After finishing university and taking the residency exam I had the chance to choose the specialty I really liked and wished for, which was Ophthalmology. Such a beautiful branch of Medicine, but so frustrating to practice in so many countries (mine included) because they do not teach residents any surgery during their years of training. This is how after you get your certification you end up doing mostly the job of an optometrist, instead of the one of a real doctor. The disappointment and dissatisfaction is massive. I would guess that is the reason why so many IMGs search for opportunities to actually learn and practice some true Ophthalmology in countries like Canada or USA and why there's so much competition for the limited spots. Also, I think that's the reason why Ophthalmology is or is becoming less and less popular among med students from countries where they provide surgical training only on paper. I, myself, came to realize how right those telling me to stay away from Ophtho were when they had given me the advice to choose something else just because of that. I wish I had listened to them back then! Thank you for the very informative videos and good luck in your career!!
In Thailand, Moderate GP prefer to study plastic surgery, ophthalmology and dermatology because they will have an opportunity to make money in medical aesthetic business. We have a severe lack of pathologist who need well-equipped laboratory setting. Also, psychiatrist to deal with a people suffer from inequality and socio-economic problems.
🦋 Thank you for sharing this amazing knowledge, I will be travelling abroad once my 5 years is completed at Otago University Medical School. Congratulations to your achievements, inspiring! 🦋
Before you choose and rank, look up unemployment rate after training. There's very little job opening, and fellowship after residency is almost a must (a few fellowships).
As someone considering a career switch into diagnostic radiology this made my little heart happy even though I'm not Canadian so it really doesn't matter 😂
Hey ... I’m studying medicine abroad so can you plz make a video about the process I have to go through in order to be able to apply for the match when I come back
Hey man! I love your videos. I think it would’ve been good though to maybe include more years in your analysis. I know I looked at this data personally when it came out earlier in the year and because I had seen what the previous years stats were, it was especially surprising. this year seems to have been an outlier as it relates to the contents of the dataset. The 5 years prior had much more predictable (on average) results, and ortho definitely wasn’t considered uncompetitive. Thanks for the video, just some things to take into consideration for future vids :)
Hey Derp, I'm going to have to agree with you on that one 🤙 A 5 year comparative analysis would have been a more comprehensive look, but I didn't consider it at the time since my ortho friends have been telling me that there might have been a paradigm shift lately due to the relative scarcity of ortho jobs in Canada these days after completing residency (just some hearsay from friends though). I think this is definitely worth exploring again once we get the 2021 CaRMS data so I'll do an update then. Appreciate the feedback :D
Ophthalmology wow!!!..In my country Radio, derma and Internal medicine are most competitive...then ortho,paediatrics,Obg,General surgery then Ent and ophthalmology,psychiatry and aneasthesia..almost the last clinical branch to be chosen in India is ophthal
Omygod these are amazing and so informative!!! 👏👏 I also just watched top 5 highest paying specialities in Canada and I'm so glad you're talking about this info! I would love to know more about applying to residency (how would one be a competitive applicant) especially since I believe some med schools are pass/fail and licensing exams are after matching. For example, do you fill out an application similar to the OMSAS ABS? & if so, what kinds of activities (research, extracurricular, etc.)? Or are there other qualifiers? Also, I definitely want to know more about the Canadian Healthcare system in general, specifically how the family medicie/specialists structure works & opening your own clinic/practice. Can you see a specialist directly wo FM referral? At what point/severity can you see a specialist & do patients have any input on that? Basically, how are these decisions made? All the info I've seen so far is for the US so I can't tell you how amazing it is that you're making these videos! Thank you!!! 🥰🥰
Hey Katherine, glad to hear that they've been helpful :D I apply for residency in a few months and I'll be sure to document the entire thing here on RU-vid for anyone who's interested. For starters, applications are done through CaRMS. Same idea as OMSAS... kinda 😅 Many of the same things that you see on OMSAS show up again, but the "ranking system" is different. I'll explain more later, but you can just search the official CaRMS website if you're interested. Regarding your second question, I'd definitely like to do an entire video on that once I'm actually a doctor... Seems like I'm still not qualified enough to get into the details of the entire system as of yet. But from what I know, I'm pretty confident in saying that for the most part, all patients present to either an emergency doctor, family doctor, or other health professional including a nurse practitioner, etc. These professions are known as "primary care." From there, referrals are made to "specialists" depending on the complaint and severity. It's a complex, (but far from perfect) system that tries its best to address the needs of the patient on a limited budget since unlike the US, Canada primarily funds healthcare through taxpayer dollars. I'll definitely do a video comparing the two structures in the future, but only once I know more myself :)
How would you rate psychiatry based on previous data about competitiveness? Also how would you rate your experience in psych as this is a speciality I’m very interested in but can’t find many Canadian perspectives on. Love your videos❤️
In the 2020 match, psychiatry had an R value of 0.94 - so there were more applicants than spots but not by a large margin :) In terms of my experience with psych, I actually did enjoy it a lot🤙 I don't think it's where I'm going to end up, but you need to know at least a little bit of psychiatry for many different specialties. Psych requires you to work on your ability to communicate with people on a variety of different levels and there's flexibility depending on what you want to do within psych (psych emergency, psych in-patient, etc.) Like all specialties, it's not for everyone, so the best way to see how it fits you would be to do an elective on it during medical school. And thank you :D
Hi, nice and informative video. Is it possible to make another video for those doctors who already have completed their speciality and want to migrate to Canada? Or refer any website that could guide further. I will be glad thanks in advance
Hey Mohammad, I will definitely try my best to get one out as soon as possible. I don't know much about the process so I'm trying to learn more about it for myself first
Hey doc, can you shed some light about breaking a fellowship contract. I know someone who was offered a contract for fellowship POST MATCH, meaning it was all negotiated without ERAS and without the NRMP. He now wants to break it because another fellowship wants to offer him a contract in the specialty that he was originally seeking. the first fellowship contract was only signed 2 weeks ago. anything to worry about? where can he get more info in how to get out of a contract?
Hey Meir :) wish I could help but at the moment, I'm still a medical student and don't know much about the contractual obligations of fellowship. My recommendation would be for your friend to check with the CaRMS website directly and/or consult with one of their friends/colleagues who have matched recently.
Awesome video. Do you have the R value of the last a few years? It will be interesting to see if the rank remains stable over the years or it changes significantly in a short period of time.
Thanks :) CaRMS archives the data from previous years but their format is much harder to navigate than for the 2020 data. Here's the link if you ever want to check it out, but I'd definitely agree that comparing between years would be interesting 🤙 www.carms.ca/data-reports/r1-data-reports/ I'll watch for when they release the 2021 data and come back to this then
Does the salary average include private practice? I feel like there could be a negative correlation between the ability to practice privately and the r score, with those having the highest flexibility to practice privately having the lowest r scores. Also curious to know which specialties are the most regulated in terms of residency spots. The r ratio matters but if the numerator is ridiculously low it would be pretty easy to bust that low r value haha. Thanks for the great summary! :)
Yes the salary average does include responses from doctors who practice privately 🤙 It's actually incredible how detailed they've broken down the stats on the CMA website. Interesting theory though :D I don't know if the data supports it, but it might be possible. Interestingly enough, many new doctors I've spoken with are reluctant to head into private practice because it requires them to work more (they need to learn and handle the financial aspects of running a business as well as the medical aspects which can be rewarding, but also challenging). Your second question is pretty neat too. I''ll do some more digging during clerkship and see what's up aha. And no problem!
That's probably going to be a whole video at some point (when I start getting my own application together 🤙) A lot of it is based on the 3 reference letters that you need to get during clerkship on your electives/rotations. Then there's the ECs and research as well as your written evaluations and pass/fail grades from pre clerkship and clerkship. The interviews play a big part too!
As an IMG, can we apply for NAC and mccqe part 1 and also give these exams in our last year of medschool then after graduation directly apply for residency
No problem :) It depends on which surgical specialty, but I'll link you the document summarizing the number of spots for IMGs in the different residency programs www.carms.ca/wp-content/uploads/2020/05/2020_r1_tbl44e.pdf
@@nxtgenmd Hi..I looked through the PDF you shared and was surprised to see that no spots were offered by any ENT department in 2020. Does that mean no ENT program was accepting applications in the first place? How is that possible?
As a first year medical student, my predictions were: opthalmology, neurosurgery, plastic surgery, dermatology, and family medicine +1 emergency medicine. I have heard that the family medicine +1 emerg is really competitive so I was expecting that. I'm wondering if that R value factors in both the standard 5 year EM and the +1 option for FM?
Spot on :D🔥 The FM/ER match is definitely competitive from what I've heard. The CaRMS document has an entire section on those stats (I'm not sure why they treat it separately). Looks like a 66.9% match rate for 2020 but only 85.3% of the total positions were filled. Would be interesting to see how they ended up filling the other 15% of positions 🤔
Luckily enough for the internal medicine gunners, its consistently reported as one of the top 10 easiest to match :D 2020 had it as the 9th easiest with an R value of 1.15 🤙
I had 2 rt. Cardi and neuro. I'm shocked so many want ophthalmology. I am confused though. Doesn't all docs have to have experience in Internal medicine? Before they specialize in something? This was very interesting. Thanks
Good stuff 💪 Emergency medicine being so competitive is what through me off when I found out last year. Internal medicine is a 4 year residency in Canada that opens the door to many other specialties. (You can also just complete internal and then practice as a general internist). So for example, if you want to be a cardiologist, you do 4 years of internal residency and then apply for an additional 2 years of cardiology in your final year of internal (6 years total training). Super interesting to see the different paths you can take :D
You definitely can go to a Canadian medical school and then practice in the US, but you need to do an American residency instead of a Canadian one after graduating. In that case, you'd also need to write the USMLE exams and apply via their system instead of CaRMS. It gets a little confusing when you start talking about how to go from here to there or vice-a-versa and that might be a topic for a future video. But this is the general process and stats for Canadian students looking to do residency in Canada :)
This year there are 2 spots in Canada for IMGs applying to Ophthalmology. One NCBI study showed that in previous years when there were spots available, the R value for Ophthalmology was approximately 0.03 for IMG applicants (approximately 32.5 applicants for every 1 spot). regarding working in Canada after training in the US, data on this is very specialty specific so you would be best consulting other sources online 🤙
To the best of my knowledge, dermatology isn't currently offered as a +1 add on to family medicine in Canada like Emergency medicine for example. I could be wrong though :) Dermatology in Canada is a 5 year specialty program: www.cma.ca/sites/default/files/2019-01/dermatology-e-v2.pdf
Sorry Megha, I haven't the slightest clue between the scope of practice for the specialties that I haven't rotated through yet. You would be best to check with the CMA profiles for specifics :) Best of luck
Very informative video👍 Actuallu I am doing opthalmology final year residency in india.i am planning to migrate to Canada, after seeing this video I lost my hope.what are my chances as IMG to practice as opthalmologist in Canada,please do reply thanku👍
Glad you liked it Priyanka :) Unfortunately Ophthalmology is the single most competitive specialty in Canada and for IMGs, I believe that only a single spot is offered in the entire country per year for residency. I think that your best bet would be to look up statistics for match rates and which schools will take International doctors/students for their residency program OR if it would be possible to work as an ophthalmologist with the "practice ready" transfer method. Your best bet is to check with physiciansapply.ca to start your research. Best of luck!
For people that believe that becoming a doctor is out of their reach could you maybe make a video on other jobs more specifically a physician assistant or nurse practitioner?
I'd love to do something like that in the future. Soon as we're allowed to get together with actual people again, I want to try and collaborate with a PA or NP student to come up with a guide or at least some info out there 🤙
wow .. Im depressed lol ophthalmo and Dermatology my top specialties are the hardest to match .. plus im inmigrant= 0 chances for me hhahah this is so sad :') ...
Anesthesia had an R-value of 0.81 in the 2020 cycle. There's also an option to do a 2+1 FM to anesthesia residency but I can't find the match statistics rn :)
usually around 80-120K CDN if you study in Canada as a Canadian student. It is more expensive if you are going to an American or Caribbean school as a Canadian or if you are an international student in Canada.
Yes they can, assuming that they pass the Canadian equivalency and board exams and then go through CaRMS. The data is a bit nuanced so I'll probably do a video on it in the future. But in short, according to the data for the 2020 cycle, IMGs had a 61.3% match rate (average) in the first iteration and a 38.7% match rate in the second. More than 50% of the current year IMG graduates that went unmatched in the first iteration did not apply for the second round of the match. Hope that helps :)
@@nxtgenmd hey! Love the video! And what does it mean if 50% of the unmatched didn’t apply for the 2nd round? :0 Also, would really appreciate a video about IMGs chances and prospects matching back to Canada, as the likelihood of getting into the med here is getting harder and harder 😭
It depends on if your residency training will need to be repeated or if it would still be valid when you come to Canada. There are a few factors that influence this and your best bet would be to check with physiciansapply.ca (the official website of the MCC) 🤙 For IMGs looking to do an Ophthalmology residency, in 2020 there was 1 spot in the entire country allocated for IMGs.
Hey man, your videos are really informative. Actually I am a 3rd year undergraduate student from India and I am really intersted to practice in Canada. Will I be able do it ? p.s.I don't have a PR of Canada.
Hi Kumar, glad the videos help :) You need proof of Canadian citizenship or a PR status to apply to residency in Canada. Outside of that, there are a few options for individuals looking to train outside off Canada and then practice here, but it is very difficult from what I understand. Please see my video explaining this process if you have not done so already and best of luck
Hi Will :) There's no real answer here - it'll depend on your specialty of choice and which electives you've done during clerkship, research, etc. I'd recommend going through the CaRMS website to see which provinces offer which programs and how many spots are available in the different streams. Best of luck!
@@nxtgenmd sono Italiano, appena ho letto nome e soprattutto cognome era chiaro che, o eri andato dall'Italia in Canada e avevi imparato egregiamente la lingua oppure eri la "prima generazione" di Canadese. Hai una mail alla quale posso chiederti delle info su come entrare in specializzazione in Canada (io studio Medicina in Italia) ?
@@valentinbadea7075 Ha! E vero che non sono molte persone con il nome "Gianluca Calcagno" che viene di Parigi :D Si, ho un'e-mail, pero io voglio faro un video su questo domanda settimana prossima 🤙 Dopo, se hai altre domande, puoi chiedermelo :)
The specialty requires performing a lot of procedures, which can be billed higher on average 🤙They also end up paying a lot on overhead (40% of their salary before tax) but still not a bad shake 🔥
Hello, I am about to graduate from medicine in Mexico, I would like to know what is the procedure to apply for a specialization in Canada because I was born in Canada and have my nationality, thank you
Hi Kevin, check with the CaRMS website and the CMA :) To the best of my knowledge, graduating from Mexico would mean that you'd be considered an IMG when applying for residency regardless of citizenship
Great video , meanwhile being a medical student too i wanna be ur frnd if u wont mine shall i hv ur emailor gmail ? Through thr we could converse n i would resolve up my query wth u frankly saying insta i wont use
Just a suggestion William. You can change the speed on any RU-vid video to adjust to what works for you. And you can also rewind if you miss something.
