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ralk

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ralk last won the day on July 10 2018

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  1. For my look, # ranked discipline as first choice is the denominator, not the numerator. It's # who ranked discipline as first choice AND matched to it, divided by the # who ranked discipline as first choice regardless of what they matched to. The CFMS publishes this same statistic in their Matchbook every year, though it looks like they've restricted access to them now and I can't personally access them. I've run the stats on this and posted them somewhere in this forum every year since 2014 (the 2014 stats are in this thread at the start) except last year I believe when another poster ra
  2. For those interested, ran my version of the stats on last year's match earlier, just not in this thread. I usually look at the rate of successfully matching to a first choice discipline as my main metric - using quotas as the denominator provides a useful look, but I find it can get difficult to interpret as they're heavily impacted by people backing up and by regional mismatches in quotas vs interest, especially for middle-competitiveness specialties. Link is below.
  3. Depends really on your definition of "minimally invasive procedure". Some things are common enough in FM that with some focused training (either as part of a +1 or, more commonly, with less formal training after completing residency) and with a lot of self-marketing to develop an adequate patient load, you could do them as a focused practice. Lumps and bumps clinics, vasectomies, IUD insertions, and some cosmetic work would all be well within the scope of an FP with dedicated training. Vaginal deliveries are routinely part of FP practice, though despite what the CCFP might say, additional trai
  4. For those who went unmatched (and are still reading this thread despite the directions the conversation has turned), please reach out to any and all supports that are available to you, when you're in the mindset to do so. This year's 2nd round is different than in previous years, which provides both some challenges as well as some opportunities. For CMGs, there are now a lot of dedicated CMG spots in the 2nd round, many of which I know would have typically been filled by IMGs in the 2nd round in the past. This means a CMG flexible about location and/or specialty probably has a much better
  5. To provide a bit more context, we're talking being unable to finish 1 week early, after having completed and passed the standard number of blocks (including all selectives, electives, and core rotations). Family doesn't exactly lack for flexibility in how you spend your time either, at least in 2nd year. Haven't heard anything different from 5 year programs either, admittedly with less exposure. Residency is still very much a time-based committment.
  6. Haven't heard of any examples and I'm skeptical it's going to be available on any significant scale. I know it's not a thing in FM, despite being ostensibly competency-based for some time now (found out from a bit of a unique circumstance it's a shockingly firm time requirement, down to the day and even independent of blocks/rotations passed).
  7. Hmm, good stats there, that's very helpful. So, there would seem to be a real benefit if this were implemented nation-wide. Wonder what the breakdown would be province-by-province though. When I looked at last year's numbers, it seemed as though there were about as many Ontario IMG spots left as there were IMGs matching to Ontario in the 2nd round (17 each). IMGs also gained some of that ground in less desirable locations (such as NOSM, which had no IMG spots left in the 2nd round but matched 4 IMGs), meaning CMGs correspondingly likely took some more desirably-located IMG spots that they
  8. That's a bit of a surprising move. Considering how tight the ratio of spots to graduates is for CMGs in Ontario, not sure why the provincial government would want to lock in that ratio moving into the second round. There's no great stats on crossover of CMGs and IMGs to spots originally designated for the other stream, but from what numbers are available, I'd guess that it's close to even (that is, about as many CMGs end up in IMG spots as IMGs end up in CMG spots). This should mean the net effect on match rates should be zero or at least fairly small, but it makes the system less flexibl
  9. To make sure you're getting good financial advice, do some research before and/or after any financial meetings and check what you know against what they say. If it's not lining up, go somewhere else. Financial advisors - whatever their official capacity - will know things you don't, but should always be able to explain their recommendations in a way that makes sense to you. If they can't, they either don't understand the system (or your situation) well enough to give more than the basic information they're comfortable with, or they're selling a product/approach/idea that benefits them or their
  10. Have to agree with this. Rural ERs often function more like well-supplied and well-staffed walk-in clinics than they do as true ERs. Most don't have the equipment necessary to do full resuscitation (and the physicians covering them may lack the necessary skills in the first place), so these get sent along to larger hospitals anyway. Many don't have the volume to justify full 24 hour coverage either - if they only need a single physician covering during the day, then night-time shifts are necessarily going to involve a lot of down-time for the one physician on at night. Sure, it's nice to have
  11. Residency programs are not allowed to ask about any medical conditions, including mental health issues. If any were to ask, the best course of action is generally to lie and deny any conditions, then report the program for violating CaRMS rules. According to current rules, your diagnosis should have no direct bearing on your ability to match to a residency program of your choosing. Licensing is a bit of a different issue in that most provincial colleges require a disclosure of any conditions which has or could reasonably affect ability to practice competently. This is fairly vague and the
  12. Keep in mind that while the tax is decently high, it's the same as it would be for anyone making $230k, in or out of medicine. Student loans are a lot, but with our interest rates, it's a fairly manageable sum. Even as a resident, with a far lower salary and take-home, I've made a solid dent in my overall debt load. The main advantage to medicine is that these earnings are pretty much guaranteed, and start at a young age, while other career paths only earn these sorts of numbers if you're top of your field, significantly older, or both. Even in FM, being a physician is a pretty lucrative caree
  13. Owning a clinic vs working for a clinic doesn't change your tax burden in any way. Owning a clinic means you are in charge of your own overhead, whereas working for a clinic owned by others usually involves some sort of arrangement for the clinic to cover your overhead for you, typically by taking a share of your billings. You get taxed on whatever is left after overhead either way. If you're a particularly good manager of your own clinic, you might be able to pay less overhead than if you worked for a clinic you don't own, but any savings are likely to be very small. Physicians can save
  14. It's tricky, as most of the fields that have large numbers of Saudi residents are not ones in particularly high demand in the Canadian system. In some cases, Saudi trainees were taking the place of CMG spots that were intentionally (and in many cases justifiably) rolled back in favour of spots in other, more in-demand fields (like FM, for example). With a few exceptions (possibly IM), I doubt the answer to this loss of residents/fellows will be more CMG spots. Rather, I think we'll see other internationally-sponsored residents be recruited to fill those spots if possible, or we'll have to
  15. 1) Very hard to say. There's plenty of room in any admissions process for bias and a public figure will always be subject to more pre-conceived notions than others. This could hurt, help, or have a negligible impact. Any provincial election will involve taking (or dodging) some potential controversial positions, especially if this is being done in conjunction with a party. Even if you say nothing, you're linked to the rest of your party, and it's pretty much guaranteed one of them will say something controversial to at least some of the population, including some physicians, no matter what pol
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