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frenchpress

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Everything posted by frenchpress

  1. Every medical school has its own website - the best place to look is on their admissions page / faq page. Many school’s admissions teams will also answer questions via email, especially ones not answered by their website.
  2. Different schools have different policies. In the past most I am familiar with have always required that any pre-requisite courses be taken for a grade. The occasional for credit course was otherwise OK, provided you didn’t have too many through your degree. Rather than take the word of strangers on the internet though, your best bet is to check the admission policies for the schools you’re actually interested in applying to!
  3. I think it’s dumb. I think all the tests are dumb. However, I do appreciate that they’re trying to move away from Casper to something more affordable and easier to schedule - my understanding is this test is not actually meant to make any money for anyone, and you can write it whenever you want in the test window. Way less of a pain in the ass than Casper. Edit: and I guess I’ll add that I have written this test as part of the research project, and I found it overall more agreeable than Casper. Still disagree with the whole premise. But, for applicants this year who have to do it - a
  4. I only worked with outpatients myself so I can’t say too much about what inpatient would look like. From the one doc I know who did it, it didn’t sound too different from any other hospitalist job. From the months I spent in the cancer agency it felt like the majority of patients were outpatient. Cant say re: remuneration. The appointments were generally quite long (30 min or 60 min) and the day was rarely full; never felt like a particularly ‘busy’ job.
  5. I’ve worked with GP oncologists both urban and rural in BC. In the city it seems to be some inpatients or a lot of outpatient follow up of patients at the cancer agency. Rurally it’s essentially the same, but seemed to come with a bit more responsibility - rural GPs I worked with doing oncology will follow the treatment plan from the oncologists in the city, but they may be the only physician seeing and following the patient closely while they get chemo for potentially months at a time, and may be the ones to monitor improvement, pick up on issues, etc. A lot of it is knowing the medications u
  6. There are dozens and dozens of family medicine programs across the country - BC alone has 20 sites, and within larger urban programs there may be sites within that. If you want to get a sense of which programs have more or less emphasis on a particular aspect, the best thing to do is talk to residents at those sites during open houses and interviews. People hear things about different programs, and might tell you ‘oh this one has more’ or ‘this one has ‘less’, but ultimately everyone only experiences their own program (maybe two if they switched). Narrow down your preferred locations, and then
  7. Edit: Agree that if a full split occurs it would almost certainly be from the existing cohort. I doubt they’d split the full 4 years though - unless UBC is planning to eliminate gross anatomy, it’s unlikely they’d be able to host a cohort out there.
  8. I think Bearded Frog's point is that you should be prepared to explain in an interview the reason behind the break to someone who might not empathize with you. I agree completely that burnout is real and someone taking a year off for mental health (or just do something else!) can be a really good thing to do. But you're asking about whether or not taking a break and time off to travel could affect your CaRMS applications - whether or not it's fair, saying 'I just needed a break' could be looked on poorly by competitive programs. As the other poster said, for family medicine in quebec this is p
  9. Ooof. That really sucks for the unmatched who benefit from seeing who their most effective references were.
  10. My experience with NPs in the hospitals and outpatient in BC so far has been that they are almost always seeing patient’s under “supervision”, I.e. there’s an MRP that’s a physician, although the NPs are not in practice actually reviewing every case with them. But I have do some rural outreach with NPs that seemed to be seeing patient’s independently (although they did work with a physician in the same community, so maybe there’s some structure I wasn’t aware of).
  11. Not necessarily. People have been calling for virtual interviews for years for reasons that have nothing to do with the pandemic (cost, time required, environmental impact, etc). I think there’s a very good chance interviews stay permanently remote even when electives are allowed again - keep hope!
  12. No UBC doesn't. But unless the province is ear marking the money they're giving to the FHA for SFU specifically, who knows how it actually gets spent. The FHA has also committed to provide dedicated spaces for a UBC medical school school clerkship cohort starting with the year 3s in 2024, and I suspect UBC did not agree to that without a long term commitment for spaces.
  13. Yeah this whole presentation feels very vague on substance or understanding. They mention talking with the health authorities, but not really doctors. It’s not clear they understand the accreditation requirements at all. It’s hard to train any kind of generalist without acute exposure.
  14. BC has training pathways for rural docs to get more Emerg training (e.g. 3-6 months), there may be something similar in Alberta, I’m just not familiar. More and more fm docs here who want to do Emerg are doing a +1 year to get the ccfp-em designation, which is required for FM docs to work Emerg in most large hospitals and increasingly in smaller centres. For rural inpatient, it depends on the hospital. In my current community it rotates through a group of local family doctors who each do a week of hospitalist at a time - each doc is on once every 4-8 weeks or so. In other rural places I’v
  15. I do wonder if eventually we will hit a breaking point with the NP recruitment and FM docs moving away from longitudinal care, where it becomes clear the cost / hour for NP led primary care is totally unsustainable. If fewer and fewer family doctors are willing to bust their butts to pick up the slack in UPCC’s and clinics, wait times for even basic visits will increase significantly. You need 2-3 NPs to replace a family doctor to see a similar number of patients per hour - you can’t run a UPCC with a provider only seeing 1-2 patients an hour in Vancouver without the wait time becoming unsusta
  16. Still in residency myself, so can’t answer all your questions. You can try https://www.doctorjobsalberta.com. You can also check the cherry health app for locums in Alberta. Edit: forgot to mention the FMRA job board https://sites.google.com/ualberta.ca/fmra/job-advertisements Lots of jobs are word of mouth, and some hospitalists I’ve worked with have advised me that they often prefer residents who’ve trained at their center, just because they know them. Locums are a very good way to make connections here, and since Kenney started his war on the family docs they are in increasingly s
  17. I’d say basically all of it. You’ll note that no where in the SFU notice are they talking about engaging with the existing program at UBC.
  18. There’s barely enough clinical rotations to go around as it is at UBC for third year, and enormous competition across the province for some speciality electives, including ‘common’ things like family med. Students in Vancouver are already going as far as Abbotsford for regular clerkship rotations, and technically Chilliwack if you include ICC. And there isn’t really capacity to increase the number of medical students at several of the Fraser Health sites (Surrey, RCH, Abbotsford, Chilliwack) without starting to compete for clinical time with the family medicine residency programs there. I can’
  19. Many students coming into 4th year, even pre-covid, often have similar experiences to you - your experience does not sound particularly diluted. As a 3rd year, you have less experience, so of course you’re carrying fewer patients, less acute patients, etc. No one arrives in 4th year, let alone residency, totally ready to handle every challenge - going through those challenges is part of how you’ll learn. You’re right that people generally become more efficient over time, often one case and one day at a time. Other general Medicine rotations like peds and family will definitely help you improve
  20. You can try asking your student affairs contacts for your program if they have an archive of examples they provide to students going into CaRMS. Many programs have put together this type of resource from previous years’ students.
  21. If it makes you feel any better, it was not uncommon in my year that many people could not get more than 2-4 weeks (if they got any weeks at all) in many popular elective areas: derm, family Med (especially rural), ophtho, etc. And that was just because of scarcity of electives and the fact that first assignment was by lottery. In previous years the only way people managed to get multiple electives in certain things was to do them OOP. So a cap may actually ensure you have an opportunity to get more than you might have otherwise.
  22. I don’t think it’s inherently problematic. Our data heavy healthcare system can’t function without a lot of middle men. Going digital hasn’t really changed this. On the whole there’s a lot more IT people and fewer secretaries typing dictations these days, but the practice is still wide spread. It also has its benefits - someone who is well trained will often catch mistakes. And It’s not really any different from how things are set up in hospitals. Many people working in administrative and support positions in hospitals that handle data do not have degrees in health care. When you dictate into
  23. Your school may offer some places to do interviews, ours did. You could contact student affairs and ask about that early to get the ball rolling if they did not have anything planned. Tips for what to do will depend on what you mean by noisy. But in general, if you can find a quieter place, I recommend it. My place was not ideal. I had a few interruptions, and while most were harmless and the interviewers either didn’t care or didn’t seem to notice, I had one during one of my high stakes interviews that I let completely throw me off, and I know that hurt the outcome of CARMS for me.
  24. Common issue. In my experience two is the minimum number of shifts to ask for a reference, obviously more is better. It can help to let them know early that you’re going to want a letter from the rotation, and then they can also talk to others who have worked with you. Sometimes if you can get shifts with whoever is evaluating you for your elective then that’s a good person to ask for the letter, because they will be reading the feedback from everyone and can comment more broadly. Whether it’s appropriate to ask to switch shifts will depend on the site - it has been at many departments I’ve wo
  25. Agree this is worth looking into. Various schools have different policies, and while it's very rare it's not impossible. UBC official policy, for example, states that transfers are possible into third year only - but this requires that 1) there is space (e.g. someone's taken a LOA or been held back, etc), 2) you're in good standing in your program and have the support of your dean, and 3) you have very good reasons to transfer (simply being home sick or far from family is not likely to be enough sadly, as many of us go through that, but you could always ask!).
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