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medaholic

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medaholic last won the day on November 14 2014

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  1. I suspect more programs will select and rank their own students higher, just cause they know them better. A familiar candidate is the safer choice when comparing similar applicants.
  2. Very few candidates stand out - it's hard to when everyone does pretty much the same thing. I would say only 5% of candidates wow you enough to remember their application. Same applies to interviews. Interviews are helpful because it's a good way to screen for odd quirks. Its rare that reference letters will be a big red flag, but I have commonly flagged applicants due to their interview. They might mention some unethical behavior, come off as unprofessional, or sometimes completely asocial. Having said that, the only real things interview measure is how well you interview, so it's
  3. From the Medscape Physician Lifestyle & Happiness Report 2020 Most of my classmates who bought expensive cars - ended up selling them or trading it for something low maintenance. Clerkship/residency is busy, the last thing you want to do is spend time looking after your car. Usually the opposite happens. Your life style inflates as your income goes up, you get caught in the hedonistic treadmill and adaptation makes material objects not as fulfilling. The Porsche that was your "dream car" ends up being meh, and you start to look for the next car to replace that one.
  4. As a general rule - if I'm not going to write a good letter, I will say "no" to writing a letter for someone. It never hurts to ask. Just because you asked for a reference letter, you don't necessarily have to submit it for CaRMS. You have to be the judge of how good you think the letter will be. Ask yourself, is this preceptor going to support my application? How enthusiastic are they to write it. It's a game and preceptors know it too, many will say yes but won't necessarily put too much effort into writing a good one.
  5. As someone who's now been through the whole process and been on the other side interviewing applicants, extracurriculars only count for a small part of your application. I think in order of importance No red flags in your application - you're not a sociopath, bad references, word of mouth Program knows you and likes you - you've done an elective, good fit Interview Good evaluations in your rotations Reference letters Shown interest in the specialty - electives, projects Extra-curriculars Do a few things really well and don't spread yourself thin tr
  6. My experience, having gone from community GIM to academic GIM, is that an academic job has a lot more non-clinical variety of work. The pay isn't that bad at all centres, but it is less than a busy community practice. Not all academic centres are set up the way UofT does it, many places are much more equitable to new staff. Eventually, the money thing becomes less of an issue. What you will really value is time and autonomy, especially if you start a family. You'll be well off in either setting, but a salaried academic job has a lot more flexibility. Not having to do in house call has bee
  7. All comes down to timing, I did the same elective at the Hamilton General. In two weeks I got to do tons of central lines (IJs, subclavian, femoral), art lines, and an intubation. I happened to do it when there was the principles of surgery exam coming up, so all the residents took time off. It was just the attending, fellow and me, so they were happy to have me around. Granted I showed up early for work, stayed late, volunteered see more patients/consults and was prepared for when the opportunity arose. Staff are happy to have you learn procedures if you can help out and make their lives easi
  8. This is the best answer. It's all centre dependent. BNP is a great test, and not that expensive, wish I could order it at my institution but the turn around time is >1 week which is essentially useless. During residency, I worked in hospitals that could get it overnight, which is extremely helpful in ruling out CHF.
  9. This is the closest answer so far. Slight variations, average consult bills $200-300. Depending on volumes, busy nights can be 15-20+ consults. Add in ward/ICU coverage depending on your hospital, and you're looking anywhere from 2k (low) to 5k most nights, more if busier. Some places have additional stipends/ECG readings. This is gross billings.
  10. Edit: see below reply. Can't figure out how to delete post.
  11. In 2015, I use medscape and Uptodate for quick information. I have used epocrates, emed and dynamed in the past but they haven't kept up. In reality, UpToDate is probably most useful when you're doing clinical work, and you have a specific question that you need answers to. For covering curriculum materials, textbooks in general are better formatted and you can realistically cover the breadth needed.
  12. Driving post-call is dangerous. Only get behind the wheel if you know you'll be alert. Sometimes when it's been a bad call, I'll take a quick nap along with caffeine to make sure I can drive home safely. Other times, I'll arrange a different mode of transportation depending on which hospital I'm at. My routine usually is try to get stuff done before noon - ie. banking, shopping, appointments. Eat lunch and then crash until dinner time.
  13. This is normal. No one really learns things well the first, second, fifth or even the tenth time... There's so much to learn in medicine that you cram and forget, and relearn and restudy, and eventually it sticks. You're in first year. You don't even know what you don't know yet, so take baby steps and just focus on what's in front of you. Things do get better in your clinical years, when you see real patients with real diseases. The knowledge gets placed in the proper context and sticks better. Then you have residency afterwards, where the 60+ hour work, and seeing the same presentat
  14. Nothing you can do about it. There is a disadvantage. I went to a four year school, so by the times CaRMS came, I had finished all my core rotations, realized what I wanted to do, and was able to do 9 weeks of electives pre-Carms submission. I think three year schools are disadvantageous to people who don't know what they want to do. Sometimes, you can try talking to people (Resident, staff) in that specialty. See if there are any opportunities to get their perspective on what it's like.
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