Guest windymountain2003 Posted September 23, 2005 Report Share Posted September 23, 2005 I understand that there has been some discussion about instituting a universal one year internship before the residency match. This would delay career making decisions for one year. Each medical school would have enough internship spots for their clinical clerks. I would like to know more about this proposal and how likely it is/when it might be. Anyone have any links? Thanks, WM Link to comment Share on other sites More sharing options...
Guest Kirsteen Posted September 23, 2005 Report Share Posted September 23, 2005 Hi there, The unofficial word on the street is that the common clerkship year could be implemented as soon as July 1 2007. Discussions are still underway, however. Cheers, Kirsteen Link to comment Share on other sites More sharing options...
Guest marbledust Posted September 24, 2005 Report Share Posted September 24, 2005 The unofficial word on the street is that the common clerkship year could be implemented as soon as July 1 2007. Common "internship year," maybe? Link to comment Share on other sites More sharing options...
Guest Kirsteen Posted September 24, 2005 Report Share Posted September 24, 2005 Exactly. Thanks for the correction. Wee bit of post-neuro mindlessness on my part. Cheers, Kirsteen Link to comment Share on other sites More sharing options...
Guest 0T6 Posted September 24, 2005 Report Share Posted September 24, 2005 Wow! So that would be for class of 07 and not 11 right? Link to comment Share on other sites More sharing options...
Guest marbledust Posted September 24, 2005 Report Share Posted September 24, 2005 Wee bit of post-neuro mindlessness on my part. It happens to all of us Link to comment Share on other sites More sharing options...
Guest noncestvrai Posted September 25, 2005 Report Share Posted September 25, 2005 The class of 2008 may be the first affected, we had our CFMS rep give a schpiel about it. To me it sounded still at the discussion level. I am not so fond of the idea myself, since I hate the fact of applying twice, if that is the case. It would be nice to have somebody from CFMS post more on the topic here. noncestvrai Link to comment Share on other sites More sharing options...
Guest marbledust Posted September 26, 2005 Report Share Posted September 26, 2005 I am not so fond of the idea myself, since I hate the fact of applying twice, if that is the case. I think that's one big reason I wouldn't be thrilled with the idea. Applying twice, facing the possibility of moving twice, and of maybe having a higher chance of going unmatched would not, in my eyes, be good things for some people. But I think for many people, that extra year to explore and get a taste of clinical medicine before committing to a career choice would be very beneficial. I don't know if they advantages outweigh the drawbacks, though. Anyways, I am glad that I will be done by then--it won't affect me, so my opinion doesn't really matter Link to comment Share on other sites More sharing options...
Guest strider2004 Posted September 27, 2005 Report Share Posted September 27, 2005 Why would you have to apply for the internship year if it's common to everyone? You would still only apply once. The common year would most likely be done in your home school, no? Link to comment Share on other sites More sharing options...
Guest Kirsteen Posted September 27, 2005 Report Share Posted September 27, 2005 Hi there, I'm not sure that the common year is intended to be done in the medical school alma mater, hence the first application. (At least, that's what I've heard.) The second application occurs when you've finished the common year and need to apply to a specific discipline. Cheers, Kirsteen Link to comment Share on other sites More sharing options...
Guest flying kumquat Posted September 27, 2005 Report Share Posted September 27, 2005 With the potential return of the common year, would family med/general practice go back to being just the one year? Or would family med require an additional year (and application) after the common year (if this had even been discussed yet)? Link to comment Share on other sites More sharing options...
Guest desiguy8179 Posted September 27, 2005 Report Share Posted September 27, 2005 if they have just one common yr like earlier and then u can practice,then u have to close down all family medicne residencies.another problem with common yr for family med would be that its PGY1 yr is very different than specialities and it req. 4 months of rotations in family med,so with common yr that would be hard for them to rearrange rotations with just 1 yr left,unless u change CCFP requirements Link to comment Share on other sites More sharing options...
Guest marbledust Posted September 28, 2005 Report Share Posted September 28, 2005 if they have just one common yr like earlier and then u can practice,then u have to close down all family medicne residencies. One thing: family medicine in Canada has changed significantly since the abolition of the common internship year in the early 1990s. The CCFP*, and the practice of family medicine has evolved. The doctors practicing family medicine today as General Practioners (ie: not graduates of the CCFP program) are generally those who were in practice prior to the institutionalization of family medicine as specialty. I don't think you would see a return to "anybody can work as a GP" days. I would guess family medicine would still be a two year program and the college requirements would need to be met prior to practicing. *Canadian College of Family Physicians--for those who are unfamiliar Link to comment Share on other sites More sharing options...
Guest noncestvrai Posted September 28, 2005 Report Share Posted September 28, 2005 To tell the truth, I would not mind being able to do family practice, with that common year. Let's say I become an orthopedic surgeon, maybe at the end of my carrer I would like to have an office as a family doc... I don't know if the idea is popular among people who want to do primarily something other than FP at the beginning of their careers. noncestvrai Link to comment Share on other sites More sharing options...
Guest Kirsteen Posted September 28, 2005 Report Share Posted September 28, 2005 Hi there, I agree with you, noncestvrai--I think it would be a valuable set of skills and designation to have. To wit, there is already at least one residency program (in surgery) which offers this option after the first two years of training. It might be an idea for more programs to offer this option. Cheers, Kirsteen Link to comment Share on other sites More sharing options...
Guest desiguy8179 Posted September 28, 2005 Report Share Posted September 28, 2005 To tell the truth, I would not mind being able to do family practice, with that common year. Let's say I become an orthopedic surgeon, maybe at the end of my carrer I would like to have an office as a family doc... i dont think it is a very good idea that an ortho surgeon would start family practice after practicing surgery for 10-20 yrs.in my opinion he is not competent to practice famliy practice without the skills req. for it. family practice has evolved and it has become a speciality in its own right,i dont think a radiologist ,cardiac surgeon,psychiatrist etc. know how to handle common family practice problems ranging from delivering babies to managing diabetes. even family med docs have to maintain their certification for it,its like demeaning family medicine that any specialist can practice family medicine whenever they want! Link to comment Share on other sites More sharing options...
Guest Kirsteen Posted September 28, 2005 Report Share Posted September 28, 2005 Hi there, Given the paucity of family doctors out there and the increasing demand for them, I'm sure the CCFP wouldn't mind re-certifying doctors if they wished to enter family medicine at some point. Plus, some specialties, e.g., surgery, do deal with patients who have significant comorbidities such as diabetes, and as such, they do manage related issues in the hospital on a pre- and post-operative basis. Just because they are trained in one area of medicine doesn't mean that they have perpetual blinkers on, shielding them from other areas of medicine. Cheers, Kirsteen Link to comment Share on other sites More sharing options...
Guest desiguy8179 Posted September 28, 2005 Report Share Posted September 28, 2005 Just because they are trained in one area of medicine doesn't mean that they have perpetual blinkers on, shielding them from other areas of medicine. Family medicine docs also have plently of exp. in managing diabeties,gen medicine,peds etc. so does that mean they can be certified in Internal medicine,pediatrics.If its a one way street it amounts to discrimination and superiority complex among specialists! as to shortage,there is dec. supply of every speciality inc surgeons,internists as well as family docs,so wats point of switch over! Link to comment Share on other sites More sharing options...
Guest jmh2005 Posted September 28, 2005 Report Share Posted September 28, 2005 I have to agree with design guy...after practicing General Surgery or whatever other speciality for X number of years, do you really think that you could practice comprehensive Family Medicine, without some sort of 're-training'??? ...For example...would you be up on the latest treatments for ADHD or how to counsel this childs mother on how to best handle his negative behavious?... the new guidelines for delaying the development of microalbuminuria in your type II DM's?... counselling a pregnant teenager who requests an abortion?.... a menopausal female who experiences new bleeding ...I don't think so...yes, these are common scenarios, but common to the Family Physician, definately not the surgeon... If 'specialists' want the ability to be able to practice 'Family Medicine' later on in there career, they should have to do some sort of re-training...just like I, as a future Family Physician would have to do if I wan't to practice something else, for example... This is the type of thinking that perpetuates the stereotype that Family Medicine is so straightforward, something that anyone with just an MD can do...well, its not....Just my two cents Link to comment Share on other sites More sharing options...
Guest Kirsteen Posted September 28, 2005 Report Share Posted September 28, 2005 Hi there, I'm not sure that my thinking is clear to you. If any doctor wishes to switch from one specialty to another, then as long as they are board certified to do so, and they meet current requirements by the specialty body to practice, then I would say that those certifying bodies have rightly done their jobs and should allow the doctor to practice in that area. More specifically, I agree with you, qualification within family medicine is necessary if any doctor from another specialty wishes to practice family medicine. Just as is the case when a doctor wishes to switch from anesthesia to psychiatry. (I know one individual who is currently in the process of doing so and is permitted to complete the psychiatry residency in 3 years instead of 5.) Further, I think the same level of quality assurance should be applied to family medics who might have taken a hiatus from the profession and wish to re-enter. As an example, in Ontario I did not have a family doctor for a while and was using the services of a walk-in clinic for a bit. There were a couple of family doctors there who, I would argue based on my experience as being a patient receiving their treatment, needed some updating of their skills. I was a little shocked at some of the archaic approaches and attitudes that I met. As in any specialty, there is a range of skills displayed by doctors--some doctors are better than others and some family physicians are better than others. (I would assume that this might be one of the purposes for the CME credits that are required of practicing physicians.) So, in short, I agree with you and am not taking aim at the simplicity of the skills required to be a practicing family doctor. If a doctor from within another specialty wishes to practice family medicine or any other type of medicine, and can pass the latest exams or certification processes to do so, then they should permitted to do so, resources-willing. Additionally, if a 5-year specialty program does offer the ability for a doctor to gain a certification to practice family medicine, and again, pass the exams required of practicing family physicians, then they should be allowed the rights to practice in that field. Cheers, Kirsteen Link to comment Share on other sites More sharing options...
Guest jmh2005 Posted September 28, 2005 Report Share Posted September 28, 2005 Sorry for sounding so stand-off-ish (... I just re-read my post ) my post wasn't directed at you Kirsteen, just the tone of the thread...I had a bad day and a very nasty enounter with a surgical resident...I guess I was a bit sensitive. I didn't mean to take the post off topic, which essentially was the common first year...not sure if I'm for or against it, but I don't think that that 1 year should give MD's the ability to practice Family Medicine...and I don't think that's the way things are going...and I too agree, if someone, regardless of speciality, wants to become a Family Physician later on in their career, if they can meet the requirements set out by the college, great, we need you! Sorry for the aggressive tone of my post, I feel much better after my trip to the gym... Link to comment Share on other sites More sharing options...
Guest Kirsteen Posted September 28, 2005 Report Share Posted September 28, 2005 Hey, no worries. Interesting times are ahead, that is for certain. It'll be interesting to see how residencies change in the future. Cheers, Kirsteen Link to comment Share on other sites More sharing options...
Guest marbledust Posted September 28, 2005 Report Share Posted September 28, 2005 Hey....I posted a message earlier today and it seems to have vanished without a trace. Bizarre! I thought last time we had problems with vanishing messages there was at least a record that the post had been made....oh well... It was such a well-thought out and eloquent post too....darn :lol Link to comment Share on other sites More sharing options...
Guest noncestvrai Posted September 29, 2005 Report Share Posted September 29, 2005 Sure marble, I believe you...are you still doing psych:p ? Well, just to nuance my post, of course, after 20 odd years of let's say gen surg, a refresher would be in order, and of course, getting certification would be necessary. It's just a thought, and by no means I wanted to downplay the excellent FP programmes in Canada, FP is a specialty, and you need a very broad based knowledge of everything in medicine to practice family med. noncestvrai Link to comment Share on other sites More sharing options...
Guest marbledust Posted September 29, 2005 Report Share Posted September 29, 2005 Sure marble, I believe you...are you still doing psych:p lol:rollin Actually I think I discovered the problem: I was using a rather unreliable wireless connection and apparently it was disconnecting and reconnecting itself every few seconds. My message must have been sent during a disconnection. A few emails I thought I sent suspiciously also disappeared on me. Technology...:evil Anyways, everything I had written has pretty much been covered (ie the concept of family medicine as a legitimate specialty and the difficulties in "switching" to it or pursuing it after a single internship year). So no need to add my two cents Link to comment Share on other sites More sharing options...
Recommended Posts
Archived
This topic is now archived and is closed to further replies.