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Devastated since CaRMS 2014


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Mad because someone younger than you succeeded? You should be mad because you didn't do enough at a high stakes game. Prepping to go to war and all, it sounds like you're very motivated which is good (and necessary) but your frustration is likely a little misguided.

 

No where did I mention age, you are the one that brought that up. I mentioned "immature" and "kid." If you think only young people can be immature or "kids" that is your problem, not mine. Matching is not success in itself, finishing the residency and nailing the royal college exam at the end of 5 years is success. We will see.

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This is just getting ridiculous now. Since when does personally attacking people show character?

 

And let's get something straight: not matching to a competitive speciality is NOT a sign of weakness. CaRMS is a game of luck and nothing more. Some people play different stages of the game better. We all know great people who are and will make great physicians who did not match. So let's get off our high horses and not put down people anonymously on a forum. Post if you have something productive to say.

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Transfer is going to be even more hard for transferring with only 2 years of funding (2 yr pgrm to 5 yrs), I doubt it can ever materialize. Can you self fund for the remaining 3 years?

 

You absolutely CAN transfer from a 2-yr program to a 5-yr, I know someone who did. That was a few years ago, so I cannot tell you how exactly it was done or whether the same route is an option, but it's possible. Look into it.

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You absolutely CAN transfer from a 2-yr program to a 5-yr, I know someone who did. That was a few years ago, so I cannot tell you how exactly it was done or whether the same route is an option, but it's possible. Look into it.

 

The other program has to want to take you, which means you need to devote time to networking.

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I've contemplated writing step 1 and 2 CK and CS in next few months. The issue still is being "released" from the shackles of contract with FM program.

 

The US route is not as easy as it sounds:

(1) You need to do elective rotations. Most people start applying for electives in competitive specialties in Dec/Jan. I think it's even harder to get an elective once you have graduated from medical school. You may be able to get "an observership," which is glorified shadowing. How will you shine if you are just following someone around?

(2) Residency selection is highly based on Step 1 score. Do you still remember the picky useless details from the basic sciences? Can you get a great score? It's not as easy it sounds. People spend months studying all day long for this test. Will you have time to devote in your internship year?

(3) Visa problems. This is a big one. Most residencies don't sponsor visas. The ones that do are super competitive. You will competing with the elite from all over the world.

(4) US Match is much more competitive compared to couple years ago. Careful of advice from others about things that may have worked couple years ago.

(5) For some reason, people recognize Mcgill as "the canadian school". If you don't go there, you go to just another school.

 

 

IMO, Canadian match is your best bet. Good luck.

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No where did I mention age, you are the one that brought that up. I mentioned "immature" and "kid." If you think only young people can be immature or "kids" that is your problem, not mine. Matching is not success in itself, finishing the residency and nailing the royal college exam at the end of 5 years is success. We will see.

 

I apologize for thinking "childish immature kids" meant young! Let alone triple young! And I obviously wrongly assumed you inferred that they went to a 3 year medical school.

 

Either way, it's a waste of your time to think about THEM. Think about why you didn't match, and what is going to make you a better applicant next year.

 

CaRMS isn't really about luck. Blaming luck negates the successful candidates hard work and preparation.

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I apologize for thinking "childish immature kids" meant young! Let alone triple young! And I obviously wrongly assumed you inferred that they went to a 3 year medical school.

 

Either way, it's a waste of your time to think about THEM. Think about why you didn't match, and what is going to make you a better applicant next year.

 

CaRMS isn't really about luck. Blaming luck negates the successful candidates hard work and preparation.

 

Let's not kid ourselves here. It's partially about luck, the same way medical school admissions are about luck (lots of people with 4.0 GPAs and 35 MCATs apply, but a lot of them don't make it for whatever reason).

 

Hard work and preparation is necessary but not sufficient for matching well, unless you're going into pathology, in which case you can ride easy.

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I would think that for an opthalmology gunner not making it in must be the most painful thing. Here in London, ophthalmologists seem to make a killing. And someone posted on the board that a ophthalmologist in Peel billed more than 6 million. And that many ophthalmologists in the US were billing in excess of 5 million to medicare alone. These guys make mad cash. Dreams of making millions in a prestigious field disintegrating to making only a few hundred thousand in a field with longer hours (family medicine) must be the most painful thing.

 

But what's funniest is that a small group of people decides who should get in and who shouldn't. A family friend who is a resident here said that the local program selected a resident that couldn't even pass the mccqe exams and the royal college exam - but still works without a license probably making a fortune.

 

Mad cash in opthalmology man. Mad cash.

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You absolutely CAN transfer from a 2-yr program to a 5-yr, I know someone who did. That was a few years ago, so I cannot tell you how exactly it was done or whether the same route is an option, but it's possible. Look into it.

 

usually it is because some one else, somewhere else transferred into family as I understand - which is not that uncommon as it happens. The remaining funding doesn't just vanish :)

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I would think that for an opthalmology gunner not making it in must be the most painful thing. Here in London, ophthalmologists seem to make a killing. And someone posted on the board that a ophthalmologist in Peel billed more than 6 million. And that many ophthalmologists in the US were billing in excess of 5 million to medicare alone. These guys make mad cash. Dreams of making millions in a prestigious field disintegrating to making only a few hundred thousand in a field with longer hours (family medicine) must be the most painful thing.

 

But what's funniest is that a small group of people decides who should get in and who shouldn't. A family friend who is a resident here said that the local program selected a resident that couldn't even pass the mccqe exams and the royal college exam - but still works without a license probably making a fortune.

 

Mad cash in opthalmology man. Mad cash.

 

still works without a licience? ahhhh, I have to doubt that very much I am afraid. And if any doctor (and a resident is a doctor) actually knew that was going on they should have reported it as it is going to end badly for everyone.

 

and we have to be careful about the cash in the field - that looking forward is very likely to drop dramatically and the laser eye surgery field has become rather saturated to say the least. Plus their billings are high but there overhead is extremely high as well.

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still works without a licience? ahhhh, I have to doubt that very much I am afraid. And if any doctor (and a resident is a doctor) actually knew that was going on they should have reported it as it is going to end badly for everyone.

 

and we have to be careful about the cash in the field - that looking forward is very likely to drop dramatically and the laser eye surgery field has become rather saturated to say the least. Plus their billings are high but there overhead is extremely high as well.

 

It seems very much doubtful that high billers will be reined in and the balance redistributed to underpaid specialties. The Canadian ophthalmology society is powerful and would not let cuts occur. The only thing that can determine billing increases/decreases on a broad scale is technological advancement.

 

I have heard of a case where a program left a spot open in the 2nd round for ophthalmology just in case the child of an important faculty member didn't match to their originally chosen field in round 1. The child did not match, and subsequently went to that program.

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In the last round of talks with the ontario government did specifically cut optho's fees disproportionally. There are limits to how much pull these groups have (not that they are powerless of course ) - and optho is in the cross hairs right now. Usually drops don't happen all at once - the government gradually brings them in line. I expect more of this as we move forward.

 

It seems very much doubtful that high billers will be reined in and the balance redistributed to underpaid specialties. The Canadian ophthalmology society is powerful and would not let cuts occur. The only thing that can determine billing increases/decreases on a broad scale is technological advancement.

 

I have heard of a case where a program left a spot open in the 2nd round for ophthalmology just in case the child of an important faculty member didn't match to their originally chosen field in round 1. The child did not match, and subsequently went to that program.

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In the last round of talks with the ontario government did specifically cut optho's fees disproportionally. There are limits to how much pull these groups have (not that they are powerless of course ) - and optho is in the cross hairs right now. Usually drops don't happen all at once - the government gradually brings them in line. I expect more of this as we move forward.

 

The initial suggested round of cuts were severe towards optho but weren't the final cuts lessened and instead spread equally among all specialists?

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It seems very much doubtful that high billers will be reined in and the balance redistributed to underpaid specialties. The Canadian ophthalmology society is powerful and would not let cuts occur. The only thing that can determine billing increases/decreases on a broad scale is technological advancement.

 

I have heard of a case where a program left a spot open in the 2nd round for ophthalmology just in case the child of an important faculty member didn't match to their originally chosen field in round 1. The child did not match, and subsequently went to that program.

 

Doubt its true but who knows.

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In the last round of talks with the ontario government did specifically cut optho's fees disproportionally. There are limits to how much pull these groups have (not that they are powerless of course ) - and optho is in the cross hairs right now. Usually drops don't happen all at once - the government gradually brings them in line. I expect more of this as we move forward.

 

Not just that, ophtho is going to experience the same problem that other surgical specialties are already experiencing: no OR time. New ophtho grads are having difficulty getting more than 2 days a month for basic bread n butter cataract OR. Without OR, an average ophthalmologist is a glorified optometrist (How many ophthoa can actually run a code?)

 

So for me or some other applicants to ophtho its not about money at all but passion, like applicants to any other specialty.

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To suggest that Ophthalmology is as isolated as Dentistry is to the rest of the body is a reflection of your medical aptitude.

 

To make inferences about his medical aptitude from one isolated comment is a reflection of your oversensitive personality. Get real.

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Not just that, ophtho is going to experience the same problem that other surgical specialties are already experiencing: no OR time. New ophtho grads are having difficulty getting more than 2 days a month for basic bread n butter cataract OR. Without OR, an average ophthalmologist is a glorified optometrist (How many ophthoa can actually run a code?)

 

So for me or some other applicants to ophtho its not about money at all but passion, like applicants to any other specialty.

 

They always have the option of investing in LASIK.

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It seems very much doubtful that high billers will be reined in and the balance redistributed to underpaid specialties. The Canadian ophthalmology society is powerful and would not let cuts occur. The only thing that can determine billing increases/decreases on a broad scale is technological advancement.

 

I don't agree with that opinion. In the June 2013 issue of the Ontario Medical Review, the OMA explicitly stated they try to reduce relative inequality in physician pay by giving larger increases to underpaid specialties and reduce (or at least, don't increase) fees for "overpaid" specialists. Perhaps other jurisdictions are happy to maintain the status quo, but it seems Ontario is attempting to slowly balance things out.

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