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  1. Most of my cohort are now practicing full time hospitalist or ER or another plus one with some walkin clinics on the side. Very few are actually doing office based family medicine - too many cons incompatible with what recent grads want in life. A few have left medicine including myself. All that to say, there are many possibilities to develop your career outside of office family medicine. But don't let anyone know your interests until you're out of the system, seriously. For carms, just say you enjoy full scope FM. Who knows, you might actually end up liking it.
  2. Chiming in as a FM staff who started med school at 21yo... what's with all the woe is me med school ruined my 20's posts? While my friends were either stuck in low-paying jobs with poor prospects or aging x10 in corporate, I got to live like a student for another 6 years and enjoyed all the good stuff that came with being a student. If I stopped aging I'd probably stay in school forever. Life is good now with more money but you know what I really miss? Playing some street ball and chilling over beer afterwards, back when we were all broke AF and couldn't afford to play golf or go on trips. Now
  3. Doors in the general should all be designed to open outwards without needing manual dexterity. In many public buildings there is fire code requirement for outward opening doors - why is this not standardized across all non-residential buildings. A sad day for the profession.
  4. Was the journey worth it, yes I had lots of memorable experiences in med school. As a clinician I experienced the human condition in a way that most people never will and took away many life lessons from those experiences. Happy with choice? Yes overall. Would I do it all over again? Twenty year old me would do it again in a heartbeat but me in 2020? Not sure. One thing to remember is that people change as they grow older in every single profession. The physicians you run into doubting their career decisions would probably experience similar doubts had they gone into other fields, so
  5. There's a saying I've come across before, along the lines of "at the attending level, if you feel threatened by NPs then you probably should be replaced by one" lol. Anyone who's actually worked with NPs will realize they don't even come close to a percentage of what we can do. This is my conclusion after having working with NPs in clinical and non-clinical settings. The threat is a purely political one - how do we show that we are safer and more cost-effective than midlevels? Even if we had such irrefutable evidence, how do we convince cash-strapped politicians and admin so? This midlevel fea
  6. Do the 4 weeks of electives because if you don't your chances of matching derm is a probable zero. There are other ways to fulfill your interests bolded above. Try going for derm and IM/peds. I've seen people matching into IM then end up doing rheum and allergy fellowships to get their fill of derm plus systemic conditions. From peds, same thing. There is also a 2-year peds derm fellowship that peds residents can apply to, with a focus on congenital lesions, laser treatments, etc, in Toronto. Good luck.
  7. 200/hr sounds about right. Thing is most psychologists aren't doing 40hr/wk billable i.e. face to face time, so you can't just extrapolate 200/hr to 400k a year. Cancellations, unexpected downtime, holidays, and practice management all consume time and drag down the average hourly rate.
  8. Having worked jobs in and out of medicine, finding work in medicine is a lot easier than many other competitive professions. I trained in FM and once I got my licence, finding work was as easy as cold calling local clinics to see if they need physicians. For surgical assist and hospitalist positions, I got them by emailing local hospitals' respective departments and connecting with the department chief. Doing your electives at sites where you want to be definitely helps for scoping out lay of the land. Pick a generalist specialty and it won't be too difficulty finding full-time work. The
  9. LOL what a troll. On a more serious note, within Canada and US, MD does seem to carry a bit more status/prestige in certain industries. For example, in consulting and finance groups that look to hire someone with a scientific background, MD and PhD are considered equivalent. There are a few groups that exclusively look for MDs and won't consider PhDs in my experience, although this is usually because say the managing director/partner has an MD him or herself. Outside of Canada and US, PhD starts to earn more prestige for similar positions cause people don't know what an MD really signifie
  10. As an MD working in the industry now, I find it stupid how much BS physicians give each other over training pathways, sub-specialty fellowship requirements, and all the turf fights etc. No one knows or cares about any of that stuff outside of the hospital. The medical culture is amazing and mind boggling at times.
  11. If you know you enjoy and plan to do inpatient medicine, do IM. It's a longer and yes brutal residency that will better prepare you for inpatient medicine in the long run. FM is shorter at 2 years but it'll be mostly outpatient medicine which you may not enjoy for the full 2 years.
  12. Good question. I'll quote a JAMA article here: "Fear of reaching a professional plateau is a reason often cited by physicians who have chosen to enter management consulting. They cite the challenge of continually working on new problems and shaping new industries as a source of professional satisfaction. Medical students and resident physicians are also given to understand that there is widespread dissatisfaction among practicing physicians." The biggest selling point of MBB and BB banks are their exit opportunities. I found out along the way that some opportunities were already open to m
  13. As someone who worked 7 days a week for a while and made 5-6k working 16-18 hours a day not infrequently, I will say that it's very doable for any physician of any specialty to gross 1M+ a year if they are insane and didn't mind sacrificing everything else in life. As someone who also went through recruiting in management consulting and investment banking post residency, I will tell you that the guys making 1M+ a year in these industries are generally in their 40's and still chugging in 80+ hour work weeks, with shaky job security compared to medicine. You might have a few people here and
  14. See the post above by BigM. Specialists and allied health professionals will copy family docs all the time. When a follow up note or a discharge note on a patient you haven't seen for a year that comes into your mailbox, it takes time to read it, pull up previous records, and see if there's anything possibly missed. All unpaid work in a FFS model btw, this was my least favourite type of paperwork in FM. Add to that what others have said, notes, forms, admin visits e.g. specialist requesting a new consult note if they haven't seen pt for a year, and your own investigations flooding back. I didn
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