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ACHQ last won the day on October 9 2020

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  1. I would say this pretty much applies for internal medicine as well (and probably other specialities as well) one thing I will add specifically for internal medicine. Most clerks will be either average or below average from a knowledge when starting out, and that is OK. A lot of clerks stress out about the knowledge expectation given the breadth of topics and complexity of internal medicine. I try to relieve their anxiety by letting them know that the knowledge expectations are very very low for a clerk… unless they want to do internal medicine. The whole reason for them to do an interna
  2. Are you doing your core IM outside of ON? I'm assuming so based on the fact that you have to apply for CPSO hahaha, but yes apply ASAP to CPSO they take forever sometimes.
  3. I mean tbh if you are going for a specialty and want to maximize your chances in that research will only help you out. I don’t see a scenario where it can hurt you. if you are doing your core training in Ontario this is a plus. You will have to decide however whether staying in Ontario is more important or your specialty of choice more important to you. If ultimately you don’t care about doing GIM vs (insert subspecialty here) then you can always just do the 4 year GIM and guarantee you’ll be staying in ON.
  4. I am a GIM staff, who just finished residency last year. I went through medical school at UofT. I did NOTHING before the start of medical school. I would suggest you do the same. There is no point, you will learn everything you need to in medical school and residency, an extra 3 months of memorizing random drugs and not knowing the clinical importance or relevance will not add anything to your medical knowledge or career. You completely ignoring the advice of medical students and residents who have been through it, makes me think this is a joke. If this is not then all I can say is, I am
  5. Depends on how flexible you are and which sub-specialty you want to do (I know a crappy answer, sorry ahha). Electives at the site you want are always key (just like CaRMS 1.0). Research is important more important for certain sub-specialties and certain locations more than others. If your goal is to to match to Ontario, then apply to ALL 5 of the Ontario schools (Ottawa, Queens, UofT, Mac, Western) for the sub-specialty you want, and try to do electives in a few different spots (really hard to do in residency given you only have limited out of school elective time and each elective is us
  6. Maybe its rotation/department dependent. But for Internal Medicine specifically (which I did both as a medical student and as a resident) the teaching was phenomenal. Definitely some variability to this, but on average the teaching was very good. It was the few things at UofT IM that was a strength. As a medical student when I rotated at other sites (which I wont list here) the teaching was definitely stronger at UofT (which was the other driving factor other than location for me to end up there in residency). Having done med school several years ago at UofT, I thought the teaching was p
  7. The 3 discipline rule applies to *BOTH* electives *AND* selectives. Most people who are gunning (for any specialty) will do all/most of their precarm electives in that one specialty and then do 2 other specialties in their selectives. Interestingly looking at the CaRMS website, th letter due dates for the R1 match in 2022 seem to be in Janurary... (is this new? because previously they used to be in mid to late November). If correct and this continues in future years, that's a big deal. Basically all your elective time at UofT would be pre-carms (or pre carms letters, which is what
  8. Hahaha I guess covid allowed it to work in your favor. When I was studying for my Internal Medicine RC exam in 2019, our osce was right during the raptors championship run... needless to say I probably spent more time watching the raps (and attending the parade) then osce prep... but hey it worked out! with re:time in residency, I can comment on Internal medicine (finished Residency in 2020 so the scars are still fresh ahah) PGY1- Busy because your on CTU a lot. That means 1:4 call. Most programs (AFAIK) don’t have a float system for the PGY1s, so they do regular 26 hou
  9. Depends on where you are and the availability of GIM's (or Anesthesia or even Resp). I can only speak of Ontario. There are usually sizeable ICU's even in smaller cities which have dedicated Intensivists... most rural hospitals/EDs will ship their patients to these centres. In other rural places were they actually have an ICU, and the ICU's are that small (5-6 beds like you said) they are not usually level 3 (i.e. don't handle Vented patients), and are more like step-up/step-down units (i.e. level 2's) where patients need more closer monitoring than can be offered on a ward. From what I have h
  10. Unfortunately IM is not a monolith given the variety of subspecialties. What I was referring to was jobs in hospital based/acute care settings. If that is not something someone wants to do and just wishes to have an outpatient practice (where you can just join a clinic or set up your own) then jobs can never technically dry up (although in theory if you saturate a market with enough IM sub-specialists then you might have issues with not enough referrals/patient loads, but that would be extremely rare imo) I’m terms of hospital jobs, some subspecialties right now have no jobs even if y
  11. Interestingly I finished medical school without being salty or cynical but not residency.... super salty and cynical for sure in the later years of residency. staff life is great though. Still salty and cynical (mostly residual from training) but I have come to appreciate how lucky and blessed I truly am. Things may not have worked out *exactly* the way I planned/wanted/imagined/dreamed (which is probably a good chunk of the reason for the cynicism and saltiness) but in hindsight things probably turned out *better* and for that I’m happy. a lot of cynicism and saltiness comes fr
  12. IM is not moving in that direction. Core IM training = 3 years GIM training= 1 year vs 2 years depending on whether you do the 4 year vs 5 year program. subspecialty training = 2 years (3 years for cardiology), not including sub-subspecializing, this occurs AFTER finishing 3 years of core IM (this will not change, and I doubt this will ever change) That being said you need to have 4 years of Medicine training complete (this can include 3 years of core IM + 1 year of subspecialty training) in order to have the FRCPC in Internal medicine and get an independent license. This h
  13. I graduated in 2016, when the curriculum was much different than it was today (i.e. more lectures), so keep that in mind.. 40-50 hours would have been fine imo. Most students back then didnt even go to class (everything was recorded), and would just watch lectures on their own time at 1.5-2 x speed. Many would also cram for exams and they all did just fine, and I would say the curriculum is much less stressful now than it was then, so if anything 40-50 hours would be overkill.
  14. Although IM has gotten more competitive, I don't think we are anywhere near where people have to apply to the US. I suspect that if you are an IM gunner and want only IM, and aren't a freak, you will match to IM in Canada (maybe not your top spot but a spot), especially if you apply broadly. I do think it has gotten competitive enough though that people should really think twice about backing up with it given it may not be a safe bet anymore. I also think that we are reaching a point that the only specialty that one could possibly parallel plan with IM *safely* is FM. When I saw the IM ma
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