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Everything posted by Fortress

  1. I know that at McGill shifts do not exceed 12 hours in both FM and IM. However, I know that in Ontario there are 24 hour shifts, both for FM and IM. I would appreciate it if people can share their experience about whether other provinces have 24 hour shifts for FM/IM as well, as this is an important factor for me.
  2. Thought it was about time to start a conversation about this, since healthcare professionals will be among the first to receive the vaccine. Anyone concerned about safety issues?
  3. Can you please clarify what you mean by an "early letter"? Also, I have heard of staff asking the student to actually write the letter and send it to them. What should I do in this situation?
  4. Heard some negative comments about doing a rotation at the Lakeshore. Would anybody care to comment about their experience?
  5. Now I didn't go through CaRMS yet but here is my take.The amount of research you need to do is proportional to the competitiveness of the specialty/location you are applying to. Are you applying to family medicine? Then you don't need any research. Are you applying to plastic surgery? Then you probably need several publications, not because it is an official requirement but simply because plastic surgery is an extremely competitive specialty and so everyone applying has tons of research because they want to stand out and so you have to stay on-par. Another thing about doing research is no
  6. And, in general, are those calls usually evening shifts or overnight shifts? What is the proportion between them?
  7. In an urban family medicine program, how many times per month do you have to stay in the hospital for an overnight shift? Are there times when you are allowed to go home but you are on-call and can get called in in the middle of the night? If so, how frequent does this happen? Just trying to get a sense of the impact of an urban family medicine program on sleep.
  8. Can anyone comment specifically about the importance of having research for IM residency applications? Are there certain IM programs that place a high emphasis on research (e.g U of T)?
  9. Thank you for sharing your story. In a typical week, how many hours do you work on average (before this whole pandemic started)?
  10. Are you aware how do some family physicians become competent in interventional pain management (e.g ultrasound-guided nerve blocks, bursa injections etc.)? Also have you ever heard of a family physician running an infertility clinic as a focused scope of practice?
  11. Can you please clarify what you mean by medical ophthalmology? My understanding is that it means clinic only and no OR time. Yet you are saying you can operate without OR privileges?
  12. Okay. But what about those 4-storey eye care centers where there is a certain floor reserved for cataract surgeries and the rest of the building is clinics. Of course such a center is run by a group of ophthalmologists who share OR time, but I mean this model is not tied to the hospital in any way, right? And if a recent graduate cannot find a job in a hospital or in one of those eye care centers, then perhaps a group of recent grads can come together and open up such a center. Please point me to where I am wrong.
  13. The question is: what are those people doing to make that kind of money? Definitely not sore throats and common colds.
  14. Hey everyone. I have a question about the ophthalmology job market. How difficult it is for a recent graduate to find a job? I am under the assumption that since ophtho surgeries are primarily outpatient based, it shouldn't be hard to find a job just like any other outpatient specialty. Does the concept of "surgeons fighting for OR time" hold true in ophthalmology? Isn't it true that in ophtho you could do your surgeries outside of the hospital system?
  15. Thanks for all the info. What are some of the more high-paying jobs in internal medicine in general? I have heard that interventional cardiologists are some of the highest paid physicians within internal medicine, but of course there is additional years of training and tight job market. Do you know of anything else?
  16. Gotcha. Makes more sense now. I would like to know more about how to maximize income in GIM. I guess one thing is to take less time off work for vacation. Another thing I presume is to pick up ER shifts outside regular hours (evenings, nights, weekends). Can you please confirm that ER shifts in those hours pay better than morning weekday ER shifts and if so, what is the mechanism (like are there special premiums for that?). Another thing is to perhaps maximize non-MRP work because as you said MRP work doesn't pay as much. Question here: is it possible to just do the bare minimum of MRP we
  17. This is the pivotal point for me right here. If a family doc can do the same work as GIM and receive the same pay, then why would anyone go through an IM residency and spend 2 extra years in training? I know you said FM only do MRP and can't do other stuff, but I am comparing here the pay of FM MRP vs. GIM MRP. Are you sure the FM codes amount to the same as the GIM codes? When I look up the ontario fee schedule, it seems that FM consultation is $77.20 while a GIM consultation is $157. For me I know I like IM more than FM, but if I am going to go through a more demanding residency an
  18. Hey! Sometimes people say that family doctors can bill using specialist codes e.g for family doctors working in EM or hospital medicine. Is this true?
  19. Thanks again for your reply. It is good to know that there is adequate work-life balance as a GIM. One thing that I would like your insight on is FM hospitalist vs. GIM. From your post, it seems like FM do MRP and also do a bit of consults. Do they do ER consults and clinics as well? Would you happen to know if family docs who work as hospitalists are able to bill using specialist codes? What does their schedule look like (they seem to get the 6 pm-11 pm pages, which are less life-style friendly but more lucrative)? I am basically looking for anything that would justify doing 2 extra year
  20. First, thank you so much for your detailed reply. I would like to clarify what I meant by call schedule. You said you are only responsible for patients until 6 pm when doing MRP work. My question is who is responsible for the patient after 6 pm? What happens if a patient deteriorates overnight and needs to be assessed? I was under the assumption that as a GIM staff you have to be physically present in the hospital until 5-6 pm and then go home and on some nights you are on call i.e if the patient deteriorates the hospital would call you and you would have to come to the hospital to assess the
  21. Thanks a lot for doing this. I am a medical student with an interest in GIM. 1. Could you please elaborate on what the typical schedule looks like for GIM in a community hospital vs. academic hospital? What time do you have to be at the hospital and what time you usually leave? Also what the call schedule is like, and is it an in-house call vs. home call? It would be great if you can as detailed as possible as I want to picture how life looks like as a GIM staff. 2. Income of GIM in community hospital vs. academic hospital vs. outpatient clinic? Just if you could mention what th
  22. Can you please elaborate on the fact that billing depends on the amount of time spent with patient? Is that only for mental health or for any type of visit? Can you give us some actual numbers, cuz if thats the case then why do family doctors rush patients.
  23. Thank you for doing this. Sometimes people say that family doctors can bill using specialist codes e.g for family doctors working in EM or hospital medicine. Is this true? It doesn't make sense to me that the government would be pay both the same.
  24. I am also potentially interested in the field. I was a bit disheartened when I saw that, according to CMA's specialty profile, psychiatrists make a bit less than 300K, which to me doesn't justify the extra years of residency +/- fellowship as compared to family medicine. What do you think of this number? Are the people making 700K sacrificing their work-life balance? Also if you can comment on the current job market for psychiatry as well as the need for fellowship to find a job in an academic center.
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