medical school. There were a few people in my class who came from psychology and other BA programs, so I don't think it's an issue. If you are really worried then the best person to talk to would be the admissions department at whatever schools you plan to apply to, just to make sure you are able to plan your degree effectively in order to include any pre-requisites etc. 
    EDIT: Also not a University of Ottawa student (but coming to uOttawa for residency!) so again, best to talk to admissions :-) 
  18. Like
    MSWschnoodle got a reaction from otter-dottir in mature med school students in 40s?   
    We have a couple 40+ students in our school. Mid 30s is more common. As someone else has pointed out, the cost of having built a life before medicine is that you need to find a way to maintain that life within medicine. That's not impossible but make absolutely certain you are willing to give up what you are going to have to give up to make a go of things in medicine.
    Medical school and clerkship are tough, but I didn't find they caused a lot of problems for me and my friends. Residency match did. Clerkship is exhausting no matter what age you are, but none of my 35+ medical school friends were unable to meet the demands. The academics of pre clerkship also require work, but it's totally do-able. If you get to the end and get a match in CaRMs that you want then everything is golden. However, if you were to open CaRMs and find out you have to move away from everyone and everything you care about to a city you may or may not be keen on... that can mean very different things to someone in their late 30s/early 40s than it does to someone in their early/mid 20s who doesn't have the same social boat anchors that tend to lock people into living in a certain city. For younger students friend groups are often more fluid and mobile (not all the time, but in general), most will be renting instead of owning a house, most will not have children in the school system, they are less likely to have a partner who has built a longstanding career in their home city etc.
    If you (and your partner/children/pets/best friends/etc if applicable) are not prepared to make that kind of sacrifice then think long and hard before you do any of this, especially if you are thinking about matching to a specialty. Refusing/walking away from your match contract and calling medicine a $150,000+ financial misadventure becomes more impactful the older you are (planning for retirement etc.). Similarly, the potential of having to take an extended clerkship year (if you limit your applications to stay in your home city and don't match) may also be more problematic for an older student (financial strain on family etc.). Extended clerkship and non-ideal matches are an important consideration for younger students as well, but in my experience older students are more likely to have families that will also be directly impacted. 
    You absolutely CAN do medicine in your 40s, but if you are going to you should really make sure that you are OK with what medicine is going to demand from you. If I was to ask all of the older students I know from different medical schools "would you do this again now that you're at the end" I think most would say yes, but there are some who I suspect would say "maybe not" or "no". Invest the time now to really walk through all the potential outcomes and make sure you are in the yes group. 
  19. Like
    MSWschnoodle got a reaction from End Poverty in Please switch spots!!!   
    You've been criticized a lot in this thread and your response was thoughtful, so I commend you for that. I actually agree with you that you are facing a challenge that is indeed preventing you from having equal access to opportunity. I am disappointed that this is being portrayed in some comments as less of an issue of inequality because it is based on faith. I imagine patients who strictly observe the Sabbath are also facing barriers within the healthcare system due to the restrictions you have posted above (thank you for sharing that btw, as I don't really know much about the Sabbath). I also agree it would be nice if schools could provide some accommodations around this. That being said, this barrier is only going to get more problematic as you move forward in medical training, at least if you are training in the system as it exists now. 
    This has obviously been put forward by others already, but I think it's VERY important for you to carefully consider this issue before attending your interviews: Medicine REQUIRES Saturday and Sunday call from students in a vast majority of programs and, as you have seen, programs have differing amounts of flexibility. It's not every Saturday, but if you strictly observe the Sabbath then it's enough that it's going to be a pretty big challenge for you. If you can get an accommodation through medical school, you may also have trouble with this in residency as most residency programs also require weekend call (even FM residents here get weekend call). At least in my program there is almost no way you could get out of doing at least some weekend call (it's specifically written in our requirements that X amount of call must be on weekend days and not weekday days).
    This isn't intended to stomp all over your medical school goals. There are obviously physicians of every faith practicing today and some very well may strictly observe the Sabbath. It might be valuable to start reaching out and try to find some of those physicians to talk to them about how they are balancing their religious obligations with medical practice. This is a solution you will want to find BEFORE you shell out a whole bunch of money and time into training only to get derailed at the clerkship or residency level. I hope there is a way around this, and I'm sorry you will have to do much more work than the average student to find a way to stay true to your faith during your training, but I truly wish you the best in doing so. 
  20. Like
    MSWschnoodle got a reaction from i8aSS in What to wear to interview (women)?   
    Dress for the job you want, not the job you have? 
  21. Haha
    MSWschnoodle got a reaction from CardiacArrhythmia in Stress level   
    This... is horrifying. 

    Also... where the heck is this nurse getting beer in the hospital?! o_O 
  22. Like
    MSWschnoodle reacted to A-Stark in Question Regarding being "On call"   
    Well to be equally blunt, call is part of your life as a physician in most specialties. Patients get sick after regular business hours and in the middle of the night. You can certainly find a type of practice that has less and/or easier call (e.g. public health, some family med) but you will make less money. That's not to say I'd recommend having a practice where you're highly dependent on call for income, but you have to be available. 
    And, really, the major way of ensuring quality of life while doing your share of call is to avoid specialties like general surgery, neurosurgery, cardiac surgery and... you get the picture. But then it's always more reasonable in community practice. Yes I've had to go in at 2am to intubate a patient who's almost certainly not going to last another 24 hours, but so it goes. Most of the time I sleep through the night, while those consults after 6pm or on weekends are just that much gratifying when you understand call premiums. 
    The bottom line is that you should expect to work if you want physician income. And work at sometimes strange hours. But not all the time. 
  23. Like
    MSWschnoodle reacted to robclem21 in Question Regarding being "On call"   
    There are many people that share your opinion that call is not appealing, and that is completely fair. It is everyones right to choose a field because it may provide a better lifestyle that they are interested in.
    That being said, call is not a punishment, and your training from undergrad to becoming a practicing physician is not punishment. People who enter this field or are preparing to enter this field, do so because they love it and because they enjoy the challenge. It is important to recognize that this line of work is a commitment that goes on for your entire life. If you aren't ready to accept that, then this is not the career for you. The work you put into becoming a doctor is more than compensated with salary, job security, and opportunities to do something you truly love. Yes, you could've partied all the time in undergrad, but becoming a doctor doesn't mean you can't ever have fun.
    You should be able to strike a balance in your life. Having call, and being in school for 10-15 years after undergrad should not define your life. While it is a big part of it, part of your responsibility is to look out for your own mental health. Take some time to reflect on your lifestyle now and consider what you can do to make it sustainable. 
  24. Like
    MSWschnoodle got a reaction from ThatCanadianGuy in Top ten entry question   
    If you can write meaningfully about it then there's no reason not to use it. My Top 10 was a mix of single events in time and longer term projects. I wouldn't use all single events in time, but if you have one that really speaks to you and shaped your interest in medicine then it's not wrong to include it. You can always draft it in for now and if you wind up with another "Top 10" that is a better fit later you can substitute the new one in. 
  25. Like
    MSWschnoodle got a reaction from strawberryjams in Robert Chu--Unmatched Doctor Commits Suicide   
    I don't really think most people were disparaging IMGs or bashing diversity in Canada. Lots of IMGs and CSAs come to the Canadian system with the knowledge and abilities necessary to be excellent physicians. I think the point made about protecting the CMG's interests over others is valid not because CMGs are "better" than anyone else but because the Canadian taxpayers have already made a HUGE investment by virtue of them being CMGs. The average taxpayer investment to educate a single medical student is incredibly substantial (estimates range from 100k-250k+ depending on what province you're in and how much funding your school gets). To spend that kind of public money to provide an education to a CMG and then have that MD degree be essentially worthless because of a lack of residency spots is ludicrous. I think IMGs bring a lot to the table and there should be a way for qualified IMGs to enter the Canadian system for practice... but the system also has a fiduciary duty to the taxpayers of this country to ensure that the investment made in medical students is something that, in the end, benefits the taxpayers that made the investment. An MD who cannot practice benefits nobody.
    Now, Canadian students who choose to go to another country to do their medical education because it is easier to gain admissions to those institutions do so knowing full well that the route to come back is difficult and becoming more difficult each day. It is a calculated risk. Either way, it is obvious the system cannot support the number of people who would like to practice in it. There will always be a limiting step in medical education. Ideally that rate limiting step should be at the admission to medical school level so we don't have students completing years of schooling and costing thousands of taxpayer dollars only to be unable to practice because they cannot get a residency. For-profit institutions in other countries have unfortunately found a way to capitalize on student desperation and offer what looks like a way to circumvent the limiting step of admissions. I know many Canadian students who study abroad (including a couple of my friends) choose to do so because medicine is their dream and they are unable to get in to a Canadian institution (be that for reasons of luck or GPA or interview ability). I feel for them but at the end of the day the job of the Canadian medical system has nothing to do with any one individual's career aspirations or dreams... the job of the Canadian medical system is to provide quality, sustainable healthcare to the Canadian population. A big part of fulfilling this obligation includes ensuring that the investment made in medical education pays off for the taxpayer. 
    Residency matching is going to be a huge challenge in the coming years. As far as what can be done... a lot of people have already posted and discussed some potential ideas on how this could be addressed. Given the number of stakeholders in the game, I suspect it will be a very difficult problem to solve, but it is a worthwhile discussion to have. At the end of the day the medical system has a finite capacity for practicing physicians. Any possible solutions need to work within the confines of this capacity issue. I suspect the solution lies in a combination of the below (many of which have been mined from other responses in this thread):
    1. Add more residency spaces - not entirely feasible due to the need to balance residency positions with jobs at the end of residency. Potentially there could be something to say for removing the french-only residency positions from the calculation of available residency positions since not all students can fill these (not eliminating the spots, just calculating the numbers differently).
    2. Reduce the number of medical school spaces - not ideal, but if residency positions continue to be cut then medical school positions should also be decreased by the same number. 
    3. Limit entry of IMGs/CSAs into the system, but this is done at the expense of diversity in the case of IMGs. I personally think this kind of approach throws the baby out with the bath water but it is also an elephant in the room that needs to be acknowledged. 
    4. Find a way to entice more students into the French-only residency positions - this is where a majority of the "empty" residencies exist each year but many students do not meet the language requirements. Ideally there would be a way to entice those who do meet the language requirements to preferentially fill these positions.
    5. Increase the obligation of medical schools to support and assist unmatched students in getting a residency - ensure all medical schools have a plan in place on how to deal with un-matched students that goes beyond "get them into a grad program and hope they figure it out next match"
    6. Have a general rotation year available to students who do not match - similar to the "extended clerkship" offered by some schools. 
    7. Restrict all residency positions to CMGs until CMGs have all matched, then open remaining positions to IMGs/CSAs - again, this is at the expense of diversity and I question if this would also prevent programs from being able to recruit the most qualified/best candidates for their residency positions. 
    8. Have CaRMs provide more information to students/home schools about WHY the did not match. Whether that is interview scores or just having each school choose from a drop-down list of options about why they chose not to interview/rank a student etc. It is hard to improve for the next match if you don't know why the first match did not go well for you. I suspect privacy legislation would make this difficult, but honestly I think good quality feedback would go a long way in solving this problem. As it stands now schools try to give you their best guess if you don't match, but nobody really knows. It's like trying to shoot at targets while wearing a blindfold - your school can tell you in board terms where the targets are, but it's really tough for them to help you aim when they can't see down the same sight line. 


    Did I miss anything when rounding up the ideas in this thread? I find system discussions like this really interesting - I'd love to hear more of the unique ideas that people have about how to begin solving the residency matching problems. 
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