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About Wachaa

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  1. Ah, I see. In BC we refer to these services off site.
  2. I work in BC. Just wanted to say a few things: -You don't need to be under this payment system in order to access the social workers/ physio/ etc. You can continue to be fee for service and still refer to these services. -As @JohnGrisham mentioned, the gross billing is likely going to be less for many people. Payment under this model includes certain requirements for panel size, hours worked, and completion of multiple Quality Improvement projects. -These payments come under a contract that is not easy to break. You need to give a certain number of months of notice. -You co
  3. It's definitely not any harder than say, rounding at 7AM and doing surgery until 6PM.
  4. Short answer is that anything is possible. A recent example: https://www.fortiussport.com/thank-you/ However, as you probably know, you don't need to go bankrupt to close a business. If you don't make as much profit as you hoped, you have to decide whether it's worthwhile to continue. On the other hand, it is not very likely that you will be the sole owner and burden the expenses of operating such a large complex. It's much more likely that you are a contractor/ service provider at the hospital/ facility/ clinic where you are employed. The more immediate question t
  5. I have heard it is more of a medical legal "strong suggestion". Hence some surgical procedures may have an additional MD scrubbed in, just in case for emergencies that happen. There's also a bit of on-call duty so I suppose it is more feasible to have an MD on-call than an allied health provider PLUS an MD on-call for back-up support if needed. There's a fair amount of "reputation" attached to our jobs, right? I suppose some people don't want to be known as a methadone/ marijuana doctor when their friends/ family ask them what they do for work. The item that gets me more pe
  6. Different things make people happy. Only problem I see is that paperwork, emails, chasing labs are still part of everything you listed above. You are usually on-call for whichever service requires you to be present to assist. Could be OB/gyne, Gen surg, etc. Specialized services/ procedures may require further training eg. Cardiothoracics. Your work is usually in the OR... and reimbursed based on the procedure carried out. It's common for fees to pay differently for after-hours, etc. It's not uncommon to have gaps in your day if surgeries get canceled. On the cont
  7. @windsormd1 I'm assuming it is because spouse pays taxes according to his own personal tax bracket on the 95k part of the household income. Still not totally 21k/ month, but roughly there.
  8. I think therein lies the problem with your plan. If you go into Rural (and I mean rural like...5 acre horse ranches within 5-10 km of your work place), you need to enjoy doing hospital work and possibly cover ER, in-patients, long term care, take overnight call. Otherwise, who else is going to do it? There is almost no chance you can do 4 days a week AND still make a great living. If you do four days a week you're likely looking at <200k after overhead. You'll beg on both knees to find a locum to cover for you if you're away long periods of time. There is literally no incentive for your col
  9. Don't take this the wrong way. I don't think we're trying to dissuade you from pursuing your dream to become a rural doc. Simply pointing out that your financial goal is attainable by keeping on the current path. Refer to @1D7 post above for how long it takes to break even.
  10. Forget the admissions process just for a second. Even if you got in today: You'll stop getting a salary from your current job ($71-80k X 6 years, plus whatever your partner needs to take time off to look after kids), plus you'll owe around $150k of tuition when it's all said and done = ~$580k as a conservative estimate. That's not including costs of moving if you have to move or if your partner is unemployed as a result of the move. If your dream is to own property, I don't see how being a rural doc allows you to attain that sooner PLUS have the time to enjoy it. i mean it’s f
  11. At least in BC, when you fill out the College license annual renewal, you have to declare if you've been off work, as well as other questions related to your scope of practice, plans to retire, and so on. Here are a few of the relevant questions: "Have you been absent from clinical practice for three continuous years" (Yes/no) "Identify the clinical hours you were professionally active in the past 12 months" (Number of weeks, average number of hours per week) "Do you have plans to significantly change, expand or reduce your scope of practice in the next 12 months"
  12. Surprisingly, what walks through your door in day to day practice is very different depending on your practice location and work type. For example: urban vs rural, affluent neighborhood vs not, hospital vs clinic. The good news is that each program across Canada is fairly consistent in terms of how many weeks dedicated to each block, as well as elective time. I'd favor choosing electives that meet your goals. For example, all my electives were done in urban family practice community clinics because that's where I knew I would practice once residency was over. Other people picked
  13. I agree that the billing schedules aren't always adjusted accordingly. And unfortunately when fee cuts are made, they tend to be made across the board. Sadly, the public already thinks that doctors as a whole are overpaid. Off topic Re: cataracts/ ophtho billing I'm not an expert. Just referencing to the fee guides. A cataract surgery, despite billing ~$400 (depending on which province you are, this has been cut by 10-25%), still takes around 15-30 minutes (including all the set up, etc). In the office, they could have seen patients and billed twice as much in the same am
  14. From my interpretation, @Arztin was just pointing out that a lot of things are repetitive, not exclusive to family medicine. I agree. The need to have "variety" every single day in your daily practice is grossly overrated and I would go as far as arguing that most people, whether they are doctors or any other profession, do a ton of repetitive work because that's where they are the most efficient. In the case of ophthalmology, if they don't perform those surgeries, then the waiting lists continue to grow. Plus, surgery is just one of the days of the week and I don't see a problem where th
  15. I suppose you can. Things will be more difficult if you don't already establish electives/ references letters...both of these things are hard to get once you've completed your residency. Another reason people don't go back into residency is that you get used to the staff lifestyle and income. One other way is that you could work in an ER (eg. small community where CCFP-EM or FRCPC is not required) and challenge the exam. Here is the reference for the eligibilty to challenge the EM exam (note the 2017 link; if anyone knows the rules have changed, please comment): Elig
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