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Everything posted by blah1234

  1. 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
  2. I agree with many of the above comments. Your health comes first and you should take a leave of absence if truly needed. No job is worth your health. However, you have to carefully navigate this situation as playing your cards wrong is a huge red flag to many residency programs. On the other hand if you take a leave of absence during residency I believe you may need to explain that on your annual registration forms which may be a greater hassle. There's no good solution to the fact that medicine is just a grind at times. If you don't finish residency your options are rather limited so I wou
  3. Yea, from my experience it really depends on the school and the PD. This isn't regulated or anything so all you can do is show up and do a good job while hoping for the best.
  4. When I went to medical school (which I now realize was years ago) there were minimal scholarships and bursaries. Most people get some token amount of bursary money but nothing that would be life changing (e.g. <$10k). I think there was one bursary for people with disadvantaged backgrounds to cover the whole tuition but I don't think most students would qualify. There may be scholarships outside of the institution that could help but I'm not as familiar with that. I'm not sure how Queen's is specifically so maybe someone else can chime in but the majority of students have to heavily utili
  5. It's inevitable to have debt if you don't have parental support. The amounts you are claiming are normal for many parts of the country. You'll be able to make a dent during residency depending on where you do your training. I would honestly just try to make your stressful years tolerable as the training can get quite busy. You'll pay it off as a staff no problem.
  6. Yea, I wish I knew more but I know colleagues that have taken up (minor) clinic roles to avoid this change of scope hassle (assuming I'm remembering our hallway gossip correctly) I suppose for the students here it might be worth looking into if you are considering this path in Ontario as we have some random strict policies that don't really exist in other provinces.
  7. Weren't there recent CPSO regulations around change of scope assessments if you've only done ER exclusively as a FM? I swear I remember something like that coming out but I could be wrong. (And apologies for the Ontario-centric view as it may not apply to everyone on this forum)
  8. I have two classmates I recall. One bought a luxury car and I think it went fine for him. He clearly derived a lot of joy from it. He's also not the financially responsible friend I have haha. However, I believe you should spend your life doing things that bring you fulfillment. If you're a real car enthusiast I think the happiness from that would outweigh the debt burden. Just make sure that purchase will really bring you that joy. Another classmate I was also into luxury cars and bought one when he finished training (e.g. early 30s). and he is also having a great time while not being as f
  9. Apologies, out of consideration for their privacy I wouldn't feel comfortable sharing even ballpark numbers. I will say they do well but not 7 figure well if that is at all helpful. There should be no worries about them starving or struggling if they are responsible with their money. Unfortunately, more MDs than I would like to see do live irresponsibly (sometimes paycheque to paycheque). Numbers are also only part of the picture. There are considerations like practice location and mix that also play into professional satisfaction.
  10. I'm confused. Why would you want to attend an American Medical School if you are already studying at a Canadian medical school. What advantage would it give you if you are looking to practice in Canada.
  11. Writing a note that's is 3 lines long and only comprised of letters and/or special characters is the only way they know how to communicate. We can't expect our surgical colleagues to give us a novel like our ID friends. I will accept finger painting though if they provide it.
  12. That's always a challenge as many students are very good at pretending they are interested even if they aren't that truly passionate. Perhaps that's not too bad of a reality as many students will still need to be enthusiastic, hard working, likable, and be a good culture fit. This is in combination with research and extracurriculars that take up substantial time and effort. At the end of the day programs are looking for people they can work with for the next 5 years. If people are putting forth those characteristics on a constant basis it may be difficult to discern who is genuine and who
  13. I think the original question was around why those fields were competitive. Money was one component that people raised. From that perspective I do believe it is important to convey the landscape rather than some case study on the theoretical max. That is as useful as saying FM is solid because you have the ability to earn 7-8 figures a year with weight loss clinics because Dr. Bernstein could do it. No doubt that there are many physicians in Alberta that are very successful however the majority of future physicians in Canada will not be practicing in Alberta. More importantly, I have my doubts
  14. A large problem with this type of compilation is that it gives a current snapshot of a job market that is really only usable by medical students early in their training. That means these substantial number of students will be facing a job market that could be a decade out. So much can change in a decade. While I am generally a believer that things will slowly get more competitive for all specialties over time I do think that technology and funding changes could dynamically change the spots and needs for fields over that time frame. If anything I feel like the only useful categorization is
  15. I agree. I know this is the case with certain high billers in Ontario. For logistical reasons you bill everything under one number (which is becoming increasingly frowned upon) and then the pot is divided up accordingly. There are 100% physicians out there that bill 7 figures individually but I do not think that's something most medical students will be capable of doing for a variety of reasons. This is anecdotal evidence but none of my friends Derm, Opthal, and Plastics do that well. We are quite close as I help with their financial planning so I know their situation decently well. You
  16. 1200 roster billing doesn't get you to 400-500k unless you are doing things out side of the clinic like hospitalist, ER, or whatever.
  17. Amazing analysis! I would say that for many professionals, a switch to medicine doesn't always make sense financially. We do very well in medicine and I think it's a smart financial choice for many people but it is a harder argument to make once you are already in a stable career. Never discount the ability for healthcare professionals who are eager and hardworking to move up the ranks through further education (which can often be subsidized and done part time). I'm close friends with many nurse managers and higher who have packages that many MDs would only dream of when you consider thei
  18. I wouldn't. I think residency was so crazy that I'm surprised I made it through the first time. Staff life is still busy but I like what I do. I suppose if I hated my day job and would rather quit medicine I could see myself re-entering if there was a true passion field I wanted to do. However, I would have no idea if that field would be a true fit as with most things in medicine. The residency training to get to the very end in most programs would probably also be super tiring at an older age. Also, I'm not sure if it financially works out once you're a staff. There would need to be s
  19. I'm a staff and I will say that I work with many colleagues who are not passionate about medicine and are pretty unhappy. I think if you go into medicine just for the money every day is going to be a drag. I'm not saying you have to dedicate your whole life to medicine (unless you're in certain fields) but I would say you should have something to drive you other than the pay cheque. I honestly think medicine does a poor job of conveying how tiring the training is for most fields. This compounds with the fact that the geographic flexibility isn't there for all fields. I suppose you could do
  20. Some of my friends have call schedules comparable to residency. I suppose at least you get paid properly for your work instead of the stipend we got as residents.
  21. It's good for medical education. However, being active on social media is a liability in my opinion. Say the wrong thing and it can be used against you and unfortunately we are held to a higher bar as professionals. It's a headache that I don't want to deal with.
  22. It really is the mismatch between expectations and reality that creates bitterness down the line. I think as a profession we do a really bad job of conveying the reality to students. It's hard because things can change so much in 5 years and also students are primarily exposed to academic physicians who may not be fully up to date with the latest job dynamics. The only source of true information I find is people who are about to finish training and are embarking on their own job search. The US/CAN training mismatch is also an important consideration. Last I remember there are some curricu
  23. Yea, the visa sponsorship is the main bottleneck from what I understand. All these other non-attractive elements don't even matter if you don't have work authorization.
  24. I think a year of Canadian PGME might qualify you to work in certain states. A bigger issue is the visa I think. Unless your a PR or Citizen it may be hard to actually find work.
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