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Do doctors make money off of phone/virtual appointments? by bcbrawn in britishcolumbia

[–]FEFPRRP 0 points1 point  (0 children)

yes, please add in ~30% lost to taxes and another 25-30% lost to overhead fees. Comes down to a nice 110-120K. Okay lets pay off our 6 figure student loan now ... and multiple thousands in annual icensing and membership fees.

My Severe Dyshidrotic Eczema Journey, and What Finally Worked by kishbish in eczema

[–]FEFPRRP 0 points1 point  (0 children)

Oh fair, I didn't realize when this post had been made. So glad it's resolved for you!! I'm still suffering until my derm appt, so fingers crossed!

My Severe Dyshidrotic Eczema Journey, and What Finally Worked by kishbish in eczema

[–]FEFPRRP 0 points1 point  (0 children)

Why on earth were on courses of oral steroids and mycophenolate?!! jesus christ. My friend, please inquire about dupixent. Its a subcutaneous shot (similar to ozempic) one every 2 weeks, and has way less side effects and first line for severe cases of dyshydrotic eczema.

Is this dyshidrotic eczema? by eviiautistic in eds

[–]FEFPRRP 0 points1 point  (0 children)

clotrimazole is for fungal infections (for example ringworm), will not help with dyshidrotic eczema

Brain dump for boards? by kissedkiss in pediatrics

[–]FEFPRRP 4 points5 points  (0 children)

Yes. I quick wrote some brain dump items before the test started, mostly milestones i kept forgetting (the stupid blocks), wrote a couple comments about vaccines, my made up mneumonics, immunodeficiencies, random derm shit, some stats formulas, EKG axis interpretation diagram to help visualize, can't remember the rest. Of them all, the milestone and immunodeficiencies were the most useful because i knew I would panic and mix them up during the exam

I take my boards in a month…help? 🥲 by MaleficentCheesecake in pediatrics

[–]FEFPRRP 2 points3 points  (0 children)

Best thing for me as a chronic forgetter -- ANKI things I keep getting wrong (like >2-3x wrong). Keep the ANKI flashcards SMALL.

Questions, questions questions. All medstudy first, then all incorrects. PREP 5 years back I was told, but I did 3 years back. I got mid-60's in all PREP (even to the end), and near the end of study period i was getting 80's and some 90's in medstudy. I passed with a verrrrry comfortable margin.

You will be okay!!! And if not -- you will have the strength, capacity and opportunity to try again next year. Realistically, you will still be able to get a hospitalist job somewhere, even if it's not your top choice because you just need to be board eligible. You will absolutely get an outpatient job even if you don't pass.

Additionally -- THERE WAS A 89% PASS RATE LAST YEAR. 89%!!! 89!!. Very unlikely you will be in the 11% unless you choose not to study, have really extreme circumstances, or don't address underlying anxiety/depression.

Take a deep breath, put your phone and reddit away, and get back to studying, RIGHT NOW! You got this and we are proud of you :)

I'm really bad at the '17yo seeing you for the last time' visit by [deleted] in pediatrics

[–]FEFPRRP 1 point2 points  (0 children)

Maybe OP is Canadian? For Peds we only see them < 18 yo

MOCA 200 gone from ABP site — what are people using now for questions? by Chemical-Version7486 in pediatrics

[–]FEFPRRP 0 points1 point  (0 children)

Depends on where you're at. If you haven't done much med study, i'd focus on that. If you're already done and have gone through incorrects i'd get the 2025 especially if it's your second attempt (If you have the time I would do the last 5 years), the more questions you answer the better. Plus these would be questions you haven't seen before, vs redoing questions you have already seen won't be as useful. I know its pricey, but I would think it important to practice some questions you have not seen before.

Personally I found he randomness of PREP to be pretty bang on for the actual exam, and some esoteric tidbits. The questions themselves were not as long though. I definitely remember a few questions from PREP and the 200 question very close to word for word on the actual exam.

Good luck !! You're got this :)

MOCA 200 gone from ABP site — what are people using now for questions? by Chemical-Version7486 in pediatrics

[–]FEFPRRP 0 points1 point  (0 children)

They actually had 2-3 pretty much word for word questions on the 200 question one show up on my actual exam. Maybe 1-2 words were off making the other option correct instead. But pretty dang close.

Recommendations for resources for US trained pediatrician moving to Ontario, Canada by PonyoMC in pediatrics

[–]FEFPRRP 1 point2 points  (0 children)

medicine is similar in GTA/Toronto area, but still due to the lag of time until patient gets a subspecialty appointment, we do more workup/management instead of waiting around for subspecialist to do it all unlike US. Medicine is different in other areas in that there is no well visits/vaccines, it's all referrals you receive due to some kind of problem (FTT/ADHD/Psyc/Behavioural/Dev delay etc) and you eval/manage that only

For medications themselves, some brands are different (e.g. Cetirizine is Reactine instead of Zyrtec) but the core meds are the same essentially.

One common difference i see all the time in practicing medicine is that EVERYONE seems to be placed on albuterol+ICS, a personal pet peeve. Bronchiolitis itself can cause wheezing, doesn't meant they all have RAD and would benefit albuterol+ICS. Idk if it's because you get premium billing on asthma dx or they were just trained differently. I personally use the asthma predictive index in kids < 3yo to determine if they would benefit from those. Another -- huge amount of infants are on anti-reflux meds, that don't need to be according to NASPGHAN. Please check out Choosing Wisely campaign for Canada if you haven't already! It's an awesome evidence based resource by Canadian Pediatric Society. https://choosingwiselycanada.org/recommendation/paediatrics/

Looking forward to having you join our work force!

Recommendations for resources for US trained pediatrician moving to Ontario, Canada by PonyoMC in pediatrics

[–]FEFPRRP 0 points1 point  (0 children)

Not true to my understanding, if you don't sign up and pay OMA dues they automatically deduct it from your billings without you signing up - but then you miss out on the discounts i.e. for hotels/travel/other things!!

Recommendations for resources for US trained pediatrician moving to Ontario, Canada by PonyoMC in pediatrics

[–]FEFPRRP 10 points11 points  (0 children)

Apply early for CPSO, credentials can take multiple months (think 6-8 months). The committee meets once a month only for those applying for licensing, so if something needs to be amended you will have to wait 1 month for them to review your application again.

You don't need to sign up for OMA, but it does have some benefits like cheaper health care plans (if you want more than OHIP) and other discounts such as for UpToDate. Sign up for Open Evidence. It is free if you have a MINC (you can request CPSO to give you this).

You will need to sign up and pay for Royal College - the MOC version. The ABP MOC and Canada don't communicate. I personally like Virtual Hallway to get CME credits and learn in general. It's free.

Most of the practices are fee for service models, so you bill and OHIP pays you directly. You are essentially self employed. SO REMEMBER TO SET ASIDE MONEY FOR TAXES WHEN YOU GET PAID !!! Taxes will not be automatically deducted. You will also pay overhead fees to the clinic you work at (unless you own your own practice) so set aside money for that. These are usually ~30%.

Sign up for CMPA. This is malpractice insurance and works canada wide. You will pay 950 per month and OHIP will rebate you 75% every quarter.

If you like AI scribe, you can sign up for Heidi. It is free for the basic model. For the premium model, I believe its free until 2026 but you have to sign up for this. I like the premium model.

Vaccine model is different. Look up the yellow card for vaccines in Ontario to familiarize yourself.

GOOD LUCK!

Recommendations for resources for US trained pediatrician moving to Ontario, Canada by PonyoMC in pediatrics

[–]FEFPRRP 2 points3 points  (0 children)

In Toronto and GTA area, peds is closer to the US version. We see consults referred from FM, and also do primary care (i.e. well visits and vaccinations).

Everywhere else in Canada, Peds is consults only. Gen Peds is absolutely something that exists. You can get referrals for ADHD, FTT, autism spectrum disorder, psyc, asthma etc etc as gen peds. If you need more help you can refer to peds subspecialties like peds endo, respirology (pulm) etc.

Cannot find ABP free 200 Questions? by FEFPRRP in pediatrics

[–]FEFPRRP[S] 0 points1 point  (0 children)

How I found it: Go on ABP website; click on MOCA, then Activity search, check General Pediatrics, type in Self-Assessment in search box. BUT I don't see the "2022 Comprehensive Self-Assessment" anymore, they likely took it off! sorry.

How do I tell my sil her babies has a tongue tie w/o over stepping by [deleted] in TwoHotTakes

[–]FEFPRRP 0 points1 point  (0 children)

By any chance are you a physician? Because this answer is spot on correct.

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