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icewine

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  1. https://www.cfpc.ca/en/education-professional-development/examinations-and-certification/alternative-pathways-to-certification-in-family-me/recognized-training-in-certification-outside-canad If you have completed a postgraduate training program in family medicine in Australia, Ireland, United Kingdom, or United States you may be eligible for a provisional or restricted license in BC and Ontario with just the MCCQE1. It is probably the same for the other provinces. You would need to be supervised until you complete the MCCQE2. Also review the Health Match BC website: htt
  2. U of Toronto has a 12 week emergency fellowship which may be an option: https://semedfcm.com/
  3. There is also a 1 year EM fellowship in the US that may be an option. A current list (June 2020) of available fellowships: https://www.abpsus.org/emergency-medicine-fellowships SDN thread about the year (good information found within but lots of comments to go through): https://forums.studentdoctor.net/threads/just-finished-my-em-fellowship.1384555/ If your goal is to work in a Canadian emergency department this looks like a viable route, licensing issues aside. I do not think you would be considered residency eligible to take the FM/EM exam, meaning you would have to
  4. What practice scope do prehospital doctors have in Canada? I have not been able to find much on this. From what I have researched Canadian prehospital medicine seems more administrative in nature. Whereas in Australia where I am based prehospital and retrieval medicine mirrors the British model where doctors will frequently act as first responders and escort very ill patients from facility to facility. In Canada it seems that advanced care paramedics take on this role. Or do Canadian prehospital fellowships allow EM doctors to do this? I am thinking about applying for prehospital fellowships b
  5. https://www.theabfm.org/become-certified/i-am-certified-country-outside-united-states#
  6. I am a GP in Australia and have commented on this topic in the past. See my previous post here - In short, going to Australia is a big risk compared to several years ago and re-applying in Canada might be the better option. I did want to comment on a previous post about training and working in Australia. AFAIK as an international graduate you do not need to sign a statutory declaration stating you will get PR before starting internship. The poster may have been referring to signing a statutory declaration prior to the start of GP residency. In brief: as an international gradu
  7. As long as your ABFM is through an ACGME residency you do not need to take the CCFP exam as you are applying under the CCFP designation without examination policy. After submitting your paperwork you are sent an eligibility letter from the CFPC which you then use to apply for provincial registration. Once registered you submit proof of registration to the CFPC, at which point you are granted the CCFP designation. The "Note" has no bearing on getting the eligibility letter from the CFPC as long as you meet the "Recognized Training" requirements. Issues arise when you apply for provincia
  8. I went down the Australian medical school route many years ago and am now a full fledged doctor working in Australia. If you had asked me say 10 to 15 years ago whether or not to go to an Australian school with the plan of staying long term I would have said yes. The rate limiting step at that time was getting an internship spot and back then international students were mostly successful in doing so. Nowadays it would be remiss of me to give the same advice. I'm well removed from applying for internship and am a bit out of the loop but spots have tightened up considerably, with internatio
  9. That is a good reflection on rural FM training. It is only one example but I would imagine most recent graduates of rural FM training would be similarly skilled. Though I must say I do find surprising your confidence in procedures favoring the rural FM graduate over the +1 EM graduate(s). I would have expected a similar proficiency between them. Again though, only one example.
  10. Do +1 EM residents typically reach that number of intubations during the training year? Asking out of curiosity, as two to four weeks of anesthesiology rotations looks to be the norm after a brief glance of some of the different +1 EM programs around Canada. Residents would be intubating non-stop during those weeks to achieve those numbers, I would imagine!
  11. 100% agreed - ROS ("the stick") are a poor solution to rural retention issues, regardless of who fulfills them - CMG or IMG/CSA. From an Australian GP point-of-view: we have developed more of a "carrot" strategy, with several states such as Queensland and New South Wales offering a postgraduate Rural Generalist Pathway and which will soon roll out nationwide, as well as very generous Commonwealth annual bonuses to GPs who practice in rural areas. And we still have problems retaining rural GPs. It is a very complex problem to tackle, to state the obvious.
  12. I'm a few years now removed from my own clerkship, but in my own experience - yes we did learn the basics so by the end of medical school we could function at an intern level. I think the difference (and please correct me if I'm wrong) is that in Canada the level of responsibility during clerkship is higher. For instance, if we take the internal medicine example - we learned how to admit patients and formulate management plans. Typically however that learning took place by shadowing the intern or resident, and only during and after intern year would we then be responsible for the actual admiss
  13. Gotcha, I see where you are coming from. Medical school clerkship in Australia is hands off, I agree. The senior medical students are not an integral part of the team, and will typically pass a rotation without too much effort. Postgraduate training however is of very high quality. The various postgraduate training colleges (RACS, RANZCOG, RACGP et al) have some of the highest standards in the world, and IMHO produces specialists easily equal to Canadian/American/British trained specialists. Interestingly Australia has similar issues to Canada when it comes to accessing postgraduate training s
  14. Good luck to those going through the second round. Interesting statement. What are you basing this on? I'm asking as an Australian educated and postgraduate trained doc.
  15. Do you have any links or further information on the +1 trauma year for CCFP-EM? I've only come across trauma fellowships for Royal College-trained EM doctors. I was under the impression that fellowships for CCFP-EM were very limited, which is one of the disadvantages of doing the +1 route. The only fellowship I know of for CCFP-EM is the emerg ultrasound fellowship at the Scarborough Hospital.
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