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-JAG-

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Everything posted by -JAG-

  1. I’ve seen that for spasticity it’s usually ultrasound guided, but often for migraines, it’s more of a shotgun approach. I do think you can bill for ultrasound guidance in Ontario, something like 28$.
  2. I was under the impression that the injection fee was covered. After all, it’s in the fee schedule and there aren’t any special governing rules concerning the code that I’m aware of other than the fact it could only be billed every 12 weeks. The top billing family doctors who specialize in Botox pain treatment are billing OHIP, not the patient. We wouldn’t know what they were making if the patient was paying, or am I not seeing something important?
  3. If you wish to complete a masters or PhD, it’s much smarter to do it after residency during your fellowship. That way you’re sure that it will be applicable to your specialty and area of interest versus if you do it during medical school. The best part however is that you can get paid a pretty generous salary to do it. In some provinces you get a fellow’s income while completing your degree, which can be close to 100k, and have few or even no clinical responsibilities outside of call. You can also be sure wether you event want to pursue a graduate degree or not. Doing a PhD to be more com
  4. Xeomin is, to my knowledge, the only approved generic in Canada, but still something like 5$ a unit. Interesting that the patient provides the Botox (I’m assuming through their private insurance? I doubt most Canadians can afford do drop 3-4K a year on this) Must be the only time patients have to provide the material for an insured service. I’ll dig deeper into the OHIP fee schedule and see if anything about this is mentioned there. Thanks for the insight. Edit: looking at the UHN website, there is a special category for “payment” under the procedure, where they say that the physician wil
  5. In some provinces (Alberta and Ontario to be specific), Botox is an insured service when used to treat conditions such as chronic migraines and spasticity. This usually involves 10+ injections, but the procedure is relatively short and, because it isn’t targeted like a nerve block, doesn’t seem to take much skill. (American YouTube guides show nurses doing it in 5-10 minutes) At a glance, the codes seem very high for such a straight forward procedure. In Alberta, including the injections, tray fee and visit, you’re looking at a bit over 150$. This is about the same as you get in Onta
  6. Selon les données pour les admissions en médecine à Sherbrooke en 2019 il y avait 708 collégiens convoqués aux MEM. J’imagine que ça serait à peu près les mêmes personnes convoquées aux entrevues de l’UdeM et de Laval, disons que le nombre total est plutôt de 800 en raison du Casper. Avec environ 400 places en médecine au Québec réservées aux collégiens, ça fait pas un taux d’acceptation de 50%? Comparé au reste du Canada où c’est en bas de 20%, je dirai qu’on a des bonnes chances pourvu que notre CRC est assez élevée, surtout vu que les universités francophones ne regardent pas le CV
  7. The 400k figure from the CMA is for all IM specialties is not entirely representative of Oncology earnings. You can check out the provincial job boards, many oncologists are salaried so that information is directly available. For example, there is a position in Regina currently open on Saskdocs paying 422k, so I would guess it’s probably close to what most oncologists make in the province. In Quebec, where oncology is included with hematology despite them being two separate fields here, the average was 483k in 2018. Most seem to be FFS or rémunération mixte. In Ontario
  8. Yes, they are gross payments. Important to note that overhead isn't very high in Quebec because most specialties work mostly in public hospitals in the province. For example, there is relatively little private office run radiology and geriatrics in QC compared to other provinces. Also helps that the governments pays you more if you work outside a public institution (établissement) which obviously helps with overhead.
  9. I posted the National Assembly's budget earlier today which included average compensation for every specialty, you can see for yourself and compare to the CIHI numbers for other provinces. The basic trend is that all specialists in Quebec basically earn the same thing (500k +/- 10%) bar radiology (850k average) and cardiac surgery (but they work so much so the hourly rates are probably the same) Family medicine does well here too. No FHO but the government basically pays your overhead with the "en cabinet" fees for office visits (+ 30 to 35% for FM visits done in a private office/clinic). Good
  10. Psychiatry bills an average of 456k in Quebec, where discrepancies between specialist incomes are much lower. Very good group psychotherapy fees (400/hr) Consults and individual psychotherapy fees are decent as well (I think 50$/15 min with the last 5 minutes of the session being eligible for 50$ too, consults vary between inpatient and outpatient, or cabinet, but all this can be found on the RAMQ fee schedule) A couple of outliers in psychiatry in Qc, 10 in 2015 billed more than 1 million, with the average among them being 1.2 million. The best way to achieve this (in my mind) would be to run
  11. Pathologists in Quebec are FFS as opposed to the rest of Canada where they are mostly salaried unless they work in one of the few remaining private labs. I can't speak for the job market but remuneration is quite good : 467k on average. Volume is a bit higher than in the rest of Canada but not by a crazy amount. If you're in a field that reads slides fast, like GI, it's not unheard of to get to 600k+. University salaries can add to this and overhead is basically nonexistent. Pathologists are generally very happy there because they are being fairly compensated for their work unlike in other pro
  12. Does this apply for IMG's? Makes sense that the spots aren't competitive since there are not many anglos matching to Quebec yet we consistently see 20+ francophones per year matching to English Canada from Quebec schools. Wondering how an IMG could get rotations in these communities... wondering if anyone has tried it? Would give francophone IMG's a significant leg up over their anglo peers.
  13. Just because you go to Guelph, Brock, Concordia or any other "lesser" university doesn't mean you're guaranteed a 4.0, but it's certainly much easier to achieve. As a general rule, Canadian med schools don't care about the difficulty of your major or the difficulty of your university, only your grades. One exception to this (that could be useful to you seeing as you're in Quebec) are the French schools. They prioritize certain programs, like physio and ergo. If you put in the work you can pretty easily get a 4.0 in these programs, from what I've been told by some of my friends (at least in the
  14. Hey premed101, Seeing as how the CARMS situation for IMG's is getting increasingly bleak, I was wondering how a francophone studying in the Caribbean/Ireland/UK/Australia would fare getting a spot somewhere like Les Eskers, Les Aurores Boréales or Rouyn-Noranda. These programs are in the regular (not CMG) stream so I assume that IMG's could match there. They are also pretty small (4-8 spots) and never fill because they are located in small towns in Northern Quebec. Seeing as how they all had spots left after the second iteration (4 in Amos, 3 in Rouyn-Noranda and another 3 in La Sarre) ho
  15. -JAG-

    .

    Makes sense, no one could be that good at negotiating envelopes. Will update main post for future viewers. I have to admit that some of the numbers were far too good to be true!
  16. Thanks for the recommandations everyone!
  17. -JAG-

    .

    The SMA fee guide is just that, a guide. It does not reflect Saskatchewan's true payment schedule. Disregard this post. My fault for poor fact-checking!
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