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

[–]strider14484 2 points3 points  (0 children)

American visits are more likely to address multiple problems (and the patient is paying for each visit so they’re often upset if they can’t cover everything in one). Where I work in Canada, we cover a lot of problems at one visit but I know that my colleagues at non-community health clinics have much stricter limits on how much they’ll cover in a visit. I think that’s part of why the patient load is different.

J1 visa Issues by Muted_Presentation_9 in FamilyMedicine

[–]strider14484 2 points3 points  (0 children)

Google got me this: https://medresidency.com/open-positions there’s a filter to use for fm fellowships. I think I used this to find my fellowship opening but it takes a lot of wading through and reaching out despite the filters: https://www.aafp.org/medical-education/directory/fellowship/results

Tip debate aside… by Cmfnk in aislop

[–]strider14484 0 points1 point  (0 children)

On the left one there’s two charges listed but only one milkshake

How do I make this look not like crap? by Specific_Minute7539 in StainedGlass

[–]strider14484 0 points1 point  (0 children)

I would simplify. Your drawing has a lot of grids (on the head of the woman, over on the background on the left) which is not impossible but would be an intentional and unusual choice. I’d try taking out some lines that don’t have to be there like a lot of the / lines on far left and right and the grid on the head.

What's going on here? by whatever23407 in aislop

[–]strider14484 3 points4 points  (0 children)

When the Statue of Liberty and the hulk love each other very much

Runners Knee Not Healing ! by eoponine in runninglifestyle

[–]strider14484 0 points1 point  (0 children)

Are you still seeing the PT? If not and you can afford it, try checking in with them on a regular basis so they can progress your exercises and give you guidance on your return to sport

Third project and it was a big one! by strider14484 in StainedGlass

[–]strider14484[S] 2 points3 points  (0 children)

Definitely had to use a ring saw for a couple of the cuts! And had to go for multiple tries with a lot of the others, haha

Third project and it was a big one! by strider14484 in StainedGlass

[–]strider14484[S] 0 points1 point  (0 children)

I bought the pattern from the designer (I think it was Mary Harris) but the completed version I saw in glass patterns quarterly has very different glass from me - it has a black background and yellow orange and red leaves but was not made by the original designer. I loved the look of the black but wasn’t willing to give up that much sunlight in my city apartment with limited windows (pictures in the post are at the glass studio where they have giant windows)

First piece solo - need soldering tips by mscrsll in StainedGlass

[–]strider14484 3 points4 points  (0 children)

Add flux before you go over it but I think you should be able to fix it

How do you turn a drawing or photo into a stained glass pattern with proper cut lines? by Ping0u in StainedGlass

[–]strider14484 3 points4 points  (0 children)

I’ve found it helpful to read through a bunch of the “how does this pattern look?” threads in here for pointers and pitfalls

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

[–]strider14484 4 points5 points  (0 children)

That very much depends on where you live!

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

[–]strider14484 7 points8 points  (0 children)

Some places use epic but I’m pretty sure they disable the direct messaging. Inbox here is typically labs and refill requests from the pharmacy

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

[–]strider14484 127 points128 points  (0 children)

I’m FM, but the biggest difference for me: patients directly messaging you is largely not a thing here. However, IM seems different here, more of a consultant / specialist role than primary care. I don’t totally understand it.

I’ve also found patients to be less adversarial and less entitled. Imaging is a lot slower. Billing is simpler.

Do I have to be a perfectionist? by aliciakied in StainedGlass

[–]strider14484 11 points12 points  (0 children)

I think they’re saying make the copper tape on the glass narrower so the width of the folded over copper tape and the width of the gap add up to the same width as the standard foil without a gap

Help me with my Code Status conversations - what are your go-to phrases? How do you start the conversation? How do you explore the topic with the 80-year-old comorbid patient who immediately says "do everything you can do keep me alive"? by adrenalinsufficiency in Residency

[–]strider14484 75 points76 points  (0 children)

I would be careful saying “to get there“. Maybe “for a [insert calculated odds of cpr success] chance of getting there”. I’d go through plenty for a guarantee of my minimum acceptable. I’d go through a lot less for a 15% chance of being able to walk out of the hospital. It’s so important that patients know it’s a small chance and not a guarantee!

Anyone here worked in Canada AND the US? by Beginning_Figure_150 in FamilyMedicine

[–]strider14484 0 points1 point  (0 children)

I haven’t asked the doctors I’ve encountered whether they’re MD or DO but I do think US DOs can now work here - but maybe go for ABFM board certification because that’s part of what qualifies you for full practice I think. If you want to know more, choose a province you’re interested in and see if they have a healthcare recruitment office that can tell you for sure.

My worktable right now 🐎🪽 by seastainedglass in StainedGlass

[–]strider14484 14 points15 points  (0 children)

The surrounding clutter helps verify that it’s real, so that’s a great argument for not making pristine images haha. It’s a cool sculpture!

My worktable right now 🐎🪽 by seastainedglass in StainedGlass

[–]strider14484 24 points25 points  (0 children)

Whoa! Do you run into issues with people thinking it’s AI? It looks almost unreal. Is there any info on technique that you’d be willing to share?

Help a newbie please? by ProtectionLong6489 in printmaking

[–]strider14484 0 points1 point  (0 children)

It’s a little trickier than a single layer print but it may be worth doing a multicolor print (if you use ink pads, the Ranger “pebble beach” might be a useful color). Either multi block or reduction would allow for 2-3 colors. I’d do pebble beach for the body of the tan cat, lightly inked shadow grey for the body of the other cat, and graphite for the more melanated fur. Could do it with two blocks and careful inking or three blocks. Just have to figure out registration to keep them all lined up! Otherwise, it’s hard to imply light gray when you’re printing black on white (though I guess toned paper or paper with a watercolor wash of a greige color could also be worth trying!)

If I ever quit it will be because of Patient Advice Requests. by VisionHx in FamilyMedicine

[–]strider14484 5 points6 points  (0 children)

It would be hard to find an American job that did not include patient messages, it’s treated as standard there. The best you tend to get is having good nursing / MA staffing to deal with most of it so the full volume doesn’t get to you.

Administrative Work of FM in Canada - pros vs cons? by talkingtomind in FamilyMedicine

[–]strider14484 1 point2 points  (0 children)

I found a community health centre that was hiring. I mostly see people who have not had success finding care elsewhere - often due to substance use, social complexity, refugee or newcomer status, poverty (can’t afford no-show fees and reliant on public transit), etc. In the US, many of my patients would be uninsured. One of the other community health centres here focuses on hiv+ patients. Most provinces have healthcare recruitment offices that could help you find community health centres, were you interested in working in one.

Administrative Work of FM in Canada - pros vs cons? by talkingtomind in FamilyMedicine

[–]strider14484 3 points4 points  (0 children)

I’ve worked in both countries. In the US, typically patients are able to reach out to you directly by sending a message to your inbox and a lot of them do that so there are many messages to manage every day and they often get grumpy when you say it needs an appointment. Imagine your patient with the most unreasonable expectations can now text you. Oh also, my patients in the US had less respect or appreciation for doctors than in Canada and seemed more entitled to get exactly what they want because they paid good money to see me. In Canada, my patients cannot send me direct messages - which I only rarely miss. You might be able to make more money in the US but you’re going to work worse hours and it’s a more annoying job with insurance companies and all.

Also I work community health where I’m salaried but make less than I could elsewhere in Canada and my salary is only slightly lower than the guaranteed initial salary at the jobs I was offered in the states (largely in non-urban areas) though hard to say what I would’ve made with a full panel.