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insomnias

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Everything posted by insomnias

  1. Fair points. I read OP's OP poorly; thanks for clarifying all that. I ended up in Canada, and my perception is that admissions is more unpredictable here if you take citizenship out of the equation.
  2. Counterpoints: 1) In-province status may also look at where you went to high school, depending on university, and many universities won't consider you in-province if you only move for the purposes of undergrad. I went to HS in AB and retained my in-province status throughout university. 2) Yes they do? It is however more difficult (but not impossible) to get an A+ in an American university because they're more likely to curve grades to an A as the ceiling, and an A+ is at the discretion of a prof (one prof gave me a 100% = A. One prof gave me 95 = A+). 3) Eh. I went to an Ivy Le
  3. In our town hall with admin this evening we learnt that the AFMC won't be refunding any portal registration fees to 2022s who registered pre-covid in hopes of securing summer electives because they need the money to keep the lights on. Any chance the government's going to bail out the AFMC like they did Air Canada? :p
  4. I believe McGill had a student this year match into plastics (in QC) after going unmatched last year -> doing a master's and picking up a ton of call shifts, and the U of A had 2 students match plastics (somewhere in English Canada) in the 2018-19 cycle after going unmatched (I believe they did MBAs in the intervening year? Don't remember). It's certainly possible, but I wouldn't enjoy/recommend trying..
  5. IM is brutal, especially in PGY1. Plus, independent practice with IM is 4yrs vs 2 (or 2.5 if transferring) for FM. If you want an outpatient practice where you see everything, IM might be overkill. The max amount of credit you can receive when transferring into FM from a Royal College specialty is 6 months, but you may not get that much, depending on the overlap between the rotations you've done and what the curriculum of the program is. The program also has an incentive to minimize your transfer credit so that they can get the service out of you.
  6. A few reasons NPs may not take off in Canada like they have in the US: 1) No such thing as direct-entry programs (i.e. you cannot apply for a BScN+NP program), and US NPs are not granted equivalence 2) Health authorities are given a lump sum budget at the beginning of the year. Staff (including NPs) come out of this budget. Physicians do not. 2a) Consequently, there's no real incentive to shorten LoS 3) NPs cost more than MDs after factoring in utilization 4) Urban areas tend to be saturated with family doctors (at least in Alberta), whereas rural areas have a shortage
  7. I had a great experience during my core rotation, and I want to do my only family med elective (I'll be going for breadth, not depth) with my core preceptor because they have a CAC in a field that interests me. Would it be a detriment to do an elective with somebody who's already agreed to write a strong letter (i.e. you can only lower their opinion of you, not raise it)?
  8. I'd heard that QC doesn't offer DI as part of their medical association benefits. Look at the various provincial medical associations to see which ones are free for OOP students to join (I believe BC is), and which ones offer DI for free for the first two years (again I believe BC does), and then look at the cost of an out-of-province membership for when you hit residency. This is your stop gap until you can remove the RBC plan's limitation (you want to have an individual plan with RBC/Manulife/Canada Life because provincial plans can always be removed, as QC saw, or with a change in terms/pri
  9. I found this post written by a U of C FM grad which suggests their admin isn't the best, echoing above comments. https://www.**DELETED**.com/r/Residency/comments/kke63n/suing_your_residency/
  10. Realistically speaking, what does the lifestyle of CCFP-FPA vs FRCPC look like? The CCFP can only do ASA1/2, often in more rural areas, but the flip side is that they can also cover clinic and ER (since they tend to be in rural places without FRCPC/CCFP-EM)? I guess my underlying question is, what leads one to pick GPA over FRCPC?
  11. Yeah, my bad, I didn't realize nuc med has 5 year programs -- at my university it's 5 + 2
  12. It sounds like the lost residents were spread out over multiple classes, and nuc med is technically radiology + 2yr fellowship, so that one isn't exactly a loss. That said, I'm interested to know how somebody managed to transfer into derm, especially from rads (two specialties which, while visual-based, have very different scopes)!
  13. Depends. Scotia caps you off at 60k fed/prov student loans, after which they reduce your LOC amount (e.g. if you have $110k in student loans, your LOC limit is $350k - $50k, assuming $350k is the normal max)
  14. IIRC, depending on the program, you can't use the PD's letter when applying to their own program, but you can when applying to other programs.
  15. Re working without a full residency in the US: It's possible, but most insurance companies won't let you bill (some, like Medicare/Medicaid and some of the advantage plans, might), and most hospitals won't give you privileges unless you're board certified or eligible. Malpractice insurance may also be more expensive. That means you'd be looking at working somewhere where they literally can not get any doctors (ie extremely rural or malignant) or in an outpatient, cash-only clinic. There are some non-clinical jobs, but those are a bit harder to get. SDN had a thread on this somewhere. It's even
  16. Conversely, I'd much rather have taken it when it's P/F rather than now when people will actually have a grade to look at if I apply for a fellowship (apparently some fellowships use step 1 as a screening tool...). I took it after 3 weeks of post-M2 studying, and I've since pretty much forgotten everything lol. I didn't get an amazing grade, but I passed by a good margin and that's all that matters to me -- but how will that stack up against the US grads if I apply for a fellowship at Stanford?
  17. You're absolutely right. By exploring I guess I actually meant considering. What's the argument for considering a 5 year RC specialty which may require a fellowship and limit you to certain locations versus family med which allows you to work pretty much anywhere if you already like family med and X specialty pretty much equally.
  18. I guess this is a corollary of the whole "if you enjoy anything other than surgery do that." I like family medicine overall and am confident I could find a niche I'd enjoy spending the rest of my life doing. I also like various aspects of various other specialties, and I could enjoy doing those specialties for the rest of my life as well. Given the training time difference and flexibility in hours, location and scope of practice that's pretty much unparalleled by any other specialty, why pursue the RC specialties over family medicine? Financially, it doesn't seem to make sense. From a mental h
  19. Every time somebody says that, I like to point to the example of Switzerland which has residencies of comparable length to ours in most specialties while abiding by EU work hour restrictions (48h/week max with no more than 13h of continuous work), and the RCPSC recognizes their training as equivalent for the purposes of exam eligibility. The reason we have long hours during residency isn't because it's a trade-off between hours worked vs competency but because resident labour is significantly cheaper to the government/hospital than that of attending physicians.
  20. A lot of these depend on your province. 1) Canada student loans and some provincial student loans begin to require repayment within 6mo of graduating. The rest require repayment after finishing residency. LOCs generally require repayment starting 2yrs post-residency/fellowship 2) Depends on the province. 2.5) Some provinces won't count it if it's in a TFSA 3) No 4) If you can afford to pay it off, it might be worth it, but that depends on you comparing the cost of paying it off (med LOC interest) vs not paying it off (undergrad LOC interest)
  21. I still don't understand why more people (specifically, the money-minded people) don't just do ortho and then go down to the US and practice their true pa$$ion: $pine $urgery
  22. Wasn't it heme-path that takes blood bank/transfusion call? I might be confusing heme vs heme path
  23. Sorry for the late reply. U of A, although recent curriculum changes to deal with covid19 have brought this down to ~15 weeks total (with no y2 summer electives allowed, at least for this year). Only time will tell if that number increases for future years
  24. The thing about derm that most people miss is that you spend all the time you're not in the hospital studying because there are a ton of diseases you might never see during residency but are still fair game for Royal College/US boards. I think PM&R has a great lifestyle once you're on-service, as does PHPM, pathology (not surg- or heme-path though), ID (if you can survive IM), rad-onc, med micro, genetics all have great hours during residency with minimal in-hospital call. Basically, as long as the specialty doesn't have emergencies, the lifestyle will probably be pretty good :p
  25. There are some people who can't deal with having to see patients all day / having to constrain appointments to 10-15 mins / having to treat the entire spectrum of illness. Those people can't tolerate FM. There are some who love that. Then, there are some who are ok with it. The premise is that if you're ok with all of that stuff, just do FM (because shorter training time, greater job mobility, whatever)
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