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justletmein

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  1. depends on location (urban vs rural) and type of practice setting (i.e. what are you getting for your money - secretaries? nurses? EMR?...) IMO it's best to compare with similar clinics in your area to see if what you're being offered is competitive. 25% overhead seems to be the median sort of number, with many clinics in smaller cities offering closer to 80-20. Many other factors come into play though in terms of time commitments/flexibility, other benefits, etc. Unless your clinic is in the most expensive part of downtown Vancouver/Toronto, I wouldn't pay 35%.
  2. Good luck finding internists to cover the thousands of wards currently staffed by family docs ....
  3. I am also a family physician in Quebec and I can tell you this is not the norm. Hospital work generally pays better than office, but there aren't many GPs in the province pulling in >400K. Also, just want to point out that generally a week on the wards means 7 days, often 10-12 hour days and on call 24hrs for emergencies. So this guy is working 10 weeks on the ward plus weekend/stat day calls, plus weekend calls in other hospitals. I don't think the average hospitalist in an urban centre is making anywhere near 400k unless they are max billers and doing tons of call. It would n
  4. I was a first time examiner this year and I can tell you that while it's impossible to eliminate subjectivity completely, the scoring sheets are about as objective as possible. Your statement about examiners being bitter is way off base, and seems to only reflect your own bitterness. Approximately the same percentage of candidates fail year after year, some due to bad luck but most due to poor preparation and/or nerves on the day of the exam. If you failed, try to take ownership and study harder and smarter for the retake. Blaming others won't help you get ahead in life.
  5. the exam being discussed here is the LMCC part 2. The score still means absolutely nothing except for some people to stroke their ego if they did well.
  6. Yes you get them separately. But you cannot pass the clinical skills component without passing the LMCC.
  7. do it. you will have much better benefits during residency. not easy to do, but you have pretty much no call after 20 weeks.
  8. They won't have a "cutoff" because 95% of their applicants will not have exam results yet
  9. Family medicine notes and the "saskatchewan notes" or "red book" are both good resources but on their own are nowhere near complete enough to cover the CFPC objectives. I used the family medicine notes, along with one of the US board review books, various guidelines and the Dr Kirlew podcasts. Probably the most useful in my opinion are the guidelines (specifically CANADIAN guidelines) and the podcasts are a nice review and cover a lot of the high yield topics as well as prep for the SOO's and OSCE's. Good luck, it's a b**** of an exam but it will be over before you know it!
  10. Peds is one of the lowest paying specialties, anyway. Fee schedule is probably not so different.
  11. In my area, there is a shortage of pediatricians doing office-based primary care..... in other words parents with newborns are scrambling to find a doctor because the public is not well educated about the role of GP's in primary care of healthy children -- So they are all looking for a "pediatrician"
  12. There is absolutely a role for family docs focusing on paediatrics. The fact that some GP's refuse to see kids combined with the fact that there aren't enough paediatricians creates a niche for family med trained docs with an interest in paediatrics. GP's are the ones who should be assuming primary care for most healthy kids, so it is quite easy to build a practice full of kids. There are also "paediatric clinics" that hire mostly GP's with a couple of "consultant" paediatricians for the complex cases. That being said, as stated above you would not be a specialist, just a family d
  13. Actually at a couple of the french schools they have made MCCQE a requirement for a diploma and while the MCCQE is not formally a requirement to start residency, at these particular schools it is a requirement to have your MD diploma, so it's possible for a student to be held back because of a failure. In terms of a January start date, I have seen 2 people negotiate this with their respective programs, both for personal reasons. So it is possible. I would not withdraw from Carms.
  14. Yes, lifestyle modification and preventive medicine are a huge part of family medicine. (Those who have studied for the CFPC exams know this all too well). There are some fee codes that encourage these types of interventions. However, if for example you choose to spend an hour counselling someone on their diet, you wont be paid very well for it. Thats what dieticians are for.
  15. The LMCC part 2 is a difficult exam in the sense that they can ask you almost anything and the stress of an OSCE can cause people to fail even if they're well prepared. I have known several people who failed certification/board exams. They were all devastated, but in time that feeling will pass... then all you can do is be well prepared and ace it the second time around. Don't rethink your medical knowledge, especially if you only failed by a few points. The best way to study for OSCE style exams is to practice different situations. Get yourself an OSCE prep book and use it as a guide to
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