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StudentInMedicine

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  1. On the CaRMS website, I can only find data on second iteration matching results for CMG graduates who went unmatched in their year of graduation, but no such data for how they do on the first iteration (i.e. their second time trying the first iteration). Does anyone have an idea how these people usually fare? What's the likelihood of success to match to one's specialty of choice if they failed to do so in their year of graduation? Which specialties are particularly welcome or unwelcome to such candidates? I know many try to get a spot in FM after failing to match in the first iteration, and if they fail in the second iteration as well, reinforce their FM profile to apply for FM the next year, and generally do well. But would it be feasible to get a spot in IM? I ask because I worry about going unmatched, and about whether that realistically will restrict me to doing FM, which I don't really want to do. I might consider going for a less competitive specialty for CaRMS if that's the case, as to avoid the worst case scenario.
  2. Do you know why a program might not even rank an applicant? If a program doesn't rank someone after interviewing them, they should be prepared to have unfilled spots and I suppose that means they'd rather have the spot unfilled than to be filled with less-than-ideal candidates. And I'm wondering what's the general consensus on the bar that needs to be met to be considered viable enough to be ranked, even if pretty low. Does it take like a red flag or something to be unranked? Thanks
  3. Looking at data from past few years regarding R1 vacancies after the first iteration, and I'm surprised to sometimes see leftover spots in competitive specialties. For instance, in the last cycle, after the first iteration, 2 spots in urology at U of Alberta were still open. How does that happen? There were 3 urology applicants that year who went unmatched; is it just because those people didn't rank U of Alberta? Or could the school have rejected these applicants despite having open spots? I'm just not sure if I should be reading anything into these vacancies, in terms of competitiveness and chances of getting a spot if one was willing to go anywhere in the country for it.
  4. Wow this sounds nice! So I imagine some people would pick to do the 4 year program over the 5 year GIM program even if they had a choice, correct? Are there people who don't even do the MSM match because they simply want the 4 year program? I had the image in my head that the 4 year program is what unfortunate IM folks fall on, so it's nice to see that that's a misconception. Well I guess it's unfortunate for those who really hate GIM-type of work and only entered IM for something specific like cardio, but if I see myself enjoying GIM-type of work, then the MSM match becomes substantially less stressful. Is my interpretation correct? Also, was it difficult to get a job in Toronto? I want to work in a big city (Montreal in my case) and if the only thing the 4-year program would prevent me from doing is academic positions, I don't mind. Do you see the trend changing over the next few years (e.g. community centers also starting to favor 5 years VS 4 years)? Finally, how much say do you have over your schedule? In the US, I've heard of general internists working as hospitalists on an arrangement of 2 weeks on (full 7 days/week, working like crazy), 2 full weeks off. I feel like that kind of lifestyle suits me really well, but I don't know if I can find that in Canada as well. If so, that'd be a big pro for me for GIM (unless I guess that kind of arrangement can also be found in a bunch of other specialties? I really dont know)
  5. I have heard that if you do you first 3 years outside of Quebec, there are restrictions if you want to then apply for a fellowship in Quebec. I don't remember the details and I'm not even sure if I'm just misremembering altogether. Would be nice to have confirmation from someone who actually knows what they're talking about!
  6. Just a student but I don't think so. Looking at the latest MSM match, there were 57 spots in cardio offered and 63 residents who ranked cardio as their first choice discipline. Maybe there's more to it than that and maybe this was a good year, but that's nowhere near plastics or ophtho level. Edit: here's the report I was looking at: https://www.carms.ca/wp-content/uploads/2020/01/msm3e_2020.pdf
  7. Yikes that sounds pretty scary. I took a look at stats on the CaRMS website and it seems like, for the most part, there's a good 10-20% of people who don't manage to get their desired subspecialty. It's a minority for sure, but still a lot given the high stakes. What do these people end up doing? Do most of them manage to grab a spot in 2nd round? Or do they mostly end up doing the 4th year GIM training? For 2nd round matching, how does it work? What kind of options are typically available? For the R1 match, a lot of gunners who don't get what they want end up in FM; what's the FM counterpart for R3 2nd round match? As for the 4-year GIM training, is the job market kind to them? I imagine urban centers would favor those who trained in the 5-year GIM program, so is the 4-year counterpart a career-ruiner? Last question: how feasible is it to parallel plan during R1 and R2 for the MSM match? Could I gun for something competitive like GI while still reliably backing up with another less competitive subspecialty like endo or GIM (the 5-year program)? Thank you!
  8. Can you elaborate on why you think the IM subspecialty match is in your opinion harder than the carms match? Actually thinking about IM right now and this is something I want to know more about.
  9. There are people from different specialties I'd like to talk to to learn more about their job. But it feels a little weird just emailing a busy physician and going like "can I ask you to spend an hour just to talk to me", especially if I don't even know them (or barely know them). Is that a kosher thing to do?
  10. 1) How does the subspecialty match in IM work? Is it like CaRMS and you can apply to multiple subspecialties, or do you have to only go for one? 2) What happens if you go unmatched for IM subspecialty match? Is there a possibility of trying to match to that subspecialty again the next year? 3) Can subspecialists other than GIM folks still do GIM type of work if they so desire? I'm imagining a cardiologist who's new to the market and can't find full-time work and might want to do some general IM work in the meantime, or who feels like they need a breath of fresh air 10 years into their career and want to do some stuff other than pure cardiology. Is that possible and realistic? Does this depend on urban VS rural, academic VS community? Thank you!
  11. Kind of as a flip question, could membership in an interest group harm your chances of matching if for instance a year or two later you decide that you actually want a different specialty?
  12. Hey guys! Starting clerkship as a 3rd year student soon, and I had a few questions. Looking for advice from more experienced folks and also to just discuss with fellow students in the same boat. For context, I'm at McGill, where we are given 6 weeks of electives as a block in 3rd year. 1) I know what specialty I'm interested in, but I don't know whether I should save all 8 weeks for 4th year or do a few weeks in 3rd year. I got a little unlucky and will be starting my clerkship with all my 3rd year electives weeks right off the bat. I'm afraid I'll be a little too inexperienced at this stage, but I also want to show early interest. I'm also wondering whether it would put me at a disadvantage to do my specialty of choice so early just because, by the time we reach CaRMS in 4th year, I imagine a lot of the people I'll have worked with in early 3rd year would probably have forgotten about me. 2) Kind of connected to what I said above, when do you ask for LORs from the people you work with? Is it right after an elective, and they write it right then, even if CaRMS is like a year away? I feel like asking them for a letter a year letter is a little awkward, especially if they barely remember me. At the least, I imagine that would reduce the quality of the letter. 3) I have close to no clinical experience prior to clerkship because pretty much everything got cancelled due to COVID, and I was wondering what would be a good 2-week elective to start off with to get up to speed. I'm interested in neurology and IM. I want to check out GIM and ICU, but I think these might be too intense for someone who has no idea how a ward works or how to write an admission note. Would a subspecialty IM elective like cardiology or GI be more appropriate? Thanks!
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