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ameltingbanana

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  1. Would agree with the above. Procedures to add: Cardio - you'll be expected to do central lines (Cordis) to float temporary pacers through. Pericardiocentesis comes to mind too - some GIM and most ICU docs can do this but outside of a code blue scenario it's almost always cardiology. I would also consider urgent overnight TTEs/TEEs a "procedure" Nephrology - temporary dialysis lines in addition to kidney biopsies (though IR does a lot of kidney biopsies depending on where you train). In some centers, Nephro functions as an MRP service and you are sort of expected to have GIM compete
  2. Can't help as much with 2/3 (am in GIM), but can offer some insight on 1 - most programs should allow some form of moonlighting (called "restricted registration" in ON). The usual moonlighting common to EM and IM is in overnight ICU coverage (CCCA = critical care clinical assist). Usual is $1600 for a 15-16h shift (so $100/hour). You should not have clinical duties the next day (not without some downtime), and there's some rules as to what's allowed and what's not (that are variably followed).
  3. Haha, 100% agreed. The further I go in IM, the more grey things get...
  4. Echo the above - we've had a few 5 year residents transfer into our IM program through this process and it was relatively painless once they did a rotation or two and met with our PD and we had a spot available to my understanding. I think the second paragraph is important to think about too - I had a buddy in psych who had similar concerns with psychiatry. He transitioned to doing more psych CL stuff where there's a lot of interaction with internal medicine-esque patients and found that quite fulfilling. We've had a fair few "medical mystery" cases (e.g. mania with new white matter lesion
  5. In some community hospitals I believe. In my recent community rotation, IM did the admissions, and usually kept the complicated/interesting cases. Simpler stuff was usually admitted under IM, stabilized, and then transferred to the hospitalist service if there were disposition issues, need for rehab, etc. If someone decompensated on the hospitalist side, IM was usually very supportive and offered both a "consult" vs takeover as MRP once more depending on how comfortable the family doc was. Caveat: smaller community hospital, though probably only about an hour and a half from the nearest com
  6. Hmm, I think there's issues with the 3 year GIM in the US translating over here, as you need a minimum 4 years of training for internal medicine work here (4 years for an independent license to bill IM codes). I would look into that, I could be mistaken. Hospitalist sort of has different connotations here - at my centre, hospitalist usually refers to stable patients with more disposition issues and is often staffed by family medicine hospitalists rather than GIM. Acute medicine units/CTUs are usually where IM works here. And residency is VERY inpatient heavy - I think I maybe had like 2-3 m
  7. There's lots of GIM outpatient work. The nature of the clinics vary depending on where you are. Bread and butter GIM clinics are things like: longitudinal clinic, some form of rapid referral clinic/IMRAC, periop, community IM clinic. If you're in a community where there aren't many subspecialists, you'll find GIM doing things like: thrombosis, cardiac diagnostics, PFTs. There's certainly IM people doing outpatient only, but if I'm being honest I think a significant portion of us like the inpatient work and if I was interested in outpatient IM only IM residency would have been brutal. Are
  8. ^^^. GIM is remunerated quite well here, and there is lots of work in the Southern ON area at the very least. The other thing that people often don't point out is that GIM overhead is usually low/trivial if associated with a hospital (if you have your own clinic/employees/admin staff that's of course different).
  9. Not a WRC alum specifically, but I know the WRC residents and they've always done pretty well in the MSM match.
  10. Basically every post you've made in this topic. You clearly have a bone to pick with family physicians for the numerous poorly informed points listed above. What level of medical training are you at, and what experience with family physicians have you had?
  11. I have the momentum with subsequent fee wavers. It took a lot of negotiation to get this though, and I was originally with TD before jumping ship to Scotia.
  12. Sure, but the bread/butter and day-to-day is very different. And yes you can go into ICU from both. If that's the ultimate goal that makes sense.
  13. Depends on the program in question, your performance on the electives, and how apparent it is that you are backing up. IM has been competitive as of some recent years, particularly in popular sites. Internal is not an uncommon backup though. Just always seemed like a weird back up for someone who likes anesthesia.
  14. Hometown if your home town has a medical student with an advisor who knows what they're doing. Otherwise, branch located near medical school who will almost certainly have an advisor who knows what they're doing.
  15. McMaster grad and current resident here. Also did my undergrad and Masters in London/Western: A) 3 year program - absolutely can be daunting up front to figure out what you want. However, to some degree the onus is on you as an adult learner to explore, shadow specialties you might be interested in. McMaster is an excellent program if you're more open to structuring your own learning (if I might add, this is sort of how you learn in residency anyways - you will have half days and stuff, but a lot of learning is through your day-to-day and reading around cases, etc.). Not having summers do
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