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MarsRover

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  1. I mean there are two ways to look at it. The program is on intent to withdraw so you could say its bad, or you could say you are going to be entering at a time of high focus on resident wellness and education. At the end of the day the reality is there are programs not on intent to withdraw that you are also generally put in an OR and don't receive a lot of teaching, you just follow their plans. I think with self-motivation to study any anesthesia residency will produce a good future staff as there is just so many check points along the way, and your staff will guide you clinically no matter what. Toronto is big enough that the staff probably won't often remember you specifically. That does not really mean that you can't get good teaching. I spent some rotations there as a resident from another program and didn't find it significantly different than my own program. There will be things you like and dislike at both. I know staff from Ottawa who talk about malignant staff there too. I think I would pick where my support network is personally.
  2. I am with RBC, and my LOC is $350,000. I believe a visiting elective student at one point told me their LOC was $400,000 through RBC. When I asked them they told me it couldn't happen. I do see that scotiabank is offering this amount though? Anyone with RBC have that amount? Just wondering if I should push a bit harder.
  3. Not a resident at any of these programs, but I am a resident in anesthesia. I have done electives around the country as a medical student and then also as a resident. Every program produces good residents and eventual staff firstly, if you are a self-motivated and hard working person anyway. I have seen poor residents in various programs. Anecdotally I have heard that Western the ORs generally run later into the evening versus other programs. This would be a no for me. There is honestly not much added experience by being there until 6pm vs say your OR finishing up around 4. Only less time for yourself and to study. Staff I work with that did fellowships in UBC liked them, generally more chill. Dalhousie I have heard previous residents say good things. Some remarked they were maybe underexposed to things like thoracic epidurals. Can't verify that. Ottawa I hear generally good things from. They certainly regard themselves as one of the best programs. I have heard good things that you will be tested lots by staff but come out good. I have heard from others they felt like they enjoyed their residency, but by the end would never want to work there. In general a bigger program will probably in general give you less exposure/independence/procedures earlier in residency - but have more academic teaching. The opposite is generally true of smaller programs.
  4. Maybe the wrong spot to post this, but perhaps medical students are also interested. Further this is the more active section to post. I am interested in research, and looking into a two year research fellowship post residency. I am curious though to understand how getting a job as a clinician researcher actually works. If you work clinically 40% of the time and 60% research. Does your salary need to be funded by grants? Does the department help support you? Presumably you likely more significantly more clinically until you have established yourself? It is a very nebulous area, which is funny given research is pushed on essentially every resident and medical student.
  5. Had a good experience at Dal, they pair you with one staff for 2 weeks the best they can. I did have a few days with other staff, which was fine. They also do a little skills session at the start of the rotation, and you get to meet with the PD. If you are looking for similar, but in Ontario, I would suggest McMaster. I had the same preceptor the whole time. They say you can be at any of the three hospitals. In my experience I was always at the Juravinski - So i would stay near there. Way less sketchy that the general which is where I stayed. In terms of pre-elective times Ottawa tends to preferentially interview people that do an elective there, and regards themselves as one of the best programs. So potentially worth considering there. I have worked with staff that have less than nice things to say about their program, and other staff that liked it. So probably not significantly different than any other program in Canada.
  6. Basically question says it all. Tried job searching across the country does not appear there are actually any jobs. I have heard some are run by cardiac surgeons, some by anesthesia, some by regular intensivists etc. Anyone have more insight? I take it either group would need to do the 2 year critical care fellowship to get there? Someone told me some anesthesia do it just after cardiac anesthesia fellowship.
  7. Any anesthesia residents across Canada have any comment about their cardiac fellowship at their site? Any knowledge of what the good spots to do fellowships are? Toronto appears to have two?
  8. The issue with training at larger centres is you will be working predominantly with staff who subspecialize to a large degree in their niche. You will see bigger cases but then ones you likely won’t see later. So while you see more broad stuff it’s hard to say how applicable that actually is unless you then subspecialize and stay at a large centre. A smaller community program will lack subspecialized stuff to a degree. However you will gain early independence and know your staff well. There is no shortage of septic sick pts anywhere in Canada. People get hit by cars everywhere too. Sask, nosm, mun will have less stabbings but more blunt moose injuries. Some programs will be somewhere between the two. Ultimately can’t go wrong either way. I have met staff who trained at toronto who by 4/5 yr most the staff still didn’t really know them. In a smaller centre by end of year 1 most staff will trust you in comparison. Comes down to what you want.
  9. That may work for a medicine/peds based specialty but a surgical/procedural specialty you’d lose a lot of skills
  10. How does an anesthesia/ER/Gen surg maintain skills in their specialty when pursuing fellowship? Say when going after chronic pain, palliative care, ICU etc.
  11. I am an anesthesia resident interested in ICU. I have heard about an overlap year, and not all programs allow it. Seems as though mcmaster, toronto, manitoba, edmonton do. I don’t go to those programs currently and am an R2 now. I was thinking about applying for icu in R4. Then do my r5 and 6 in anesthesia and ICU. Is this how it would work? If you do overlap is it still only two years? Queens allows an overlap year, but then it takes 3 years.
  12. Before i always understood that many states would accept the lmcc as being equivalent to having done the usmle. In terms of doing fellowships in the usa etc. however now that we don’t actually write the lmcc2 does that change anything?
  13. For that matter how are non-IM people expected to even keep up their base line skills in base specialty anyway? Even if i finish R5 of anesthesia I can't then not do anesthesia for 2 years. I imagine someone from general surgery would have similar problems.
  14. The standard IM training program is 4 years, but the royal college lets them all finish after 3 years to pursue a fellowship. Is this possible with anesthesia, gen surg, etc? If I as anesthesia wanted to do ICU or chronic pain. Could I use my 5th year to start working toward that - or must I completely finish my residency first and then do the fellowship?
  15. Currently an r2 in an anesthesia program. Able to do medicine selective next year, as well as I can do anesthesia electives away. Curious if there is any website outlining electives available? From looking at universities websites it always says to email the PD, but for something broad like IM that is vague. Lots of opportunities like palliative to cardiology to toxicology.
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