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1D7

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1D7 last won the day on October 16

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About 1D7

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  1. If you are interested in neuro IR I would recommend doing a radiology or neurosurgery residency given they are the main specialties practicing neuroendovascular techniques in Canada. You will also in general receive better training in neuroendovascular techniques through training in neuroIR/neurosurgery than neurology.
  2. The people I know who did this sorta stuff did not match well lol. I think it's an honest coincidence though, either that or they knew they were weaker applicants and tried to make it up in other ways. I don't think it makes a real difference either way, but yeah everyone likes free coffee and food.
  3. OP your school should provide you most of this information by the time you start clerkship or soon after. Reasons going unmatched is bad: You have a significantly lower chance of successfully matching the next year into any specialty and if you go unmatched again after that, your chances further drop. Some schools may not let you go past a 5th year. Without clinical exposure, your skills will further atrophy. Social/mental health reasons (imagine literally every classmate and med school friend you know moving on in something they love, while you're playing the slots machine hoping to match to anything). You must demonstrate you're not a fuckup to a program to have a decent shot at matching. Your money will run dry at some point since most schools will make you continue paying full tuition. Most unmatched applicants were probably non-family med/pathology applicants but for most unmatched their best shot the next cycle becomes family med or pathology. As for why programs discriminate against the unmatched, from their perspective of the program/PD, an applicant who has gone unmatched in their cohort may have something wrong with them. This may be a red flag on their application, being unprofessional at an interview, being the bottom-of-the-barrel from their class, etc. Of course in reality most unmatched applicants would not have issues as residents, but the probabilistic risk of having a problematic/subpar resident is higher when selecting from the pool of unmatched vs the new CaRMS cohort. An additional concern from the perspective of the program is that even if the resident performs well, if it wasn't his/her original specialty of interest then they may just be using the funding to try and transfer out. This would be highly disruptive to smaller/surgical programs.
  4. It seems like location is as or more important for OP than specialty. To optimize that, developing his/her application for 1 "highly competitive" specialty + FM would be much better than doing 3. For highly competitive specialties they also need research in their field. This is probably even more important for UofT which is a large research centre. To answer's OP question more directly, it is highly unlikely you would be dismissed just for applying to multiple specialties. But some programs will rank you significantly lower on the interview list or even dismiss your application if you do not fulfill certain checkboxes like dedicated research in their specialty. I do not know if this is the case for the programs you are applying to but my point is that it is near impossible to develop a strong application for 3 very different competitive specialties. If you're already at the stage where you're submitting CaRMS I suppose it's too late to do anything about it and you should fire off those apps to all 3 specialties since it won't hurt. There are certain people that could make this work, but I'd reserve this sort of advice for people I know well. The person has to value the specialty more than matching, needs the means (i.e. supportive parents of at least middle income family) to survive an extra year without income, have the soft skills and traits to have a chance with this strategy, etc.
  5. It is extremely unlikely they'll speak to each other. You'd have to do something that warrants people to talk about you in general... and that is very rare. Regardless, it will still place you at a disadvantage if you are applying to 3 competitive specialties with an application split amongst the 3.
  6. If you mean clinical rotations then UWorld Step 2 CK is pretty good. You'll get most of the answers wrong but the answer explanations are extremely informative. If you mean some sort of lecture class room then it's probably too complex. Boards and Beyond is a popular lecture series.
  7. Elective cap is really bad. First of all it doesn't really change the number of unmatched because it is primarily a # English speaking spots:applicants imbalance. People will still be unmatched and in the same numbers. Backing up is not "more viable" because now everyone will have a back up. Secondly for small programs if you bust your ass for 5 years you want to find some coresidents you like and at least a few staff you can see as future mentors. Programs and their culture can be very different, e.g. expectations to work postcall, research expectations. Now you can't see as many programs.
  8. Luck is a tiny bit overstated in this thread. Yes there is luck, but most luck factors can be controlled/mitigated, including reference letters and evaluations. The main one that you truly have no control over are the number of applicants to your specialty of choice in your year. The less you excel and the fewer skills you have, the more you leave exposed to luck. E.g. Someone with an excellent research background prior to medical school will be able to succeed in publishing some research if desired. Someone with no prior exposure at all will rely mostly on luck to find an opportunity and luck to succeed with the opportunity. The system isn't quite as black and white as that but it's a similar idea. Soft skills (communication, observation, adaptability, resilience, personality, etc.) are the most important in setting up opportunities for excelling and thereby reducing luck. I think the situation is controllable to the extent that an excellent applicant, even the most competitive specialties, will certainly match somewhere in the preferred discipline. I have not met many such exceptional applicants but the ones I've known have all matched to their first choice—there is a vast gap between them and average applicants in their respective specialties of choice. Just to be clear though, the opposite isn't true. Most unmatched applicants would make (or are) fine residents. Usually it was a combination of applying to match to a competitive specialty and not backing up that led them into that situation. The devastating part is that the system is unforgiving and going unmatched significantly decreases your future chances of matching; hopefully someone will finally improve the medical school-to-residency position ratio.
  9. Nothing wrong with provincial preference policies—most people would not stay in Saskatchewan if they didn't have a significant history there prior to their medical training. The only issue with their policy is how lenient it is, but that's on them. It's not some next level deceptive exploit anyone is pulling. Their policy explicitly makes it known that you just gotta be there for a few years to gain IP status... should be easily foreseeable to the policy maker that some people will move there just for IP status. As for admission criteria fairness, I think applicants are usually overly self-centered in their views on 'fairness'. Usually these criteria are made with specific needs of the population in mind—applicants are a secondary passing thought. So yeah, maybe the average applicant at Sask medical school would not have been able to interview at A, B, C medical schools but at the end of the day the reason the average whatever admission criteria is lower in Sask is because their pool of applicants is tiny (95% of their seats reserved for in-province applicants). But those are the people who would actually stay in Sask after training and that's what really counts from the perspective of the province and patients. It sucks to be an applicant in and from Ontario but unlike Sask, Ontario med schools do not have the same issue with receiving applications nor retaining 'outsiders'. Overall personally I don't think it's wise to go to a particular province straight from high school just for IP status. You don't know if the criteria will change overnight. You don't know if you'll pick another career (from HS->end of uni many people change their minds, or have their minds changed for them). You don't know if you'll do well enough to make it in even without IP status.
  10. lol another poster a while back said if you move to the yukon you get IP status for Sask, UofC, UofA, UBC, Manitoba, and Memorial. OP there's your golden ticket right there.
  11. Your chances to interview will be low at those 3 schools unless it's your home school. I do feel that your home school is more likely to interview you for FM and you'll have letters from people that are more known to the PD. From my observation your overall chance at matching in Ontario is still moderate-high as long with only 1-2 post-carms elective in FM (assuming you have 3 strong letters for FM and apply broadly). I know people who matched to urban/regional sites in Ontario who switched last minute (had good letters for FM, at least 1 precarms elective in FM, originally wanted a generalist/primary care field like paeds/IM/psych). Your chances are going to be a bit lower than that switching in from a specialist field and without a precarms elective (meaning no elective rotation letter).
  12. Your best shot is at your home school. Despite having absolutely horrendous applications for FM for our home school, most of the specialty students who didn't match to their first choice discipline were able to back up into it at our home school. Almost all the few remaining unmatched ones were able to find 2nd round spots. Most of these people had at most 2 weeks of electives in FM. I advise ranking all programs though still since you can usually transfer into FM—and hey, maybe you'll end up liking the specialty you originally wanted (unless it's a terrible lifestyle specialty, cuz if you don't like it now you're probably going to hate your life as a R1). In terms of extra spots I'd advise checking out the 2nd round availabilities in the last 2 years.
  13. 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.
  14. 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.
  15. 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.
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