Jump to content
Premed 101 Forums


  • Content Count

  • Joined

  • Last visited

Posts posted by drdean

  1. Responding to a couple different posters on this thread, but the comments apply broadly.

    5 hours ago, WLG said:

    Would really love to know whether an accommodation would be possible in IM or not. The problem is the only way to know is to ask, which means I have to disclose my diagnosis, which can then exclude me from the program. Frustrating.

    I do not see why you would ever have to disclose your diagnosis to anyone (unless you want to). I'm fairly confident your doctor could write a letter for detailing the accommodations required to support your health without specifically saying the diagnosis.


    On 6/3/2020 at 11:04 AM, mew said:

    I have a medical condition that seriously requires consistent and adequate sleep. My treating physician is advising me to submit an accommodation request through my school's disability office to have me exempted from overnight call, with the expectation that this time will be made up in other ways. I'm worried about what my peers and preceptors will think. I'm wondering if anybody has had to do this before? How did you approach the topic with your preceptors? Thanks!

    I'm worried about what my peers and preceptors will think. Who cares what they think. I know that's easy for me to say, but if people think less of you for prioritizing your own well-being then these aren't the people you want to be working with as a future physician anyways.  Unfortunately healthcare professionals often fail to extend the compassion they have for their patients to their colleagues. Just my 2 cents, but the 'old school' of medicine with infallible, near god-status physicians is falling away, we're all human here. You don't want to end up matching, training, or practicing somewhere with physicians that don't prioritize well-being. Ironic that we're a profession of healers but struggle to support our own colleagues eh?

    I'm wondering if anybody has had to do this before? I have multiple friends that have received accommodations throughout their medical education. I would highly recommend speaking with your school's OSA (Office of Student Affairs) for guidance through the process. You won't be the first student to request this, they will be able to provide guidance. If you prefer to maintain a distance from your college of medicine, another option is to contact your provincial medical association's physician health program.

    How did you approach the topic with your preceptors? They don't have a right to know what your accommodations are. For the most part, staff don't know students' schedules, so you can just tell them what your shift is and hit the road when you're done.

    A Couple other thoughts:

    This thread seemed to take a dive towards residency really quick. My advice would be focus on one thing at a time, clerkship first then residency. It is definitely a good idea to think about career paths that promote your well-being. If you're passionate about IM but hesitant about the residency, you should consider a family med - hospitalist rotation in clerkship. It is honestly fantastic, you essentially function as a GIM but with all the lifestyle freedom being a fam doc provides (and only a 2 year residency). It compensates extremely well to boot.

    $$$$$$ - Having a disability can qualify individuals for additional financial support from their university, increase the amount of grants you receive on student loans, have beneficial tax implications with the CRA, and even get you an extra $750/mo on CESB. These programs exist for a reason, utilize them!

    At the end of the day it's your life and your health. Don't worry about what your colleagues think, do what is best for you.




  2. There are some major flaws in the arguments here.

    1.     You assume that if someone uses illicit drugs they are inherently less safe for patients than someone who does not use drugs. That is a big leap, someone could be high all the time in their personal life and still provide great care. If we were to follow your logic process to its end point should we not also screen for alcohol? It is one of the most widely abused drugs even though it is legal, and has a far great societal impact than most drugs https://www.economist.com/graphic-detail/2019/06/25/what-is-the-most-dangerous-drug .

    2.     I am confused by the attempt to draw parallels between vulnerable sectors check and substance use. There is a world of difference between someone who assaults an old lady, or commits pedophilia and an individual using recreational drugs in their own personal time at no harm to anyone else than themselves.

    From my understanding of your post, I think you are talking about recreational drug users, and not individuals suffering from addiction. Something to consider, is that by punishing individuals for using substances, a system makes them less likely to seek help if they are suffering from addiction. Most province's medical associations have physician health programs which can assist students/residents/physicians in getting treatment for addiction, with a focus on rehabilitation. Focusing on harm reduction and rehabilitation rather than punishment, is a more effective route to promote patient safety by encouraging those in need to engage in care. As opposed to hiding their problems for fear of reprimand where they can spiral and worsen.

  • Create New...