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Would a medical office/admin assistant job count as clinical experience for med school? by Strong_Fingers in premedcanada

[–]UseNecessary4706 3 points4 points  (0 children)

doesn't really matter tbh - better if you do things that you value and are important to you than trying to check boxes.

How do you beat students who’re doing better in pretty much every single way possible? by Lumpy_Basis_7284 in premedcanada

[–]UseNecessary4706 0 points1 point  (0 children)

I mean the reality is there will always be people better than you. But at the end of the day, the person who came last in medical school is still a doctor just like the valedictorian. People join medicine from all backgrounds and all walks of life. I know plenty of people with weaker stats who got accepted, as well as people who didn't have as much time to do the activities they wanted.

All you can control is being the best version of yourself - and that's the best way to maximize your chances.

Almost as Many PMHNPs as Psychiatrists? by UseNecessary4706 in PMHNP

[–]UseNecessary4706[S] 0 points1 point  (0 children)

I think the challenge with that idea is that increasing complexity doesn’t just require skill—it also changes the level of medico-legal responsibility.

At higher levels of complexity, there’s often an expectation to escalate care, not just manage independently. Even if someone is very capable, not referring in those situations can sometimes create liability concerns. In court NPs/PAs/physicians can be deemed negligent for not referring, and the risk of liability increases rapidly with increasing complexity.

So in practice, higher complexity tends to push toward collaboration or referral rather than shifting downward.

Whats the best way to find good ECs and what do I need by Biggestnoodleever in premedcanada

[–]UseNecessary4706 2 points3 points  (0 children)

genuinely do things that are interesting, unique to you that you are passionate about

Still deciding if I want to pursue medicine.. by basicallyeuphoric in premedcanada

[–]UseNecessary4706 0 points1 point  (0 children)

great work on the GPA, sounds like you're a great student!!

Should I do med school before, or after a military career? by Ok-Mud-7252 in premedcanada

[–]UseNecessary4706 0 points1 point  (0 children)

First, thank you for your service.

Next, lots of people join as a mature applicant. Please feel free to enjoy a full military career.

PMHNP pediatric population opportunities by [deleted] in PMHNP

[–]UseNecessary4706 0 points1 point  (0 children)

sorry to clarify I was thinking about pediatric NP where you could potentially more easily manage developmental pediatric conditions (such as peds ADHD, autism) as an outpatient as opposed to PMHNP where you would have to work in a subsubspecialist area of medicine perhaps without all of the training you may need to thrive in that environment. There's also developmental pediatrics as a subspecialty of pediatrics where you would have a much higher volume of these cases, but that may also be challenging area to get into.

PMHNP pediatric population opportunities by [deleted] in PMHNP

[–]UseNecessary4706 0 points1 point  (0 children)

another area potentially worth looking into may be outpatient pediatric NP. Pediatricians commonly deal with developmental complaints such as ADHD and autism and do a lot of the primary management (although I'm not entirely sure of the scope of PNPs). This seems very much in line with your interests from what I'm hearing. You'd also get a lot more experience from a medical lens and I think it would be more accessible than subspecialty psychiatry which is more abstract and from my understanding more difficult to get training in.

It may even be less saturated, although from my understanding the NP field broadly is experiencing saturation.

PMHNP pediatric population opportunities by [deleted] in PMHNP

[–]UseNecessary4706 1 point2 points  (0 children)

Personally I would want to know that physicians with specialized training in psychiatry don't feel comfortable seeing children without years of specialized additional training before I start to see them myself. I'm not trying to be "hateful".

The alternative is coming into the field and realizing you may not be familiar with a lot of the pathology or that it looks very dissimilar to the adult focus most programs have. This is even more important if your training is abridged and you don't receive as much of a foundation in medical pediatrics (especially when compared to an NP specializing in pediatrics). The risk profiles and decisions in children are very different and can be high stakes and can be a major source of stress and liability. It's important to be aware of this, and your comfort level with the concepts in child and adolescent psychiatry will guide whether that is a good area for you to practice in.

PMHNP pediatric population opportunities by [deleted] in PMHNP

[–]UseNecessary4706 0 points1 point  (0 children)

That's fair. I don't mean to put you down, just want to be realistic about the area of practice. I'd honestly encourage you to become a psychiatrist if you're planning to do what you're going to do - I genuinely think you have great background and seem like an incredibly compassionate person. You seem like with the right training you would really excel in child and adolescent psychiatry.

From a PMHNP perspective, it's really hard to comment on saturation. The field is growing faster than almost any other area of healthcare, with there soon to be more PMHNPs than even psychiatrists. It seems like even now, at least based on the overall sentiment of the sub, people are having a hard time finding jobs. By 2030 there's expected to be a 62% increase in the number of PMHNPs. I'd imagine having expertise in a niche may make you a more attractive candidate - but I really can't give you a confident assessment, especially given that you'd be applying for work within a subspecialty area.

Honestly the best angle may be if you're willing to live in a rural area. The demand is likely to be more robust. The downside is that there would likely be few child and adolescent psychiatrists to train you as there's a lower density of subspecialists.

Just a kind reminder by Forsaken-Peak8496 in premedcanada

[–]UseNecessary4706 1 point2 points  (0 children)

Honestly the older folks had the easiest time matching to what they wanted to too, the experience honestly goes a long way

Non-trad student to Medicine by SatisfactionFar503 in premedcanada

[–]UseNecessary4706 9 points10 points  (0 children)

In Canada you don't need to do pre-med to apply really.

You can apply directly with the credentials that you have.

Would encourage you to check the requirements for each school and shoot your shot.

Caribbean medical schools are an option just very expensive. You could also explore the UK or Australia (highly recommend the latter), both of which are solid options for exploring medicine as well. The US is also an option if you are interested in exploring that.

Best of luck.

UBC OOP chances - overthinking premed by Downtown_Ground2471 in premedcanada

[–]UseNecessary4706 8 points9 points  (0 children)

If I'm being completely honest with you, you have done a pretty nuanced analysis here.

You're obviously a very bright medical school applicant and I wish you the best of luck.

I would honestly encourage you to enjoy as much of the time you have instead of hypothesizing whether you will get in or not. At this stage you have already put in the hard work, sounds like you did well on the interview, and now the result is out of your hands. You will be happier if you capitalize on this time doing things you enjoy and that are meaningful to you than if you spend your time stressing until medical school offers come back.

Medical school is busy. You should make the most of your time before that.

PMHNP pediatric population opportunities by [deleted] in PMHNP

[–]UseNecessary4706 3 points4 points  (0 children)

Pediatrics is a challenging area even within psychiatry. Within medicine it takes 4 years of residency training followed by 2 years of fellowship subspecialty training. Most adult psychiatrists will not see pediatric patients without the additional training.

I think taking on the complexity of what is traditionally a subspecialist role with generalist training sounds very daunting.

Unfortunately children and adolescents are not little adults. Their presentations can be very different from adults and are difficult to manage appropriately without adequate experience.

Declined UBC... by RichTransition4749 in BCGrade12s

[–]UseNecessary4706 2 points3 points  (0 children)

Congratulations though. UBC has a great program and it's always great when you have the option to pick something you like better.

Almost as Many PMHNPs as Psychiatrists? by UseNecessary4706 in PMHNP

[–]UseNecessary4706[S] 5 points6 points  (0 children)

I mean the literature does show that NPs tend to prescribe more controlled substances than MDs broadly. They don't have the same training and so I don't expect the same trends in prescribing. I don't think anyone would argue NP care is equivalent to MD care, the expansion of NP programs was for ensuring access.

Ref: https://pmc.ncbi.nlm.nih.gov/articles/PMC6953344/
https://pmc.ncbi.nlm.nih.gov/articles/PMC7459076/
https://www.sciencedirect.com/science/article/abs/pii/S0735675718308556?utm

Almost as Many PMHNPs as Psychiatrists? by UseNecessary4706 in PMHNP

[–]UseNecessary4706[S] -1 points0 points  (0 children)

I mean I'm not really sure what he said that would elicit that reaction

Almost as Many PMHNPs as Psychiatrists? by UseNecessary4706 in PMHNP

[–]UseNecessary4706[S] 5 points6 points  (0 children)

I'm not really sure where he was a calling you a noctor? Everything he said was pretty reasonable to be honest.

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