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ralk

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Everything posted by ralk

  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
  16. Seen some rumblings on social media saying some have been instructed to leave by the end of August. Nothing official though from the Saudi end. The Canadian federal government doesn't seem interested in kicking any students or residents out, so it's all driven by Saudi Arabia's timelines.
  17. Well, Yemen might not be the best example here, seeing as Saudi Arabia is a major reason as to why that country is so volatile these days...
  18. We'll see if they carry through with this threat. It would be more disruptive for them and their citizens than it would be for us, so it seems like a very strong reaction for how this situation started. If they do go through with it, the effect on our system will likely be mixed, though probably negative in the short term. Call and duty schedules could go very crazy, especially in some programs with many of these learners. Some residents may unexpectedly find themselves working extra call shifts, particularly in the short term when there isn't as much time to plan around these disruptions
  19. Yep, those stats are available here. There's definitely diminishing returns on program rankings, as about half of people match to their #1 choice program and after about the 5th ranked program, candidates are more likely to go unmatched than go matched to a lower ranked program. That said, if you're not getting one of your top 5 programs, those lower ranked programs suddenly matter a lot because they can reduce the chance of going unmatched significantly. What I tend to tell students is to apply as broadly as they can, but then not to sweat it too much if they've got fewer interviews than
  20. Have you seen the tattoos some old people have?! It'll be a good conversation starter for a lot of them. Yeah, there might be a few who don't fit perfectly with your personality including with how you appear, but every physician has patients like that, who aren't a perfect fit for whatever reason, but for whom a good relationship with can still be developed. That you're aware of the possible perception is important, as you may have to adjust your conduct for more traditionally-minded patients, but that's a very small challenge to overcome.
  21. As long as the tattoos themselves are not offensive and you're generally presentable in dress and decorum, don't think most people in medicine would care much about tattoos, even large ones. Facial tattoos or obvious neck tattoos might be the exception there, just because they can be distracting and aren't anywhere near as common as tattoos elsewhere, but I can't see anyone objecting to something a sleeve of flowers and waves. Plenty of physicians have tattoos, even ones that are visible in their day-to-day work.
  22. Match rate's below 90%. These days I'd call pretty much every specialty besides FM and a few smaller unique specialties moderately competitive or worse.
  23. Absolutely. Being geography-constrained and going for competitive specialties still means a risky match overall, but by focusing heavily on only a few programs (especially if it's at the home school), it opens up some back-up options that might not be as feasible when applying cross-country for the 1st choice specialty.
  24. Quick update - when I first made this post, CaRMS data on specialties that applicants back up into was essentially missed. CaRMS has since updated the numbers, so I think a quick dig into those is worthwhile. About 360 people backed up into a specialty - that is, they matched to a specialty that wasn't the one they ranked the highest. Over those, 290 backed up into either FM (228 applicants) or IM (62 applicants). Another handful backed up into the larger, moderately competitive specialties (11 to Psych, 10 to Peds), with scattered numbers elsewhere. The highly competitive specialties lik
  25. Yeah, that's a tough spot. Polite persistence is what I would recommend. Be direct in asking what you're looking for, whether that's a chance to get further into the research project or clinical opportunities. Often these preceptors won't say "no" to any requests, but will try to string you along with vague promises or by saying they'd like to but can't for whatever reason. They want you to keep working for them. Just keep asking. They can't take you along with them in clinic? That's fine, do they have a colleague who would be willing? They'd love to go over your research questions but never s
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