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Pakoon

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  1. Like
    Pakoon reacted to DrOtter in Medicine...   
    idk about other provinces but the only Ontario FM docs who make that much either bill for their entire FHT or have a pain clinic doing nerve block injections every day...
  2. Like
    Pakoon reacted to JohnGrisham in B.C. Election 2020: NDP pledges second medical school at Surrey SFU campus   
    Not familiar with the politics of things, but this is obviously not a real plan.    The article doesn't even make sense, how can they open up a medical school that fast? 

    This is clearly a classic example of promising the world, without actually understanding how things work.    Political showmanship with zero substance.
  3. Like
    Pakoon reacted to rmorelan in Nuclear medicine?   
    well the combined one where it is offered is 1 year post radiology residency - that is the same length of time as most of us do it anyway as a fellowship in something is almost a requirement - that assumes you get into one of the rad + nuc combined residency programs. Even if you don't it is exactly one year more than average. Not to dismiss that but in the long range point of view it is a year (6 vs 7 - that isn't exactly pushing you a ton into the future - ha face it, any route you take will be a long time. ). 
    The problem with nuc med is that rad + nucs exists ha. If only nucs could do it then it would be amazing. Great hours, relatively high pay per hour, no really call.....it basically is what radiology was 20 years ago and you are right back on the ROAD line again. Unfortunately it is limiting now as community groups that used to have to have a nucs solo because you just have to do it, now can get a rad + nucs and that person can help with the regular radiology - including the weekend/call coverage which is the real sticking point. Nothing is more annoying than a colleague getting out of all the call ha. The shear venom shot at nucs from rads in some places is almost comical. 
    Thus pure nucs is often only at academic places (and even there rads is creeping in - in part because lets face it PET-CT and PET-MRI basically imply you have rad level of skill, and now BMD scans are not done using original nuc med techniques. Plus rads is starting to play with radiation in more ways any way - like radioactive biopsy markers in breast. Nucs is basically a sitting duck - all the advances creep onto the more powerful radiology space. Oh and also well no one is doing nucs residency so you cannot hire a Canadian grad often for a solo nucs position because it is hard to even find one). 
    In Quebec it is different purely for political reasons - there you CANNOT hold two specialities at the same time (was supposed to reduce the issue of double billing to start with). Thus you cannot be a rad + nucs - it is one or the other. That has created a stronghold for the field - but I should point out that could be erased with a single policy change and eventually you would think that would happen. It will be fought of course, but it is hard to plan a future around that. 
    any these reasons are why nucs alone is not popular. The job market is limited, rads + nucs are always coming for you, if you have rads + nucs you make a lot more money (nucs has a ton of down time - studies take forever to do. Nucs just sit there waiting ha. Rads + nucs read imaging and make money). Nucs is actually an amazing field and the new stuff is amazingly interesting as well (molecular imaging anyone? Imagine not imaging anatomy alone but actually imaging pain for instance. The actual problem is highlighted - awesome ).  Still I would definitely personally lean towards combining the two, and if interested seriously target the 6 year combined rads plus nucs residency programs - get both specialties in the same amount of time as a standard rad + 1 year fellowship route. 
     
  4. Haha
    Pakoon reacted to #YOLO in Case study... on myself??   
    lmao yall wild
     
  5. Like
    Pakoon reacted to ploughboy in Why one should NOT do medicine?   
    I'm just an average guy with an average life
    I work from nine to five, hey hell I pay the price
    But I want is to be left alone in my average home
    But why do I always feel like I'm in the Twilight Zone
     
    CHORUS:
    I always feel that somebody's watchin' me
    And I have no privacy
    I always feel that somebody's watchin' me
    Is it just a dream?
     
    When I come home at night
    I bolt the door real tight
    People call me on the phone I'm trying to avoid
    Well, can the people on TV see me or am I just paranoid
     
    CHORUS
     
    When I'm in the shower, I'm afraid to wash my hair
    I might open my eyes and find TMax standing there
    People say I'm crazy, just a little touched
    But maybe showers remind me of Psycho too much
    That's why...
     
    I always feel like somebody's watching me
    Who's playing tricks on me
    I always feel like somebody's watching me
    Tell me it can't be
     
    I don't know anymore
    Are the neighbors watching me
    Well is the mailman watching me
    And I don't feel safe anymore, oh what a mess
    I wonder who's watching me now?
    Who?
    The IRS?
     
    I always feel like somebody's watching me
    Who's playing tricks on me
    I always feel like somebody's watching me
    I can't enjoy my tea!
     
    - Rockwell (featuring Michael Jackson)
     
    ...Yay for cheesy 80s songs...
  6. Like
    Pakoon reacted to Psych in Postdoc/phd hoping to apply to MD school   
    Hi! I can't speak to US schools, but unfortunately your undergrad GPA will really hold you back for Canadian schools. Most, if not all, schools in Canada look at undergrad GPA only and don't count grad school grades at all. If you want to be competitive in Canada, you will likely have to do a second undergrad (some accelerated programs allow you to do this in 2-3 years which would make you eligible for some schools such as Queen's that only look at 2 year GPA)
  7. Haha
    Pakoon reacted to JohnGrisham in overhead explained   
    More like 34$, but i see that you were using rounds numbers 
  8. Like
    Pakoon reacted to bearded frog in overhead explained   
    In Canada, when a patient sees a doctor for most things, the provincial government will pay the doctor on behalf of the patient. The amount varies by province/specialty/task, but this is what is known as "billing".
    Say a family doctor sees a patient. For that service, the government will pay him $100 as the billing. If they see 1000 patients a year they will make $100000 in billings a year. In the most simplest set up, the doctor takes that as his income. They then pay income taxes on the income. Then, the doctor has to pay for "overhead" to be able to provide the service to the patient. For instance, the doctor has to pay rent for a clinic, buy an exam table, pens, paper, etc. tongue depressors, pay the salary of a secretary to answer calls and book patients, pay for malpractice insurance, pay for association membership fees, pay for continuing medical education, etc. This is all "overhead", and it can make up a substantial percentage of your billings, depending on where you practice (rent is higher in downtown Toronto vs rural Ontario), if you share your practice (cheaper to pay 50% of a secretary if you work with another family doctor), or how you practice (if you are an ENT and you're scoping everyone those scopes are not cheap to purchase and maintain). So, ignoring taxes, say all the overhead adds up to $30000 a year, the actual net income will be $70000. Gross income - expenses = net income. However, every year will be different as the amount of billings and expenses change and it could go up or down. The numbers realistically are much different and if you set up a corporation you can pay overhead before taxes but that's a different topic.
    Alternatively, the doctor can be hired by a hospital and paid a salary and not have to pay overhead. Instead, when they see a patient, the government pays the hospital. The hospital will pay them a set salary depending on your contract, and it may not matter how many patients they see. So in this example, the hospital will pay them $700000 a year, and it won't be less if there are less patients or expenses are higher, but at the same time if you are a particularly efficient doctor you won't get a higher salary for seeing more patients. The doctor then pays taxes on that fixed income.
    Obviously this simplifies things immensely. The radiologist might have a contract where they have a contract where they are paid a set amount for being on call, plus a stipend for every exam they read, but no overhead since the hospital pays for techs, the CT scanner, and the computer to read the exams on, etc.
  9. Like
    Pakoon reacted to Butterfly_ in Is passion necessary to be a doctor?   
    I see you’re quite upset. I apologize if I was being offensive.
    You’re taking what I said to some extremes that I’ve never meant. Some of the points you said I also agree you.
    Firstly, I’m sure there are more than enough passionate people out there who are also intelligent, empathetic, and capable enough to do the job. I feel sorry for them because I think these people truly deserve a spot.
    I never said I that one’s life should revolve around medicine. Coasting me to means slacking off and not being interested—you have no idea how frustrating it is to work with someone that doesn’t give a shit. Also brings the morale of the team down.
    I agree that work life balance is crucial and no one is asking anyone to be a matyr. Personally, I always put my family first. Not sure why you thought I would think otherwise?
    I am in medicine and the sad reality is there is a lot of people here without passion. Hence why I said what I said. There's also a lot of bad seeds. The system does a very poor job of weeding anything out. Honestly, getting into medicine is more about luck than merit. I just feel very lucky and fortunate to be here. 
    I find that passionate doctors care more about their patients and are overall happier people.
    I’ve had many “jobs” in my life time and they really sucked.  Doing something without passion was so depressing for me. It took me 6 years to find out what I really wanted to do and it’s medicine. 

    Lastly, I disagree about medicine being “just a job”. Medicine, like any job, will pervade your life in many different ways.

    Is medicine your first career? If it is, I hope it’s the right “job”  for you. If not, that’s okay too. I hope you’ll find something that you love to do one day. Good luck.
     
     
  10. Like
    Pakoon got a reaction from Butterfly_ in Is passion necessary to be a doctor?   
    I think it's a little more simple than that. If you hate what you do. It'll be more difficult to do than if you enjoyed the same task. Getting up in the morning is hard enough if you don't wanna go somewhere, I think the same applies here 
     
    If you're gonna do something for the rest of your life, why not enjoy it. If you don't that's fine too, plenty of people don't. If you do enjoy, that's awesome.
  11. Like
    Pakoon reacted to LostLamb in Is passion necessary to be a doctor?   
    It is just a job but since you spend a lot of time at it (be it via training, studying, and then actually working) you might as well find ways to enjoy it.
    I am grateful to be doing something that I enjoy doing and getting paid for it. It makes me a lot less miserable to be around. I was lucky that something I was passionate about could be connected with a career in medicine. Thus, I didn't have to be passionate about medicine itself (because I am not) but I am passionate about the word I am so lucky to be able to do and actually be remunerated for it.
    Believe me...even in my specialty, there were rotations I really wasn't into and there were others that I loved, and others that I thought I'd love and was quite disappointed once I started to do the actual work.
    Nice thing about medicine is there is almost always a niche for everyone. The difficulty is finding it.
  12. Like
    Pakoon got a reaction from LostLamb in Is passion necessary to be a doctor?   
    I think it's a little more simple than that. If you hate what you do. It'll be more difficult to do than if you enjoyed the same task. Getting up in the morning is hard enough if you don't wanna go somewhere, I think the same applies here 
     
    If you're gonna do something for the rest of your life, why not enjoy it. If you don't that's fine too, plenty of people don't. If you do enjoy, that's awesome.
  13. Confused
    Pakoon reacted to Butterfly_ in Is passion necessary to be a doctor?   
    It’s kind of sad when there’s so many people who dream to be doctors only to get their spot beaten by someone who thinks of it as purely a job. Lack of passion can easily lead to job dissatisfaction and burnout.l. I’ve seen some really burnout doctors and they hate coming to work. Getting stuck working or learning from them is freaking horrible , for everyone—patients, nurses, medical admin, learners, colleagues etc.
    Also the concept of “coasting” through medicine is just freaking aggravating. It’s this kind of attitude that creates shitty doctors.

    furthermore, don’t underestimate the difficulties of family medicine. It’s an amazing specialty that requires ALOT of work and relationship building.
    So please do something else and leave the spot to someone who is passionate.
  14. Like
    Pakoon reacted to blah1234 in Is passion necessary to be a doctor?   
    I'm a staff and I will say that I work with many colleagues who are not passionate about medicine and are pretty unhappy. I think if you go into medicine just for the money every day is going to be a drag. I'm not saying you have to dedicate your whole life to medicine (unless you're in certain fields) but I would say you should have something to drive you other than the pay cheque.

    I honestly think medicine does a poor job of conveying how tiring the training is for most fields. This compounds with the fact that the geographic flexibility isn't there for all fields. I suppose you could do something generalist like FM to keep your options open. I can say I have many classmates who are in FM and live very fulfilling lives outside of medicine and doing great. I will say that on the other end that I have many friends who are always looking for ways out of FM because they don't like the job. I think this is also supported by anecdotal evidence that you see on the physician facebook groups.

    You will do financially fine as a MD no matter what you choose. However, I always caution to students to stay away if they are just chasing a pay cheque. There's more than one path to happiness and medicine isn't that path for everyone.
  15. Like
    Pakoon reacted to techormed in Is passion necessary to be a doctor?   
    Are you in med school/residency/practicing? I've heard family med residency can be gruelling with lots of hours too. And if you're just coasting through your training only aiming to pass, can you even be a good doctor?
  16. Like
    Pakoon reacted to offmychestplease in Making decisions about specialty..   
    Do FM 100%
    Do you want to chill in medical school with little stress not having to worry about any research/EC/etc, have the freedom to nearly guarantee where you do residency, do a chill 2 years of residency, get a job anywhere in Canada on the spot, not worry about doing graduate degrees/fellowships, have the freedom to explore many niches in family medicine, have a great work life balance, not spend gruelling years in residency, have the chance to get into many +1's if you want to (EM, Anes, Derm, etc), have a much more chill board exam, know you are actually making a difference to the number of Canadians who need a FM doc, and on top of that if you work hard are business minded and know what you are doing surpass the income of many specialists?
    If the answer is yes -> do FM.
    If you like stressing in medical school and scrambling for any research/resume padding you can get for CaRMS, and then further trying to impress in many years of residency/fellowship to get a job, and you like the feeling of having to likely settle for location where you do your residency since spots are more competitive, have to do 6-8+ years of residency (since you need to do a fellowship(s)/graduate degree(s) for nearly all FRCPC specialities, have to settle for living in places you really don't want to be just to get a job, like being limited to a particular body system/type of work, have a much worse work life balance (for most FRCPC specialities), like spending gruelling years in residency and fellowship while your FM friends are living life and making money, spend at least a year of life studying nonstop for the difficult FRCPC exam, and on top of that not only lose out on years of income while you are a resident?
    If the answer is yes -> do a speciality 
    Many smart people in medicine recognize the above, which is why FM is getting more popular recently                                                                                                   
    43% of all graduating Canadian medical students in 2020 ended up in FM in the end after both rounds whether it was their first choice or not. 
    (>50% of graduating medical students from the 3 French schools, 55% of Queen's grads, and 64% of NOSM's grads in particular went into FM for example)
    I'm not going to lie, I feel a lot of people are ego/prestige driven and "look-down on FM" which is sad that someone would discount all the pros of FM and cons of specialities just to be called a say "interventional cardiologist" even though they have to do 9 years of very hard residency and after that be left scrambling to get a job anywhere.
    Before anyone says this, I know there are people who value passion and interest for the field fist and foremost and I highly respect them, but no one can deny that at least part of why many people discount FM is because they perceive it as less "prestigious" than FRCPC. Everyone has different priorities  but what I assume is true for many people is: work-life balance, lifestyle, training time, jobs, residency lifestyle, etc > passion for the field, "prestige of the field"
  17. Like
    Pakoon got a reaction from Meningocoele in MD Class of 2024 bag colour   
    2022 - red
    2023 - green
    If 2024s are yellow we'll make a traffic light!
  18. Haha
    Pakoon got a reaction from Blue_Sky98 in MD Class of 2024 bag colour   
    2022 - red
    2023 - green
    If 2024s are yellow we'll make a traffic light!
  19. Haha
    Pakoon got a reaction from Weltschmerz in MD Class of 2024 bag colour   
    2022 - red
    2023 - green
    If 2024s are yellow we'll make a traffic light!
  20. Haha
    Pakoon got a reaction from LostLamb in MD Class of 2024 bag colour   
    2022 - red
    2023 - green
    If 2024s are yellow we'll make a traffic light!
  21. Like
    Pakoon got a reaction from Speculator in MD Class of 2024 bag colour   
    2022 - red
    2023 - green
    If 2024s are yellow we'll make a traffic light!
  22. Haha
    Pakoon got a reaction from TheFlyGuy in MD Class of 2024 bag colour   
    2022 - red
    2023 - green
    If 2024s are yellow we'll make a traffic light!
  23. Like
    Pakoon reacted to bearded frog in Canadian USMLE Step 1 writers from 3 Year schools (or 4 year schools): Tips!   
    That would be up to your time management. There definitely was some downtime but I don't know if it was enough to really focus and pass the USMLE, because you go straight from clerkship NBMEs then prepping to look good on electives, to LMCC part 1 as soon as carms is submitted.
  24. Haha
    Pakoon reacted to whatisgoingon in Career satisfaction in family medicine   
    oh god what have i done
  25. Haha
    Pakoon reacted to zxcccxz in -   
    tl;dr: getting med is better than getting head
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