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medaholic

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medaholic last won the day on November 14 2014

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  1. My experience, having gone from community GIM to academic GIM, is that an academic job has a lot more non-clinical variety of work. The pay isn't that bad at all centres, but it is less than a busy community practice. Not all academic centres are set up the way UofT does it, many places are much more equitable to new staff. Eventually, the money thing becomes less of an issue. What you will really value is time and autonomy, especially if you start a family. You'll be well off in either setting, but a salaried academic job has a lot more flexibility. Not having to do in house call has been great for my well-being and general health. Similarly, I have time to pursue projects and problem solve in non-clinical ways that is rewarding in itself. There are parts I miss about community practice, such as the acuity and really testing your clinical abilities when you're on call. But I've found other avenues that are satisfying like teaching, mentorship and innovation. Both are great choices and it really comes down to fit.
  2. All comes down to timing, I did the same elective at the Hamilton General. In two weeks I got to do tons of central lines (IJs, subclavian, femoral), art lines, and an intubation. I happened to do it when there was the principles of surgery exam coming up, so all the residents took time off. It was just the attending, fellow and me, so they were happy to have me around. Granted I showed up early for work, stayed late, volunteered see more patients/consults and was prepared for when the opportunity arose. Staff are happy to have you learn procedures if you can help out and make their lives easier, so they have time to supervise you.
  3. This is the best answer. It's all centre dependent. BNP is a great test, and not that expensive, wish I could order it at my institution but the turn around time is >1 week which is essentially useless. During residency, I worked in hospitals that could get it overnight, which is extremely helpful in ruling out CHF.
  4. This is the closest answer so far. Slight variations, average consult bills $200-300. Depending on volumes, busy nights can be 15-20+ consults. Add in ward/ICU coverage depending on your hospital, and you're looking anywhere from 2k (low) to 5k most nights, more if busier. Some places have additional stipends/ECG readings. This is gross billings.
  5. Edit: see below reply. Can't figure out how to delete post.
  6. In 2015, I use medscape and Uptodate for quick information. I have used epocrates, emed and dynamed in the past but they haven't kept up. In reality, UpToDate is probably most useful when you're doing clinical work, and you have a specific question that you need answers to. For covering curriculum materials, textbooks in general are better formatted and you can realistically cover the breadth needed.
  7. Driving post-call is dangerous. Only get behind the wheel if you know you'll be alert. Sometimes when it's been a bad call, I'll take a quick nap along with caffeine to make sure I can drive home safely. Other times, I'll arrange a different mode of transportation depending on which hospital I'm at. My routine usually is try to get stuff done before noon - ie. banking, shopping, appointments. Eat lunch and then crash until dinner time.
  8. This is normal. No one really learns things well the first, second, fifth or even the tenth time... There's so much to learn in medicine that you cram and forget, and relearn and restudy, and eventually it sticks. You're in first year. You don't even know what you don't know yet, so take baby steps and just focus on what's in front of you. Things do get better in your clinical years, when you see real patients with real diseases. The knowledge gets placed in the proper context and sticks better. Then you have residency afterwards, where the 60+ hour work, and seeing the same presentation over and over will help you finally learn some real medicine. Then the textbooks change and new evidence comes out and you have to relearn what you thought was right. It's a lifelong process. Don't sweat it. Just aim for gradual improvements day by day.
  9. Nothing you can do about it. There is a disadvantage. I went to a four year school, so by the times CaRMS came, I had finished all my core rotations, realized what I wanted to do, and was able to do 9 weeks of electives pre-Carms submission. I think three year schools are disadvantageous to people who don't know what they want to do. Sometimes, you can try talking to people (Resident, staff) in that specialty. See if there are any opportunities to get their perspective on what it's like.
  10. Hmmm. I think doing architecture with a plan to apply to medicine is a bad idea. Here's why. 1) There's almost no overlap between the two fields 2) Fulfilling requirements for both will be hard 3) Architecture won't be as forgiving on the grades - especially since the archi friends I have, it's their projects that matter more than their grades I would spend a bit more time deciding whether you want to do architecture or medicine. I have an interest in architecture, but I decided that would be a hobby very early on. I like reading about it on my spare time visiting beautiful buildings, etc... but I'm glad I didn't try to do two things that are fairly different from each other.
  11. Luckily there's a lot of overlap between internal, peds, family - all primary care specialties. Second, internal is not overly competitive so it's always worth a try. I had friends apply to all three, not knowing which one they liked best. It was only after their interviews did they make that choice.
  12. I took the MCAT after my first year. It worked out for me, but definitely not for everyone. My general advice is to take the MCAT the year you're planning to apply to medical school. I would recommend most people take it in their second year if they want to apply in their third year, and take it after third year if they plan on applying in their fourth year. The reason is there's no point in taking the MCAT if you're GPA is not competitive. Take the first two years to focus on getting the grades and learning all the prereqs.
  13. Should get interviews easily based on those numbers alone. Hopefully your gap year is filled with meaningful activities that you can write about. You have a strong shot at the in-province schools as long as your extracurriculars and interview goes well.
  14. www.healthydebate.ca has lots of good articles about issues in Canadian health care
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