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Multiple Family College Fellowships (R3 training years)


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My look at the job market / practice opportunity boards on the AB & BC provincial medical association websites indicates that GP specialists are in demand in the following specialties:

Emerg (GP/EM)

Anes (GP/A)

Gen Surg (GP/Surg)

In roughly that order of demand.

 

I haven't heard of anyone who has done multiple family med specialites (i.e. 2 yrs family + 1 yr anes + 1 yr emerg).

 

Question: Is this done? If not, why not?

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As far as I know, the ccfp em is good for mid sized centers. Rural hospitals may hire you as just a family doc and larger centers may hire you as ccfp with experience, and most likely part time, but will go for frcp docs.

 

Gp anesthesia will not let you practice in bigger hospitals and is more for communities in need.

 

So each fellowship caters to docs who have chosen their fellowships based on location and the needs of communities. Ccfp em doc might not even bother with anesthesia because they might nit be at a center remote enough to practice it. Conversely the doc who does gp anesthesia might be remote enough to not need a ccfp em to do emergency.

 

In Toronto, there are a whole bunch of CCFP EMs practicing in the downtown toronto hospitals.

 

I believe the FRCP EMs are still relatively small in number.

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CCFP EM can still get you into big tertiary care centers. St Pauls downtown is staffed by all CCFPEMs (the UBC program is based there) whereas VGH is staffed by all FRCPC emerg. Most community hospitals in and around Vancouver are staffed by CCFPEMs. Bigger community hospitals in Vancouver (RCH, SMH) are staffed by a mix, although I believe new hires are more likely to be FRCPC. I always find this weird, because big centers have a lot more backup. It's a lot harder being an emerg doc in a rural center because you have no backup.

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