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Why McMaster?


Guest PDSP

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Guest PDSP

Ok, I've asked this question in the other forums, but McMaster is probably the most different from any of the other Ontario schools. So, what is that drew those of you who are Mac to Mac's medical program? What type of person tends to do well in Mac's program? On the other side, what type of person tends to struggle with the structure?

 

As well, I do have a few particular questions related to McMaster.

 

1. Do you question whether or not you know enough, whether or not you know as much as students from other schools?

 

2. Do you have concerns for the licensing exams, given that the McMaster does not have similar tests throughout its program?

 

3. How do find the quality of the small-group tutors? Are these tutors generally physicians?

 

4. Have you encountered unfair bias against you as a result of being from McMaster? (i.e. when other electives at other schools)

 

5. How effective are the early clinical electives? That is, how well can you perform having not completed core rotations?

 

6. What type of financial aid (bursaries) is offered by McMaster? (i.e. average per student)

 

7. Is the "Back-to-basics" unit designed to prepare students for the LMCC exams? Is it true that many Mac students attend U of T's review lectures?

 

8. What's there to do in Hamilton for fun?

 

 

Thanks for your help.

 

PD

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Guest macdaddyeh

Hey PDSP:

 

So, I've seen you post similar questions across the board. I am curious to know if you are just curious or have you been fortunate to be granted acceptances at a number of school already? If it is the former, I think you've brought forth some legitimate, insightful questions and if it is the latter, congratulations and happy picking.:eek

 

Just to help you out a little bit (remember I'm still a pre-med only), *most* of my friends in med school (and I have quite a few) took the following factors into account 1) reputation of school (open to interpretation, of course) 2) curriculum (ie. I've met a number of people who are frankly scared silly of Mac's self-directed, PBL type curriculum, and chose U of T or Western).

 

Interestingly enough, cost has not been a factor for most of my friends nor has proximity to family...it mostly boiled down to the quality/reputation of school and its facilities (which is why a HUGE number of my friends chose U of T--which BTW I'm not necessarily endorsing so don't read this the wrong way).

 

I think that for those who are blessed with multiple options, one should honestly look at the big picture including the quality of living in the city where the med school is located. I have a friend who is VEHEMENTLY opposed to living in Hamilton if she gets into Mac b/c she thinks Hamilton is disgusting (opinion not necessarily shared:p ), and would rather attend U of T simply for the dynamics of the city, and she is also against commuting!

Funny what factors affect one's choice, but your comprehensive list really is thought provoking and I applaud your foresight!

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Guest PDSP

Hey Macdaddyeh:

 

I am still awaiting the mail delivery from each of the schools, but I did receive an offer from Ottawa. At this point, I am in the "what if in the world I get more then one offer" stage. Given that we have to respond in less than two weeks, I figured I'd get the ball rolling now and start some conversations.

 

I agree with your comments regarding Mac. The big question I have is, "what if I don't learn enough?" and "how do I know I've learned enough?" Coincidentally, the latter was one of the 15 questions on the application. If I can't answer it now, I wonder what I put down on the application! But in addition to this concern, I've heard "the good 'ole rumors" about Mac. That is, concerns from other institutions about not knowing how to evaluate a Mac student and the observations of seeing a wide variability in quality of its graduates.

 

In the end, I don't think financial considerations will play a huge role in my decision process (unless some school offers me that full scholarship with stipend and new car deal - now which school was that again?). The only school to which economics makes a significant difference is Mac. Due to the shorter program, it is one less year of expenses and one more year of earnings (immediate savings of $45K!! ). But, a decision to choose Mac based upon this fact will most likely lead to an unhappy educational experience.

 

Besides Mac, did you interview elsewhere in Ontario?

 

Good luck tomorrow!!

 

PD

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Guest jmh2005

1. Do you question whether or not you know enough, whether or not you know as much as students from other schools?

 

I have not questioned this in the least...when i chat with other med students, I seem to know just as much as they do when we are talking about subjects we have both studied. However, I haven't had that much direct interaction with other med students clinically yet, so it's a bit hard to answer..

 

2. Do you have concerns for the licensing exams, given that the McMaster does not have similar tests throughout its program?

 

I have no concerns about this...we DO have similar tests throughout the program that are almost identical to the 1st part of the LMCC, they are called PPIs (Personal Progress Index). 180 multiple choice LMCC-level questions...the 1st time I wrote it I got 15%!!! The goal is to steadly improve, the questions are hard but I have seen very consistent improvement in my scores (improvement is really all that matters, not so much your score, but you are compared to a 5 year mean for the last 5 classes)...so, no I don't have any concerns over the LMCC...if you look at the stats Mac actually has one of the highest pass rates out of all the Cdn med schools.

 

3. How do find the quality of the small-group tutors? Are these tutors generally physicians?

 

I have been fortunate, I have had 3 great tutors. Other people haven't been so lucky. Just like in life, there are those that are good and those that are not so good...definately the good far outweigh the bad and they do try not to ask back those tutors who were not well received.

 

My unit 1 tutor was a PhD in clinical biochem...he knew a tonne about medicine in general..you don't necessarily have to have an MD (especially in unit 1) but it does help when you get stuck on an issue in Unit 2 or 3, more system-based units...

 

4. Have you encountered unfair bias against you as a result of being from McMaster? (i.e. when other electives at other schools)

 

I again, haven't found this to be a problem myself. It can be a bit tricky when you want to do something in Toronto and don't know an MD personally who will agree to take you. U of T doesn't really like other med students in their spaces unless they are clerks and even then...but if you do have a doc who will take you, it doesn't matter in the least!!

 

5. How effective are the early clinical electives? That is, how well can you perform having not completed core rotations?

 

I have only done horizontal electives up to this point. In 3 weeks I will start block electives...so, I can't really say...I'm doing ER, which is very general and then some surgery and ob which I know nothing about...I see the latter as an opportunity to get some hands on early on and use that to my advantage later on when clerkship rolls around...you just need to honest with your level of education and experience...the doc's will accept that...

 

In terms of horizontals...in week 2 you are matched up with a local (or not so local if you choose) Family Physician to spend either 6 or 12 weeks (or longer) with them (if you want, some die-hard surgery types chose to for-go this experience, and later regretted it)...1/2 day each week...a great experience...I actually stayed with mine until the end of January...she was awesome...at first I watched her, then gradually she let me take histories and as I learned physical exam skills she would allow me to practice what I learned, let me give needles/flu shots...It was great...

 

I have also done one in ER...again same thing...observation initially...now I see my own patients, order labs and XRs (after confiring with my preceptor of course..)...you can really build your knowledge and skills and early on. I feel confident going into my fulltime block electives and can't wait to learn more!

 

6. What type of financial aid (bursaries) is offered by McMaster? (i.e. average per student)

 

The bursaries at Mac are tops in Ontario...the average student received $6125.00 each this past academic year... NOW...if you are married and your spouse has a good/very good income do not expect anything...I was one of the very few to receive no OSAP and no bursary funds...

 

7. Is the "Back-to-basics" unit designed to prepare students for the LMCC exams? Is it true that many Mac students attend U of T's review lectures?

 

What you I think are describing is Unit 6 the unit post-clerkship...this is not really 'back-to-basics'...lots of LMCC review lectures (and yes, some people do go to UofT for their lectures, but not the majority) that are great...but the focus is also on professional issues, ethics, the business of medicine, legal responsibilities...etc...the LMCC lectures are tailored for the exam, not so much of 'this is the kidney, we have 2 kidneys'...

 

8. What's there to do in Hamilton for fun?

 

Well, I don't live there anymore...but I did for 6 years during undergrad and post grad...the West part of the city is very nice, clean and accessible...I wouldn't give you 2 cents for the north and east parts of the city, but you will rarely ever go there (mind you the General is on Barton in the north end...but an amazing hospital...)... Westdale is beautiful as is Dundas and Ancaster...the Mac campus is great as well...lots of bars, nature trails (rail trail-biking, running), lots of nice coffee shops/food places (Bean Bar)...go visit the area of the university...it is actually very nice, I loved it when I lived there!! Hess Village is great in the summer...10-12 outdoor patios, so much fun and the food is good too!!

 

Well, I hope that helps...I'm very biased...I love McMaster...you need to find the school that is RIGHT for you however...

 

Ask yourself...

1. are you more into the pure sciences?

2. do you like people lecturing to you 3-5 hours per day?

(*if so, perhaps UofT, Western, Ottawa (UofO does have a nice balance from what I hear) are more up your alley...)

 

3. do you wish to see patients and have clinical encounters early in your training?

4. are you comfortable in only sitting in lecture between 5-10 hours/week?

5. do you like the more clinical aspects of medicine and like to see how science applies in these situations?

(*you might like McMaster's approach a bit better...)

 

The other thing to be said...McMaster and the study of medicine in general is really what YOU make it to be...there is alot of direction at Mac in contrast to what the perception is out there...every PBL problem comes with specific objectives that you need to cover...you are given handbooks for each unit with all the things that you are expected (and required) to know by the end of each subunit and unit...

 

We also have tests/exams! Besides the PPI I mentioned, we have OSCEs (it's on Tuesday night...I should be studying...) and written exams as well (our end unit exam is one week from tommorow), so you can really judge how you are doing..we just don't get As, Bs, Cs, etc...

 

I hope that helps, best of luck to everyone and for those of you who have a choice, pick the school that IS RIGHT FOR YOU!!

 

Good luck to all!!

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Guest macMDstudent

1. The practice of medicine is frought with uncertainty. Anybody who says they know everything in medicine is either a liar or a fool. Anybody who is in practice today that graduated medical school more than five years ago is horribly out of date if they do not do continuing education. Five years ago HRT was medicine's gift to menopausal women. Today???

 

Every practicing physician must live with uncertainty, so don't kid yourself that what school you go to has anything to do with how well you will perform as a clinician because you had a full course in pharmacology or genetics. Medicine is always changing.

 

Therefore in my opinion, medical school should give you a good basis of knowledge, but more importantly prepare you for a life in an ever changing field. A medical graduate should know where and how to find the relevant information, and have the basic understanding of mechanisms that is required to read a medical textbook or journal article. Nobody can memorize everything. This is (in my opinion) the fundamental underpinning of the Mac "way." We learn to be practicing physicians in our residencies anyway, which is a clinical teaching model similar to the whole undergraduate experience at Mac, but of course with far more emphasis on clinical experience than textbook learning or "paper problems."

 

I also feel that any clinical clerk at any school just starting each rotation will quickly realize that they know next to nothing, based on my discussions with current clerks and with practicing physicians who remember what that was like. Then you repeat that humbling experience again as a resident. Medical school is only the start of a medical education, not the end.

 

Incidentally, many of my friends are practicing physicians, all of whom went to U of T or Western. When I spend a day observing them in their office with patients they are amazed what a first year student at Mac has been exposed to. We have gone through the pathophysiology, clinical presentation, differential diagnosis, laboratory testing, and management of each condition we have done a problem on, and I was able to have a reasonable discussion with them about their patients that were similar to what I have studied in PBL so far. At that point in their medical education, they were still looking through microscopes getting ready for histology bell ringers and memorizing biochemistry pathways. Who knows more of what? At what stage? What is more relevant? Each student has to decide for themself.

 

2. Not true that we don't have tests. Every 3 months we have the Personal Progress Indicator (PPI) which is a 180 question exam based on the MCCQE (LMCC). Every student in the program from first to third year writes the same exam. The idea is to get practice writing exams and also to see your grade improve each time as you go through the units. People who do poorly may have to go into extra tutoring sessions.

 

We also have an end unit "Critical Reasoning Exam" which is short answer based on 3 months work. It is quite challenging.

 

The last couple years Mac grads have done exceedingly well on the LMCC. Anybody who fails probably only has themselves to blame no matter school which school they went to.

 

3. Generally the the tutors are good, most are physicians, many are specialists in the area of the unit we cover in that particular unit. Some are Ph.D.'s (eg. clinical chemistry). Some are residents. How good they are very subjective. Two people in the same group may have a very different opinion on the same person. Most do try hard to provide a good learning environment, I have found. A one to six teaching ratio gives lots of chances to have questions answered and garner some pearls of knowledge that only experience gives.

 

4. Personally, no, I have not experienced a Mac bias against me. Most physicians I have contacted to do electives have been very positive. I have heard of some difficulties at the institutional level at other med schools of Mac students getting electives until they are clerks, but I have no personal experience with that.

 

5. The family medicine elective in the fall certainly was like trying to learn how to swim by being thrown in the deep end. But I found I learned a lot and even after a few weeks of half days in the office; and more and more started to make sense. Most preceptors are aware of what stage you are at and don't put you in uncomfortable situations. However, as you progress and have been in school for awhile, they will quiz you more. They will often give you a good reference to check out on something and quiz you again next time you're back.

 

Don't forget electives are just that: elective! During units 1, 2 and 3 you can pick what you want with who, and you don't have to do any if you don't want to. Therefore, it is easy to find a recommendation from a classmate or from the evaluations of preceptors that students in all past years have done and are kept on file in the elective office. That way you should be able to find someone in the area of interest that is good and will take a Mac student.

 

SARS was brutal because all electives stopped and we were just doing academic PBL, which I found incredibly boring.

 

Electives are mandatory for us for 8 weeks this summer full time. There are also many elective blocks in clerkship that are mandatory. We still get to pick where, what and who we do it with though.

 

6. Mac gives the most bursaries of any med school in Ontario to its students, an average of over $6,000 each. Unfortunately, not everybody got one but a very high percentage did. Bursaries do not have to be repaid. OSAP is the same as any medical student, I would imagine.

 

As mentioned, the program is one year less so that also saves one year of tuition and living expenses compared to other schools.

 

Although it seems hard to believe at over $15,000 next fall, the tuition at Mac is one of (or is the lowest I think) of any med school in Ontario.

 

7. I have no idea about LMCC prep, as I am in first year. Of course, any way of learning that a student finds helpful should be accessed, including lectures (wherever they may be). I'm assuming the U of T students needed the lectures to prepare as well? I don't see the fact that some students went to lectures meant for U of T students as a statement about Mac in general. What does it say about the U of T students that they needed the lectures too? All medical students have to study hard for the LMCC, no matter what school they are from. How they do that is up to them.

 

If those Mac students in their self assesment realized that they learn well by attending lectures and they also realized they had a lot to learn for the LMCC, then more power to them for finding out about the lectures and getting to them. I don't think all Mac students would feel that need, though.

 

8. I don't live in Hamilton, I commute in. I don't know anything about the city (except where all the hospitals are!). Sorry!

 

Many classmates and residents are commuters from Ancaster, Dundas, K/W, Oakville, Guelph, Toronto, Niagara region etc. Don't feel like you have to live in the Hammer to go to Mac!

 

All in all, my feelings so far is that the whole experience for me has been excellent. I like the independent learning and having the freedom to make my own schedule for the most part, rather than being in hours of lectures each day. The medical library proxy server gives us on-line access to over 2,000 full text journals and many, many textbooks from home. I have not had to spend many hours in the library at all. I do almost everything at home. I like seeing patients, so having the flexibility to do electives is great.

 

I think medicine is probably more fun to learn at Mac and also probably less competitive and stressful without all the "memorize and regurgitate" exams all the time. Many of my classmates have commented how they are having such a great time in med school, learning lots and feeling less stress than undergrad!

 

Please note that everying in this post is a personal opinion and in no way reflects an "official" remark on the part of McMaster. I want people to be aware that I am not trying to put down other schools, I am only trying to show how the McMaster exerience is different. I think whatever school you go to, you will get an MD, pass the LMCC and have a good chance at whatever specialty you want. But if you are not prepared for the Mac system, you may find it incredibly frustrating. If you are ready for it, you will have an incredibly rewading, enriching experience, that what you get out of it is a direct reflection of what you put in!

 

Good luck!

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Guest UWOMED2005

Nice posts. . . but I would like to point out it isn't just McMaster that allows patient contact in first year anymore (though I think this was the case in years gone by.) I might not have had access to a patient the first day, but by mid-October of my first year I'd been in a clinic for an afternoon and scrubbed into an orthopedic surgery, where I actually had a hand in the actual procedure! Many of my classmates had similar experiences, if not participating then observing (it totally depends on the doc and their level of confidence in you.)

 

Last year I was convinced by other Western students we were the only students given such an opportunity. It's now my impression (having talked to students from other schools) that pretty much EVERY school in Ontario offers similar experiences, just by a different name (elective, horizontal elective, observership, playing hooky. . .)

 

But yeah, we do have more class time. 1st years get 1 day off for electives, but you can skip classes if you find something more interesting to do. :D

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Guest everyoneloveschem

Okay, so when you do electives at Mac, can you do them with anyone, or is it with a GP? Could you do one with a OB-GYN/surgeon, or is that highly unlikely?

 

What percentage of people in your class do actually live in Hamilton? Now I'm a little distressed. What if I get in and I move down there and I can't meet anyone because they either are never around (commuters), or already have family/friends, that would suck!!!

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Guest k8termd

Everyoneloveschem:

-you can do electives within any specialty you want, it doesn't have to be a GP. During Unit 1, every first year student is placed with a family doctor for either 6 or 12 weeks (usually 1 morning a week). This is completely optional, but most people do participate because it is such a great learning experience. Keep in mind that you can do other horizontal electives in Unit 1-4, you just set them up yourself. Most physicians are quite willing to take you on, especially if they are Mac grads. One girl in my Unit 3 group has done 12 horizontal electives so far this year in things like peds surgery, general surgery, family, radiology... Personally I have only done 2, family medicine for 12 weeks and I am currently doing an emerg elective that I plan on keeping until I finish medical school.

- Most of our class lives in Hamilton. Those that do commute (like myself) usually have established lives elsewhere (a spouse who commutes somewhere else, kids etc...). You will have no problem finding people to hang out with!! The social committee here is great setting up events and a lot of the commuters often try and make it some of the events!

 

My thoughts on the other questions briefly:

1. Do you question whether or not you know enough, whether or not you know as much as students from other schools?

- only at the beginning of unit 1 when I was getting used to the PBL process. Now, I don't worry about it. If I don't understand something or haven't had a chance to read it on my own, someone in my tutorial group usually has and can bring me up to speed. That is the beauty of small group learning!

 

2. Do you have concerns for the licensing exams, given that the McMaster does not have similar tests throughout its program?

- see above posts, we do have similar exams. I have no concerns with the licensing exams, for the reasons already stated by macmdstudent and jmh

 

3. How do find the quality of the small-group tutors? Are these tutors generally physicians?

- I have had 2 PhD's and 2 physicians for tutors. I have had great tutors so far, but each one has been very different. All of the tutors have been great at facilitating and jump in only when necessary. Some tutors hang back more than others, some really push to grasp a concept when they do jump in. Overall my experiences have been fantastic! I have found all of my tutors to be very concerned about my learning and more than willing to put in extra time to help out the group in any way.

 

4. Have you encountered unfair bias against you as a result of being from McMaster? (i.e. when other electives at other schools)

- I have never encountered this myself, but I have heard "rumors" that we are looked at differently at other schools, mainly because they don't know how to compare us to other students. Other schools don't seem to understand the structure of our program. Keep in mind that in past years mac students have matched to residency positions at pretty well every school in Canada and in competitive specialties.

 

5. How effective are the early clinical electives? That is, how well can you perform having not completed core rotations?

(Definitions: a horizontal elective is one you do throughout the regular year for a variable amount of time, usually one morning or one day a week. A block elective is done all day everyday and not during regular unit learning. Block electives are done in the summer after first year and periodically throughout clerkship.)

- see my above comments. Your preceptors are well aware of what level of learning you are at. Most horizontals are not evaluated (IE they don't go on your transcript) so they are purely for your own learning. Many students choose horizontals that correspond to the system they are working on. For example in the cardio unit they do cardiology. A great way to consolidate your learning! Block electives are evaluated but preceptors are again aware of what level of learning you are at. You choose what you want to do in block electives as well so depending on what you want to get out of them (a new experience or to solidify something you missed elsewhere) they are effective. (keep in mind I haven't done a block elective yet, but this is what I understand from upper years)

 

6. What type of financial aid (bursaries) is offered by McMaster? (i.e. average per student)

- very good! see other posts

 

7. Is the "Back-to-basics" unit designed to prepare students for the LMCC exams? Is it true that many Mac students attend U of T's review lectures?

- macmdstudent and jmh convered these well...

 

8. What's there to do in Hamilton for fun?

- I also commute so I am not that familiar with the city but jmh hit many of the main highlights of hamilton

;)

 

I love McMaster and the experience it has given me. I did a different health profession in the traditional lecture style prior to medicine and I am quite confident in saying that I much prefer the Mac PBL approach.

Good luck everyone in your application results and in your decisions!

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Guest macMDstudent

It's true that early patient contact is now the norm at nearly every medical school. I didn't mean to say that we were the only place doing that. I do think, though, that at Mac it is pretty well understood by the faculty that med students are going to call up and ask to spend some time with them, even as year 1 students. For the most part they are accommodating. We usually have about 1-2 days off per week without anything scheduled to be used for studying, electives, whatever.

 

These electives can be in anything in first year. Family medicine is one that the administration will organize for you in September for either 6 or 12 weeks, a day or half day per week. That shows you how the system works. After that, you can organize anything you want. You just have to find a preceptor that will take you (elective office has huge binders full of names) call them up and make all the arrangements yourself.

 

People I knew found themselves suturing at a surgical elective. Others were in the trauma suite (actually, one student was given a pager by the trauma team so he could come in when a case arrived by helicopter). A lot of people did ER. Some people that are focused on competitive residency positions started doing electives in those fields right away (ENT, urology, dermatology, opthamology). I'm not sure that is the best way to get a well rounded medical education, but they seem to have a specific goal in mind.

 

As far as living in Hamilton goes, by far and large, most of our class lives in Hamilton, most seem to be in Westdale (right by Mac) or downtown near one of the other big hospitals, St. Joe's. Only a minority actually commute. Although I listed a number of places people commute from, if its only one or two from each spot, that still means over 100 people in the class live in Hamilton.

 

As for the age/family thing, I think more than 70% of our current class is under the age of 26. Some of us are older and have families of our own and can't really get too involved in the social scene at school; but we again are the minority of students. Most people came here from somewhere else, moved to town and get involved with lots of social activity within the class.

 

Check the link for our class stats: www.fhs.mcmaster.ca/mdpro...s_2005.pdf

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Guest UWOMED2005

Hey MacMDstudent,

 

I mean absolutely no offence by this, but I just have to point out that. . . well, it's also well understood by the UWO faculty as well that our students will be doing the same thing in London! I've heard very similar experiences to those you describe from numerous students at UWO. . . in fact there's nothing you've described there I haven't heard of someone at UWO experience. Well, maybe not the pager bit, but I was offered the opportunity to have an ophthalmologist call me at home if he had any emergency retinal detachments to repair.

 

I think the fact is we know very little about what goes on at other medical schools, and I know with UWO at least occasionally leads to rumours such as "we're the only school to X" or "our program is the best for Y." I've learned from interacting with other med students here that many of those rumours are unfounded. I remember posting last year that ours was one of the few schools that allowed electives in first and second year. . . until someone from Queen's posted that their "observerships" were pretty much the same thing as our "electives."

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Guest jmh2005

Hey UWO2005,

 

Sorry, I guess we had better get our facts in order...thanks for the clarification on early clinical contact. Every school seems to be doing this now (which I think is great) it just may not have the official title of somesort of "elective".

 

Thanks!

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Guest UWOMED2005

No probs, as I said. . . I've heard UWO students and even faculty sell that as a "strength of Western." Just shows how little we really know of each other's programs!

 

Actually, on that note I wonder if you read that article last year in Macleans on the revolution in medical education. If I remember it correctly, it was claiming Mac was leading a new revolution to providing medical education in small centres. I found the article kind of hilarious, because everything being attributed to McMaster was also happening at UWO with our SWOMEN and SWORRM rural medicine programs. There wasn't a single thing mentioned in the article that Mac was doing that Western wasn't as well, and yet the whole article was about Mac and its "revolutionary" new medical education delivery system.

 

I'll repeat though. . . you guys have way more PBL while we have a lot more traditional classroom time. That is something definitely different. And you're in Hamilton, Tim Hortons capital of the World.:) We're not.

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Guest macMDstudent

I remember in Unit 1 reading all about the "patient centred approach" which I had always assumed was a Mac concept; but to my surprise all the literature comes out of UWO. Well done, Mustangs!

 

No doubt all medical education is evolving and for the better. Each school has its claim to fame. Mac's is definitely PBL. I think we ride on the coat tails of that a bit still and the media and general public see McMaster as "innovator" whereas, like you said UWOMED2005 the same stuff is happening all over.

 

I think we can all rest assured at any school in Ontario (or Canada for that matter) we are getting a medical education second to none anywhere in the world. But a little friendly rivalry keeps it fun, don't you think? ;) And I can't help but be a little biased!

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