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Edict last won the day on September 6

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About Edict

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  1. Alternatively, the government should not pay the cost of healthcare for people who are unvaccinated without a medical exemption and get COVID-19. I understand your freedom to choose, but the buck stops when your freedom to choose affects the rest of society.
  2. Any program in a big city is probably service heavy, but most if not all programs will train you just fine. I wouldn't worry about that, focus on where you want to live. UBC IM used to have the slogan "Residency in Vancouver" on the frontpage of their residency site for more than one reason.
  3. I wouldn't worry about workload, you'll be able to handle the workload if you are enjoying what you are doing at your current workload. Besides, the workload is probably worst in PGY-1 and 2 but it gets better after that because you develop pattern recognition skills and get better and way more efficient. So, I don't think workload should really factor in at this point for you. I'd seriously consider IM because its very flexible and if you like the idea of being a traditional doctor and you don't mind or don't want to see kids, IM is for you.
  4. 2 weeks is perfect for almost all specialties and locations, the only time i'd do 4 weeks is if u have an absolute clear 1st choice program and it is a competitive specialty in a competitive location you want to perform and really stand out. 4 weeks can be a double edged sword if you perform well the first 2 weeks but start to lag in the last 2 for ex.
  5. To answer your question, I've heard people complete PGDips in the UK. No idea if they are necessary for practice in Canada though. https://www.bad.org.uk/healthcare-professionals/education/gps/diplomas--courses-for-general-practitioners https://pcdsc.ca/about-us/ - seems like the Cardiff PGDip is the most popular one for Canadians.
  6. If you ever end up applying for a masters/phd program, they often will look at it. Usually, if you got into medical school your grades won't be a limiting factor though.
  7. I don't think there is an inherent bias, just don't think French applicants are as oriented towards going for English medical schools which is why this is not reflected in the statistics. The number of fully bilingual French med students who want to go to English Canada for residency and are willing to do electives and research etc. is probably pretty few. Also, one would imagine that the fully bilingual French med students who have an eye out for English Canada for residency would choose McGill for medical school if they could, further limiting the number that are interested. Also, bec
  8. Definitely not too late, it's nice to have a little bit of research under your belt especially at some schools but people match to all programs with little or no research. Securing these projects really depends on a bit of luck. Usually, early career staff surgeons tend to be the most academically productive and they tend to be most likely to be looking for students interested in doing research. Targeting them does help, but it also depends on schools. Some schools just don't have as much a focus on research than others.
  9. I think that claim if backed up by solid evidence would be important, but until we get those studies, people will continue to debate this and entrench themselves. One important question on a hospital/government's mind is, will the cost savings of using NPs outweigh the costs of any more expensive imaging/inappropriate antibiotics etc. I think if we really get to that point, as physicians we should demand evidence before allowing NP scope creep. At the end of the day, the system is worried about its own bottom line, so i'm not sure how it works in BC, but in the US NPs cost less which is
  10. I have to say though, as a profession, we need a realist mentality. Anyone's value in society is only as important as their usefulness to others at the current moment. I think if a NP is able to provide the exact same care as a physician in a given role, then that physician should be doing something more advanced. I just don't believe that physicians "deserve" anything just because they put in more time training.
  11. I think it will happen here as well. Inevitably as health care costs continue to rise and technology gets better and better, people will start to realize that some work that doctors currently do, does not need to be done by doctors. We joke about how the ABCs of emerg has become: 1. assess from the doorway 2. back away slowly 3. CT, but this and the rise of cover your ass medicine has led to much of medicine becoming simply algorithmic. You don't really need to understand the medicine as long as you know how to follow your guidelines and over order investigations so you don't get sued if somet
  12. Which countries do you want to work in? No one can tell you everything about the EU.
  13. I think it is important. To do any surgical specialty you need to have passion for it. I think you need to take a careful look at if you really can be satisfied with ophtho, plastics or ENT. If you really think you can, then ask yourself if you feel comfortable letting go of cardiac surgery. If you can, then you can consider those specialties. You said you spent time in the OR over the past summer, did you just go to the ORs? Consider doing a week or two week long "preclerkship elective". As I say to med students, going to a few ORs and deciding on a surgical specialty is like going to a
  14. It really depends on what service you are on. If you are on acute care surgery, expect to see lap appys, lap choles, lysis of adhesions or SB resection for SBO. If you are doing elective general surgery, expect to see hernias, endoscopy, colonoscopy and possibly hemorrhoids or lipomas thrown in the mix as well. Right hemicolectomy, sigmoidectomies are probably the most common colorectal operations you'll see if you were to do CRC. On HPB, expect to see Whipple's, distal pancreatectomy, complex choles and liver resections. On breast you'll see plenty of lumpectomies, mastectomies.
  15. I personally think we should offer both. I can see the merits of both, but having just one system I feel also results in the disadvantages of that system being more apparent.
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