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Everything posted by Snowmen

  1. I can only speak for the situation in Quebec but I would expect this to be applicable to most provinces. Basically: - MSK earns more than rehab (botox and well-run EMG clinics with techs would be exceptions, but you normally wouldn't spend more than a couple days/week doing those) - MSK with procedures earns more than MSK without procedures - Fluoroscopy-guided injections pay the most For the rest, the earning potential really depends on what you do. Obviously, if you take an hour for new patients and 30-40 minutes per follow-up, you'll earn less than if you take 30-40 minu
  2. Don't use a research supervisor as a referee for CaRMS and especially one you've had basically no face to face time with. This is a recipe for disaster. Your letters should be written by clinicians (and attendings, not residents) who have directly supervised you. Anything else is shooting yourself in the foot, big time.
  3. Also, take into account that your program WANTS you to begin residency. There is literally no reason why they'd be helped by you not beginning residency (quite the opposite actually since that would leave a hole within the program). You'll likely just have to retake the exam and then everything will be fine.
  4. It's a matter of paying attention to what's happening but mostly experience. Once you've seen a particular surgery a couple of times, you should get better at anticipating what's about to happen so you can make yourself a better assistant.
  5. That was mostly in New-Brunswick but I know a GP who did it at a large community hospital near Montreal.
  6. What is more significant, IMO, is the fact that there are pretty much no specialty spots left in 2nd round this year (outside of pathology obviously). This is especially true for surgical specialties.
  7. Resources designed for the USMLE Step 2 CK are pretty useful for the MCCQE1 so you could use that. Kaplan's book for the internal medicine part is particularly useful IMO.
  8. Except a lot of what you learn in pre-clerkship is useless once you enter clinical rotations. Take a suspected acute coronary syndrome, for instance: What you'll learn in pre-clerkship: A ton of shit What you'll actually be using in clinical rotations: Basically ask at what time the pain started so you can interpret the troponins, read the ECG, look at the troponins. Done. Sometimes it won't be clear if the pain is cardiac in origin and you'll have to use a bit of SWAG (Scientific Wild Ass Guess) to decide but that's not something you learn in books. Another example is neurology
  9. J'appuis ton point par rapport aux classements. Ils se basent purement ou presque sur la performance en recherche (de l'université entière et non pas juste du programme de médecine, qui plus est) et non sur la qualité de la formation. Personnellement, si je compare les externes que je supervise actuellement à ULaval et les externes avec qui j'ai travaillé pendant mon externat à l'UdeS, je trouve que les externes de l'UdeS semblaient sans le moindre doute mieux préparés et plus efficaces/performants (surtout pour les disciplines associées à la médecine interne.
  10. Back in the days, you could do pretty much anything so the example @lovemedicinesomuchmentioned is pretty much worthless. While spots in plastic surgery may open up once every 10 years, this is mostly anecdotical and not something that should be relied on. Telling someone they have a realistic (let alone a "probable" one) chance of transferring to plastics is simply harvesting false hopes.
  11. I've done stints in residency where I was working for 19 days straight (2 straight full weekends on call) so you should be fine.
  12. The other advantage is that apparently your notes can be completely unreadable which makes it a lot quicker.
  13. The main issue is keeping the expertise after you begin your cardiology "fellowship". After 3 years of only doing cardiology, you will no longer have the experience or knowledge to do GIM and you wouldn't be able to offer your patients the care they deserve in both GIM and cardiology.
  14. I was getting about 70% on those practice tests and ended up being about one standard deviation above average on the actual test (despite having moved the previous day and only slept 5 hours). The real value of those tests is the ability to understand how stupid and out of touch the questions are. If a patient is actively psychotic and agitated, you better counsel the shit out of him in regards to medication adherence!
  15. I did my general surgery rotation in a relatively rural hospital (a roughly 250 beds regional referral center for specialized services but not an academic hospital). The general surgeons there did some procedures they wouldn't normally do in other centers like tracheotomies, pacemakers, etc.
  16. Pourquoi poser la question si tu as déjà décidé quelle réponse tu voulais entendre?
  17. It's not that rare. The orthopedic surgery program at Sherbrooke also did that during my interview. They spent a good 5 minutes asking uncomfortable questions such as why I was disrespectful with residents and nurses during my rotation there, etc. even though my evaluation specifically said they appreciated the fact that I got along with everyone and was appreciated by the residents/OR nurses. Other candidates I spoke too were quizzed on similar but different subjects (being unreliable, making mistakes, being unknowledgeable, lacking technical skills, etc.). Not the most fun you can have
  18. It varies between schools (3 weeks at Sherbrooke for instance). You should ask more senior students at your school or directly email someone in your school's administration.
  19. The overwhelming majority of jobs in medicine never get announced anywhere. Regarding jobs, pretty much all the the surgical fields have terrible job markets and as far as I know, cardiac and neurosurgery are even worse. One thing you also have to ask yourself is whether or not you will really like it. There's a huge difference between enjoying something when you're shadowing for a day with an attending who's trying to make it like the best thing in the world and liking it at 3 am when you're doing the work nobody wants to do after 3 years of brutal hours with 1-in-3 call.
  20. Comme mentionner ci-haut, et je sais que ce n'est pas la réponse que tu espérais, tu te tires dans le pied en faisant une technique selon moi. Principalement parce que: Pratiquement impossible d'avoir la cote R requise dans une technique à cause de l'IFG Plus de cours par session en plus de devoir faire tes pré-requis
  21. Quebec doesn't. Call is 17h to 22h. You have different residents covering call from 20h to 8h (those usually are working nights 4 or 5 days/week for a week or a month at a time). The overlap between 20h and 22h is for the evening residents to finish the consults that were received before 20h but weren't completed. The night residents would be responsible for the consults received after 20h. Typically, the consults that can't be completed before 20h are turfed to the night residents so call is basically 17h to 20h-20h30.
  22. Before COVID, pretty much the only time you'd be wearing scrubs (and those would HAVE to be hospital supplied ones) was on a surgical rotation, otherwise business. There also are some technicalities. For instance, on an ortho rotation, you'd be expected to dress business on a clinic day. ER docs typically wear scrubs too but usually their own instead of the ugly hospital supplied ones. The rest of the time, you're not wearing scrubs altough, again, there are some exceptions. For instance, some procedure oriented IM specialists like GI or cardio will tend to wear scrubs or a scrub top when they
  23. I ended up getting an appointment to receive the first dose on Wednesday so not in time for my time on the COVID units (starting on the 11th) but fortunately I will have received both doses a week or two before my geriatrics rotation.
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