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rmorelan last won the day on November 2

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About rmorelan

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    Was a computer programmer/project manager. Now a resident.

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  1. ahh but you did it for the love of the game after all It is a well known fact that only a starving grad student can come up any new research ideas.
  2. rmorelan

    Are there any normal non arrogant pre-meds?

    Ha I am similar - my mom is the bus driver though. I am the first person in my family to graduate from high school (and then go to university). I may have over compensated ha with my education as a result. Those people sound like asses, and often that is a protective mechanism for their own issues. Not always of course but usually so - the competitive switch gets turned on as well and some people don't know how to turn it off . Anyone in medical school is smart enough. Doesn't mean it is automatic mind you, and it isn't unusual for some people to have issues at different parts of the system - I have seen top preclerks crash and burn in clerkship, and other come to life. In the end everyone reaches the level where they are a safe and competent doctor.
  3. leads into the general problem of physician burnout - clerkship is a lot easier than residency, and it isn't much of stretch to say that in many fields being staff isn't much better than a resident either (better often yes but it is relative). That in no idea is to imply that we shouldn't be concerned with clerkship burnout/stress/mental health - which are all huge problems. The overall problem is that medicine in general is full of long hours at weird times, playing games with your sleep schedule. There are fields where it is better than others but it is a problem for the vast majority of us. I have struggled with trying to figure out ways of making it better - I have never come up with anything dramatic. When you are working 80+ hour weeks, doing call shifts, and trying fit in both life and advancing your career in other ways in what meager time that is left there is no simple answer. Other than extend out training time - which for obvious reasons there is a great time of resistance - there is no way to make it go away. There are ways to reduce it - training, not being a complete ass in scheduling people, and fostering small mercies when possible but that is about it.
  4. many get the small business tax
  5. rmorelan

    This Is Insane

    There certainly are limits that logically you should apply to various categories - ha very likely in the order you have mentioned. Of course you always are going to get some random person that is just obsessed with something in particular - either through sheer skill or effort or both. Exceptions don't make the rule here though - you don't have to be super human to get into medical school - better to know the rules cold, work hard to achieve good rating in all the categories and not to go over board in one at the expense of the other.
  6. rmorelan

    Voice your opinion about the LMCCII

    You are right as well that a bad interview or match day can wipe you out as well - at least one would hope you would have more than one interview I suppose. Even CARMS as bad as it is in places offers something ( again in a limited fashion) if it doesn't work out the first time. With the USMLE it really seems to be a single point of failure with no real way of managing it. Ha, a very US approach to things I suppose.
  7. rmorelan

    Voice your opinion about the LMCCII

    Ha well plus again our entire medical educational system is not set up for that test - there is a ton of basic science etc on there which tests ability to learn all that stuff but a large part of it is also clinically meaningless. I am studying for it now and having passed out from residency and a now I suppose I could be staff somewhere I am constantly going "who cares" with this stuff.
  8. rmorelan

    Voice your opinion about the LMCCII

    Ha I would love to see the break down. For the part 1 - there are what, roughly 2900 graduating medical students each year, and that test costs roughly 1200 for a total of roughly 3.5 million? Not exactly small potatoes although also not exactly major money on health care level I guess.
  9. rmorelan

    Voice your opinion about the LMCCII

    there is validity to that - but I don't think the LMCC is good enough to do it first off. You would have to redesign that entire test. Like the US it would then immediately force all the medical schools to train for that test as well to a much higher degree. Not really terrible things there but would take time and a pile of money. I am just not sure I like the idea of a single point of failure in the system. One bad test day can wipe out everything you worked for. There is also some not completely incorrect concern that your ability on a multiple choice exam shouldn't stratify you as much as the US does (it is easier to get into a US medical school than a Canadian one to start with - and ability on that test beyond a point is probably a less useful indicator of ability as a resident). Doesn't mean that I don't think though some absolute measure of medical knowledge wouldn't be a welcome addition to the assessment of candidates - right now we do have the other problem, no clear idea at all of the knowledge of candidates.
  10. I think I have to check the exact numbers - I think family doctors income did jump that much but not everyone was in the same ballpark (doctor shortage and all that) - but again I would have to actually look it up. For family doctors was because their income was actually relatively speaking very low (same problem the US has right now).Some other fields definitely did jump as well - radiology included with the full scale PACS system coming online. Ha even if you are right as you know memories are short - what happened in the early 2000s isn't really motivating the politics right now even if it should be. Something nearly 20 years ago in an often 30 year career and all that. You can argue relative pay levels for sure - but I don't think they are just fighting because their pay is lower. They are fighting because that is exactly what a union is supposed to be doing for its members. No one regardless of level wants to lose money year over year. Even the terms of what is "fair" don't often apply even if they should and to be clear - I am not saying I don't think there should be more equalization - I have been saying that for years. I am just describing the current landscape as I see it - and I am a bit worried about the impact of all of this internal strife. Medicine has some really annoying habits when things get tough - usually really sticking it to newer members to start with, exactly at the time when they are most vulnerable ha. Burnout is already at extremely high levels, and things are general messy.
  11. I am not saying they are the solution - although they say they aren't over paid at all, all the other fields are under paid ha. There is a lot of the language with this that is pretty warped. All doctors relatively speaking have been making less and less for some time, and almost on every front. You can say that the government cannot afford that - might be true, probably IS true - but they would counter that isn't good enough just to say that and move away - you don't see similar cuts in any other job related to public service. See how the police, teachers, fire fighters or nurses just as off the cuff examples would handle a similar decade of pay reductions, and another 10 years of further reductions? It would be bloody war to say the least. To date doctors have been positively civil in comparison. That is beginning to change - after literally being squeezed in all directions (greater training costs, greater training time, lower fee schedule, worse tax situation, job market restrictions....)
  12. ha well that isn't surprising as lets just say they would be the people at present most motivated to do something. Raises some big issues though - lets assume this sort of constant cutting will continue - after all by the time all this is done it will be 20 years of it. You have an organization - the OMA - that hasn't been able to deal with that situation to the satisfaction of I would say the majority of the membership. Hence the OMA rebellion a couple of years ago, and hence this sort of stuff now. All this before the "real" cuts have taken place etc. Things are only going to get nastier. The OMA is under attack from the inside and those attacks have increased for some pretty clear reasons. You cannot continue to piss off your membership year after year and expect that to end well.
  13. I guess I am not super surprised by that - the average number of tries to get into medical school is in the ball park of 2 (it was 2.6 a decade ago but I haven't tracked), and there are a lot of masters/phd people pulling up the average as well.
  14. rmorelan

    Withdrawn Undergrad Course

    well maybe - that depends on your situation. where are you at in your training? Do you need this year to apply to your target schools? Is it possible to make up a credit next term - is there some easy course kicking around that you could some how add to your schedule - even if it means rearranging things a bit? Have you already dropped a course? Often the solution is to drop the course and make it up next time (sometimes the made up course is the same course taken a second time next term - you pretend you are still taking it this term, learn the material. Even with the assignments and tests etc - all to make sure the next time you maximize your grade in it). Be careful and be informed - then make the choice that works for you
  15. rmorelan

    Withdrawn Undergrad Course

    I am not even sure I would call it "looking bad" - for many places the GPA is just put through a computer and gets spit out. No one is looking at things course by course at those schools. For those schools that are then sure if you a ton it looks maybe less than ideal but again a few of them won't matter. As long as you are hitting the rules for the school etc things are are bad. And you are potentially taking that extra class not to make this look better. You are taking it simply because there are hard and fast rules about course load for a year for that year to count or for TO even access to their wGPA policy.