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ZBL

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ZBL last won the day on November 14 2018

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  1. I think Edict meant from the perspective that doing two residencies period sounds less than ideal, regardless of whether it’s in the US or not. Probably better to try and transfer into what you actually want in Canada and just do it once.
  2. I would suspect a little less, but I could be wrong. You basically would have a similar set up to an endocrinologist or rheumatologist at that point so probably similar billing. Could maybe add more doing stress tests or something but not sure how common that is, let alone how common it is to do purely outpatient GIM in the first place.
  3. “Can” and “should” are two very different things.
  4. Does it matter? It’s +/- 1 year whichever way you want to look at it
  5. Plus pension (if actually salaried by the university as a professor, and not just a full clinical professor).
  6. Agree with above. Income is super variable in medicine across specialties and provinces, and research adds more variability on top of that. In general, yes those doing research make less but there are exceptions where the opposite is true as well. The main twist is whether the physician doing research is fee for service or salaried by a university. If the latter, there are perks such as pension that balance things a bit more in the long run compared to someone doing only clinical ffs work. In that case, depending on specialty, they still probably make less, but not by much in the long run all things considered.
  7. I would say that no matter what your publication count ends up being, it will not be a PhD and all that goes with it (eg quality and quantity of research, independent investigator, grants, larger clinical studies/basic science etc) - so don’t fight it. You have the research box checked for CaRMS so differentiate yourself in some other way. Whether or not programs prefer PhDs is out of your hands.
  8. Saturated means there’s no room for anyone else to get into the business. And in the case of plastics, it’s saturated because it’s rare to begin with. Very, very uncommon for a plastic surgeon to run a 100% cosmetic business in Canada. Same for derm. Only ones (trying) to do it these days are nurses and family doctors.
  9. Plastics CAN be better as a staff (both are super busy as a resident) depending on circumstance. Doing straight medical plastics at a community hospital will probably get you 6:30 or 7:00am to 4pm or 5pm every day of the week, with weekend call 1 in 4, and weeknight call around 1 in 4 as well. Call won’t be super crazy, but you will not infrequently be there late on call. The downside is that medical plastic surgeons like this will still work about 60hrs per week and really do not get compensated well. Or you could do academic plastics and get paid about the same but work closer to 70-80hrs per week due to busier call (and more “exhilerating” cases). Then there’s cosmetics. Ah cosmetics. Yes, some plastic surgeons work 50-60 hrs a week doing straight cosmetics and make a lot of money. This is exceedingly rare in Canada, to the extent that I don’t know if it exists except for maybe a few rare cases in Toronto - these are people who have been in the business for >20 years. This will not ever happen straight out of residency. Most plastic surgeons will do community plastics then cosmetics on top. They get paid more, but will work closer to 80hrs per week to make it happen. Basically plastics has a more controllable lifestyle to some degree, but most people gunning for plastics are not doing it for the laid back (relatively speaking for surgery) day to day that is community medical plastics. Plastics is definitely one of those specialties where high compensation is dependent on doing a lot of work Neurosurgeons are paid well and work a lot, and there’s no variability in that.
  10. If you are asking questions related to workload during residency and work life balance, neither are right for you
  11. I wish I legitimately knew how much a grind med school, residency and the profession of medicine in general is. And then I consider how nice it would have been to simply sell coconuts off a beach in Turks and Caicos for a living instead of doing medicine.
  12. Exactly my point. Few are here for interest alone, so that shouldn’t be the only driver of residency choice.
  13. Also agree with you that med schools should do more on the career education aspect. There needs to be more discussion about what different career setups look like, job prospects, moving to the US/USMLE considerations, how the financials work, and of course CaRMS matching so that students are properly informed. Maybe more would choose FM that way. It really is insufficient to select a career based on interest alone - at least some practical aspects are necessary for consideration. While many physicians do not regret their choice of doing medicine as a career, I’m sure many would have rather done something else if all else was equal (eg. Pay, job security, clarity of career trajectory, respect, autonomy etc). Same deal should apply when deciding on a medical specialty.
  14. That’s true, but it’s an unfortunate reality to consider that the only way you might have a job in a surgical field is to leave your home country.
  15. I guess this suggests that despite the common theme here that “you can’t predict the future”, past history suggests job prospects are not good for numerous specialties, mostly surgical. That should likely weigh in at least to some extent to future CaRMS decisions.
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