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rmorelan

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rmorelan last won the day on February 1

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About rmorelan

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

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  1. rmorelan

    IMG and CARMS residency

    so hard to predict all that because fields change, and financial situations change. One thing that constantly pops up is people underestimating how long doctors stay in the game. Ha we collectively aren't the retiring types.
  2. we have to wait until close to the acceptance deadline to see real movement :)
  3. good point I think - we will have to encourage full disclosure with the changing times!
  4. in case someone hasn't replied - it means your overall score was enough to be in the top 171 candidates (assuming the class size is the same) - and thus you got a spot but not high enough to initially fit into the london class. However very likely with people declining some spots new spots will open in London and you probably will get your first choice location eventually. You just have to wait until all the declines are processed etc. They just cannot 100% guarantee you will get it currently because in theory at least everyone could accept and there are no spots opened.
  5. yeah it has been awhile since it hasn't cleared.
  6. I will just add my two cents - it is very tricky doing this to be honest - and I know because I did directly answer one my interview questions using such an example way back when I interviewed for medical school. I cannot say that went particularly well ha. First no matter how well you have dealt with the trauma you are basically bringing up one of if not the most painful events in your life in an already stressful situation - that psychologically is quite distracting to say the least. Can you turn that on and then turn it off? I for one cannot ha. It is also often quite overwhelming for the interviews as well - they are trying develop a relationship with you in a sense and you certainly changed the tone of the immediately. Some will take that well other will not.
  7. rmorelan

    Exam week stress

    surprisingly effective
  8. I don't remember sharing the purple tie trick on the forum? That is supposed to be a secret.
  9. ....that sounds harsh! It is not easy making these videos ha.
  10. rmorelan

    Guys....

    The pylons! at least they got a nickname in the hospital. The green ones were called the frogs where I was at as well.
  11. rmorelan

    Guys....

    Ha I feel like we just went through this the cycles must be merging together although +1 for the unicorn sparkles.
  12. that is true - and if you happen to have that structure you are going to have issues. One of the advantages of Western and to a point the other schools that adopted that structure was electives after the core clerkship program - so everyone doing electives would have covered the same material (i.e. all of it). Thus you have an advantage during electives if you are trying to impress people. That is great until you have everyone doing that and we have people only trying to fit everything into the exact same 4 months - which is impossible and thus no one can get reliably electives ha. Even if you aren't that extreme you shouldn't start with electives. while that late structure may not work overall with everyone the doing them all up front just sounds....well stupid. Why would you give your students the disadvantage of a) not even testing other areas to see what they like prior to electives, b) force them to chose I guess extremely early (which I think he mentioned - sounds like he is using Queen's as a particular example). c) electives are NOT JUST about you learning things - they are about you getting letters of reference, and honing skills to impress. How are you supposed to do that on a surgery elective for instance if you haven't even scrubbed in for real yet (and yes I have run into surgery keeners stuck on elective at a really dumb early time - and had to show them how to actually scrub and gown in when I was a clerk - I felt so bad for them - in 6 mos they probably made a solid clerk but really at that point it was painful to watch. Zero situational awareness in the OR.) Guess who didn't get a LOR on that elective...and that reduces the chances of matching downstream.
  13. yeah....it isn't like Canada is immune to this sort of crap. That isn't all that long ago academically speaking. Seems amazing now in hindsight that they did it but I suppose at least in a way that is some form of progress. Not that we don't still have biases in the system to contend with.
  14. also he makes the point that it is hard to make a choice after only two years of superficial training in various areas. That actually isn't a bad point - it is hard to know a lot of fields well, although you could argue it is closer to 2 years and 8 months as you don't start to pick electives until around 2/3 of your 3rd is done (for the 4 year programs), and ideally - but not always - you can stick stuff you know you aren't interested in at the end. Clerkship is more than superficial work in the field. Actually most rotating internships are pretty superficial as well (good luck getting exposure to the 10 random fields he listed in the article). If you were to this - and I am not saying it is a great idea - then it might make sense to have the internship build into medical school. Up med school to 5 years, have the 4th year rotating internship, 5th year electives etc and the part 1 exam, and cut residency programs by one year to make the time the same. I have ignored the fact that there is a year of pay in there that I just made disappear ha but you know "magic". That would give everyone more time to figure things out I suppose issues would be that a) figure out that pay thing - people deserve to get paid ha. b) "interns" right now are doctor, and med students aren't - that introduces issues with what you are allowed to do. c) most programs do have off service electives right now but they aren't necessarily a year of them (rads had some of the MOST and it only had 10 months where I was at). d) A lot of programs use longitudinal learning in family medicine and other similar programs - something a cardiologist like the author may not have noticed - you follow the same patients for 2 years part of the time to learn that aspect (its an important one). Rotating internship chops all that up into little pieces - and longitudinal learning is way better than intense shorter training that is never done again (like most of my off service stuff) I work in the US right now - and rotating internship are still the norm. Haven't run into anyone that thinks they are a good idea anymore, but are just something you have to push your way through to get to the real stuff. Cannot say I blame them for that attitude.
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