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Fortress

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  1. And, in general, are those calls usually evening shifts or overnight shifts? What is the proportion between them?
  2. In an urban family medicine program, how many times per month do you have to stay in the hospital for an overnight shift? Are there times when you are allowed to go home but you are on-call and can get called in in the middle of the night? If so, how frequent does this happen? Just trying to get a sense of the impact of an urban family medicine program on sleep.
  3. Can anyone comment specifically about the importance of having research for IM residency applications? Are there certain IM programs that place a high emphasis on research (e.g U of T)?
  4. Thank you for sharing your story. In a typical week, how many hours do you work on average (before this whole pandemic started)?
  5. Are you aware how do some family physicians become competent in interventional pain management (e.g ultrasound-guided nerve blocks, bursa injections etc.)? Also have you ever heard of a family physician running an infertility clinic as a focused scope of practice?
  6. How about nerve blocks? How do family physicians learn how to do those?
  7. Can you please clarify what you mean by medical ophthalmology? My understanding is that it means clinic only and no OR time. Yet you are saying you can operate without OR privileges?
  8. Okay. But what about those 4-storey eye care centers where there is a certain floor reserved for cataract surgeries and the rest of the building is clinics. Of course such a center is run by a group of ophthalmologists who share OR time, but I mean this model is not tied to the hospital in any way, right? And if a recent graduate cannot find a job in a hospital or in one of those eye care centers, then perhaps a group of recent grads can come together and open up such a center. Please point me to where I am wrong.
  9. The question is: what are those people doing to make that kind of money? Definitely not sore throats and common colds.
  10. Hey everyone. I have a question about the ophthalmology job market. How difficult it is for a recent graduate to find a job? I am under the assumption that since ophtho surgeries are primarily outpatient based, it shouldn't be hard to find a job just like any other outpatient specialty. Does the concept of "surgeons fighting for OR time" hold true in ophthalmology? Isn't it true that in ophtho you could do your surgeries outside of the hospital system?
  11. Thanks for all the info. What are some of the more high-paying jobs in internal medicine in general? I have heard that interventional cardiologists are some of the highest paid physicians within internal medicine, but of course there is additional years of training and tight job market. Do you know of anything else?
  12. Gotcha. Makes more sense now. I would like to know more about how to maximize income in GIM. I guess one thing is to take less time off work for vacation. Another thing I presume is to pick up ER shifts outside regular hours (evenings, nights, weekends). Can you please confirm that ER shifts in those hours pay better than morning weekday ER shifts and if so, what is the mechanism (like are there special premiums for that?). Another thing is to perhaps maximize non-MRP work because as you said MRP work doesn't pay as much. Question here: is it possible to just do the bare minimum of MRP weeks required and fill up your practice with the other stuff e.g clinics? Does the hospital "allow" it? Apart from all of the above, is there anything else that one can do to maximize income in GIM? What are the people billing more than 500K doing, other than simply working harder? I have heard that opening a cardio-diagnostics clinic can be lucrative. Is that true? What other lucrative opportunities are out there?
  13. This is the pivotal point for me right here. If a family doc can do the same work as GIM and receive the same pay, then why would anyone go through an IM residency and spend 2 extra years in training? I know you said FM only do MRP and can't do other stuff, but I am comparing here the pay of FM MRP vs. GIM MRP. Are you sure the FM codes amount to the same as the GIM codes? When I look up the ontario fee schedule, it seems that FM consultation is $77.20 while a GIM consultation is $157. For me I know I like IM more than FM, but if I am going to go through a more demanding residency and spends more years in training, it has to make financial sense.
  14. Hey! Sometimes people say that family doctors can bill using specialist codes e.g for family doctors working in EM or hospital medicine. Is this true?
  15. Thanks again for your reply. It is good to know that there is adequate work-life balance as a GIM. One thing that I would like your insight on is FM hospitalist vs. GIM. From your post, it seems like FM do MRP and also do a bit of consults. Do they do ER consults and clinics as well? Would you happen to know if family docs who work as hospitalists are able to bill using specialist codes? What does their schedule look like (they seem to get the 6 pm-11 pm pages, which are less life-style friendly but more lucrative)? I am basically looking for anything that would justify doing 2 extra years of training as a GIM instead of going through the FM shortcut. Another topic that I would like your insight on is people doing a fellowship (e.g nephro) and still doing GIM work. Why do people do that?
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