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Lock123

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Everything posted by Lock123

  1. I don’t think it’s controversial to say the FRs come out better prepared to work independently followed by the ccfp-Ems and the ccfps who definitely need more hand holding. I can say anecdotally, having worked alongside all 3 at various stages, that advantage tends to disappear and it’s hard/maybe impossible to tell the difference at a certain point in independent practice. In a perfect world, we would train enough FRs and EMs to fill all the EDs across Canada but that’s not realistic. I think more programs like the SEME at u of t need to come along to help provide formal training to ccfps who
  2. Not sure, that’s not something I have any familiarity with. I’m sure people from rural sites match to the em program all the time though. Don’t know if it’s harder or easier or how they’re viewed.
  3. Generally these tend to be low acuity ERs that see “walk-in” type stuff. But people get sick everywhere. People have aortic dissections on vacation in cottage country and drive drunk in rural Ontario leading to a poly trauma. I’d personally hesitate to work there for 2 reasons: 1. if the goal is to get experience to do full time ER in a larger hospital, I’m not sure the volume of acuity is there to learn those skills. For example, I’m not sure how many LPs or chest tubes or even intubations, one would get to do per year. 2. when stuff does eventually hit the fan, you might be un
  4. Also regarding "complex reductions with sedation", there is absolutely nothing wrong with calling ortho in to do the reduction while you provide the sedation. Might even be able to pick up a few tricks from them. All of the hospitals mentioned would have ortho on home call but available to come in with the exception of maybe Tilsonburg. Would hesitate to work at a place without appropriate backup.
  5. I would think this will be highly variable. Some colleagues will be friendly and have no problem providing assistance or bringing you in to assist with a procedure. Others will keep to themselves. After all, they're not there to teach. The sites I work at have been extremely collegial but I'd rather not say where for confidentiality reasons. I've also worked at sites where I did not feel very well supported.
  6. can get some info from seeing job postings on hfo or similar.
  7. No clue about mentoring. If they are, it would probably be informal. For example, making sure you are never providing single coverage for your first year or longer, having colleagues being there to bounce cases off of, helping you with procedures and resuscitations as they come up. I doubt they would have the infrastructure for a formal mentoring or training program. More eligible but its certainly all relative and no guarantee. I like to think of it as a hierarchy. If chiefs had their choice, they would prefer FRs over CCFP-EMs via residency over CCFP-EMs via practice, over ccfps with E
  8. Tough question to answer. I'm sure every year there are Pgy2s in fam med in toronto who do not match to the plus 1 EM but still want to work full time ER. They might even have excellent CVs. So of course, there will be some competition. And these ERs I listed are smaller and certainly do not need to hire a new full-time ER staff physician every year. It's not uncommon to locum at multiple of these and similar sites (4-5 shifts/month at each site, over 3 sites), until a full time position develops. Luck and connections plays a role as well.
  9. Can answer #2: places like Kitchener /Waterloo/Cambridge/Stratford/Alliston/ tilsonburg/uxbridge/Orangeville/Georgetown/Niagara area off the top of my head are places where I’ve seen colleague ccfps without EM being hired in last 3 years. U of T also has 3 mth SEME program to help develop EM skills for FM grads. would also add that once you have the EM certification via the 4 year practice route, it may not be easy to return to gta. Chiefs may still prefer to hire FRs and Ccfp-ems out of residency.
  10. Don't see why it wouldn't but, sorry, not sure. I was in family medicine/ER. Given the job market with surgical specialities, I don't think I'd commit to RLIRP. What if there was a better job in another province? Something to think about.
  11. I did this. You just have to practice in Ontario. You pick the site. Its a good program if you know for sure you will be working in Ontario.
  12. Anyone who’s written the EM exam in the past know how long it took to get results? The college says up to 8 weeks but I’m wondering how long it usually takes. Thanks!
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