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moo last won the day on December 2 2015

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  1. What I've been saying all along. Still, I'm making a decent amount. After overhead this weekend, over two days, I made 2200 bucks (gross billings 3200). One of my slower weekends too. Choose the right specialty, be a good doc and patients will flock to you.
  2. I'm not a lawyer, but the Charter pretty much prevents that
  3. You cannot legislate where physicians will work. Back in the early 90s, the BC govt tried this by restricting the granting of licenses to new grads unless they worked in an undeserved area. BCMA sued and won
  4. Not sure if you can do a trauma fellowship with a CCFPEM. Those are usually done after gen surg. The CCFPEM is a good route to take because you can still do FM after, even if there are no emerg jobs after or if you get burned out. The FRCPC in emerg is overkill IMO, and you're restricted to mostly big centers with no out to family medicine unless you retrain. And as for research, if you wanna do research, do an MHSc or MPH. you will learn way more Epi skills that way and can still land an academic position (really, anyone can get a clinical appointment to do research so this whole thing about how the FRCPC lends you to do more research opportunities is BS. After you get your clinical appointment, just apply for grants and salary awards. Or you can still work in the dept of family med or emerg depending on the institution and still get a salaried position.
  5. Happens to me occasionally. There were times in one of my locum clinics in an over serviced area where I would see about 4-5 patients in a 4 hour shift. Don't think it can't happen, although I've built up quite a large practice, it rarely happens to me now, but new grads may take longer to build up loyalty than before, ESP in urban areas.
  6. They won't care. I've been warning premeds here for months now. You think that has deterred people from super specializing? People just need to know, getting into med school is not even 10% of the battle. I teach second year med students and they all have this rosy picture of things as well. They think that you will automatically get a job when you finish your specialty residency. This reminds me of the teaching fiasco in this province, where only 30% of students got mostly TEMP jobs last year because there is a glut of teachers and not enough positions. The schools took on so many students because it was a cash cow to them. The govt really needs to say to the schools, to stop lying about job prospects so students can make an informed choice. Same as in medicine. As i said, don't feel sorry for me. I've got things I can do with my life, and I'm financially stable. I'm just warning future premeds med students to really consider job prospects when selecting your specialty because that's something that med students rarely had to do when they were choosing their specialty. As it stands now, the system won't change (highly doubt spots will be cut because it's politically not feasible AND premeds don't want it. The other solution of reinstating the internship year as brookbane suggested is never gonna happen), so you have to adapt. Drill programs about job prospects during the residency fair or interview. If they are not honest with you, talk to senior residents. True, predicting the market in 5-10 years is difficult, but you can still get a sense of how things are currently and plan accordingly.
  7. moo

    The business side of being a doc

    He works at multiple clinics, ours is one he comes to several times a month. He's happy though. He does no OR. We set overhead at 30% for him, as he supplies his own laser and equipment. He tells me he's lost all his OR skills already and can't go back even if there were jobs. He billed a little more than what I billed last year when I was working part time as a family doc. He's getting business but it'll take him a while to establish himself. I try to refer to him for all urgent cases because he sees them quick and doesn't whine or complain like some specialists.
  8. Then med schools need to be realistic with students. Fact is, our program keeps recruiting people but only us, the seniors are telling the truth about the job market. It's all hush hush from the big wigs at the top. This is what's bothering me. Cut positions in these specialties if there are no jobs. That will force students to end up in family med... Which hopefully won't become saturated too. And as for not moving, I made a conscious decision not to move, not only because of family, but because of my well established family practice. I have built up a huge practice in four years, just bought in to my practice, so there's no way I can move. I'm in a unique situation because I have two careers. But my friends in other specialities would jump at a chance to move, only they can't because there is nothing across the country and very little in the US (eg, my peds rheum and peds onc friends)
  9. Yes the problem is what if there are NO JOBS? Do you want to train that long to be unemployed? Do you want to have mountains of debt with no way of paying it back because you're on a 30k salary from an unaccredited fellowship?
  10. Yeah but we all agree that's not going to happen anytime soon. The CFPC has managed to convince all the colleges that you can no longer be a competent gp unless you go through their residency and pass that joke of an exam.
  11. Don't cry for me. I am doing well financially. It just sucks to train to be a specialist, pay 4000 bucks to take the royal college exams (and not to mention the time went to studying for it) but have no true job at the end of it. I want to do public health, I want to advocate for the vulnerable, to contribute, but I can't. I am willing to take a HUGE pay cut to do it too
  12. There's a difference between working and making a ton and the new grad struggling to make ends meet on a meager unaccredited fellowship salary which can be as low as 30k a year (yes, that's for unaccredited fellowships for those that can't find jobs). I don't think it's unreasonable for grads to just want to go out and begin making money when they're done. Do I think we make too much? Yeah. Probably. All I want is A SPECIALTY JOB that pays a decent amount. Money isn't everything, otherwise I'd just continue with my family practice. I was grossing 400k a year prior to retraining. I was willing to take a salary cut to do what I loved, but apparently there are no positions, and I'm back at making a ton of money, doing something that, while it can be rewarding, is not exactly what I love. Don't feel pity for me, feel sorry for the govt that spent so much money training me the last three years, only for me to come back and be a glorified famly doc
  13. But it IS a problem because the taxpayer has invested a lot of money in training that MD. we can't let people jump ship to the US. Rather if we could save money from training all these specialists, and divert money to funding current unemployed grads to underemployed grads that would be ideal.
  14. In an ideal word, if I could force people to go up north to work I would. fact is, you can't mandate people work in a certain region. ROS contracts dont work. People would rather pay the penalty and get out than go up north, if they have to uproot their family. Even then, the trend is for med students to specialize, and there is not the population to support super specialists that a lot of med students aspire to be, especially in smaller centers. Schools like NOSM and the NMP in BC are good. Its too soon to evaluate these progams to see if access has improved but early results suggest its working. I'm talking about cutting seats from the VFMP and schools whose focus is to produce super specialists like UT. Another way to do this is to cut specialty residency positions but then you'd have med students complaining they don't get to be an ophthal or orthopod. Fact is, as a specialist, I'm paid lowly. I make more in my family practice working part time than I would in my full time specialty position, if I had one. I'm just looking for work, and you don't understand how frustrating it is to train so long to be told there are no jobs anywhere or to have unstable employment. Fact remains, if you want to increase recruitment to rural areas, then you have to restrict specialty residency positions. Many small communities cannot support cardiologists, GI, etc yet everyone wants to specialize.
  15. moo

    The business side of being a doc

    Yeah but what if the family doc is full?