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insomnias

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  1. Like
    insomnias got a reaction from Nirvanesthesia in If you like FM, is there any point in exploring other specialties?   
    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?
  2. Like
    insomnias got a reaction from LostLamb in Are residents actually happy?   
    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.
  3. Like
    insomnias got a reaction from Bookmark311 in Are residents actually happy?   
    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. Like
    insomnias got a reaction from polarbear89 in Are residents actually happy?   
    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.
  5. Like
    insomnias got a reaction from 1029384756md in Are residents actually happy?   
    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.
  6. Like
    insomnias got a reaction from klamar in Are residents actually happy?   
    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.
  7. Sad
    insomnias got a reaction from meiosis in Are residents actually happy?   
    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.
  8. Like
    insomnias got a reaction from dopamania in Are residents actually happy?   
    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.
  9. Like
    insomnias got a reaction from ChemPetE in Are residents actually happy?   
    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.
  10. Like
    insomnias got a reaction from MD_Dream97 in Are residents actually happy?   
    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.
  11. Like
    insomnias got a reaction from dooogs in Are residents actually happy?   
    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.
  12. Like
    insomnias got a reaction from Sleepywood in Government (Student) Loans - Several Questions Related to Strategizing Funds   
    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)
  13. Like
    insomnias got a reaction from Mel96b in Love in the Time of C[OVID-19]holera   
    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
  14. Thanks
    insomnias got a reaction from Ss123toy in Things you wish you knew before you started med   
    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)
  15. Like
    insomnias got a reaction from dh. in Love in the Time of C[OVID-19]holera   
    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
  16. Like
    insomnias got a reaction from tuttifruti in Love in the Time of C[OVID-19]holera   
    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
  17. Like
    insomnias got a reaction from DNA Doc in Is family medicine really that bad?   
    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.
  18. Like
    insomnias got a reaction from Mathmaximum in Love in the Time of C[OVID-19]holera   
    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
  19. Like
    insomnias got a reaction from LittleDaisy in Love in the Time of C[OVID-19]holera   
    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
  20. Like
    insomnias got a reaction from anonymouspanda in Love in the Time of C[OVID-19]holera   
    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
  21. Like
    insomnias got a reaction from Guys I Need Help in Love in the Time of C[OVID-19]holera   
    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
  22. Like
    insomnias got a reaction from chxiel in Love in the Time of C[OVID-19]holera   
    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
  23. Like
    insomnias got a reaction from stethoscope2019 in Love in the Time of C[OVID-19]holera   
    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
  24. Like
    insomnias got a reaction from apple94 in COVID-19 Impact on Electives and Clerkships   
    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?
  25. Like
    insomnias got a reaction from moonlitocean in COVID-19 Impact on Electives and Clerkships   
    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?
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