1D7 got a reaction from whatdoido in Current CaRMS Competitiveness - Schools and Specialties
Many of us entered medicine to get away from H&E staining that we encountered in the labs. Not entirely surprising.
1D7 reacted to bearded frog in Current CaRMS Competitiveness - Schools and Specialties
It seems to have now a subspecialty of internal medicine. https://phx.e-carms.ca/phoenix-web/pd/main?mitid=1420
1D7 got a reaction from inquirer007 in Is a mid-level creep a problem in Canada?
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 to your point regarding the AMA/CMA, physicians do a very bad job claiming credit where it's due. Historically with homeopaths (i.e. complete incompetents), physicians have been politically passive. Even when they directly interfere with care on an individual level, physicians generally avoid direct confrontation.
1D7 reacted to shikimate in Simon Fraser University to Get BC's Second Medical School
The fastest and easiest would be just to create another 50 FM residency seats and open them to CMG/IMG. All the CSA studying in Ireland/Australia/Caribbean would fill them in a hurry and voila in 2 years doctor shortage solved. Plus word is that a lot of CSA have powerful parents who want their child matched back to Canada so political expediency would be another consideration. Creating a new med school sounds like another Great Leap Forward lol. Let's mobilize our comrades at SFU, roll up their sleeves, and create another project that improves face!
1D7 reacted to shikimate in Radiology vs Pathology Lifestyle After Residency
- both radiology and pathology are basically visual pattern-recognition specialties that generate a ddx, so fundamentally there are a lot of similarities in how the two field functions.
- the on call pathologist should not refuse a liver assessment for fat/cirrhosis for transplant, one can argue that constitutes below standard practice and may be subject to College complaints. I assume you are in an academic setting? Some old timers there are entrenched and they know they can't be fired or they're near retirement so they don't give 2 ****s, so that could be the reason. There are too many old timers who should retire long long time ago. And I hate to say this, but a lot of them were IMGs who would never pass a med school interview here because other than medical experts they don't have any of the other CanMed traits. But any pathologist who practice patient centered medicine would not refuse.
- Lifestyle really depends on the setting, You'll find academic pathologists at UHN and Ottawa doing 996 because that's how they work you in academic hospitals. These people are either so subspecialized they can't work anywhere else, or are IMGs who needs that visa sponsorship so can't leave. Yeah in the community you'll find pathologists with great lifestyle (and get paid the same or more than academics!)
- If rad can make a lot more money, you can just work hard for 5-10 years, invest and retire never see another case again, or get some cushy government/consulting job. FFS is great when you're young and can do on call and get paid extra. In pathology FFS is 99% thing of the past so even if you wanna hustle you're just working for free lol. That's why they always wanna do less not more! Same as government employees basically lol, when was the last time the government hustles like Amazon or Google?
1D7 reacted to liszt in Radiology vs Pathology Lifestyle After Residency
It depends what a good lifestyle means to you.
A full time pathologist will generally make less money than a full time radiologist. But, as a pathologist, my work hours are much more regular/reasonable compared to my friends who are radiologists (though i can't speak to how radiologist work varies between different practice settings).
1D7 got a reaction from Tullius in Matched into my 8th choice
I think what OP meant was that he/she didn't put as much thought into his/her ranks after the top 3 choices as much as he/she should have.
This is not an uncommon misconception. When I went through the match, people were talking about how matching to any choice past your 7th-8th was almost 0% so the ranking wouldn't matter. Fundamentally a lot of med students don't understand the stats, don't look at the data themselves, and/or are overly eager to listen to optimistic hearsay.
To the med students out there, rank wherever you would considering going. I know of people matching to a double digit choice. It's still better than going unmatched.
1D7 reacted to Snowmen in FMRQ requesting changes to licensing requirements
Unfortunately, I don't have an english translation to link but the Quebec resident association is basically (accurately) blaming the CMC for the current MCCQE 1/2 debacle and requesting that the CMQ/government of Quebec reconsider the requirements to obtain a license as a practicing physician.
1D7 reacted to gogogo in Medicine...
From a purely economic perspective, it depends on how old you are, how much you expect to make as a family physician, your salary as a PA, and the expected value of your PA benefits + pension. I'll make a few assumptions to show you the math, but you can change them for a more accurate outlook. This message looks long, but it's pretty straightforward, so I encourage you to read it to the end. But for a quick spoiler: Probably not worth it.
FM Ontario average income: $250,000 post-overhead = $150,000 after income tax
PA salary: $120,000 = 84,000 after income tax
Value of PA benefits = $2,000 per year
Value of PA pension: $84,000 x 50% x 25 years (this assumes that your pension will pay half of your post-tax salary for 25 years of retirement) = $1,050,000
Now let's chart your net worth's trajectory, starting with PA, where you earn $84,000/year + $2,000 in benefits/year: $86,000
Age 25: $86,000;
...You get the point, so I'll skip ahead to age 39 ($258,000 + $86,000 x 12 years):
I stopped at 39 because it's the first year that your net worth as a FM would be greater than your net worth as a PA. But we should also look at how much it's greater: $10,000 (i.e., FM net worth = $1,300,000 at age 39). I am also assuming that you made zero investments as a PA (e.g., stocks that appreciate in value), that you have zero savings right now (that would only make your net worth as a PA look better), that there is no interest on your med school debt (which only makes your net worth as FM worse), and that you will never slow down productivity as FM (e.g., taking parental leave, working fewer hours in your late 50s and early 60s).
Even ignoring these exacerbating factors, you are essentially saying that you want to sacrifice 6 years of your life (med school and residency are not chill) so that at age 39, you can have $10,000 more as a FM vs. just staying a PA. Alternatively, you can stay a PA, which would mean enjoying the rest of your 20s, having stable hours, better wellbeing because of relatively lower stress, vacations, etc. Is that worth it to you?
But wait, there's also your pension, which is valued at $1,050,000. As FM, you'd have to save $35,000/year over a 30-year career to equal that pension value. In other words, let's subtract $35,000 from the FM post-tax salary, making it equal to $115,000. If we do that, then it would take until age 50 for your FM net worth to be higher than your PA net worth. Again, the net worth difference isn't much: $14,000. So up to you, but to me, putting up with all of med school, etc. isn't worth it to just be $14,000 ahead at age 50.
Of course, you can make more than $250,000 pre-tax/post-overhead as FM, but after speaking to several FM physicians and shadowing them, that would be working very, very hard...for *most* physicians, that requires much more than the 37.5 hours/week you currently work. Even the $250,000 post-overhead is not easy; FM physicians are going from room-to-room, doing quick 10 to 15-minute appointments, lots of paperwork, etc. It's hard work and you really have to earn every dollar you make. There are those who do walk-ins exclusively and make crazy money, but not everyone can handle the 2-5 minute walk-in appointments, and who knows, the government may restrict walk-in practice because it is very lucrative.
So all in all, if it's just about the money, I agree that you're already in a great place and should just enjoy your life now. There is a reason that residents, even with the prospect of making multiples of your salary in a few years, are telling you that you've got a good gig. It's not always about salary in an absolute sense, but everything else that comes with it (lifestyle, how early you earn that salary, pension, benefits, stress, etc.). Also consider that many physicians will have a partner who stays home to take care of the family (i.e., no income earned from the partner). Given your hours and benefits, you can just find a partner who makes a similar salary to you and be a double-income household with a reasonable lifestyle, and then be close to earning what a FM makes.
For completeness, here's the math for family medicine, assuming your cost of living + tuition is 45,000 per year (25,000 tuition + 20,000 for living, rent, etc.), and then ~65,000 income as a resident, and then $250,000 pre-tax income as FM:
Age 25 (M1): $-45,000;
26 (M2): $-90,000;
27 (M3): $-135,000;
28 (M4): $-180,000;
29 (PGY1): $-115,000;
30 (PGY2): $-50,000
31 (FM): $100,000
32 (FM): $250,000
...Skip to 39 ($250,000 + $150,000 x 7):
1D7 reacted to indefatigable in Company handling CFPC exams lost some residents’ tests
Mississauga, Ont. – As though the stress of taking an exam during a pandemic weren’t enough, some residents who took the College of Family Physicians of Canada exam this fall have had their test results lost.
Prometric, the U.S.-based testing administration company handling the exams, told some residents in an email that it’s unable to retrieve and score their tests due to technical problems. As a result, it said, those residents will need to take the test again in its entirety.
The college confirmed in an email to the Canadian Healthcare Network that 18 individuals from five testing centres were impacted by the glitch.
This development comes after multiple reports from residents saying there were other glitches with the online exam process, including some being given less time than others and problems with highlighting functionality.
“We started to pick up really early on that there was a large number of people . . . that were having these difficulties with timing on the exam,” says Dr. Paul Dhillon, one of the co-founders of the Review Course in Family Medicine, who observed residents airing grievances about the exam in a Facebook group.
Commenting through the group, some residents reported getting only three hours and 45 minutes to complete the exam, while others received four hours and 15 minutes, with a further 15 minutes allotted for a break.
“The issue, then, I was noticing was that there was no one there to answer right away,” added Dr. Dhillon. “And some people were off site, some people were on site. And then the amount of stress they went through, I can’t even imagine.”
The inconsistency in time allotted was an error on Prometric’s part, where one of the multiple versions of the exam used was published with a 225 minute time limit, rather than the 255 minutes it should have been, noted a spokesperson from the college in an email.
“We know that writing exams is stressful enough without adding technical glitches,” added Dr. Brent Kvern, director of certification and examinations. “The CFPC regrets the added stress that this situation has created. We will continue communicating with affected individuals.”
Dr. James MacKinnon took the test at a location in Nova Scotia. When he started his exam, he noticed he was given three hours and 45 minutes to complete it. Thinking he may have misunderstood his allotted time, he decided to continue taking the exam without notifying the proctor because he didn’t want to risk wasting precious minutes.
“If I go and put up an argument with somebody, I recognize that the exam time is just going to keep going and I’m not going to get that back and if I’m wrong, I’ll just lose that time and potentially I could damage the end result of the exam,” he says.
After exiting the exam, he found out from a friend that other residents had experienced similar issues. After emailing his residency supervisor and the college, he thought it would only be an issue if his exam weren’t successful.
But then, earlier this week, Dr. MacKinnon received an email from Prometric saying his was one of the exams that had been lost. “My first response, I was just nauseated. I mean today I just don’t know how I feel . . . whether it’s anger, frustration, disappointment.”
“There have been so many exams that I’ve written over the past six years and this was really the light at the end of the tunnel. . . . And especially with the fact that it’s been postponed for the past six months, which I recognize is out of anyone’s control, it just hurts.”
In an email to the Canadian Healthcare Network, a spokesperson for Prometric said it regrets any negative impact the technical problems have caused and that the college is taking the lead in assessing the needs of the residents who will need to retake the exam.
“In the recent exam administration for the CFPC testing program, Prometric experienced a technical issue in our production environment that inhibited our ability to transmit, store and score the examination responses for 18 individual test takers,” the email said. “Upon our awareness of the issue, we immediately engaged our technical resources in an effort to retrieve the test taker results; our actions proved unsuccessful. We did identify the root cause of the issue and implemented a resolution that rectified the problem, so that future test takers would not see a recurrence of the issue.”
Dr. Francine Lemire, the college’s executive director and chief executive officer added that the college has reached out to every affected candidate. “We will be offering those individuals support and establishing immediate re-writes of the exam. We are also continuing to discuss the required follow-up with our exam vendor.”
1D7 got a reaction from canada747 in -
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, watching the beatdowns certain programs still give their residents, and learning that the scope of FM is reasonably wide enough that they can be happy doing what they want.
1D7 got a reaction from trimethoprim in Hairstyles for medical school for males
Doesn't really matter prior to clinical rotations and interviews. For those, just don't try to stand out too much. IMO traditional Western hairstyles are generally safer.
Probably avoid any manbuns, mohawks, anything that could be described as "excessive", or any very long hair styles unless you're feeling particularly confident.
1D7 reacted to Intrepid86 in When your preceptors say you are where you are supposed to be... does that mean they are not impressed?
If you can't say something nice, then say something vague.
1D7 got a reaction from pyridoxal-phosphate in How important/necessary is it to take the USMLE steps?
It's only important if you plan to work in the States or if you pursue a few certain surgical subspecialties which have exceedingly poor Canadian job prospects. The vast majority of specialties do not have any need to do USMLEs for the purpose of finding a job.
For fellowship, a few fellowships require the USMLEs but most do not. If you want to keep every possible option open, then you should write it. There are many good/prestigious ones that do not require it though.
1D7 reacted to bruh in Spending LOC on fun
Just wanted to update y’all that I got myself a brand new V8 sports car. Won’t disclose what exactly but It’s fast and loud
Thank you all for the input. I’m so happy with the decision I made. I’m going to be conservative with rent and other expenses in med, but I just had to get this whip.
1D7 got a reaction from guy30 in Any family med docs regret switching careers as a non trad?
From those I've met, they generally they enjoy family medicine more than their old careers which they left because they were unhappy or unfulfilled in the first place. As for financial goals, you should do the math and think about your net worth if you continued your current path versus pursuing family medicine. Figure out the point where you would earn more in medicine than staying at your current position by adding up the opportunity cost (i.e. lost income), educational cost (e.g. tuition, travel), and interest accrued on your debt, then figure out when your differential income will lead to a greater net worth. Usually the costs are much greater than people think.
Example below for the first 6 years:
Educational costs = (Medical school mandatory fees over next 4 years x 4) + 15k for elective/interviews/random mandatory crap. UBC's website quotes it at around 22k/yr. 22k * 4 + 15k = 103k
Opportunity cost = (Average income over your next 6 years at your current job) - (average income of resident for 2 years). If we assume you'd average 70k/yr over the next 6 years, then it would be 70k * 6 - 60k * 2 = 300k
Interest accrued will vary a lot, depending on your rates on how aggressively you can keep it down and if you have any savings you can use. Let's assume you accrue 20k of interest during those 6 years (assuming you aren't using savings or paying it off aggressively).
In this example your total cost would be ~420k by pursuing medicine. Below is how long it'd take to catch up in net worth given this total cost.
Example for looking at the differential incomes:
As an attending lets say you're working hard and gross 220k/yr on average. You mentioned the cap in your previous income was 90k/yr. The difference in your gross income would be 130k/yr. To catch up to your previously calculated total costs of ~420k, it would take you about 4-5 years. Meaning that it would take in total 10-11 years minimum to catch up in net worth.
In reality it is even less favourable to pursue medicine, since we used 'gross' income instead of net income, assumed you get in right away without needing anything at all, ignored the pension/benefits that you have now, and presumed you do not extend residency/take mat leave as staff. Overall in this example it would probably take closer to 12-15 years to catch up in net worth by pursuing medicine.
Of course if your goal is property, having a bigger income = bigger mortgage, which is obviously very helpful. In medicine there is also always the option of working yourself to death for more money as well.
1D7 got a reaction from ceelbe in Advice wanted related to department to work in as RN while waiting for med school acceptance
I wouldn't bother changing floors/specialties for the sake of medicine.
Interviews: I doubt nursing experience in one area vs another will be more valuable than another for medical school adcoms unless there was some personal/deep underlying reason to it. It might help a tiny bit for residency interviews if you can talk up your nursing experiences... but that 3-5 minute spiel is probably the extent that it could be useful for residency interviews.
Networking: It's unlikely you're going to meet with the PD of the residency program. Even if you make it a goal to do so, in the time you meet anyone and interview for residency, that's going to be ~4 years. The PD may have changed by then and most residents you've met have graduated. Even some of the nurses you work alongside may be gone by then. It's a longshot that it would be helpful here.
Clinical: It might be a bit useful in terms of knowing common medications in that specialty while you are in clerkship or shared procedures between medicine & nursing. I know sometimes pharmacy->medicine students look pretty sharp when they know everything about the medications we want to give. I doubt it will be helpful for residency and beyond.
In all the situations where it could be a bit helpful, that assumes you end up pursuing the specialty you work in.