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insomnias

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insomnias last won the day on February 14 2018

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About insomnias

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  1. I use a Surface Pro, no complaints. We don't use eclass in med; we use medsis. Lecture slides are posted as powerpoints/PDFs (some professors will post synposes as .doc files), which can then be downloaded and printed/inserted into your program of choice (eg evernote, onenote)
  2. insomnias

    Admitted but never kissed a girl

    Based on some of these replies, it seems prudent to point out that if you intend to sit back and let things happen like some have suggested, chances are nothing's going to happen... Past performance being a predictor of future performance, if something were going to happen by doing nothing, it already would've at least once in the last 8+ years. Also, being in med school isn't quite the aphrodisiac you'd think. If someone's interested in you already, it could help or hurt; if they weren't to begin with, it changes nothing. All that being said, there's nothing wrong with being 21 and having never kissed a girl. We all grow at our own pace, and just because it's at a different pace than others' doesn't mean there's something wrong with you. You've undoubtedly grown faster than others in different domains. Still, it sounds like it's something that bugs you, and that's understandable. I've heard it said that relationships are like oxygen: they don't matter unless you don't have any. It's tough looking around and feeling like you missed the class on relationships, but it's like everything in life: with practice, you can get better at it. But how do you practice when you don't know where to begin, right? Try breaking this large problem down into multiple smaller ones. So step 1 is being comfortable talking to girls at all-as friends. Step 2 is asking out a girl you're interested in - I'm not sure if the nervousness really goes away. This one's important, because if you're not clear, then she may think you just want to be friends, and that's not fair to either of you. Step 3 is spending time one-on-one in a non-platonic context. And so on.
  3. insomnias

    Pregnant in Med school

    Based on the experiences of a classmate who deferred due to pregnancy and doesn't regret it, I'd hop on the deferment train. Alternatively, if you feel you could do it, you could look at finishing the first block and then taking a leave of absence after that.
  4. insomnias

    Advice for first year med

    It's hard to follow though, at least for me. I haven't figured out yet how to reconcile the "this sucks" I get when shadowing one attending and "I love this" when shadowing another...from the same field.
  5. insomnias

    UAlberta vs. U of T

    A couple of our classmates were in the same boat (lived away from AB for a few years and got into the U of A). From talking to them, I've garnered some things that could influence you either way: Ability to live back with family - if you move in with the 'rents again, you could get free food/etc and a bunch of stuff taken care of...but that can put a crimp in your social life. It can also be a bit harder to socialize this way if you're not that close to campus, since people will often hang out with their neighbours (not because they don't like those who live further away, just because it's more convenient). Furthermore, living closer to home, you might feel obligated to visit your extended family or hang out with your parents/siblings more often vs attending a med event = FOMO even if the event wasn't that great. If you move out, it could cause some resentment with your family depending on the dynamic. Tuition/cost of living - U of A is much, much cheaper than U of T Dating - Edmonton skews more male (so if you're male, you could find it harder to date); Toronto's probably more balanced and may be more minority-friendly? Layout - U of A has the hospital right next door to Katz which is great for shadowing. I can't recall: does U of T have a similar setup? Class social life - Since we only have ~160 people, and it's a single campus, it's easy to get to know everyone if you want. Conversely, a lot of people drop off the grid when they realize they can vodcast Weather - Edmonton is frigid. Toronto is... Toronto. Travel - Toronto has YYZ, YTZ, BUF, YOW all pretty close so that it's easy to get somewhere quickly and maybe cheaply during spring break. Edmonton has YEG and YYC which may/may not be quick or cheap. YYZ is connected to union station via a train that runs >1x/hr, YEG to century park via a bus that runs 1x/hr. Non-academic events - Edmonton isn't bad, but... it's not Toronto. Public transit - If you or your destination is on a public transit line, you're golden. This is true for both Edmonton and Toronto, I suppose, with the caveat that Toronto's public transit seems to be better. But in Edmonton it's "free" (U-Pass). Is it free in Toronto? Matching - I dunno, is the U of A better here or are we about the same? Supposedly if you want derm, the U of A is a great place to study since you can actually shadow derm from day 1, which may not be possible at other schools. I'm not sure how it is in Toronto
  6. I'd honestly suggest UBC over U of C given that your husband is living in Vancouver anyways. The ability to lean on your support network -- who is physically there -- when things are getting tough at school can't be understated. It can be stressful to have to keep up with family/friends if they aren't close to you during school. Additionally, if you want your husband to keep that job with a pension long-term (i.e. if you want to match to UBC for residency), your best bet would be to go to UBC for med school. UBC has a reputation (at least at the U of A) as being really difficult to get electives at for non-UBCers. If you can't get electives, it's harder to match vs someone who's had the face-time with local staff. As an ex-banker, I'm sure you can appreciate that the value of a pension and happy relationship is much greater than $70k/4yrs ;). Conversely, OP loses $20k in tuition if they go unmatched for a year if they decide that they absolutely don't want to do family med. Or a pension (which is probably greater than $170k post-tax) if they match outside of Vancouver and the husband has to move. Or more if the relationship breaks up because of the distance + stress.
  7. I suspect that the problem with plastics is that opening your own clinic has a high barrier to entry: you need both equipment+staff (=high start-up costs + ongoing costs) and patients. Private patients would have to seek you out directly, so unless you have something like a residency from Harvard/UCLA, it would be difficult to get revenue > costs. Supposedly the market for cosmetics is pretty saturated in Canada.
  8. The Royal College released a report today on specialists' employment here: http://www.royalcollege.ca/rcsite/health-policy/employment-study-e A lot of the worst specialties are surgical, but there are also some IM (medical biochem, heme, nephro, GI) specialties in there. Unfortunately, they didn't list statistics for all specialties, only 14 of them. It was interesting to read the testimonials though: one anesthesiologist reported that the market in anesthesia is saturated (though in the absence of data on anesthesiology, which wasn't one of the "worst" specialties for employment prospects, it's difficult to determine how accurate that claim is).
  9. The whole length of training vs hours of training is often presented as a dichotomy; however, I would argue that they're not as intertwined as people like to make it out. How is it that Switzerland caps their residents at ~40-50h/week, maintains the same length of postgrad training we do, and then has the RCPSC recognize their residencies as equivalent to ours?
  10. Returning to the topic of Singapore, it's actually interesting to look at what they've cut outside of Canada. RCSI, UiO, UNIL, CWRU, UVA and UTSA come as surprises to me. Those are all pretty good schools. Then again, the odds of someone learning Norwegian to study medicine at UiO and then moving to Singapore to practise are pretty low.
  11. insomnias

    1st year resident take home pay

    Those of us who move from OOP or started studying after 2017 will still end up paying provincial taxes, however, since Ontario abolished the provincial tuition tax credit in 2017 and doesn't provide credit for provincial tuition tax credits from other provinces
  12. I have a friend from France who's thinking of moving to QC after an FM residency, but he asked me what the PREM is... and while I read a bit about it, the system didn't really make sense to me. Is it sort of like a return-of-service (aside: anyone know if French MDs who come to QC via the ARM have to do a ROS?)? Does it last forever or just for your first x years before you can practice wherever you want? Does it basically preclude Canadians who did a residency outside of Quebec from practising in Quebec? (Vous pouvez répondre également en français ou anglais, même si lire trop de français me faire mal au tête . Je dois améliorer mon français!)
  13. insomnias

    Alberta vs Ontario for FP billing

    I'm not sure if that figure is true, but I rotated with an FM who saw maybe 2-3 patients/hr from 9-12 and then 1-2/h from 1-4 only working Mon-Thu in a PCN (the AB equivalent of an FHO?) with no outside work, and he told me he billed $240k the previous year, with a similar setup and 30% overhead. Extrapolating that to someone who sees twice as many patients, it's not hard to imagine netting $300k in FM. Doctors in AB do have a more favourable fee structure than elsewhere (https://edmontonjournal.com/news/local-news/alberta-physicians-remain-nations-highest-paid-statistics-show). I'm told that FM in Edmonton and Calgary is now saturated though.
  14. insomnias

    2019 CaRMS unfilled spots

    I don't understand why no government/licensing body has considered this: require all medical schools to give their medical students an R1 spot if they can't match. At the end of that R1 year, they can receive a restricted license (permanently restricted unless they complete a CFPC/RCPSC/ACGME-certified residency) to practice as generalists in rural/underserved areas (+/- lower the amount they can bill) but retain access to the second round of the match as current physicians (who've completed a full residency) do. Yes, there's the argument that rural areas will then not be receiving proper care, but if it's a slightly less trained doctor vs no doctor, I'd say that's a no-brainer... especially when you're willing to bring in NPs, who get substantially less clinical training, to those same areas. In that way, you make the CFPC happy (family med retains whatever prestige they got when the rotating internship went away), you make the rural areas/voters happy (they get Drs), you make the people who'd otherwise go unmatched... well, less sad (earning $$ with the potential to enter the second round >> accruing debt with the potential to enter the second round). It's basically a compromise between bringing back the rotating internship (which the CFPC would be heavily against) and doing nothing (which results in unmatched grads). There is, of course, the argument that doing so would make the R1 year a de facto requirement as programs might elect not to fill seats in the first round to see what they can get in the second, but I haven't seen that being a problem in the US, where you can get an unrestricted license after an R1.
  15. insomnias

    CBD = shorter residency?

    Yeah, discussed here http://forums.premed101.com/topic/88075-competency-based-residency/?do=findComment&comment=972076
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