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Rorzo

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Everything posted by Rorzo

  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
  16. Our school lets us do a "vacation block" where instead of an elective you just have that 4 weeks off if you don't take any other vacation that year. You'd have to get in contact with your PGME office relatively soon to arrange it but it should be doable as it wouldn't affect any other blocks. That being said, especially in first year that may not be the best idea. There are some service heavy rotations you'll probably prefer to do 3 weeks in, it can be hard to go for months and months without any break, and that elective block can be really valuable for networking/building skills/coverin
  17. Can't remember the specifics but it looks like I applied for reimbursement in the September of my R1 year and still got the full reimbursement amount. They're really helpful over email (MLPReimbursement@ontario.ca) and clearly amenable to late applications in the worst case scenario
  18. If you don't end up finding a resident, I had an excellent elective with Dr. Murray Potter at Mac who was more than happy to go over all of those logistical things while I was with him. From what I can recall the job market was pretty bad, and even when you find a job you're likely to be running a lab and doing a lot of QI instead of what most people imagine with medical genetics.
  19. If you're in Ontario my understanding is that it isn't necessarily 85%, just reimbursing whatever extra you paid over the base rate. I got reimbursed 2722.50 in 2018 (first payment of the year was over 664.50), so I'm claiming 235.50
  20. You should certainly know research methodology for family, however I don't think it's that relevant in being a competitive applicant. I can't speak for other schools, however at mine I reviewed some 20 family applications each of this year and last, and have seen 1 family medicine related research project in that entire time. You can be very competitive without it, and the vast majority of applicants are. In residency, our research project can be a QI project as well, with lots of support working through it so it's not all that needed for the future either.
  21. You don't have to know current medical or political news. It can certainly help add to a question, in some cases quite significantly, but all of the questions are made and validated long before interview day
  22. As it stands you can read many articles in the media outlining the arguments about whether or not to make such information available to the public. The raw data can be misleading with physicians receiving no benefits, some people paying 30% overhead, others billing an additional 30% privately, and countless other things. Every medical student who's a member of the OMA already has access and I think that's a fantastic idea - it can make a huge impact on their career decisions and there's tons of people surrounding them to put the numbers in to context. However, I do question how good of an idea
  23. Family medicine, and job offers will come up in residency. Part of the reason I ended up in family is that you have so much flexibility. Once you're staff, the only barriers you have to work around are the ones you put up yourself. Don't want to take call? Don't want to work Tuesdays? Never want to run a clinic? That's all your choice, yeah it will limit your job options and salary potential, but you're the boss and there's nothing stopping you from putting yourself in a situation you want to be in
  24. In my experience, PIs and funding sources couldn't care less how many degrees you had as long as you were doing something relevant when you applied
  25. Primary care as he mentioned can allow you to work a few days per week, especially with a group practice or in certain locums. In my example above, you can take urgent care/ER shifts basically as often as you want. Basically just find something where you aren't dependent on working for OR time, or need to cover call - for me the vast majority of those opportunities seemed to show up in family medicine and it's branches, but I've also seen similar from peds and psych
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