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Intrepid86 last won the day on August 21 2018

Intrepid86 had the most liked content!

About Intrepid86

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  1. Intrepid86

    Unique Situation

    There is no "cheating the system" going on. Everyone has to put in the work to become a practicing doctor, whether it's mostly upfront to get into medical school (CMGs), or later to match into residency (CSAs). No one gets away from paying the piper.
  2. The reasons for generalist training in medical school should be self evident. Not only can broad exposure promote interest and inform decisions to specialize in a certain area, but specialties themselves don't exist in complete isolation, and it's important to have a sense of what others do, their scope, and how they work together. A single rotation in medical school may be your only meaningful experience with something, and that's actually important, especially if you never see it again. This may sound counter-intuitive, but it's not. A one year rotating internship may have been enough to start general practice 40 years ago, when even insulin was new, and truly modern medicine was still in its relative infancy, but today one year is insufficient despite what some people may say. The CCFP is two years, and in the U.S Family Medicine residencies are three years, and the extra time does matter.
  3. Personally, I think the opposite is worse, namely when people come across as overly eager or painfully enthusiastic.
  4. Intrepid86

    Unique Situation

    As someone who went abroad, matched back, finished residency, and is now a practicing physician, I can say that any bias in favor of leaving isn't as strong as you may think. Successful IMGs who studied at international schools will often say that their experiences were great and life changing, but most will stop short of directly recommending that anyone become an IMG. Even though I made it, I have never promoted this route as a good or even reasonable option, because it is neither. It is a high risk, high reward gamble, and that fact is not truly appreciated by those who don't fully know what's involved.
  5. This case was discussed on the forum last year. Past comments can be found here: http://forums.premed101.com/topic/101551-canadian-doctors-trained-overseas-petition-court-to-end-system-of-exclusion/
  6. Intrepid86

    Thank You notes

    They aren't expected or necessary. If you made a good impression, then you made a good impression, and they're probably going to rank you high. If you made a bad impression, then the thank you note won't help because they already don't like you anyways. This is Canada. This isn't like the U.S. where sending a thank you card plus $100 stapled to it might actually tip the scale in your favor.
  7. There are many specialists who feel at least slightly offended when someone chooses family medicine over their specialty, mostly because of their pre-existing low opinion of the latter. Just keep in mind that their bruised ego is temporary, but your choice is permanent.
  8. It is very uncommon for anyone to actually fail the AVP, and the most likely reasons for failure are usually behavioral or professional deficiencies, rather than lack of knowledge. Before the AVP existed, it was more difficult for residency programs to fire problem-residents. The AVP is basically a final checkpoint, and gives programs a way to remove IMGs who don't adjust well to their residency, the Canadian system, or both. Your responsibilities will be the same as CMGs, and you will be treated the same as well. That was at least my experience going through it.
  9. One way to help guard against malignant attendings is resident rotation feedback, where residents have a chance to evaluate their main preceptor and the rotation itself upon completion. Consistently negative evaluations of an attending are brought to the attention of the site director, and ideally leads to that attending being removed from supervising residents. Being in this situation is always tough given the power differential. This article deliberately points out that Lara's supervising physicians were all female, and while I'm not saying they necessarily have a chip on their shoulders, it is almost certainly the case here to some degree. Their insecurities got projected in the worst way possible on whatever poor souls crossed their path.
  10. Intrepid86

    residency without match

    The Canadian Match usually occurs before the U.S. Match (NRMP). Those who match in Canada through CaRMS must stay, so are automatically withdrawn from the NRMP if they were registered in that one too.
  11. Intrepid86

    mature med school students in 40s?

    They aren't common, but they fare well enough in medical school. However there are times, especially during clerkship that can be physically stressful, where an older student might struggle more compared to a younger one (e.g., staying up late, waking early, longer recovery from calls etc). As expected, these people usually have more family responsibilities that can potentially interfere with their studies, so prioritization and time management are important.
  12. As someone who went to the Caribbean and was successful, I have never recommended this path to anyone. Those who require a supportive learning environment will not find one there, and those who can't adequately cope with stress won't survive the examination gauntlet, nor last the four years of uncertainty before their shot at matching and wondering if the investment was worth it. The logistics of moving around, as well as the relative isolation and change in lifestyle also catch many off guard. This option requires due diligence and some deep self-reflection before even considering. Good luck.
  13. Intrepid86

    CaRMS 2019 Interview -- DISCUSSIONS

    Why did you back up with FM if you weren't going to be comfortable with it if you got it? This ongoing trend of people backing up with FM, and then trying to leave once they realize they actually have to do FM, is just going to continue polarizing the views of Family Medicine programs towards auto-rejecting anyone they think is wavering at all.
  14. Intrepid86

    2019 CaRMS unfilled spots

    Calling this thread derailed is now an understatement, but since I'm not a moderator, I don't have a duty or compulsion to keep it on track, so here are my 2 cents: 1. The annual IMG/CSA witch hunt is ultimately born out of fear, namely the fear of the remote-but-not-zero possibility that CMGs have of going unmatched. As a general rule of thumb, when things get tough people don't blame themselves, they blame someone or something else first. The residency spots set aside for non-Canadian grads is the first and most obvious target. 2. Matching as a CSA is a high risk/high reward endeavor. Everyone sees the reward part. Let's say that matching is analogous to crossing a river. Everyone sees the 20 who made it across. They don't see the other 80 who drowned, or the shark-infested water they tried to swim through. Everything is worked for. Nothing is free. This isn't "skipping the line"; it's going into an entirely different line with its own problems. 3. The quality of international medical schools can be debated, but it's all irrelevant. There are checks and balances. Everyone has to meet the same academic standard when applying for Canadian residency spots, and everyone has to interview and not look like a clown when doing so. Everyone then has to be chosen in a process that they have no direct control over. 4. It's true that the average successful IMG/CSA has above average financial resources, but historically so have most CMGs. This profession naturally tends to select for such a cohort. Full disclosure: I am a CSA who matched and finished residency.
  15. Intrepid86


    It's not common to have both degrees. I'm not basing this off stats, just the fact that I don't personally know, and also haven't seen, any before. An ND is a 4 year commitment on top of undergrad, and doing a subsequent MD + residency would truly be an academic marathon. I would simply regard this doctor as an MD with a heavy interest in Complementary and Alternative Medicine. There's nothing advantageous about that in and of itself unless you're a patient looking for a very holistic physician with a confirmed open mind. This doc would still need to practice within their regulatory college's policies with regards to CAM. Of course, I'm assuming this person chooses to practice as a medical doctor, and not primarily as a naturopath. If licensed in both, then it should be abundantly clear in what professional capacity they're operating in.