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Rorzo

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Rorzo last won the day on June 18 2018

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  1. FFS is fee for service - you do something and the government pays you for it, as opposed to being on having fixed income per patient/hour/year. Doing my best not to be flippant - you'll understand why your second question doesn't make too much sense when you get in to medical school. While you're in medical school, your decisions will pretty much only affect which residency you end up in. When you've graduated residency, networking helps but jobs are jobs. Unless you're aiming for an academic position or in a specialty that is truly saturated you'll probably be able change jobs without t
  2. I'm a FFS palliative care physician in Ontario. The way billing works here, if you have a fair roster of patients (typically only possible by doing at least some community work) then those numbers are very easily attainable. Full time inpatient work is probably in the 250 range in pure billings, as noted above though if you can get call funding and cover weekends then you can certainly add on a bit (closer to 3-4k/weekend in my experience). This is without overhead though, so still coming out ahead compared to a typical family clinic. I try to be open with students and residents wh
  3. Look up the program description in carms for whatever you're interested in. I only had in house call for CTU, surgery, and obstetrics ranging from 1 in 4 nights to 1 in 7 but that will change based on programs, sites, and curriculums.
  4. This is going to be a personal thing. There are absolutely some people who get satisfaction out of getting a bloodwork level the patient will never feel in to target range, but for the majority of people those visits are on auto-pilot by midway through residency. I've found that satisfaction in a successful Epley, occipital nerve block, bursitis injection, or trigeminal neuralgia treatment. When I've finally been able to get someone to realize what their actual goals of care are despite specialist and hospital visits going no where. Or when they're going through a thousand tests and inter
  5. A lot of it is choice, I know a lot of people in the 11-1300 range but I also don't know anyone who's committed to more than 4 days a week. Nothing stopping you if you want to go past that, but join one of the first 5 years facebook groups if you want to talk specifics with practicing physicians
  6. Hospitalist! I've seen quite a few schedules where people just sign up for weeks; some do every other week, some do one a month, some do two or 3 months straight and then take a long break. There's also cottage towns with way more residents in the summer that require additional physicians only during that time, and you can also cover medium-long term locums for a few months with no commitment after you're done. This is all from a family perspective though, not sure what you're PGY3 in
  7. At the end of the day when you find a school you're interested in you're going to have to do research about actual clinics to get a realistic idea. My rural clinic was done around 330 because they run out of patients, 30 minutes down the road the rural clinic did OB and ER call and it wasn't unusual to be there from 8-11 every third day. When you're staff there may be pressures depending on where you are but at the end of the day you still get to decide call/hours/commitments and as a consequence decide it for your residents as well. The only general rule I found was that community clinic
  8. I agree with the first response, but specifically St. James is notoriously bad. Their attrition rate looks to be upwards of 70%, even if you're set on a Caribbean school I would at least hold out for the big 4.
  9. Use the people who can best advocate for you. Generally you can impress more in 4th year than 3rd, generally people will know you better over a core rather than an elective, generally family physicians can make a better case for you then specialists. But at the end of the day those are all generalities, if a 3rd year surgery elective preceptor connected with you it's going to be way more effective than a generic paragraph from a random family preceptor in 4th year. It gets suspicious if none of your strongest letters are from family preceptors, but I promise you when someone is reading 3
  10. CMA profiles are terrible for salary. If you're a part of the OMA search "selected billings" on the site for hard data about ohip billings. Keep in mind this doesn't include 3rd party billings, makes no mention of hours worked to achieve that salary, and has self-reported overhead numbers from a separate survey that changes wildly based on setting. For example, family is listed as around 30% overhead which is accurate in most cases, but if you're deciding on a job you have a lot of leeway in what you'll accept. As a family resident I had job offers with 0% overhead in the middle of nowhere and
  11. It's also definitely not the same each year. Flights, hotels, application fees etc. are a huge hit as you're trying to match, especially if it's for something competitive
  12. Sorry you're absolutely right - I just checked and what I was thinking of was that you're still responsible for ancillary fees such as health insurance/library. Certainly much less than actual tuition
  13. I don't know an amazing amount as I didn't go through it myself but I can pass along some second hand experiences from friends. It seems like you can decide at any point really - I knew people who decided their career plan would need a 4th year in their first year and people who took an extra year after being unmatched. Subjectively, it does seem that the earlier you do it the better the outcome' that guy who decided early on matched to ophto and all of the people I know who did it after being unmatched ended up in family. The most common seemed to be the middle ground - deciding late th
  14. I guess I'll provide a dissenting opinion - I'm a second year resident now and I loved my time at Mac. Caveat being that I can't comment on curriculum changes or if anything else is different since I went there. I was initially interested in a somewhat competitive specialty and while there weren't any summers McMaster clerkship was not typical clerkship. Around the necessary team based learning and professional competency sessions I was able to shadow for 10-20 hours per week, got involved in multiple research projects, and hung out with residents in the specialty at rounds etc. I ended
  15. It would be crazy to remember everything you've just been through, I'm about to have an independent licence and there's still basic science things that pre-clerks have down better than me. You've got a great foundation and you most likely don't even recognize some of the things you know, but the biggest thing to keep in mind is that everyone's felt that way at some point, and that's why the spiral curriculum exists. Over time you'll be able to match that pre-clerkship knowledge to a patient, that patient to a management plan, that management plan to a morbidity and mortality round, and so
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