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Combination of both. Cardiac had 9 CMG spots last year vs 13 this year. They usually average 10 -11 spots a year. UofA had 2 spots this year and they filled 1 spot in the first round and didn't open up to IMGs in the second round to fill its last spot. Winnipeg filled its empty spot in the second iteration, and Dal has the lowest operative volume of any training site in English Canada so not surprised it went unmatched in the second round as well. Additionally, Cardiac is not a service-heavy specialty, especially at sites with closed ICUs. They don't need residents for the Cardiac surgery service to run. If they can't find a good trainee, they won't take one. Unlike say IM, Peds, Neurology, Gen Surg, or Obs. As for issues within the discipline, there are many. There are 175ish Cardiac surgeons in Canada and they take 10-11 new residents a year. You don't need a math degree to figure out something is off with those numbers. The lack of jobs has led to an arms race among trainees for grad degrees and fellowships. A master's and a fellowship are a must for any job, even in a non-academic site. You can look at any training program and see despite Cardiac being a 6-year residency, they have 9-10 residents since many are taking multiple research years. And this job market is with the current operative volumes that are fairly decent with boomers being in prime cardiac surgery age. But looking more closely at the data shows age-adjusted CABG volumes are decreasing. Mainly due to better medical therapy rather than PCI encroachment. SAVR volumes are heavily down with TAVI being approved in low-risk patients. Mitral volume is steady or even increasing, as are ascending aneurysms, and so is transplant and mechanical circularity support. But isolated CABG and isolated SAVR are the two most common cardiac surgeries and both are declining as I said above. Cardiac surgery will not die off completely and there will always be a need for CABG with multivessel disease, left main disease, or SAVR for prosthesis patient mismatch or a root enlargement. Not to mention the infective endocarditis disasters, transplants, ECMO, Type As, and ascending aneurysms(for now) that are solely surgical pathology. It won't die but the overall volume of cases and the job market will decline well into the future. An American job, while possible, isn't as easy as other specialties since Canadian training does not make you board-eligible in the US.

pathologist salaries are public on most job postings. AB advertise 380-410. ON about 375. BC 380, and so on so forth. 400K is about right with some additional $ coming from call stipend, etc. Of course there are people who make multiples of this average IYKYK. Definitely not as high as other visual pattern recognition specialties like DR and derm. In case you are wondering what I mean by visual pattern recognition, the mental algorithm for path, derm and DR are somewhat of a convergent evolution. 1) you look at something and recognize pertinent features 2) you quickly come up with a pattern categorization and ddx (eg. inflammatory vs neoplastic, if neoplastic, then benign vs malignant, if malignant, SCC vs adeno vs other etc). 3) you look for other features to refute or support your ddx 4) you do additional studies and note additional findings on a case by case basis. This way of thinking is different than specialties that are muscular memory based (eg. neurology, surgery), numerical pattern recognition based (IM, anesthesia), and interpersonal relationship/verbal based (FM, psych). Med students should assess where their skills lie and choose specialties based on their strength and weakness. For example, if you are not a stoic listener, don't choose psych, even if you think "you can get along with people fine". Choose something that has brief, short patient interactions. Let's say you also like high acuity cases with some hands on work, then ER or anesthesia would work well.

My impression is there's also a bit of a generational divide. You have the 50+ docs who had low tuition and higher fee codes (Ontario cuts notwithstanding...) asking how many millions their house can be, you have the younger physicians who had to pay higher tuition but lived through the low interest rate days and may or may not have been able to capitalize on it, and then you have the current crop of med students paying 30K+ annual tuition at many schools in a 5+% interest rate environment. The problem is that the people giving talks are the first two groups and a lot of their assumptions are no longer true. You will still have excellent income comparatively to your peers but compared to a physician in your identical situation 20, 10, even 5 years, ago you are substantially worse off in many expensive areas of the country, which, surprise, are the areas people like to live in the most. There are many late 20s/early 30s medical students who feel squeezed on one end by training time and on the other by reduced runway to retirement/launch, even worse in VHCOL or HCOL cities. I think this is part of the reason the CCFP's 3 year FM residency fell so flat, completely tone-deaf response by older academics. "You'll pay it back doctors make lots of money" is the refrain and relatively speaking sure, but a lot of this is based off old assumptions about income earning + interest rates + a 21 yearold MS1. A 27 yearold MS1 attending UBC or UofT is in a very different situation. "Just work harder/go North/rural" is one thing to say to a single or childless 29 yearold FRCPC or CCFP, it's another thing to someone who is geographically or socially limited.

I am surprised nobody here is talking about it. It's going to affect almost everyone's future in this forum, assuming you are all med students. Without delving into the details (enough has been discussed on PFI already). I'll offer some unsolicited advice for med students of today: 1) cost control - inflation and high interest rate will be stickier than you think. Cost control is a key in med school. Remember interest compounds, so next year's interest contains interest on this year's interest. 2) aggressive payback - time to stop daydreaming and ready for conflict (between you and debt). Whatever specialty you choose, make a plan for the first 5 years of your practice to aggressively work and pay off your debt. Take advantage of geographic arbitrage, incentives, and other programs to help your debt. 3) delayed gratification - most people understand that cottage and boat are luxury and such gratification could be delayed. But in this day and age, delaying children might create the biggest benefit to your cashflow. 4) rethink fellowship and training - remember, each year of fellowship/MSc/PhD/research carries an opportunity cost. Also remember these things occur early in your career, so their compounded effect 30 years down the road can be big.

Finalement en mai!!! On y est presque !!!

Je confirme admin c'est ultra bien côté. Je suis finissant avec un 4.21 au moment d'appliquer et on m'a calculé un 38.4 (sans le boni de .5 je suis pas au HEC) J'espère que ça sera suffisant pour contrebalancer mon Q1 au casper.

Haha feeling this anxiety after having just done my royal college and feeling like I bombed it.

It's regrettable that these kinds of discussions only happen behind closed doors and under the guise of anonymity (c.f. PFI) because of fears of reinforcing the trope of the wealthy physician and poor financial literacy (generally among the Canadian population and specifically among physicians/learners).

Moi personnellement je ne prendrais pas ce risque. Le processus d'admission est difficile à prévoir. Tu vas pas mal mieux dormir si tu te sécurise une autre place en entendant ta réponse dans ton programme de ton choix.

S'il s'agit de l'Université de Montréal (pour les 3 programmes: Biochimie, écologie et Med Vet), tu ne devrais payé qu'une seule fois (même si tu décides de changer de programme pour le même trimestre): Le montant dans votre Centre étudiant passe de 300 $ à -300 $ lorsque l'acompte est payé. Il ne vous sera pas demandé à nouveau si vous êtes admis(e) dans un autre programme visé pour le même trimestre d'admission. https://admission.umontreal.ca/admission/apres-la-demande/recevoir-une-reponse/

Do pathologists and lab medicine really make 400K salary? seems like a lot. I'm assuming that's roughly 9-5pm 40 hours/week, no call? Those NP fees are an absolute joke. Paying NP $246K to see 2 patients per hour + patient panel 1000? Meanwhile I see 4 patients per hour and have a panel of 1600 and growing. Who in the hell thinks there is value/efficiency in paying NP's to see that few patients. Ya the future of FM in Canada is dead.

Capital gains: I believe the hit is slightly higher than an extra 8% tax. And to think, back in 1971, capital gains tax did not exist in Canada, lol. I am young in the practice, less than 5 years, so the capital gains tax does not affect me - yet. No real investments other than a small RRSP and no need for a professional corporation at this stage as all my money, my after tax money, which is my only money, has gone on aggressively paying off my large LOC, my mortgage, family cars, normal living expenses, vacations. I understand but disagree on delaying children, especially being female where age is an important factor. This is a balancing act that requires good judgment and good timing and once you start, you do not want to space the children too far apart for many reasons. As for fellowships, shikimate is 100% correct. Moreover, if I had done a fellowship in my surgical specialty, I would be doing the same assembly line job for decades, constant monotonous repitition

J’ai reçu une offre d’admission en pharmD à l’UdeM…étant déjà pris à mon 1er choix je tiens simplement à dire que je libère une place! Bon succès à tous

Oui ya des gens sur le discord qui okt recu des offres. Au moins une dizaine. A date ça a de l’air de gens qui ont des CRU de 36 et +. Ils ont jusquau 4 mai pour accepter. D’apres moi les offres vont sortir le 5 ou 6 mai…