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Everything posted by blacktowel

  1. blacktowel

    Alberta vs Ontario for FP billing

    I'm an AB FM R2. Average here is 330k/yr before overhead (including only those grossing >60k/yr). It's the highest in Canada due to the more favorable fee structure.
  2. In general what I've seen in AB is seasoned optometrists making 120-140k/yr and starting at 80+/yr. The conversation here seems to be skewing towards best case scenario optometrist pay and low-end family medicine pay. In AB for example average pay for Family docs only doing clinic is 330/yr. If you add in hospitalist which is very lucrative, or many other sources of lucrative supplemental income (derm, urgent care/rural emerg, etc.) that number quickly goes up. It's also much easier to do those things versus owning and operating a private optometry clinic/franchise. Just my 2c :).
  3. I have a question regarding this. If you are a salaried (whether for an academic position, or purely clinical), is incorporation totally off the table? Can you only incorporate fees billed outside of a salary (FFS, blended capitation, etc.)?
  4. Palliative! Very limited evidence/new specialty, so for example approach to symptom control in advanced disease can require complex interventions (meds, procedures, psychosocial approaches, etc) that are unique to each patient.
  5. Anyone have any idea of palliative care salaries in different parts of Canada? Considering it as a future career and this information would be very helpful!
  6. blacktowel

    Palliative Care Salary?

  7. What haven't you liked if you don't mind me asking?
  8. blacktowel

    GP hospitalist job market

    So residents can't reference the ranges they hasve heard from multiple staff? Are residents disallowed from this conversation? I agree that referencing where the numbers come from is a good idea. Plus the word "easily" implies that given the number of consults they see (undoubtedly hard) the return they see is easily 3-5k. It doesnt imply its easy to make that. From an outsider's perspective you seem upset which doesn't help further the conversation. Your points would be better taken if stated with respect.
  9. blacktowel

    fam med vs gen dent salary

    woah, do you mean net after overhead AND income tax? If so, thats remarkable and very sustainable workload. How many patients do you see per day? What's your overhead?
  10. blacktowel

    CFPC membership

    Yes it costs ~$1000/yr, but if you can claim it for taxes, what difference does that payment make? Better to just pay it and maintain the benefits listed here no?
  11. I am a family medicine resident in Edmonton. Here, there are plenty of +1s who work exclusively geriatrics. They tend to make more than regular FPs. I've also seen them work in as much capacities as geriatricians. It seems here, and in many other parts of Canada, they are considered equivalent as far as scope (internal residency prepares you better for acute patients and research theoretically, but it hasn't affected the scope of practice here). It's true if you can see yourself in family medicine, go for the +1 route. If you prefer internal medicine and inpatients, go the internal route. How you decide between the two year difference in residency is up to you :)
  12. Hey everyone, Working on the ROL, considering primarily FM. Calgary seems to be a great city with friendly residents and PD, but there are always unmatched spots annually. During the presentation, it seems that their training is much more "chill" than others across the country. My main concern then would be the level of competence of grads after residency. Does anyone have any personal experience or comments on this? Thanks!
  13. I'm a R1 in FM. For me, I've found medicine to be a great deal. I find fun and meaning in what I do. Sure as a resident the hours can be long and the demands taxing, and I don't always feel this way. Still, there have been enough breaks in my schedule to maintain my personal life and health. Also, the pay as a staff and the "prestige" of the field, as well as the incredible job market and stability of FM, makes me feel like its a great deal. That is just my experience :).
  14. It's quite alarming that in this metabolic syndrome epidemic, there is a divergence of opinion from health professionals regarding an appropriate diet. There is a growing proponent of supporters for a low carb high-fat (LCHF) diet as described in dietdoctor.com, and supported by physicians like Canadian nephrologist and LCHF evangelist Dr. Jason Fung. These proponents argue that the low-fat craze was initiated from poor studies and continued via sugar lobbyists and good ol' medical inertia. An example of a poor landmark study was via physiologist Dr. Ancel Keys who linked heart disease with the consumption of fats by comparing the diets of americans and the brits to the japanese (while ignoring heart-healthy butter loving nations like france, and norway). He inevitably endorsed (and was covered on TIME magazine in 1964), a daily caloric profile of 70% carbs 15% fat: http://nypost.com/2016/12/20/how-butter-became-a-villain-and-why-its-actually-really-good-for-you/ These LCHF folks then argue that there is mounting evidence of the alternative (This source links 19 RCTs favouring LCHF for weight control and chronic disease: https://www.dietdoctor.com/low-carb/science). On the otherhand, my senior attending staff (ie. conventional medical wisdom) and uptodate and other prolific medical resources would claim that there are huge merits to a low fat diet instead. On the uptodate article "Obesity in adults: Dietary therapy", it notes the merits of a LCHF diet; however, it ultimately argues that a low fat diet is atleast non-inferior to LCHF and cites studies that support that claim (studies that I don't personally find very compelling). I'm a Canadian medical resident, and it required a substantial amount of digging and an understanding of medical literature for me to currently be in favour of LCHF. Imagine how challenging it is for our patients to be confident enough in their idea of an ideal diet in order to stick to it and develop meaningfully positive long-term outcomes. What do you all think? LCHF FTW? Low-fat FTW?
  15. Out of curiosity, can residents prescribe medication to themselves?
  16. blacktowel

    Mortgage Pre-Approval

    I'm assuming that since my LOC is through RBC, if my mortgage is as well, they have access to that information. Otherwise, good point!
  17. blacktowel

    Mortgage Pre-Approval

    So met with RBC mortgage specialist who deals with medical/dental folks. Said RBC allows for 10% downpayment taken from LOC, nothing higher. Also they will mortgage the rest. None of the above crap that was being told to me by the other mortgage specialist. Variable rate was prime-0.3%, so 2.4% in Alberta. However, he was unsure if I am unable to sign a mortgage prior to actually starting residency. He notes that RBC would be fine with it, but unsure if CMHC (required insurance if downpayment is less than 20% of price of property) would allow it.
  18. blacktowel

    Mortgage Pre-Approval

    Good point! The Mortgage Specialist was contacted through my branch and understands that I am a medical student, but they aren't the Medical Student Specialist I set up my LOC with. I just emailed that LOC specialist and will provide an update.
  19. blacktowel

    Mortgage Pre-Approval

    Was about to start a similar topic! Starting FM residency, RBC in Alberta states they'll only cover 65% of the mortgage and only allow 10% of my LOC towards the downpayment. The other 25% I need to scrounge up from other resources - what? I also want to hear if others have/had better luck with mortgage pre-approval?
  20. blacktowel

    2017 Carms Match Results!

    UofA had 5 unmatched this year.
  21. Yes, if you're motivated and choose/build your practice wisely. That is easily attainable. The average for family docs in AB who aren't motivated in that sense tends to be a bit lower than that number, but not by much
  22. blacktowel

    Avg New Fam Grads

    Is that before or after overhead and tax?