{"id":2342,"date":"2011-11-14T08:00:03","date_gmt":"2011-11-14T13:00:03","guid":{"rendered":"https:\/\/mindonmed.com\/?p=2342"},"modified":"2016-01-25T16:36:33","modified_gmt":"2016-01-25T21:36:33","slug":"canada","status":"publish","type":"post","link":"https:\/\/old.mindonmed.com\/2011\/11\/canada.html","title":{"rendered":"Medical School in Canada"},"content":{"rendered":"
<\/a><\/p>\n I was recently contacted by Jessica, a 21-year old 2nd year medical student at the University of Alberta in Canada, offering to teach us about Medical Education in Canada! She complete 3 years of undergrad in Vancouver, BC – her focus of study was Microbiology. Jessica runs the blog Atalanta’s Antics<\/a> and also tells me she’s a film nut, choir director, hockey pseudo-player, actor, pianist and BBC fan. This chick is the dictionary definition of well-rounded, y’all.<\/p>\n If you’re new around here, let me explain. This post is an extension of the Medical Education Mondays<\/a> series I started a while back. In addition to random Med Ed information, I’ve had an array of fabulous guest bloggers share info on medical school in the United States, Belgium, United Kingdom, Spain, Egypt, Australia, Saudi Arabia, Greece, South Africa and the Dominican Republic. You can see these cool posts, as well as the rest of the Med Ed Monday series, here<\/a>.<\/p>\n At what age does one typically begin medical school?<\/strong> What exams does one have to take to get in? <\/strong> The first 3 are multiple choice and each are bell-curved and scored out of 15 (i.e. one year, getting 49\/52 may be a 14, another year may be a 12). The writing sample is ranked from J (lowest) to T (highest), so you end up with something like 10-9-10 R (29R)<\/span>. For the year I wrote it, I got a 11-11-11 Q (33Q)<\/span>, which was about the 86th<\/sup> percentile.<\/p>\n In addition to the MCAT, you also have to interview at each school you’re invited to, usually using the Multiple Mini-Interview (MMI) format. This consists of a series of stations, each with a different topic or ethical dilemma to discuss with an interviewer. So, you’re not judged solely on one interview by one panel, but rather on multiple topics by multiple people.<\/p>\n Is there any required pre-requisite coursework?<\/strong> Is it a competitive occupation? <\/strong> What are you called at this stage of training? <\/strong> How long is it?<\/strong> How are the years broken down?<\/strong><\/p>\n If you opt for the Integrated Community Clerkship (ICC)<\/a> option, you spend your entire 3rd year in a rural community with no rotations, just learning everything at once and getting lots of hands-on experience.<\/p>\n Describe your typical day.<\/strong> If you choose a specialty, when do you have to decide by?<\/strong> What are you called at this stage of training?<\/strong> What exams do you have to take?<\/strong><\/p>\n Do most people graduate<\/strong>? When are you finally considered a \u201cdoctor?\u201d<\/strong> Do you have additional training after MS or do you start working immediately?<\/strong> What\u2019s the average debt for attendance?<\/strong> What are you called at this stage of training?<\/strong> What\u2019s the average salary?<\/strong> Is the job security good?<\/strong> Can you switch specialties?<\/strong> What are you called at this stage of training?<\/strong> <\/p>\nJessica’s Talks Medical School in Canada (frank additions by me are in orange<\/span>):<\/h3>\n
<\/a><\/h2>\n
Getting In:<\/h2>\n
\nIt varies. I started when I was 20, but I’m a bit young for my class since I got in after only 3 years of university. Technically, you only have to finish 2 years of undergrad to apply for the University of Alberta, but it’s extremely competitive at that point. Most people get in after finishing their Bachelor’s degree, so that makes them about 22-23 years old. There’s also a lot of Master’s and PhD students, as well as people who had a career before applying, so ages can range anywhere from 21 to 40.\u00a0Other schools are different \u2013 some require a finished degree, while others essentially require a Master’s to be competitive.<\/p>\n
\nThe big one is the MCAT, just like in the United States<\/a>. It’s a 5-hour with 4 components:<\/p>\n\n
\nThis also depends on the school. The U of Alberta requires some general chemistry, organic chem, biology, physics, English, statistics, and biochemistry. Other schools like the University of Calgary don’t have a set list of courses.\u00a0That being said, you don’t have to be a science major to get in – in our class we’ve even got a photography major and a carpenter!<\/p>\n
\nYes. The acceptance rate is about 10% across the country, with about 50% of those getting interviews being accepted. Doctors are in extremely high demand right now, so they can make excellent money. It’s not uncommon for people to apply for several years before getting in. I applied to 3 schools and got interviews for all of them. However, I think due to my age, I was rejected from 2 and waitlisted for the school I’m in now. A few weeks later I was accepted, but there are a lot of excellent, intelligent people rejected each year.<\/p>\n
\nBefore getting in, you’re just an undergrad student. Some people identify themselves as “pre-med,” but given the 10% acceptance rate, I think it’s a bit presumptuous.<\/p>\nBeing In:<\/h2>\n
\nFour years.<\/p>\n\n
\nApplicable to pre-clinical years:\u00a0Class usually starts at 8:00 with lecture for a few hours, followed by Discovery Learning (DL) where we get into small groups and work our way through some cases relevant to the block from diagnosis to treatment to prognosis. After lunch may be more lectures or clinical skills, depending on the week. Cadaver lab is Friday mornings with PCC on Tuesday and Thursday afternoons \u2013 right now, being in repro block, we’re practicing how to take a sexual history. There’s a quiz every Friday, so we really have to keep on top of our studying!<\/p>\n
\nResidency matching (CaRMS<\/a>) is late in 4th year, so most people have it figured out by the beginning\/middle of 4th year.<\/p>\n
\nThe lowly Medical Student. \ud83d\ude09<\/p>\nGetting Out:<\/h2>\n
\n
\nAbsolutely. It’s extremely expensive to train a physician, so the faculty does everything in its power to make sure everyone graduates. People don’t usually drop out because of the difficulty, it’s almost always for financial or personal reasons.\u00a0At my school we have a tradition that if everyone that enters 3rd year graduates, the dean of medicine wears white gloves to the convocation.<\/p>\n
\nOnce you finish 4th year and pass your MCC part I, you’re considered a physician.<\/p>\n
\nYes \u2013 there’s residency for every field. Residents are paid, but it’s not nearly as much as when you’re finished with residency.\u00a0You can also do a fellowship after completing residency, which is extra specialized training. Often these are done if the community where you plan to work needs a specific skill or if there are no jobs available in your specialty (currently common in cardiothoracic surgery) and you want something extra to put on your CV.<\/p>\n
\nIt varies a bit by school, but tuition is around $13,000 per year<\/strong>, and many students expect to accumulate upwards of $60,000<\/strong> in debt by the time they hit residency. Some students I know have $100,000 lines of credit that they use to condense living and academic expenses.<\/p>\n
\nOnce you pass the MCC part I and complete, 4th year, congrats! You’re now a physician!<\/p>\nBeing Out:<\/h2>\n
\nIt varies by specialty and province and the numbers given by the College of Physicians and Surgeons aren’t very accurate, since a lot of people work part time in certain fields. On average, though, family physicians make around $200K, specialists make around $250K, and surgical specialists make around $350K.<\/p>\n
\nGenerally, yes. Once you have a job, you can keep it for as long as you want. The trick is finding the jobs, sometimes. For example, right now we’ve got an excess of cardiothoracic surgeons, so it’s difficult for them to find OR time.<\/p>\n
\nYes, it’s difficult, though. There are a lot of hoops to jump through since you basically have to be re-matched (into a new residency)<\/span>. However, about 80% of medical students across Canada get their first choice in residency matching, so it’s rare for someone to want to completely switch fields.\u00a0You need an extremely good reason and must not be leaving a gap in your specialty for the College to allow you to re-specialize.<\/p>\n
\nResident Physician until residency training is complete, then fully-certified Physician.<\/p>\n