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Everything posted by blah1234

  1. You would be surprised on how bad medical students can be at interviewing.
  2. I would say ward based palliative care could be a good fit but there are a lot of social issues, family meetings, discharge planning that may not be for everyone. It's also in my opinion not the most cerebral medicine/science problem solving field based on my previous rotation experience. Occupation med could also be a good fit but there's a lot of paperwork that may also not be for everyone. Personally I didn't expect to enjoy palliative care during my rotation but I ended up liking it a lot. Very rewarding work and the lifestyle is pretty good.
  3. Looks fine to me. Maybe have a one liner in your personal statements about how you took a wide breadth of electives across those fields you listed to broaden the knowledge of the things you saw during your FM electives. If I saw 4 weeks FM with that kind of spread I wouldn't be worried about the applicant. There's also not that much overlap between Peds and Geri or GIM so I think you just look like you wanted a well rounded experience with your electives.
  4. @bearded frog were there any substantial changes in spots and thus associated competitiveness impact (e.g. 30 applicants constant but spots went from 35 -> 30)? I'm curious if you looked at that as I thought there were some redistribution of residency spots between programs a while back.
  5. Some aren't able to continue in medicine. Some find a path forward (e.g. business, law, research, etc.) others aren't as fortunate or I've lost contact with them. Luckily you don't always need a residency to be successful in other endeavours but it's not like the career escalator that you see in medicine with residency. However, it's also not 100% rosy if you do residency either as you just have to look at the number of specialists that are stuck in perpetual clinical associateships or fellowships or graduate degrees. People can feel bitter with their second choice because they often feel
  6. I agree that the government isn't in any hurry to fix things and probably has no incentive to anytime soon. This means that things will likely continue to get worse along the current trajectory. My advice to students is to accept that you may end up in your backup. Everyone's pretty talented, hardworking, and dedicated at this point. Unfortunately, luck plays a disproportionate role at this juncture and sometimes that means you don't get your dream scenario. There's more than one path to success and happiness in life and sometimes life has a funny way of working out even if it doesn't appea
  7. I've seen too many cases of students going unmatched and falling through the cracks due to a increasingly competitive second round to recommend students to not back up. Although, it is truly a minority of students who have issues with applications in subsequent years the fact remains that your chances of success generally decrease the further away you are from medical school graduation. However much you may hate doing family medicine it is still in my mind far better than having a medical degree with no residency. One at least gives you the opportunity to find work and find other avenues of pa
  8. I would recommend writing again and trying for a Canadian School. A US school would be the only other alternative I would recommend. Too many stories of people going abroad and not being able to find a residency. The degree isn't worth too much without one and the debt burden can be significant and will often require a co-signer. It is one thing to be insolvent yourself but another thing altogether to bring a financial burden onto your family.
  9. Depends on the centre, what your coverage requirements are, and amount of support you have. At a lot of smaller hospitals you may need to cover a small ICU so you will need comfort with the procedural aspects. You could also find hospitalist roles and only manage more stable patients. I think central line comfort is needed though if you are covering sick patients.
  10. Not every program can get "exceptional people" just based on the numbers. Less desirable programs in less desirable locations still need residents to support service demands. You may not be able to get into a small specialty in Toronto but you can probably get into a field with a lot of spots in non-popular locations. I don't even mean super rural centres (which can be super competitive themselves) but academic centres that are not the usual centres of the world.
  11. As much as I am in favour of making things more reasonable for residents the problem is that many staff still do long stretches of call coverage. There's utility in building habits and skills to perform when exhausted and overnight. I don't count on this trend changing in the staff world so I do think there is value to train in a way that is reflective of the majority of your career.
  12. I completely agree. Yea, the odds aren't great as you have to assume you can outwork other driven and capable residents. The other end of medicine is simply not as structured as the first part. Networking and luck can start to play a disproportionate role. You can be an amazing candidate on paper but there can often be another person that the hiring committee is fixated on because of intangibles, politics, etc.
  13. Someone's going to match to it so it might as well be you. You're early enough as a pre-clerk to have a good shot through things like research, strong elective performance, and good networking. It's never going to be a sure shot but nothing in the match is a guarantee.
  14. Yep, your spot isn't yours to trade. You may have found an acceptable switch but it's up to PGME in the end.
  15. I know one of my close friends who did Calgary FM did not enjoy the program. I can't speak to the program robustly as that is just one person's opinion but their story does seem consistent with some of what has been stated earlier in this thread.
  16. I am also a proponent of the general internship year that gives you the ability to do something. Right now the LMCC serves no purpose anymore other than a student tax. I think students right now are forced to choose a field too early and in many cases grow to resent their choice with no real opportunity to change. Furthermore, you have family medicine programs who want people who are truly interested in their field and refuse to be seen as a "back up" field. However, in a world where there is no ability to be a "general doctor" I would argue that some field has to offer the opportunity for a s
  17. This is probably the best year to come up with some excuse of why you couldn't get FM electives. I usually don't advise students to take a gap year. For better or for worse the system is designed to just push you through to the other end.
  18. It's probably going to raise questions. Still possible if you have a good story to tie it all together with people going to bat for you. I would probably prioritize matching at this point over a specific specialty.
  19. Yep, very rare but it does happen. I also agree that there are probably more transfers into lifestyle specialties than vice versa. I know residents in my year that left for FM from the specialties for a variety of reasons. I only knew one case in my year of someone transferring from FM to a surgical specialty. The numbers aren't published as far as I know but they're pretty low and I wouldn't bank on transfers as a reliable way out either.
  20. My friend failed the first time and passed during the first retake in the fall. I don't think he wasted money on doing a recheck. He didn't inform his program and his residency wasn't limited in any way. I would try to not give your program more information than is legally required. While there are lot of good people in residency programs the overall system is not designed to be your friend.
  21. Converting a student visa to PR isn't hard in theory but it does require Canadian work experience. She'll probably won't be able to get enough work experience as a medical student so she will need to take time off after the completion of her medical degree to get a research position that will help her qualify for PR before she can apply to CaRMS. I know that international students who come here for MBA programs have no trouble getting their PR because they can find work right after their degree with a PGWP but in medicine you are gated by your need for a PR or citizenship. I will admit
  22. Yea, I would be surprised if the school was proactive regarding this as it's still years away in their eyes.
  23. Exactly, I hope her family or the school has realized this. Too many people think that finishing medical school is enough when it's just the start of the journey.
  24. Will she even quality for CaRMS as she is on a student visa? I thought you have to be a PR or a Canadian citizen. I feel like that's a bigger upcoming hurdle because the degree won't be worth much if she can't finish her training.
  25. Yea, the college hurdles are the biggest nuisance to all of this. I would say any leave of absence is a red flag as you always have to explain it. Can be minimal if you have a good reason. Could also be a deal breaker for many programs if the reason wasn't good enough. Even when you finish all your training it's difficult to just "stop working" for lengths at time. It's hard to have a meaningful gap in training/employment during medicine because of the college usually. I feel that many colleagues also look down on people who have gaps for whatever reason. I don't approve of that kind of vie
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