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BigM last won the day on November 5 2020

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About BigM

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  1. The way that you are feeling isn't uncommon in medical school. COVID sucks and I'm sorry to hear the effect it has had on your experience. The unfortunately reality is that this pandemic is really adversely effecting the social lives of young people and pre-clerkship is a valuable time for social connections. However, it's not going to be your only chance for it. Even if you feel that you're not that close with people right now, there's clerkship, 4th year and residency where you will have a chance to connect with like-minded people. I would say that residency is an even better bonding op
  2. it certainly won't be total/year (all patients pooled), that would be absurd.
  3. Yes, it is safe to attend in Canada. Getting into medical school is no easy feat, you often end up going where you get in. As a Canadian resident you're often far better studying in Canada as the cost is significant less than the states. Getting into an Ivey League school and being able to finance that may be an exception. You can do medical school in Canada and residency in the states if you are certain that you want to look at the American job market. However, getting back to Canada after training in the states may be more challenging. For most pre-meds steps #1,2 and 3 are study hard,
  4. It’s field dependent. In the community you show up, do your clinical work and that’s largely it. There’s not much pressure to take on additional non-clinical work. The pay is generally better because patient care usually pays better than teaching/admin. The downsides are often higher clinical volumes as there’s less people to spread the work around, less access to other specialities (if you’re at a teaching hospital and a resident is available with every specialty you will likely reach out more), less resources/specialized programs and higher call frequency. At an academic Center these are lar
  5. Yes, you can do niche things. Methadone medicine pays well (it used to pay extremely well). There is a demand for GP psychotherapists as it's one of the limited ways to see a therapist without paying out of pocket, however, it generally won't pay as well as regular clinic as your appointments will be long and the renumeration codes aren't great (they are much better for psychiatrists). There are certainly things which are an option beyond the traditional family doctor role. Some people who don't mind working varied shifts love being surgical assists at a community hospital - comes with pr
  6. It's do-able. Psych comes with 5 years of funding so you have the funding aspect on your side. You would need to find a program that a. Has an open spot and b. is willing to take you. One of the other things on your side is that IM is very large program, so the prospects of losing residents from the program and opening up a spot at some point are higher. Do you know any program directors or have any connections you could use? Overall this transfer would likely be one of the easiest ones to make (maybe not as easy as a 5 year specialty to family medicine, but still pretty good). The ot
  7. There's certainly risk that comes along with it as that's a good chunk of money. Are you sure you will get through residency (you likely will, but it's not 100%). Are you sure you will get a job in the city you're buying the house in? Your mortgage on this is likely going to be $3500-4000/month with another $1,000/month property tax and hundreds for property insurance. You won't be able to finance that on a resident salary, although you mentioned renting out rooms which would help offset. Even with that, you will need to claim the rental collections as income and it will likely fall really
  8. As a physician (specialist) who fairly recently started practice, I would really put some consideration into whether or not this the route you want to go. I worked for a couple of years prior to medical school, more because I didn't know what I wanted to do after my undergrad. I don't regret my medical training, and would do it again, but it's was a significant sacrifice. I'm not sure I would have opted for this path looking through the lens that you have somewhat described. While I can't speak to your personal situation, it's not uncommon that people find that medical training prevents th
  9. I can say that I wouldn't be offended by that. If you used the title doctor but then called me by my first name, I would assume that you probably just had a slip up, but it wouldn't be a big deal. Just make sure to get it right in the next e-mail, or if they reply to your email, send back something saying Thanks Dr. Lastname. You can certainly send another e-mail with a brief apology if it makes you feel better, but I wouldn't lose sleep over this one.
  10. As others have said, get the disability insurance, max out the most you can get. Your future earnings are your most valuable asset. Illnesses happen all the time and physicians are certainly not immune to them. You don't want to be stuck trying to get by on government disability programs and trying to pay off student loans.
  11. I'm one year out in practice and I would say yea, in my opinion it was worth it. I would do it all again if given the option. Med school was overall a positive experience but flew by and my memory seems to forget huge portions of it. Residency was at times tough. But at the end of the day, now that I am done, I get paid very well to do work that I generally like to do and I have a reasonable degree of control over it. As a physician you gain knowledge, respect and job security in most medical fields. When you are looking at the potential for a 30+ year career after finishing your training
  12. The idea of using an all-in-one ETC such as XEQT is that you wouldn't need to do any rebalancing. The only thing you would occasionally need to do is log on to re-invest your dividends quarterly. I am in independent practice now, but if I were to go back to my time at the beginning of residency I would have maxed out my TFSA (there would likely have been financial implications as a medical student on grants, etc that I wouldn't have wanted to effect). I did actually invest $30,000 in my 4th year of residency and made $3,000 interest over a year, but I later needed the money to finance a min
  13. While there's definitely some areas where training is overkill in Canada, just because the royal college accepts the training as equivalent doesn't mean that when the training program is said and done, the clinical skill of the physician is equivalent. Not to knock on Switzerland, I don't know much about their system and assume they have competent doctors. But at some point, when you are the MRP and the buck stops at you, you might not regret being pushed to get more hours under your belt. That said, resident work without quality teaching is just cheap labour.
  14. Residency isn't necessary a sentence to a life of misery. While I only have experience in the field that I trained in, all residencies are going to have their grueling periods. For some, predominately surgical specialties and some medical specialties, it will be a rough ride. For some others e.g. family, PMR, psychiatry, rad-onc, lab medicine, neurology and periods of internal medicine, its tough, and going to make your normal 8-4 job look like child's play, but its not exceedingly miserable. You are going to have some years of heavy call, for me this was PGY2 & PGY3. You are also goi
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