hero147

I have never seen a family doc practice within 2 major +1 fields let alone 3. Again, I guess you could reason it out that some care is better than no care, but there better not be a specialist within 3 hours of your center.

FPAs could probably handle a decent amount of emergent ASA3 cases with the reasoning that a family doctor trained in anesthesia is better than no doctor at all. But I honestly wouldn't go FPA unless I would die enroute to the nearest hospital with anesthesia care if I had any significant comorbidity. There's a reason why anesthesia is 5 years. It's not feasible to learn intubations/fiberoptic intubations, art lines, IVs, Central lines, spinals/epidurals, and ?nerve blocks all in 1 year. That's in addition to the medicine you need to know and all the difficult airway algorithms and airway adjun

I find its very rare to have an ASA 4 case. BMI > 40 is more common but still pretty uncommon. Most FRCPC anesthesiologists are still making the majority of their money doing bread and butter cases of ASA 1/2 and the occasional ASA 3 especially in the community. If the billing codes are the same, I can't imagine the incomes between the FRCPC and +1 to be all that different.

That's like every non-generalist though. Granted, psychiatry is probably on the worse side of that spectrum.

Are you a CMG? Assuming you are, you need to be diligent studying for the MCCQE. I would recommend studying 2 hours a day specifically for this test in yrs 2-3 and then when you're a 4th year, start writing practice exams. I recommend practicing with the written royal college exams for each specialty (esp pathology IM and surgery!). Once you're hitting near perfect on those exams, you should be ready. In all seriousness, no dude, do what most people do. Study for 2 weeks and maximize your time off before residency. There's a reason why they call the MCCQE a tax on poor medical students.

1250 a month for a studio but as a resident. I paid 500 a month as a med student sharing with a fellow student for a 2 bed 2 bath.

USMLE is becoming pass fail next year. It would be interesting to see what happens to IMGs after the change.

There is some truth to your statement about having some downtime especially during call for most specialties. But there are many specialties and rotations where you don't even have time to use the toilet. It's kind of hard browsing social media when you're being paged 10 times an hour while trying to get through urgent imaging studies as the only radiology resident in the hospital. And it's not like you can wipe out your phone in the middle of being scrubbed into surgery to browse the web. Also keep in mind, while you;re scrubbed into surgery, your pager is going off 2-3x an hour sometimes mo

That's funny, we just had a bowel perf from a colonoscopy a couple of weeks ago that had to be repaired.

What makes ophthal a difficult surgical residency? Their OR days are often not that long and they don't round on majority of their patients. Some residencies even have dedicated residents to do urgent care clinic/consults from the emerg. Do agree on the job market though.

I don't think he's disagreeing with you

Are you sure they werent complaining about their resident salaries? I dont think ive heard of many residents complain about the salary of an attending. Residents get paid like 60k with 5K raises every year for 10 hours a day M-F, working usually 2/4 weekends a block, and overnight call (ranging from 5-6 calls a month in house to 10-11 calls for home call) all of which are specialty and block dependent.

You can also do critical care in 6 years in anesthesia as well.

Not even equals, you'll have coworkers who are more senior than you. And usually the chair of the department has power over you. Ive seen some pretty nasty disagreements within specialties and between specialties in both academic and community sites.

To be fair a lot of people switch into anesthesia from surgery