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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. Lol. Why would a top graduate move to another country for a lower paying job, a worse location (further away from home), worse weather, and licensing hassles? Most Americans would rather do more fellowships or have a crappy job in a crappy location within America, than go through the hassle of moving to Canada. Earning ceiling is either higher or much higher in America across all nonemployed specialties once you take a closer look at taxes. Things would have to get a lot worse for people to start coming to Canada for jobs.
  2. Not really much prestige in Canada tbh. I doubt anyone would be impressed if I did my training at UBC for example over Western. Harvard maybe, but even then it's just pointless vanity for the most part.
  3. LMCC and MCCQE can be taken to mean the same thing essentially. Histology slides are low yield... people have mentioned slides appearing in the past but the exam was recently redone to include more ethics type questions so studying any histology is probably a waste of time. Same with images mostly, you might get a few here and there but assuming you went through a proper clerkship I don't think any special preparation is worth your time.
  4. You don't have many alternatives other than to practice radiation oncology. Med Onc goes through IM training, you do not. What you read online reflects the American job market more than the Canadian. There can be geographic restrictions. As others have mentioned the job situation is cyclic; it isn't something you can predict or time. If you absolutely have to work in 1 area, then your main option is additional fellowships/advanced degrees if it happens that you graduate at a bad time.
  5. As an incoming M1 you should explore as many fields as you can (i.e. family) before settling on neurosurgery or radiology—one of the biggest mistakes is forming an identity too early and becoming attached to it. It's not unheard of to hear about a med student who always wanted to be a neurosurgeon realize his/her mistake the first week shadowing. I have known a few people who have switched out of neurosurgery into other specialties, including radiology. Mostly it boiled down to years and years of endless job training (6 years residency, 1-2 years fellowship plus often 1-4 years advanced degree) in a residency infamous for its hellish hours. That's a minimum of 8-9 years of inhumane, grueling training in most cases, though 10+ years is not uncommon. The end result is that you are a highly specialized surgeon waiting for someone to retire, probably in a place you may not like, just so you can take their job. You need a very specific personality and family life (or lack of) for that to work and for you to not hate/regret your life. There's not much upside either if you want to do neuro IR: the training pathway through radiology is shorter (~7 years total).
  6. Could be worse. You could be in pediatric neurology (or pediatric most things)!
  7. Perhaps, but it wouldn't be overly surprising information, nor would it be particularly useful for applicants. If anything it might cause applicants to 'over apply' in some years to particular locations they feel safe, then get screwed over. This already happens to various specialties when there is a 'dip' one year, the year after has a raise in competitiveness.
  8. Good for them. Wish we had as powerful a voice with the government.
  9. Teaching is a pretty sweet job. For reference this is their pay in Ontario: "Step" corresponds to years, while category depends on your education (your average high school teacher is A3). You can increase your pay by being head of dept. Here's a bit of back of the napkin math for fun: Comparing a teacher vs family doc 12 years out from undergrad in terms of money and time spent working... Tuition: About 20k for B. Ed, while MD with elective rotations is about 120k conservatively. MD is 2 years longer as well which I'll take into account below. Raw Income: For the teacher 12 years out is about 820k earned, subtracting tuition it means they will have earned 800k. Their pension plans match dollar for dollar contributed so this number is closer to 900k. For the family doctor these numbers will necessitate assumptions, but I'll go with (-120k)+60k+65k+140k+160k+180k+240k+240k+240k = ~1200k. Hours worked factored in: I won't look at grading/paperwork or conferences because both do those. For the teacher there are straight 2 months of vacation, meaning the doctor works 20% more weeks. On a day-to-day basis teachers work 8am-4pm on average with a solid 45-60 minutes of lunch/additional break in there but we'll round up to 40 hours/week; for the family doctors it's about 45 hrs/week. That's about 10% more hours per week, plus 20% more working weeks for the MD (1.10*1.20 = overall 32% more work time per year for the MD). Therefore a MD spends about 32% more time working, for about 30% more income (1200k vs 900k)...therefore money for time worked comes out to about the same, up until about 12 years out from undergrad. If the family doctor decided to work the same amount as a teacher he/she would be making the same amount 12 years out from undergrad (i.e. 6 yrs into independent practice). There are lots of pros and cons for docs in terms of money and time that I didn't really take into account (significantly greater work hours during residency, delayed timing of investments in stock market, less vacation time overall, malpractice insurance payments, professional corporations as retirement vehicles, etc.). This is also purely a time/money perspective and doesn't take into account the fact that a family doctor may deal with matters of life and death, and is exposed to significantly greater workplace hazards.
  10. Do not pursue medicine as a career. I strongly recommend against it. It will not be a good fit for you if you have frequent relapses. Getting in will be a long shot (you have essentially no chance right now for any Canadian school). Even if you are able to enter, you will need to endure and pass medical school and residency which involves class work that is much harder than what you have already encountered, as well as clinical 24h call. And if you are able to survive that, your ability and freedom to practice as a physician will still be severely limited by both your condition and your provincial college's monitoring of your condition. I'm sorry I can't say anything more positive, but based on what you're telling us, you will be much better off pursuing another career so you can maintain your health.
  11. Agree with above, psychiatry is probably one of the highest yield since you may not even have a rotation in it during residency despite psych patients taking up a large chunk of your time/volume. Dermatology can be another good one to have, mostly to give you more exposure into what the bad stuff can look like.
  12. The 'younger' family docs (20s-40s) I've worked with have all been happy with their lives. There's stuff they don't like (mostly paperwork, admin, and certain patients) but none of them would prefer to sacrifice lifestyle for it (location, hours, call, additional painful years in residency). My own family doc encouraged me to pursue family medicine for whatever that's worth. I don't think pay should be a big factor in your decision since family medicine does out earn some 4-5 year specialty residencies (e.g . neuro, paeds, etc.) and has options to literally be some of the highest earners. Additionally the fact that you start earning some real money 3-5 years earlier than many other specialties puts you ahead in terms of life and investments, which is worth quite a bit with our decade-long bull market. It's not all sunshine and roses but people tend to overemphasize the downsides of family medicine. As for what you read on the Internet and hear from vocal physicians, there is a lot of 'grass is greener' phenomenon. In general all of us are expected to work and do more despite fewer resources and down trending pay. Complex psychosocial issues are now increasingly being encountered and affecting our ability to provide care in non-psychiatric specialties like emergency medicine, internal medicine, even radiology. The respect for being a physician has diminished with the rise of the Internet, hostile media, pseudo-medical organizations (e.g. NDs gaining prescribing rights), anti-science movements (e.g. anti-vaxxers). This is also exacerbated by American sentiments regarding primary care, where not only does family medicine experience the same issues with greater severity, but also face openly hostile midlevel organizations. If you enjoyed your family med rotation, I would not let these things dissuade you—these are challenges that we will face in one way or another across all specialties.
  13. If that is true, 3 is a lot. To compare, 3 is more than many programs have had in over a decade. Personally that would significantly affect my rank list for any program. But who knows how true that is. If OP is applying this year, maybe he/she is motivated to 'affect' people's rank lists.
  14. There are a few odd spots randomly dispersed. Most are not 'held' for anyone I don't think.
  15. Not completely related but at Western many, many years back there used to be a emerg psych nursing service that would help see patients then review with the staff psychiatrist. The entire service was stopped after some admin realized they could shift all the work to residents instead.
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