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ZBL last won the day on November 14 2018

ZBL had the most liked content!

About ZBL

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  1. Pro tip: Don’t be a gunner. Staff and residents can smell the stink of a gunner, and it’s not pleasant. Make your moves towards a competitive specialty only once you know for sure what that specialty is all about and why you’d want to do it over any other.
  2. This is like asking “what blackjack table am I more likely to win on?” There’s no such thing as one that’s less competitive - only that they might be looking for different things, which you’ll have no way of knowing in advance.
  3. Buy a fancy vacation. Buy an upgraded car. Buy a top hat. You only live once and now you are net positive. Have some fun.
  4. GIM is the devil. That’s the difference.
  5. I’d venture to guess that no one in their right mind would do 5+ years of surgical residency/fellowship only to work clinic (which is very expensive to open up, and a separate limiting factor altogether). Not to mention that killing time in a clinic does absolutely nothing to improve your chances at getting hired for OR time, and in fact it may be a negative as you’ll be out of touch with key players in hiring and your skills will decline. If clinic is the plan, and you’d be happy with it, don’t do a surgical residency. Simple as that.
  6. You become more cut throat and then you are more competitive for cut throat competitive specialties. Cut throat. Competitive.
  7. If you are a Canadian student and writing spring 2020, you don’t need to worry about this until spring 2020, including what resources to use. That’s honestly the best advice I can give you.
  8. I think it would be useless for CaRMS because just because you did well doesn’t mean that some other applicant who didn’t write it wouldn’t have done well, especially if we’re talking competitive residency programs. Moreover, since it’s not a standardized part of Canadian residency applications, some applicants who did write it and did well may not include it on their application. For these reasons, I think it’s the type of thing a program would look at and think “great!” but have no actual place on your file to award you bonus points. I don’t think including it would harm you (unless you are selectively just reporting step 2 and not step 1), but I really don’t think it will help. This will certainly not be the deciding factor for a competitive specialty.
  9. This forum needs a general flowchart on how to match lol. Step 1: Chill, shadow, see if you like it. If the specialty is competitive, shadow early to decide if it’s something you want to pursue. Step 2: Be chill, get to know the residents and staff Step 3: Maintain chill, book your electives and take part in some research or ECs as available and time permitting in your schedule. Earlier is best yet for competitive fields. Step 4: Read around your specialty of interest Step 5: Use step 2, step 3 and step 4 to impress on electives. Thats it. After step 5 you just hope for some good luck.
  10. Oh I don’t doubt or disagree with this at all. Once you’re in you can do what you want (just like residency applications, once you’re in you’re in and all the ECs don’t matter). But in both cases, to get in you have to play the game.
  11. While I agree evaluation of med students can be challenging without formal grades or scores, I think grades and exam scores are probably not the best metric to evaluate who will be a good resident anyways. Anyone in med school can learn content - they had to in order to get into med school, and if any of those people put in the time they could learn whatever they wanted at full capacity, regardless of specialty. As it is now though, the P/F system allows people to put in a “good enough” effort to pass, be safe on the wards as an R1 and simultaneously focus more time on ECs and research, which I think ultimately bring more value to a residency program and specialty as a whole than being an encyclopedia. I’d much rather recruit someone who has the potential to one day give back something significant to the specialty through teaching, volunteering, leadership or research than recruit someone who just knows some things. “Things” can be taught in residency - leadership, professionalism, collegiality and passion/interest cannot. This same mentality applies to why it’s so hard to get an academic position - it is insufficient to simply be a good/smart clinician, and board scores are not used for hiring.
  12. Honestly all the fuss here about UG transcripts is too much and I think this is going to perpetuate some wrong ideas. It’s honestly such a small piece of the application, I can only see it being used as a flag to capture any past professionalism issues. I don’t know about rads, but I can guarantee you that in ultra competitive specialties like derm it will be your lack of publications/PhD, lack of stellar ECs, lack of outstanding elective and general clerkship performance (both medically and professionally), lack of “knowing” and being liked by the residents and staff that spoils your application loooooooong before that C/D/F grade in first year undergrad comes back to haunt you. EDIT: just to add, rmorelan above mentioned that on paper 20% of applicants look amazing and stand out, 20% look terrible and 80% look good but the same. In derm, plastics etc, if you’re outside of that top 20% your chances are already very slim since not much more than that gets accepted every year. Which is why I say that for these programs, your UG grades won’t matter since the top 20% are not being differentiated from the rest on the basis of their undergrad grades.
  13. And what I’m saying is that your UG transcript will likely be the least of your worries when applying to competitive specialties. Unless there was some professionalism issue at the time, it’s very unlikely that a lack lustre UG transcript would make or break an application.
  14. Many derm programs ask for it, along with other specialties. Truthfully I don’t know what they use it for - the super competitive things like plastics and derm generally differentiate people by a lot more than their undergrad - things like numerous publications, graduate degrees, major ECs (not simple clubs and such) and importantly being tight with the faculty and residents will be more impactful in my view.
  15. Then how do you know you’re interested? Shadow in surgery, talk to attendings/residents and then go from there if you’re still interested.
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