shimshim Posted May 4, 2015 Report Share Posted May 4, 2015 Should I do this or wait till fellowship. Would age become a matter, is it hard, I would love to hear some thoughts. Link to comment Share on other sites More sharing options...
justletmein Posted May 6, 2015 Report Share Posted May 6, 2015 Should I do this or wait till fellowship. Would age become a matter, is it hard, I would love to hear some thoughts. do it. you will have much better benefits during residency. not easy to do, but you have pretty much no call after 20 weeks. Link to comment Share on other sites More sharing options...
makingfetchhappen Posted May 7, 2015 Report Share Posted May 7, 2015 do it. you will have much better benefits during residency. not easy to do, but you have pretty much no call after 20 weeks. Naive question here. What do you mean when you say you have pretty much no call after 20 weeks? Link to comment Share on other sites More sharing options...
rmorelan Posted May 7, 2015 Report Share Posted May 7, 2015 under most of the residency agreements there are rules about doing call late in pregnancy. You are basically relieved of call because it is simply not healthy or safe to have a say 35 week pregnant women running (literally) around the hospital for 28-30 straight hours potentially with little to no food or rest. Not helping the patient. Not helping the resident or their team. Definitely not helping the soon to be born little one Link to comment Share on other sites More sharing options...
rmorelan Posted May 7, 2015 Report Share Posted May 7, 2015 Should I do this or wait till fellowship. Would age become a matter, is it hard, I would love to hear some thoughts. I would say do it in residency. The logic being is often the fellowship has additional constraints - not that you cannot get pregnant then etc but the entire point of a fellowship is a very focused intense study of a particular area - often with high level of access to particular area, and the system depends quite a bit on that fellow being there. It is going to mess that up if you are absent for quite some time - and even when you get back you may be find now there is overlap with another fellow as these things start and end at fixed points normally - so now there are two of you hogging the same procedures/cases that would have gone to just one before. It just flows better to do it before I think Link to comment Share on other sites More sharing options...
makingfetchhappen Posted May 7, 2015 Report Share Posted May 7, 2015 under most of the residency agreements there are rules about doing call late in pregnancy. You are basically relieved of call because it is simply not healthy or safe to have a say 35 week pregnant women running (literally) around the hospital for 28-30 straight hours potentially with little to no food or rest. Not helping the patient. Not helping the resident or their team. Definitely not helping the soon to be born little one Oh that is really good! I did not know that. Makes a lot of sense though, because I have heard that taking mat leave during residency is pretty common, and I would wonder how it was possible without things like this. Link to comment Share on other sites More sharing options...
shimshim Posted May 7, 2015 Author Report Share Posted May 7, 2015 Thank you. My concern is this. Since is required by the College to have certain amount such as only 1 month of leave per year which includes Vacation and sick and others, would this cause issues for licensure. So let me tell you guys what is going on. I am in an ACGME residency at a top tier program in USA. According to the ABIM and RCPSC I can not have more than 1 month per year for vacation and sick leave combined. Meaning I need 11 month per year for training. If I do get maternity leave it will be 1 month. Our average work week is 50 to 60 hours, some weeks I worked less than 45. if pushed the most I ever worked was 71. Our calls are capped at 16 hours , but I have never been more than 12 or 13. Our 24 hour calls are capped at 24 with minimum 18 hours break after. I never worked 20+. I am thinking , well I am applying for GI. Our Hospital offers GI and it takes house applicant over others first. Most fellows are pregnant but I noticed all our chiefs who are doing chief year PGY-4/ R4 had kids during residency. This kind of scares me. I want to come to Canada, really miss everything up here. The people, the culture , the health plan, the family and most importantly CaNMED. (Yes , you really appreciate CaNMED and understand what CaNMED truly means when you step down here). So I am kind of scared, what if I end up taking more than one month , what if I get sick during pregnancy, already when I take OCP, each time , I tried OCP any kind I get nauseated to a point that I get so sick I feel like throwing up. So I am scared . If I end up missing time, I have make it up in the chief year. Our Program Director has no problem signing my ABIM exception sheet for me to take the board if I have less than 11 month per year training, but as I understand Royal College has a major issues with this. I was thinking fellowship year since both the ABIM and Royal college only require 18 month of clinical training and the 18 month of research can be skimmed with respect to 3 month off per the 3 years. I know during fellowship I am more focused , but if I end up doing fellowship at my home program I be working 6 hours a day, no call and most research can be done at 6 month time with at home components. Also I am worried about my age, I be in my 30s in fellowships. I just want one kid. Link to comment Share on other sites More sharing options...
makingfetchhappen Posted May 7, 2015 Report Share Posted May 7, 2015 Wow. I knew the States was bad for mat leave, but this is ridiculous. One month is not enough time at all. Babies are pretty much waking you up every two seconds and spending like 6 out of every 24 hours feeding at that point right? I'm not sure how you are supposed to go back to work at that point. I would maybe ask this question on student doctor network as American students would know better. Do you have a union or some sort of group representing residents in your state? If so, call them and maybe ask anonymously. Talk to your family doctor about your fertility. 30s is kind of vague because there is a big difference between day 32 and 37.I'm not a doctor though, you would know better than me. Just my 2 cents, but if being a mother is important to you, I don't think you should need to sacrifice that for your career. It might even be worth hiring a lawyer to help you navigate your options. I'm a lawyer in Canada so I wouldn't be able to help you but I can tell you that is one thing any half decent lawyer can do is to research your options and help you navigate the systems that are in place. You should be able to get this help for like $2-5K max (should be closer to 2). Just be careful who you pick though because there are crappy lawyers out there, especially in the US. Get a referral from someone you know. Link to comment Share on other sites More sharing options...
shimshim Posted May 7, 2015 Author Report Share Posted May 7, 2015 Wow. I knew the States was bad for mat leave, but this is ridiculous. One month is not enough time at all. Babies are pretty much waking you up every two seconds and spending like 6 out of every 24 hours feeding at that point right? I'm not sure how you are supposed to go back to work at that point. I would maybe ask this question on student doctor network as American students would know better. Do you have a union or some sort of group representing residents in your state? If so, call them and maybe ask anonymously. Talk to your family doctor about your fertility. 30s is kind of vague because there is a big difference between day 32 and 37.I'm not a doctor though, you would know better than me. Just my 2 cents, but if being a mother is important to you, I don't think you should need to sacrifice that for your career. It might even be worth hiring a lawyer to help you navigate your options. I'm a lawyer in Canada so I wouldn't be able to help you but I can tell you that is one thing any half decent lawyer can do is to research your options and help you navigate the systems that are in place. You should be able to get this help for like $2-5K max (should be closer to 2). Just be careful who you pick though because there are crappy lawyers out there, especially in the US. Get a referral from someone you know. Wow. I knew the States was bad for mat leave, but this is ridiculous. One month is not enough time at all. Babies are pretty much waking you up every two seconds and spending like 6 out of every 24 hours feeding at that point right? I'm not sure how you are supposed to go back to work at that point. I would maybe ask this question on student doctor network as American students would know better. Do you have a union or some sort of group representing residents in your state? If so, call them and maybe ask anonymously. Talk to your family doctor about your fertility. 30s is kind of vague because there is a big difference between day 32 and 37.I'm not a doctor though, you would know better than me. Just my 2 cents, but if being a mother is important to you, I don't think you should need to sacrifice that for your career. It might even be worth hiring a lawyer to help you navigate your options. I'm a lawyer in Canada so I wouldn't be able to help you but I can tell you that is one thing any half decent lawyer can do is to research your options and help you navigate the systems that are in place. You should be able to get this help for like $2-5K max (should be closer to 2). Just be careful who you pick though because there are crappy lawyers out there, especially in the US. Get a referral from someone you know. Thanks, I asked this on the SDN network, but the answer I am getting is everyone did it with 1 month maternity up to 12 weeks with no pay under disability. I will talk to a lawyer, I am in my early 30s but mid 30s when I start my fellowship. I will have to see, my career is more important but being a mother is a given fact for me since there is no point to build a career for future with no kids. But thank you so much for your reply. It be nice if the kid is born in US since she be dual citizen. Link to comment Share on other sites More sharing options...
JohnGrisham Posted May 8, 2015 Report Share Posted May 8, 2015 Thanks, I asked this on the SDN network, but the answer I am getting is everyone did it with 1 month maternity up to 12 weeks with no pay under disability. I will talk to a lawyer, I am in my early 30s but mid 30s when I start my fellowship. I will have to see, my career is more important but being a mother is a given fact for me since there is no point to build a career for future with no kids. But thank you so much for your reply. It be nice if the kid is born in US since she be dual citizen. I have nothing to add, but just thought it was sweet that you assumed your first born child will be a girl Link to comment Share on other sites More sharing options...
LittleDaisy Posted May 8, 2015 Report Share Posted May 8, 2015 I noticed that some of the residents prefer to have kids after they obtain a position within the university hospitals....Could this be explained that they are worried if they have kids during the residency, it might impact their time and energy to commit in order to make good impressions. I assume that not all the residents could have a job position within the academic hospitals ?? I prefer working in the academic hospitals, since I love teaching med students and doing clinical research if it is possible. Nevertheless, put your family first before your career Should I do this or wait till fellowship. Would age become a matter, is it hard, I would love to hear some thoughts. Link to comment Share on other sites More sharing options...
thatonekid Posted May 8, 2015 Report Share Posted May 8, 2015 I assume that not all the residents could have a job position within the academic hospitals ?? I prefer working in the academic hospitals, since I love teaching med students and doing clinical research if it is possible. Right, at the end of your residency, if the department doesn't have room for a new staff member, you may not be able to get a job at your academic centre. However, I know community specialists who teach and do research. It's not so much about being at an academic centre for those things, as much as having an affiliation with the medical school/university. Link to comment Share on other sites More sharing options...
LittleDaisy Posted May 8, 2015 Report Share Posted May 8, 2015 Thank you for the information!!! I guess that I am kinda a nerdy medical student who would like to be affiliated with academic hospitals for research and teaching... Now I know that at community hospitals, you could have a diverse practice, it opens more doors. Right, at the end of your residency, if the department doesn't have room for a new staff member, you may not be able to get a job at your academic centre. However, I know community specialists who teach and do research. It's not so much about being at an academic centre for those things, as much as having an affiliation with the medical school/university. Link to comment Share on other sites More sharing options...
5th time the charm Posted May 10, 2015 Report Share Posted May 10, 2015 My 2 cents.... It may take longer to get pregnant than anticipated If you are trying to get into a canadian residency? I'm not sure from your post....you can have up to 3 months of residency time excused that you don't have to make up which though is at the discretion of the program director from what I understand Most residents I know in this situation took off a year and in ontario Atleast the benefits are very generous and would definitely be better than anything you may get when out in practice. If and when you become a mom it may change your perspective somewhat on how quickly you want to return to work. The program can and will wait, but the milestones with your child will only come around once and you don't want to miss being a part of that. There is a med mom blog that birdy on this forum knows of that may help you as well Link to comment Share on other sites More sharing options...
5th time the charm Posted May 11, 2015 Report Share Posted May 11, 2015 Mothersinmedicine.com Interesting blog on why you absolutely have to have a baby in residency Link to comment Share on other sites More sharing options...
shimshim Posted May 11, 2015 Author Report Share Posted May 11, 2015 I was thinking during fellowship. I am already in Residency. Link to comment Share on other sites More sharing options...
5th time the charm Posted May 11, 2015 Report Share Posted May 11, 2015 Probably much easier to do this during fellowship even instead of when you are on staff somewhere My family doctor friends had to pay a locum to cover their practice so it can be expensive when you are on mat leave and mat benefits aren't the greatest when out in practice. I think our mat benefits paid up to 13 wks, no where near what a resident or fellow may get through EI with the top up so as to get by my recall (ontario) 85% of your pgy year salary. Link to comment Share on other sites More sharing options...
shimshim Posted May 11, 2015 Author Report Share Posted May 11, 2015 I totally understand I believe it will be easier also in fellowship. Link to comment Share on other sites More sharing options...
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