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What is the counseling procedure for admissions in medical colleges in India?

Basic requirements :Aspiring doctors will have just one chance to get a seat in a medical college this year through National Eligibility cum Entrance Test Undergraduate (UG) 2017 (NEET-UG). The Central Board of Secondary Education (CBSE) will conduct the test on May 7, 2017 as per regulations framed under the Indian Medical Council Act 1956 (amended in 2016) and the Dentists Act 1948 (amended in 2016). Admissions in 100% seats of MBBS/BDS will be done in medical/dental colleges run with the approval of Medical Council of India/Dental Council of India under the ministry of health and family welfare. However, institutions established through an Act of Parliament i.e. AIIMS and JIPMER Puducherry, will not participate in NEET UG this year.Besides conducting the test, the CBSE will declare the result and prepare an all-India rank list for the candidates in percentile rank. This will be given to the Directorate General of Health Services, New Delhi for counselling of 15% all-India quota seats and providing the result to the state counselling authorities and admitting institutions.Candidates must be 17 years old at the time of admission. The upper age limit for NEET-UG is 25 years as on the date of examination for general category candidates.Candidates will get maximum three attempts for NEET UG. As per the notice and information bulletin, it was prescribed that the candidates who have already availed permissible three attempts will not be able to apply for NEET 2017. However, the CBSE has issued a clarification on the matter. The Department of Health and Family Welfare, government of India, and Medical Council of India have clarified that “attempts made by candidates for AIPMT/NEET prior to 2017 will not be counted. NEET 2017 will be counted as the first attempt for all candidates, irrespective of their previous attempts in AIPMT/NEET,” said an official statement from CBSE.All candidates who could not fill up the application form due to the condition of three attempts at AIPMT/NEET will now be able to fill up their application form.Domicile students of different states who have done their schooling from another state are eligible for admission in state medical colleges if they are ranked in the all-India merit list. For instance, if a student who has completed his schooling from Delhi and is a domicile of West Bengal seeking admission in a college of the state can apply in the state colleges. “The student will have to prove his domicile candidature with necessary documents such as proof of residence of his parents. Once the CBSE shares the list of qualified candidates from our state, we will consider their eligibility,” said a spokesperson from the Directorate of Medical Education, West Bengal.The counselling for admission in seats under the control of other states/universities/institutions will be conducted as per the notifications issued separately by the authorities concerned. Candidates applying to state government colleges will be admitted subject to rules and regulations framed by the respective state governments.NEET 2018 Counselling Procedure (Round 1)Step 1: RegistrationIn this step, eligible candidates, as declared by CBSE, will have to register online. Candidates will have to click on ‘New registrations’ tab. Now, candidates will be required to enter their details such as roll number, all India rank and percentile score. After registration, candidates will be allotted a user name and password.Step 2: Mock CounsellingCandidates can take part in the online mock counselling held by MCC to get a general idea of which seats they will be allotted based on their choices and rank. The choices submitted by the candidates will be processed and seats will be given to the candidates based on their rank and choice placement. Mock counselling helps candidates to refine their selection of choices online in a more efficient way. Candidates can modify their choices after the mock counselling since the placement during that process is not binding.Step 3: Counselling ProcessQualified candidates who meet all of the eligibility criteria will be allotted seats according to their choices filled. The allotment letter will be available for download online. The candidates will have to report to the allotted institute with the required documents, fees as written in the allotment letter. All candidates who will not be present on the specific date as written on the allotment letter will be disqualified.Documents Required for NEET Counselling 2018NEET 2018 Allotment LetterNEET 2018 Admit CardBirth CertificateClass X CertificateClass XII Marks/Pass CertificateValid Photo ID (Voter ID, Passport, Aadhar Card, Driving License, etc)Eight Passport Size PhotosOBC Certificate (Non-Creamy Layer) issued by a competent authority (if applicable)OPH Certificate issued by an authorized medical board (if applicable)SC/ST Certificate issued by a competent authority (if applicable)NEET 2018 Counselling Procedure (Round 2)Round 2 of NEET 2018 Counselling will take place in case of availability of vacant seats. All vacant seats from the first round will be transferred to the second round.All eligible candidates along with the candidates who have submitted option for participation in the second round during the reporting period of the first round, will be made to fill fresh choices online.There will be no mock counselling.The process of counselling will remain the same as the first one.The candidates falling under the three given categories will be eligible for the second round of NEET 2018 Counselling:Group 1: Candidates who have registered themselves but did not get allotted to any seats in the first round. These candidates should have submitted fresh choices as per the vacancies available.Group 2: Registered candidates from the reserved category whose admission got cancelled due to change of category i.e., the candidate’s document showed him to be the unreserved category. Or if the candidate’s physically handicapped status went from yes to no or from PH-1 to PH-2. These candidates will be considered for seat allotment based on their changed category.Group 3: Candidates who chose to participate in the second round of counselling when reporting at the allotted university after the first round.Complete guide to NEETNEET 2018 counselling first round results will be announced on 3rd July 2018.Access the MCC website where the results have been announced.Official MCC Pagehttp://mcc.nic.in/MCCUG_aiq/HomePage.aspxOfficial MCC PageUnder the online services to the left of the webpage above, click Result Round 1′. Default round option is ‘Round 1’ as shown in the figure.Provide your Roll no. & hit submit buttonYou’d be able to view your first round results of NEET 2018 counselling.Top rank of 2017 i.e. AIR 1 was alloted to Maulana Azad medical college, New Delhi. In fact, of the Top 10 allotments, 8 have been allotted Maulana Azad Medical college. AIR 4 was allotted to Bangalore medical college. Candidates can view the entire rank-wise college allotment for round 1 here.Candidates whose name appears in the ‘NEET 2018 counselling first round list’ must appear for admissions in the allotted medical colleges within the admission window vis-a-vis 1st week of July, 2018. Failing to do this, candidature will be cancelled for NEET 2018. So students must make sure they consider holiday calendar to not miss their admission window. They should also make sure that they carry these docs.NEET 2018 Admit CardNEET 2018 Rank LetterDate of birth proofClass 10th pass certificateClass 12th pass certificateClass 12th marks sheetEight passport size photographs. These should be same as the one used in application.Provisional allotment letterProof of identityReserved candidates should carry proof of the same, issued by competent authority.All qualified candidates can also download their rank letters from here. The must provide their NEET 2018 registration number, roll no. & date of birth to proceed.A total number of 3200 MBBS and BDS fall under NEET AIQ. Only those candidates who fall under the top 15% in the NEET 2018 merit list, will be eligible to participate in the All India counselling procedure of NEET 2018. It is organised in two rounds. To participate in NEET 2018 counselling, all the qualified candidates need to register first, further submit their choices, view indicative seat allotment, modify & lock the choices. Thereafter, qualified candidates will be allotted seats based on the rank secured and choices exercised at the time of counselling.

Which country is it easier for a foreign medical graduate to get into a pathology residency, the US or Canada?

My pathologist colleague believes Canada is harder to match into.In fact, his residency program in the United States included Canadian medical graduates who failed to match in Canada.All the best!2017 NRMP Main Residency Match the Largest Match on RecordMore than 43,000 applicants registered and more than 31,000 positionsoffered.National Resident Matching ProgramWASHINGTON, March 17, 2017 /PRNewswire-USNewswire/ -- Today the National Resident Matching Program® (NRMP®) announced the results of the 2017 Main Residency Match®, the largest in its history. A record-high 35,969 U.S. and international medical school students and graduates vied for 31,757 positions, the most ever offered in the Match. The number of available first-year (PGY-1) positions rose to 28,849, 989 more than last year.2017 Main Residency Match InfographicMatch Day, celebrated around the world, is when applicants learn the location and specialty of the U.S. residency programs where they will train for the next three to seven years. Seniors at U.S. allopathic medical schools participate in Match Day ceremonies and open their Match letters in the company of family, friends, and advisors."We are honored to be part of this life-changing event for young physicians, and we wish them success in their residency training," says NRMP President and CEO Mona M. Signer. "There no doubt will be wonderful cause for celebration at the nation's medical schools today and for all Match participants as they commemorate this defining moment in their careers." Joint NRMP, American Medical Association (AMA), Association of American Medical Colleges (AAMC) celebrations take place on social media, this year with the #Match2017 hashtag.Program HighlightsResults of the Main Residency Match are closely watched because they can be predictors of future changes in physician workforce supply.Primary CareIn 2012, the NRMP implemented a policy requiring Match-participating programs to place all positions in the Match, spurring significant increases in the number of primary care positions offered. In the six years since implementation of the policy, Internal Medicine, Family Medicine, and Pediatrics have added a combined 2,900 positions, a 25.8 percent increase. Highlights from the 2017 Match include:Internal Medicine programs offered 7,233 positions, 209 more than in 2016; 7,101 (98.2%) positions filled, and 3,245 (44.9%) filled with U.S. allopathic seniors.Family Medicine programs offered 3,356 positions, 118 more than in 2016; 3,215 (95.8%) positions filled, and 1,513 (45.1%) filled with U.S. allopathic seniors. Since 2012, the number of U.S. allopathic seniors matching to Family Medicine has increased every year.Pediatrics programs offered 2,738 positions, 49 more than in 2016; 2,693 (98.4%) filled, and 1,849 (67.5%) filled with U.S. allopathic seniors.Other HighlightsEmergency Medicine offered 2,047 first-year positions, 152 more than in 2016, and filled all but six. The overall fill rate was 99.7 percent, and 78.2 percent were filled by U.S. seniors. Since 2012, the number of Emergency Medicine positions has increased by 379, or 23 percent.Psychiatry offered 1,495 first-year positions, 111 more than in 2016, and filled all but four. The overall fill rate was 99.7 percent, and 61.7 percent were filled by U.S. seniors. Since 2012, the number of Psychiatry positions has increased 378, or 34 percent, and the number of positions filled by U.S. allopathic seniors has increased by 307.Specialties with more than thirty positions that achieved the highest percentages of positions filled by U.S. allopathic seniors, which is one measure of competitiveness, were Integrated Plastic Surgery (93.1% U.S. seniors), Orthopedic Surgery (91.9% U.S. seniors), and Otolaryngology (91.5% U.S. seniors).Applicant HighlightsAlthough the 43,157 Match registrants was the most ever, the increase was due primarily to growth in U.S. allopathic medical school seniors and students/graduates of U.S. osteopathic medical schools.The number of U.S. allopathic medical school senior registrants was 19,030, 362 more than last year; of those, a record-high 18,539 submitted program choices, and 17,480 (94.3 %) matched to first-year positions. The 94 percent PGY-1 match rate for U.S. seniors has been consistent for many years.The number of U.S. osteopathic medical school applicants was a record high 5,000, and 3,590 submitted program choices, an increase of 608 over 2016; 2,933 (81.7%) matched to PGY-1 positions, also a record high.The number of U.S. citizen international medical school students and graduates (IMGs) who submitted program choices declined by 254 to 5,069; however, 54.8 percent (2,777) matched to PGY-1 positions, the highest match rate since 2004.The number of non-U.S. citizen IMGs who submitted program choices also declined, from 7,460 in 2016 to 7,284 this year, but 3,814 (52.4%) matched to first-year positions, 45 more than in 2016 and the highest match rate since 2005.Unmatched ApplicantsApplicants who did not match to a residency position participated in the NRMP Match Week Supplemental Offer and Acceptance Program® (SOAP®) to attempt to obtain an unfilled position. This year, 1,177 of the 1,279 unfilled positions were offered during SOAP. SOAP results will be available in the full Match report published in May.View the Advance Data Tables, Match by the Numbers, and infographicThe Match ProcessThe Main Residency Match process begins in the fall for applicants, usually during the final year of medical school, when they send applications to the residency programs of their choice. Throughout the fall and early winter, applicants interview with programs. From mid-January to late February, applicants and program directors rank each other in order of preference and submit the preference lists to NRMP, which processes them using a computerized mathematical algorithm to match applicants with programs. Research on the NRMP algorithm was a basis for awarding The Sveriges Riksbank Prize in Economic Sciences in Memory of Alfred Nobel in 2012.About NRMPThe National Resident Matching Program® (NRMP®) is a private, non-profit organization established in 1952 at the request of medical students to provide an orderly and fair mechanism for matching the preferences of applicants for U.S. residency positions with the preferences of residency program directors. In addition to the annual Main Residency Match® for more than 43,000 registrants, the NRMP conducts Fellowship Matches for more than 60 subspecialties through its Specialties Matching Service® (SMS®).Contact:Diane [email protected] Performance in the 2017 Match - ECFMG NewsCharting Outcomes in the Match for International Medical Graduates 2016 (www.nrmp.org)[DISHEARTENING DISCUSSION FROM STUDENT DOCTOR NETWORK PATHOLOGY FORUM]2017 Pathology NRMP statisticsDiscussion in 'Pathology' started by Doormat, Mar 17, 2017.Doormat Status: Attending Physician It's official. Pathology is the worst of the worst. The bottom of the barrel. Statistics for the 2017 match are available on the NRMP website. This year, a paltry 231 US medical graduates applied for pathology residency positions. 35.9% of all pathology residency slots were filled by US applicants this year. That’s nearly 10 percentage points less than the next lowest major specialty -- family medicine, with 45.1% of positions filling with US grads. 21% of all pathology training programs in the US went unfilled. In recent years Pathology has been commoditized like no other specialty and US grads are taking notice. They are avoiding our specialty in droves.#1Doormat, Mar 17, 2017jupiterianvibe Status: Post Doc That's why I'm leaving. better late than never.I can assure you that every single one of those unfilled positions is going to be filled with an IMG. This field is a joke. Should be a PhD program.#2jupiterianvibe, Mar 17mikesheree Physician Gold Donor Classifieds Approved Status: Attending Physician Very sad but no surprise at all. #3mikesheree, Mar 17, 2017coroner Peace Sells...but who's buying? Physician Status: Attending Physician I wonder why it was so low this year. I remember when I matched, it was actually majority AMG's i.e. about 55%. This shouldn't be anything to get too depressed about...competitiveness and interest of specialties tend to wax and wane over the years with the exception of the few steady ones at the top e.g. derm, plastics, etc.jupiterianvibe said: That's why I'm leaving. better late than never. Care to tell us your backup plan? For all we know it could be anything from real estate to freelance hacking for the Russians...#4coroner, Mar 18, 2017postbacpremed87 Status:Medical Studentgbwillner said: ↑Definitely a down year and recent downward trend. CAP and other groups should be alarmed by this. When I joined this specialty, it wasn't competitive, but certainly more so than pediatrics and IM. Now it certainly seems like US students are staying away. Think they will consider cutting spots now? 1/5 of all spots didn't fill. I think US students would be open to Pathology if they started limiting Path spots. #6postbacpremed87, Mar 18, 2017Thrombus Member Status: postbacpremed87 said: ↑Think they will consider cutting spots now? 1/5 of all spots didn't fill. I think US students would be open to Pathology if they started limiting Path spots. Big Academia thrives on the labor and the 6 figure pay checks that come with it. No way they cut. We don’t need pathologists for 10 years at least. Pathology is run by fools!!!#7Thrombus, Mar 18, 2017jupiterianvibe Status: Post Doc Thrombus said:Pathology is run by fools!!! I disagree.The pathology rank-and-file are fools, but its overlords are geniuses. #8jupiterianvibe, Mar 18, 2017jupiterianvibe Status: Post Doc gbwillner said: ↑Definitely a down year and recent downward trend. CAP and other groups should be alarmed by this. When I joined this specialty, it wasn't competitive, but certainly more so than pediatrics and IM. Now it certainly seems like US students are staying away.They're gonna do the same thing they do every year. "it's just a bad year, let's get more data".Meanwhile every unfilled spot is going to go to whatever IMG walks through the door. We've no standards in this field. None.I wonder if the ivy leagues like that the rest of the field is populated by dumbasses so that they can have more consults sent to them (kidding, kind of) #9jupiterianvibe, Mar 18, 2017Pathman1000 Status: Resident [Any Field]docprincess said: ↑Please stop spreading rumors about this speciality.if you are not happy, please leave this field and apply for another speciality. But realize that everyone doesn't want to go for Internal medicine or family medicine. People are frustrated in those fields too. Every field has its prons and cons. You can't tract any speciality down based on no reasons. This is a field of interest and skill. US grads don't apply much to pathology because they do not have Pathology in their medical school curriculum. Many of them don't know what this field is about. Foreign grads have extensive exposure and so they do have interest. You show a slide to one us grad and one foreign grad, you will see the difference. Still those US grads who are applying to this field do rotations in path and they really like it. I personally know many who switched from SURGERY or other speciality to Pathology. So please please stop this negativity on this forum. This is still great field for those who have skills to make diagnoses. It's not easy. You look under microscope and you realize it's not easy. People who are new to this field , do not go by any negative posts.We all know it's interesting, but few are hiring. Talk to the fellows; the people on this forum are not lying. Jobs are not plentiful and 2-3 fellowships is common! US medical students aren't stupid. They see the writing on the wall! #12Pathman1000, Mar 19, 2017DrfluffyMD Status: Resident [Any Field]docprincess said: ↑US grads don't apply much to pathology because they do not have Pathology in their medical school Parked at Loopia derm curriculum during my us med school either#13DrfluffyMD, Mar 19, 2017Granular Status:Attending Physician@ docprincess: Are you kidding? In executive suites, pathology is seen as a commodity, regardless of your opinion of the field. Hospitals are contracting out their labs to "industry" or "expert" management teams as mechanisms to reduce costs. They go to the lowest bidders - like they do for food service or cleaning/environmental services. Do the hospitals' electricians need a medical director? Informed US med students do not want to go through all the expense and training for the reality of being viewed/treated like technicians or servants. For US grads, the high cost of med school raises the bar for what fields they should pursue to get the proper ROI; for FMGs, perhaps the financial barriers to entry are lower, so the ROI of becoming a pathologist is adequate.The medical-academic-industrial complex does not want this situation to change. UROs, Derms, GIs, are all profiting enormously from the current situation, at the expense of pathologists and pathology. Train more folks, and "per slide" bids will go lower. The field is doomed, and the problems are not analogous to the situations docprincess is invoking - frustration due to other factors (perhaps documentation, billing, etc). To correlate with path, imagine too many derms. Rather than refer patients to a dermatologist, family practitioners hire them in their practices as non-partners, bill for their work, and pay them 20% of their professional fees. Until they can find one to do it for less. Get real, docprincess!#14Granular, Mar 19, 2017jupiterianvibe Status:Post Doc DrfluffyMD said: ↑No derm curriculum during my us med school either. I know right? Academic pathology likes to attribute the lack of interest in our field to a lack of exposure in medical school (there are tons of articles saying this), all the while ignoring any evidence that refutes their stupid hypothesis, such as the fact that derm/ophthal/uro/anesthesia always do better yet are off the radar in most schools. They also ignore the fact that family medicine is right down there with us yet most schools have a heavy family medicine component in their curriculum. So exposure does not correlate with interest. Dead theory. Put it to rest.Students don't want to become pathologists because we are about as professional as a lab tech nowadays. monkeys.can't live in a decent place.can't get a job with professional respect.always having your income shaved by businessmen.working as a servant for your former classmates.all garbage.docprincess sounds like one of those 'grateful' IMGs. #15jupiterianvibe, Mar 19, 2017Thrombus Member docprincess said: ↑I am US grad for those who have concerns regarding IMG/AMG. But I did rotations in Pathology. I was just trying to say that those rotations helped me to decide my career and I like what I am doing. Everyone might have their own opinions regarding this field but it doesn't have to be bad for all. I am third year resident at prestigious institute and The advances in this field are beyond imagination unless you have worked in top ten institutions in this country.Are you aware of the number of private pathologists and their groups being forced out of their hospitals thanks to the large number of foreign nationals willing to work for pennies on the dollar, a direct result of overtraining thanks to reliance of Big Academia on the welfare rolls?#18Thrombus, Mar 19, 2017 Last edited by a moderator: Mar 19, 2017path24 Status:Attending PhysicianGo into pathology and you have no control/stability over your entire career. The truth is getting out some? A pathologist is just a glorified lab tech that can easily be replaced.#19path24, Mar 20, 2017jupiterianvibe Status:Post DocAZpath said: ↑Our leadership is stupid. Less spots for sure. Membership has got to be more vocal. If practicing docs don't press the issue the status quo will rule.Contact the CAP HOD members. We need to give CAP an enema. How can this be done when the CAPs major revenue source is big labs?i recently read the book 'the rape of emergency medicine'. what happened in that was the emergency medicine national society was corrupt in that corporate interests were superseding the professional interests, so a bunch of emergency docs got together to form their own thing, and it worked out for the field as a whole.Pathologists should follow suit.#21jupiterianvibe, Mar 21, 2017pathstudent Sound Kapital Status: Pre-Health (Field Undecided) I think it was even worse before. I think only a little over 100 applied in the late 90s. But there were 25% less spots back then #22pathstudent, Mar 21, 2017Thrombus Member KeratinPearls said: ↑Man there's a lot of negativity on here nowadays. Starting to think dudes like jupitervibes is Thrombus' second screenname. Nope, not me! Although I have been trying to sound the alarm for 10 plus years now. Now crazy Thrombus is proving to be sage as pathologists are forced to take drastic pay cuts, forced out of their jobs, lose their practices, consolidate, etc all due to the massive overtraining that has been taking place for decades thanks to government/resident subsidized Big Academia.#24Thrombus, Mar 22, 2017WEBB PINKERTON Status: Non-Student It could be our dead outlook on life..Maybe you are right.I really don't care what people believe but I have lost count of the "card carrying" atheists I have ran into in this field. There are other pathology listservs/blogs online with these liberal dbags who love to show their intellectual superiority over the "believers". All they accomplished was chasing away the decent posters on the sites.#28WEBB PINKERTON, Mar 23, 2017gbwillnerPastafarianModerator Emeritus Status:Attending PhysicianWEBB PINKERTON said: ↑It could be our dead outlook on life..Maybe you are right.I really don't care what people believe but I have lost count of the "card carrying" atheists I have ran into in this field. There are other pathology listservs/blogs online with these liberal dbags who love to show their intellectual superiority over the "believers". All they accomplished was chasing away the decent posters on the sites.Don't worry- they won't be renewed at the time of carousel.#31gbwillner, Mar 23, 2017pathstudentSound Kapital Status:Pre-Health (Field Undecided)does anyone have the data? I always like seeing which top tier programs didn't fill.And to the woman above who said that we couldn't believe how advanced they are at a top ten academic facility, I couldn't disagree more. I came from a place like your and am now in a quaternary care private practice and the physicians in my community are way more advanced than the ones from where I trained.#34pathstudent, Mar 23, 2017yaahBoringAdministrator Physician Status:Attending Physician Sometimes institutions technically list that they have "residency spots" even though they don't plan on filling them, I think the reason being that it's a lot harder to get a spot back once you give it up than to just not fill it for a few years. At my residency program, they always had two dermpath spots but only filled one until starting a few years ago. So maybe this is a good thing - some programs are actually shrinking their residency. I am not in academics though, so I don't really know.#42yaah, Mar 26, 2017icpshootyz Status:Attending PhysicianWEBB PINKERTON said: ↑It could be our dead outlook on life..Maybe you are right.I really don't care what people believe but I have lost count of the "card carrying" atheists I have ran into in this field. There are other pathology listservs/blogs online with these liberal dbags who love to show their intellectual superiority over the "believers". All they accomplished was chasing away the decent posters on the sites.When do I get my card? I must have missed when they were handing them out...#43icpshootyz, Mar 27, 2017dr.weiner Status:Attending PhysicianI'd say this forum goes a long way in contributing to the decrease in US grads applying. It's one of the few online resources out there with practicing pathologists. Unfortunately the trolls are the loudest and discourage people from even doing a rotation. The happy people in path (the vast majority) have better things to do than troll this forum. Unfortunately people like yaah who constantly offer the reasonable contrarian opinion are few and far between. I don't blame them. It has to be exhausting.I guess I should relish my personal job security and marketability but I just feel bad for the lack of self respect that people have for their own livelihood and whatever circumstances lead them to this level of self loathing. I also think pathologists have the most free time at a computer than any other field and this contributes to the problem.Life isn't perfect, but path was the only field in medicine I could actually enjoy on a daily basis, I make more money per hour (40-45 hours a week) and have more vacation than most people in medicine. I have absolutely no regrets about my specialty choice. SDN was helpful for me but I had to sift through the doom and gloom 10 years ago to check the field out for myself to really figure it out what it entailed. I recommend that anyone the least bit interested should do the same.But what I do I know, I'm just a practicing pathologist and have been a member of this forum for over a decade.#45dr.weiner, Mar 28, 2017y2k_free_radical gbwillner said: ↑I think a point that is often overlooked is that, despite the market issues/pressures on our field, as noted above, we tend to do better monetarily than most other docs. We might make 70 cents on the dollar sometimes, but those dollars tend to be great in number. Peds and family docs in general don't make anywhere near what we make. Now, of course there are some who own their own practices and make a lot of money, but they are not the norm. We are also not on par with what our most closely interacting docs (oncologists, surgeons) make. But I think we have been very myopic on this forum, and things for the average pathologist are not as dim as would seem.I truly hope you two are correct about our sanguine future and we pessimists are wrong.#47y2k_free_radical, Mar 29, 2017neoevolution Status:Medical StudentI'm a US MD student and we cover normal histology in M1 and pathology in M2, but it's mostly to the extent that's relevant for Step 1. Radiology and derm get similar coverage. I think that's as much exposure as our curriculum can fit considering everything else we need to cover#48neoevolution, Mar 29, 2017razorJust an osteopathic turd awaiting excretion Status:Medical Studentdr. I'm a 4th year DO student matched into pathology. I have nowhere near any of the experience to comment on the status of pathology, but I can tell you I have met several pathologists in my medical school career that echo the above quoted opinion.I have made it a point to visit with the pathologists at the different hospitals I rotate at. Since I'm a DO, we do most of our rotations at private community hospitals so these aren't academic pathologists just trying to fill their program. These are just happy pathologists out working in the community. Off the top of my head I can count 11 pathologists I met from different hospitals in different cities over the last 2 years of clinical rotations (not counting the faculty/residents at academic centers where I interviewed). Every single one of them loved their job, called pathology "the best kept secret" in medicine, and recommended it to me. When asked about the "job market" in pathology they all pretty much laughed and said that has been the word on the street for 20 years. They admitted getting a job isn't as much of a job-seekers market as primary care, but none of them spoke the doom and gloom on SDN. Also, the ages of these pathologist ranged from <5 years out of residency to near-retirement.I only bring this up because my face-to-face experience with 11 out of 11 private practice pathologists in the real world is 180 degrees different than this forum would lead the general medical community to think. So, my recommendation to any interested medical student is to walk into the pathology department at every hospital you go to and introduce yourself to the pathologists (my experience was even easier, most of my attendings would take me to the pathologists or email them to introduce me). Ask them for yourself. I'm not saying ignore the posters on this forum, just take it into consideration as useful information, because I respect the fact that people posting on here probably have very valid and real experiences to back up their dismal outlook. I'm not trying to start a "flee pathology now, path is dead" rant; I just wanted to share my perspective as a student for future young'uns in my shoes. Peace.#49razor, Mar 30, 2017yaahBoringAdministrator Physician Status:Attending Physiciany2k_free_radical said: ↑I truly hope you two are correct about our sanguine future and we pessimists are wrong.Pessimists can never be proven wrong. Their predictions are just delayed awhile, or they will latch on to some specific thing to prove their point. Optimists can have a similar problem although they are at least a lot more pleasant to be around and will typically work hard to keep improving things that they see need to be improved.I have always been an advocate for nuance and realism. Anecdotes can be informative but are not necessarily trend setting. Trends can be informative but are not necessarily easily understandable or predictive.The pessimist has the luxury of always dwelling in the negative. When the negative doesn't happen as much as they thought, they just shift that to further into the future. If they don't want to do that, they identify negative trends to focus on amidst the good.I tend to think it is far too exhausting and useless to be Chicken Little. It gets you nothing. If your fears are confirmed, you don't get a prize, you just get your worst fears confirmed and you can talk about how right you were. That and 25 cents can get you 10 minutes at a parking meter. Personally, I acknowledge the challenges and the difficulties, but work to make the future as good as I can. And I try to surround myself with people who feel the same way. Selfishness only goes so far, and the truly selfish usually end up the most miserable.If I listened to some people on this forum 13 years ago, I wouldn't be in the greatest career I could have imagined, working with a great group of people, and getting paid well to do something I enjoy and have a talent for. But that being said, you do have to listen to all voices. Understand what you are doing, understand who you are and what you want, and always be prepared and vigilant. So I appreciate the naysayers on this forum as well as the optimists, although I have greater respect for the realists.#50yaah, Mar 31, 2017https://www.carms.ca/wp-content/uploads/2017/04/2017-CaRMS-Forum-web-deck-EN.pdf

Is Canada scamming immigrants by importing professionals while not respecting their experience or providing a job?

Let me tell you my story. I have been a proud Canadian citizen since I was 12 years old. I love this country more than you can ever imagine. Yet my life/experiences have put me in an unenviable position, where I know exactly what you mean by this question.I was born in Qatar, although I am not a citizen. I came to Montreal when I was 8 years old, on December 1995. I spent several years growing up in Montreal, I went to school at l’école secondaire Dorval-jean-xxiii and L’école secondaire des Sources. I fell in love with this place and everything about it. I always say, if it were ever up to me, I would have lived and stayed here for the rest of my life. But life does not always give us what we want. I had to leave at age 13 to live with my father, who put tremendous effort into affording my education at the Doha College, a British school in Qatar so I could come back here one day. Perhaps one of the best schools I had ever had the privilege of going to around the world.Unfortunately, I was unable to return to Canada to pursue undergraduate/graduate education. Indeed, I was accepted at Memorial University of Newfoundland (MUN) back in 2004, but I was unable to go. Reasons mainly included finances, family situation/status and several others. I still remember my father walking into my room in 2005 with MUN’s re-acceptance offer. Seeing how much I wanted to go and my state at the time, he actually contacted the university’s admissions office to keep my spot for a year so I can go later when it may be possible/feasible. Of course I refused, since it would have cost us an arm and a leg to go there, metaphorically speaking of course. You might ask why couldn’t I apply for a student loan, well, I was not a resident in any Canadian province then (since I was residing in Qatar) hence I was not eligible, at least for student loans with affordable interest rates that I knew of at the time. I found myself in a position where my only choice would be to go to Cairo University-Egypt to obtain my medical degree, since I am also an Egyptian citizen and hence my education there would be free. This was the most difficult decision I ever took in my life, I do not wish it upon any 17 year old. Since prior to this point, I had never actually “lived” in Egypt for more than 1-2 months at any given time and I didn’t really think or feel like I would “belong” per sae. Nevertheless, it was an amazing experience which opened me up both culturally and intellectually. I also made friendships from across the world which will last me a full lifetime. If I could ever go back, in light of my circumstances back then, I still think it was my only feasible option.I graduated from Cairo University-faculty of medicine on January 24th 2011, one day before the first Egyptian revolution. I travelled to Canada on the 28th of January 2011, which was/is referred to as the “Friday of Rage” since it marks the point during which the revolution turned violent. I was lucky, since my ticket was booked several months earlier and the following day airports were closed. However, once things settled down, I decided I needed to go back to Egypt to complete my medical internship. Without my internship, I cannot receive or be awarded my graduation certificate (medical school in Cairo is 6 years + 1 year of medical internship/practice). While I know friends who decided to stay in Canada during this period, I also know other Canadian/Egyptians who went back to practice during this time since they felt like they had an exceptional responsibility on their shoulders. Given our sense of duty, love and commitment to medicine, we decided to go back to Egypt to practice during this difficult time. I felt like this was something I had to do, otherwise, I would regret not doing it for the rest of my life. I tell you this to simply point out what practicing this profession represents to me.I also did 4 months of externship during my internship year in Northern Ontario School of Medicine (OB/GYN) and in Tufts-Brockton hospital (Boston, USA-Psychiatry and Gastro) since I knew how important North American clinical experience would be for the start of my prospective career as a medical resident in Canada. I finally returned back to Canada on April 28th 2012. I had everything one would need; on a professional level, my career was ahead of me. On a personal level, I was in a happy relationship and I was finally back home. My whole life was ahead of me back then, I often think to myself about how it actually “felt” to look forward to something. I stopped looking forward to anything for nearly a year now. It was a different time, a time when I was happy, motivated, filled with passion and optimism towards my future.Things were still not easy though, I was living in a small apartment in Scarborough Ontario. I sold my car, and all my belongings in Egypt before returning to Canada since I was never planning on leaving again. I finally had a “full time/permanent” home where I could grow and equally contribute to society and medicine. With limited finances, I worked exceptionally hard to pass the Canadian equivalence exams in the first take since I could not really afford to take exams twice. I actually completed my first Canadian equivalence exam, the MCCEE during my internship in Egypt. I still remember sitting at the back of an ambulance doing a cross country campaign in Egypt to collect blood for the hospital I worked in during the aftermath of the first revolution while I studied Obstetrics less than 3 weeks before my exam. I eventually completed all required exams (MCCEE, MCCQE1 and NAC-OSCE) within 18 months (2012-2013). Unfortunately, I was unable to match to a residency in Canada (applied first to Psychiatry, then tried family medicine as well), nor was I able to go back to Egypt to pursue or commence a residency during the 2013 revolution given the escalating political situation back then and my Coptic identity (http://carnegieendowment.org/2013/11/14/violence-against-copts-in-egypt-pub-53606).I did not give up, I moved to Montreal and completed a master’s degree of science in clinical psychiatry (McGill University) on resistant depression and the use of mood stabilizers and atypical antipsychotics for augmentation therapy. I ended up writing my thesis on 78 patients, most of which I had been following during my time there. I also used to do patients assessments at the mood disorder clinic whenever second year residents were unavailable; under direct supervision much like any resident. I can even tell you that my evaluation/assessment notes were well recognised by my supervisors as being exceptionally well written, I was really adamant about learning as much as possible about psychiatry. I also gained a tremendous amount of clinical and research experience in bipolar disorders, major depression, substance use disorders, anxiety disorders, and the use of rTMS, biomarkers and endocannabinoids (2013-2016). I even rotated in the psychiatry emergency unit during my free time on night shifts. Yet, this was not enough and I still didn’t match. Ironically enough, a few weeks after my rejection, my master’s thesis gained recognition at the American Psychiatric Association (APA-2016) in Atlanta-USA and was hosted on Medscape-WebMD (till present date) as part of a report on novel forms of psychopharmacology in resistant depression under “Key Issues in Depression: Highlights from APA 2016”, Continued Medical Education (CME).Fortunately though, I still didn’t give up! I landed a clinical postdoctoral fellowship at Université de Montreal (since 2016) in addiction, where I wrote part of the first pan-Canadian research protocol for the current Canadian opioid crisis and I used to see patients on a daily basis who were started on methadone or suboxone treatments in our clinic. I can tell you that in this study and in capacity of post-doc, I recruited the first patient in Canada who received treatment the following day. I also trained first year residents on using SCID and MINI for psychiatric diagnoses and patient encounters. Since then, I also learnt how to speak French again by taking evening bi-weekly 3 hour courses after work for nearly a year, and I published over 8 clinical scientific papers in high impact journals since 2015. I also received multiple awards from both the Canadian and American Psychiatric Association (CPA and APA). Last award was from the APA in 2018, where I received the research colloquium award for young investigators, an award offered to 52 scientific researchers in psychiatry chosen from the world every year (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3785098/). I was the only awardee from Quebec/Canada; one of 7 Canadian awardees and the only one who was still not a resident in the entire event, apart from a last year medical student from the US. I even received resident-fellow membership status in 2018 from the APA because of this award, which I originally received because of my work in Canada. Just last week, I also became a peer reviewer for a journal with an above average impact factor (IF: 2.6, average IF in psychiatry=2.0; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5618825/). Essentially, everything I know about psychiatry is self-thought, mainly through experience at both McGill and Université de Montreal, the two most prominent Anglophone and Francophone Canadian institutes.Since my return in 2012, I have done over 10 interviews in psychiatry spanning all the way from British Columbia to Montreal, in both French and English Canadian institutes. Some were good, some were bad, a few were exceptionally good, but eventually you learn the hard way that it just doesn’t matter. No one really cares about what you have done or achieved so far, or your actual CV. This is the sad reality of the present system. I can even tell you that I went as far as trying to apply to medical schools in Canada in 2016. Queens for instance, seemed appealing to me since I wrote a recommendation letter for a science student during my time at McGill who was accepted into their medical school program. I did not needed an MCAT, and my cumulative GPA in pre-med + med school in Egypt was 3.8 (according to World education Services, Ontario) which was within/close to the required range. Yet, I was told that they do not accept applications from individuals who have already completed their medical education at accredited institutes. Well, if my undergraduate degree is from an accredited institute, why do you not treat it as one even after I present you with everything you need and much more? I can tell you that I even tried applying to the Medical Officer Training Program for Unmatched Students (MOTP Surge 2018) only for my application to be denied since it was only open to Canadian medical graduates (decision taken by the Canadian institutes offering these positions). By the same logic of having worked in Egypt during the revolution, I was genuinely passionate about the possibility of working for the Canadian armed forces anywhere, given that I essentially grew up in several countries spanning across three continents, and speak French, English and Arabic (in different dialects) fluently.I can tell you that I spent over twenty thousand dollars on my master’s degree (9,800$) and residency applications (over 8,000$), excluding travel and hotel expenses during interviews. In contrast, I lived off a 728$ biweekly pay during my time at McGill, which had a tremendous negative impact on my personal life and relationship at the time in light of my expenses. Not to mention, money related to Toefl/Ielts and ACLs exams which I took twice during the past 6 years (still trying to afford the third time!) since they all expire within 24 months and are required by many Canadian institutes.I still remember my first interview in British Columbia during March 2012, which I did online from Egypt as I was still completing/processing my graduation documents. Fast forward to 2018, the same residency spot in Vancouver remained unfilled till the third iteration after implementation of the CAP assessment in 2018. To do the CAP assessment, you have to be a current permanent resident of British Columbia for a prolonged duration of time (https://imgbc.med.ubc.ca/resource/clinical-assessment/). It is still uncertain if that position was even filled. In contrast, my nephew who lives in Guelph Ontario had to wait over 10 months to see a child psychiatrist, he was 13 when he was referred and had his consult at age 14.I still remember my second interview in Saskatchewan in 2013, when I was still in my mid 20’s, and only 10 months prior I was doing my psychiatry externship in Boston. When I interviewed in Saskatchewan in 2013, we were 20 candidates for 1 available position. When I re-interviewed in 2016, we were nearly 40 candidates, for the same, single position. I still remember my interview in 2018 at another Canadian institute, where I was no longer the young candidate per sae, and my clinical and research experience in Canada did not “reflect” the way I had hoped it should, or would during the related social event. Perhaps I was too pushy. I still remember contacting MUN during the second iteration of 2018, only to be informed that they do not consider any of my work in research/publications as practice, hence, to them I have been out of practice since 2012 (6 years) and their medical education office could not process my papers in accordance with provincial guidelines. If it’s not relevant to practice, then why was I offered resident-fellow membership status from the APA because of the same work in Canada? Another question would be, what alternative did you offer me? I was a returning Canadian student who did everything he could to gain this experience on his own without anyone’s help, when the alternative would have been to abandon what I had worked so hard for nearly my entire life.Matching international graduates are often Canadian student who studied in the UK/Ireland/Australia and graduated within the last two years. However, even some of those students have a lot of difficulty returning home. I remember once being asked if I had citizenship status from Qatar by a colleague since I was born there and being informed that this might perhaps help me get into residency. Much like Saudi Arabian residents who are highly competent and occupy a prominent part of Canadian residencies, because their country pays Canadian institutes 100,000$ per year, per candidate (https://www.theglobeandmail.com/canada/article-canadian-teaching-hospitals-scrambling-to-resolve-how-saudi-student/). I replied no, I am just a Canadian student trying to return home.At the moment, I am staying in Canada till April 2019, then I will travel abroad, possibly for good. Maybe I will come back when I retire. Yet, I will try to apply one more time in Carms 2019, one last time before I pack up my bags and close this 20 year old chapter of my life (from age 13 to 31). I have the comfort of knowing that I have achieved the impossible on my own during 6 years. My conscience is guilt free, there is genuinely nothing else I could have done to be able to practice this profession here. My health and mental state are truly suffering to the point of beyond return. I had a seizure, or possibly a vasovagal syncope on the 30th of April. I really don’t know what it was exactly because 3 days later I had to attend the 2018-APA in New York to receive my award and APA resident-fellow status. It’s amazing the amount of things that can actually run through your mind during only a few minutes/seconds of paralysis. But I arrived at an ultimatum, I will always choose my profession. Without my profession, I am miserable and incomplete. Without a home, well, I can always start again; and hopefully find one that will not try this hard to force me into giving up my dreams.

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