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1D7

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1D7 last won the day on October 16 2019

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About 1D7

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  1. I like my job and I'd do it again. I feel like certain specialties (IM, general surgery) do have a higher proportion of unhappy residents, usually due to a high demand in terms of hours/calls, and also the general feeling that your specialty is often a dumping ground for many others. It doesn't help that some residents in these specialties are only there because they want to pursue a subspecialty that requires one of these base residencies.
  2. Almost all medical decision-making across every specialty comes down to applying heuristics on some level—the difference is if someone has published good data on it (forming guidelines that you can follow) or if you have to rely on the heuristics you've developed based on your own (or your attending's) experiences. However there are specialties where a large amount of time is not spent on medical decision-making. Any procedural specialty (surgery/IR/medical procedural subspecialties) will more frequently encounter unique acute situations that require on-the-spot thinking & problem-solving during procedures. There are also specialties that often deal with rare conditions or atypical manifestations that do not have good guidelines/consensus (specialized paeds). Specialties dealing heavily with the spatial effects of tumours & oncology also for similar reasons have to think outside the box (rad onc, surg onc, radiology.). Based on my experience, FM and EM rely heavily on decision-making heuristics due to large volumes of undifferentiated patients presenting with a variety of issues, and the fact that the decisions regarding definitive diagnosis & management of unique cases are often made by a consultant service
  3. For CaRMS I largely agree with the above poster except that I would place a bit more emphasis on the CV. With the changes that are happening (fewer electives allowed in one particular specialty, potentially no outside electives with COVID), the CV may actually increase in importance, especially for sites where you don't get to do an elective at. In terms of the CV itself, if it's mostly empty or comprised of primarily fluff, it will stand out negatively and impact your chances at receiving an interview. However, I would argue having a small amount of fluff is actually important... when reviewers scan CVs they spend most of their time at the top (scanning what should be your research experiences) and bottom (scanning your fluff like personal interests). That 'fluff' may come up in interviews when it's something interesting... like being a varsity athlete, strong performance at an instrument, or even having a similar interest as the reviewer. Mine was brought up in probably 15% of my interviews and definitely helped for those ones (gave me something easy to talk about, personalized me, etc.). To answer your question, fear not, 90% of medical student volunteer initiatives are pointless because it translates into meaningless fluff if it's put down on a CV. As a M1-M2, mostly this means you should pursue any available research opportunities and maybe look for a leadership position. A COVID initiative could be interesting but unless you're involved on some sort of decision-making level, it won't bring much to the table.
  4. Most people find a job after residency or first fellowship, of which the total length of time rarely exceeds 6-7 years post-medical school. In a few specialties it is common to do multiple fellowships or even advanced degrees, but you'd know that was the reality walking into those specialties tbh. Typically 'difficulty finding a job' in medicine means you may have one or a few option(s) but the option(s) may be in an undesirable location, involving work you don't really enjoy (e.g. being forced into taking on general cases in your specialty, only able finding work doing locums, lacking elective OR time, getting undesirable cases dumped on you, etc.). This sounds like what your friend is going through, and it the reality of almost all surgical specialists; though increasingly more and more medical specialists are experiencing this too. I wouldn't let this dissuade you from medicine though. Like I said, most still find a job. And if flexibility was high on your priority list chances are you'd do something like family medicine.
  5. 1. You will learn how the match works in medical school. You can think of it as the algorithm going down your list of program preferences and checking to see if they ranked you highly enough for a spot. It will do this over and over until all spots are filled. In this way the applicant is essentially always favoured in the match and you should always rank by your true preference; the program liking you should have no sway on your decision. 2. Research comes about usually by either applying to some standardized research program your school does (if applicable) or finding mentors in your specialty of interest praying they have a research position open. Other than that you can try getting to know residents and seeing if they have anything or cold emailing if you're desperate. Other extracurriculars are mostly either to help demonstrate interest or some CanMEDS quality; not too important. 3. The overarching strategy is similar for most specialties. Do well on electives. Build your CV. Get to know and try to impress your home program by networking (there are always some sort of surgical events for medical students every year). Don't do anything that shoots yourself in the foot. Etc. There are dozens of similar topics and hundreds of posts from recent years about this, just search around.
  6. It was rare my science undergrad reinforced anything that wasn't sufficiently taught in medical school. It probably let me get away with doing a bit less work in the first 2 years, and helped me answer a few questions in the latter 2 clinical years, but all in all it didn't make much of a difference as long as you work hard. Most of medical school is dedicated towards teaching you pathology/disease. The normal biochemistry/physiology is typically limited to one or a few intro lectures in an entire block—not much of an advantage assuming you knew enough to do okay on the MCAT.
  7. Using your LOC it is not possible to go with highly safe investments since interest on your LOC will likely outpace gains. And to just to re-address offmychestplease's post that makes it seem like there's risk-free money out there, yes you can lose everything when playing risky. People who invested in WTI oil futures contracts when they were $0 (thinking it couldn't go lower) were completely fucked when it went into the negatives. People who invested in XIV thinking it was free money lost everything liquidated. More recently there was a pump and dump in May with UAVS where after a conference call dispelled rumours regarding a possible partnership with Amazon, trading was frozen (i.e. you couldn't get out) and investors who bought during the hype took a 40-60% loss. Oil futures briefly went into the negatives recently, forcing people who owned these futures to pay out. An analogous situation would be a supermarket selling you food by paying you money to take it. Image above shows XIV"s rise and fall to zero. This was believed to be a reliable investment, especially during its twilight years when it had a massive run-up. The image above shows UAVS run up after days of double/triple digit growth. Hours later after a conference call, trading was halted and the stock price dropped over 50%. Can you make money investing? Certainly. Can you do it without risk? No. Should you make YOLO all-in plays with LOC money? Probably not. In general I do think everyone who can afford to, should learn to invest because it will make retiring (or achieving financial freedom) much easier and less stressful.
  8. To answer OP's question you may do decent with leveraged index funds and blue chip tech. While you are likely to make money than lose money doing this, invest only what you can afford to lose.
  9. Yeah but that's basically buying a winning lottery ticket. It's pretty rare day to day that this happens to any single stock—the vast majority of triple digit % gains are made overnight. The opposite also happens with top gainers on other days. You do see drops of 20% in seconds, and those are far more common than seeing 1000% increases in a single day.
  10. There is nothing in your post that is unique to surgery nor this current point in time—for the past 10+ years medical students have had those exact thoughts. In fact aside from surgeons retiring, everything else you mentioned (i.e. universal increased demand for medical & surgical services) is worsening the situation. You cannot simply "create more surgeon jobs". For ORs alone you need OR nurses, anesthesia, porters, cleaners, x-ray/fluoro technologists, technicians, equipment, etc. The reality is that OR time is limited by government funding & factors other than having enough surgeons. And things will likely continue to worsen because money is being stretched thinner every year.
  11. The research you publish during your MSc is unlikely to be related to the specialty you want to enter and thus will be pretty low impact directly. You may also find yourself wanting a specialty that doesn't really care much about research. IMO the helpful part is helping open doors for better/more research during medical school and padding your CV with something meatier. So even considering the slight boost it may give you for certain residencies, overall I still don't think spending 2 yrs is worth it (unless it's something you enjoy or would have otherwise pursued anyway).
  12. This question is asked every year for X specialty that has a random boost. Most of the time it's just random variation due to low number of spots vs applicants. There are 9 Nuclear Medicine spots in Canada. There are 3000 CMG applicants. If out of the 3000 CMG applicants 5 more than normal decide to do Nuclear Medicine, that increases competitiveness by 50% from previous.
  13. The first two years of Western Med Sci were the easiest in the whole 4 years. If you're going for a GPA competitive for medical school, that's the least of your worries. Honestly it's probably an advantage tbh because if you can't make the average, it's a good wake up call at 2nd year to either radically change up your studying habits or your career path. Of your entire list of pros/con, I think the main reason to pick Western is because you will have more liked-minded classmates. People who don't want medicine are going to get cheesed if you voice your dissatisfaction with a 70-79 grade, whereas premeds understand completely. Also, competition isn't a necessarily bad thing. It's good to have people with the same goal in mind around; it keeps you up to date and on your toes. As for how 'hands-on' a course is, IMO the fewer labs the better. These are useful skills for certain fields of basic science research, not medicine.
  14. FYI enter it from undergrad or close to it from undergrad without MBA. MBA is only needed if making a career switch. If you are not knowledgeable about this career path, just stop posting about it. All of you seem desperate to prove a point without having any knowledge of these careers whatsoever.
  15. I didn't say there aren't advantages to medicine. It can be a rewarding career (for some of us at least). It's much more stable & structured. The pay floor is high. Everyone is well paid at a minimum and can work harder to make more. You can get very hands on and technical with your work in a way other professions cannot. It's a good career. Everyone who browses this forum knows that already; most of these facts are plainly obvious to the public. But more and more posters in these forums quote statistics from top 1-5% physician earners (or in some cases, the literal highest billing physician) and compare them to the lower or mid ranges in other careers. These comparisons remind me premeds or M1s glorifying medicine as the ultimate career, lacking any real understanding of it. If we're talking top 1-5% of earners in each respective field, then make that comparison of the established cardiologist/radiologist/ophthalmologist/GI to the established investment/corporate banker. If you want to compare someone starting out in their career, look at the M1 vs the analyst, M3 vs the associate, etc. I grew up in a lower-middle income neighbourhood and many of my friends and family have careers in a wide spectrum of professions (IB, corporate banking, accounting, software engineer, teaching, nursing, pharmacy, PT) and we openly share our career progression with each other. If you don't know people who have succeeded in IB, corporate banking, accounting, software engineering, etc. that doesn't mean they don't exist.
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