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ACHQ

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ACHQ last won the day on October 9

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  1. well I filled my schedule with extra work so I ended up having 10 days off (not counting post call days, and including the weekends I wasn't working) Answers bolded
  2. Already been stated by IMisLove. Getting dilaysis spots has nothing to do with training. A general nephrologist who has trained for 5 years TRAINED TO DO DIALYSIS. they don't need a fellowship in it to get a spot. The spots are not available because of hospital resources and the fact that most nephrologists are still pretty young (40-50 range) and *won't be retiring* for at least 15-20 years.
  3. I don't know of any nephrologist/nephro trainee that would subject themselves to 2 separate fellowships (I believe they are all 1 year), to still end up jobless. People generally either locum in GIM or do endless CA'ing after 1 year of fellowship, but I'm sure there are those out there that think another year of extra training will help (it wont, when there are no dialysis spots open).
  4. FYI I am a Staff now at the said large community hospital (about 2 months and a bit into practice)
  5. At my site it was done manually by the division head, and you could request certain days to work and certain days off and they would do their best to accommodate (but not always possible given the sheer number of request). If you gave no requests than it would be at random. We are moving to a more automated system to do this, where everyone in our division puts in their preferences and a program will spit out a schedule. Well see how well it goes as we are starting it for the Jan 2021- beyond scheduling
  6. I should add my caveat that I speak for the GTA and Ontario... I hear Quebec is different and you have to do the 5 year program for some reason..... which is probably why people view the ones in the 4 year program "unfortunate", where as it is the complete opposite in the GTA. Most people want to just finish and practice in GIM, and yes some didn't match to their subspecialty but that was mainly due to location restriction etc... the MSM match can be stressful BUT if you apply country wide for whatever specialty you want, you will almost certainly get a spot somewhere... but it may not be your
  7. Depends on location and need. Definitely able to do locum ER shifts anywhere as a subspecialists (given the need) and some centres do require subspecialist do to ER IM coverage as welll. Some people like to split there time between GIM and subspecialty but this is becoming less and less common for a variety of reasons (that I wont go into here cause its a long discussion)
  8. outside of academic centers, no one cares if you do the 4 year or 5 year program. In the community you make substantially more vs academics so in fact there is a financial incentive to do the 4 year program so you can make money as soon as possible. At least in the GTA, there are *more* community hospitals than fully academic ones (No I don't count NYGH, TEGH or THP as academic...). As someone who did the 4 year GIM program, I'm done and live in Toronto and work in a large community hospital. Life is good Depends on how your contract is set up. Most acute care sites will m
  9. It doesn't work out so cleanly in terms of hours a week, heck its even hard to say how *many* weeks a year do you need to work to earn that much, because evening/nights pay way more, weekends pay more. Generally speaking if you pick up alot of that work you will make more. I wish I had a more solid answer but it isn't so black and white. It also depends on volumes (if you are at a very busy centre with lots of volume you will make more). *Generally* (not exact) but 1 week of work (~5ish days) is about 10k. So to *bill* 400k you need to work close to 40 weeks. That doesn't include the stipend/H
  10. GIM staff here at a large community hospital in the GTA It really actually depends on how much you want to make. You will make money between 300-500k, but that is a huge range and depends on how many days/weeks you want to work. Some people don't need to make 500k and are happy with 300k and therefore work less and love their life. Others need the money to buy a home or whatever and therefore work much more to try to make 500k (and in some cases beyond). I have been working fairly hard right now because I just started, but my actual commitment is about roughly 30-34 weeks a year (dep
  11. Yeah he's lucky than that he matched to Rheum. That being said it someone really hates GIM that much they should apply extremely broadly (across Canada) for their subspecialty and do all their electives (or as much that is allowable) in that subspecialty to max their chances of matching, if they do that they should find a spot *somewhere* (where it is tricky is when you are location and specialty limited... good luck). Unfortunately round 2 of CARMS for IM is one shot all, can't ever reapply (except for ICU, but even that only once I believe). The other option if someone is that against doing
  12. Tbh get letters from your core CTU rotation and see if you can get at least 1 elective. If not no biggie just apply to all 3
  13. Recent staff GIM grad here and staff at a community hospital. if you don't mind me asking what was the 5 year surgical specialty? Is this something you still want to pursue and did you love it as much as CTU (or more?). Do you like family medicine as much as either of those? What did you love about CTU most? was it the inpatient/ward work? was it the new consultations from the ER (or other areas)? was it the resuscitation's? was it clinics? was it all the above? if you exclusively only enjoyed inpatient ward work then family medicine with extra training in hospitalist medicine is not
  14. I'm assuming you meant downtown Toronto (in which case you're not necessarily wrong). But in *GTA* (including Toronto proper: Etobicoke, Scarborough, East York, North York and downtown Toronto), then definitely won't be at an academic centre. There are actually more community hospitals in Toronto/GTA than fully affiliated academic teaching hospitals (No I don't count the community-academic hybrid hospitals as academic, they are mostly still community). Also although commuting can suck a bit, you don't have to live next to where you work, I still live downtown for now and commute to the c
  15. I know two former classmates/friends of mine who are in the midst of their CVSx residency. One of them is definitely doing a PhD (they already had a masters and knew that going into the field they needed a PhD), the other is doing another fellowship in CCM/ICU (so as to be marketable to the CVICU groups), and I believe they had a masters/PhD before starting medical school. I would say most doing a CVSx residency in Canada realize that they "need" some sort of extra training (graduate degree and/or fellowship) and is not limited to just a 6 year residency. I think you have prepare of a 8-10 yea
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