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unmatch last won the day on December 20 2020

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  1. It's so weird how this thread devolved into an accessibility of derm conversation. Yes, it's hard to see a dermatologist and there needs to better access to derm care. Whether that means better training of family doctors, formalization of a +1 program (because I think we can all agree that doing a foreign online certificate for tens of thousands of dollars without any clinical experience isn't sufficient to begin taking referrals), or training more dermatologists. To specifically address OP, I don't think your eczema should limit your career choices. There are very good topical and syste
  2. They're around, mostly in the community settings but not plentiful. In my experience it's mostly administration that is into hiring them but multiple physicians have called into question their clinical acumen especially in generalist settings. I've personally seen NPs completely miss the point of the visit in FM and in the emerg and require staff physician intervention for the patient to be properly cared for. I don't see us ending up like the US, especially not in the near future.
  3. The ones known to be more OB heavy are Women's College and Sinai. I imagine the community sites tend to be more hands on because the family med residents are the only ones there (other than the occasional senior IM or OB resident), but you generally get less didactic learning. Toronto Western tends to be FM hospitalist heavy whereas most of the other sites just have CTU. Emerg heavy sites are North York, Credit Valley, and Mount Sinai. St Mike's has the inner city focus (HIV, addictions, homelessness, etc). Look at the following link as well https://www.dfcm.utoronto.ca
  4. To actually answer OP's question, FM programs don't expect much. You need to have a variety of electives so i would do most of your electives in your main specialty of interest, do an elective related to family (eg psych, ob), and at least 1 FM elective but 2 is ideal. CV matters almost not at all. Strong letters that specifically talk about your strengths as a family applicant (it's more common than you think for someone to submit a letter that ends to saying nothing about family or worse says they are an ideal candidate for another specialty). Strong MSPR comments help too. Frankly my standa
  5. You should have at least one FM letter and probably 2 is better. Always choose your strongest letters in the end.
  6. 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.
  7. 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
  8. 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.
  9. 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.
  10. 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.
  11. 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.
  12. 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.
  13. 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)
  14. 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.
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