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shikimate last won the day on September 14

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  1. If you don't like dealing with people's social problems, probably shouldn't do psychiatry. I enjoy thinking about people's psychiatric problems, but got super frustrated trying to deal with the patients. My 2c here: A. they have compliance issues often, sometimes due to their own fault, sometimes not their own fault, but that's a different discussion. So like seriously why are we sitting there talking about solutions when it isn't' gonna happen? B. treatment takes forever to take effect, and even if something changes, it's all subjective, and who knows if it's because of treatment, o
  2. not too important, you can do 1-2 things if it suits your interest but i imagine 3 year schools are pretty fast paced. It's more important to spend some time doing observer ships.
  3. In the past, 2 week is the norm for competitive ones. Actually I know people used to do unofficial site visits on weekends or vacation days just to get their face known. But with COVID I don't know how that would work now.
  4. first and foremost find out about their royal college pass rate and how their residents do after residency. If they aren't willing to give you a number or pretend they don't know the number, consider that suspicious. If residents are doing multiple fellowships, see if that's related to the general job market, the quality of training, or something else. second see if there are signs of residents dropping out. For example they take 3 a year, but only has 1 PGY4, so where did the other PGY4s go? maternity leave? transferred out? failed and repeating a year? check previous carms stats, s
  5. One's experience as MS3 is often diluted, for example seeing less acute patients. I'd say keep IM in your mind, but keep an eye out in the next 2-3 months for something else that might catch your eye. As MS3 it's rare to be good at something, unless you've had extensive exposure to the field. What I would more consider is how does the field match your general skill set. For example, if you are a visual pattern recognition person, pathology, radiology and dermatology will be good choices. If you like verbal communication, then FM, psych might be good. etc etc. If you like physiology and t
  6. That sucks big time. I suppose you could try something close, such as dermpath for derm or pediatric derm for derm.
  7. - you can read some good books like First Aid for clerkship series, depending on your rotation schedule. - you can watch youtube videos for learning physical exam manuevers. - Step 2 CS and CK First Aid books are a good study aid overall, I'd say more high yield than most other books I've read.
  8. People connections There's almost nothing more important than that for CaRMS. You might have a weaker application than the next person but if the selection committee knows you well and have a good vibe about you, they are more likely to pick you. A small field like gastro and ENT that takes in 2-3 fellow/residents per year, you gotta get to know the staff there. Do observerships, do research, do shadowing.
  9. NP will definitely make more work for specialists, probably a lot of easy consults I'd say. I've seen referrals to excise a SK they thought was melanoma lol.
  10. The system may also go the NHS route. I read a stat somewhere that >40% of surgery interns in UK are FMGs from middle east, India, etc etc. They pay them few pence and work them like an a**. One consultant from UK said he could work here as a PA and make more money than a consultant in UK haha. In case anyone is curious, the starting salary for resident doctor there is 28000 pounds. Maybe not poverty level, but if you live in an expensive city like London, I guess it's close enough. https://www.imgconnect.co.uk/news/2021/04/nhs-doctors-pay-scales-in-the-uk-explained/59 As a c
  11. A lot of it has been in the works for a long time I'd say. Here's my take on it: - the # of MD spots has not increased much for many years, same with residency, so no matter how you view it, there's always a "doctor shortage". - government come up with some half **** ideas about this "doctor shortage", like announcing they want to open up a new medical school somewhere 3 weeks before an election. - "doctor shortage" becomes legitimate excuse to get more NP/PA and what not. The way I see it, primary care value-add on is easily eroded. The services rendered by FMD are often s
  12. I thought somebody posted a bit back asking about having children in school/residency, but I can' find the thread anymore. Anyways I just saw this in CMAJ today, so I thought I'd post it: https://www.cmaj.ca/content/193/37/E1465 https://www.cmaj.ca/content/193/37/E1459
  13. damn pediatricians are paid pretty well there in comparison. starting academic job salary for pathologist with 2 fellowships is like 160K non-tenured, only have to work 6 days a week not 7. no wonder 90% of pathology resident there graduated from Timbuktu academy of medical sciences.
  14. If you have your USMLE, it might be useful to have your FCVS file ready. You don't need to have completed residency to apply for state license. Some states like Texas are notoriously burdensome for license, so better start early than late. If you just need a cheap license in any state, say for purpose of American board, Pennsylvania is a good option, very cheap and pretty fast IF you have all your documents prepared in advance.
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