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MDLaval

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  1. Like
    MDLaval reacted to feversugar in Elective During Carms Interview Period   
    I don't have any particular answer for the question you are asking, but be careful with the 2 week elective thing because most schools have rules about not being allowed to miss more than 25% of a given rotation (and 25% of 2 weeks is nothing!) so make sure in advance that you'd be allowed to take the days off for CARMs! I met someone from UdeM who was pretty smart and did a 6 week rotation during that time so he could miss more days.
     
    (I didn't have this problem because my home school gave us 4 weeks off for CARMs but I know that's not the case everywhere!)
  2. Like
    MDLaval reacted to redmarshmallow in Carms 2016- 2Nd Iteration   
    I love how people complain about matching to family. Geez, if you don't like it, don't apply, apply next year to your dream specialty and stop bitching. 
  3. Like
    MDLaval got a reaction from Nietzsche_hammer in Good Non-Rads Electives When Interested In Applying For Radiology   
    18 weeks of electives: 6 in year 3 and 12 in the final year.
     
    The problem is half the students only get to do 4 weeks of electives in the final year BEFORE CaRMS' invitations are sent out.
     
    Would you know if having a confirmed elective scheduled to be done in Rads somewhere between January-March would count when applying to Rads?
     
    :/
  4. Like
    MDLaval got a reaction from Nietzsche_hammer in Good Non-Rads Electives When Interested In Applying For Radiology   
    5-6 electives in Rads? Wow. We at Laval can't do more than 3 in the same specialty and it's mandatory to do at least 1 in a surgical specialty and another in IM/Subspecialty.
     
    Hopefully the 2 I'll get to do in Rads will be enough... :/
  5. Like
    MDLaval got a reaction from Nietzsche_hammer in Externat Sénior   
    6 semaines (externe junior) et 12 (externe sénior) = 18 semaines au total.
  6. Like
    MDLaval reacted to A-Stark in Matched But Want To Take A Year Off   
    This is going to sound blunt, but... you're an adult. You entered into a contract which requires you to start residency July 1st. That leaves a lot of time yet to unwind a bit before starting work, but while we'd all like to be able to "take a year off" to "explore other passions", there will be significant consequences to attempting to take a "gap year" before residency as if you'd just graduated high school and wanted to backpack around South America. 
     
    I have seen/heard of delays in starting residency due to pregnancy or illness, but you do not have an especially compelling reason and I cannot see why a program should grant this request. FM is a short training program and you will be done before you know it. There will be lots of time for "other passions" if you spend much of those first few years in practice doing short-term locums. 
     
    I don't want to take away from whatever stress or other issues you've been experiencing, but your idea is completely unrealistic and likely to be received very poorly by your program. If you do decide to break your contract, please recognize that this may jeopardize your ability to match to any program in the future, which itself is not easier the second time around. 
  7. Like
    MDLaval reacted to jnuts in Carms Results 2016   
    I just want to put a few points out there before this descends into IMG bashing again. There's a small caveate that most of this applies mostly to Ontario. I don't know very much about how it works in other provinces.
     
    The IMG part is very complex. Saying that an IMG takes a spot away from a CMG is an over-simplification. Extra funding was created (actually from contributions from rural municipalities) to train additional residents with an added return of service commitment. The number of residency spots for CMGs is subject to separate political pressures from the IMG program. The second round doesn't exactly become competitive for the different funding sources. A CMG doesn't suddenly get funded from the IMG source or vice versa. The universities just start moving the two pools they get around between programs to cover the second round spots. There's always a behind the scenes negotiation between programs. Pitting IMGs against CMGs is just a superficial effect of the CaRMS administrative policies for the second round. The only way programs are encouraged to take IMGs at all is that the university's share of the funding is slightly higher for an IMG than a CMG. But as I said, it's not like that funding suddenly becomes available for a CMG in the second round. If an IMG matches in the second round to a CMG spot, the funding still comes from the IMG pool. That's why the IMG still has to sign a return of service agreement while a CMG matching to the same spot doesn't have to. Programs have more flexibiltiy to increase and decrease the number of spots they offer from year to year than you'd think; it's just a matter of negotiating the funding away from another program that may not need it anyway.
     
    Programs don't run at 'capacity' and could easily get more residents through the college exams. The concept of training 'capacity' is problematic at best; there are no external metrics to determine such a thing. That's why programs will sell spots to foreign governments. CMG 'capacity' is determined by provincial funding to pay your resident salary and to pay the university to teach you. The actual numbers in each program are determined by a VERY informal and flawed estimate taking into account, how many residents are required to support the teaching staff, how many are required to cover call, how many will be able to get jobs once they finish, the total available funding, and an archaic formula that dictates by convention the ideal distribution of the physician labour force across specialties . Canada is the only developed country that doesn't have a governmental department dedicated to estimating future health labour market needs. For planning purposes, the deeper you get into this side of things the worse it gets. The lack of planning is one of the reasons the physician labour market in Canada is so volatile compared to other developed countries.
  8. Like
    MDLaval reacted to NLengr in Stating Intentions In Personal Letter / Interview   
    Basically. You don't wanna go into the interview and tell the people they are your 5th or 6th choice of program. No interviewer likes to be told that. That gets you put right to the bottom of the rank list.
     
    It's like a job interview. You are selling yourself to the interviewers as the best candidate for the job. There is an art to it. You need to do a certain amount of promoting the program back to the interviewer. It's like buttering them up, which makes them more receptive to you, but it's not quite full out sucking up. Obviously you also don't want to be seen as lying either.
     
    For example, you are applying to plastics with a family back up. You did 6 plastics electives and one family elective. If you tell them you are most interested in family, then obviously, the family interviewers are gonna know you are lying. If they think you are lying, then you are gonna end up on the bottom or off the rank list. So you need to shape your response to that situation. "I'm applying to plastics too but it's very competitive. I also have a strong love of family (be prepared to say why) and I think it would also make an interesting career. I love your program because x,y,z. If I am unable to match to family, I'd love to be in your program etc. etc.". That kinda stuff.
     
    On the other hand, if you like plastics at UdeM the best, but are in an interview with Ottawa plastics (who are way down on your rank list), there is basically no way for them to know that you are gonna rank Ottawa low especially if you did an elective there. Hence, you can really play up how much you love Ottawa and consider it one of your top choices during the interview (again, have a good list of reasons: academic, program atmosphere, personal and social/location. Try to be honest in what you like, it makes it easier to talk about). 
     
    CaRMS interviews are a place where I think the students with more non medical work experience, especially students who were out in the real work force and for whom medicine is a second career, really out-perform the traditional "BSc, summers in the lab, straight to med school" students. They know how to interview and they have more experience with it.
  9. Like
    MDLaval reacted to osteogeek in Carms Results 2016   
    Mac Peds for me - got my first choice!!
  10. Like
    MDLaval reacted to deathvvv in Carms Results 2016   
    USMD, reapplicant
     
    matched to UBC vancouver family medicine, stoked!!!
  11. Like
    MDLaval reacted to Fresh fry in Elective W/o Letter   
    Post CaRMS electives can be broken down into 2 categories:
    1) Post letter submisison deadline (end nov) but pre rank order deadline (March)
    2) Post rank order deadline
     
    Type 1 are still useful. Even though you can't get a letter from them to use for applying for an interview, you can still do good on the elective and this will help you get ranked by that school. Some people even set up their electives like this so that they are fresh in the minds of the interviewers. The downside is you may not get an interview at that school you are doing an elective at. Depends on the program, but if they see (and you mention it in your application) that you have an upcoming elective at their site they may give you an interview. 
     
    Type 2 are just for funsies and for your own learning, since rank order is done they can't help or hurt you. Many people I know just take this time off to study for LMCC if they have space in their schedules. 
     
    Just an aside, not sure what your thoughts on the situation are, but you don't need a letter from every elective that you do. If you can get one than power to you but most programs only want 3 letters and since you may have already done an elective at the site you are applying to, using a letter from someone at their site may not be necessary since they already know you. There is debate to how to game this but you generally want to use your strongest letters from the biggest names in the field and you want to use them to maximum effect. Just don't want you going in thinking you have to get, and use, a letter from every site you do an elective at. 
     
    GL
  12. Like
    MDLaval reacted to rmorelan in Good Non-Rads Electives When Interested In Applying For Radiology   
    some places that is fine - others seem to want more from radiologists ( you can ask residents which are preferred and where to get an overall sense) - best bet is your home school if possible.
     
    See what you can do!
  13. Like
    MDLaval reacted to W0lfgang in Elements Of A Strong Radiology Residency Program   
    On my carms tour, I felt a bit lost as to what to look for to help my rank order list. Here are a few features to look for in what I think a strong residency program should offer.
     
    1.  Resident group cohesiveness.  Do they seem happy? Are they a collegial group?  How they treat each other could predict how you'd be treated.
     
    2.  Royal College success rate. How many people failed in the last 10 years or so? Remember to consider how large the program is. A program with 5 residents per year and 1 failure in the last 10 years is not necessarily worse than a program with 2 residents per year and a perfect royal college record.
     
    2a. On a related note, ask how many mock oral exams the pgy-5's get each year. The more the better! 
     
    3.  How does call work?  Call shifts are amazing learning opportunities.  The cases I see on call are significant conributors to my overall knowledgebase and skillset.  Call is when I get to practice being an indepedent radiologist with the luxury of someone else catching my misses.  In my opinion, you should look for programs that offer:
      1) call WITHOUT in-house fellows/staff (they are a phone-call away), ie you're more independent.
      2) Moderate case volumes (30+ cases). If too few, you're not exposed to enough.
      3) NO reviewing after your shift is over. You want to go home asap, not review with a staff until 11am on your post-call day. You can look up your cases later and see what you missed.
      4) Shifts are not too frequent.
     
    4.  How successful are past graduates in landing desired fellowships or community jobs?
     
    5.  Large catchment area.  Will you be exposed to enough pathology?
     
    6.  Does the program director care about the residents?
     
    7.  Is there an optimal mix of rounds and daily workloads?
     
     
    This my personal list after a few years in residency.
  14. Like
    MDLaval reacted to feversugar in Good Non-Rads Electives When Interested In Applying For Radiology   
    I don't think it's that useful to do any rads electives after the interviews especially (so after January) for your application. I mean I guess you can let me them know that you have the intention of doing that but they won't have your clinical evaluation and you won't be able to get a reference letter out of it. Also you'd miss a lot of days to go to interviews if you have many. Are you planning on making rads your only choice? Applying broadly?
  15. Like
    MDLaval reacted to Lactic Folly in Good Non-Rads Electives When Interested In Applying For Radiology   
    January could still help you if you are going to be interviewing at the school you are rotating at. After that, a rad elective would not really help you unless for some reason you did not have evidence of enough interest in the field on your CaRMS application (which is unlikely to be the case, given that you are already planning your clerkship with this in mind).
  16. Like
    MDLaval got a reaction from feversugar in Good Non-Rads Electives When Interested In Applying For Radiology   
    5-6 electives in Rads? Wow. We at Laval can't do more than 3 in the same specialty and it's mandatory to do at least 1 in a surgical specialty and another in IM/Subspecialty.
     
    Hopefully the 2 I'll get to do in Rads will be enough... :/
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