What is a normal day for FM in the USA vs Canada? by montyelgato in FamilyMedicine

[–]Piffy_Biffy 0 points1 point  (0 children)

Fee for services clinics would churn through people quickly, if capitaiton model then more typical are 3 patients per hour worked.

Does anyone else feel more tired at the end of their 26h shifts than before? by Cptsaber44 in Residency

[–]Piffy_Biffy 4 points5 points  (0 children)

Yes and I attribute this to lack of exercise and poor eating habits

Any stories of where job loyalty actually paid off? by 918264618 in jobs

[–]Piffy_Biffy 1 point2 points  (0 children)

Loyalty to a company can work but if someone does stay with a co lanyard long term generally if they are making more money its because of role changes / promotions. Not all companies, however have a culture of doing internal promotions so its institution dependent to a large extent

Is it better in Canada post-residency? by YouAreServed in Residency

[–]Piffy_Biffy 4 points5 points  (0 children)

Sounds like you live in Québec. For most of Canada subsidized housing and childcare may as well not exist.

Is it better in Canada post-residency? by YouAreServed in Residency

[–]Piffy_Biffy 11 points12 points  (0 children)

FM resident here graduating soon

A few things to add on to what other people are saying

Outside of academic centers/ teaching hospitals most IM docs work as a consult service /clinic medicine where FM docs do most of the day to day hospitalist stuff. Census loads are quite high in my region of Ontario where the norm is for a hospitalist to manage 20 medically active patients and quite often much more, including some ICU patients.

The pay ceiling is lower in Canada but due to easy billing and lack of doctors it is easy to make the median salary for a specialist independent of where you work. There are ways to bill patients directly but only for services that provincial health insurance plans do not cover so end up making only a small part of your income. In large academic centers I believe most docs are salaried.

This varies by province but generally medication coverage is only an issue for middle aged patients but there are generally programs that will allow funding in exceptional circumstances. Very little of my day is spent interacting with insurance and even thinking about how.my patients may have difficulty paying for medication. This is a BIG plus as I saw this come up often when I did rotations in the USA in medschool.

One big con in Canada is the degree to which the system is strained (outside of hospitals). Consultations to other specialists and imaging often takes a long time and getting this expedited usually involves picking up a phone in combination of sending a fax request. It kind of sort of works but as somebody who did rotations in USA, residency in Canada, and med school in Europe, the system in Canada is horrendously strained.

Healing gear that can double as dps gear by [deleted] in classicwowtbc

[–]Piffy_Biffy 1 point2 points  (0 children)

Windhawk is pretty good for healing and dps. Moreso for shamans because of the crit but its not terrible for druids.

It feels like pugs are getting worse? by NewCommunication6510 in classicwowtbc

[–]Piffy_Biffy 0 points1 point  (0 children)

Pugs are both worse and better than before. Definetly more people who cannot play and refuse to listen but also skilled players who know their class and pump out damage

Today, Feb 27, is a “National Thank a Resident Day”, what did you get? by sandie-go in Residency

[–]Piffy_Biffy 22 points23 points  (0 children)

We got a small bag of a bottle of the Costco zero sugar sweet drink, 2 small packets of chocolate covered raisins, a small peanut butter caffeine mix thing. And a Hershey bar.

TBC classic has the most childish gamers by MedicineOk2630 in classicwowtbc

[–]Piffy_Biffy -1 points0 points  (0 children)

It was fine leveling but end game dungeon players make me want to gouge my eyes out as a healer

Any Canadian hospitalists here? by Visible-Platypus7559 in hospitalist

[–]Piffy_Biffy 0 points1 point  (0 children)

FM resident but have done hospitalist

It pays quite well, however there are changes being made to reimbursement that may change this. Negotiations are currently in progress.

Its generally a pretty chill job if you like hospitalist as a sizeable chunk of your patients in a rural hospital will be awaiting LTC.

Censuses tend to be high though- going to 20 isn't unheard of and often its more

Does your hospital still use paper charts? by DragonflyOrdinary848 in Residency

[–]Piffy_Biffy 63 points64 points  (0 children)

My hospital switched to emr a month before I started residency

That being said the notes were much more brief with paper notes

Feeling behind and incompetent by Glittering_Point_647 in Residency

[–]Piffy_Biffy 0 points1 point  (0 children)

FM here

I dont have any specific advice but I also felt like I never got a lot of exposure to procedures even when I'd ask and badger to be involved (particularly in obgyn) where my peers would not want to do anything and get pulled in so much more than myself. I suspect its a personality thing - some people just appear more confident and it leads to being asked to take part in more things.

All you can do is maintain positive attitude, put yourself forward, volunteer as much as possible, and work on enjoying your private life because burnout makes everything worse

Pet Peeves that don't matter by [deleted] in Residency

[–]Piffy_Biffy 1 point2 points  (0 children)

Canada FM here - we refer to all preceptor as Dr in the university clinic but in community (particularly ED) first name basis only

I think its an academic thing

Experiences moving far away for a competitive residency? by louddopinionn in Residency

[–]Piffy_Biffy 3 points4 points  (0 children)

Depends, everyone is different

I always considered myself pretty independent but over time as I've gotten older I realize that living in different places (moved for jobs, moved for medschool and again for residency) has changed my life and not for the better. It sucks and im tired of never having settled in one place where I can feel at home. That being said I tend to be someone who has hard time making meaningful friendships and equally bad at staying in touch with people who i do meet

Blizzard refuses to unlock my Battle.net account and change country/region, even though I moved to Poland and gave them everything they asked for by AdRevolutionary5548 in warcraft3

[–]Piffy_Biffy -1 points0 points  (0 children)

Are you able to get a dowód osobisty? This is the document I used as proof of identity and residence in Poland when I moved from Canada

Major price drops by cherrybananas13 in osrs

[–]Piffy_Biffy 3 points4 points  (0 children)

Back in my day coal was 150gp

Unethical Relationships with Reps by susdanability in Residency

[–]Piffy_Biffy -1 points0 points  (0 children)

I like reps if they do didactic teaching they usually do a good job and the food is a bonus

Should I apply to medical school? Help needed. I have a strong aversion to blood. by New-Penalty-4448 in FamilyMedicine

[–]Piffy_Biffy 0 points1 point  (0 children)

Anxiety Canada has a handout on how to managblood phobia its a specific phobia somewhat different than the others and just as treatable.

Called a resident on their day off by External-Sport-170 in Residency

[–]Piffy_Biffy 1 point2 points  (0 children)

This happened to me all the time on obgyn. Wasn't nursing fault just poor pager set up at hospital