ChemPetE

Harder these days but something in the past 10ish years my program has accepted three transfers from other programs and one other pending, small specialty 1 - resident’s spouse matched one year later to this city, resident transferred to our program for pgy-2 so they could be in same city together 2- resident spouse employed in our city, resident transferred to our city for same reasons. I forget what pgy-year, somewhere 2 or 3 I think maybe? 3- resident’s spouse matched to internal sub specialty fellowship here, resident transferred to our program in pgy-4 to be with o

My specialty has the option of employed + pension at reduced salary vs contract. They’re close in overall compensation, with some edges in some aspects to one vs the other, but contractor at higher pay rate might still win out overall.

I can dig up the retrospective study list if you like. Book cost for sure they’re less. The problem is the downstream costs - you have to remember the US is incentivized for interventions; healthcare systems get reimbursed percentages of costs for tests, consults, etc. whereas here it just comes out of the healthcare budget. That’s why insurance companies and hospitals in the private system will try and maximize OR and surgeon efficiency for example, it’s a money maker. Here, ORs cost the system money and so the resources are rationed instead. The NPs ordering pan scans and inappropriate blood

How do you define exact same care? NPs in the US have been shown to order more expensive diagnostic imaging, more inappropriate antibiotics, and opioid medication. Patients get seen, issues get addressed. But is it the same to the patient at the same cost to the system? The BC NPs as mentioned above are being paid higher rates per patient than the family docs for less complicated cases.

In my mind, the sacrifice/high barrier of entry shouldn’t matter. There is something to be said for the high opportunity cost of training, and the self selection of those who do apply to med tend to be very driven and capable people. But if I was an NP I could give a crap about the ‘sacrifice’. What should matter most are patient outcomes, and incentivizing and designing systems that achieve quality care for patients. The whole mcat and multiple degree rigmarole is very inefficient. No one cares about that other than mds, and they’re probably right not to IMO. Bottom line to me is the thorough

My personal thoughts, as I have also been following closely the advent of the NP explosion down south. - the ones I work with are helpful in a specialty clinic followup setting. I personally would prefer that this care be delivered by GP-oncologists, however, their care has been well received and they are respected integrated professionals in the care team. Why is this care not being provided by underemployed specialists? Financial, and no desire to have this less desirable area of practice (eg survivorship) as a sole point of oncology consultant practice - the US NP mill scam with s

An hour at a time for a week or two? Fine. All year? Overkill In my anatomy-heavy specialty, there is a national anatomy review course with cadavers, radiology review, etc that residents can attend that is very helpful. Also went to 3 year school with an engineering background (ie no anatomy before med), the anatomy from my UME training wasn’t an issue.

Are you looking to practice or train in the US at all during your career?

Lol at people trying to look at my old posts -skipped a grade in elementary, so where my birthday lies I finished up high school at 16 -4 year undergrad - 20 -3 years med - 23 - 5 year specialty - 28 I definitely was on the younger side of my med class, but I certainly wasn’t the youngest. There were at least 2 or 3 people younger. idk what else to tell you lol

Sorry I should be more specific - MD was done at 23, specialty 28

Did this - Calg, 5 yr residency done at 28. One year fellowship though. I quite enjoy my job and am looking forward to my fancy house and view, as well as having a comfortable family. It absolutely was a positive financial decision though for the 3 year MD program - that is one more year at senior attending salary, and can’t complain about that.

That’s pretty typical I’m afraid. There’s stories of people finding out 2 days prior if I recall correctly. It’s an imperfect system but hopefully people get their spots or closure soon :/

Old Calgary Alum here: - calgary had a solid focus on clinical skills and hands on learning opportunies. I don’t know much about sask but wouldn’t expect too many differences between the two in this area - student life - You can fit a lot of hikes, camping, ski trips even in 3 years in med. I found myself studying mostly for big exams, but weekends especially in preclerkship were free to explore at least a good portion of the time. Clerkship is a different beast, however and your time is much more limited. My quality of life during pre-clerkship was very good (and certainly better th

Biased as I went to U of C, but one year shorter of med school is either one year extra of your life in retirement, OR one year more of lifetime earnings at your maximum salary. Not to mention the cost of living difference for 3 years, but a broad view the year of staff physician salary is the one that makes a difference. Assuming QoL is similar between the two cities and family/friend supports are similar between the two, that is something to consider.

U of M has great rad onc residents. Love a lot of the residents there/past grads, I can I can also attest they have had a lot of good things to say about it. Never went there personally, but they had a great vibe during my own CaRMS tour there.