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  1. The stats don't tell the whole story. FM was my first and only choice during carms, but I disliked regular FM and knew I wouldn't continue my career in that direction. More than half of my cohort had applied for a plus one to subspecialize. FM is the only path that gets you to the finish line on a reasonable timeline and lets you start your real career on your terms. That was my top priority and for many others who picked FM I suspect.
  2. Yep all these opportunities are best found in the US. They are receptive to Canadian MDs in my experience, but you do have to sell yourself well. If it's something you're interested in - go for it! The pay beats clinical work in the long run.
  3. Having been in and out of medicine, I'd say the real perks of medicine are its high earnings floor, career longevity, and career flexibility. Money, work environment, scheduling, WLB, etc all together can be better elsewhere. As you get older, you start to appreciate how comforting true career longevity feels.
  4. In Canada, doing GIM is the best route to doing hospitalist work. The length of training and exposure to complex acuity cannot be found in FM. In the past I've also interviewed at GTA community hospitals where IM and FM share the same acute medicine ward - they're there but not common. Re: being a referologist in FM, while there is a gap in adult medicine knowledge between GIM vs FM, practically speaking how far I work up my own DDx on a complex pt was dependent on how much I was getting paid. Do I have the knowledge to work up resistant HTN? Sure, but I could just refer out to a HTN spec
  5. Sorry to hear you went unmatched. Option 1 is to do another year of med school, research/electives, ace USMLE, and apply to Carms & ERAS for ENT, internal med, and FM. Give it your best shot. If you match to an IM program in the USA you can subspecialize later on and avoid being a generalist. Option 2 is to match FM in Canada and find your niche during residency. Most will go for a +1. Some like myself have left medicine post-residency, but these opportunities are mostly in the US too.
  6. I've worked with a young-ish attending who did 28-consecutive days of EM shifts in residency due to manpower issues at the time. He seems to have survived quite alright!
  7. 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.
  8. 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
  9. 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.
  10. 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
  11. 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
  12. 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.
  13. 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.
  14. 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
  15. 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
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