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(Silly) Q Re: length of residency


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Hi everyone,

 

Please forgive me for asking this silly question:

 

What resource can I use to find out (a) length of residency is for each discipline choice (eg. family medicine, dermatology etc.) and (B) The average/approximate salary once residency is completed.

 

I was unable to find this information using Google or CaRMS website.

 

Thanks kindly.

 

MacMed2014

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Once again, I'd like to correct a misunderstanding. IM is 4 years. This has not, and will not change based on the Royal College's recent decision, which added a new subspecialty of General Internal Medicine (an oxymoron, I know) now 5 years long, but did not remove the previous training pathway to the specialty of Internal Medicine, which is still 4 years long.

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Once again, I'd like to correct a misunderstanding. IM is 4 years. This has not, and will not change based on the Royal College's recent decision, which added a new subspecialty of General Internal Medicine (an oxymoron, I know) now 5 years long, but did not remove the previous training pathway to the specialty of Internal Medicine, which is still 4 years long.

 

Are you sure of that? I listened to our local IM PD and he did indeed say that you have no choice but to go the full 5 years if you want GIM. Unless this was changed in the last 6 months?

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Here is a really helpful page with info on specialties in Canada. The data is from a huge survey and has tons of relevant information including income for a lot of specialties (these are often hard to find) and length of training. There is also details about average hours worked, motivation for choosing, diseases seen, etc.

 

http://www.cma.ca/becoming-a-physician

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Are you sure of that? I listened to our local IM PD and he did indeed say that you have no choice but to go the full 5 years if you want GIM. Unless this was changed in the last 6 months?

 

Straight from the Royal College FAQ on GIM:

 

How does the recognition of GIM affect those who are currently training in the four-year Internal Medicine program or who have been practicing as an Internist after completing four years of Internal Medicine training?

 

The recognition of GIM does not affect residents currently training in the four-year Internal Medicine (IM) program, or practicing Internists who have completed four years of IM training. The recognition of this discipline merely provides an option to interested residents who wish to complete a subspecialty in GIM following the primary IM program. While some medical schools may choose to offer both the new GIM subspecialty and an IM program, all will still offer Internal Medicine and the end result will be greater flexibility for both residents and schools.

The Royal College acknowledges there may be some concern among trainees that the GIM stream (three years of IM plus two years of GIM) is intended to ultimately replace the current four-year IM stream. However, the Royal College believes, as does the Specialty Committee in Internal Medicine, that the four-year stream remains the essential path to the preparation of highly qualified specialists in Internal Medicine and must remain in place. Internal Medicine will remain a primary specialty and continue as a major route to practice in Canada.

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  • 3 weeks later...
I can't imagine why anyone would undertake the 5 year program over the 4 year, which is already quite flexible, generally.

 

With the 5 years program you get to work in bigger healthcare centers (tertiary, i guess?) whereas the 4 year program restricts you to work in secondary centers or less specialized institutions.

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No, I don't buy that. Look at Emerg, where 2+1s and 5 years work side by side in even our largest teaching hospitals, and those tracks have been around a lot longer than this program, which is just getting started. It will take a long time for enough people to graduate with a 5 year GIM certification before they can start pushing out 4 year IM grads, and there are shortages of IM docs in many academic and large community centres as it is.

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With the 5 years program you get to work in bigger healthcare centers (tertiary, i guess?) whereas the 4 year program restricts you to work in secondary centers or less specialized institutions.

 

The advantage of the 4 years program is actually to be able to work in a major center, because since it's 4 years, you'll be able to start your fellowship sooner. In Quebec, the 5th year was (still is) aimed to teach certain special skills that the general internist would need in his future practice (for eg: you get a rural spot where you need to perform endoscopies, so you do a few months of endoscopy and a few months of GI in your 5th year).

However if you know that you're gonna work in an academic center, you won't need that extra year of training for skills that you won't use, and instead you can do a fellowship (required to work in an academic center).

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