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cake

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  1. As another older student / resident I agree with all of the above. I entered medical school in my mid-thirties, and am now part-way through a royal college residency. Knowing what I know now, I wouldn't have done it. I wouldn't say I regret it, but the psyco-emotional cost is high. You mentioned wanting more critical thinking aspect of your work... in my experience, there is a lot less of that in medicine that most outside of it think, and a lot less than doctors themselves think they do. The vast majority of the learning process is more about memorization and pattern recognition than critical thinking. Pre-clerkship is easy and fun. Clerkship is a pain in the ass, and residency more-so. FM seems to be a better environment, judging from my friends who have done it. Just be prepared to not be treated as an adult for the next 6-12 years until you finally finished and get your certification(s).
  2. Looking at the Duke CCM & Anesthesia fellowship page (http://anesthesiology.duke.edu/?page_id=818043) it would appear that you can apply having completed a CCFP residency (http://anesthesiology.duke.edu/wp-content/uploads/2013/08/CCM-eligibility_recruitment_selection-11.2015.pdf) I know you can enter their hyperbaric medicine fellowship this way. They list two Canadian graduates: Jordan Cuthbert (University of Ottawa) and Duane Funk (University of Manitoba)-- both anesthetists by training, according to google. Is anyone aware of someone who trained as a CCFP in Canada and then did a CCM fellowship in the US? What did their practice look like? I'm gonna presume that this is not some secret fast track to running a toronto ICU as a GP, but are there docs out there working in community ICUs with this sort of background?
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