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la marzocco

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Everything posted by la marzocco

  1. la marzocco

    2019 NRMP

    The advance data tables for the 2019 NRMP match just came out. TLDR: Not much has changed in the past few years. 12 matched - most should be uCMGs (current and past) from 1st iteration of CaRMS - this level is relatively comparable to those of 2016. 3 unmatched 10 withdrew in the NRMP match - likely due to having matched in CaRMS. Total number (29) is still relatively stable since 2016.
  2. I agree re: intention matters and can be a great guide in money management. However, money management is something that many do not have a good grasp on (esp 20 yos..) so some hard and fast rules that do not greatly compromise happiness or utility would not necessarily be a bad thing. I love photography and spend $$$ on lenses etc. Likewise, if you are coffee aficionado, coffee gear etc may be an area that you are willing to spend more on as it brings more happiness/utility. To each their own. But, I do see value in some quick and dirty tips that do not greatly compromise happiness.
  3. Coffee is a big one. You can easily make a cup of nice joe in the morning effortlessly - I have an automatic coffee machine that I start up in the morning as I wake up. I take my shower and it's ready to go. You can pick up some nice beans without breaking your bank. This is my morning routine at least For food, I use a base like lentils, or quinoa, and then add different stuff for each day of the week, like chili-oil grilled chicken, rosemary-rubbed chicken, etc. I eat out Thurs/Fri b/c by that point I would be pretty sick of making or eating home-cooked foods. EDIT: I always found that some med students see the LOC as a license to spend. It is not and banks do a good job convincing you that you can spend it on whatever you want. My LOC advisor even mentioned that I should use the money to go on vacation or buy a car if I don't need it for school! Eat well, live humbly, and treat yourself once in a while Even when you are an attending, it is advised that you "live like a resident" for 2-3 years and be aware of lifestyle creep.
  4. la marzocco

    2019 CaRMS unfilled spots

    Doctors of BC president wrote in his blog: "Today there are increasing numbers of medical students going unmatched after the first round—202 last year—a situation exacerbated by the added competition of hundreds of international medical graduates who are eligible for the second round. Further, those who remain unmatched re-enter the following year, causing an exponential increase of applicants relative to positions. Without commenting on legalities, the repatriation of Canadians and the case of others medically trained abroad, it is clear that this stress is felt by medical students who are pressured to choose a career path early in their studies in order to remain competitive for future matches." https://www.doctorsofbc.ca/presidents-blog/fear-and-hoping-medical-school-finding-more-match
  5. la marzocco

    2019 CaRMS unfilled spots

    Agreed. One of the things that I agreed with Quebec's former health minister Barrette despite him not being very popular among the medical community was he understood the doctor unemployment and underemployment issue and addressed the root cause, which is excessive MD enrolment. He shaved MD spots across all 4 Qc schools for a duration of 3 years to cut ~50 spots in total. Whether that's too little or too much is subjective, but he was good with the issue recognition. Also, primary care is also undervalued and fee relativity does play an issue when medical students decide on specialties. Provinces need to address this in order to shepherd more MD students to go into primary care, which is really where the need truly lies.
  6. Anecdotally, my friend got approved for $200K with guarantor for a UK medical school with Scotia. Not sure if this is the standard for those doing medicine abroad.
  7. la marzocco

    2019 CaRMS unfilled spots

    Also if possible, those who matched should help those unmatched advocate. Support and solidarity is needed and much appreciated by those unmatched.
  8. la marzocco

    Ontario FM more competitive this cycle?

    Society/government has the obligation to balance physician mix and allowing for learners' autonomy. In part, this is why governments have not been in such a rush in upping spots for specialties as at least this way they can control the physician mix moving into residency. Yes, collateral damage = unmatched, but this is with no doubt a reason that gov'ts are sitting on their laurels.
  9. la marzocco

    FM matching tips

    Honestly don't stress it. FM still remains the least competitive. Just make sure you do a diverse set of electives including FM at sites you want to match into. You don't need research for FM.
  10. la marzocco

    To The Reapplicants....

    Not sure if you saw this PDF, but hope it helps.
  11. la marzocco

    2019 CaRMS unfilled spots

    No more quotas.. I literally saw this advertised by Health Canada a while ago lol
  12. la marzocco

    2019 CaRMS unfilled spots

    Health Canada has done away with SoNs so there is actually no more quota or restriction on the front. One less barrier one could say.
  13. la marzocco

    2019 CaRMS unfilled spots

    Maybe @tere can chime in here, but CMGs used to take up quite a few residency spots in the US - that is, they matched quite well in NRMP, but at some point in the past little while, this dropped off and we only send ~10 max CMGs to the US each year.
  14. la marzocco

    2019 CaRMS unfilled spots

    I think the maintained streaming in Ontario and Alberta schools in 2nd iteration will be further benefit to CMGs so the overall R1 match should be better than last year. But let's wait and see!
  15. la marzocco

    2019 CaRMS unfilled spots

    Poor McGill
  16. la marzocco

    2019 CaRMS unfilled spots

    Just got wind that the estimated current-yr CMG match rate after 1st iteration is 94.1%. 2018 comparative is 93%. Slight improvement. Will need to wait until final numbers come out with the 2nd iteration.
  17. la marzocco

    2019 CaRMS unfilled spots

    "The greatest barrier for IMGs to access postgraduate training positions in Canada is the fact that international medical school education and training is not necessarily comparable or equivalent to Canadian medical school education." <-- see the case I cited above; i.e., not my words. The fact is that Canadian and USMD schools are LCME-accredited. If meritocracy is to be applied strictly, then we should get those IMG-schools LCME and CACMS accredited. Maybe then we can have the discussion about unification of the streams.
  18. la marzocco

    2019 CaRMS unfilled spots

    Already went to the courts on this whole IMG/CSA matter - you can't carve out CSA as a distinct category. [8] The Canadian Residency Matching Service has two parallel streams for residency positions. The first stream is the Canadian Medical Graduate stream, which is for graduates of Canadian medical schools and Canadian citizens who graduate from accredited American medical schools. The second is the IMG stream, which is for graduates of international medical schools who meet the necessary eligibility criteria. Canadian citizens in the IMG stream are referred to as Canadians Studying Abroad or “CSAs”. [9] The 2008 and 2010 BC Government Throne speeches stated that government would increase access to medical residencies for CSAs.[2] [10] In December 2011, the Ministry, the Ministry of Advanced Education and UBC prepared a briefing document. It states in part: Question: Shouldn't we be giving CSAs preferential treatment over naturalized IMGs; after all, they grew up here? Given that the greatest barrier for IMGs/CSAs to access postgraduate training positions in Canada is the fact that international medical school education and training is not necessarily comparable or equivalent to Canadian medical school education, there are no measures that could be introduced to privilege or otherwise treat differently CSAs who apply for postgraduate training positions in Canada or BC. CSAs must be treated in the same manner as all other IMGs. To do otherwise would breach human rights and Canadian Charter legislation.[3] [11] Shortly thereafter, MLA Moira Stilwell sent a letter and provided a report to the Minister of Health Services recommending that the policies and regulations for CSAs be identical to those in place for Canadian and American trained medical school graduates. It states in part: The Ministry of Health Services and the UBC Faculty of Medicine maintain that BC medical students studying abroad must be treated the same as immigrant physicians applying to the BC IMG program because to do otherwise would be a violation of human rights and the Canadian Charter of Rights. Yet no argument to clarify the position has been provided...[4] [12] CSAs remain part of the IMG stream. The number of IMG residency positions has significantly increased since 2011, and the Ministry has recently opened a new pathway for IMG family physicians to get their license to practice in BC. However, it is still advantageous to be in the Canadian Medical Graduate stream rather than the IMG stream.[5] [13] The applicant is affected by the policy that separates the Canadian Residency Matching Service process into two streams.[6] It is apparent from the materials that she is particularly concerned that CSAs do not get to compete for the initial Canadian Medical Graduate stream postings.
  19. la marzocco

    2019 CaRMS unfilled spots

    With a previous law background, legal court decisions can be reviewed if compelling arguments can made on the basis of changes in circumstances. Does the growing year after year record # of unmatched CMGs present a "change in circumstances." Arguably yes. Also Health Canada got rid of SoNs. There have been many changes since that court case that would merit a review.
  20. la marzocco

    2019 CaRMS unfilled spots

    Absolutely, that makes total theoretical sense. But Quebec is the province with the lowest % workforce from IMGs - again presumably due to language. We do have a lot of French doctors who are coming over to Quebec. Quebec & France has a really nice reciprocity agreement where those licensed as doctors in France can easily get access to practise in Quebec. They don't need to go through the whole CaRMS fiasco, and their credentials are recognized.
  21. la marzocco

    2019 CaRMS unfilled spots

    Quebec is the only province that does not do the whole IMG/CMG streaming thing. 3 of the 4 medical schools in Quebec are francophone so the language barrier itself a big deterrence for IMGs to apply unless they are francophone - so you don't see a lot of IMGs applying to them anyways so streaming is not necessary. McGill is interesting in that you can technically be an IMG and still apply and be in the running for the positions that CMGs apply for, but there is a relatively more complicated equivalence process: https://www.carms.ca/match/r-1-main-residency-match/faculty-programs/eligibility-criteria-r1/ (under IMGs applying to Quebec).
  22. la marzocco

    2019 CaRMS unfilled spots

    "Competitive" in 2nd iteration means that CMGs and IMGs compete for the same unfilled positions, which is not the case in first iteration where the streams are separate. This is for most provinces' unfilled spots (minus Ontario and Alberta which have decided to keep the streaming in 2nd iteration this year, may become a going forward thing with more provinces on board in the future).
  23. la marzocco

    2019 CaRMS unfilled spots

    Normally comes out in early/mid-April when the CaRMS Forum happens. Need to wait until 2nd iteration is done first.
  24. la marzocco

    2019 CaRMS unfilled spots

    I'm interested to see how the continued streaming for CMG- and IMG-spots for Ontario & Alberta schools will play out for the 2nd iteration. Will it really improve the unmatched situation?
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