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magneto

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About magneto

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  1. It is a lot of work because you need to work in emergency department and sometimes it may not be easy if you live in a large city and cannot move. In addition, you need to keep up with the reading and procedural skills outside of practice because often you are working in emergency departments with no back up. It takes a while to accumulate the hours and some people may just lose interest over time.
  2. Thank you to all the forum members who have contributed to this thread and answered questions and advocated for family medicine. I am looking for your help going forward. I did not log in for several weeks and couldn't answer the questions right away as I was busy finishing my residency and then finding a job. I am hopeful that I will be able to check more often from now on.
  3. If asked about subspecialty interest during the interview, you can say palliative care. But overall your message should be that you want to become a family doctor first. And you will explore special interests once you are in the residency.
  4. Nothing wrong with an FM applicant wanting to be a hospitalist. But I would advice to not make that the highlight of the interview. They are interviewing applicants for family medicine program (and not hospitalist program). The goal of family medicine program is to pick up applicants to train to become family medicine doctors. If you want to be a hospitalist, once you get into family medicine program then you can start advertising. Hope that helps.
  5. It is not only incremental decreases in HbA1c. It is about looking out of your patient. A 50 year old male can come to your clinic because he has blood in his stool. You can refer him for colonoscopy and potentially pick up an early cancer. Many people don't feel comfortable sharing their embarrassing problems to new people such as a physician at walk-in-clinic or emergency doctor unless they are anxious or super unwell. However, they trust their family doctor because they believe that their family doctor is their quarterback. Let's take another example. A patient has a small mole on his skin. He/she is worried that she has cancer. You can do a skin biopsy or small resection under local anesthetic and send it to pathologist for diagnosis. Within a week, you have the ability to potentially diagnose (and even treat) a skin cancer OR give good news that the mole is benign and nothing to worry about. You can possibly pick up an early melanoma and save a patient's life. There are not that many things in life where you can play such a crucial role in another person's life.
  6. I think it is all about having a positive attitude. You can use a similar reasoning for any specialty in medicine and make it look boring. Family medicine is about building a relationship with your patients. They come to you for help. They are looking up to you for guidance. I think that is very rewarding experience. Let's take diabetes for an example. If you pick up a new diagnosis of diabetes through screening, you have the potential to significantly change a patient's life. Let's say no one picked up that this patient had diabetes. It is possible that he/she could present one day to hospital in severe hyperglycemia state with sepsis that could potentially be life threatening. Or he/she can lose vision one day all of a sudden due to diabetic retinopathy. Or he/she can develop chronic kidney disease requiring life long dialysis. As a family doctor, you are in a position to screen for morbid diseases like diabetes and then connect patients with the right resources (e.g., optometrist for diabetic eye check up). Will you be successful 100% of time? NO. But just because you will fail sometimes that does not mean that it is not worth a try.
  7. I am not a good role model for studying schedule. I attended academic days and tried to stay awake. I read around my patients and looked up things right away when I did not know something. I asked my preceptors lots of questions. I showed up for SOO practice offered by my program. About 3 months before the exam, I spent money on two books and tried to read them. I was able to finish Guide to the Canadian Family Medicine Examination (second edition) but quickly realized it had a lot of errors and overall it was not that comprehensive. I also picked up family medicine notes by O'Toole which was very comprehensive but I quickly realized that I did not have enough time to read all of it. So I marked the booked with what I though will be high yield topics and just read those chapters. I tried to focus only on CCFP priority topics and used that as a guide to prioritize what to read first.
  8. It is easy to become 9-5 office family physician and quickly loose your knowledge and skill set. Family medicine physicians are generalist and they should continue to incorporate multiple interests in their practice and not stick solely to 100% bread and butter family medicine office practice. Developing other interests is often hard and sometimes not that financially rewarding. But in my opinion, it helps keep your enthusiasm for medicine and empathy for patients.
  9. Yes but only a few schools accept applications from practicing physicians. Look at the CaRMS website as majority of programs only accept applications from FM PGY2s. There is also a possibility of obtaining CCFP-EM certification by working in ED without CCFP-EM and accumulating a certain amount of ED hours and then challenging the exam. It requires a lot of work and dedication. And the pass rate is lower than physicians who did a dedicated PGY3 EM program.
  10. I think IM will bill more. They will have different billing codes, which will pay higher. Also their salaries will be higher if the hospital is not FFS. This is all a guess because I am not familiar with IM billings.
  11. I think GIM doctors will bill more (due to billing codes) or have a higher salary. This is a guess.
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