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1D7

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  1. 1D7

    Clerkship resources

    CaseFiles is adequate as R says above; if you want a book that gives you lists, you can use Symptoms to Diagnosis. Supplement with OnlineMedEd lectures and you'll be good. If you want an approach to a specific symptom from start to bottom, and want to learn how to investigate and manage more like a resident, then I would actually use 'point of care' resources like DynaMed (it's a more concise version of UpToDate but contains much less information) or UpToDate. However going with the textbooks is generally more useful for clerkship (which is what I'm assuming you're studying for). Many attendings will expect you to know 'medical student level knowledge' and may not even bother to ask you any questions on investigations and management beyond the basics. There will be many who focus on pathophysiology, H&P, and diagnosis heavily, and will look for you to mention random 'key facts' or buzzwords. CaseFiles and other textbooks are more likely to highlight those random key facts to know.
  2. Friends: I was still involved with the core group of friends I had before medical school. Much less time to actually interact with any of them face-to-face. People I saw weekly before medical school, I met up with only monthly or a few times per year. Although the workload was not unreasonable in the preclinical years, the distance to home discouraged me from travelling back often (and even when I did, time had to be allocated to family/SO before friends). I imagine if I did my schooling close to friends that I'd probably see them more regularly during preclinical years. During clinical years there was no time at all for those sort of interactions. When we would meet up I generally avoided talking about medicine except when they asked about it. No reason to talk about it when it already dominated my conversations with my classmates/med school friends. SO: Medicine was a heavy burden. We both had busy and often incompatible schedules. Finding someone understanding and supportive is definitely key.
  3. If you consider Obstetrics a surgical specialty that's your best chance at doing a 5 year specialty with minimal or no additional training (i.e. 1 or 0 fellowships for reasonable work location). With regards to post-residency qualifications, it seems that one fellowship plus a Master's degree is sufficient in most surgical specialties to find a job, at least for now. Often a MSc can be completed in just 1 year. Surgery is the toughest road, but keep in mind that it is the norm for most 5 year specialties to face bad hours/call and require a fellowship to find work in a reasonable location.
  4. 1D7

    Med school If you don't like biology?

    The most relevant science field to understand in medicine is physiology. Learning about disease in your preclinical years is mostly learning about how and why normal physiology becomes deranged. Medical school is less basic science heavy but you will still learn and apply a lot of knowledge from physiology. On top of that, I will say that of my peers who had opportunities to go into good consulting, investment banking, and other high level business jobs, 100% of them have varying degrees of regret coming into medicine (they all came in desiring prestigious and well compensated specialties). I don't say that to discourage you necessarily, but understand that it's a tough road and that the long hours of a 5-8 year residency+fellowship is more wearing than almost any other career out there if your primary goals include prestige and financial achievement. With regards to the match, if you come into medical school for family medicine you will be okay. If there is any chance you want to pursue a competitive specialty, then prepare to work hard and network. Another plus of FM is that if you end up disliking medicine, you will only have to train for 2 years after graduation.
  5. In terms of exploration, at Western you can take selectives during clerkship (rads, path, ophthal, and subspecialties within IM, surg, psych, peds, etc.) Only thing that's missing is dermatology really.
  6. The basic sciences can be very important, but there is no sense in the current method of teaching. As it is currently, learning how to visually recognize certain histopathologic features/diseases on slides is utilized at most by 5% of each class. There are many basic science fields which are arguably more relevant to most clinicians (e.g. medical imaging physics for radiology, biomechanics for trauma/MSK) which are not taught--even nutrition typically only has a few basic lectures. A lot of the basic sciences taught in medical school is a holdover from a previous era, not because it's particularly important. When training clinicians, it's backward to teach in depth the basic sciences first. Students only need the most basic of the physiology and pathophysiology knowledge before they are able to understand the disease. Once context has been established, i.e. the 'what', the smaller details become easier to retain and students are more eager to learn 'how' & 'why'.
  7. I agree with ellorie for the most part, #1 consideration should be general happiness, meaning being close to friends & family. Medical school will be tough, and having friends and family in the tough moments will help. For curriculum if you want to be a family doctor 100%, go for a 3 year school, you won't regret it. As you get older and older, each year counts more and more. If you know you want to be a surgeon or go into another competitive specialty, I would advise going to a school that maximizes elective time and gives you time to do research (i.e. summers off, time for USMLEs). If you are unsure what you want to do, or only half sold on a specialty, then IMO a 4 year school that front loads clerkship is ideal.
  8. Would healthcare providers actually stay though? I imagine people would just do locums occasionally or leave after working a year or two and building up some money. The only ways for these communities to receive more care is if the ROS was simply extended longer and more stringently enforced. Only other option is to have more 'SWOMEN' or 'indigenous' type admission bonuses for medical school admissions, but that takes years to have any effect.
  9. The nature of CaRMS makes it hard to backup. It's obvious to any PD if someone's primary intention is a competitive specialty; most of these students have 50-100% of their electives dedicated to that 1 specialty. Even if you are a good student completely happy to do FM, you have to be able to sell that to PDs who are going to be suspicious from the start. On top of that you can only do so many interviews at so many places. Dual applying will involve flying back and forth and sometimes there is literally not enough time to attend all of them if scheduling doesn't work out. I do see your point, but I doubt it's a significant number of people in that position.
  10. Many specialties can't work out in those areas though due to resource limitations, e.g. certain surgical subspecialties, interventional cardiology/radiology, etc. It would be unfair if only FM/psych/IM/gen surg had to do it. I agree with the spirit of the idea but it doesn't work out in practice.
  11. There are some issues with the unmatched MD-PA idea. First of all, I don't think they can replace PAs. PAs have good value because they can accumulate experience by working on teams long term (+++years). They know how the clinic flows; they know how to work discharges; they know the small details in what the attending wants. Unmatched MD-PAs are going to leave (hopefully) after 1 year, maybe earlier if they need extra elective time. There's no guarantee a team that actually needs the extra help will be able to find an unmatched MD-PA year after year. Not ideal for the team or hospital. Secondly, who's going to pay for these MD-PAs? If they're government funded that's extra money that could be used for residency positions instead, since they'd see patients attendings bill for. The only option would be mandating their homeschools to take them on and pay for them, which I suspect they'd fight tooth and nail since that's an extra expense.
  12. ^Nothing wrong with switching careers. Plus it's more like 4 years if he's she's able to get in somewhere close to home -- preclerkship isn't really disruptive.
  13. 1D7

    Medicine vs. Dentistry

    Assuming you want to do family medicine or general dentistry, since these have the shortest training paths, IMO family medicine is a better career. Although family medicine is a slightly tougher and longer training path, you'd have an easier time as an attending family physician than general dentist (less to worry about when it comes to running a clinic). Other than the training, the only other downside is if you don't like the family medicine clinic environment, which involves significantly fewer procedures day-to-day and a lot more script writing.
  14. For #6, York and Ryerson are not small. York is one of the largest universities in all of Canada and Ryerson's student population is greater than most universities outside of Toronto. The main reasons these schools don't send many students to medical school is self-selection. High performing students have their pick of universities and will usually head to prestigious/well-known programs (i.e. McMaster, UofT, Western, McGill, Queens, prominent West/East coast universities). On top of that, good students rise to the level of their peers (i.e. you can learn a lot from successful friends/colleagues) and the challenges set for them. Here's an old but relevant article with a nice graph from 2014: http://www.macleans.ca/education/university/gambling-on-an-m-d/. My main point is that if you work hard & smart, form a social network of successful peers, find mentors, and keep an eye out for good opportunities, you will do well regardless of where you go. The caveat is that of those things listed, the extrinsic factors are easier to find at the well-known/prestigious programs.
  15. mirin #3 hahaha haven't heard of that one before, now that's gunning
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