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Quality Of Calgary Fm Training?


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On 8/13/2020 at 11:10 PM, Keege T said:

In first year, there are a lot of "ACEs" - ambulatory clinic experiences. They basically send you to a random clinic, often for just a half-day (then you go somewhere else for the other half-day). Very few of these experiences are useful at all. Often the clinic doesn't even know you're coming. It's not enough time to learn any actual medicine, the preceptor just wants to get on with their clinic and feels burdened with yet another resident they'll never see again, and it's a lot of pointless travel and direction-seeking.

They make you submit "field notes" - little feedback forms describing a learning experience from every half-day (!), which preceptors HATE to do because it's just ridiculous. It's awkward as hell asking a busy preceptor for this.

I found they also do quite a poor job retaining good preceptors and dropping bad ones, despite collecting regular feedback from residents. There was a particularly bad preceptor at the Central Teaching Clinic, whom so many residents complained about, that he was finally "encouraged" to take a sabbatical for two years... but now he's back. Surprise. This is just one example. Also, they tend to just assume away precepetor problems by taking it as absolute truth that all preceptors are good, and any problem stems from resident factors. This is unhelpful, and has resulted in major problems for the few residents who were unlucky enough to have a difficult main preceptor, who mentors and evaluates you for the entire two years (people have had extreme problems switching, and have been asked to "work out" their issue with the preceptor, after the issue was apready escalated to program director).

Returning to the first issue, because there is a relatively high proportion of just weaker preceptors in "home clinics" (academic teaching clinics where residents work 2-3 days a week for the entire two years), you just run out of things to learn from them. By the end of the second year, you could end up in a weird situation where you start being more competent than your preceptor at times, yet have to hold back, lest you get on their bad side, or even worse - get slapped with a professionalism issue.

A significant proportion of residents were fortunate enough to avoid all of above issues. There are some home clinic preceptors who are excellent, and you could get lucky/be proactive and get quality rotations for the most part. But there's little recourse to help if you run into any problems, and a high chance you'd end up with many mediocre rotations and have a bad time in home clinic.

 

 

I was also told to avoid Calgary FM program for these reasons and apparently given the situation in AB some FM grads have to practice in a rural area after graduation...

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39 minutes ago, insomnias said:

I found this post written by a U of C FM grad which suggests their admin isn't the best, echoing above comments. https://www.**DELETED**.com/r/Residency/comments/kke63n/suing_your_residency/

The link no longer exists. Can you tell us the story?

I have heard not so great things about the Calgary FM program, I was even told by few residents that it may be the worst in country and to avoid it if possible. Can you share details?

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5 minutes ago, last min switch said:

The link no longer exists. Can you tell us the story?

I have heard not so great things about the Calgary FM program, I was even told by few residents that it may be the worst in country and to avoid it if possible. Can you share details?

It does, just can’t write out the main website name on here. Starts with an R and ends with a t. Rhymes with meddit. Interesting story. 
tldr: had to do an extra year of residency while fighting admin that they weren’t deficient due to one preceptor near the end who went out of their way to try snd fail them, admin never looked at their records stating they were an amazing resident by other preceptors. 

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35 minutes ago, IMislove said:

It does, just can’t write out the main website name on here. Starts with an R and ends with a t. Rhymes with meddit. Interesting story. 
tldr: had to do an extra year of residency while fighting admin that they weren’t deficient due to one preceptor near the end who went out of their way to try snd fail them, admin never looked at their records stating they were an amazing resident by other preceptors. 

ok, yikes! I feel sorry for them, but I think they should move on!

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14 hours ago, IMislove said:

It does, just can’t write out the main website name on here. Starts with an R and ends with a t. Rhymes with meddit. Interesting story. 
tldr: had to do an extra year of residency while fighting admin that they weren’t deficient due to one preceptor near the end who went out of their way to try snd fail them, admin never looked at their records stating they were an amazing resident by other preceptors. 

No idea if Calgary family is good or bad but that is a one sided story of someone who has clearly been struggling with mental health issues that affect their performance. It's a shame the program forced them to do strict remediation stuff instead of seek counselling/mental health support which would likely have been more beneficial in the long run.

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Would most residents say that these situations are rare? And do most people in FM residency actually feel supported? I would rather be doing most learning "on the job", ie. while in clinic, rather than trying to learn the bulk "after hours" - is that possible or naive? It's not just that I feel that hands-on learning is best, it's also because I want to have as much family time as is possible in residency. I'm trying to learn as much as possible from people's experiences/anecdotes/perspectives, so I would appreciate any insight!

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On 2/15/2021 at 1:22 PM, Deferred said:

Would most residents say that these situations are rare? And do most people in FM residency actually feel supported? I would rather be doing most learning "on the job", ie. while in clinic, rather than trying to learn the bulk "after hours" - is that possible or naive? It's not just that I feel that hands-on learning is best, it's also because I want to have as much family time as is possible in residency. I'm trying to learn as much as possible from people's experiences/anecdotes/perspectives, so I would appreciate any insight!

Before carms I was told by a Calgary FM resident that if they could give me one piece of advice it would be to *not* apply to the Calgary program because of how negatively they felt about it. This person seemed like a rational, reasonable human being and I don't think they had a particular vendetta against the program, I think they just truly believe that it is not a good program to train at. Whether or not this is how the majority of residents feel I'm not sure. I have heard that in general the program is quite "chill" and a lot of residents enjoy being in the program, but if you are wanting to seek out more opportunities/experiences (esp if you want to apply to a +1) that it can be difficult and you have to be really motivated to do so, otherwise it sounds like it's pretty easy to just coast along. Given your concerns above this might not actually be a bad thing for you if you are planning to practice in an urban FM clinic.

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11 hours ago, psychsohard said:

Before carms I was told by a Calgary FM resident that if they could give me one piece of advice it would be to *not* apply to the Calgary program because of how negatively they felt about it. This person seemed like a rational, reasonable human being and I don't think they had a particular vendetta against the program, I think they just truly believe that it is not a good program to train at. Whether or not this is how the majority of residents feel I'm not sure. I have heard that in general the program is quite "chill" and a lot of residents enjoy being in the program, but if you are wanting to seek out more opportunities/experiences (esp if you want to apply to a +1) that it can be difficult and you have to be really motivated to do so, otherwise it sounds like it's pretty easy to just coast along. Given your concerns above this might not actually be a bad thing for you if you are planning to practice in an urban FM clinic.

this is really interesting - i felt their PD during their info sessions was so motivated to hear feedback and make changes based on resident feedback. and they seemed like they really cared about their students. i realize its an info session meant to promote their program but genuinely i had a good vibe. i've also heard similar rumours but i'd rather match to calgary FM than go unmatched so..

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1 hour ago, bellejolie said:

this is really interesting - i felt their PD during their info sessions was so motivated to hear feedback and make changes based on resident feedback. and they seemed like they really cared about their students. i realize its an info session meant to promote their program but genuinely i had a good vibe. i've also heard similar rumours but i'd rather match to calgary FM than go unmatched so..

I'm just relaying something I heard from a resident, definitely not the gospel. I personally didn't apply to Calgary FM, partially because of the reputation but also partially bc they have a history of not ranking or often even not interviewing seemingly qualified applicants, so I didn't want to waste my time. But obviously each person has their own decision to make

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On 2/17/2021 at 8:22 PM, birdy21 said:

Before carms I was told by a Calgary FM resident that if they could give me one piece of advice it would be to *not* apply to the Calgary program because of how negatively they felt about it. This person seemed like a rational, reasonable human being and I don't think they had a particular vendetta against the program, I think they just truly believe that it is not a good program to train at. Whether or not this is how the majority of residents feel I'm not sure. I have heard that in general the program is quite "chill" and a lot of residents enjoy being in the program, but if you are wanting to seek out more opportunities/experiences (esp if you want to apply to a +1) that it can be difficult and you have to be really motivated to do so, otherwise it sounds like it's pretty easy to just coast along. Given your concerns above this might not actually be a bad thing for you if you are planning to practice in an urban FM clinic.

Thanks for your reply! Yes it might be better suited for someone like me, interested in more family time outside of hours and no +1. Although not so much if you’re not trained well, I think maximizing learning during work hours is what I meant. I still have lots of time to check out the program and learn more. Thanks again 

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