Posté le 17/04/2006 ï¿½ 18:04
Je m'excuse si tu t'es senti offusqué par mes propos, mais cela fait 6 ans que je suis au Québec et je pense savoir de quoi je parle puisque j'ai un regard plûtot objectif en tant qu'immigrant. tu sembles n'avoir remise en question dans mes propos que ce qui t'as offusqué alors pour que tu puisse te rendre à l'évidence des choses voici la réalité du Québec, et m^me plus du Canad en matière de recrutement des médecins, j'espère que tu connais l'anglais:
The Future of Our Medical Careers
Open Letter to International Medical Graduates in Canada
Open Letter to Canadian Students at Saba University School of Medicine
Revised March 2006
Please E-mail Your Comments --> email@example.com
"For Canada to permit regulations to stand, which have as their sole foundation, appeals to discrimination toward Canadian citizens who are graduates of foreign medical schools, is to commit, a violation of the Bill of Rights, as heinous as the original set of injustices and inequalities, for which this Bill of Rights Act was created"
Thank you for taking the time to read this. First off, let me start by addressing some of the most common comments I have heard among Canadian students here at Saba University School of Medicine:
A) "I am going to do all my clinical rotations in Canada"
An IMG (International Medical Graduate/Student) (which is what we are) CANNOT do core rotations in Canada. Regardless of wether you are a Canadian citizen or not. You can only do electives.
In addition, the Association of Faculties of Medicine of Canada has ruled that the maximum length of time out-of-country medical students may be accepted for training in Canada is 12 weeks (www.afmc.ca, David Hawkins: firstname.lastname@example.org).
Now, some Canadian's here at Saba have the idea that they will do their electives, and have Saba University count them as cores. For example, you go to Ontario (or somewhere else in Canada) and do, let's say, an elective in surgery, then Saba University accepts it for the Core surgery requirement. See what I mean? Well, this is a big mistake. Let me tell you why:
When you finish medical school, and residency and apply for a license in Canada, the Canadian medical governing bodies will evaluate (in great detail) every clinical you have done. And if all your clinicals were essentially just "electives", and you broke the rules by doing more than 12 weeks of electives in Canada as a foreign student, do you think one of the strictest countries in the world is going to grant you a license to practice medicine? . . .I'll let you ponder this.
B) "I going to transfer to a Canadian Medical School"
None of the sixteen Canadian medical schools accepts transfer students from outside Canada. In fact most, wont even look at an application from WITHIN Canada.
C) "I am going to get a residency in Canada"
It is a fact that of all the IMG's that come to Canada, 90-95% will not obtain a residency. The few that do, do so, after either years and years of trying, or, because they know people in high places who 'pull strings' for them.
Just visit www.carms.ca and see how few IMG's get a residency in Canadian match every year. There are currently 12,000 (twelve thousand) IMG's in Canada, actively seeking a residency position. In Ontario alone, there are currently over 4000 (four thousand) foreign doctors with no job and no residency.
Then you have all this talk about being able to get a residency in Canada 'outside the match'. Where? How? Don't just hear that and think that your set, you must have facts! The only ones that will be able to take advantage of this are those with some serious 'inside' connections. Their rumors, and hearsay are bogus, and we all know it. I definitely won't plan out my medical career based on the 'doors will open up' theory. Because quite frankly in Canada they never will, definitely not for graduates of foreign medical schools.
Across Canada there are thousands and thousands of desperate foreign trained doctors. Some of them are outright Canadian Citizens! Of those select few that actually complete all the requirements needed just to apply, only 10% will obtain a residency position (it has varied between 4% and 16% over the past 11 years). Also, those residency positions are the worst, left over ones, that NO Canadian medical graduate wanted.
Keep in mind that CaRMS only lists the number of IMG's in the 'match'. You can only enter a rank order list and be in the match if you receive at least one interview. There are hundreds of IMG's that apply but never get any interviews and thus are not in the match, but these IMG's are not included in the statistics! So the actual 'match rate' is even lower than 10% if you were to include ALL the applicants. Please read the CMA interpretation here: www.CaribbeanMedicine.com/article18.pdf
In the Canadian Residency Match, 93% of all residency positions in Canada are filled by graduates of Canadian medical schools. The only residencies available to IMG's are those left over 2 year rural Family Practice spots, that NO Canadian medical graduate wanted. In Canada, Family Practice is only a 2 year program, in the United States it is a 3 year program. So in Canada you are getting basically 2/3 of the educational time you would compared to the U.S. Also, many of those left over FP spots in the second iteration are rural spots, so if you did get one, your opportunity to learn is very limited, because of the small patient population.
It amazes me that highly qualified foreign medical graduates, allow the Canadian medical system to degrade and humiliate them like this. IMG’s, have some pride! Do not let CaRMS, MCC, OIMGP and other Canadian medical organizations rip you off of your hard earned dollars. Because in the end, in Canada, you will have lost a lot of years and money and will have nothing to show for it, except your used airplane ticket.
D) "I am not going to write the USMLE, because I am going to Canada, so I won't need it"
If you don't write the USMLE, your life and career will turn into such a big joke, that even the best comedians in Hollywood will have difficulty portraying it . . . that's all I'm going to say about this.
E) "I am going to come back to Canada, after doing a residency in the United States"
This won't happen. After you finish residency in the U.S. and return to Canada, you cannot practice medicine. Why? Because Canada does not accept the USMLE, Canada does not accept the ECFMG certificate. To work in Canada as a doctor you would have to do the entire Canadian certification process all over again. That's right, you would have to write MCCEE, MCCQE Part 1, MCCQE Part 2, and the Canadian board exams for the residency that you did in the United States.
Also you may have to do extra year(s) of residency training in Canada, for example if you did an Internal Medicine residency in U.S. you would have to do one more year of residency in Canada.
Ontario residents: Keep in mind that you cannot return to your home province initially. You have to go to another province first and then work your way back to Ontario via reciprocity. And when you do return to your home province you must go to a rural/underserviced area for five years. For more info contact: College of Physicians and Surgeons of Ontario (CPSO) www.cpso.on.ca , (416) 967-2617
Also to go through that whole process to come back to Canada to make a lot less money makes no sense either. After you finish your residency in the U.S. you will be offered a job for $150,000 (that's U.S. dollars).
You are trying to tell me, you will pass this up to go back to Penetanguishene, Ontario to work in some rural area for $90,000 Canadian dollars (which converts to only $64,000 U.S. dollars by the way).
F) "I absolutely will go back to Canada to live, after doing a residency in the United States"
O.k. since you persist with this, let's entertain this delusional comment.
To obtain a residency in the U.S. you have to pass USMLE Step 1, USMLE Step 2 and USMLE Step 2 CS. Then during your U.S. residency you have to pass USMLE Step 3. Then to graduate from that program you have to pass the residency board exam. For example, if you are doing a residency in the U.S. in Family Practice, you have to pass the U.S. Family Practice board exam. Let's see, so far there are five board exams you need to pass.
Now after you complete all this and go back to Canada, you must write all the Canadian board exams in order to obtain a license to practice medicine in Canada. Those tests are the: MCCEE, MCCQE Part 1, MCCQE Part 2, and the Canadian Residency board exam. That's an additional four board exams.
I know people who could not even pass USMLE Step 1. It is impossible for me to believe that they will pass nine board exams. Whatever. . .
Even if you did achieve this phenomenal and miraculous feat of academia, it would result in you ending up in some rural area like Northern Manitoba or the Yukon, earning half the salary that you could earn in the United States.
For further info contact:
Royal College of Physicians and Surgeons of Canada - http://rcpsc.medical.org
College of Family Physicians of Canada - www.cfpc.ca
The truth is that as soon as you get on that airplane and head toward a foreign medical school, you have pretty much cut Canada off forever. Therefore you'd better fully accept this certainty before going abroad for the M.D. degree.
G) "I am going to write a letter, to have Canada eliminate the Evaluating Exam, because there is no need for it"
Canadian medical licencing authorities have the right and obligation to ensure Canadians get the best medical care in the world and it is my view this can be accomplished through generally accepted standardized tests such as the MCCEE that the RCPSC requires. Visit:
RCPSC - Royal College of Physicians and Surgeons of Canada
Contact the CPSO for more info:
College of Physicians and Surgeons of Ontario (www.cpso.on.ca)
80 College Street
Toronto, ON M5G 2E2 (416) 961-1711
Even the most massive letter campaign is NOT going to get them to change this requirement. I mean c'mon, that's like me saying "oh, I am going to write a letter to ECFMG, and ask them to eliminate the CSA, because I know my English well and because the CSA is too expensive."
O.K. now let's look at some of the points, we as Canadians need to be aware of, and consider when we are planning out our medical career and future:
1) The licensing exams you need to pass, to practice in Canada are:
1. successful completion of the MCCEE (evaluating exam)
2. successful completion of the Qualifying Examination Part I (MCCQE part 1)
3. successful completion of the Qualifying Examination Part II (MCCQE part 2)
Information about the Evaluating and Qualifying Examinations of the Medical Council of Canada may be obtained from
Medical Council of Canada, Box 8234, Ottawa, Ontario, Canada, KlG 3H7, telephone: (613) 521-6012, fax: (613) 521-9417 www.mcc.ca
2) One year of unpaid clerkship requirement for IMG's in Ontario.
One the requirements for obtaining a residency in Ontario, is to first obtain and complete one year of unpaid post-graduate training.
MYTH: In the Ontario IMG Program, there are 50 spots for residency in Ontario for IMG's.
FACT: Those 50 spots are not for residency. They are for this one year of unpaid post-graduate training that is a prerequisite for applying for a residency position in Ontario through the Ontario International Medical Graduate Program.
The OIMGP provides this pre-residency training to evaluate and to upgrade the qualifications of IMG's. Contact the OIMGP for details:
Ontario IMG (Scam) Program: www.imgo.ca
Let's talk a little about this:
Basically, after getting your M.D. from a foreign medical school you would have to:
1) Pass the MCCEE
2) Pass the required English tests (TOEFL, TSE)
3) Apply to the Ontario IMG program Clerkship (which is NOT residency by the way, it is just one year of pre-residency training. It is an UNPAID position. Actually you have to pay $2000 to be in this program)
4) There are hundreds and hundreds of applicants for the 50 spots that the Ontario IMG program offers, so they narrow it down with two tests
5) First test: IMG exam, from which the top 200 are selected
6) Second test: OSCE exam, from which the final 50 are selected, for this PRE-residency UNPAID program.
(the above application process is about a year long, so one year lost)
7) If selected, you must complete this one year, pre-residency, unpaid program
(a second year lost, as this is essentially another year with no job)
8) After all this is completed successfully, then you are eligible to APPLY for a residency in Ontario.
(so in total, you lose two years of your life, trying to become eligible to apply for a residency in Ontario)
ABSOLUTELY RIDICULOUS PROCESS.
9) In Ontario you cannot enter the first or second round of the Canadian CARMS residency match, you have to wait until after the second round. And after the second round there is nothing left. Keep in mind that there are 4000 (four thousand) IMG's in Ontario and 12,000 (twelve thousand) IMG's across Canada, who are actively seeking a residency position or employment as a physician in Canada. There are several thousands more IMG's who are in Canada but have long given up on this process.
Reality my dear friends. Reality.
The Practice Ready and PGY-2 positions are only for those IMG's who have completed a residency or at least some post graduate training in their home country. So this is not an option for Canadians who have gone abroad for their MD degrees.
As for the PGY-1 Family Practice positions -> Family Practice in Canada is a only a 2 year program. As a result, you don't really learn anything. These positions are basically the scraps that the Canadian government throws (like left over meat to stray dogs) to desperate IMG's in the country. Worthless.
The only thing available to IMG's outside of Ontario (other Canadian provinces) is some other worthless, left over, two year rural family practice spot that NO Canadian medical graduate wanted, not to mention that it will be in some boony town where it is -30 (minus thirty) degrees celcius everyday with a non-diverse population, up north (eg goose bay, labrador, or north battleford, saskatchewan).
Will you honestly be happy with this?
3) Not much left in the second iteration, and nothing left after the second iteration.
Let's talk briefly about the CaRMS match.
Canadian Resident Matching Service
151 Slater Street, Suite 802
Ottawa, ON Canada K1P 5H3
The match is done in two rounds (iterations). The first round is open ONLY to graduates of LCME (Canadian and American) medical schools. Not foreign medical schools!
The second round is open to graduates of foreign medical schools in some provinces. But if you go and visit the CaRMS web site, you will see that there is didly squat left in the second round . . . nickel and dime.
4) B-1 Visa for clinicals.
Yes, Canadians need a B-1 Visa to do clinicals in the United States. Apply as early as possible for this otherwise you won't be allowed into a hospital to do your rotations.
US Embassy: www.usembassycanada.gov
Citizenship and Immigration Canada: www.gic.gc.ca for related info.
5) The H-1B visa for residency training in the U.S.
To get the H-1B visa a residency program in the U.S. has to be willing to sponsor you. Unfortunately very few residency programs in the U.S. do this. To get this visa you will have to write USMLE Step 3 before starting your residency. Around twelve states allow candidates to register for this exam before residency (Step 3 is normally written DURING residency).
The great thing about this visa, is that once you get it, you can then apply for a Green Card, which will allow you to live and work in the U.S. permanently. This really is the BEST option.
To find out which states, visit:
FSMB (Federation of State Medical Boards): www.fsmb.org
To find out about the USMLE Step 3 visit: www.usmle.org
For info about the J-1 and H-1B Visa's visit:
6) The J-1 visa for residency training in the U.S.
First of all look at the requirements you have to fulfill to get this Visa:
To get this visa from the ECFMG you will first need to get an offer from a residency program in the U.S. and you will need to get a "Statement of Need" from the Canadian Health Ministry.
You need to pass the MCCEE before you can get that "Statement of Need" from Canada. If you get the J-1 visa, then you are entitled to stay in the U.S. to do a residency. But after the residency is completed you have to return to Canada for a minimum of two years. By law, this is a MUST, because when you first get the J-1, Canada requires you to sign a consent form which will allow them to recruit you when you finish residency in the U.S.
When you return to Canada, you have to get your U.S. residency training assessed by the Royal College of Canada (for which they charge a hefty fee). Then you have pass ALL the Canadian board exams in order to obtain a license to practice medicine in Canada. Those tests are the: MCCEE, MCCQE Part 1, MCCQE Part 2, and the Canadian board exams for the residency you did in the U.S.
Now, when you go back to Canada, your U.S. training alone is not eligible for Ontario, so forget about Ontario. You will have to go to some other province, where they will place you in some small rural town, where it is minus thirty degrees everyday (Labrador, Northern Alberta etc). But to get a permanent license to practice medicine there (or anywhere else in Canada), you MUST pass ALL the Canadian board exams! All this nonsense and degradation just to make half the salary you could have earned if you were allowed to stay in the U.S.
If you are doing a residency in the U.S. on a J-1 visa, it is possible to stay in the U.S. after your residency, if you get a J-1 waiver. You can obtain this waiver by agreeing to work as a physician in a health manpower shortage area (rural/underserviced area in the U.S.) for 3-5 years. Each state in the U.S. has 30 J-1 Waiver spots per year. For more information about these J-1 waiver programs, visit:
7) So as you can see, Canadians are in a different stream than all other IMG's, and that stream is appropriately called "Sh*ts Creek".
8) The Doctor shortage in Canada.
By now I am sure all of you have heard about this. But don't get too excited. Yes there is a doctor shortage in Canada. But the way Canada is solving that doctor shortage is by increasing the number of spots at Canadian medical schools. Every medical school across Canada has increased enrollment.
In addition Canada has decided to open up a new medical school in Northern Ontario which will produce a new batch of Canadian medical graduates (Canadian MD’s) that will be used to solve the doctor shortage.
New Northern Ontario Medical School: www.normed.ca
Think about it! There are 12,000 (twelve thousand) foreign trained doctors across Canada with no job and no residency, 4000 (four thousand) of them are in Ontario. They have passed the Canadian exams (MCCEE, MCCQE), they are ready to work now! . . . AND there is a doctor shortage. Why doesn't Canada provide opportunities for them? Why all this effort and money into this new Canadian medical school?
Because the bottom line is that despite a doctor shortage, Canada will never provide jobs to graduates of foreign medical schools, even if you are a Canadian citizen. Canada only wants graduates of Canadian medical schools.
9) Applying for a residency in the United States:
To apply for a residency in the U.S. to have to apply through the ERAS
Electronic Residency Application Service: www.ecfmg.org/eras/index.html
The U.S. residency match is done by
NRMP (National resident matching program): www.nrmp.org
The list of all available residency positions in the U.S., is nicely summarized at this excellent site:
FREIDA (Fellowship and Residency Electronic Interactive Database):
10) Canadians need to be very realistic about their goals.
The worst Saba student, who de-celled twice and failed USMLE on his/her first try (but is a U.S. citizen) will be able to get a residency in Internal Medicine in the U.S. without ANY problem. But you as a Canadian, even with a 90 on your USMLE and a #3 ranking in your class could still get screwed, blued and tattooed come match time. Hospitals look at applicants without a Visa, the way you and I would look at our feces, if we were suffering from inflammatory diarrhea.
11) It is important to do ALL your clinical rotations (cores and electives) in the U.S.
We have (I hope) already established that Canada is a closed door for IMG’s. So our goal is a residency in the United States. Doing all your clinicals in the U.S. allows you maximum opportunity to make contacts, which are invaluable come residency selection time. Also, the USMLE Step 2 exam is based entirely on U.S. clinical experience, doing clinicals outside of the U.S. does not prepare you well for the Step 2 exam.
Never do clinical rotations in Mexico or Canada or the Caribbean islands, this is a total waste of time. The whole point of going to a Caribbean medical school is to get clinical rotations in the U.S. at ACGME accredited hospitals. That is what maximizes your chance of getting a residency in the U.S.
12) Is the United States a nice place to raise a family?
YES! For those Canadians afraid to go to the U.S., let me offer you this: there are plenty of places in the U.S. that are as safe, and crime free as Goose Bay, Labrador . . . so don't sweat it. You can live a happy life, with your family, keeping your culture alive, and your children will have a prosperous future. It is a fact that the best and brightest Canadians move to the U.S., and never come back.
13) Caribbean Medical Schools were never intended or designed to educate Canadians.
They were opened to cater to rejected U.S. applicants. That is the whole premise, and that is for whom this whole system is geared toward. But what happened over the years is that, it became so ridiculously difficult to gain admission into a Canadian medical school that many, many Canadian students flocked down to the Caribbean.
The Association of Canadian Medical Colleges states in their manual every year:
"Applicants should be aware that enrolling in dubious, proprietary, for-profit medical schools opened specifically to cater to rejected applicants to medical schools in Canada or the USA is highly unlikely to be a path to practising medicine in Canada."
The American Association of Medical Colleges (www.aamc.org) publishes a list annually of the most difficult places to gain admission into a medical school. Ontario tops the list every year, followed by California, New York, British Columbia and Texas.
14) Canada has ruined the lives of thousands of foreign doctors for the past twenty years.
When I was younger, I always wondered why foreign doctors immigrated to Canada, when it is a world wide known fact that Canada is career suicide for them. Well the reason is as follows: Canadian Embassies around the world lie to foreign doctors.
These embassies tell them “Oh yes, come to Canada, we need doctors!”. Canadian immigration organizations lie and paint this picture that Canada is Utopia, because they want foreigners to come to Canada. Why? Because foreigners bring money and they after they come they do the blue collar jobs. That is exactly what Canada wants! The Canadian government wants foreign money and cheap foreign labor.
So after being deceived, these foreign doctors, pack up, and immigrate with their families (spouse, children) to Canada. They have to bring with them at least $10,000 and pay an additional $1500 to land in Canada. Canada has an immigration quota of 250,000 per year. So please do the math, 250,000 multiplied by $10,000 each equals a whopping 2.5 Billion dollars that Canada gains from immigrants every year.
However, after they arrive, Canada shuts the door in their face and tells them that their foreign credentials are not ‘good enough’ and that they need to pass a series of expensive tests and do additional unpaid training. Shame on those Canadian embassies!
This forces the foreign doctors to get minimum wage jobs like factory work, driving taxi cabs or delivering pizzas, and to try whatever they can to support themselves and their families. They have passed the Canadian exams (MCCEE, MCCQE), applied for residency positions with CaRMS year after year, yet the end result is nothing. This is the tragedy associated with immigration to Canada.
15) Let's help each other.
I love to share info I have gathered with my fellow Canadians. If you know something that I don't, please share it with me, I am willing to listen, but please back it up with proof and fact. As one of my Canadian classmates would say --> "During a drought, don't piss on my leg, and tell me it's raining". In other words, don't give me false hope,
. . . depressed? Don't be! Here's what you need to do:
My Advice (what I have been saying since day one):
A) Pass (with a score greater than 80) the USMLE Step 1 and USMLE Step 2 CK and pass the USMLE Step 2 CS (CSA).
B) Do all your medical school Clinical Rotations in the United States at ACGME accredited hospitals.
If you have already graduated, then do some visiting electives with U.S. residency programs.
C) Get your ECFMG certificate.
D) Apply for a residency (post graduate training) position in the United States.
(There a lot of opportunities in the U.S., as long as you choose an IMG friendly residency: e.g. internal medicine, psychiatry, family practice, pediatrics etc., things can work out.
Saba is one of the few good Caribbean medical schools, and they are recognized with residency directors all over the U.S.)
E) As soon as you graduate and obtain the ECFMG certificate, pass the USMLE Step 3 so you can become eligible to apply for the H-1B Visa. This will also help boost your application.
(USMLE Step 3, is very similiar to Step 2, it consists of 480 MCQ's and 9 CCS cases)
Take a look at this link for lists of IMG friendly hospitals in the U.S. that sponsor the H-1B visa for residency:
Also, look into the J-1 exchange visa as a possible option as well. This visa used to be very difficult to get as a Canadian, but as of 2001, the Canadian Ministry of Health has loosened up their policies.
You will need to pass the Canadian MCCEE (exam). Then once you have been accepted into a residency program in the United States, you must obtain a "Statement of Need" letter from the Ministry of Health in Canada. You can at this point, apply for a J-1 visa with the ECFMG.
F) If you are single, marry a U.S. citizen.
(There are a few people I know who have already done so, and they get their EAD (employment authorization document) within a few months. Later, they will have nice shiny green cards - permanent resident status.)
Always remember, that if you are a graduate of a foreign medical school, and you are in Canada, and you plan on living and working in North America, then you have only ONE option: passing the USMLE's and applying for a residency in the United States. That's it. Believe it.
Whew! Well, that's it for now my Canadian friends. I hope this has provoked some thought.
I sincerely wish you all the best of luck.
Foreign Medical Graduates! Please email me your story --> email@example.com
je pourrais épiloguer longtemps sur tes propos qui me semble bien plus réactifs que réaliste. en disant de ne pas mélanger les torchons et les serviettes lorsque tu compares l'afrique et le Québec je pense que toi même tu franchis un seuil qui n'est pas acceptable de ma part.
En ce qui me concerne je suis au québec depuis 6 ans, j'adore le québec, mais je ne suis pas non plus un moutons nord américains dépourvu de tout esprit autocritique, et de se fait je remercie mon pays la France de m'avoir inculquer ce sens de l'analyse dont nous savons tous les deux a quel point il est inexistant en Amérique du Nord.
tu sembles oublier que plusieurs fois par mois voici ce que l'on voit dans le journal à la télé:
1-veuillez éviter les urgences des hopitaux e week end, taux d'occupation des lits supérieur à 150%
2-suite à une grèeves des urgences, une ambulance qui amena un homme victime d'un arrêt cardiaque, se voit refuser l'admission, elle est transférer à des dizaines de kilomètres plus loin, l'homme meurt sur la route.
3- on ne compte plus le nombre d'erreur médical
4-j'ai personnellement travailler enr echerche clinique à l'hopital du sacré coeur et l'institu de cardio, c'est hallucinant de voir le personnelle médicale sortir fumer sa clope en tenue de bloc et retourner au bloc ensuite
5-j'ai expérimentée 6 années d'urgences ici, voici comment ça se déroule: pas d'intimité patient-médecin car en premier lieu c'est une infirmière qui diagnostique au urgences. Dans un second temps, pas de respect pour l'intimité du patient car la consultation se fait directement dans la salle d'attente, seule un panneau de 1mètres 30 sépare les patient de l'infirmière. Ah oui j'oublais!!!! si vous êtes riche et que c'est l'ambulance jaune qui est venu vous apporter à l'hopital moyennant 250 dollars, vous aurait le riche privilège de passer devant ceux qui attendent depuis 5 heures et plus.
Ça c'est la réalité dont je parle et nos pas la théorie de la commission romanov qui a décidé la fabrication des CLSC il y des années de cela.
6-j'ai pu assister un jour aux urgences aux retour d'une patiente à moitié sur les genous sur le point de s'évanouir. lorsque l'infirmière lui a demandé ce qu'elle avait elle a répondue: c'est vous qui m'avez injecter de la morphine pour réduire mes souffrances et en partanst sur la route je me suis senti ralentir. l'infirmière vérifia sa tension et je pu moi m^me voir à quel point elle était plus que critique, la pauvre femme était toute pale.
je ne compterais pas l'histoire du gars qui venu subir ue chirurgie mineure fini paralysé et indémnisé à cout de 2 million de dollars.
7-encore une fois je me répète, au Québec la médecine se veut sociale mais elle est prisonnière entre le fait de vivre dans
un système ultracapitaliste et de vouloir un accès universelle au soin à chaque citoyen à l'imgage de la france.
8-OHHH oui en frane ça comme à merder sérieusement puisque de 2000 à 2004 le déficit de la sécurité sociale a augmenté de 10 milliards d'euro ce qui est hallucinant, mais la Force de la France c'est ça population qui n'étant pas nord américaine et donc pas individualiste, est solidaire et n'hésite pas à manifester dans la rue pour préserver le droit le plus fondamental: celui de se soigner et de vivre.
C'est d'ailleurs notre capacité à chialer qui donne notre fameux surnom de : Maudit Français au Québec.
9- enfin ton bac français a été obtenu au québec et non en France, il y a une grande différence avec le fait de ne pas être sitoyen canadien et venir avec un bac de la france et 4 années de médecine, et celui d'être né au canada, citoyen canadien originaire d'abitibi.Aucun citoyen français non résident permanent ne sera admis. jai bon nombre d'amis qui ont du aller jusqu'au doctorat en neurosciences ou en sciences biomédicales avantde povoir être admis en médecine, pour les autres ils sont tous en dentaires. je parle de fait concrets!!!!!
10-mes propos sur la quote de rendement universitaire sont véridiques, si la quote de rendement était si efficace alors le québec ne serait pas le seul au monde à l'utiliser. ensuite ce quil y a de tout aussi ridiule pour entrer en médecine et hélas je l'ai appris à mes dépens, c'est que en autant que vous avez fait vos études secondaire en sciences, peut impotre si vous faite un baccalauréat universitaire (bachelor degree) en musique, en français ou en italien ou mathematique ou peinture, l'essentiel et de cartonner dans vos 3 années. j'ai un ami qui est entré en dentaire parce que par chance on lui a refuser une admission dans le programme de son choix, on l'a orienté vers un programme bidon, il a cartonner. cependant il s'est vu refuser l'entrer en dentaire la première fois alors qu'il avait une quote de rendement de 32, la raison a été: vous avez une quote de 27, comme il avait déjà une preuve écrite de sa quote de 32 et que son père médecin en france a protester par un courrier reommandé, il a repostuler l'année suivante et s'est vu accepté.
conclusion:je parle de fait concrets et encore une fois cela ne mempeche pas d'aimer ma vie au Québec et de dire très haut que oui la qualité de vie ici est de loin meilleure à la France si ça peut calmer tes ardeurs, cependant le sujet ici est la médecine et je souhaite apporter des info très réaliste afin que les Français et européen ne s'illusionnent pas quant à leurs infinitésimale chances d'être admis. Le canada est le pays le plus dure au monde pour y être admis. Allez aux States comme le fond d'ailleurs pleins de médecins Québécois qui en ont pleins le c... de leur vie d'aliéné a 80 heures semaines et qui remplissent admirablement bien les statisques de divorce et de dépréssion psychologique du québec.
11- de par notre différence culturel et de par les 75000 français au Québec tu dois savoir que notre manière de parler est très directe alors que la vôtre est beaucoup plus soft et moins franche, tous mes amis québécois y compris ma fiancé elle m^me québécoise me disent ''ce quon aime des français c'est qu'ils ont pas peur d'ouvrir leur grande gueule m^me si ce sont des chialeux car nous au québe on chiale dans notre salon c'est tout''
tout cela pour te dire de ne pas prendre personnel mes propos je parle juste à la française....simple choc culturel I guess.
A bon entendeur.....excusez mes propos non sturcturés j'avais trop de chose à dire