NeuroD

I haven't posted in years but I'm here to say MCCQE2 needs to go, and there are lots of us pushing for it. Personally I'm pushing it through RDoC. Unfortunately there is a parallel alternative being argued, which is to get it paid for through our provincial contracts. In my view making the cost invisible to residents will just ingrain it further as there will be less motivation to fight against something that'sbm "free".

Precisely

Very different. It be easier if you truly accepted the day to day differences between AN and GS and focus on one. It's not an uncommon for people to think about AN and GS, but eventually they realize they really only want one and really don't want the other. The earlier you decide the easier your life will be.

Social support, QOL of the city, and then home program is a distant third In terms of city QOL, depends if you want a bigger city or young part vibe, vs more mature and chill.

Amen

Rumors are that BMO has started a -0.5% promotion. Anyone have more info/confirmation?

She went the RD route, sorry. Don't know what the value is, but I think it gives you freedom to create value, finding random niches. That's my impression.

The reason it's disturbing is not because of what it shows about resident's character. Instead it's disturbing because it reveals that the magic/honeymoon phase/idealization of medicine that we all had before getting in, doesn't last very long once you're here. Not even matching to your #1 choice, or landing your "ideal" job makes up for it.

PA (and specialized RNs/NPs) are the best bang for buck careers right now. Low opportunity cost, no overheard, short training, minimal personal liability, much better hours, all for a six-figure salary that is actually higher than some MDs (170k for example is more than a good chunk of FP, neuro, peds docs). I enjoy medicine, but when kids ask me about going into the field, I ask them to make a serious cost-benefit analysis considering all of the above before they chose MD over PA/NP. The system/patients would benefit from more MDs, but it's probably in an individuals best interest to bec

Agreed. Mostly useless. The few times it's useful, most basic ones are good enough. Only reason to take it more seriously is if your specialty demands it.

Excuse me, I need to catch a plane.

:O! Prairies?

Psych in Ontario got boosted a few years ago with the mental heth investments. Inga are much better now. And call shifts/locums can be really lucrative. 6-700k is what the ones I know, who work hard, make. That's awesome because a lot of the other traditionally lower billing specialties (neuro, ID, less) can't make that anywhere near that much even of they work hard.

Insider info for Kingston: two of the psych doc's with the largest outpatient pools are retiring in the next year or two. Demand is about to skyrocket around Kingston.

Exactly. The rest of the hospital benefits if you guys DO report it and force them to change. Please do.

Holy cow. Can't believe this is real. I'm pretty upset. How do they expect to provide good AN service to the hospital if they're scaring good eople away? ---- Side note, I just wanted to address one of the earlier comments about Queen's. As bad as AN CaRMS interview might be, Queen's as a whole is the exact opposite! I've lived, rotated, and worked throughout most of southern Ontario, and Queen's/Kingston was my surprise favorite. People (outside of anesthesia I guess...geeez) are generally nicer than most other centers, there IS a really sense of community, and the city happens to

That's assuming the specialists catch up at all. Bunch of us (including mine) never do/makee than FM, and have less flexibility for changing our practice focus or revenue source. If you enjoy clinic/family, take it VERY seriously.

This should not be underestimated.

I'm a resident, so take what I say with a grain of salt, but I've seen plenty of FPs sell their practice/rosters. Yes you have to pay incorporation fees to keep it open, and no it's not a problem for it to keep paying you out when it doesn't not have revenue. Using your corporation like this is what was intended for our retirement.

I guess the idea is to allow a mixed or blended model public/private model. Hasn't picked up much steam. Does anyone know of this is the fall out from that supreme Court case with the orthopod?

I would agree that that sort of "emergency radiology" is ideal (and I hope your field grows). My point still stands though, what of the many cases where management decisions are made based on a subspecialtist's interpretation? It's still quite common, and not just in neuro/stroke. Should that work continue to go unpaid? Especially when there are major discrepancies in relativity? And it's not just with rads. For example, many acute decisions are made based on ECGs, but billings go to a cardiologist who interprets them much later. It's a recurrent theme. Perhaps it wouldn't matter so much

I imagine that's at your fellowship center in the US? Was it the same when you did residency in Ottawa? At most of the places that I've done stroke rotations, neuro stands at the scanner and reads it live and decides on TPA before rads is in the room. Of course Rads are the best trained in the field, but for the neuro example, unless its a subspecialized neuro rad they trust, neuro will usually just interpret it themselves. You see this with even more specialized fields (like the stroke example I gave, or the MS specialists who see one thing all day every day. Sure they'll miss a thyroid

Yeah and I'd also say that that logic should be applied to the services that make management decisions (some times split second ones like in stroke) based on their own reading of scans, independent from the rads read that may show up hours to days later.

Don't know if there's any documents out yet. This is from the neurology OMA section call few nights ago.