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Egg_McMuffin last won the day on December 4 2020

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  1. You are definitely not alone. I relate to your last paragraph hard. My school only started clerkship in Jan 2021 and I already feel I'm on the train to burn out real fast, but there's no way to hop off. We get a week 'off' from clinical duties in August and we are ALL very much looking forward to it. But a whole week off right about now would've been wonderful. It's getting to the point where I'm looking forward to block exam days because it means it means I'll prob get the afternoon off. But hey at least we get mandatory wellness meetings where they make sure we're not suicidal and tell us ex
  2. From my understanding academic sites are more off-service, inpatient based and therefore more intense, vs. many regional sites have integrated/longitudinal set up where you're spending more time in different FM/related practice settings (and thus fewer random inpatient rotations). The argument for going the academic route seems to be you'll see more, learn more and be better prepared for practice, especially non-clinic work. However a part of me doesn't buy it, because wouldn't I be better off setting up more time in areas that family docs actually practice in, like FM hospitalist, EM, FM-OB e
  3. MS3 here. Was recently chatting with a FM resident, who told me they find residency to be less stressful than clerkship because in clerkship they were trying to impress everyone on every rotation vs now as an off-service resident the expectations are different...this led me to ponder: are clerks generally always in the 'aiming to impress' mode? Is that the norm? What has been/was your strategy in this aspect during clerkship? Does it matter? I wouldn't describe myself as a slacker by any means, but I also consciously don't go the extra mile to make sure everyone loves me (e.g. laugh at al
  4. Don't know about other schools but at queen's we have 10 personal days to use throughout our core rotations; you're supposed to submit requests 6 weeks prior and take no more than 2 days off per 4 week rotation. Our faculty has assured us if it's something last minute or med appointments that are hard to schedule/get they'd be understanding. Would seem absurd if you had no personal days. Period.
  5. That's a lot of calls for a clerk. At my school we get 1 call per week for IM. I agree that they are very busy though. Sleeping 2-3 hours is an exception. If you do calls don't you get the next day off though? I'm curious how it adds up to 90 hours.
  6. I don't have an answer to your question but according to this article, the average FHO doc in Ontario billed 400k for a roster size of 1300 and worked 3.5 days a week a few years ago. I assume the 400k is from their FHO practice only...Assuming overhead of 25% they'd take home ~300K before tax. This was before the government wanted to impose claw backs so maybe things aren't as rosy now, but 150k for 1000 patients seem low. Also pretty surprised that the government is allowing docs to hire NPs unsupervised to do their work and pocket the billings... since they're so concerned with bringin
  7. I'd do the MCAT as a litmus test, as you said. Not only a test of your ability to jump through one of the hoops of admission but also youe commitment and ability to grind it out when life sucks because you'll be working and studying with all your free time... because that's the kind of self-imposed pressure you'll need during the second undergrad to come out with a 3.9+ GPA, as someone who's got nothing to show for your academic abilities so far. Not trying to be harsh- I've been in your shoes. It may take you multiple writes to get the score you want anyway. It's way worse to spend all
  8. I wish the school would spend more time on this point during our mandatory wellness workshops rather than the old "spend time to figure out what you're passionate in" type of advice. They haven't exactly portrayed residency and staff life as rainbows and unicorns, but any negative aspects mentioned hasn't really made people stop and really really think about what they might be getting into for the next 30-40 years of their career and the sustainability of it. But then the more cynical part of me thinks no one wants the bright eyed MS1 and MS2s to realize they don't HAVE to volunteer their
  9. I think it's so great that you're re-evaluating what you want instead of convincing yourself to keep pursuing that competitive specialty because of sunk-costs! What you've listed are very fair points for pursuing FM. However, although previous responses outlined some advantages of FM (albeit a unbalanced) I don't think one size fits all answers are helpful because they don't take into account what's important to YOU. Some wise advice I've been given about choosing a specialty: it's like choosing a spouse. No one is perfect, but ultimately can you see yourself enjoying the day to day bread
  10. LOL who told you that it's important? The one that I see people using predominantly for professional purposes is Twitter, that's the one where a lot of people who do advocacy congregate. Even so, the three main actions on there seem to be: 1. complain. 2. brag. 3. suck up (e.g."wow what a wonderful lecture by Dr.X!"), none of which are helpful
  11. Huh.... interesting. Is that across the country or are some provinces worse? I wonder how the government justified this? I mean I don't see how doing telemedicine would decrease overhead, if any
  12. I imagine methadone clinic gigs are really hard to get then? How does one even get into that niche- do people generally open up shop themselves? Do you need additional licensing or training for that? Also for telemedicine, don't you still have to deal with the same amount of paperwork as regular clinic? How's the renumeration for out-of-pocket telemedicine visits like Maple or Felix?
  13. Whenever non-trads on decent career tracks ask me if they should apply/reapply to med school, I tell them this: The foundation to making this decision is to be as informed as possible about potential gains and losses of pursuing med school. Financially and otherwise. To make sure there are no blind spots. Then, make a list of your non-negotiables, nice to haves, and deal-breakers in career and personal life. Be concrete and specific as possible. E.g. income above _____, flexibility, room for advancement, autonomy, remaining geographically close to family, spending lots of time with f
  14. Sorry if this seems silly I'm a soon-to-be MS3 doing some wellness-planning on how to prioritize my health during clinical rotations if possible. Do med students generally get to eat lunch during while on clinical duties? I know it depends on what rotation and where, and how busy you are that day. But, say, during your usual core rotations, can you expect to be given 15 min to go heat up your food and finish a meal? Or would that be seen as pretty extra in medicine's workaholic and self-sacrificing culture? Did you ever feel pressured to not rest of eat when you could've, because your at
  15. Yeah...I agree the math doesn't really add up here. Even if you do FM, be prepared for delayed gratification, including income-wise. I don't know how strong this 'what if' feeling is and sometimes you can't rationalize yourself out of that stuff, so I'll just speak on the financial goals: So pick up a side gig. You were vague about your role, but is it possible to start some kind of consulting side hustle with your current skills? Move up into a managerial role? If not with your current skills, then do a masters part-time in 4-5 years while working full-time? You'll be investing lots
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