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insomnias

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Everything posted by insomnias

  1. You're absolutely right. By exploring I guess I actually meant considering. What's the argument for considering a 5 year RC specialty which may require a fellowship and limit you to certain locations versus family med which allows you to work pretty much anywhere if you already like family med and X specialty pretty much equally.
  2. I guess this is a corollary of the whole "if you enjoy anything other than surgery do that." I like family medicine overall and am confident I could find a niche I'd enjoy spending the rest of my life doing. I also like various aspects of various other specialties, and I could enjoy doing those specialties for the rest of my life as well. Given the training time difference and flexibility in hours, location and scope of practice that's pretty much unparalleled by any other specialty, why pursue the RC specialties over family medicine? Financially, it doesn't seem to make sense. From a mental health perspective (call sucks) it doesn't seem to make sense. Am I missing something?
  3. Every time somebody says that, I like to point to the example of Switzerland which has residencies of comparable length to ours in most specialties while abiding by EU work hour restrictions (48h/week max with no more than 13h of continuous work), and the RCPSC recognizes their training as equivalent for the purposes of exam eligibility. The reason we have long hours during residency isn't because it's a trade-off between hours worked vs competency but because resident labour is significantly cheaper to the government/hospital than that of attending physicians.
  4. A lot of these depend on your province. 1) Canada student loans and some provincial student loans begin to require repayment within 6mo of graduating. The rest require repayment after finishing residency. LOCs generally require repayment starting 2yrs post-residency/fellowship 2) Depends on the province. 2.5) Some provinces won't count it if it's in a TFSA 3) No 4) If you can afford to pay it off, it might be worth it, but that depends on you comparing the cost of paying it off (med LOC interest) vs not paying it off (undergrad LOC interest)
  5. I still don't understand why more people (specifically, the money-minded people) don't just do ortho and then go down to the US and practice their true pa$$ion: $pine $urgery
  6. Wasn't it heme-path that takes blood bank/transfusion call? I might be confusing heme vs heme path
  7. Sorry for the late reply. U of A, although recent curriculum changes to deal with covid19 have brought this down to ~15 weeks total (with no y2 summer electives allowed, at least for this year). Only time will tell if that number increases for future years
  8. The thing about derm that most people miss is that you spend all the time you're not in the hospital studying because there are a ton of diseases you might never see during residency but are still fair game for Royal College/US boards. I think PM&R has a great lifestyle once you're on-service, as does PHPM, pathology (not surg- or heme-path though), ID (if you can survive IM), rad-onc, med micro, genetics all have great hours during residency with minimal in-hospital call. Basically, as long as the specialty doesn't have emergencies, the lifestyle will probably be pretty good :p
  9. There are some people who can't deal with having to see patients all day / having to constrain appointments to 10-15 mins / having to treat the entire spectrum of illness. Those people can't tolerate FM. There are some who love that. Then, there are some who are ok with it. The premise is that if you're ok with all of that stuff, just do FM (because shorter training time, greater job mobility, whatever)
  10. I remember my year U of C decisions came out first, and I was waitlisted. I was bummed, but I'd figured that I didn't do that well in the interview anyways. Then I got into the U of A. Then I got in off the waitlist to U of C. This is just to say that it's entirely possible to get off the waitlist at U of C, and I know multiple people at the U of A got in off the waitlist. Given the information you have, you have as good a chance as any, so don't give up hope.... but do plan for what you'll do if you don't get in to either
  11. iirc U of A is either June 1 or 22 with 22 being more likely. U of C is... June 15?
  12. My suggestion: you and your ex-gf had been dating for at least 4 (possibly more) years, and you only broke it off last month. Take at least a month to process this and sort of wallow in the loneliness. This is an admittedly terrible time to be lonely, but unless you're 100% over that relationship, it's not really super healthy to pursue anything right now. Especially not with a classmate with whom you may be stuck for the next 3+ years. You need to regain that sense of self you might've lost during the relationship
  13. To the premeds following along, if you have multiple acceptances, it's worth looking at how the different schools respond to a pandemic. Do you want to attend the school that puts your safety at risk by having you continue with rotations as though nothing's going on, or do you want to attend the one that pulls clerks away from their duties while providing a virtual alternative to ensure that it's still possible to graduate on time?
  14. Attendings: "The purpose of med school is to become a good generalist! You should seek a broad diversity of electives!" Also attendings: "This student doesn't seem committed enough to this specialty. Let's not interview/rank them."
  15. Example 1: my family doctor went into it because it was a 2 year program. He's been in practice for >20 yrs. He takes his time with patients, all his patients love him, etc. He hates being a family doctor. He continues to urge me not to do it. Example 2: a family doctor I shadowed works ~3 days/week, still makes 6 figures, and is maybe 4 years out of residency. Loves it. Imo, FM is like every other specialty in that you can find a way to love it or you can find a way to hate it. Uniquely, there's so many potential niches that if you literally have no clue what you want to do, you have the ability to find that thing that you'd enjoy doing, and do it. As for midlevel incursion into FM in Canada: I don't see it as being as big of a concern. The entire purpose of FM being gatekeepers to specialists is to keep system costs down. NP/PAs send more referrals than FM does for the same patient complexity level. As a result, an expansion of their scope of practice would result in increased healthcare costs in the long run, which would be great for anyone working in the MoH who then runs the stats on why that happened. The more imminent possibility is that IMGs get the ability to practice at the same scope an NP/PA has today, or at a more expanded scope compared to midlevels. Unlike in the US, IMGs (especially CSAs) are viewed pretty favourably by the public here.
  16. Eh, that's not that much. My university apparently gives 18 weeks over years 3+4, and we have the option to take 6 weeks over the summer between 2-3 (which are counted as pre-CaRMS electives)
  17. No, some people do look for spouses on Tinder. My problem with Tinder as a guy in a city with more men than women is that the great girls get snatched up quickly, and unless you're a model, it's terrible for your self-esteem. I think I get 2 matches/month, and those fizzle fast.
  18. I came out of a relationship right before starting, and I'm still single. Conversely, I have classmates who entered med school single and are now happily not-single. Then there are those who are unhappily single (and probably some who are unhappily not-single but aren't broadcasting that). Basically, getting into med school doesn't make things any easier/harder. It ultimately depends on you. The biggest issue will be that it can be hard to meet new people when you're in med school, but if you're in a new place, it's definitely easier to meet other people.
  19. Let me assure you: if you can't find a spouse before entering med school, it doesn't get any easier once you're in
  20. Unlike in Canada, where you need to have passed the CCFP exam to work as an FM, it's not necessary to have passed the ABFM exam to work in family medicine; however, many employers may require it, especially if they bill insurance. More underserved areas generally won't care. Six months residency = six months living in the US, not six months doing a residency. So you could challenge the exam as soon as 6 months after moving to the US were you able to find a job that sponsors you for a visa without requiring ABFM certification.
  21. Actually, I'd asked an accountant at BDO a variation of that question: what if I move to ON, don't fully exhaust my tuition tax credits, and move back to AB? AB considers the unused provincial amount to be equal to the unused federal amount. So you will get AB tax credits moving ON->AB but not vice-versa. Which blows, since I have ~$200k of those and kind of wanted to do my residency in Toronto/Montreal/Vancouver -- none of which have provincial tuition tax credits anymore as of 2019.
  22. A quick search of each province found that AB, SK, MB, ON, QC, PEI, NWT, YT, NU will require one to be a licenciate of the MCC to get a license for independent practice (non-provisional). I presume that means you need to have passed MCCQE1 and 2. It seems SK allows provisional registration (requires supervision until you pass the MCCQE2) for non-LMCCs, as does MB. So that leaves BC (allows CCFPs but not FRCPSCs to substitute USMLEs for LMCC), NB (doesn't mention LMCC at all for regular licenses in their regulations), NS (USMLEs may be an allowable substitution for the LMCC?), NL (doesn't mention LMCC as a requirement for regular licenses in their regulations?) as provinces that allow one to get a full license without completing both MCCQEs. So I guess if you wanted to start working in one specific province right away, one could go to one of those provinces, get a full license, and then get a full license in your desired province (except Nunavut) under the Canadian Free Trade Agreement on the basis of your first license.
  23. 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)
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