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Posts posted by adrenergic24

  1. 6 hours ago, QueenStan said:

    I'm confused, are your IMG colleagues moving to Canada before matching? Or are these foreign trained docs (ie completed residency) who move to Canada before obtaining a job?

    As far as I am aware, you need to be either a PR or a citizen in order to be eligible to apply to CaRMS. So applicants have already gone through the immigration process, brought their families, etc., before they are allowed to apply. This is different form the US, for example, where no such requirement exists and you can train on a visa. 


    6 hours ago, QueenStan said:

    it's the responsibility of the immigrant to make sure they have a job lined up before immigrating

    I held the same view up until a recent conversation I had with a friend, who suggested that Canada is so uniquely difficult to secure a residency training spot in that many don't even fathom how hard it could be. They just assume it's doable with enough work and move here regardless. And the truth is that in the rest of the world, the difficulty of equivalating your medical training varies, but is at worst 'doable with effort'. And this is including the US (approx 50% match rate across all specialties, and much higher if you're applying to FM) which is globally known to be 'hard' to get into. Is it technically their fault for the checking before? Sure. But I completely understand why many don't given the above perspective.

    EDIT: I think it would make sense to have immigration Canada forward a copy of IMG match data to medical applicants to submit an immigration form to ensure they're fully informed.

  2. As an IMG who matched to a specialty through CaRMS, I believe it would be most fair to have iterations separated by applicant status. That is, Canadian med students should have one match, and then IMGs should be allowed to compete for the left-over spots. However, the only way that would work is by the following conditions being satisfied:

    a) severely limiting Canadians from going abroad to study and by allowing foreign IMGs a chance to try and match BEFORE moving their families to Canada and gaining status. That way if they don't secure a spot, they can go elsewhere (similar to how the US does it)

    b) Letting all IMG applicants know that they're most likely going to be limited to Family Med or Pathology (IF spots are even available) before they even go abroad to study/immigrate.

    However, there are a few real-world issues which make the aforementioned difficult: One problem that I've become aware of recently is that Immigration Canada is not fully informing IMG immigrants of the realities of trying to work as a doctor here, as many of my IMG colleagues say they had no idea how competitive it would be before they already uprooted their families and made the move. The immigration process for foreign docs and their families would have to change. Regarding CSAs, another problem is that you can't really tell people not to go abroad to study. If I'm not mistaken, at the moment there are more Canadians studying medicine abroad than there are studying within Canada, many of whom were competitive for medical school in Canada but were waitlisted numerous times or whatnot. Not offering them an opportunity to come back may lead to a rather large brain-drain for Canada, as most of these individuals end up in the US.

  3. Have a look here at the recently released CaRMS preliminary data for 2019. The numbers for current-year graduates (which, I believe, are mostly represented by Canadians studying abroad (CSAs)) are about 50% match rate back to Canada. For Australian graduates (which includes CSAs and Australian immigrants), the overall match rate is pretty high compared to other cohorts. So overall, coming back to Canada is pretty doable if you focus and do well in school, on exams, on elective rotations in Canada, etc.

    Having said that, I completely agree with most of those who have posted here already: Look into doing medicine in the US. Going abroad to study leaves your likelihood of returning to Canada up to the flip of a coin. Even in the US where it is anecdotally easier to match, non-US IMGs typically see a 45-55% match rate every year. 

    It gets even more complicated if you happen to love a really competitive specialty, and you may be put in the position where you will have to give that up and choose another in order to return home.

  4. On 4/11/2019 at 8:08 AM, stoich said:

    Can someone explain the IMG data? There are 117 who matched and 117 who didn't match? That doesnt sound right. Thanks

    As far as I can tell, this stat is only for 'current-year graduates'. In the vast majority of cases, this probably means CSAs (Canadians studying abroad). If you look at previous-year graduates (more likely to represent true IMGs), the numbers are significantly lower.

  5. 10 hours ago, ecobeco said:

    It does not matter how other people do - as long as you get a 226/400 you pass. With the mean set at 250, you have to do slightly better than under 1 SD from the mean. Basically, don't fret, you'll be fine.

    IIRC its not marked that way...like one correct questions does not equal one point. But I could be wrong. 

    2 hours ago, medigeek said:

    which ones did you take? and what % correct would you say would be optimal?

    I just took the first of each. I got like 78-80/100 correct on the first one and 24-26/30 on the CDM. Ended up with 27X on the real deal.

  6. I took one MCQ and one CDM practice test and found them to be similar to the real thing in terms of style and content. As far as how predictive they are, it's hard to say; the results are displayed as how many questions you scored correctly for each tested competency and in total, without giving you an idea of how other people did or how your score would correlate to actual scores.

  7. Hi everyone,

    I'm very excited and looking forward to residency, but I'm also aware that it is a very difficult transition period and steep learning curve. What advice could you give someone like myself in order to ensure that I will be the best resident that I can be? Looking back, what sort of things do you wish you knew as an intern? Any advice on material prep before residency?

    Thank you!

  8. On 9/2/2012 at 8:40 PM, docrock said:

    Personally I think International medical students should be selected on merits but I guess that's a whole new topic.

    While I don't disagree with you, keep in mind how hard it is to select and differentiate candidates for residency, where you at least have scores, final class rank, and letters. Now imagine trying to differentiate between hundreds of such students that have none of those things under their belts. You also can't really use grades because schools around the world have completely different marking systems and schemes, making it a giant headache for everyone. I think a lottery system makes much more sense. I have also heard (anecdotally) that because IMGs do electives on a lottery-basis, PDs are more understanding if it is lacking. Having said that, I also know IMGs who have ALL of their electives done in Canada. I think if you set enough time for this and apply broadly to different Canadian schools, you may have some luck!

    Regarding your initial question, I know matched IMGs who were also unable to get LORs from Canada and applied with US letters. I'm not certain whether this is something to put in your personal letter, but certainly something you can address during an interview. Don't know how others here feel about that.

  9. Personally, I sent thank-you notes to all the programs I interviewed at. To my number 1 program, I also told them that they were my number one (said more elegantly, of course), but only after the interview season was over so that it is more sincere (i.e. I had the chance to see all the programs and what they offer).

  10. I'm an IMG who matched to a competitive residency position in Canada, and I feel that while your post gets at some important issues it doesn't quite capture the full picture. 

    I would like to preface this by saying that when going through the process, I had no connections at all. I didn't personally know any staff or faculty in any programs, and I'm the first doctor in my family (so no guidance on that front either). Many of my co-interviewees were also in the same boat, so I feel it's a bit unfair to imply that having connections is required to match. Surely, having connections helps a lot. But I don't think that many people actually have them. At one point, you also said the following:


     Most of the immigrants who make to the residency tend to only help or take people from their countries and the groups who have stronger networks have more people and more chances compared to others. 

    Personally, I have not noticed this to be true. I don't feel like an applicant's ethnicity plays any role in their likelihood of matching, and it shouldn't.

    Secondly, one common idea I see among my IMG colleagues is that matching is all about the scores and the interview. And this is rather believable because one, scores are an easy 'stratifier' and can be used to objectively compare applicants, and two, because they are super important in the US. However, my experience (and my experience alone) is that while scores are important, they are far from the only thing that matters in your application. Whereas in the US having stellar scores may guarantee you a spot by themselves, Canadian programs seem to emphasize wellroundedness more. Things like electives in Canada, good letters of recommendation, research, teaching, clubs, awards, leadership, volunteering, other academic involvement (participating in journals, professional organizations, etc), and many more, together seem like they're as important as the scores you have. One common trap I see IMGs falling into is putting all of their eggs in one basket (i.e. focusing on scores alone), which could lead to them neglecting the other things I have mentioned.

    I hope my perspective is both accurate and useful. Please feel free to ask me any questions you may have.

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