dooogs reacted to BigM in Med 1: Expectations vs. reality in a COVID world
The way that you are feeling isn't uncommon in medical school. COVID sucks and I'm sorry to hear the effect it has had on your experience. The unfortunately reality is that this pandemic is really adversely effecting the social lives of young people and pre-clerkship is a valuable time for social connections. However, it's not going to be your only chance for it. Even if you feel that you're not that close with people right now, there's clerkship, 4th year and residency where you will have a chance to connect with like-minded people. I would say that residency is an even better bonding opportunity than medical school as the group is smaller and focused on a very similar common goal. Reflecting back on medical school I can say that I wasn't in any cliques either, I was just on a superficial friendly basis with most people and a bit deeper with a few people. Now that I am a fully trained physician I occasionally come across people from medical school, but it's not very common. For me my relationship with my partner became the primary relationship of importance throughout medical school and then in residency/now it became family/kids. Your time in medical school will pass, and it generally feels like it flew by. A lot of it is a means towards and end (trained physician). Not all of it will be awesome, but some of it will be pretty good. I would encourage you to try to remind yourself of longer-term goals when you feel disheartened by the short-term.
dooogs reacted to 88risingsun in Med 1: Expectations vs. reality in a COVID world
I feel like this was supposed to be the greatest year of my life. Starting med school, a new chapter, going to make new friends and connections that should last a lifetime. Then COVID happened. I am usually someone who is very stoic and resilient, however I feel like this year has had an immense negative impact on my mental health (and it's only November).
Pre-clerkship years are supposed to be the "fun years" in med school, before increasing responsibilities and decreasing free time happens in Med 3. I had such high expectations for med school, and everything being online/all the restrictions in place really foiled it all. Trust me, I am very grateful to be in the position I am in (I would never be ungrateful, as so many would love the opportunity to become a doctor)... however, I am conflicted as this year is really nothing like what I imagined it to be. My interactions with classmates are relatively superficial and mostly based around schoolwork. What's worse, I feel like there are several cliques which have formed around me and I'm part of none of them... if next year even is in-person, it feels like it will be impossible to make meaningful connections at that point. The one word I would use to describe how I'm feeling is "isolated".
Does anyone else feel the same? How has your med school experience been impacted by COVID?
dooogs reacted to James Nystead in Major expenses in PGY1 / Transition to Residency
As a fourth-year medical student, what costs should I be aware of/account for during the next 1-2 years? I understand that there will be a cost associated with CaRMS applications (no interview fees this year), LMCC Part 1 and 2 writing fees, USMLE Step 2 CK and CS for those with US fellowship aspirations. There will also be costs associated with relocation and home purchasing/increase in rent if moving to a HCOL city.
I was wondering what else I was missing and the approximate costs of these things (eg CPSO fees? Surgical foundation exam fees?)
Do people still use their medical student LOC in residency? I feel like it'd be hard to afford a semi-decent lifestyle in a potentially HCOL city like Van or Toronto on a resident's salary.
dooogs reacted to Bambi in Need Advice Re Electives
This may not be relevant and I may be an outlier. I applied to 3 fields, two of which were highly competitive. Ultimately, I was selected in a small surgical specialty. There were 80 applicants, 40 interviewees, the majority of whom were gunners. Not one gunner was selected! It all came down to whom was considered to be “a good fit”. The time I devoted to this specialty was minimal. However, I quickly got along with the resident and attending, they found me to be a hard worker, collaborative, easy to get along with, and I believe that I was preselected before the 10 minute interview. On the basis of “qualifications” in the field, I was the least qualified! I was a perfect fit and it worked out well for all.
dooogs got a reaction from oneday1 in .
Anybody else hate these ads ? If you want to help someone do it for free ... I've had multiple med students help me out with info in one way or another because they are great people. Not friends or anything. Why are you charging people for this ? Kinda of a crappy thing to do TBH
dooogs reacted to neurologist19 in Want to drop out of med school...advice needed
I think it is good to have a honest introspection and see what actually did change during your first year that changed your interest in medicine since I assume you were interested in being a doctor one year prior to that. If it is the volume of work, I think you should kinda accept that medicine is a heavy-load course anyways so you should adapt yourself to putting in a considerable amount of your time if you want to continue in it. If you are fine with putting in time but you only find the materials insufferable/boring, it is better to talk to people who are your senior since the nature of pre-clinical and clinical work is hugely different in medicine. If you feel insecure about not knowing all sorts of medications, symptoms, etc. I am going to reassure you that many people feel like that even being years into medicine as a doctor, see the “The Velluvial Matrix.” by Atul Gawande. No doctor knows everything and thanks to tools like uptodate, it is rarely needed to memorize stuff that are not common instead it is just one search and click away. Don't look at other fellow students and think they know more than you. Most of people actually try to fake it when in fact, deep down, they are as insecure as you, no matter if they are other med students, residents, or attendings. Finally, there is no guilt in thinking that medicine is not for you. You don't owe anything to anyone. This was a position that you earned it and you decide if you want to stay on it or leave it. Life is full of experiences, last year this time, this was the best decision you could think of based on the information you had. Now with more information and first-hand experience, you have all rights to change your mind about your future.
Good luck to you!!
dooogs reacted to hbmed in Everything online ? (Rant)
"The Year 1 and 2 Semester 1 courses will be delivered in the following format:
• Large Group Sessions: These will all be virtual. There will be no in person lectures on campus for the first semester; and potentially not for the entire 2020-21 academic year. Large group sessions will be delivered virtually through either Zoom or the Blackboard Collaborate platform. Learning sessions will focus on consolidation and review of key course content.
• Small Group Learning: All Integrative Small Group Learning (ISGL) and Discipline Specific Small Group (DSSG) sessions will be delivered virtually, facilitated by Schulich faculty using Zoom or Blackboard Collaborate. This will allow flexibility of group scheduling.
• Digital Asynchronous Modules: Faculty are currently developing video lectures and multimedia modules that will be available to students on demand. In each course these modules will help students learn content information aligned with key concepts in the curriculum.
• Anatomy Labs: Anatomy will be taught virtually for all Year 1 Semester 1 learning using a variety of teaching processes. Access to the Anatomy Lab will be restricted to the scheduled sessions only [any in person for anatomy and clinical skills appears to be restricted to Principles II, ie the second years].
• Clinical Skills: The Curriculum Committee has approved integrating essential Clinical Skills learning (formerly PCCM) into Foundations, Principles of Medicine I and II and Transition to Clerkship to better align with course teaching. Clinical Skills will begin to address the AFMC Entrustable Professional Activities (EPAs) 1,2, 3 5,6.
- Introduction to Interviewing and Advanced Interviewing in Foundations will be delivered virtually. Group sizes will be campus specific. This may change depending on the COVID-19 pandemic and public health guidelines.
-The Program is planning for Observed Structured Clinical Examination (OSCE) assessments in the academic year – more information will follow as we learn from the Medical Council of Canada fall examinations.
Assessments: The overall goal of assessment is to both help you learn as well as determine that you are competent enough to progress in the program and reach Program graduating competencies. All assessments require your attention and completion as they are also learning activities. Some are formative (e.g. quizzes, specific assignments), meaning that their goal is to enrich your understanding of the materials while others are summative (e.g. end-of-course exams), meaning they require you to demonstrate a certain level of performance.
- Formative assessments that are quizzes or tests (e.g. multiple choice questions) will be delivered via an online format through Elentra.
- We are determining the best ways of delivering the larger formative tests (e.g. progress tests) and summative end-of-course examinations. We are exploring options for allowing large number of students in one or more rooms for a single test/exam, as well as other online and remote delivery options. At this point in time, it is likely that progress tests and summative end-of-course examinations will be delivered virtually and not in person. More information will be made available as soon as possible.
- Your overall progression in the program will be determined by a holistic review of your attendance, professionalism, participation in program activities, and completion and performance on all assessments.
This course will continue with a:
1. Research Project that begins in Year 1 with student teams identifying a prospective project and faculty supervisor, submitting a brief project plan and completion of the project by fourth year.
2. Quality Improvement project for Year 2 with student teams assigned a faculty advisor. An online QI curriculum supporting QI projects will be delivered in September and November.
3. Service Learning is on hold for Semester 1 (as in other Ontario medical schools)
4. Decisions on the Year 1 mandatory Longitudinal Clinical Experience will be made over the fall term as we better understand opportunities.
Professionalism, Career and Wellness
New sessions using Zoom for small group and interactive large group sessions have been developed. All sessions will be virtual.
Optional Clinical Learning Opportunities (OCLOs)
We continue to support early clinical learning experiences. The School and all Clinical Departments are supportive of students in Year 1, 2 undertaking clinical learning that allows for deeper understanding of course topics and exploring career goals.
There will be a new process to follow to meet the requirements for clinical care in the COVID-19 environment. A revision of the OCLO guideline will be available after the August meeting of the Curriculum Committee.
There have been many questions asked about virtual patient assessments. Clinicians are delivering care for many patients using virtual visits by telephone and video. Students are expected to be within the same location as the supervising faculty. Please review the new Program guideline:" [this is filled with confusing words for incomers, but I'm under the impression that basically we'd only be able to do OCLOs that have virtual patient care, and we would be in the same facility as the supervising physician when that care is given.... so not sure what this means for things like EM or any surgical OCLOs... hopefully this will be clarified as they sort logistics out more]
We're definitely all a bit uneasy about how this was at least revealed, especially after being told that they strongly suggested we live near campus and that there would be some decent amount in person. I think in true Schulich fashion we'll find a way to still foster some good relationships through these shared, shall we say...unpleasant? circumstances. Hopefully they provide more in person things in January, so crossing fingers for that. They did also say that "it is possible that revisions may occur as the COVID-19 pandemic situation continues to develop", but I feel like things are pretty set as outlined above until the end of 2020 (if it ever ends?)
EDIT: also expecting some amazing admissions videos to come out of all this and so many memes when we finally make it through to welcome next year's class
dooogs reacted to rmorelan in Radiology lifestyle & job market in comparison to other specialties
that depends on how you define a good job - I mean ha ANY radiology job is good on income fronts overall at least at present.
I would have to say yes though overall - 90% of us do fellowships not just to advance our skills but also to just get hired at all. Of course particularly at any academic institution where the jobs are organized for the most part around sub-specialities. Almost 0% chance of getting hired at one of those, or most major cities (if not all) without a fellowship. May be very odd exceptions.
dooogs got a reaction from Nirvanesthesia in Radiology lifestyle & job market in comparison to other specialties
Hope you dont mind I add one more question:
Is a fellowship or more necessary for a good job ?
dooogs reacted to Butterfly_ in Observerships in first year ?
We call them horizontals at Mac and all of them have been cancelled because of Covid. Admin is struggling to even place just my class (2021) in clerkship, so I doubt you'll be allowed to do them any time soon. When they do permit them again, the seconds years will have priority over first years. Currently, the second years have had all their electives and horizontals cancelled because of capacity. They don't get to start until January 2021. Sorry to be a messenger of bad news, but on the bright side, you won't be missing out much. I barely did any horizontals myself and many of classmates haven't either. You can try to discover what kind of career you like by messaging upper years, residents and preceptors. You'll also get chance to explore during actual clerkship as well.
dooogs reacted to scoobydoo1623 in Applying through the black student application program
Agreed - I 100% support BSAP and ISAP. Thanks for the balanced view.
Thus far, most people on this thread who seem to be talking favourably about BSAP/ISAP are already IN medical school (you can claim it hasn't changed pre-post admission, but I guess we'll never know how true that is). I just thought this is an important context to point out because at the end of the day, I see yesandno 's comments rooted in past rejections, moreso than anything else in my opinion. We all know how TOXIC pre-medical culture is, and the desperation it cultivates amongst us to gain admission, particularly in Canada, where the acceptance rates are already incredibly poor. He/she/they probably just wants to get in, and I have a strong feeling that if yesandno was already in, maybe he/she/they would not be so vocal about his/her/their concerns around BSAP/ISAP. Each and every one of us have to be honest with ourselves and with each other. Many of you were desperate pre-meds at one point, and I find it hard to believe that most of you, as PRE-MEDS, would be selfless enough to be completely agree with BSAP right off the bat. This is borne out in the evidence on perceptions of special admission streams in the literature. Look it up.
I'll be honest: I had the same initial thoughts when I heard about BSAP as a non-Black applicant a few years - and we can't forget NOR deny that A LOT of non-Black applicants did (atleast, the ones that I've spoken to). Yesandno was just brave enough to be vocal about it. BSAP's introduction had plenty of people, who are also disadvantaged in some form, saying: "what about me?" However, I spent a lot of time learning, growing, educating myself, through friends and literature, and I've since been a full supporter of BSAP. I took some time to examine my own biases, which was driven by being a non-Black person, but also being in a toxic pre-medical culture (which is already toxic for EVERYONE, but perhaps moreso for Black people) where we need to get in or die.
It takes some time, but happy that alot of posters here gave incredible insight for yesandno and OTHERS to think about. It takes a lot of empathy and sympathy to understand others and their point of views (even if implicitly racist), but at the end of the day, it's the same empathy and sympathy that this profession calls for. It's been a productive conversation here!
TLDR: Don't forget that perhaps, in addition to implicit biases/racism, toxic pre-med culture may also play a large role in people's view on BSAP. Sample many pre-meds and I bet you yesandno is not standing alone in their views. Productive and HONEST conversations are the way forward!
dooogs reacted to PequalsMD in Does anyone ever get an interview/acceptance with a wGPA in the low 3.8s?
UofT: attempts to address issues within a historically disenfranchised community by adding healthcare professionals that those members are more likely to trust/listen to, and/or are culturally competent to do so bc healthcare is recognized as a universal right
yesandno: makes it about himself
*Sorry for run on lol, but more seriously I recommend we all keep thinking holistically. Perhaps if we’re not knowledgeable about the plights these groups face today, stay on the sidelines and let others that are better versed/experienced direct these types of discussions. Word of advice - you claim elsewhere you are interested in this topic and that’s why you’re discussing it, that’s great but reserve your initial conclusions or judgements until you understand the issues more. Also I assume you like science, and esp with a complex issue like racism, there has to be the possibility you don’t know everything and that you could be wrong. Ofc don’t view everything through a scientific lens but maybe it could change the way you think about societal issues to a degree? What you’re doing now is a little untenable. Or if you’re just trying to vent, we’re not your diary.
dooogs got a reaction from PequalsMD in Does anyone ever get an interview/acceptance with a wGPA in the low 3.8s?
I am genuinely surprised that you have never seen/heard of people being discriminated based on their skin. I'm not a visible minority but I have seen it happen countless times. I can only imagine how dehumanizing it feels. Of course being poor sucks - it's another layer of difficulty. Now add being discriminated because you aren't white and you are also poor. These people are living much more difficult lives than I can ever imagine (even though I am not rich). We need doctors that can serve underrepresented populations
dooogs reacted to rmorelan in Does anyone ever get an interview/acceptance with a wGPA in the low 3.8s?
Canadian Human Rights Commission disagrees with you (I mean you can argue against their conclusions of course - but I point out the the primary Canadian institution to for analyzing such things has drawn a conclusion based on the evidence it believes it has. "It is time for all Canadians to acknowledge that anti-Black racism is pervasive in Canada" would be their opening quote on the matter).
This loops back to the thought processes we discussed before - everyone can see in isolation having a race based admission rule is unfair (so is Western's geography for SWOMEN, or Ottawa's language rules about english vs french). I would say it being unfair again in isolation should be treated as a fact - the question is whether in either the move corrects for another form of unfairness in a collective assessment to be globally fair (you believe there is no competing unfairness, i.e. no systemic racism however - that is a point to debate), or as another possibility whether even if it is unfair in the broader sense there is another consideration that still takes precedence - as we often have unfair rules for the individual to the benefit of society (some would argue in this case even if it is unfair to a degree it still should be done because having a demographically balanced population of doctors is valuable and serves the public interest in an important way - just like again the intentions of Ottawa and Western's rules to name just two examples are to serve public interests).
dooogs reacted to Wachaa in Any family med docs regret switching careers as a non trad?
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 fine if you want to be a rural doc and help people, do what you have to do. But if you just want the property and you and your partner have the freedom to move now, just do the math yourself.
dooogs got a reaction from ShadesofCyan in Spending LOC on fun
Being an "older" incoming med student (mid 20s) I share some of your feelings.
For me something I cannot compromise is my next two summers. I want to have them off to travel. Its important to me and I was and still am very sad I wasn't able to do it this summer.
I worked my ass off every year and summer so far (bachelor, master). I will have to spend money to do this. It's the first time since being out of high school that I'm not gonna be making any money... it's scary but I would live a life of regret if i didnt spend part of my 20s travelling