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indefatigable last won the day on October 5

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About indefatigable

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  1. It sounds like academic FPs in Montreal can do really well - way, way above average for QC! Maybe it's Montreal or having residents do a lot of billable work? According to this official guide from the Quebec student's association, the average internist bills ~450K/year with minimal overhead while the average FP bills ~310K/year with about ~250K after-overhead (average 20%). What's interesting is specialties like path/psych (along with ER) bill about as much as IM and 1.5 times FM . In Ontario, I think it's maybe closer in in terms of overall billings for FPs and IM, but mostly
  2. Ortho isn’t very competitive in Canada outside of Quebec. There have been spots left over into the second round recently. So I think you’d have a good chance with the caveat that you would not have any local contact which could help get your foot in the door. I think if you applied broadly though you’d get interviews usually CaRMS happens first, but I believe currently NRMP occurs first - which means that you would have to not match in the US to have a chance to match in Canada. Interviews would probably help get a sense what your ranking strategy should be. obviously
  3. Agree. If you want to work primarily with adult inpatients, then IM is a much better choice. Although there is some overlap, as the most acute aspects of hospitalist are like the least acute aspects of IM, FPs have less training to manage those conditions. Plus there is considerable difference in billing which means hospitalists seem to end up taking on more patients which can add to stress/workload.
  4. I do think that there is a paradigm shift happening within QC as grades are no longer a factor. But, the opportunities for being "competitive" (at least in some discipline) are not very evenly distributed. I know that at the school that I went to there were much fewer research opportunities compared to a school like U/T and McGill which can play a significant role in matching in some disciplines. Clinical shadowing has also long been encouraged in English-speaking schools, but only even now minimally tolerated in French-speaking schools. So a "gunner" from a major English-speaking sc
  5. I'm going to politely disagree with the poster above. I think there have been significant differences between English and French schools, notably grades but also ECs which have made matching from French-speaking schools into English-speaking schools much more limited. Competitive French programs often placed high emphasis on grades attained during both pre-clerkship and clerkship - this has only been completely discontinued recently. Given that that was the goalpost for a some residencies, and could hurt candidates without stellar grades, that limited the competitiveness of a French a
  6. Perception creates reality in politics If the public thinks NPs "care" more (spend more time with their patients) and the governments pay "less" (since benefit and overhead costs are often not properly/fully accounted for as they fall in different buckets) then NPs will continue to gain traction. Higher patient volumes of MDs can be perceived as cold business logic and any higher downstream costs of NPs explained away as health care is expensive (esp. MDs). OTOH the public will often see gross billing information for MDs which confirms their suspicion that doctors are overpaid
  7. Quebec is actually somewhat unique in its residency criteria - e.g. being born in QC qualifies you automatically. Generally, the main criterion is where you grew up (high school)/lived without being a full-time university student for x number of years makes you a resident. It's best to check the criteria directly, but I suspect AB and BC would be out. UofT/UofO and Queen's don't have any IP preference. Mac does for interviews, but given competitiveness of ON pool not sure it makes a difference. Western gives an effective boost to SWOMEN applicants and NOSM only really acc
  8. Agree with other posters above regarding prioritization. If ENT or other highly competitive specialties are an interest, then it's worth getting as much exposure as possible to see if it's something that you really want to do. If it does seem something is serious interest, then building up CV may help for CaRMS as most applicants will be somewhat indistinguishable. Of course doing well on electives in crucial and necessary, but part of that is sometimes doing shadowing, etc.. It's interesting we had a common problem but somewhat different experiences. I found self-studying
  9. Maybe just retire early to accelerate the ageing process and boost happiness (according to the graph)?
  10. From what I understand, McGill has previously been flexible with respect to French for med students who have also had access to translators during clerkship. I believe the Montreal training sites are still all in English (although Gatineau and rural sites are in French). This is very different of course than French medical schools that the OP was referring to. You're right - It was one of a series of very difficult experiences. I'm not going to say it was easy, but putting aside emotions is exactly what one has to do. It helps to try to focus on new and upcoming tasks
  11. No worries! I believe part of the problem is that I wasn't from Quebec which made me a little naive with respect to the language issue. Although I had decent conversational French, I didn't have academic level French (e.g. strong reading comprehension, etc..). You have good insight in recognizing your own intermediate level of French and comfort. I unfortunately also received some bad advice with respect to the issue from people that I highly trusted. Generally, the language issue wasn't well-understood - although I completed some supplementary French courses through the university in
  12. You're definitely not too old. I understand that you were disappointed with you rejection last time, but you've been able to achieve a solid GPA in your second degree which should give you a chance at medicine with a good CaSPER. I don't think age should really factor in your thinking at this point except in terms of opportunity cost as mentioned above. But as IP, med school tuition is probably the best in the country in QC and you will have good career choices through medicine. I was well into my thirties and I was able to go back to undergraduate, getting a good GPA, d
  13. I can emphasize with being in a medical school which is not the best place for you. I made the misguided choice to accept an offer to French-speaking medical school which ended up to me being a chronically, midly traumatic event due to the daily language and cultural barrier and associates consequences that I experienced. This led not only to extremely significant professional limitations (where I believe my potential/efforts were completely nullified as I was reduced to someone struggling with language which led to obvious difficulties), but was also a wipeout on the personal side whe
  14. Lots of a good advice esp big textbooks. But, I would suggest not spending too much time on Step 1 review/resources (although being good for pathology), but perhaps using more Step 2ish alternative options like AMBOSS (which does have a lot of basic/fundamental science material and is also online/interactive). AMBOSS also has MCCQE-1 focused material.
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