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1D7

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1D7 last won the day on October 16 2019

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About 1D7

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  1. I agree but value is not something that can ever be easily measured. Proxies that are used are often deeply flawed, e.g. patient satisfaction scores in the ER. The main danger is politics not matching reality. Physicians don't lobby well for themselves and public perception of nurses is usually relatively better.
  2. Doesn't really matter, just do something you enjoy. If you really want to learn then most surgical subspecialties are fairly relevant.
  3. If you are looking to do any IR fellowship at all, you will be able to find one in Canada applying broadly. Certain locations/institutions are fairly competitive. Because it is a pretty small field, there can be large variations in how competitive it is year-to-year. In past sometimes people would wander down to the States for training (for learning new techniques/for fun/for prestige) but I am not sure how it works now that IR is partly a direct-entry discipline there. Their training there is also incorporating more clinical aspects to encourage a certain kind of "IR clinician" type phys
  4. Naturopaths (NDs) range from selling snake oil to convincing patients not to take cancer treatments. Think of Steve Jobs several years back where he pursued naturopathic treatments and ended up dying an early terrible death from initially treatable pancreatic cancer. It is not exactly a common path premeds take but some will do anything to try and put on a whitecoat, even if it means killing patients. It's not funded by OHIP but in some provinces (BC) there is prescribing capacity.
  5. Hernias, appendixes, gall bladders. There's a lot of bowel work too so things related to obstruction (colorectal cancer) and IBD are not uncommon.
  6. If you're into cardiac surgery and NSx because you love big procedures & caring for sick patients you may not be satisfied doing ophtho. Even ENT unless you are the go-to head and neck oncology guy/gal working in an academic centre, you will probably spend most of your time doing smaller procedures. I do find that to do ophtho/ENT you should like the anatomy, otherwise the eyes & nose/ears/throat/sinuses gets boring very fast... you are doing very specialized things and have very specific QOL outcomes. If you're happy just working with your hands taking care of sick patients that
  7. The foundation of medicine are the clinical sciences (human physiology, human anatomy, pathophysiology, etc.). To develop a strong foundation, to some extent you need to learn the basic sciences. There's just no way around it, which is why the vast majority of medical schools in the developed world are either 4+4 or 6 year programs (with some minor variations like 3-year medical schools). And the reason why it's important to have a strong foundation in the clinical sciences is because medicine changes fast. Knowledge of clinical practice you learned in medical school in some cases becomes outd
  8. I agree, if somehow you made an enemy of a staff then it's pretty easy for them to target you with "professionalism" issues. I do think this is pretty rare though and if you were otherwise performing well then that gives you a buffer. A lot of programs are big enough that a single staff disliking you is unlikely to significantly impact your ability to graduate from the program. Overall I still think it is pretty difficult to be fired/forcibly transferred and still relatively difficult to be slapped with remediation. No one managing the residency program, including the PD, really want
  9. The most common reason is some form of "unprofessionalism". Most of the time it comes down to not showing up for work/call shifts. Less commonly this may mean egregious HIPAA violations (e.g. looking up coworkers) or doing something that is outright criminal (e.g. sexual assault). Probably even less common than that is just making the profession look bad to a wide audience, like posting radical political opinions (though you'd be surprised what people can get away with if it's a small enough audience). A resident will almost never be fired for a single mistake, even if it is a pretty big/
  10. No guarantees either for transferring/reapplying, it's a lottery for sure. Your best bet would be some sort of internal transfer within your institution where your PD/program advocate for the switch heavily.
  11. I might be naive but I think most modern medical students do not really consider income as a high factor in their decision making. I really think most pediatricians wanted to work with kids, orthopods with bones, radiologists with scans, or at least they did when they were medical students deciding on the specialty. After personal interest I think most students would rate lifestyle as the next most important. And priorities also change with age. After one has a family, being a resident taking frequent overnight call becomes exponentially more difficult (not that it is easy to run a FM cli
  12. As for OP's post, I think mainly you should avoid FM if you dislike it (which is not uncommon to be fair), or have an absolute need for a different kind of workflow/specialized patient population (understanding that there is a certain sacrifice to obtain that). The most common bad reason I see students avoiding FM are because they invested very early into an identity that is incongruent with it (i.e. I "have" to be a surgeon, a woman's health specialist, mental health specialist, etc.). Although there are exceptions, if you go into a specialty dismissing it, you will probably come out thi
  13. IMO FM should be the default choice for medical students. Obviously if one dislikes it they should not do it. For 5+ year residencies/specialties you have to deal with... Doing 24 hr call or night float which grinds most residents down after 5+ years (even if you have chill rotations in between brutal ones). FM not only does 3 fewer years of the grind, but in many cases doing FM means you will no longer regularly have overnight work postresidency. Most surgeons, interventionalists (cards/IR), radiologists, and anesthesiologists will take call (yes there are ways to get around it in
  14. I think this is for people who realized medical school was not a good fit for them late into medical school. I like these sort of questions that OP is asking because having more career options is never a bad thing. To OP, I know a few people who didn't want to do medicine after finishing medical school. All of them ended up doing FM because it was the quickest way toward board certification in a specialty, which meant they could work for money or try to pivot and leave medicine. I haven't seen people able to do anything with just a MD in Canada without completion of a residency.
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