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Everything posted by Edict

  1. Plenty of luck involved in CaRMS. Just remember the system isn't always fair or right, especially on the first try, but generally speaking, with the work and effort, you will get to where you want eventually.
  2. I know this very well, but my question is more of not whether they are hired, it is, do they truly feel competent in the beginning. I find doing a rotation or two in any specialty often teaches you some stuff but also shows you a whole area that you actually don't know.
  3. Not to offend in anyway, but i'm curious as to your thoughts that a 2+1 is enough to work in tertiary/trauma center. From my residency experience, having done several rotations in ICU/Trauma/EM haven't made me feel confident in working in those settings alone. I certainly can see enhanced learning if this was your area of focus, but my feeling is that it would definitely take a lot of extra self-study/on the job time before I felt like I could do it independently.
  4. If you are among the best in your surgical cohort (i.e. you work harder than your other co-residents) and you get along well with people, this is possible. Otherwise its not. Just being willing to go through all the academics is not enough. Doing a PhD is not enough, you need to be very productive during it. I think the answer is that it is doable, but you should not expect that if you go through the motions you will get a job there. Not sure if this is what you are thinking but... if you are hoping to be in a big city because you like city life, I would think again. The people who
  5. 1) Don't think it would be that hard, there are plenty of jobs, certainly you could get a hospitalist job, because that requires family medicine training alone. Do you have a UK IM license? Does 4 years of training get you fully certified in IM that would be recognized as equivalent to the Canadian FRCPC IM? Getting a job as an internist may be not possible without a license in internal medicine (either UK full IM license or Canadian FRCPC IM). Your pay would likely be a hospitalist's pay and you would bill as a family physician in that case. 2) All this depends on if you are a lic
  6. https://pubmed.ncbi.nlm.nih.gov/10495735/ https://canjsurg.ca/wp-content/uploads/2017/07/60-4-247.pdf
  7. Sometimes you get this said directly in your feedback. Other times you just get a feeling.
  8. With specialties as difficult as derm, they are swimming in applicants who have near perfect CVs. There are many derm gunners who don't get in each year. I don't think you have any realistic chance with dermatology given the competitiveness. I would honestly focus on trying to match to something that is more feasible. I would strongly consider IM or FM for you if you are interested in dermatology, they are similarities and you can do some derm with FM + derm certificate.
  9. With a 2.7 GPA, your chances realistically are only in the Caribbean without a superb MCAT. I would advise you to avoid healthcare professions in general as they are heavily GPA focused and without doing another undergrad you don't really have a chance at any health professional school in Canada with a 2.7 GPA.
  10. Get involved in clubs/initiatives, definitely network. It's all networking, meeting residents, meeting staff, doing research. It all helps. Doing research in a related field is totally fine although its more efficient to do it in the field you apply to. Definitely explore specialties first, find a few you think you'll like and start with those and narrow down as you go. By the beginning of clerkship you should have 1-3 specialties you are thinking of applying for.
  11. If this job is 1-2 years away and is a guarantee or near guarantee, I would strongly consider that option. Burnout is one thing and its true that studying 60-70 hrs a week won't last forever, but what I'm more concerned about is that you seem to be worried about the responsibilities that a family doctor has to have. A lot of it is true, it gets harder and harder and clerkship will be harder than pre-clerkship and residency will be harder than clerkship. Even staff life is not easy as having that responsibility is a huge task. On the one hand, the studying will get easier because you just simpl
  12. It is also possible, if they are doing "medians" not mean's it could decrease the influence of some high billing outliers. Derm is a bit different because they also do bill private. The other thing if you look at the Torstar, you'll be surprised at the number of doctors who bill 50-150k. There are a lot of doctors nearing retirement as well who scale back but still work. They may be working part time. Again, no one talks about the part-time doctors but they are at least as common as the high billers and that is influencing the numbers.
  13. Okay, so yeah GTA its possible particularly in some centers. Many GTA centers are very busy with high volumes. But I would not say these numbers are generalizable. ER at Trillium or William Osler is just not going to pay the same as ER in most other cities. But that is an important caveat. Sure, some ER docs who are willing to work hard at the right center can make a lot, but that still means that only a few select people are making those numbers and leaves a lot of room for the "average" ER doc across Canada to make closer to 300k.
  14. It wasn't easy for myself as well, still debating this now. I think unfortunately, we all have to choose. I chose the interest/passion path and am faced with the same decision again, but the sacrifice is going to be even greater. At the end of the day though, it is your life, so you should always choose what makes you happy.
  15. I would only expect those numbers at certain busy centers, can you share your sources?
  16. Don't let it, because crazy numbers spread faster than normal numbers. If I told you that I knew of a surgeon making 2 million a year, you are much more likely to tell others than if i told you i knew of a surgeon who made 300-400k. But that one surgeon making 2 million a year may be also lucky, working 70 hrs a week and taking so much clients that no other surgeon in the area can now make an average salary or that some of the younger surgeons are now forced to find a job elsewhere etc. I have never heard that Peds ER makes much for instance, so is that really true or is that just one gu
  17. You can if you take on more than the average number of shifts. I heard the typical ER doc working 16 shifts a month (8 hrs a shift) or so with a mix of days and nights made around 300k but no overhead. So that is actually a really sweet gig, since you can easily scale up when you are younger if you want. Also, as a general rule, don't read too much into salary numbers, the more you hear about the numbers bandied around by folks the more you realize consistency between numbers is often lacking and the more you realize that in many specialties you can find a way to bill at least 400k and i
  18. If you look at the toronto star database however, you see a lot of people are not billing those high numbers. While it is probably true you can bill those numbers if you choose to work a full time+ equivalent like around 60 hrs a week, a lot of doctors don't choose to do that which drags those numbers down significantly.
  19. Not in Alberta but my two cents is that, when Albertans are struggling with the double whammy of coronavirus and a downturn in oil prices/inability to build pipelines it seems inevitable to me that the government cannot afford to continue to pay their doctors the same high salaries that they got when times were good. Alberta has always been a boom bust province and honestly this really doesn't come as a surprise to me.. As physicians, I appreciate and support those that fight for our rights but I'm not sure this is the right battlefield to fight and die on.
  20. One school of thought is just to do whatever you need to get to where you want. If doing something you don't love is actually an important component to getting ur subspec of choice, it is probably worth it if its not too unbearable for you, since getting your subspec will change the rest of your life. If chiefing is only a slight boost to your application and may not even make a difference, don't bother doing things that take time that you don't enjoy. It all depends on your individual situation but i think you'll be able to figure it out.
  21. Even some cardiologists don't carry a stethoscope. Honestly, the stethoscope is becoming a relic of the past. It will doesn't matter but i'd imagine most med students get the Cardio IV so if you just want to fit in get the Cardio IV. Like toxicmegacolon said, I wouldn't sweat the few extra hundred bucks.
  22. I think if residents/staff compliment you on your knowledge/work ethic etc, then you know you are doing well. I know if I run into a medical student that I've felt was doing well, i try to let them know because I remember how hard it is to be at the bottom of the totem pole and not sure if you are doing well. Although, if residents/staff aren't doing that, it doesn't mean you aren't doing well, just ask and they will give you honest feedback. I think if you have good patient care, patient's will compliment you, sometimes in front of the team.
  23. I would argue that for OP's situation, medicine is probably the best way of making a 150k+ income. With that being said however, it is a road with a lot of sacrifices and I actually don't think the benefits of medicine will pay off for OP for at least 15 years compared to if she stayed at her current job and during at least 10 of those years your life will be more challenging.
  24. It puts you in a tough spot, but it really depends on how you feel about it. The only thing I wouldn't recommend doing is outright refusing to work with them. You can find an excuse not to work with them, you can just say that you're actually starting the project and you don't need any help right now for example. If you do think they could actually be of help and make it so that you can have time to work on another project lets say, then it may be worth collaborating. Depending on how small this specialty is, it could still be a win win situation, but if we are talking about a specialty with l
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