JohnGrisham

To be fair, its because many are also keeping income in professional corporations for investment, and around 150k is the usual ideal amount to withdraw from the corporation.

Something that trainees often miss, is the unethical billing and sometimes fradulent(often due to ignorance) billing that occurs in FFS practices in many provinces. Often it is normalized since everyone does it, but remember if the gov't decides to suddenly clamp down, there goes that niche way to keep your billings padded.

This is the answer. The next time a patient comes in, anxious and soft-signs for suicide, at 4;55pm, let me know how efficiently you can get through their visit, knowing you're billing 35$ and getting 30% taken off for over head...

Again, I can only go based on my anecdotes - but the vast majority of my friends and social network outside of medicne, and my spouse's network are all business and tech grads, who all generally fit the mold of the wage trajectory i mentioned. I can't say that they were all top top top tier university grads, mostly normal people within the university sub-group, who worked hard and had good drive. But maybe thats just blinders. This is a sample size of likely n=100 of immediate friends/acquaintances and their immediate spouses. Again, like i mentioned, even during my co-op terms, most

Ontariocentric data and walk-in style churn style of practice is likely colouring your perception is the likely source of disagreement. I've been in a few provinces, and will say Ontario FHO/FHT is the top tier of payment for effort, that is not resembled in many other provinces.

I think this is just a difference in observer-ship bias and personal social circle differences. Myself with just a simple bachelor degree was making more than your supposed banking consultant friends before i left for medical school. Certainly i think the terminology may be causing confusion, because i know a fair number of business consultants due to my before medical school life, and no one i know is only making 60k. That is the wage of a fresh junior business sales rep, not business consultants. Heck, i was making 60k adjusted as a junior co-op student without much skills at all(and this

I'm curious where you are that GIM and FM are both doing hospitalist work together? In most provinces GIM is usually MRP on more complex acute care wards, and FM hospitalits on more chronic subacute care wards, and GIM acts as a consultant.

You have 10 months left in M4, use this time to do as many psych electives in Canada and if possible some in the US. Ask your school to allow you to delay graduation so you can keep doing some US electives and be ready to apply - you need step 1 done and ideally step 2ck. You take the risk with the gap year, but if its "compelling personal reasons", then its worth a shot given you dont wanna commit 5 years to a city in Canada if you need to be in the US. Just be sure these compelling reasons are good reasons. I think its doable - IMGs match to residencies in the US all the time, a well

Centre dependent, my understanding is no - not a big difference for outpatient. The main thing is, most people tend to do a mix of inpatient and outpatient, and its the inpatient piece that may be affected. Its much easier to do post-ER GIM clinics via hospital for example, and then build up a roster of patients this way for a constant referral stream...then rely solely on family docs to refer to you. Again, very province dependent.

I don't think most centres would allow the individual in that situation to work in GIM without having the 4th or 5th year GIM. I had seen in the past Cardios and Nephros doing CTU type internal medicine work in hospital, but even that seems to be slowly phasing out. Very centre dependent. I think the 3 year base internal medicine doesn't allow for much anymore, as there are now more than enough people with the 4 year GIM, and now 5 year GIM. This is the perspective from major centres of course. Smaller centres the world is your oyster.

The sentiment from colleagues in some big centres is "I better just suck it up and get PGY5, so i dont have to go work in smaller semi-urban or semi-rural centres with only a 4 year GIM"

For sure its a money grab, but if you want to work in many centres, the 5 year GIM is becoming much more common and you will be boxed out if you don't just get the extra year. Most people use the extra year to get a "niche" area of interest, i.e. HTN, DM, IM-OB, Palliative without doing full 2 year fellowship for community related work etc.

To be honest, many people do this all the time, and its rarely an issue - they only care if you dont pay your bills. When i was a medical student i was able to get multiple high end cards, without lying - they would wave the income requirements knowing i was a medical student. Then there is American Express which does not have income requirements at all, as they are charge cards. But yeah, as a medical student I wouldn't lie about your income and say youre a pgy5. Just tell them you're a medical trainee and likely they will give it to you anyways.

You'll have time to still work part-time as a PA in medical school if there are flexible contracts for weekend work or shorter shifts during the week, definitely for years 1/2. If you know you want to do FM, medical school can be more flexible and you optimize things by going for a residency that has minimal call, or just evening call. They exist, especially in Ontario - where they focus on training competent outpatient FM docs, who don't need to do 26 hour in hospital call doing scut work on gen surg/internal/obstetrics etc. If you are clear with your interests and outpatient focused,

Certainly plausible, but very centre dependent and practice dependent. It may be hard to maintain skillsets in er+ob+anesthesia; not to mention balancing work between colleagues so everyone has enough of a foothold in a community to make it worth their while etc. Good luck.