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shogun91

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  1. For me I think the job market is the bigger deciding factor between medicine and surgery (if one wants to stay in Canada). Job prospects in surgical fields are quite bleak and it doesn't seem like they are going to get better for the foreseeable future. When I was rotating in a surgical subspecialty it seemed like the training was endless for the residents. Taking 2-4 years for a masters or phd was normal on top of the 5 years of residency, not to mention doing a fellowship or two afterwards. Doing all of that (approximately a decade) and STILL having to face extreme competition for a shit selection of job sprinklings doesn't seem to make the long hours/years of residency less stressful or worth it. If you want to go the U.S. on the other hand...
  2. shogun91

    Commuting to Wayne State

    Many Canadians commute to Wayne from Windsor and it isn't an issue. Bottom line, Just don't mention it on the app.
  3. shogun91

    2+1EM

    Other than elective time, how does one make themselves more competitive for +1 in ER? Letters, research etc?
  4. shogun91

    Commuting to Wayne State

    I would spin it and say that Wayne is close to your social supports, family, girlfriend etc which would in part help you succeed in a challenging environment. You could also mention the uniqueness of training in a city like Detroit given its very extensive patient population and pathologies.
  5. UofT looks at us in the Canadian/U.S. student category so we are good there. We are seen as internationals at every other school that I'm aware of. Honestly, a part from the rare school, we can apply to any elective that CMGs can apply to. The only difference being we have to pay higher fees for electives.
  6. You can use an OTP year after you graduate and still remain on the F1 visa (you do not need a J1). You can write Step 3 during intern year and then apply for H1B. When you are applying for residencies you have to ask them if they even issue H1B to Canadian students who completed their training in the U.S. (they see us more favourably than IMG in some places in terms of granting visas). If they can grant you H1B, then you use your OTP and go through the process after completing Step 3.
  7. I can speak on Wayne State. Large class sizes are not a problem, in fact it encourages many many different clubs, activities etc. to cater to everyone's needs. We also rotate through 3 level 1 trauma centers all within 20 minutes from the school and never have a problem with too many students on a team. Also training in Detroit is amazing and of very high quality. The diversity of populations and pathology are unmatched and you will come out well trained and ready to tackle most situations if you are eager to learn. The tuition rates however could be better lol.
  8. shogun91

    Usmle Step 1

    A 250 is a very high score and you will need to dedicate a significant amount of time to study for it to achieve that score, especially since the Canadian system isn't geared towards the STEP. It's even hard for U.S. students to achieve that score (average was 230 this year). If you are looking for a residency in the U.S. then you should absolutely try and destroy STEP. If you are looking for options in the future after residency, just passing it is sufficient.
  9. USMGs shouldn't have problem securing electives in Canada provided the school has space. I've received all electives that I've applied for. You just have to be proactive and submit the first day with all of your documents in order for the dates you want. Also, be a nuisance to your school's administration to get you verified ASAP by the schools who process you for your electives. Toronto considers USMGs and CMGs the same. The two other schools I've applied for and other schools I've looked at consider us international. The only downside I can see is the cost difference of the application (which is like said by others, is mostly for malpractice insurance).
  10. 1. My school only lets me do one month rotations so all of mine are 4 weeks. I'll get 3-4 months of electives before carms and they will be split between 2 specialties (one competitive, one not as competitive) and 2 schools. I'm hoping my LOR's from these will be able to carry weight to other schools. I think 2 week electives would be good if you want to go to multiple schools? 2. As a U.S. grad I'm not sure. I'm sure some schools are more selective than other so it depends on the school and program. 3. I will be doing electives in 2 specialties that I would be equally happy in, so I guess one of them would be a "back up". I think it is the smart thing to do given that no interview is guaranteed. Another thing to note is that by doing all your electives in Canada, it will make your American application weaker, due to lack of American LORs, audition rotations etc. If matching in America is a real possibility for you, then a balancing act may be needed.
  11. Hey, I'm in a similar situation. 1. Some people dual apply but ultimately choose to stay in the States for whatever reason, so they withdraw from carms. Some other people don't receive interviews in places they would choose over a city in the States, so they withdraw. Some people just don't match in carms. That 50% unmatched is kind of misleading. I don't think Canadian schools look down at U.S. schools. 2. No you can't match in both, if you match in carms you are automatically withdrawn from nrmp (they talk to each other). Carms happens before the U.S. match so thats why some applicants drop out of the match if they don't interview in places they would choose over the States. If you don't match carms, then you will go though nrmp for the States. 3. Yes 4. Most Canadians from the U.S. match into FM. However, you can apply to the more competitive specialties. You have to do aways in Canada and get strong letters (this is the only disadvantage we face, since we get less opportunities for rotations in Canada). If you are smart about planning and depending on your schools policies, it is doable. Have a back-up plan.
  12. shogun91

    Questions About Fm/im

    Awesome, thanks ralk!
  13. Hello all, I'm currently in my third year of an American MD school with an interest in coming back to Canada for residency. I had some questions about how family and internal worked in Canada as I'm only exposed to the U.S. system through my rotations. 1. Are hospitalists primarily FM or IM? If it is a mixture, it there a difference is salary potential? 2. In the U.S. there has been significant encroachment on FM territory by NP's and PA's. What is more concerning is they keep fighting for even more scope in their practice. What do you guys think? Is there a concern for this in Canada, affecting FM moving forward? 3. What is the role of IM in Canadian hospitals? In the U.S. IM runs general floors (including specialty floors and ICU), handle admits, rounds, discharges etc. I've heard that even general IM is more of a consult service in Canada for higher acuity patients. Clarification would be wonderful. Thank you everyone and thanks in advance!
  14. Thank you for your help everyone, you have all given me great advice that I plan to use going forward! One last question. I plan on splitting my available elective time between uro and FM (2 months each) because I would genuinely be happy matching in FM in Canada as well. My question is how FM PD's would view my 2 months of uro (do they even see where I have done my electives?). Would that make me less desirable at bigger training programs in terms of interviewing and rank since I've heard FM is getting more competitive? Thanks again everyone, my American counterparts have no insight to offer me on CaRMS lol.
  15. Thank you everyone for your advice, it is much appreciated. My last question is if I would need letters from my home school in the U.S.? Do American letters carry weight for the Canadian Match? I'm just trying to figure out the best way to utilize my limited time. Once again, thank you to all!
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