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Everything posted by ellorie

  1. Staff call is also more $$$ which I think is generally motivating for people.
  2. Neither did I before clerkship - never pulled an all nighter in my life prior to that point or really even went to bed all that late. It's surprising what you can adapt to. I was incredibly anxious about it before I did it, but it turned out to be totally doable. Unpleasant at times, but doable. You learn what strategies help you manage. Best advice I ever got from a resident was to bring a pair of clean underwear and socks to call. Turns out a change of undergarments half way through the night is surprisingly refreshing! It really does work...
  3. I actually found residency far better than clerkship even though I worked harder. The absence of constant studying (except for PGY5) helps so much because you can actually use a lot of your "at home" time as actual down time (or at least I was able to - if you have kids I'm sure it's different but that's true of everything). The evaluation is also less intense because even though you're thinking about getting a job, the scrutiny is less for a lot of it, and you stay in one place for long enough that you don't have to impress every single second. You also have more of a sense of being useful
  4. Not to be rude, but I laughed at the "nobody can work 80 hours per week" comment. I didn't do it much in psychiatry but it's so so standard issue in so many of the other specialties. Just one Saturday call can easily push you to almost 70 without even trying even in psych (and I generally feel like I got off pretty easy from a residency perspective).
  5. I wrote mine “Dear Dr. [PD] and the CaRMS Selection Committee” but I doubt it matters much as long as you don’t address it to the PD of another program or something.
  6. I’m mostly still living like a resident except I might move to a nicer place (but I’m paying 1650 right now which for downtown Toronto is a steal so a nicer place will probably still hopefully be < 2500 with the rental market being what it is). But yeah the staff expenses really ramp up compared to residency in terms of OMA, CPSO, CMPA, CME requirements (conferences and trainings are $$$).
  7. I’m making less than that - if you’re outpatient psych doing psychotherapy and not much call you’re probably going to make less. However the first 6 months of practice were a ramp up - I expect to hit about 180-200k in my second year if I work hard. However, Toronto rent is expensive still and I’m also trying to start my RRSP so there’s that.
  8. As a psychiatrist, not so much. At least not as a single income household in Toronto. Income disparity sucks like that.
  9. Finished with about 140k. Paid off about 40k during residency and now working on the rest in first year of practice. I project it will take me about 3-4 years to get rid of it.
  10. I don't think it's unethical. I do think cards are the most appreciated gifts generally, aside from that what you've thought of sounds thoughtful and appropriate. When I was an M3 they used to send us to colpo clinic to learn to do speculum exams and the preceptor told me he had never in his life seen a medical student fail so many times to find the cervix. He did not tell me (and I later learned) to just angle a bit downwards instead of straight and mostly there you go, just criticized me. Lucky for me I was going to be a psychiatrist anyway so my ego was mostly unbruised. So it soun
  11. Definitely program dependent. But as a 100% anglophone who has lived in Montreal (undergrad, not med) - I would seriously seriously consider the potential language issues if you don't have at least functional French. It's really hard to fully integrate and I can't imagine trying to adjust to residency and all of those stresses while also having a big chunk of patients who expect to speak a language you don't speak or have minimal functionality in.
  12. ASAP. Definitely speak to an insurance broker who can figure out what the best deal is. I used to have both OMA and the RBC/CFMS, neither of which required a medical or asked about mental illness. I hear that the CFMS deal now does ask unfortunately - which is awful but there you go. You want to get it ASAP so you can start the clock on the preexisting condition rider. I know some people have also had luck getting MH exclusions removed after a certain period of time of having the policy without making a claim. Basically, get it locked in as soon as possible.
  13. I'm not in FM so wouldn't care to comment But I do think (in general, not you specifically) there is a lot of judgment towards people who can't do call.
  14. Some people actually do have medical conditions that make 24 hour call a problem. For me, I was really scared I wouldn’t be able to handle the sleep deprivation just because I had never done it before (always valued and prioritized sleep, never pulled all nighters), but I threw myself in, and was definitely able to handle it and did learn a lot. I surprised myself with how much I can do and that was a nice experience in some ways. I do think at least in psychiatry there are other ways to learn just as much but there’s something to be said for call for sure. But for some people
  15. Yeah I'm also interested to know how it's working for them - when I was a resident, my program was always debating back and forth about going to a night float model instead of 24 hour call, people would write proposals etc, but when it came to a vote, there was never enough momentum behind it. I voted against it. I don't like change and also honestly I thought I'd hate a block of consistent nights way more than intermittent call (especially since our call frequency was relatively low - I might have felt differently if we did 1:4).
  16. Check their program websites or program descriptions on the CaRMS website, ask residents, find out at interviews.
  17. As far as I know, Quebec is the only province that has formally capped the duration of shifts (at 16 hours, I think) for all residents. The difficulty with your question in the rest of Canada where there isn't that kind of limit is that most residents spend a substantial amount of time off-service (especially FM), so even if the home service doesn't have 24 hour call (which may be true for FM but I imagine would be rare for IM outside of Quebec), off-service rotations likely will. In my program (psychiatry) we did have some residents who had accommodations such that they didn't do 24
  18. Maybe see what your classmates on the same rotation are doing? You need to build in some rest/downtime consistently, not just at the beginning of a rotation. Medicine is a marathon as you know. Personally I used to study on the weekends and take weekday evenings off because that was what worked best for me, but some people do the opposite. Whatever rhythm works for you. I'm not sure what your standards for yourself are, but personally (as many in medicine) I can be a perfectionist and when I went to medical school I was fairly used to excelling (though maybe less than some because
  19. How efficient is your studying? Clerkship is the worst because you don't have any control over when you get time off, you're moving around all the time, and the exams are frequent. That being said, often there are old materials circulating or ways of figuring out what is actually high yield to study so that you can focus your study time. There's no need to learn everything, especially in specialties you don't intend to match to. You don't need to dazzle everybody you meet to succeed. Sounds like it might be worth looking at whether you can prioritize or make your studying more efficient (e
  20. I’m not aware of anybody in my cohort or in my program in my time who left medicine entirely. We typically had a transfer (usually to family medicine) every couple years or so. I’m aware of 2 between my cohort and the cohorts below me in my 5 years but I wasn’t paying much attention to know the details. My program was very big (like 36 residents per year) so not a high percent compared to others. In psych it’s usually that people find they miss the general medicine aspect, though some of these stay in and do geri psych or CL or neuropsych or neurostim stuff. And of course the usual maternity/
  21. Not my area of expertise. I'm choosing to trust the expertise of Health Canada and the other physicians with more understanding than I do, and I'll be all over it as soon as they offer it. I think we need to normalize trusting scientific expertise/experts when we ourselves don't know the answer or don't have the same training. Not blindly, but more than we as a society do.
  22. Noroh has been very clear what she is asking and for what purpose, and people are voluntarily choosing to fund her over that amount. She is only in MS2, so my best guess is, if she gets extra, she will use it to pay her entire outstanding balance versus just the minimum deposit, and then will probably use it to help her with the next 2 years of tuition thereafter. Which is also very reasonable and in line with the intent of the people who are donating. I expect she is talking about her high tuition and her ineligibility to access Canadian financial resources because otherwise people out
  23. So then why it is a problem if people want to help her pay those costs with their own personal money? If you don't agree, then when you have extra money, you can pick your own cause to donate to, that you think is valuable and will improve society.
  24. Story makes perfect sense to me? Any student, international or not, can share their story and try to fund their education with a GoFundMe - why not her? And I'm not sure why her tax situation is relevant - she's paying international student rates and not receiving any subsidized loans. People are impressed by the social justice work she is doing, and the adversity she has overcome. She has faced more financial adversity than many medical students, though certainly not all, never mind the impact of systemic racism and the difficulties of immigrating to a different country without your f
  25. I think a heartfelt card is the best gift. +/- some edible treat.
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