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Everything posted by rogerroger

  1. If your program will give you time to do it, supports you doing it, and you don’t pay full price, it’s a good idea IMO. The reason being is that it will certainly cost you more in lost income once you are done residency. This also assumes you have a reason for doing the masters in the first place. A masters for the sake of the paper is a waste of money and time. I did one masters during residency. It was value added. The second masters I did after residency. It’s end value has yet to be determined. It may or may not pay off. We shall see...
  2. I’m totally bias here being trained in the 5 year stream. But I just can’t fathom one being able to accumulate the equivalent knowledge, confidence, and department management skills needed without dedicated support provided by a training program. Becoming an expert in emergency medicine takes more than some CME, some hours logged and an exam.
  3. I went into my emergency medicine residency considering critical care. It was one of a handful of potential options I was considering for the “extra specialization year” built into the 5 year training. In my first three years of residency I spent just shy of 1/2 year in the ICU, and didn’t like it that much. In the ED sick patients often get better, get worse, die, or stay the same and get admitted over the course of a shift. The ICU with all it’s hours of rounding and the gradual changes in patients status didn’t really fit what I was looking for from a work satisfaction standpoint.
  4. If you like gambling, invest your LOC... Otherwise I would not invest even cold hard cash let alone capital from a loan. Personally, I pulled everything I had in the market out when COVID started rampaging through Iran in February... The pandemic writing was on the wall when this virus reached that country. The political response to the pandemic has often been not rational. The scientific response one of many unknowns. So in my opinion there is no way to truly predict what the markets will do in the immediate future. What firms will get bailed out, which regions will get hit hard,
  5. I’m an emerg doc working in an academic centre. Here are my answers. 1. You do see a certain proportion of patients that have non-emergent chief complaints. On some days this makes up the majority of the patients I see. Most patients fall into the grey zone. They may or may not have an emergency and I need to sort that out. That process is the most time consuming part of my job. In the group of patients that obviously do not have an emergency they can be broken down into one of two categories. 1) The patient is not aware that their concern is not emergent and is concerned. 2)
  6. Graduate degrees are so variable regarding "value". In my experience, over 50% of the value of such a degree depends on the network opportunities that arise. I do not know anything about the program you refer to, but I would start by trying to contact some alumni, or by trying to get a sense of where those who completed the degree ended up. It would be interesting to see who has enrolled and who is teaching the courses and what their background is.
  7. Of course the exams where cancelled for this reason... Why were provisional licenses granted over just having them sit it out? A human resource rational plays a role there.
  8. 300-400 people a day are dying in Italy. The situation there is like nothing seen since WW2. Having people out there doing something is better then having no one... Canada is entering into the same situation. Final year residents are being given temporary liscenses to practice independently without writing the exams. Exams are cancelled this spring. We need the people. The scale of what is coming is truly unlike anything we have seen in generations.
  9. That is the world we now exist in. What was normal 4 weeks ago is now history. These are exceptional times. Every resource we have is being put towards COVID-19 preparation. It will be like this for the foreseeable future. Everything medical education will be playing second fiddle. We are not even close to the peak of this. And it’s likely going to be many many months before we get to the other side. Not ideal for you. But these are the times.
  10. Just expressing my own opinion here. But I would count on some setup existing where new medical students can start classes. As others mentioned, pre-clerkship is mostly just didactic and group based learning. Most of it could be done online quite well. It will probably be an unusual year. But I have a hard time imagining the stream of new physicians being cut off entirely.
  11. PM101, As an emergency physician and as one who has helped manage the sick with COVID-19 on the front lines, I beseech everyone to isolate at this time. These are historic and truly exceptional times. As such, this moment demands an equally historic and exceptional act from all. Everyone must stay home. Go out ONLY if absolutely needed. Every time one ventures out of isolation needlessly, you place your family, friends, public, and healthcare staff at unacceptable risk. This is of the utmost and highest level of importance. Tell everyone you know this message. Before this challe
  12. Please search the fora. This question has been asked innumerable times.
  13. Regarding exposure to trauma medicine. While training (Med school / residency) I spent time rotating through two different trauma programs. Both included +1 and many other types of residents. I think they spent a single rotation on trauma. Maybe Magneto could elaborate further on this part of the +1 experience? The RCPSC folks in my program did two months minimum. That's what I did. It wasn’t uncommon for people to pick up electives later on in trauma as well. Stereotypically trauma tends to be one of the patient populations EM minded people enjoy. Seeing an elegantly run traum
  14. Good question. My residency program fully supported me. Modified clinical load etc. Because of grants (most not from my program) and so on I didn’t pay a cent out of pocket for the degree. So basically I was paid to go to school in residency. It was a great time. This is not all that uncommon in RCPSC emergency medicine programs. My second masters was after residency. I got that one largely paid for as well, funny enough my first masters enabled this. But a reduced work load was not possible. By this time I needed the staff physician income and asking my colleagues to cover me for
  15. Could actually forever change the way education is delivered. At least in part. Historically these types of events tend to alter the course of things and push newer technologies into the mainstream. One of the interesting potential socioeconomic echoes of this event for the years down the road.
  16. Do not do a masters in Med school. Poor financial decision. Get somewhat paid and do it in residency. I did this. Residency is the best time to do a masters. Not before. Not after. In Med school you make no money. As staff your masters likely will result in a pay cut as you can’t do as much clinically. Residency is the time.
  17. As an aside, something I did not fully appreciate until becoming staff was just how variable compensation can be in a given speciality across the country geographically. EM seems to be one of the more consistent ones. But compensation in medicine can be very different between provinces and locations within provinces. It’s always a tricky question to answer “what does speciality X make?” You could give a Canadian average, but for many specialities the variability around this number will be very vast. It’s a more complicated question then many trainees appreciate, myself included retro
  18. I wouldn’t be shocked if oral exams by the mid/late spring are affected. Non-essential gatherings of physicians are being generally discouraged right now. And increasingly so in places with a growing number of cases. It will be interesting to see if some remote video based solutions are explored. This could be a game changer for the exams over the long term, who knows...
  19. The easiest project to supervise is a literature review. Certainly this is my go to project type for pre-clerks and pre-meds if there is no pre-existing larger project requiring extra hands. Such reviews are not always publishable, but occasionally they are. Either way, usually an educational experience for the trainee and a good introduction to scientific writing and the general publishing process.
  20. Based on my own experience participating in file review several times - LOR generally fall into this order in terms of weighting, at least for me. Authorship of letter from best to least; Person in my speciality I know personally > Person in my speciality I know about but not personally > Person in my speciality I never heard of > Person in other speciality I know personally or have heard about > Person in other speciality I never heard about Medicine is a small world. If I know the letter writer it lends more weight to their opinion. This is a person I probabl
  21. There is a lot of historical rubbish taught as gospel in medicine. Bowel sounds is one such thing. Back before Med school I did a history of medicine project looking into the history of “bowel sounds”. I tracked all the references about bowel sounds back to their 19th century source. Cozy up kids, let me tell you a story. In the early 19th century a physician named Leannec in France invented the stethoscope. It was in part intended to prevent awkwardness when listening to female chests. It also happened to improve auscultation. As you can imagine Leannec hit a gold mine wit
  22. My view from the trenches of a place with local community spread of COVID19 is that this policy makes sense. If things progress along Italy’s trajectory I could see many medical education activities placed into suspended animation for 2020. Sucks all around. But sadly it’s an occupational hazard to experience such things.
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