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1D7

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Everything posted by 1D7

  1. What happened to medical biochemistry? Did they get replaced by PhDs or lose all their turf to another lab specialty?
  2. Many of us entered medicine to get away from H&E staining that we encountered in the labs. Not entirely surprising.
  3. My experience is that if you travel to another institution they might not be able to provide scrub card coverage for you right away and having your own are useful there. For your own institution they should always be providing it.
  4. If they're just scrubs of various shades you should keep them because there's a decent chance you'll use them, even if only a few times in the next coming years. Often for elective rotations at other institutions you are responsible for your own scrubs. If they're the decorated looking/flowery scrubs there's a chance you may not want them because you will get confused for a nurse/tech (you'll get annoyed by requests for things you aren't responsible for).
  5. Luck will be the deciding factor (with the prerequisite of being great and affable). Specialty choice is also a factor... I don't know the specifics but I imagine cardiac surgery is more limiting than orthopaedic surgery, which is more limited than general surgery.
  6. Transfers are often into unrelated specialties. Basically every surgical resident transferring into FM/IM are doing something completely different with little overlap. Having 5 losses is very painful. In many programs that's the loss of 1 or more than 1 full cohort worth of residents who would otherwise be sharing call... in other words 20% increase in call. Nuclear medicine is an independent 5 year program in some places, regardless they don't share in radiology call.
  7. Radiology, ophthalmology, anesthesia, dermatology. Someone made this acronym to say that these specialties are the "road to happiness", despite these specialties doing very different things, having different lifestyle/call, different pay, different degree of patient interaction. Must have been rough losing that many. Agreed that residency is tough all around.
  8. Transfers to other programs are somewhat common in surgery. In the tougher programs attrition rate averages about one transfer every other cohort year (i.e. 0.5/year). Anecdotally I have heard the more "lifestyle balanced" surgical subspecialties (urology, ENT) have a lower dropout rate than the more "work oriented" ones. Common reasons for switching out include realizing they don't like the OR as much as they thought they did, or the fact that residency overwhelmingly consumed their lives, or because their priorities shifted in life, or all of the above. If you are a poorly performing residen
  9. I doubt such an individual would be found out (unless they were famous world wide). If they were found out, aside from gossip, any issues probably depend on the nuances of the situation.
  10. You're basically signing up to go unmatched for a year so you can relax. If you're doing family med, path it's probably doable to match somewhere the year after. If anything else, you're just adding onto the stress the year after when you have to face the reality of possibly being unmatched "for the first time" (and in the eyes of many programs, for the second time). Honestly if I were you I'd consider applying to another specialty if the one you're looking at makes you want to give up already.
  11. The situation reminds me of medical school where we'd regularly have mandatory small group discussions on the roles of allied health (incl. NPs) and "interprofessional days". Literally everyone was the self-described "quarterback"/essential of the medical team. Everyone but the docs basically spent hours patting themselves on the back. I don't believe unsafe expansion in scope of practice will be as severe for reasons CGreens described. But to some extent it will happen because these professions regulate themselves and many do not understand the level of training it takes to be safe. As t
  12. They're very different specialties in most aspects except for direct patient contact... your comparison is like saying psychiatry is basically the same as cardiology just because you see patients in both. "ROAD" is an artificial acronym... you will still be taking busy call in anesthesia and radiology. To go back to OP, the very fundamentals of radiology include emergency care. Trauma, stroke, bowel ischemia, and many other acute diseases are regularly dealt with in radiology and as such the call work is busy. In pathology you'll be called in late to look at frozen sections a few times pe
  13. IMO those are mostly subjective or reflect gamesmanship, even awards to an extent (some are influenced by a nomination process).
  14. I find it amusing that there's a drive in the first place to standardize LORs so that they look similar to med student evals. Honestly if they removed a few words here and there like "tearfulness" I doubt there would be much to be outraged about.
  15. I'm not a pathologist but once autonomy has been lost, it is very hard to regain.
  16. The junior residents "are slower" because attendings spend time teaching junior residents. The extenders also had more big misses than the junior residents. FYI the paper was also retracted.
  17. Anecdote but I knew two people who wanted to leave. They're now in a surg specialty & radiology. If you search up programs that list their residents, you can see that there are residents from the East coast across various programs in Western Canada/Ontario. Honestly it's not any different from a BC student wanting to come to Ontario, or Ontario to BC, which happens all the time. For radiology (and most specialties), do an elective at places where you want to go and do well. Assuming no red flags and you look reasonable on paper, historically that has been sufficient express interest i
  18. It is difficult, but people are mostly speaking relatively to their 2nd year. Other specialty residency 1st years are typically even more work/stress. Internal medicine, surgery, radiology all spend essentially all of their first year doing inpatient rotations in medicine/surgery/ER. In contrast most FM programs have eliminated surgical rotations from mandatory curriculum so as long as you're comfortable with some inpatient medicine/ER/OBGYN you'll be fine. If you do end up in one of the few programs that still mandates a surgical rotation or two, it'll be a bit tougher but it's the same
  19. More than half of billings disappears to overhead and taxes. Then some of the money has to be set aside from other debt acquired during residency, typically a mortgage. When you join a practice there may be some need to pay out some initial lump sum or the group may ask for some portion of your billings as a junior attending (usually in saturated academic centres). Then you'll be paying per month for things like disability, life, health insurance, and retirement. Still, all in all FM is a good career from the financial perspective. Attending positions are generally still considered well p
  20. The general interest levels rise in FM as students get closer to the match in M4. In the earlier years students want to keep their options open and some of the competitive mindset from premed is still winding down. Once the reality of clinical years hit, lots of the idealized sunshine and roses are wiped away and many become dissuaded with spending 5+ years of their lives training in the hospital doing q4-q7 call (or worse). Additional factors include students realizing they have to consider their SO's life/family life, learning more about the job market reality for many specialists, watc
  21. Can't really lump all those cities together IMO. The situation is also less clear cut as some people can find jobs but not in things they want to do or are underemployed.
  22. There are very few dedicated NM physicians. The majority of NM programs have integrated with radiology to become a fellowship; the remainder feel academic in nature to me. As noted above, job prospects are often difficult and rely purely on word of mouth & retirees. Over the years the bread-and-butter of the specialty has been taken over by radiology (and cardiology for the heart). This does not mean nuclear medicine is becoming less important. PET/CT has or is becoming standard of care for malignancy staging (e.g. look at how recent PSMA PET/CT is and how quickly it has revolutionize
  23. This is pretty inaccurate, most of the listed specialties are 1-2 years less. Lots of specialties do not need fellowships to practice or need less than what you're describing.
  24. Not true. For most hospital-based specialties at a minimum you will be dealing with hospital admin. Moreover in general you will be working amongst partners/equals where at minimum you will share office space, divide up day time scheduling (e.g. OR time, clinic time), and partake in the responsibility of call. I don't think OP would function well in a lengthy residency setting which is innately hierarchical, especially those that deal with acuity (as those situations are driven by hierarchy and roles). Basically OP is best off with an outpatient specialty, preferably one that deals with l
  25. What do you mean by fit? Traditionally most people did electives at 4+ locations within the same specialty (some people would load up on 6+ electives, depending on the specialty) which gave you a reasonable idea of what the atmosphere was like for all the locations around you. You won't have this luxury with COVID so all you can do is ask around.
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