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@denisenoble4010 10 сағат бұрын
Wow you lucky lucky people, I'd be happy just seeing then in the wild, but to swim with them, wow😮😊
@KazaiChan Күн бұрын
I feel like there's nothing you would get from doing a second undergrad that you wouldn't get form a post-bac. I was going to say that strongly, however I'm in the U.S. and I realize this is a Canada video so maybe it's completely different.
@Disconcertedfox Күн бұрын
Can you please talk about being a family physician and academic work? I'm looking at all of these options with research and such and would love some thoughts on how it worked.
@capitalp6577 Күн бұрын
This video is THE BEST summary of family medicine finances and is completely hidden or ignored in medical schools. We need more transparency like this so false info like doctors being paid with prescriptions do not spread throughout the public. Thanks NXTgen!!
@nxtgenmd Күн бұрын
Glad it was helpful dude :) Good luck!
@Aemirys 2 күн бұрын
I was in a fatality causing accident in 2010, i lost my fiancè, and i was permanently disabled..... ive spent so much time in hospital and rehab, like ive a got a few years worth at this point under my belt so i have nothing but the utmost respect and gratitude to everyone whos been involved me, doctors, njrses and everything in between..... because was a **unique** and **interesting** medical case ive always supported being a guinea pig and allow people to learn from me. I did once let a student nurse give me a blood thinning injection in my stomach for his first time because id rather it be me that has a high pain tolerance and im patient. But i confess i never took that thought further as to students doing a lumbar puncture of intubation for the first time, maybe thats a slightly self perseving mindset because id rather think of all the medical health professional i interacted with are competent, but yeah theres got to be a first time for everything and everyone....... EDIT: This ended up being quite a trip down memory lane and brought up a lot of nostalgic memories. Its been such a rough decade but in the last few years things have finally, finally at long, stabalised. Well as stablised as someone whos got what ive got going (its a lot) is going to be *""stable"*..... and i certainly dont feel like its something that ive **"come out the other side of"** but at least i have prgressed far enough in this journey, thatbim realistic about, will be a life long journey..... but maybe with enough time ill kinda be able to get to a *new normal* in some ways..... but im really thankful for this moment youve given, its the first time ive been able to look back in a way that was more **peaceful**. The weird thing is i dont use social media so i dont post anything at all..... but here i am in the comments section of a KZfaq video letting out such deep and personal inormation that maybe a few eyeballs might see but i doubt anyone will read this because i know if i saw such a* horrendously* long post i would not stop to read it. So in saying that, on a whim, im going to ask that if youve read my post the press the like button so i can know youve seen it. Or comment that youve read this if you dont want to like it. This isnt for attention im just curious if anyone at all will read this...... i dont normally check back when i comment on a video, and by comment i mean **"i love you video keep up the good work"** type thing but i will come back and check on this!
@jcee8493 2 күн бұрын
What exactly are your office hours and does your office have a website? The first time I tried to get an application form was my fault, I forgot that it was Wed afternoon; and even though I know you're not in on Friday's I figured someone would be there so I could just grab a form but it was closed then too. I'm gonna try again tomorrow (tuesday) afternoon, hopefully 3rd times the charm 😄
@nxtgenmd 2 күн бұрын
Hey :) sorry we missed you - come by tomorrow anytime from 10-4 PM if you’d like. Thanks
@lovelylu100 2 күн бұрын
Thank you for this content!
@nxtgenmd 2 күн бұрын
Glad it helps :)
@taekminkim8937 3 күн бұрын
Amazing video! Thank you this is really helpful as a 1st year medical student trying to figure out the financial aspect of becoming a Family doctor.
@nxtgenmd 2 күн бұрын
Glad to hear it :) good luck with your studies
@bullast2046 3 күн бұрын
your oath matters in the beginning.. then $ takes over.. drs more afraid of losing $ because they didn’t type the right acronym than they are you expiring
@O46185O 3 күн бұрын
🧠
@powermed5033 3 күн бұрын
❤ u great bro
@michaelwu3994 3 күн бұрын
Love how you represent family medicine brother! Inspiring and hopefully more med students choose family medicine from seeing your videos! Certainly inspired me to pursue fm!
@AtifHussain93 3 күн бұрын
Great video! This is an excellent summary of the models. Don't know why the information is so difficult to access here in Ontario. I'm a new attending just like you. I've been grinding at walk ins about 80 to 100 patients a day 7 days a week to pay off my student loans. While it is lucrative akin to neurosurg money, it's not really sustainable long-term. I agree that the FHO seems like the ideal balance, but it comes with its own set of worries about being dinged by your patients using walk in clinics.
@AtifHussain93 3 күн бұрын
@@chuksezeike3183 It's doable in a walk-in clinic but you can't really provide proper comprehensive care in a primary care setting. It also depends on the level of support you have in triaging and nurse assistance. Depending on the clinic someone could see about 10 to 12 patients an hour. Most people work about 7 to 8 hours to see 80+ patients. I really finish my notes on time before I move on to the next patient either through artificial intelligence or through no templates. Unless the patient is very complicated where I'll have to actually spend a larger amount of time sitting down and documenting every fine detail.
@nxtgenmd 2 күн бұрын
Thanks for sharing :) I agree that there’s pros and cons to the different models. Glad this one if working for you. Best of luck with work 💪
@Djme2 2 күн бұрын
You're making 100k / month doing this?
@chuksezeike3183 2 күн бұрын
Not even close.
@Djme2 Күн бұрын
@@chuksezeike3183 90 patients x 30 days x $38 = $102k - x overhead which would problem be a fixed amount at such a high volume. the numbers work but Im more so asking about the ability to actually do this every single day.
@nxtgenmd 3 күн бұрын
Hi everyone, thanks so much for tuning in to this week's video :) Please leave comments below if there's anything that I can help with. Just a few things that I'd like to discuss at the onset though. 1) These tips / discussion points involve family medicine in Ontario. Things work differently in different parts of the country, but a lot of the underlying concepts are similar 🇨🇦 2) My bias is very clearly as a family doctor who has been looking at long term practice. There are many doctors in Ontario that have gone public by saying that they needed to close their practice because they didn't make enough money to sustain the business. I'm not trying to put these people down at all. I am only trying to (hopefully) provide insight about why finance and medicine is a lot more closely integrated than I think most people imagine at first 📈 3) *For students*: I will very likely be slowing down on financial discussions here for the next few months. These talks are nuanced, highly political in nature and with a high barrier of entry. If anyone would like to learn more, many doctors and billing experts are happy to share what they know - especially with other students. Please ask questions as you go through your training and do not let a single jaded physician change your mind about a career choice. Focus on finding mentors that have made it work for them and learn from what they've found success in 💪
@rsh793 3 күн бұрын
LOL I wish he'd do a collab or reaction to your reaction! :) Also, guilty as heck - it's when you can't draw the hypodermic to give the cow it's penicillin that you realise maybe you're not so good and should wonder if you should think about calling the GP! 😆
@renaec4383 6 күн бұрын
Awesome video to learn from. Was there a specific course Micah would recommend to get started on reviewing the sciences? I am in a similar situation as a Commerce undergrad in Canada
@jav4346 7 күн бұрын
Hi! I know I’m pretty late, but I’m an international student and I’ve had a pretty long break from studying (4-6 months) so I feel as if I’ve totally forgotten all my concepts. Do you have any idea how long it would take for cases like me to study?
@shibdassarkar9357 9 күн бұрын
Sir how much is your salary now as a doctor? Plz reply. Thanks a lot.
@sanjanakapuria238 9 күн бұрын
congrats gianluca! ive been keeping up with your channel for years now, since before i even started undergrad. i just got accepted to a canadian med school last month, and seeing u give a tour of your clinic feels insane. times flies!
@Perri.G-eu8ii 9 күн бұрын
Hello doctor I'm so motivated by your videos and I love your patience and hardworking. I really need your advice I'm from Egypt and I'm at my fourth year in medical school. I suffer from domestic violence and my mom used to punish me by locking the door and not letting me go to exams that really lowered my GPA and I have 2 years gap because of that and PTSD. I left my parents house because that really destroyed me and my schooling, I hope you don't judge me for that as I feel like if you don't go through this you won't understand stand . My question is would the 2 years gap affects the match ? And another thing I work and I pay for my own things but that really barely enough for my rent and food , do you know any organisation or people that would help me pay for step1 , they can pay it themselves because it's okay to be suspicious and don't believe me , and I will work more to be able to pay for step2 after I graduate because my current job is giving me 3000 Egypt pound and I use them all to pay rent , food . Thanks
@MultiNerve 9 күн бұрын
Programs still do 24-hour shifts?
@user-ip2ws7fh6q 10 күн бұрын
are you a canadian medical graduate or IMG?
@nxtgenmd 10 күн бұрын
Canadian 🇨🇦
@thiagolusvarghimd 10 күн бұрын
Congrats! The fun begins :)
@nxtgenmd 10 күн бұрын
Thanks dude :) 💪
@deborahmatt3197 10 күн бұрын
Watching this on the evening before my surgery rotation..I’m full of anticipation for now..😊
@nxtgenmd 10 күн бұрын
Good luck with the rotation! :)
@royisstr 11 күн бұрын
Congratulations dude, I just graduated from med school and its been a year since i've been watching your videos, pretty crazy how much time flies. Maybe one day I'll randomly see you as doctor to doctor, who knows
@nxtgenmd 10 күн бұрын
I hope that’s the case as well :) congrats on graduating and best of luck with your residency training 💪
@joannaigo5635 11 күн бұрын
Congratulations Gianluca!! Awesome video as always! Thanks for sharing. Wishing you all the best in your new practice. How were you able to decide on a particular FHO or FHT? Would you recommend one joining a multispecialty team? i.e a practice with pediatricians, Rheumatology, peds and Int med as opposed to a FHO or FHT? Thanks!!
@nxtgenmd 10 күн бұрын
Thank you very much :) I’m with a FHO which tends to be a very good earning model when compared to FFS. When deciding between FHO and FHT I suppose the real question is how much control do you want to have over your own office? Because FHTs are multidisciplinary, these are often relatively large offices with > 5 practitioners (NP, PA, MD, psychiatrist, dibabetes educator, etc) working in the same place. With the increased staff comes increased admin costs and the need for a building manager in many cases… it’s not a bad way to do things, but it can get complicated quickly and depending on where you go, “overhead” can be on the higher end - shop around and see what you’re being quoted. In my opinion, the FHO model has been my favorite but this is made even better if you have good access to specialists in the area that can help with referrals when you need them. Unfortunately, specialist referral is hard to come by in my area in many cases. Final recommendation - keep your overhead low, see a lot of people, do good medicine and go where you feel most comfortable working. Best of luck :)
@jameso8711 11 күн бұрын
What is your opinion on CPSO regulating PA’s? It has officially passed legislation and will come into affect in 2025
@nxtgenmd 10 күн бұрын
Hey :) unfortunately I’m really not the best read on this topic. I do not know enough about the cons of increasing regulation for PAs. Happy to hear your thoughts though if you have the time
@jameso8711 8 күн бұрын
@@nxtgenmd ah that makes sense! To be honest I think regulation is always a pro. Ultimately this will ensure patients are kept safe and their well being prioritized
@anyquezada2990 11 күн бұрын
What city are u practicing?
@harmeetsingh6795 12 күн бұрын
Congrats Dr, Best of luck
@nxtgenmd 11 күн бұрын
Thank you very much :)
@lost_soul9325 12 күн бұрын
Many congratulations on your new journey! It is truly beneficial to learn about the inner workings of life as an international medical graduate who is completely new to the system and unfamiliar with its intricacies. Keep growing and keep sharing ♥️
@nxtgenmd 11 күн бұрын
Glad that it’s been helpful :) thank you!
@tafarihowe3277 12 күн бұрын
It’s good thing that America move to the pass/fail model
@ketuketu1567 13 күн бұрын
Welcome and congratulations…your enthusiasm and passion are inspiring!
@nxtgenmd 11 күн бұрын
Thank you Ketu :)
@Jaycar1997 13 күн бұрын
Do you guys have point of care labs or ultrasound
@nxtgenmd 11 күн бұрын
POC glucose and urinalysis / pregnancy. Working on getting an ultrasound for us at some point
@balinderkumar2200 13 күн бұрын
Contact
@jameso8711 13 күн бұрын
The power of training. After going through the furnace, you are ready to serve the nation. The confidence you have is very inspiring. Well done brother
@nxtgenmd 11 күн бұрын
Thank you brother 💪
@jcee8493 13 күн бұрын
I went there yesterday to pick up applications for myself and my Dad....totally forgetting that Duh! Wednesday afternoon 🤦♀
@thomaskoning7395 13 күн бұрын
ChatGPT brought me here
@Sundropfnaf82 13 күн бұрын
Best office ! Soooo happy to hear that you're staying in the office!!! Congrats!!!! You're a great dr! Thanks for being so great to our pokemon girl.. hightly recommend
@nxtgenmd 11 күн бұрын
Thank you very much! :)
@jeanetteraichel8299 13 күн бұрын
I can tell you're enthusiastic and an eager beaver to start practicing. You have a plan and what order you have to complete them in. A ultrasound machine would be helpful for sure! Congrats on being set free to help. Please don't shy away from patients who you think are too complicated.
@nxtgenmd 11 күн бұрын
Thank you :)
@frankvounasis6152 13 күн бұрын
Congrats Dr C! Your training and confidence really comes through! You will be a great Family doc!
@nxtgenmd 11 күн бұрын
Thanks Frank! :)
@E-Cyber-S 13 күн бұрын
Hi Doc, it's so nice to hear your thoughts. I am also a Canadian and an IMG but I completed my MRCGP training from the UK, now I am planning to move to USA. Can you please advise which US states are easier to get in? I have LMCC from Canada, plus ECFMG I also have USMLE 1,2, Step CK & CS currently I am working as GP in family medicine in UK and I would really like to hear your thoughts on this? Which US states are easier to get in family medicine? Please advise
@ssayed6604 12 күн бұрын
UK GP here too! I really want to move to Canada because life as a GP here is tough to say the least. Interesting to hear that you want to go to the states
@nxtgenmd 11 күн бұрын
Hi :) I don’t know what your experience has been like so far working in the US, but instead of making your decision based off of which state is easiest to work in, I would suggest going through the licensure process in the state that you can see yourself living in long term. Each of the states is different in terms of people and their experience with the healthcare system and working in Florida is much different than working in New York. It’ll depend on what you’d like for yourself. I would recommend looking at the process on their official websites and deciding if it’s worth it for you. As a personal example, I will at some point soon look into getting licensed in Florida - I have no plans of moving there right now but think it will be beneficial for me to have personally. Here’s their website if you’d like to learn more flboardofmedicine.gov/licensing/
@E-Cyber-S 11 күн бұрын
@@nxtgenmd Hello once again Doc, and thanks for your response. Actually since I am not trained in Canada I am facing a lot of hurdles in transitioning from the UK to the USA physician pathway as there are only few states that accept UK trained MRCGP. But I am still hopeful and exploring, trying to find new information from people who are going through similar experiences. So far it looks like I will have to do a fellowship in the USA to get the flexibility to choose the states which I desire 😞. Anyway the UK job market isn't that great but I am still thankful since they gave me a chance. Anyway it's really nice to hear back from you. If you get any information regarding transitioning from the UK to the USA please do share it.
@victorainebyoona 13 күн бұрын
For a hopeful IMG who wishes to one Day practice in Canada, your vids have been helpful. Now really interested in this family practice of yours. Got many questions though - Shall u be hiring Nurses, lab guys and other assistants to help u? If so how are they compensated...and if not, I'd be intrigued about how you'll handle the work load alone. Plus how did u manage to finance the place..like the setup and all the necessary equipment
@nxtgenmd 11 күн бұрын
Hi :) we have 2 nurses working with us and 1 full time front desk staff. I pay their salaries directly along with the other doctors working - the government does not help us fund their salary so it comes out of our own salary. I pay my overhead costs on a monthly basis - in Ontario, doctors are usually not be paid for the first 3 months of working as OHIP billings are held for 3 months. So you cover the costs of your office in the beginning with loans from the bank or incentives paid to you by the city you choose to work in if they have a program like that in place. Hope this helps
@victorainebyoona 11 күн бұрын
@@nxtgenmd ooh. Really helpful. Keep up the hard work and the inspiration. Hopefully one day we get to walk in your footsteps. I'm also starting my internship year here in my country in August This year...an intense working period of 12 months.. rotating in all the 4 major clinical rotations before we can be licensed to be medical officers, the would be Family Drs according to your system. Good Luck with your Practice. Looking forward to much more content from u
@AbdulAli-ku9he 13 күн бұрын
Congarats bro 👏🏼👏🏼👏🏼👏🏼👏🏼 so happy for you.
@nxtgenmd 11 күн бұрын
Thank you very much bro :)
@FarhadPhotos 13 күн бұрын
It doesn't feel long ago that you were a med student at Mcmaster giving advice to undergrad students. Now you're showing off your new office! Keep it up man. Excited to see where your journey leads you.
@nxtgenmd 11 күн бұрын
Thank you brother. Feels great to have come this far, but my foot is still on the gas 😎 can’t wait to see what comes next
@austinsolak 13 күн бұрын
Canadian med student here! Love to see your clinic - your clinic looks awesome. Love the "OR"
@nxtgenmd 11 күн бұрын
Thank you :) good luck with your studies!
@HassanAyoub-rc9ke 14 күн бұрын
We had a person bring their dog to the VA hospital for treatment. He looked up "vet hospitals" and thought we treat animals. I can't confirm or deny if the pet was treated.
@HassanAyoub-rc9ke 14 күн бұрын
Shortly after watching the farmer pain scale video, I had a female farmer check in to the ER. Later, an african american male checked in with chest pain and an elevated troponin. He looked very uncomfortable. When asked what his pain was on the scale of 1-10, he replied "Oh Jesus."
@nebula1919191 14 күн бұрын
In you income tax return, there is a provincial bill; in Ontario, 70 cents from every dollar.
@balinderkumar2200 14 күн бұрын
U r our mentor
@MeMyPCandI 15 күн бұрын
If you are having a hard time affording food, Doc, maybe skip buying the hair gel.. needs versus luxury..