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Everything posted by skyuppercutt

  1. They are not mandatory but highly recommended. Looking at your current elective schedule I would say that you are going to be in a good position as long as you are able to get strong reference letters from each of your internal medicine rotations. If you also have a reference letter from your core internal medicine rotation then that would help to. I would recommend if possible using only internal medicine letters for when you apply to internal. As a UofT grad and previous internal medicine interviewer I would not penalize you for not having CTU rotations. Good luck!
  2. Well, the short answer is residency kinda really sucks. I work every other weekend, don't make a lot of money, my sleep schedule sucks because I do a lot of call and I'm not making a lot of money. People my age are partying, traveling, sleeping when they want to and have jobs that are a lot of fun. That being said, would I trade this? No, because I love what I do and would do it over and over again. I run into people who aren't in healthcare and lost their jobs because of covid, while I know mine is secure. I know I will make a lot of money later in life and I think I'm having fun. Here'
  3. I always asked for feedback mid rotation or a couple of days in and said something wonderful like "we've been working with eachother for a couple of days now. I'm really interested in this specialty and was wondering if you had any feedback on my performance and about what I can do better moving forward" this puts the thought in their mind. At the end of my time with them, I would ask for a letter to see if they will sat yes or not. If not, then oooo poopy. if they say yes, then I would just something like "AMAZEBALLS" or "WOWZY" followed by "thank you so much, do you prefer that I reach
  4. Any idea how one could get involved with this? Sounds super interesting!
  5. Best not to speculate and wait to see what they officially say. As far as I've heard. Start dates won't be postpones (in Ontario)
  6. Here are 3 recent threads about this. Feel free to look through them because some answers are really detailed. Maybe add any questions you have to some of these existing threads becuase a couple of people are likely following them:
  7. Hey! Thank you so much for doing this! I lol'd at the pun *After typing this up, I realized it is actually quite long, so I apologize in advance. Feel free to PM me any answers that you think should be private. If instead of typing out an answer you prefer to chat, I could PM you my number and we can talk then I could post a summary of your reply for others to see* Right now, I'm a PGY2 in internal medicine and I am very much torn between GIM 4 year vs GIM 5 year vs maybe ICU. I feel that I am mostly leaning towards completing the 4-year GIM program and starting an outpatient cl
  8. Initially, yes I did, but as I went through questions I realized that I didn't have enough time to do that and just stuck with the main points
  9. Are there any resources that you would recommend to read/learn about those things?
  10. I never did the step 1. Wrote Step 2 CK on a wednesday and LMCC part 1 on the friday in the same week. I spent 1 month prepping by doing Uworld for step 2 ck. I just did questions, felt nervous going into the exam. On the wednesday, I just went home and slept. Thursday I played video games until about 5 pm then read the ethics section of toronto notes. Friday wrote the lmcc part 1. Passed both with a decent margin. Didn't really care about my step 2 score, but I got a 250 or 260, not sure if that's good or not, but meh whatever lol. For context I wasn't the smartest student in medical sch
  11. Thank you so much for the write up. This is really informative. One quick question about the above text. Does this mean that if I'm asked to assess a ward patient for something random e.g. they're having abdo pain and are constipated at 2 am I could bill $138? <-- lol that's more than my current 26 hour call stipend
  12. I'm not sure if it's just the program I'm in, but often times it feels like our internal medicine department and PD are pushing people to apply to GIM and shunning those interested in doing a 4 year program. Is that a legitimate concern or is there an agenda that I'm not aware of i.e. it looks bad for the program if many residents are doing a 4 year program?
  13. Pretty much what lactic Folly said. Also, I've always wondered why questions like that really mattered. Would you not apply to a program because they requested your transcript? Probably not. If you did apply and didn't get an interview, would it matter that the reason was from a weak undergrad transcript vs any one of the million other reasons why people don't get a transcript? Probably not. I wouldn't waste my time discussing this in a personal statement. Also, programs don't need to talk to each other about this. If they wanted to see it too, they would just ask for it inste
  14. Family med, ER, GIM a bit too. But that being said it doesn't matter, because people should pick a specialty based on what they like about it, not whether or not it's easy to find locums...
  15. well Carms is a contract. my understanding is that you can apply to the usa at anytime even after fellowship. I just wonder if you'll be able to get strong references and all that especially if your PD knows you are willing to break the contract to go elsewhere. sorry about the match
  16. If you want to set up an outpatient office, for sure you'll be good. General cardiology you won't have trouble finding a job, especially in the community, but the volume is lower. If you want to do other stuff like caths or EP, the job market is a bit tighter at the moment. I think doing echos or cardiac imaging is still okay. Keep in mind that cardiology is a 3 year fellowship (6 years in total including the 3 years of IM that you do first). Also fellowships like cath, EP, cardiac imaging are an additional 2 years on top of that (cardiac imaging may also just be 1 additional year if you
  17. As an IM resident my understanding is: GI - really bad Endocrinology - Good if you set up your own office Geriatrics - Good if you set up your own office Hematology - somewhere in the middle ID - somewhere in the middle Nephro - absolute shit I'll add GIM - Really fucking good
  18. Wow, I was always under the impression that the ABIM was more difficult than the royal college (purely based on the fact that the steps are more difficult than the USMLE). Are any of you aware of people finishing residency in Canada and then moving to the states? Would you have to do the ABIM in that case? My understanding is that the USMLEs would be optional depending on which state you want to practice in if you have the LMCC, but please correct me if I'm wrong
  19. In terms of the pay, I consistently hear people say that in the community you would make significantly more than at an academic centre. I'm having some difficulty understanding that, because at an academic centre you always have a handful of residents seeing your patients and I imagine that because of this you're able to see and bill for more patients on a daily basis? I heard that in a community the MRP would have a team of 10-15 patients, while at an average academic centre it would be anywhere from 20-30. The attendings also get to bill premiums for all the overnight admissions codes and al
  20. I guess my main question would be, is it realistic to have a set up like this in or around the GTA? No paid vacation/pension if you set up your own outpatient clinic. Even if you work in the hospital, I've rarely heard about that being the case, but if others know differently please chime in
  21. Wow, thank you so much for such an informative post. Really did not know about a lot of things you mentioned, especially this: One thing that many people have told me is that endo and rheum (even attending rheumatologist) usually bill less than GIM. Is that because on average someone in GIM would still be able to see more patients per hour despite the 50% bonus that the subspecialists can bill for? Can anyone speak to how easy/difficult it would be for someone in GIM to pick up ER consult shifts at a community hospital in Ontario e.g. Mississauga, Brampton, Windsor, Scarborough?
  22. That's bullshit, I don't know why any resident would say that, especially a senior. Stuff like that should absolutely not happen. I'm sorry that you had to go through this
  23. Any idea how much a purely outpatient GIM staff would make if they worked 8am-5pm with 1-hour lunch (8 hour day) assuming they completed all their paperwork so they literally leave at 5pm? Assuming they work 4-5 days per week? I hear people say that you'd average 400k per year for 4 days per week. Is that a realistic estimate?
  24. While what you are saying is true, there are a couple of caveats that I kept in mind when making a decision. When I made calculations as well, I also found that OMA was cheaper than RBC when I was younger, but when I get older the step rate for OMA would surpass the cost of RBC which would remain the same. That being said, OMA was much much cheaper than RBC was, so when I calculated how many years I would have to be with OMA until it's cost supassed that of RBC I found that it would be something like a decade or so until I just broke even. I decided that financially for me it would make
  25. That's right. Rebates have been lower, but at the same time they actually have rebates. When comparing OMA vs RBC I find that OMA is cheaper anyways, so even if there weren't any rebates you'd still be paying less by going with OMA (assuming your situation is identical to mine). A lot of the insurance brokers used the rebate argument as a reason to not go with OMA saying that the rebate has been decreasing over time. I always took that as a moot point because the other options don't even have a rebate as a possibility (at least the ones I've researched)
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