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insomnias last won the day on February 14 2018

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About insomnias

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  1. If you wanted to estimate training costs, you would look at what training an NP has to do to get licensed. Presumably there's a clinical component. Figure out how many hours an NP spends in a class vs clinic and what kind of rotations they are. If they're comparable to the rotations residents do, you can just calculate the $/hr on training an FM resident and use that same figure
  2. Honestly, as long as you have PR or citizenship, nobody cares where you grew up (exception: you're basically ineligible for any spots reserved for rural applicants/in-province @ schools outside your province of residence). If you don't have PR or citizenship, you're basically limited to those schools which accept non-Canadians. Iirc, that's Queen's, McGill and Toronto, at something like $100k/yr CAD.
  3. Here's what I've wondered: why not just go to the US, where they're in demand? Certainly, there's a decent number who are stuck in Canada for personal reasons; however, I don't see why the unattached wouldn't just move south. Ortho here is PGY5; to qualify for the US boards it's 5 years, so...
  4. I know that it's happened that doctors get licenses here/in the US despite having been sanctioned in another jurisdiction. I just don't understand how. The Colleges here seem to ask for certificates of good standing from everywhere you've worked, so...?
  5. insomnias

    Cap in number of Electives

    What does that mean exactly? That you're only allowed 8 weeks of research, that if you do research in any field it counts towards 8 weeks in that field, or that research is a way to circumvent the 8-week cap...?
  6. Wouldn't they ask for a certificate of good standing..?
  7. Back when I applied MD/PhD to Toronto, I got an email inviting me to an MD interview, but no info on the MD/PhD. I emailed them back, and they told me I'd also been offered an MD/PhD interview, so they rescheduled my MD one so I could do them both in the same weekend. Consider emailing them?
  8. It seems like to work in an ER without a +1 or FRCP-EM, you need to be somewhere pretty rural -- as in, 2 hours away from the nearest place with a population > 50k rural. To qualify for the practice-eligible route to EM, you need to spend 400h/yr over 5 consecutive years and then pass the CCFP-EM exam. The CFPC and ABFM have reciprocal agreements, and you can take the CFPC exam after your ACGME-approved FM residency provided you meet the requirements listed in https://www.cfpc.ca/Application_and_Requirements_for_Residency_Eligibility/ . You should then be eligible to apply for a +1.
  9. I don't know a lot about how much surgery makes/if they have to pay overhead/how long their residency is, so I'll assume they make 400k pre-tax/overhead, 30% overhead, and the person is a superstar and gets a job right out of PGY5. Their LOC is $124.9k, and they have $280k pretax => after-tax of 158.8k - 184.7k (QC - NU). Obviously they could pay that off in a year, but assuming they pay it off in two, that's roughly $65k in payments each year, leaving them with ~93 - 119k/yr to spend otherwise. If we assume that a doctor in QC works for 35 years after medical school (including residency) before retiring, requires 35k/yr to survive wherever they're living (big if; I know we'd want more) and invests the rest at 6% in some index fund, then at the end of a 35-year career, a FM will have saved/made $5.3M, whereas a surgeon will have made $9M. The surgeon surpasses the family doctor pretty quickly since they hit their peak income early on. You'll lose a lot of this to taxes, and a lot of these assumptions fall through (I think it would take until PGY9-10 to get a job as a surgeon; I think most would accumulate debt during residency; I don't think living on 35k/yr for the rest of your life is unrealistic), but that's why I've attached a spreadsheet so those interested can model this with their own numbers. For those who dare to dream, here's a graph: Note that I redid the numbers in my earlier post and found that a FM would have to pay more like 60k/yr to pay off their loans in two years (hence I assumed the person needs 35k/yr to survive). Modeling physician salary and debt.xlsx
  10. Let's say you take out 25k/yr over 4 years of med school and take out nothing during residency. You put all the interest (3%) on your LOC. You end up with ~107k in debt at the end of med school, and 114k at the end of your 2-yr FM residency. Now you're a staff FM, earning ~220k/yr. You lose 30% to overhead = you have 154k left. Your after-tax income is between $98k (QC) and 112k (Nunavut -- but this probably comes with higher COL lol), assuming you don't deduct anything. That's less than your actual debt. If you want to pay it off over two years, well, you'd make a total of 196k - 224k over two years, but that leaves you with 89k - 114k over two years (44.5k/57k per year), ignoring the amount that your debt would grow over that additional year. It's certainly doable, but it's not a lot of money left over to live + save with -- don't forget you fund your own retirement and health insurance now. Furthermore, that calculation didn't factor in the cost of CMPA fees, licensing fees, disability insurance,...
  11. Ouch. That sucks. At the University of Alberta, it's opt-out, with non-mandatory (lecture) attendance. Most lectures are recorded, except for a few, but the profs will still provide slides -- the problem is that we don't find out they're not vodcasted until the day of (thus far we've only had 2 lectures where the prof refused to provide slides + refused to be recorded... thankfully one of our classmates basically transcribed the whole thing like a beast). We also have access to previous years' lecture recordings, going all the way back to 2014 or something. It's mandatory for profs teaching GI block to be recorded, but otherwise it's entirely up to the prof's discretion
  12. I wouldn't suggest a J1 if OP wants to spend a long time with their partner :p
  13. insomnias


    What would you consider a small field? Just something with few CaRMS spots (i.e. not IM, FM, peds, neuro)?
  14. insomnias

    Family Medicine Income

    The impression I get from GIM staff here is that they basically do what's necessary within the IM specialties. So in places where there's a long wait for cardiologists, they'll do echos/stress tests/etc. In places with a long wait for nephro, they'll do dialysis. In places with equal waits in everything, they... do GIM stuff, I guess It seems that the job market very much depends on whether you want a hospitalist job or a community job. One GIM staff I know has to move from one major city to another and is finding it difficult to get a hospitalist job. It's possible to take a community position, but then you're stuck in a contract for a minimum of x months -- which is an issue if a hospital job opens up -- and it's difficult to move from a community clinic back to an academic hospital.
  15. In roughly 2 months of med school, I've heard the words "take the USMLEs" from residents/staff at least thrice, including today. We're definitely aware of our options and thinking about what might be necessary to do it. Considering the number of specialties that now require fellowships to get jobs, many of which end up being done in the US, I think the number of CMGs taking the USMLEs will only increase