They couldn't pay a good family doctor enough! People underestimate how much administrative time is put in. They also underestimate how many doctors could spend the whole hour with one patient who really needs it. We have to start putting these doctors at the top of the hierarchy and paying them as much as their specialist counterparts. Thanks for the video GianLuca. Your future patients are lucky to have you!
I still have to run the numbers for how this compares to Ontario, but it'll be interesting to be able to do that in 2024 when I'm staff :) The Ontario system from what I've seen is still among the best - especially in certain areas, but the new BC model will be interesting to compare to when the panel pay rates are published
I had given up on family medicine practice as the current remuneration model needs to be revised in light of the cost and duration of training to be a family physician. A nurse is financially better off than a primary care doctor. . This video is a light at the end of the dark family medicine practice.
Hey :) I am happy about the changes to the renumeration model but I really think that some people have misinformed others about the earning potential of being a family medicine doctor. This is a disservice because it pushes medical students away from a specialty that is so highly needed in society right now. It's true that many specialties make more than family medicine, but you can definitely make a very happy living as a FM doctor and I hope that if family medicine is your goal, that you're able to find a way to make it work for you. Good luck!
@paramandeepsandhu154 The comparison is more complex than just comparing salaries. You need to account for lost income during longer training, more tuition, and much higher work hours.
This is an amazing video! Thank you so much for breaking this down, as current Canadian med students we need more transparency on how billing can change for future physicians coming into practice to understand how we can make a better informed decision. This very was so clear and concise, please keep it up!
Canadian/Vancouverite abroad in Aus Med. Have always been set on GP but was concerned about my decision after working in the field and seeing how out of hand things have gotten (plus the international student loans I will have to pay off). You know it's bad when Vancouver is considered a Rural Return of Service region.... I was jumping of joy when they announced it. I know other provinces will follow or else they will lose all docs to "Beautiful British Columbia"
really good vid. i think its important to look at overhead as a $ amount here though. For example, in the cases where gross billings are expected to be increased 40-50%, overhead should not increase by a single penny. So overhead was 30% on the previous billing model, and it should be the same $ amount but a much lower % after (e.g say 300k gross billing vs 450k with new billing model. Previous overhead was about 30% or 90k of 300k, should still be 90k, so 90/450 = 20% overhead). i've ranked your program #2 on my carms ROL btw.
Really great point :) The cost of running a practice has continued to increase due to inflation, but the 30% figure I've seen does seem to be in reference to the old salary. Best of luck with CaRMS and let me know if you end up in Niagara!
Excited to see that Saskatchewan is following in BC’s footsteps. Would love a video on the breakdown once the changes are made next year! Also is there an update on the details of the panel payment amount. I am curious to see how that has been implemented.
Hi Zafirah, unfortunately I don't have any experience on that topic at all, but I'll link a website that you can view to learn more for yourself: www.health.gov.on.ca/en/pro/programs/hhrsd/physicians/ros.aspx Good luck!
I have lived at Port Hardy. My former family doctor has since relocated to the Lower Mainland, but he says that he makes less than he did while he lived on the North Island.
Speaking with some of my friends who moved out West for residency, you are 100%. Toronto is also pretty bad too, but I was shocked to hear how much my friends are paying for rent right now
Hey man I just have a quick question. Im a Canadian studying med school abroad because it’s way cheaper, and will hopefully be graduating this year. Do you think I should go back to Canada and apply for the CaRMS and do my residency training there or should I complete my residency training abroad and then do the PRA (practice ready assessment) which is a three month program where I’ll be tested by a doctor to see if I’m ready to work independently or not. I feel like matching with a residency program is very competitive and I might not get a match over people who’ve graduated from Canada. What do you think?
Hey dude :) In my opinion - from what I've seen from other IMGs, you are best to do residency in Canada if you can and if you know that you want to work in Canada. You will be guaranteed to be able to work after completing a Canadian residency and you will be familiar with our system (referral process, ordering tests, obtaining funding, etc.) If I didn't do residency In Canada, I feel as though I would need at least 6 months - 1 year to bring myself up to speed with navigating the system Hope this helps
can you make any video on how much tax do family physicians pay. I assume that tax rates should be different from other physicians as they are business owner instead of salaried employs.
Hey! Just came across your vlogs. Since you are in family medicine residency, do you know any foreign qualified- ( Uk in particular) family medicine consultants in Canada. I am in my family med training. And looking around for some first hand guidance
Hey man, i'm currently in medical school in the UK as a canadian. How did you fund your education? I got OSAP but it only covers about 20% of my tuiton.
Hey :) Yeah Scotiabank is what most of us end up applying for. Once you're accepted to a Canadian medical school, the bank opens up a line of credit for you that you can use to pay for school and daily expenses / whatever else. I think the new Scotiabank limit is $350,000. Then you start paying it off as soon as you're out of training. I had no idea that OSAP could be used to pay for tuition outside of Canada. Thanks for sharing
You are allowed to set your own hours in family medicine - you can multiply the rate by however much you expect to work. However, the calculations given do not take into account additional sources of income for family medicine doctors like taking on patients at long term care centres, getting involved with teaching at a university or becoming involved with consulting. Also the additional capitation payment had not been discussed in my example either Best
Hi I live in bc and I wanna become a family doctor and can u please tell me everything I need to know like Debt schooling and how to get into med school and also salaries and difficulties I would really appreciate it.
Problem is it isn't going to make the doctor better, more attentive, or care. Will new doctors moving in just think of $$$ or care about patients Medical gaslighting is a huge problem
Paying family doctors for their time spent in office as well as increasing pay all around will allow for BC physicians to spend more time per patient and take on patients with more complex medical needs. Also, it gets medical professionals interested in family medicine and staying in Canada. The fee for service model by contrast prioritizes cramming in as many patient per hour just to keep up with student loan interest payments and the cost of running a practice. That is the rationale behind the recent raise in regards to providing better patient care :)
They couldn't pay a good family doctor enough! People underestimate how much administrative time is put in. They also underestimate how many doctors could spend the whole hour with one patient who really needs it. We have to start putting these doctors at the top of the hierarchy and paying them as much as their specialist counterparts. Thanks for the video GianLuca. Your future patients are lucky to have you!
Thank you so much Nancy :) it’s nice hearing from you again. I hope you’ve been well
I hope this comes to Ontario. I think it will definitely get more people to consider family medicine if it’s implemented
I still have to run the numbers for how this compares to Ontario, but it'll be interesting to be able to do that in 2024 when I'm staff :) The Ontario system from what I've seen is still among the best - especially in certain areas, but the new BC model will be interesting to compare to when the panel pay rates are published
I had given up on family medicine practice as the current remuneration model needs to be revised in light of the cost and duration of training to be a family physician. A nurse is financially better off than a primary care doctor. . This video is a light at the end of the dark family medicine practice.
nurses dont make more than family docs gimme a break
Hey :) I am happy about the changes to the renumeration model but I really think that some people have misinformed others about the earning potential of being a family medicine doctor. This is a disservice because it pushes medical students away from a specialty that is so highly needed in society right now. It's true that many specialties make more than family medicine, but you can definitely make a very happy living as a FM doctor and I hope that if family medicine is your goal, that you're able to find a way to make it work for you. Good luck!
@paramandeepsandhu154 The comparison is more complex than just comparing salaries. You need to account for lost income during longer training, more tuition, and much higher work hours.
Not RN nurses but nurse practitioners come close.
This is an amazing video! Thank you so much for breaking this down, as current Canadian med students we need more transparency on how billing can change for future physicians coming into practice to understand how we can make a better informed decision. This very was so clear and concise, please keep it up!
Canadian/Vancouverite abroad in Aus Med. Have always been set on GP but was concerned about my decision after working in the field and seeing how out of hand things have gotten (plus the international student loans I will have to pay off). You know it's bad when Vancouver is considered a Rural Return of Service region....
I was jumping of joy when they announced it. I know other provinces will follow or else they will lose all docs to "Beautiful British Columbia"
really good vid. i think its important to look at overhead as a $ amount here though. For example, in the cases where gross billings are expected to be increased 40-50%, overhead should not increase by a single penny. So overhead was 30% on the previous billing model, and it should be the same $ amount but a much lower % after (e.g say 300k gross billing vs 450k with new billing model. Previous overhead was about 30% or 90k of 300k, should still be 90k, so 90/450 = 20% overhead). i've ranked your program #2 on my carms ROL btw.
Really great point :) The cost of running a practice has continued to increase due to inflation, but the 30% figure I've seen does seem to be in reference to the old salary. Best of luck with CaRMS and let me know if you end up in Niagara!
Excited to see that Saskatchewan is following in BC’s footsteps. Would love a video on the breakdown once the changes are made next year!
Also is there an update on the details of the panel payment amount. I am curious to see how that has been implemented.
Hello,
I wish to know more about ROS that IMGs are supposed to sign.
Can You please make video on that?
Hi Zafirah, unfortunately I don't have any experience on that topic at all, but I'll link a website that you can view to learn more for yourself: www.health.gov.on.ca/en/pro/programs/hhrsd/physicians/ros.aspx
Good luck!
Coming from Vancouver Island, we need family medicine. The cost of living is costly here.
I have lived at Port Hardy. My former family doctor has since relocated to the Lower Mainland, but he says that he makes less than he did while he lived on the North Island.
Speaking with some of my friends who moved out West for residency, you are 100%. Toronto is also pretty bad too, but I was shocked to hear how much my friends are paying for rent right now
So exciting as an IMG trying to come home to BC in family med... Hopefully this doesn't make it too competitive. Great video
Solid video as always, thank you
Thank you buddy. Hope to see you soon!
Hey! Can you let me know what books do you guys use for family medicine residency in Canada or generally recognised books world wide?
Damn that crazy.
Ur videos are so logical
Hey man I just have a quick question. Im a Canadian studying med school abroad because it’s way cheaper, and will hopefully be graduating this year. Do you think I should go back to Canada and apply for the CaRMS and do my residency training there or should I complete my residency training abroad and then do the PRA (practice ready assessment) which is a three month program where I’ll be tested by a doctor to see if I’m ready to work independently or not. I feel like matching with a residency program is very competitive and I might not get a match over people who’ve graduated from Canada. What do you think?
Hey dude :) In my opinion - from what I've seen from other IMGs, you are best to do residency in Canada if you can and if you know that you want to work in Canada. You will be guaranteed to be able to work after completing a Canadian residency and you will be familiar with our system (referral process, ordering tests, obtaining funding, etc.)
If I didn't do residency In Canada, I feel as though I would need at least 6 months - 1 year to bring myself up to speed with navigating the system
Hope this helps
thanks for this,needed this for a long time
Glad it helped :)
Do Doctors pay for their own insurance?
Yes - private health insurance / drug plans and medical liability insurance
Great - Canada copied the US billing model.
can you make any video on how much tax do family physicians pay. I assume that tax rates should be different from other physicians as they are business owner instead of salaried employs.
Thanks first for your inspiring videos
Can you please give me some information about Tuition fees of Residency programs for IMG in canada ?
Hey! Just came across your vlogs. Since you are in family medicine residency, do you know any foreign qualified- ( Uk in particular) family medicine consultants in Canada.
I am in my family med training. And looking around for some first hand guidance
Does the resident allowed to do this work and earn this money.
How much will be net pay monthly?as a family physicians can you give a number
Is working 300 days a year the norm in canada? Thats x60 5 day weeks… 😅
Definitely not the norm Abdul. I just gave a sample calculation. However there are definitely doctors doing that equivalent
Hey man, i'm currently in medical school in the UK as a canadian. How did you fund your education? I got OSAP but it only covers about 20% of my tuiton.
he went to canadian med school where 99% of canadian med students use scotiabank loc
Hey :) Yeah Scotiabank is what most of us end up applying for. Once you're accepted to a Canadian medical school, the bank opens up a line of credit for you that you can use to pay for school and daily expenses / whatever else. I think the new Scotiabank limit is $350,000. Then you start paying it off as soon as you're out of training.
I had no idea that OSAP could be used to pay for tuition outside of Canada. Thanks for sharing
People, dont forget to get lunch ! :O :O :O
Definitely! I just broke things down this way to make the numbers a bit easier :)
Fantastic video
Are your numbers not off? 300 days out 365 of the year is not realistic?
Working 5 days a week with 6 weeks vacation is 230 days
You are allowed to set your own hours in family medicine - you can multiply the rate by however much you expect to work. However, the calculations given do not take into account additional sources of income for family medicine doctors like taking on patients at long term care centres, getting involved with teaching at a university or becoming involved with consulting. Also the additional capitation payment had not been discussed in my example either
Best
Nice. :-)
❤️
Hi I live in bc and I wanna become a family doctor and can u please tell me everything I need to know like Debt schooling and how to get into med school and also salaries and difficulties I would really appreciate it.
Problem is it isn't going to make the doctor better, more attentive, or care. Will new doctors moving in just think of $$$ or care about patients
Medical gaslighting is a huge problem
Paying family doctors for their time spent in office as well as increasing pay all around will allow for BC physicians to spend more time per patient and take on patients with more complex medical needs. Also, it gets medical professionals interested in family medicine and staying in Canada. The fee for service model by contrast prioritizes cramming in as many patient per hour just to keep up with student loan interest payments and the cost of running a practice. That is the rationale behind the recent raise in regards to providing better patient care :)
I want to meet u