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GeriGIM

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  1. What kinda consults are you getting from the hospitalists?
  2. GIM in Canada sounds fun. In America, we're the MRP on all admits --- from the simple CAP PNA to the decompensated cirrhotic. But, we promptly send anyone requiring pressors (centrally) or invasive vents to the ICU. Most hospitals here have ICUs adequately-staffed by intensivists. Some ICUs are co-managed by GIM and intensivists. Very very few ICUs are run solely by GIMs. I can't imagine any GIM in America doing EGDs/scopes/bronchs lol (unless they're in RURAL rural America). Ugh. It sounds like I won't be comfortable in a community-based Canadian hospital right off the bat.
  3. The Royal College requires at least 4 years of training. They'd accept a clinically-focused Chief year (most Chief years in America are administrative jobs). They'd accept any ACGME-accredited fellowship (except sleep medicine). I'm dong a geriatrics fellowship with a focus on pre-op medicine.
  4. Are American-trained internists equipped to work in Canadian hospitals? It sounds like American-trained residents spend considerably less time in the CCU. We, in general, also do fewer procedures. For example, I have never attempted a chest tube and I’m not proficient in central line placement. I cannot intubate. We certainly see sick patients. But we have loads of subspecialty support. I intend to return to Canada, with the intent to practice GIM. Are Canadian GIMs placing tubes and lines all day?
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