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deathvvv

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deathvvv last won the day on November 4 2018

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  1. I do not think Canadian family physicians are overpaid. The us is definetely underpaid. Yes, when converted in CAD us family docs make more. But you also have to take account for that you live in the US and spend USD. In desirable locations (cali, nyc), 250 k is nothing once you take out taxes and cost of living. So your spending power does not necessarily increase significantly. Second, there is way more medical legal problem and the stressors of being sued daily is a big negative IMO. Thirdly, in the US family med tend to be a dumping ground for the uninsured and medically complex. So patients often come with multiple medical problems that you need to address in 10-15 min in order to meet your "productivity quota" further exacerbating the stress. Then you bill their insurance/medicare/medicaid and pray that you get reimbursed for what you billed. Last, in many areas of us (east coast, midwest), there is no culture of going to family docs for primary cares. Many will goto specialist directly or goto internal med docs who specialize in primary care. So competition for patients may be a problem. Don't get me wrong, there are sweet spots for family docs in the US but they are not the norm. Things are changing slowly but overall from a lifestyle and income perspective I think Canada overall is better. When it comes to specialist who are procedure heavy (ie ortho) its another story entirely. source: USMD grad, working in Canada
  2. BC discloses all physician salary on their blue book. You can google it and see how much family docs make in bc. Overall (I don't have raw numbers with me), but Ontario docs makes about 15-20% more than BC. Prior to pay raises this year, the most common visit code billed (100 code in bc vs a007 in Ontario), BC pays you $31 for a 15 min standard visit and Ontario pay for 34. Also Ontario has the FHO model which is capitation which pays you for the number of patient you roster, but BC has a bunch of disease bonus codes. So the pay will vary depends on your clinic structure and payment model and scope of practice. But lets say if you do see standard 35 patients a day, minimal to no procedures, minimal to no complex care, Ontario beats out BC by 10-20%.
  3. I think overall most programs well prepare you well to work as a family doctor on an outpatient clinic basis. But if you want to practice rurally or want to increase the scope your practice, there are obviously programs better for that. For example, rural based program will give you more exposure to rural medicine (er, icu, hospitalist, obygn etc). However, opportunity is what you make of it. I interviewed at basically every FM program (except MUN and alberta), and the impression I got is that residents from every program are happy with their training and feel confident. I was in a big urban program for residency and I had colleagues who graduated and do rural work in NW territories and Yukon with no problems. So you can definitely get exposure to comprehensive family medicine in big urban programs if you are proactive in your learning. Not to beat a dead horse, but yes Calgary has a rep as being a sub par program (but still good as it is still accredited lol). But if you look at carms stat, it always have spots left over. And from what I heard on the interview trail, most people rank it pretty low unless they have geographic reasons for being in calgary
  4. Yes and No. While its true that you "can" get into med school from any undergraduate program, some program in nature are "structured" in such a way that it makes you more competitive. McMaster health sci is well known for this due to the fact that apparently it is fairly easy to maintain a high GPA (#1 criteria for med school), also with counselors and alumni that you can connect with to hone/improve your med school application/interview skills. Because of this, >80% of McMaster health sci ppl get into med
  5. I seriously doubt this would happen. U of T has one of the biggest (I think second biggest family medicine residency program after UBC) in Canada. So I doubt being family medicine/primary care hinders you at all. There is emphasis for being researcher/academically inclined but thats more the bonus you get during application for being a grad student. When it comes to interview/file reviews it depends on who reviews you. I have met plenty of u of t alums with little to no research experience at all. So its definitely not a deal breaker
  6. Im sure this question can be solved by going to the McGill med website and looking it up or emailing the admissions department
  7. both is relevant they are both useful and relevant equally in medicine (depends on specialty, one may be more relevant/useful than the other) do what you are interested in
  8. http://www.joshualiu.ca/about/ maybe read about this guy went to U of T for med school, really fell in love with entrepreneurship. He finished got his MD, decided not to do residency, and became an entrepreneur full time. Doing well for himself and using his medical training in the field of medical technology and business.
  9. your school usually have "hand me downs" of old Samp questions, do those to get a taste of how prepared you are but otherwise, stick with family medicine notes/uptodate/ccfpprep.com, cover one or two topic each day and make sure you know it well if you do that and reflect on cases you see during the day and integrate what you learned, you should have no problem passing the Samp
  10. Most people that I encountered in med school and onwards are genuinely nice people. I think premeds by nature are competitive and a lot are insecure. They mask that insecurity with arrogance and cockiness. With the process being very competitive and limited number of med school spots for overwhelming more applicants, there is a lot of that mindset as you described. However, once people get in I think a lot of that competitive edge is gone given that they had made it. Ofcourse, there are people who are jerks who get into medicine, but the interview weeds out the large majority of them and the jerks (who can't fake being nice) are few and far between, at least at the residency and colleague level (staff/teachers are another story :))
  11. unfortunately the number of spots is way too tight to allow for any room for error , especially with cmg applying to competitive specialties or having a change of heart in fourth year and applying to a different specialty that they had not done electives in. sure, the long term solution is to a) decrease medical school spots to ratio the 1.01 to 1 cmg to residency spot ratio or b) increase funding for more residency spots. both of which needs to occur at the administrative level and may take years if it happens at all. the only thing med students can do is to maximize their options. I agree that preclerkship does not prepare students well for USMLE 1. However, the first two years in Canadian med schools are pretty "chill" and there is summer breaks as well. There is no reason why Canadian students cannot study in their own time to do well on step 1 (pathoma, uworld). At worse they become more proficient in the basic sciences, at best they open up a fallback option in the states. If they aim for family medicine or psych in the US, they don't necessarily have to aim for the moon, anything around average or even below average in step one would land them a residency in the us
  12. It sure is dont apply there, leave the spot for another low tier applicant who wants to do medicine
  13. thats average, that means a significant amount of the class have lower that have gotten accepted even if you pull a 4.0, its not gona raise your GPA by much, but if you screw up , your GPA can plummit very little upside very big downside for just one school
  14. For USMD schools, you may have shot with "low tiers" that are canadian friendly ie Wayne State, GWU, georgetown, penn state, suny upstate, rosalind franklin, michigan state But with that said, you need to have BETTER than the average entrance GPA. So your 3.5 GPA may sink you as averge GPA for those schools tend to be >3.6 So I think doing an extra year and killing it make sense. Opens up UWO (maybe if they count that year and your first year of 3.8) and may push your GPA to above 3.6
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