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1D7

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Everything posted by 1D7

  1. For the same project? No unless things are already very well laid out (i.e. your preceptor has a good idea of how it should exactly proceed, and you know what authorship position you'll be in). While some projects are quick and easy, others can run into messy roadblock. In the latter situation if you have someone that is overly competitive or snake, then it'll cause big headaches for you down the road. I would otherwise try and help out and ask my preceptor if there is another project available or check my emails and see if there was something for him. Introducing him to the preceptor is reasonable, given that if you don't he will probably eventually introduce himself to look for a project.
  2. 1. The uncertainty in most careers is a tad bit overstated. If you work hard, fit in, and don't leave/get laid off, by default you will at least reach middle management in most fields (this is from my friends experiences in accounting & finance who have risen to those positions). The timing varies a bit, but typically by only a few years internally within each company/firm. Of course this is still way more uncertainty than medicine (where you don't usually get the threat of being laid off but still have to work hard and fit in), but it's not like you could stay an analyst indefinitely in IB or a junior programmer. 2. The hours in most careers outside of medicine is definitely overstated. By raw hours except for investment banking you won't find anything that matches a surgical or tough IM residency. The reality is that it's not even comparable to work 100 hours/week with days of 24-36 hr shifts in the hospital (where you often can't use the washroom or eat in a timely manner), vs 100 hours/week working mostly during the day in the office (or at home). You're also paid as a resident literally 40-50% what a junior would make in IB. The responsibilities of a junior resident in these specialties are also usually greater than a junior in IB. Your friend also had it extra rough even for IB, most people only need to start at 8am or 9am (since that's roughly when their bosses/seniors get in). Outside of IB, most nonmedicine careers do not regularly work more than 80 hours a week. And again none work those hours and have the same kind of 24hr+ shifts. In tech you can make 120k+ starting off without putting in those sort of hours mentioned above. 3. You're still a medical student and presumably your friend is still an analyst/associate. When you're a resident talk to her again and compare numbers for how much money you've both accumulated over the years. Then do it again as an attending. If you are in FM you will realize that you will probably never catch up in wealth. 4. MBA is expensive but not everyone needs it. If you need a career switch or you want to leave your company/firm to seek a higher position? Sure. Otherwise you can often progress pretty far internally without a MBA. Some firms will also pay for your MBA; not all or even many of them, but I only bring that up because you brought up medical school scholarships (very few can offset tuition, which is more than 100k at many Ontario schools).
  3. A MBA is pretty close to 100k in Canada and will typically easily exceed that in the US. IB pay at the junior rungs will hover around 150k, maybe a bit less than that now that bonuses are probably gone for the next year or two.
  4. FYI in Ontario the psych association recommends its own members charge $225/hr for their own private practice (https://www.psych.on.ca/OPA/media/Public/OPA Guidelines and Reviews/GUIDELINES-FOR-FEES-AND-BILLING-PRACTICES-FINAL.pdf?ext=.pdf). Most psychologists do bill a bit less than that amount ($150-200/hr as mentioned above). Of course PEI might be a completely different beast when it comes to psychologist earnings... but if it's anything similar to Ontario this wouldn't be an attractive option.
  5. 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.
  6. 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
  7. 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.
  8. 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.
  9. 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.
  10. 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.
  11. 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.
  12. 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.
  13. 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.
  14. 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.
  15. 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).
  16. 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.
  17. 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.
  18. 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.
  19. 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.
  20. Radiology and pathology have the least paperwork if you don't consider dictating cases paperwork (since you are paid for them and it directly affects patient care). If you do consider paid documentation paperwork, then surgery has the least of it since documentation is generally shorter than medical specialist documentation. EM can also have extremely little... though it depends on the practitioner's comfort with having just the bare necessities down. Many EM notes looks like someone cut off the entire medicine note except for a few investigations and the A/P.
  21. It's a net difference in net earnings position compared to a physician at the equivalent stage. I'll edit that to make it more clear but thought it was obvious a barista isn't earning that per year. Medicine is a better career path than being a Starbucks barista but just wanted to illustrate that 4 years of lost earnings plus paying tuition is a significant amount of money that most people don't consider.
  22. This thread is a complete misrepresentation of various careers, cherry picking literal top 1-5% earners in medicine and comparing it to fallacious numbers or some of the lower paid areas in other fields. I'll clarify a few things. 1. A career in medicine entails much longer training and burden of debt. Tuition is $100k over 4 years plus interest, as well as the opportunity cost of 4 years lost earnings. Because of that, physicians are remarkably behind at each stage compared to other professionals. If you compare careers with that consideration in mind, it looks more like the following: While I accumulated -$120,000 in medical school, the barista down the street accumulated $200,000 more than me (25k/yr), accountant $420,000 more than me (55k/yr), and the banker made $700,000 more than me (175k/yr). When I was a PGY-3 my net earnings finally reached $0 and I was making $70k/yr, while the accountant became a director making 120k/yr and the banker a VP making $350k/yr. 2. Direct comparisons in compensation are flawed because payouts are structured differently in medicine vs high earning white collar careers. Physicians billings are typically an upfront number. Compensation in many 'white collar business' careers often have 30-50%+ of their earnings paid out as bonuses (which are regularly expected each year, though the amount varies). There is also a significant amount of money paid out as stock options. Remember reading the news about X company's CEOs/directors making aridiculous millions upon millions of dollars? Most of that money is 'paid' through stock options, which is how senior partners/management directors make a significant amount of money as well. So while physician income after billings is on avg 25% LESS, a banker's income is 50-1000%+ MORE than what their salary is. 3. Most comparisons often conveniently ignore salary level in residency/fellowship (which has a 6+ year duration in highest earning specialties) and as a junior attending (where pay is reduced and call is increased). Instead they jump to money as established physician top 10% in a highly paid specialty and compare it to someone barely established in another field. 4. Entry into medicine is generally more competitive than finding entry in most careers listed in this thread except IB. While I don't think competitiveness is necessarily a virtue in itself, posts about other careers always mention how you can only reach the top rungs if you work hard, demonstrate great skills, etc. Newsflash, to enter medicine in itself you have to be extremely academically successful and to do well in residency you will work harder than almost every other career. The skill sets are different obviously, and while a physician may not succeed in banking, the reverse is also true for a banker trying to enter medicine. 5. Lastly, there is also a hidden implication by many of these posters than physicians SHOULD earn less than bankers/accountants for whatever reason. I'm happy earning what a family doctor makes, but I realize that for the administrators/government bean counters, our pay is how much they see our worth (and how easy it is to control us and diminish our autonomy at the expense of patients). These discussions around reducing physician pay are always fallaciously dichotomized into physician's benefit vs public good. In reality, when a worker's wages are reduced, it does not benefit the service nor the worker, but the C-suite executives and bureaucrats. See the U.S., where medicine is driven by bureaucrats/C-suite execs—patient care has taken a backseat to $$$, and while physicians suffer, bureaucrats/C-suite execs reap the benefit. Even though our system rewards cost savings instead of profit, the mindset of administrators always boils down to $$$ because we're the ones who have to face and advocate for patients.
  23. Someone who makes managing director at an IB firm can make the same amount of money an entire Cardiology division does. The timing and earnings per stage of career are also completely different. And physicians earning 1M+/yr are also typically in their 40s: it takes a few years to build up your practice, work past junior/associate level attending positions, and/or find OR time. Trying to do 120 hours/week is not sustainable. Investment banking post-undergrad: 1-2 years of working as an analyst at 100-150k/yr, a few years of working as an associate at 150-200k/yr, then a variable path to VP/director/junior MD/senior managing director with an endpoint of making 1M-6M+/yr in his/her mid 40s-50s. Specialist resident post-undergrad: 4 years of medical school at -25k/yr, 5 years of residency at 75k/yr, 1-2 years of fellowship at 75k/yr, junior attending, attending/senior attending with the end point of making 1M-1.2M/yr in his/her mid 30s, assuming highest earning specialty at the time. Most physicians will literally never catch up in lifetime $ earned to anyone who makes VP. Some will never catch up to someone who made associate. The attrition rate for IB is high but many find other careers in finance/consulting with similar pay but better hours after working in IB—if you stick around past associate it's because you want to (or you're addicted to making boatloads of money). Lastly physician earnings have gone down each year and are continuing to trend downwards, whereas IB incomes remain high & increasing.
  24. Depends what you want to do. In general it is advantageous for obtaining interviews, though the level of the impact is probably based on the specialty and specific program.
  25. For clerkship examinations my rotating cohort (~20) had 1 failure the entire year, so about 5%. We were not using NBME though and I've heard that past failure rates with NBME were significantly higher. For clerkship block failures, in the entire class of over >150, we had ~1% fail. To fail the block usually you needed to have poor clinical evaluations, fail the examination, and fail the retake, so it was very rare that this happened.
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