brady23 reacted to Vivieeeeeee in Mental health leave of absence
I can't contribute anything information wise but I just want to wish all the best for you. As "fake" as it sounds, no amount of achievement/money earned is worth if it means losing our physical and mental well-being. I have experienced an extremely traumatic personal event in my undergrad which resulted in a year of suboptimal performance due to a bad mental state, and I am extremely grateful that my med school did not deem me unworthy because of it. In a way, I was once in your shoes to some extent and I can relate to how awful that feels. Even if not all residency selection committees believe this, you have to believe that your worth/talents as a doctor is in no way diminished because you proactively, unapologetically took time to look after your damn self before you take care of your patients.
brady23 reacted to futureGP in Life in IM
IM residency will vary from schools in terms of work life balance. There are relatively chill, well funded programs out there. But expect CTU blocks to be busy. But if you are busy doing what you like, is it really?
Back to the life afterwards. Remember that unless you are doing FM, Psych, you will guaranteed have a hard time finding a job around major cities. So unless you are planning on FM or psych, get rdy to locum after whatever specialty you do.
For subspecialty matches, I would look at MFM stats on CaRMS and see the numbers for yourself. The match rate is not crazy. It’s a whole lot better than carms round 1. Most people get their specialty of interest from their top 3 locations.
Also you should know that an academic CTU is not reflective of how most internists work. There is no big team of residents/med students if you work at a community hospital and are rounding on your 20 inpatients (honestly for the better because as staff, residents/students seriously slow you down). Intellectual stimulation is a plus but as staff you don’t want that all the time either (those fall/hip# admissions start to look very appealing). Inpatient responsibility can get stressful as staff without a resident taking first call.
if you truly want to see if IM is for you, I recommend getting more experience in the community, and outpatient subspecialty clinics. CTU is, again, not a good reflection of your life as IM specialist/subspecialist
brady23 reacted to LittleDaisy in Life in IM
Do you want to do GIM? or subspecialties? There are some GIM Subspecialties that are life friendly.
They work you hard in IM residency, I am not surprised to see that the residents you work with are burned out. For staff attending, depends on how comfortable you are letting your residents running the show. If you are the type of attending who likes to see every patient on your own, double checks everything your senior resident, junior resident and medical student does, and double check all the documentations (admission, d-c summaries); or asking the senior resident to page you for major decisions overnight, you will end up working a lot and seem burned out as you never have much time to rest. I have seen a few more senior GIM staff attending, who feel very comfortable letting the senior resident running the show, and come in at 8 am, and leave right around 4-5 pm after handover (provided that exists only in academic setting).
I believe that the job markets in geriatrics, endocrinology and rheumatology are great, as you can easily set up outpatient office (however, high overhead and you will need to have friends in FM who can vouch for you and recommend you to their colleagues). Those specialties have become slightly more competitive though in the past few years.
The hospital jobs are harder to come by, I believe that some people like to stay in academics (despite the lower pay, and being clinical associates for the first few years, commitment to research /education). However, even though the overhead working in hospital is almost none or lower, you don't pick your receptionist or your nurses, and there is not much you can do about a grumpier receptionist or a nurse not enthusiastic to work for you.
TLDR, the life of a staff attending really depends on which subspecialty you pick. I think that you should still do IM if that's your passion. Residency is tough and they work you hard everywhere, life of staff attending will be tough for the first few years as you are the one making all the important decisions fresh out of residency.
brady23 reacted to rmorelan in Does anyone know how OMA disability insurance works?
just make sure whatever you get is compatible with whatever the residency union uses - they often have disability insurance too. If you get the ability to increase it guaranteed into the policy then you can bump your core insurance whenever you want - no good not having an insurance policy that expires (like most residency union ones) but no point having one either that would be denied payout if you have further insurance (for obviously reasons insurance companies don't want you to have too much insurance - some people might have an "accident" to then get it)
brady23 reacted to Med0123 in Does anyone know how OMA disability insurance works?
As rmorelan mentioned, the premium is dependent on tons of factors. He does not want to disclose how much he pays and that is fine.
For 8.5k a month, I pay roughly $150/mo. I will increase it shortly.
Hope this helps.
brady23 reacted to rmorelan in Lines of Credit for Medical Students (Scotia is the best option)
that is not much different than saying if you that had then money should you pay off the loan (the interest each month becomes the loan balance - so you really just paying of parts of the loan).
but how would you do that? where would that money come from? You cannot use the LOC to do it - that is just the same compounding with the math done different
You will also be a student in med school up to your eyeballs in work, and your focus has to be on making sure you figure out what speciality you want and then getting that speciality (in a sense the only purpose of medical school ultimately is matching to residency. Kind of a bleak way of putting it I guess but it does focus things). If you go out and earn the types of sums required to pay off the basic interest eventually we are still talking about 500-1000 a month for many people in the end (tuition alone for say for years is over 100K, then there is living expenses etc. It does add up). Working that much would be distracting.
The trick is to use the LOC appropriately, and balance it out. Don't spend so much that the LOC becomes a distraction, don't worry so much about it that become yet another distraction. Always keep in mind the LOC also has to be around with some room etc for your residency - because that is another period of your life where you honestly won't know exactly what your financial needs will be (and many residency positions are in very expensive cities - many people consider themselves luck just to pay off the interest in residency and not go into debit further. Others still find themselves digging a deeper hole as it were).
brady23 got a reaction from VladTheLad in UofT- Changes to the Admissions Process
So for a course-based masters student:
In the old system, they wouldn't be considered in the "graduate pool" because they didn't have enough research productivity?
But in the new system, they would be considered in the "graduate pool" regardless of research productivity?
If that's the case, seems like a disadvantage to those who are really productive in their Masters, and an advantage to those who aren't because they still get streamed in the graduate pool (i.e. lower GPA requirements)
brady23 got a reaction from striders02 in Lines of Credit for Medical Students (Scotia is the best option)
What TD credit cards do you get with the LOC?
Are the fees for both waived year after year?
brady23 reacted to adhominem in Funded Studentship vs. NSERC
I'm kind of confused what it is that you're asking as well...
Generally, studentships for summer research work and the NSERC USRA are virtually the same thing (i.e. in Alberta we have an Alberta Innovates Summer Studentship). Most often, students apply for all the studentships they can, and then accept the one that pays the best if they're offered multiple. In some cases, they may even allow you to 'top-up' your earnings and collect both (up to a certain dollar value). If you're awarded more than one, even if you are only able to accept one, you can (and should) list both on your CV.
If you aren't talking about listing it on your CV (should you receive it), then we are going to need more information so your question can actually be answered.
brady23 got a reaction from Bluecolorisnice in Not confident in Physical Exam Skills
Other than OSCEs, there's no objective evaluation of my physical exam skills - we go see patients every week, but it's just me and the patient so I can't even gauge how my skills are.
It just feels like I'm doing the motions (i.e. placing a stethoscope on the chest, lungs, listening to sounds that all sound the same to me, not being able to tell the difference between dull and resonant on percussion to find organ borders, palpating the spleen but I never know what I'm actually feeling), I can never find the JVP
brady23 reacted to rmorelan in Western interview invites/regrets 2019
You are right on the limited spots, and the impact.
I have been around here for awhile and this isn't the first time I have seen these sort of radical change by a school and the impact on the applicant pool. Anger is a predictable response and while it isn't logical I can understand why. People that work so hard under a set of assumptions are then hit over the head when after achieving much have the goal posts moved. People could have sacrificed ECs for years to get a high GPA and MCAT score for Western and now find out that doing that was wasting their time. Further they have gotten that high GPA every year and then find out they are beaten out by some one with way more ECs at the expense of their GPA, and in fact could have terrible GPA years but hit the 2 years under new rules. The objective nature of the old system for many is an oasis in the other relatively subjective, "what do you what??", approach of some other schools. The calming effect if you also happened to be SWOMEN is also diminished. Whole new world in effect - and you can see a lot of people with high MCAT/GPA scores here blocked when they thought they were a sure thing for an interview.
Same thing happened when Mac changed radically its polices, Ottawa dropped the Masters route, Queens did adjustments and went dark with some of its rules ... Come to think of the only school that hasn't changed is Toronto and NOSM.
At least of all the things you can change about your applicants ECs are relatively simple. There well be a lot of analysis and search for some idea of their criteria, and people will pick up the pieces and move on from there. But for now its going to hurt.
brady23 reacted to shady in ON changes CaRMS second round for IMG/CMG
Things change a little bit when you become a resident. You become more attuned to the attitudes of clerks than before, and you really do start to see a difference between them. As a resident, I'm totally fine with a student who doesn't know something or needs to ask questions. Heck, even if you've done it before but can't remember, that's fine. What I can't tolerate is a student who shows up late, who messes up consults that you have to redo things from A to Z, and who interrupts people during rounds. Things of this sort make my job harder.
These people do exist, and I run into 1 or 2 every year. And I'm in a small specialty where we don't get that many students. So I can certainly understand when programs are reluctant to take certain people
brady23 got a reaction from Edict in Realignment of Doctor's Income
I think the OMA is trying to re-align income from the top 4 specialties (cardio, GI, radiology, optho) into the lower-paying specialties (28 of them), which seems to be a promising change
brady23 reacted to LittleDaisy in Home School Advantage
Hey I have participated in CaRMS selection for UofT Family Medicine. Unfortunately, the selection committee does not give any merits if you are a UofT med student.
Before the interview, they send out the list of potential candidates, to make sure that there is no conflict of interest. The interview is blinded, i.e, I don't know where you did your medical school, where you did your electives, etc. They do this on purpose to prevent the interviews being biased (giving more points to a candidate from UofT, or having done substantial FM electives). For the file selection, you do get more points if you have done FM electives or a broad range of electives.
The selection process is very transparent, please PM me for more details!
brady23 reacted to 1D7 in How to do well on clerkship?
I agree with the previous answers: it's important to take time to protect yourself and connect with friends/family. However, for my answers below, I'm going to answer you assuming you want a competitive specialty and that you are on a rotation where you want to work extra hard because you want a strong LOR. Please don't stress out if you just want to be able to pass the rotation or if you want a specialty with low competitiveness since being a reasonable person can often get you a pass by itself.
1) With studying there should be 2 goals. The first is understanding the clinical knowledge well enough to function well while on service/in clinic (e.g. having a good DDx & approach for common presenting complaints, learning about how the diseases you typically encounter are treated). The second goal is gaining the knowledge to be able to answer pimp questions and pass the rotation exam (usually some clinical knowledge but more often pathophysiology of disease, common associated condition, complications of treatment, random 'fun' facts.).
On my IM rotation, during the day I would read up on patients and their conditions if time permitted--usually this totaled to less than 1 hour on average since the service was busy. In terms of clinical resources, I found DynaMed the most helpful, with occasional references to UpToDate when I needed further clarification. After work I would study 1-3 hours using an assortment of resources, i.e. OnlineMedEd lectures, Boards & Beyond lectures, CaseFiles/UWorld Step 2 CK question bank, and clinical resources (DynaMed/Medscape/UpToDate) as needed. With clinical resources, keep in mind that there's a ton of knowledge beyond the scope needed to impress as a medical student--you will have to be the judge of what you need to know, what you should know, and what you don't need to know.
If I felt my clinical knowledge was weaker, I would focus on reading up via clinical resources, as well as going through OnlineMedEd lectures and CaseFiles.
If I felt my general/science knowledge was weaker, I would focus on Boards & Beyond lectures and UWorld.
Occasionally I had to sit down and draw out flowcharts or take notes, but 95%+ of my learning was just listening to lectures on 1.5-2x, going through cases/questions, and reading the occasional Medscape or DynaMed page.
For Peds I would focus on using pedscases.com as your primary clinical lecture base. For Surgery I would probably pick up whatever textbook is recommended by your upper years.
Many preceptors and residents commented on my strong knowledge and my evaluations reflected that.
2) & 3) 80% soft skills & social awareness, 20% medical knowledge. Intrepid86 and freewheeler put it best.
brady23 reacted to Birdy in How to do well on clerkship?
1. Read around my cases and made sure I met the learning goals of the particular rotation. Didn’t really study much more than that.
2. Watch out for yourself and your fellow clerks. Ensure you’re sleeping, eating, and resting when you can. Find a task organization system that works for you and stick to it so that you’re staying on top of the things you should be doing. Get to know allied health professionals and don’t be afraid to ask them questions.
3. Be polite. Be honest - ESPECIALLY if you screw up/forgot to do something. Show up on time. Help out where you can. Respect your allied health care staff. Basically, be professional and don’t be a jerk.
brady23 reacted to freewheeler in How to do well on clerkship?
Students often worry about their level of knowledge prior to clerkship and are eager to try and read as much as possible in order to "succeed." Clerkship in my experience is a lot more about developing your diagnostic thinking, approach to common presentations, and ability to formulate appropriate management plans. A significant portion of it also comes down to doing your preceptors' work: ex. writing referral letters, admission orders, discharge summaries, dictations, etc. and doing it correctly.
It really comes down to showing up on time, trying your best, and being respectful towards everyone you encounter. It can be very anxiety-provoking as you are often trying to adjust to different preceptor expectations, figure out different wards, etc. but as long as you do the aforementioned things, you'll be good and just need to trust in yourself and the process. Clerkship is one of those things where you "just have to go through the fire" so to speak, but it really isn't that bad. There are many times where it sucks @ss, but you will survive it.
Definitely do your best to remain connected to activities that promote your personal well-being, and to spend time with family/friends, especially people outside of medicine.
1. How did you review/ study?
Read inbetween cases when possible. Do some reading at night time/energy permitting. Case files is really helpful.
2. How to perform well in clerkship?
3. How to be a good clerk?
brady23 reacted to NeuroD in How to do well on clerkship?
OnlineMedEd is a good high-yield way to prep for a specific specialty.
More important than knowledge is likeability. Sometimes pure knowledge will win, but for the most part being likeable trumps. I often feel bellow average with respect to my knowledge, but I get consistently high(er) evals, and offers for reference letters, and I'm convinced it's because I like to connect on a personal level with my team. Will that carry you through an orthopedic rotation with an antisocial preceptor who pimps you on subspecialty material even though he knows you have no interest in surgery (personal experience? Haha)? No. But as long as you're punctual and happy to put in the hours, it works more often then not.
brady23 reacted to LittleDaisy in Realignment of Doctor's Income
What's ironic is the Ontario government is reducing the new grads entering FHO & FHTs, while cutting down the revenue of FHT by reducing the enrollment fee for new patient, getting rid of preventative bonuses, make some out-of-basket codes in-basket (18 month well-baby check, influenza) which defeat the purpose of comprehensive & complex and preventative objective of FHO.