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Everything posted by ArchEnemy

  1. Are you a Canadian citizen with US green card? If so, you are considered a USMD/CMG by both American and Canadian schools (i.e. Non-IMG). If you want to do residency in the US, it is usually recommended that you do your medical school in the US as well, as it makes it easier to make connections for the Match.
  2. For the ultra-competitive specialties, I am sure that everything matters.
  3. Yes you can always apply to the US after you have already completed a Canadian Residency. However, there is the huge opportunity cost of course. If the specialty is competitive in the US as well, it might be worthwhile considering not backing up (i.e. going unmatched), then do a "research fellowship" year and write your Step 1 too. In the US, Step 1 scores are king.
  4. In several countries, the physician is both the prescriber and dispenser. So imagine if physicians were allowed to dispense medications from their offices, I wonder how would pharmacists and pharmacy chains feel about that?
  5. Over the years, I have noticed that this is becoming a problem in Canada too, although not as rampant for the reasons mentioned above. I believe a physician cannot bill for the work of a PA unless they physically lay eyes on the patient themselves. NPs, on the other hand, do not need to be supervised by a physician. I have seen large Telehealth Organizations take advantage of this.
  6. To say that the process is entirely subjective is also untrue. There are many ways other than grades to show abilities objectively, such as research productivity, awards, or even leadership positions while in med school.
  7. Thanks for bringing that to my attention. This article was discussed quite extensively on **DELETED** when first published. Glad to hear that it has since been retracted. I wonder how it got through the peer review process in the first place. Very similar to the article published in Vascular Surgery on #medkini.
  8. https://www.diagnosticimaging.com/view/radiology-extenders-outperform-radiology-residents-with-chest-x-ray-interpretations I read this article the other day and found it very interesting. Wondering if it is mostly matter of the total number of clinical hours (senior residents > experienced techs > junior residents)?
  9. Yes almost all were successful at matching to Plastics and Ophthal. Derm was around 50-50.
  10. Research + Electives are probably the most important things to show interest in the specialty. Networking is valuable, but can also be a double-edge sword.
  11. From what I have seen, most of my classmates gunning for the ultra-competitive specialties already knew what they were interested in by the end of MS1, so that they can conduct research in the summer after first year.
  12. Somewhat off topic but how did you come to decide to only do 4 years of residency (rather than the 5-year GIM program)? Why would anyone want to do 5 years GIM then (or even 6 if they do a chief resident year)?
  13. CMHC Mortgage loan prevents you from borrowing for your down payment, yet you're borrowing from LOC for your down payment? If i were in your financial position, I would not buy anything (unless your parents can help you out with the down payment).
  14. Attending medical school and residency in the US will likely help you to stay on in the US more easily (e.g. marrying a partner who is American, more job opportunities will be offered to you from your colleagues / bosses who know others). However, Orthopedics in the US is significantly more difficult to match into compared to Canada and you frequently need to score >90th percentile on the Step 1 (moving to Pass/Fail in 2022). It is possible to move to the US after a Canadian residency, but it won't be easy due to visa requirements. A few of the orthopedic residents I know have dual Ame
  15. A few of my classmates bought homes in downtown Toronto with their LOC and the value of their homes doubled by the time graduated medical school.
  16. Pretty much just cold email. Given the current COVID situation though, it might be easier to do observerships in community clinics (rather than hospital based ones).
  17. It has begun. I suspect that Family MDs are more likely to move than Specialists (especially surgeons) though, due to hospital privileges.
  18. Honestly just get the cheapest one. Can't believe I paid $20 extra just for all black colour. I haven't used my stethoscope since R1 Internal Medicine. Anyone interested in buying one?
  19. I believe that most supervisors start a project with the intention to publish, so you will be fine to express your interest in doing so. Research publications are always helpful, especially for the more popular schools like UofT or Mac.
  20. A study comparing the two would be very difficult and will be highly politicized. By way of your argument though, the quality of care provided by NP, GP-A and GP-OB must be equivalent (or non-inferior) to GP, Anesthetists and OBGYN respectively right? Since litigation lawyers / colleges / CMPA has not shut down any of these pathways either.
  21. I have to disagree: longer training will always lead to better training due to increased exposure and opportunities to apply skills in various scenarios. Sure a significant portion of that extra work may be repetitive, it is through repeated exposure and application that one is able to hone its craft. I think it would also be very delusional to equate the first 2 years of FM training to the first 2 years of EM training. The extra 4 years of training is significant, and difference between a fresh CCFP(EM) and FRCPC(EM) graduate is stark (anecdotally). Once both have been in practice for a
  22. This is a very important question that is often overlooked when discussing billings. 300k-400k may seem "average" in terms of physician OHIP billing, but because their overhead is so low (<5%), their pre-tax income is similar to physicians who are billing 420-570k but have 30% overhead.
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