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  1. Was the journey worth it, yes I had lots of memorable experiences in med school. As a clinician I experienced the human condition in a way that most people never will and took away many life lessons from those experiences. Happy with choice? Yes overall. Would I do it all over again? Twenty year old me would do it again in a heartbeat but me in 2020? Not sure. One thing to remember is that people change as they grow older in every single profession. The physicians you run into doubting their career decisions would probably experience similar doubts had they gone into other fields, so it's not just a phenomenon you see in medicine although physicians tend to make a bigger deal out of it. Is it worth it to keep applying to med school? Depends on your outlook in life. In 10-20 years, would you regret that you stopped trying? For of all sad words of tongue and pen, the saddest are these, "It might have been." - John Whittier
  2. There's a saying I've come across before, along the lines of "at the attending level, if you feel threatened by NPs then you probably should be replaced by one" lol. Anyone who's actually worked with NPs will realize they don't even come close to a percentage of what we can do. This is my conclusion after having working with NPs in clinical and non-clinical settings. The threat is a purely political one - how do we show that we are safer and more cost-effective than midlevels? Even if we had such irrefutable evidence, how do we convince cash-strapped politicians and admin so? This midlevel fear speaks more of our profession's inability to successfully market our own value.
  3. Do the 4 weeks of electives because if you don't your chances of matching derm is a probable zero. There are other ways to fulfill your interests bolded above. Try going for derm and IM/peds. I've seen people matching into IM then end up doing rheum and allergy fellowships to get their fill of derm plus systemic conditions. From peds, same thing. There is also a 2-year peds derm fellowship that peds residents can apply to, with a focus on congenital lesions, laser treatments, etc, in Toronto. Good luck.
  4. 200/hr sounds about right. Thing is most psychologists aren't doing 40hr/wk billable i.e. face to face time, so you can't just extrapolate 200/hr to 400k a year. Cancellations, unexpected downtime, holidays, and practice management all consume time and drag down the average hourly rate.
  5. Having worked jobs in and out of medicine, finding work in medicine is a lot easier than many other competitive professions. I trained in FM and once I got my licence, finding work was as easy as cold calling local clinics to see if they need physicians. For surgical assist and hospitalist positions, I got them by emailing local hospitals' respective departments and connecting with the department chief. Doing your electives at sites where you want to be definitely helps for scoping out lay of the land. Pick a generalist specialty and it won't be too difficulty finding full-time work. The non-clinical jobs I've had, they were 90% networking/referrals and 10% luck (right time, right place). Talk to your friends in finance/accounting/biglaw. For them, networking is a full-time job in itself with fairly rigid expectations and quite different from "networking" in medicine (a lot easier imo).
  6. LOL what a troll. On a more serious note, within Canada and US, MD does seem to carry a bit more status/prestige in certain industries. For example, in consulting and finance groups that look to hire someone with a scientific background, MD and PhD are considered equivalent. There are a few groups that exclusively look for MDs and won't consider PhDs in my experience, although this is usually because say the managing director/partner has an MD him or herself. Outside of Canada and US, PhD starts to earn more prestige for similar positions cause people don't know what an MD really signifies. E.g. when I looked into consulting and finance in Europe and Asia, my MD was ranked much less desirable than a PhD in biological sciences.
  7. As an MD working in the industry now, I find it stupid how much BS physicians give each other over training pathways, sub-specialty fellowship requirements, and all the turf fights etc. No one knows or cares about any of that stuff outside of the hospital. The medical culture is amazing and mind boggling at times.
  8. If you know you enjoy and plan to do inpatient medicine, do IM. It's a longer and yes brutal residency that will better prepare you for inpatient medicine in the long run. FM is shorter at 2 years but it'll be mostly outpatient medicine which you may not enjoy for the full 2 years.
  9. Good question. I'll quote a JAMA article here: "Fear of reaching a professional plateau is a reason often cited by physicians who have chosen to enter management consulting. They cite the challenge of continually working on new problems and shaping new industries as a source of professional satisfaction. Medical students and resident physicians are also given to understand that there is widespread dissatisfaction among practicing physicians." The biggest selling point of MBB and BB banks are their exit opportunities. I found out along the way that some opportunities were already open to me as a post-residency MD, e.g. hedge funds. I don't work there btw.
  10. As someone who worked 7 days a week for a while and made 5-6k working 16-18 hours a day not infrequently, I will say that it's very doable for any physician of any specialty to gross 1M+ a year if they are insane and didn't mind sacrificing everything else in life. As someone who also went through recruiting in management consulting and investment banking post residency, I will tell you that the guys making 1M+ a year in these industries are generally in their 40's and still chugging in 80+ hour work weeks, with shaky job security compared to medicine. You might have a few people here and there making partner or managing director in their 30's but those are the exceptions. If money is all someone wanted, medicine gets there much more reliably (and easier in my opinion).
  11. See the post above by BigM. Specialists and allied health professionals will copy family docs all the time. When a follow up note or a discharge note on a patient you haven't seen for a year that comes into your mailbox, it takes time to read it, pull up previous records, and see if there's anything possibly missed. All unpaid work in a FFS model btw, this was my least favourite type of paperwork in FM. Add to that what others have said, notes, forms, admin visits e.g. specialist requesting a new consult note if they haven't seen pt for a year, and your own investigations flooding back. I didn't really mind the volume of paperwork but it was the unpaid nature of it that I disliked.
  12. Throughout most of med school, I was really into neurosurgery and spine. After spending 2weeks at on rotation, I crossed it off my list. I was doing 5am-6pm daily, but the residents were staying much much later everyday. The chief resident did not go home once during the 2 weeks I was there. All the residents were really nice people who were genuinely passionate about neurosurgery, but I knew I couldn't handle their level of sacrifice for 6+ years. All in all, I agree with other posters - go spend some time with the residents and do a week of call with them during your vacation to see if you stay passionate.
  13. She already said she won't write a great letter, I wouldn't bother asking her for a letter. See if you can get another elective at this site last minute as the year goes on.
  14. While I agree that most physicians should be compensated similarly for their time, it's easier to argue for parity when your formal training is 5+ years vs 2+ years. Psychiatrists getting paid much less than other specialists just goes show how much/little mental health is valued by governments. Same with primary care. 3-5 years of 60K vs 300+K earnings in this bull market can be a big advantage for FMs, especially when one discounts future earnings to their net present value.
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