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Everything posted by magneto

  1. Family physician: - Lifestyle is what you want to be - Lifestyle depends on solo practice vs group practice (small group vs large group) - The large the call group, the lower the frequency of call - Most call in family medicine is home call unless your group is associated with inpatient hospital admission, follow-up your own patients in hospital, long-term care, palliative care etc. - Hours are what you want to be. In large urban cities, most people work from 4-5 work per days and typically 5-7 hours per days. There are some people who work 6 days per week and 10 hours
  2. In my program, all calls were 24 hour shifts except family medicine where it was just carrying the pager from home and showing up on extra-hours clinics and weekend clinics.
  3. There is difference in scope of practice between GP-A and anesthesiology, and between GP-OB and OBGYN. For example, GP-OB are not allowed to do C-sections. There is NO difference in scope of practice between emergency physicians regardless of whether they were trained through FRCPC pathway or CCFP-EM pathway. Hope that helps.
  4. Depends on the rotation and which program/university you are at. I had all in-house calls and was up for most of my calls during family medicine training. Calls are usually 1 in 4 to 1 in 6 depending on the rotation.
  5. I agree with this. Don't talk about that you want to do EM in FM interview.
  6. I disagree. All everyone talks about is anecdotally. No one has proven actual data to prove the facts. If one training pathway was inferior, litigation lawyers/provincial licensing colleges/CMPA would have should down the inferior pathway already.
  7. It totally depends on the ED physician. In smaller towns, there is not much help available. So you really need to do most of the things. In larger centers, there is help available but not always immediately available. So you still need to know your stuff. Except for really bad trauma, usually the ED physician will do all the initial check-up, investigations, resuscitation, stabilizing the patient and then consult a specialist as needed. However, some centers are different where trauma team is called for most traumas so they are there to help out. Also some centers, stroke team i
  8. 1. There is a lot of acuity in emergency medicine. You see very sick patients upfront and your task is to stabilize them. It does not matter whether it is trauma, septic shock, stroke - emergency medicine physician should be able to do the basic initial steps for resuscitation until definitive care can be arranged. There are lots of patients with chest pain, abdominal pain, chronic back pain etc. But I like helping them. No where in medicine it says that only the very sick and dying need help. Sometimes all the patients are looking for is reassurance and I am happy to provide that. 2. I t
  9. In residency, because of the extra 2 years there is time to do more things like research and subspecialty training in PGY4. However, once you start practicing, both CCFP(EM) and FRCPC(EM) graduates can do whatever. Many CCFP(EM) graduates have MSc, MD, MPH and thrive in research just like their FRCPC(EM) colleagues.
  10. This is partially incorrect. Many fellowships are now open to CCFP-EM residents including ultrasound fellowship, stimulation fellowship, flight medicine fellowship etc. There are some fellowships that are not open currently for CCFP-EM residents including critical care fellowship, toxicology, 2 year pediatric emergency medicine fellowship (there is 1 year pediatric emergency medicine fellowship available for CCFP-EM residents in Toronto but it will not be possible to get hire into tertiary care pediatrics emergency medicine department).
  11. This is partially incorrect. The extra 2 year means longer training. It does not necessarily mean better training. Yes, the 5 year program graduates have better hiring prospects. This is because of two things. (1) When hiring committee is trying to differentiate between CCFP(EM) vs FRCPC(EM) graduate on paper, FRCPC(EM) has 2 additional years of training, and have used PGY4 year to do subspecialty training; (2) When CCFP(EM) and FRCPC(EM) graduate from same city applies to their home program, the hiring committee has known the FRCPC(EM) graduate for 5 years, whereas, they only k
  12. Because both (FRs and CCFP-EMs) are emergency medicine physicians and they do the same thing.
  13. If you are interested in being a hospitalist: 1. Do electives with FM hospitalist service 2. Do electives with Internal Medicine hospital service 3. Do electives in palliative care 4. Think about applying to PGY3 hospitalist programs 5. Network with hiring people and chiefs of the program Hope that helps.
  14. Residents help with file reviews for interviews. They are given a criteria on how to rank the application. Residents help out with interviews. They help with assigning interview scores. FM programs are looking for: - Candidates interested in FM (electives in FM and related fields etc.) - Candidates interested in their program (whether you did an elective in their city or not) - Overall interests and hobbies (extra-curricular activities, research etc.) - Overall personable and good human being (reference letters, how you present yourself at the interview). Thi
  15. Not in any particular order: - Depression and anxiety (other mental health) - Check up for hypertension, cholesterol, diabetes - Cancer screening (+/- physical exam), cancer patient follow-up, palliative care - Neck pain/Back pain/Shoulder Pain/Headaches/Abdominal Pain/Pelvic Pain etc - Lumps and bumps, rashes, moles, acne etc - Disability and occupation work forms - Writing referrals, reading consult notes, reviewing labs & x-rays - Minor procedures (skin biopsies etc.) I hope that helps.
  16. If you are 100% going for family medicine, the two textbooks for exam preparation in family medicine are: (1) "Family Medicine Notes" by Dr. O'Toole and (2) "Guide to the Canadian Family Medicine Examination, Second Edition" by Angela Arnold and Megan Dash. O'Toole book is quite detailed and dense to read but it has almost everything you need to pass the exam. Arnold's book has many errors (which you will need to pick it up and correct yourself) and not as detailed but it is much easier to read (technically possible to read the entire thing in 2-3 days if you have a good baseline kno
  17. It is difficult to get a FHT/FHO or salaried position. So most likely it will be 100% FFS.
  18. 30% overhead is quite common in certain parts of the country (e.g., Greater Toronto Area). Overhead varies from 20-30% for most clinics (some are obviously a bit lower, or higher). In many place, purely FFS is the only option for billing. In Ontario, FHO positions (and other related plans) where you roster patients are limited because government is not opening new spots. So the only way to get one of those positions is to find a retiring physician and took over his or her practice.
  19. Most new grads in GTA and hamilton area work 100% FFS. The reason is that government is not opening up more FHO positions in urban and large cities. Therefore, the doctors are holding on to FHO positions even when they are pass their retirement age because it guarantees great income from rostering patients. The other forum member has provided good estimate. Again, net income will be highly variable. But if you are working above average work hours, efficient in seeing patients and running your practice, and keep expenses to low side, it is definitely doable to bill in $400,000 before overh
  20. Approximately $250,000 to $400,000 (this is before overhead). Overhead is 20% (if you are lucky and find a good group) to 30% (for most new grads) but can be even higher.
  21. There is a growing need for palliative care in Canada. Every family physician should feel comfortable with community palliative care of their own patients and they can always consult a palliative care expert if there are any issues or help required. In the past, most palliative care physicians had 2 years of family medicine training and started doing palliative care either after developing an interest in the field and learning as they go; OR doing some electives during the two years of family medicine. However, like most things in medicine, everything is becoming more and more sub sp
  22. If you brand new out of residency then it is not a problem. There is a separate licensing application for each province. If you are already in practice then it can be potentially challenging if you had your own practice because you will have to find someone to takeover care of your patients, find a way to securely store charts etc. However, most things in life bring a challenge or two. So I think it is quite doable for family physicians to move across provinces.
  23. Google "Alberta billing cuts" and you will get a lot of articles about how the provincial government ended the physician's agreement and cutting some billing codes etc. Then COVID19 happen but so far there is no indication that government will reverse its decision. Similar thing happened before in Ontario but they were able to have a compromise through arbitration.
  24. I have a feeling that current and incoming medical students may view the funding and billing cuts that are happening across Canada (but in some provinces more than others) as a threat to future of family medicine due to possible negative financial implications. This may cause some genuine medical students interested in family medicine to look elsewhere. In addition, there are other challenges (most of them passionately discussed by members on this forum). I want to acknowledge that things might not look promising. However, I want to appeal to anyone who is genuinely interested in family m
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