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unmatch

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unmatch last won the day on December 20 2020

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  1. You have to decide whether you like family medicine and would be happy with that for the rest of your life, and divorce that from the anxiety surrounding going unmatched. If you would not like to be a family doctor, don't do it.
  2. Lots of people match to competitive family medicine programs after doing a very IM-focused elective season. Most things in IM are related to family. You'll get a school or two who will think you're backing up but just explain the situation in your letter. My application was very hard towards a different specialty and I matched well within family. Similar stories for my friends who did IM, psych, etc
  3. FM doctors doing pain clinic vs anesthesiologists doing pain clinic are two very different things. FM pain=joint injections. Anesthesia pain=nerve blocks, stimulators, etc.
  4. All of my friends from my home school who wanted UBC FM got it. They also gave everyone interviews regardless of how obvious it was they were backing up from another specialty. You might not necessarily get your first choice site within UBC since they're all small but you have a very good chance of being within the school. It's normal to feel anxious around carms, and I'm sure a lot of it is stemming from you being home sick. Don't let that stop you from getting what you want. You got this.
  5. Get some trusted residents or a mentor to read over your statement. Your school may also have a system in place for your peers to exchange letters or have your career services center take a look over it. By the time you get to CaRMS you would have hopefully thought about why you like the speciality you are applying for and a first draft should come pretty easily.
  6. Not sure about those sites but I know a graduating resident from my program doing EM in Peterborough without the +1, so I'd imagine at least Orillia would be similar.
  7. I would change one of your FM electives to something like cardio, nephro, etc that's more focused on inpatient work. You don't need 6 weeks of FM electives to match well in FM if you're appplying to that.
  8. People pretend that FM is more competitive than it really is. People will match to "competitive" FM programs when they are obviously backing up from other specialties. I would go for it and your one core letter should be good enough. Make sure your other 2 letters are from different/related specialties (eg IM, psych, etc)
  9. You're fine, being keen is the most basic thing any preceptor looks for in a medical student. If you feel like you're being a bit much then maybe try toning it down a bit but I wouldn't be anxious about it.
  10. I'm in the boat of having applied and matched to FM as a back-up from a different specialty (not IM). I haven't really enjoyed my program, just find the work in FM to be unfulfilling. There are a lot of conditions which are very prominent but have no good treatments and patients are very upset (bad backs, bad knees, etc), it often times feels like you're being more of a counsellor than a doctor, and there's so much paperwork that specialists don't have to deal with (refills, consultant notes, etc). I feel like a baby sitter for a lot of my complex patients who have multiple specialists - tryin
  11. https://www.cma.ca/sites/default/files/pdf/Physician Data/01-physicians-by-specialty-province-e.pdf So you cherrypicked the top 10% billing from the province which pays their family docs the highest. We have no idea if they're working 24/7 or doing sketchy stuff with their billings. Also the billings aspect doesn't change the fact that the career is boring and unrewarding. I can't wait to go back to clinic and see my five patients with mechanical low back pain again...
  12. Family med is also really boring, unrewarding, and not well-compensated. Sometimes I feel like I'm smarter than my staff and wish I was doing something better. I also miss being able to answer a single question as a specialist, instead of being forced to deal with 2-3 issues and be compensated $36 for it. An allergist or GIM doc can see half the patients in the same clinic day, make double the amount of a family doc, and not be forced to do longitudinal care and paperwork. Something you don't get exposure to in med school is the bloodwork, specialist notes, etc you need to follow up on -
  13. Because I don't feel there's a lot of learning to be had after M4. The focus of the FM residency is instilling independence and practice management skills, you've learned 90%+ of the content by the time you're done med school. I think you need to think about whether you enjoy the academic drive of the Royal College specialties and the need to learn a topic very in-depth. Family medicine is not about the medicine, it's about following preventative guidelines, reassuring the worried-well, and triaging to other services. You need to decide if you feel happy enough being a doctor regardless of wh
  14. No. In FM and feel totally brain dead. Would much rather be one of those over worked residency programs where I actually enjoyed what I was doing. There's a balance to be struck between interest and lifestyle especially beyond residency.
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