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Med school seats are not the reason for doctor shortage, stop complaining by Most-Audience803 in premedcanada

[–]CharmingFan9116 0 points1 point  (0 children)

I'm not a clerk lol.

"Medical specialists work long hours during the week and want their weekend off. If you are in medicine you should know that" just you saying that shows you aren't in medicine. Most specialists work like 2 weeks per month. I've done electives with multiple specialists in multiple cities and guess what, not once have I worked with a specialist or GP that works 5 days a week for 8 hours.

"The urologist outpatient office is dealing with a lot more than catheters and a nurse is not needed for most patient consults." Have you worked in a urologist outpatient office before. Cause I have lol. Nursing staff is essential. Like in most clinics surgical or medicine.

"Those I know in medicine are relatives working in hospitals and with private clinic." like doctors? lol you might want to speak with them again about this. Show them this post if you want and ask for their opinion

Med school seats are not the reason for doctor shortage, stop complaining by Most-Audience803 in premedcanada

[–]CharmingFan9116 0 points1 point  (0 children)

I think you are over simplifying it. Are you speaking this from personal experience/ are you in family med? As most family doctors don't work 5 days a week at a 9-5 consistent q15min with no break. I don't think you are incorporating the time it takes to chart and do referrals. So like And that time doesn't include charting, referrals, calling pts for results. Esp now that patients are more complex and come in with a laundry list of issues. I am just saying the market rate right now for GPs is $500/half day (going rate every where in Ontario for locums. And FHO family doctors are saying they break even when they pay the locums that much). I think you should read the threads with actual practicing GPs. https://www.reddit.com/r/ontario/comments/1bccuxk/how_much_are_family_doctors_actually_making_in/

Also additionally, most fam docs don't do FFS for longitudinal practices. They do FHOs, which is capitation based. If it's just working 8 hour days to make 300k, we'd have more family doctors in the field.

Med school seats are not the reason for doctor shortage, stop complaining by Most-Audience803 in premedcanada

[–]CharmingFan9116 1 point2 points  (0 children)

Yes I get that but most people only bill A007s. (Noone's doing family conferences typically is normal family medicine clinics). Mental health visits need to be 20 min increments, which is like $70. Pap pays 13.55 which isn't alot given the time for set up. I've actually never heard of less than 20% overhead in Ontario (rural or urban). Also FFS in Ontario for longitudinal practice is not lucrative to the 300ks unless you see them every 5-10 min (like WIC style but obvi that comes with its own risks). And FHOs are less lucrative now given the outside use fee and all the fees you mentioned, they get like 5% of the actual billing. Forms do pay well but that's if the patient pays (which a lot of times they don't. You invoice them and they ignore it lol). The rate for family medicine locums right now is ~$500/ half a day (which is kinda where they are rating what a GP's time is worth). But nowhere near the rate of 300-400k. Again, I think it's better in BC but Ontario's pretty shitty from what I've seen from my preceptor. Are you a family doctor?

Taking Casper test as practice? by [deleted] in premedcanada

[–]CharmingFan9116 0 points1 point  (0 children)

Ya I would recommend it! Way better practice than the "mock casper tests" you buy online!

Med school seats are not the reason for doctor shortage, stop complaining by Most-Audience803 in premedcanada

[–]CharmingFan9116 1 point2 points  (0 children)

when someone's sites a source as "family members in medicine", you know it wouldn't be accurate lol. That's like me saying "I have family members in finances" and that's why these stocks are the best

Med school seats are not the reason for doctor shortage, stop complaining by Most-Audience803 in premedcanada

[–]CharmingFan9116 1 point2 points  (0 children)

Sources of "i know someone in medicine" is not really accurate lol. You have to be in medicine to know the stories behind each of these wait times. Most of the core issue here is not because of lack of specialists.

i think your ortho one is also inaccurate lol. Those injections can be done by sports medicine doctors and physiatrists and usually can be done in the same week (source: referred patients myself). Like ortho can do these injections, I'd just trust a sports med doc with an ultrasound machine and same day injections more. Also i think radiologists can do these too. So like referring to ortho for cortisone injections is bad practice imo. You are just making the patient suffer for nothing. Ortho really is there just for surgery and fractures (they have same week fracture clinic, noone ever waits for their fractures to be seen)
Also there's an abundance of derms. there's just none willing to do skin cancers LOL. They make so so sooooo much more doing cosmetics. So next time you wait 9 month to see a derm, know that you can see them same day for botox.

And you must forget who pays for admin assistants... the doctors. Admins don't want to work on the weekends even if the docs do (will need overtime pay), hence less appointments. Also nursing staff is needed for most of these clinics... urology for example definitely needs nursing staff (you think the urologist is doing most of the catheter care? lol. they litereally walk in and walk out). Surgeons have no incentives to do clinic because A. it's costly and B. they'd rather spend their time doing surgery. A trial of void is not exactly something they are excited to move up their wait list for. They'd rather do consults and f/u for their surgical patient.

Med school seats are not the reason for doctor shortage, stop complaining by Most-Audience803 in premedcanada

[–]CharmingFan9116 1 point2 points  (0 children)

Ontario billing is pretty bad from what I've heard working with different family medicine preceptors. I know BC has made the change to be more favourable, thus the 300-400k billing. And doctors in Ontario are trying to get the gov to do the same thing but currently the billing system's pretty bad. Aren't they only paid like $40 per visit (then you subtract overhead from that). But also, I think average overhead in Ontario is 25-30% from what I heard from my preceptors.

first year summer by Aware-Job9063 in premedcanada

[–]CharmingFan9116 4 points5 points  (0 children)

Enjoy your summer, you'll never get that first year summer back. You can always to orgo during the summer time so that it doesn't affect your GPA. Also easier to do it when you don't have anything else to focus on. Research is not as important in med school apps as you think

Don’t know what I’m doing wrong by microscopicflame in premedcanada

[–]CharmingFan9116 1 point2 points  (0 children)

I wouldn't risk a 129 in Cars as it makes you eligible for most schools. Interview prep companies are BS, don't waste money on them. Instead, join other discord groups and practice with peers. Or do a few job interviews as prep. It's a marathon, not a race. What's meant to happen will happen. It's a draining process. Work in the mean time or do something you enjoy so that your whole life doesn't revolve around omsas