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PDF Editor FAQ

A therapist I’m interested in seeing advertises “clinical supervision” on her website. What does this mean?

In all likelihood it means that she has taken the educational credits allowing her to clinically supervise other therapists, who are getting their supervised experience before taking the licensure examination. In most states this would include clinical social workers, marriage and family counselors, and mental health counselors. Psychologists usually supervise other psychologists. This supervison is usually weekly individual or group meetings, where the supervised therapist describes and discusses their clinical cases. Most states require a couple years of this before you take the test to become a licensed independent practitioner. This is usually a good thing in a therapist since it means they are active clinically and keeping up with current practices. It is also a way to supplement income since you get paid for doing it by the supervised therapists.

Why does Canada refuse to recognize foreign education degrees or credentials?

My employer is the engineering regulator for the province of Ontario and part of our job is to assess foreign educated applicants. About half our applicants are foreign educated. Of the ones who apply, about half eventually get licensed.But although there are hurdles to obtaining a licensure (such as getting the required twelve months of Canadian experience, which is a requirement that’s likely to change or be supplemented) a good proportion of the applicants who possess a non-accredited degree simply didn’t learn enough in university to be considered the equivalent of an accredited Canadian degree holder.We have a multi-part academic assessment process and some of the problems we see are:The “engineering” degree was part of a broader degree program that didn’t focus enough on engineering. You need a certain minimum number of engineering credit hours and these people were well short. This was typical of military schools.The school had incredibly lax graduation standards. We would see transcripts where a person would get a degree with an average of less than 50%. That kind of performance in Canada would result in people flunking out (and I’ve seen a Canadian transcript like that - two and done).If you pass the basis assessment, you have two options - a confirmatory examination program (2 basic engineering exams and 2 discipline specific exams) or an interview.Now, our exams are tough. We don’t use the American Fundamentals of Engineering Exam, we have dozens of exams on specific topics. If you get 50% we consider that “just fine”, they’re meant to be tough and very practical application specific. However, I’ve seen grades like “18” or “31” (sometimes by practicing engineers who have been disciplined). If you get a “double 70” on the first two exams, we waive the next two - you’re obviously smarter than we are.As for the interview, although some are marginal, we see about half the applicants have no problem. They can take a real world engineering problem they’ve worked on and explain to two professional engineers what they would have to consider while doing it. That’s our “experience requirements committee” - a panel of two engineers in the field who have been doing these things for 20 years.But then you have the guys who clearly have no clue:This one was from one of our former staff who stayed on to assist. He asked an engineer who claimed to work on refrigeration units what the basic principle of refrigeration was. Even I knew that one and I have no engineering to speak of - “When a compressed gas is uncompressed, it cools down”. This guy didn’t know that.There was the guy who did basement underpinning. He was asked how to use the standard tool in the field that measures the compressive strength of concrete. No clue.Then there was the guy who claimed on his interview to have performed heat treatment. When he could not answer any questions on the work he performed the examiner, a college professor, got suspicious and checked the standard text on the subject. He found the applicant had lifted the problem from a standard textbook question.

Why is it not harder to become a doctor? Shouldn’t it be harder considering you deal with people’s health and lives? It seems like there’s so many bad doctors and that it’s too easy to get the title.

short answer: Mr. Werwert, thanks for the A2A. question for you: did you ever try to get to the point of being able to apply to medical school? If not, do you understand how HARD it is to become a physician in the US and Canada?Longer answer: As has been discussed before, matriculating into even the lowest ranking Medical Schools is harder than about any other application save Veterinary Schools, and often harder than being accepted at an Ivy League school if you are not a Legacy.you start by, in general, being in the top 10% of your high school class, and then the top 10% of your undergraduate class, taking at least a strong Natural/General Science Minor along with which ever primary major you choose.sometime in your third year of undergraduate classes, you take the MCAT -Medical College Admission Test - Wikipediaa full day’s marathon of test taking on a computer system.Receive a high enough score on the MCAT, have high grades, and a decent resume of things you have done to show you are self sacrificing, and you MIGHT get into medical school your first application.Then you spend two years digesting and regurgitating masses of information - the books alone from my first two years extended over 10 linear feet of shelf space, and the double spaced typed note pool output for each class was easily twice that much.During the summer between your second and third years, you take Step 1 of the US Medical Licensure Examination:United States Medical Licensing Examination - WikipediaIf you are in an MD program or the COMLEX-USACOMLEX-USA - Wikipediaif you are at a DO schoolPassage of this group of tests is mandatory to advance to the next level, and there is less chance of passage on a second attempt (if a second attempt is even allowed!).That completes your pre clinical education.Starting in your third year, some schools (KC was one of them) which spend about 12 weeks on didactic classes in the various clinical subjects, while most schools throw you out into the wild, and you are expected to study on your own and attend what ever grand rounds or other lectures on the subject of the rotation you are taking…all of the schools have all students in the clinical areas no later than the start of the spring semester of the Junior (MS III) year.Edit 20200511 1000 The Niece will take her Part I boards later this month, and her Clinical rotation Orientation starts June 1 2020. Other edits follow.Your first clinical rotations, or ‘clerkships,’ are in the ‘core subjects’ - General Internal Medicine, General Pediatrics, Family Medicine, General Surgery, OB/GYN, Psychiatry and Emergency Medicine, which pretty much finishes up your third year.Starting in your fourth year, you will have more core subjects - medical specialties such as Cardiology, Neurology, Gastrointestinal; surgical specialties such as Orthopedics, Urology and Plastic surgery, and you will have room for about six elective rotations. One normally does those rotations at various training sites where one wishes to apply for a residency program, even if you’ve already had one or more rotations at that facility.Some programs call the clerkships in the fourth year “sub internships,” and the students are expected to do more work with the patients. This is an acknowledgement that the fourth year of medical school really is the first of two years of apprenticeship in medicine.In the summer of your fourth year, you will submit your choices to the National Resident Match Program:National Resident Matching Program - Wikipediawhich will spend time digesting all of the applications from medical students and the availability of residency ‘slots’ in each specialty. The matching system will notify various Residency Program Directors of the students interested in their programs, and interviews of the students by Program Directors will continue until about a week before the final Match results are released in February of the following year.A couple of weeks later, you will take Step 2 of the USMLE/COMLEX:United States Medical Licensing Examination - WikipediaCOMLEX-USA - Wikipediastarting with a full day of computerized testing across clinical subjects.Since 2005, both tests have included clinical simulations (where the student interviews and examines standardized, model patients and then provides a short write up on each encounter) during a second day of testing. note that there is an additional fee and expenses associated with this testing, as it is only offered in a limited selection of sites.While the traditional tests do report a score, the clinical tests are graded as pass/fail. It is possible to retake Part 2, but having to do that will generally throw you behind the power curve in applying for your residency.passage of Step 2 is required to enter a residency program.While finishing your rotations, and living on tenterhooks while waiting the results of the match, you must NOT slack off in your senior clerkships, ESPECIALLY those at your most desired residency site(s)!If you match, very good. All you have to do is NOT screw up, and you will enter your desired program after graduation.If you do NOT match, there was always the scramble - many programs have unfilled slots at the end of the match and, if you’ve looked at the Wiki references (which appear to be pretty solid), you might note that there are often more applicants than there are funded residency positions over all. Fear not! starting in 2010, the Great and Chaotic Scramble was replaced by SOAP, In the Supplemental Offer and Acceptance Program, several rounds occur, with students being matched with slots (sometimes requiring a change in residency plans) as things go on.So now you’ve been Matched in one way or another, and you get to spend at least 3 if not more years, first continuing as an apprentice - The Intern - for the first year. Don’t worry! It’s been limited to “only” 4,000 official hours on duty since the early 1990s! Most of the docs on here who completed their residency prior to about 1995…did 6,000 hours or more on duty during that year.but it does mean that you will be expected to do far more individual book learning during your extra time off… and you’ll need it, because along about February of your Internship year, you will have to take Step 3 of your National Boards…and it’s a doozy!Depending on the current situation, it’s likely that you will have to wait for 6 weeks or more to find out if you have qualified to continue your training, by passing this test (well, in some states, you must complete at least two years of training before you get your full license) and becoming a licensed physician.What happens if you don’t pass? you will probably finish out your internship year, and be invited to reapply after studying hard and passing Part 3 when it’s given the next time.So, now you are the equivalent of a Journey-level physician - still in need of education and training to become a full physician, but you have actually EARNED your title of Physician!Unless you were in one of the military scholarship programs, it’s likely that you will continue on in your chosen Residency program, working your way up the ladder until you are a Senior Resident, and in your last year of training. This is at least two years down the road, at which time you will be eligible for your primary board certification tests. It’s another doozy, but you can re take it while actually in practice - most starting positions require one to be ‘Board Eligible,’ which is the status you graduated from your residency program with, but not ‘Board Certified,’ which requires obtaining a certain number of cases completed (in the Surgical Specialties), passing a written test, and in some of the tougher specialties, passing an oral exam defending your clinical judgement in the evaluation of controlled cases.If you DID participate in a military or Public Health service scholarship, you may find yourself called to active duty as a General Medical Officer as a Captain, Medical Corps - (Army and Air Force), or as a full LT in the Navy and PHS, (all at pay grade O-3), which is why about the only remaining place in the US and Canada where true General Practitioners are found on a regular basis is in the Military or Government Health Service. Keep your ears and eyes open and LEARN from the military Nurses (of all grades - up to and including Nurse Practitioners), Physicians’ Assistants and even the Medics you will find yourself working with.Understand that most RNs who are 1ST LT (LT (junior grade) Navy Style; and O-2 pay grade or one grade lower than you hold), virtually ALL PAs over the pay grade of Chief Warrant Officer 2 (two black pips on a silver bar), and many enlisted folks over the rank of Sergeant (E-5 with three stripes on their sleeves) or Petty Officer 2nd Class (two stripes and an eagle in the Navy) will have MORE patient care experience than you do, often under far more difficult conditions than you are working in… Especially, since most of them have done at least one, and often several tours in a combat zone.here’s the gig - working with these folks will teach you many tricks which will make the rest of your career, even if you sub-specialize in the most esoteric field, MUCH easier. You have two or three years to pick their brains - make it count!Now, for a question to the original questioner: just exactly HOW MUCH tougher do you think earning the title of Physician should be?

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