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MDinCanada

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About MDinCanada

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  1. You have to seek those opportunities. Lors of medicine hackathons, but generally, it's difficult to be "useful" as a medical student unless you have your own idea/technical skills, since we often don't have the clinical experience that makes us useful as clinicians part of a startup team. You can PM me, I'm very interested in health startups
  2. Not to mention the royal college exam for some of these is brutalm (i.e derm)
  3. I know that telemedicine (as it is being doing right now during the pandemic), pays extremely low for family doctors, it's less bad for specialists. Not sure how the ones who do true telemedicine (dialogue, maple, etc.) are payed.
  4. I've heard about this but I don't understand how they know that you're working in 2 places and why this rule is in place. Why can't you, for example, work 4 days at the ER/walk-in clinic and then work 3 days in private (telemedicine, cosmetics, etc.)?
  5. Yeah this is important to stress. You can either live for your work or work to live. If you're the type of person who would prefer working really hard over retiring, then by all means, it's worth it. I find it difficult to understand how someone could enjoy being woken up in the middle of the night to drain an abscess and also deal with the rest of the hospital's administrative bullshit. Or even dealing with the patient who is diabetic, has a gangrene on their foot and refuses foot amputation and expects a miracle cure, so you offer to do a partial amputation to help his healing chances (although the pronostic is terrible and you'll probably have to go back and amputate later), while they continue to eat junk food, complain and threaten to sue you.
  6. If you work private (non-RAMQ remunerated), can you work wherever you want in Quebec?
  7. https://www.albertadoctors.org/services/media-publications/presidents-letter/pl-archive/possible-changes-hpa-self-regulation-concerns?fbclid=IwAR03ESeJaXMVRDLL-SYC0scwW9ub7c80KLUdljQoNwZ2fR7CJB_rPtxK1y4 Posted by one of the AB docs, a summary of potential implications: Proposal 1 – gives additional power to the Minister of Health to make unilateral changes to: 1)Registration and practice permit renewal; 2) Continuing competence and practice visits; 3) Inspections; and 4) Professional conduct to respond more quickly to pandemics, citing current experience for continuing and long-term care during the COVID pandemic. The AMA’s view is that this is premature and unnecessary, as 1) The pandemic is not even over, and there should be an evidence-based review once it is to determine policy change; and 2) Alberta has actually responded relatively well to the pandemic. “Expanding authority at this time would appear to be an opportunistic power grab” Proposal 4 - seeks to establish centralized registry of health professional information with the government rather than individually with each college, supposedly to make it easier for the public to find who they want to complain about. Two options are given: 1) centralized registry on a government website including member information from all colleges; and 2) government would oversee the registration of health professionals and responsibility for professional registration would be conducted by a single agency established by the government. Option 1 adds needless bureaucracy and cost to taxpayers, and 2 would result in the death of self-regulation of health professionals in Alberta, which has never happened anywhere else in Canada. This is the Big One. AMA rightly states that government does not have expertise needed to make regulatory decisions for any health profession, let alone all of them. This would further deteriorate the relationship between government and health professions to an untenable level. Proposal 5 – address complaint process to make it more “patient-centred” with multiple options, including: 1) centralized government complaint registry to triage complaints to appropriate college; 2) centralized government complaint agency that handles all initial complaints for all professions, and only refer to colleges if complaint dismissal decision was appealed, an investigation was required, or disciplinary action was required, which the respective colleges would then handle; 3) Establish a centralized complaint and discipline agency within government to address all complaints, appeals investigations and hearings. Colleges would no longer have any responsibility in practitioner conduct and discipline; and 4) enhance current provisions to be more patient centred by increasing transparency and patient involvement (make it easier to make complaints, complain information to be shared with AH, AHS, HQCA, limit informal resolution, release investigation reports to complainants after conclusion, competence and training requirements for all tribunal members, publication of complaints for 10 years on College website, etc.). This is another big one. 2 of the 4 proposals would give government the direct power to make decisions on complaints (an obvious issue is that the government is actually filing some of the complaints about physicians at present). These would also mean loss of self-regulation, a first in Canada. AMA strongly opposes these options (although did not address option 4 in their response, which if any seems the most reasonable). Proposal 7 – allows the government to decide which professions can perform “restricted activities”, which are essentially any device insertion, cutting, prescription, labour and delivery, anesthetic, invasive procedure, diagnostic imaging, medical or surgical treatment. The government could (theoretically) decide that midwives can give anesthetic agents or that social workers could perform surgery. More likely, it would mean taking procedures and responsibilities previously restricted to physicians and give to lower cost professions, without consideration for the expertise and responsibility required for the procedures, treatments, or investigations. I also note that this could result in increased scope of practice for naturopaths, which is one of the professions regulated by HPA. ------------------------------------- Thoughts?
  8. lmao, since we do "problem based learning" and don't have any lectures (we're expected to read chapters from textbooks like Harrison's), 90% of my medical education comes from videos, especially for the foundational sciences.
  9. Let's not forget that in order to work in a big center as a specialist, you usually have to do at least some research/teaching/other obligations
  10. I would argue that a good portion of the FM doctors who are unhappy would also be unhappy in any other specialty. Probably a big portion of the people who chose FM are those who realized that medicine isn't what they expected, they became burnt out towards the end, etc, I also noticed that surgeons are happy being surgeons even while being bullied by their seniors, working awful hours, etc., not because they find the job itself fun, but just because they have intrinsic "happy" personalities or it's a cemented defense mechanism to prevent them from having an existential crisis/dropping out of residency.
  11. I’m applying to FM so I fully support the higher compensation lol. However, practising family doctors have told me that they’ve never made >400k even when working rural, ER, etc. Maybe it’s a province thing but I still find it surprising.
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