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Senior Clerkship

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Title: Senior Clerkship


1
Senior Clerkship
  • Oct. 18, 2006
  • Joyce Pickering, MD

2
Schedule
  • Review of senior clerkship options 20 min
  • Intro to clerkship evaluation- 10 min
  • Dr. Tellier harrassment 20 min.

3
Senior Clerkship Starts July 30, 2007
  • 9 four week blocks
  • 1 block ER
  • 1 block surgical subspecialty
  • 1 block geriatrics
  • 1 block medicine and society
  • 1 (2) block(s) vacation/interviews
  • 4 blocks electives
  • Will finish April 6, 2007 - allows 3 to 4 weeks
    study before LMCC exams

4
US letters
Cdn. letters
5
  • You will be asked for your choice of rotation
    schedule and we will do our best to accommodate
    your request.

6
Issues to consider when selecting your
preferences
  • Vacations, both July vacation and January
    vacation can be switched with electives.
  • If you are interested in a surgical subspecialty,
    ER, or medical specialty, consider requesting a
    sequence that allows you to do your area of
    choice before the MSPE is sent out.
  • If you are interested in the Seminar option
    Anatomy for Surgeons, or other seminar options,
    request a sequence that allows this course.

7
Issues to consider when selecting your preference
contd.
  • If you are applying to medicine, neurology, or
    family med, consider selecting a rotation that
    allows you to do geriatrics early.
  • If you need to attend a conference during senior
    clerkship (such as IFMSA) consider selecting an
    elective during this time.
  • If you are interested in a research project,
    request the research sequence.
  • Interviews for US programs are often held in
    early December if you are applying to the US,
    consider requesting an elective during this time.

8
US letters
Cdn. letters
9
  • For those of you who wish to do Sequence 5 we
    will give priority to those who have a research
    project at McGill planned. Submit to Silvana a
    confirmation letter from your supervisor, which
    includes his/her contact information and a brief
    description of the project.

10
  • If you do not get your first choice sequence, or
    change your mind about your career choice after
    you have been assigned, you can use your elective
    time to do relevant rotations.

11
US letters
Cdn. letters
12
  • Please use electives to broaden your medical
    education no matter how narrow the specialty
    you choose, you will be better at it if you have
    a solid background in general medicine.
  • Those of you choosing more generalist careers,
    you will be better at it if you develop some
    depth in specialized areas.

13
  • Reminder For those of you who havent yet
    booked your third year elective, you can request
    to do geriatrics during this elective, and move
    that elective to fourth year.
  • This requires approval from the geriatrics
    clerkship director, Dr. Gustavo Duque
    (Gustavo.Duque_at_mcgill.ca), and Silvana must be
    notified.

14
US letters
Cdn. letters
15
  • Register on line, with your choice of sequence,
    by Nov. 1st.
  • Registration opens as of Oct. 19th. Go to www.
    medicine.mcgill.ca, go to medical education,
    undergraduate, then clerkship (core and senior)
    then senior clerkship form.
  • You will also be asked for your preference for
    your surgical subspecialty month

16
PREMs and PEMs
  • PREM Programme Régionale des effectifs medicaux
  • Programme des effectifs medicaux
  • The provincial health manpower plan.

17
  • The province is divided into 18 regions. Health
    services, included health manpower, under the
    responsibility of the the Agence de santé et
    services sociaux for each region.
  • Monteal is region 6, James Bay region 18 etc.
  • Each region works out its physician manpower
    needs with the Ministry of Health.

18
  • PREMs apply to hospital appointments and family
    medicine spots.
  • Private Practiceis not affected.

19
  • In general, each health care institution can
    replace a specialist with another doctor from the
    same speciality.
  • Each province has provincial manpower plans.
  • These change frequently probably should not be
    a basis on which to choose your career.

20
  • The following info may be useful to you as you
    plan your applications for residency.
  • (available from the CaRMS site, as is much other
    useful info.)

21
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22
  • If all else fails, the following chart may be
    helpful in choosing your career.

23
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