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1D7

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1D7 last won the day on October 16

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  1. Time and time again I am impressed by the level of gunning that premeds are capable of. I'll save this one along with another post I saw a while back.
  2. To expand on this... Usually an element of naivety/ignorance exists. Attendings rarely let med students know the full reality of what it's like. Plus attendings have an incentive to draw you in (an unmatched surgical program = ton more work for everyone = higher attrition rates = more headaches/work for attendings). Yeah the job market is probably going to improve in 10 years hahaha Lots of overly optimistic med students. This potentiates with the big egos found in medicine in general. Unmatched? No way, I work harder than the rest. Not matching to top 3? No way, I am more likeable than the rest. Not finding a job in Toronto? No way, I am more talented than the rest. Etc. Competitiveness in and of itself draws students. Surgery or at least the idea of it is genuinely cool. For some that is enough to make them truly happy. For others it is just enough to trick them into thinking they'll be happy. Many medical students invest in identities very early on. If you identify with being a surgeon, it will be difficult for you to pick any other specialty as you progress. And yeah, everything NLengr said.
  3. If your only criteria is >150,000 (or within 45 minutes of such a place) and you're looking all across Canada you can likely find a community job or at least get paid doing locums until you find a position, assuming you pick from the specialties with better job markets (bad instead of terrible). I meant that if you're focusing on only a few Canadian cities (e.g. GTA+Hamilton+Vancouver+Calgary) then you're setting yourself up for bitterness and disappointment. Most people won't be one of the lucky ones at the right place right time so you just gotta expand your scopes and accept that you will be looking very broadly. Cardiac surgery's job market has been bad enough that some years you could literally only find jobs across the border in America and yet it fills every year. If competitiveness was based on job availability or happiness then family medicine would be top or top 3 every year.
  4. GPA from cGPA can be boosted substantially with how different schools weigh it (e.g. best 2 years, last 2 years, favouring upward trend, dropping lowest courses per year, etc.) OP needs to do some math.
  5. The answer is going to be the same basically across Ontario and any major Canadian city: bad or terrible. There are a ton of surgical specialists Ontario who would love to work in London; it's not some godforsaken wasteland. Finding a job where you want as a surgical specialist will come down to mostly luck (right place, right time, right person to retire) on top of being a great candidate with the right credentials. When someone says it's looking up for a certain surgical specialty, it means there's a wave of retirements but the long-term outlook will still be poor once those spots are filled. In fact if you hear such news as a medical student it might be even worse for when you complete residency since there will be new young blood in the group who have long careers ahead of them. Because of pressure to reduce healthcare costs and the fact that surgical residency spots have not contracted, things will continue to worsen overall. Some specialties are better/worse off than others but it still comes down to being either bad or terrible. If your question is if you will have a job period, then yes you will be able to find some job somewhere in Canada if you're willing to work anywhere and do anything. It may mean you might practice in a way you don't enjoy or practicing in a location you dislike +/- doing additional pointless years of working as a fellow while job searching (depends on how bad the market is for your specialty, e.g. ortho will be 2 yrs of fellowship).
  6. They start out in 100k+ more tuition debt from medical school and have 1 year more of residency (100k in lost earnings). The debt amount is even greater if you count their undergraduate degrees which are on average also at least 2-3x more expensive. As said above the COL varies greatly and I don't think it's fair to assume the money will go further since many of us would prefer desirable working locations as it is not our home country. And if desired, we too have our own versions of "middle of nowhere" with low COL and high pay as well. So at a baseline they start attending-hood at least 200k CAD down compared to us. That's a significant amount of money that could go towards passive income investments or a down payment. And one additional work stressor that they deal with that I haven't seen mentioned are patient satisfaction scores. They are playing an increasingly large role and some doc's down there have some portion of their pay tied to these scores. Combined with greater litigation risk and insurance hassles (yes you do have to call sometimes to get paid when insurance tries to fuck you), it's not all sun and roses working in American primary care.
  7. If a pharmacist wants to be called Dr. X I have no problem using that title—I have yet to encounter any pharmacist who introduced him/herself with that title so I default to their first name. Additionally I have never had to use a pharmacist's name in a clinical context to a patient so I don't see it as any form of disrespect. For defaults it just comes down to tradition. Residents are often referred to by their first name even though they have a MD. Dentists, optometrists, and podiatrists are usually referred to as Dr. X because they are usually the primary clinician in their respective clinical settings. Several of my old classmates had PhDs prior to entering medical and dental school but avoided the title because it would create confusion. Same with my pharmacy friends. This tradition exists to reduce confusion, but if someone introduced themselves as such I'm sure most people would be fine using it.
  8. In a clinical setting it confusing for patients if PharmDs and PhDs are referred to as Dr. (not that PhDs walk around rounding on patients anyway). Nothing to do with superiority. Yes FM is a very attractive specialty and it is likely better to be a family doctor here than anywhere else in the entire world, but it is designed to be that way. There is an overemphasis on specialization in America and in part it is caused by the incredible disparity between the highest earning specialists and FM (i.e. neurosurg/ortho making 800k-1+ mill/yr vs family doctor making 225k/yr). I do think that we have a better overall system so many of these comparisons are not particularly relevant; it's not like we should strive towards creating billing insurance nightmares. Comparisons with PhDs are also not relevant since a MD is a professional degree for physicians, while a PhD is an academic degree with highly heterogenous vocational applications (e.g. PhD in English vs petroleum chemical engineering vs mathematics). Anyway while I don't think family physicians are overpaid on average, there are a lot of unwarranted complaints about income disparity. During these arguments for some reason the highest earners of other specialties are cherry picked to compare vs the average family physician when we know that family medicine is #3 on the top 100 earners list and the average family doc does reasonably well, especially considering the intangible benefits of pursuing FM as a career.
  9. As others have said, if the whole class is suffering they won't fail all of you. The curriculum committee has been quite accepting of feedback in the past. Unfortunately you will not see much the fruits of your labour (complaints). It will mostly be subsequent years who benefit hah. I feel bad for you guys. On most days I'd sit at home watching lectures at 1.5-2x speed and supplement whatever I needed with my own material. My suggestion in the past was to just make all of med school more streamlined and accessible (online lectures you can watch quickly, removal of most ILs, creating supplementary notes mirroring the lectures so students wouldn't have to write anything down). Unfortunately these committees tend to draw out the wrong kind of person. The M1s and M2s on the committee were basically clamouring for more work. Attendings would defend their useless lecture/IL to the death.
  10. Use your strongest letters. Not a red flag to use only home school letters. There is an extra edge obviously having a letter from the program you're applying to, but not enough to compensate for a weaker letter.
  11. I work in an inpatient setting and none of the PAs at the hospital where I work want to go to medical school seeing how hard the residents work (2-3x the hours they do for half the pay). If you want to work similar hours to what you do now as an attending, you will probably never recuperate the financial opportunity cost of going to medical school and residency training if you become a family doctor (debt + lost earnings + lost of passive income investment + interest on debt). Even with working similar hours, the stress will be worse than what you do now. Sure, there will be methods to make bank as a family doctor that you probably can't do right now (e.g. flying up north and working like a dog in an isolated frozen wasteland for several weeks/months), but there's a reason that pays well and yet no one does it. If you do IM that opens more doors financially but the residency hours, stress, and lost income will be worse, much worse. Some people grow bitter in your position because they resent not being "the doctor". If you're one of those people then sure go give it a try since you don't have any hard commitments. I think you'd be better off financially (at least for the next 15 years) and well ahead in your personal life/happiness if you stick with what you're doing.
  12. I don't know anyone who had CASPer hold them back from a residency interview (this is coming from someone who went to a school that did not require it). I don't think it is exactly the same as the one used for medical school admissions in that I'm pretty sure they use different scenarios, but the overall structure and 'strategy' is very similar. If you can type fast (i.e. being born in the late 80s/early 90s or later) and know some how to articulate the way you analyze situations and ethical dilemmas you're probably set.
  13. 1. ECs that matter: Research 2. ECs that somewhat matter: Leadership positions, impressive interesting/unique experiences that can be brought up during a professional interview 3. ECs that don't matter much: Fluff that is interesting/meaningful to you (only because it could possibly be useful during an interview) 4. ECs that don't matter at all: Fluff that is more or less pointless (generic experiences that people skip over if they were to see it on your CV) Overall ECs don't matter much except for research in more competitive fields. And even for research it is often just a checkbox unless you're able to publish something truly impressive (which comes down to winning the lottery basically). Aside from research, you only need enough of 2. and 3. to fill up a page or two on your CV. For matching it comes down to not having red flags (most important) > elective performance/networking > LORs >> Research >>> Other ECs.
  14. I agree but I would still advise a home school elective because core clerkship and electives are sometimes seen differently. lol@hidden curriculum. Just use some real world common sense. The official answer is that in theory you could get an interview to any specialty with the bare minimum, like 1 elective and nothing else. That however would be like trying to gain admission into UofT med school with the lowest possible allowable GPA and MCAT. The reality is that for any competitive program there are an abundance of good candidates competing for a limited number of interview spots. If you want to maximize your chances at an interview and matching then you want to do a home school elective. The only reason you wouldn't is if you have good reason to think that they're interviewing you no matter what (e.g. your research mentor is on the committee sending out interviews, you're best friends with all the chief residents, your uncle is the PD, etc.).
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