The 5 HARDEST Medical Specialties To Match | Canadian Doctor Residency 101
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- Опубліковано 9 лип 2024
- These are the top 5 most competitive medical specialties - the hardest to get into as per the 2020 CaRMS application data ⚡️ As a Canadian medical student, I've been getting a lot of questions from students who have asked me about medical residency (the training that you do after medical school but before you're allowed to practice medicine independently). It seems like although there's lots of amazing information about the American medical schools and residency programs, many premed and new medical students don't even know what the Canadian licensing exams are called 😅 As I continue to progress through my own training as a med student, I want to do a few videos breaking down the process and different residency options in Canada. Hopefully this helps Canadian, American and International Students that might be interested in this information.
#CaRMS #MedicalResidency #MedicalSchool
🧩 Links to information used
CaRMS 2020 Match Data: www.carms.ca/data-reports/r1-...
Canadian Medical Specialty Data: www.cma.ca/canadian-specialty...
👨🏼⚕️ New to the channel?
Nice to meet you 🤙 I'm a second year medical student at McMaster University in Ontario, Canada. I'm just trying to document my experiences throughout my medical training and beyond to hopefully help inspire/guide some other students... and make things more fun for myself :) I post a new video once per week.
Feel free to contact me on UA-cam or Instagram if you have any questions.
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Going over my ENTIRE medical school application - bit.ly/3oml9oF
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4:06 most competitive
I honestly don't know how to tell you just how much we appreciate your videos 🔥
And I appreciate you right back 🔥 Thanks Pratyus, glad to hear it :D
your video is really good quality. your public speaking is really natural and informative! i envy how smooth you can just speak
Thanks so much Jessie :D It's something that I've been trying to work on for a while now. Just keep at it - I promise it gets easier!
really informative video again! keep up the great work brother, inspires me to keep pushing!
Thanks brother 🔥 Glad to hear it, and keep pushing 💪
Super helpful info as ALWAYS!
Aha thanks Lily :D
Great video buddy!! You always blow me up with new stats
Appreciate it buddy :D I gotchu 💪
Your editing is getting so good!
Thanks for noticing! :D
Tryna get a little better each time 🔥
A very insightful video, would love to see more clerkship/residency related videos!
Thanks Rahul :D I'll keep that in mind!
Thank you very much For providing the information ❤️❤️❤️
I'm glad that it helped :)
Very informative brother. Thanks so much.
No problem brother. Glad it helped 🤙
Great video super informative :)
Thanks plunge! :D
🦋 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! 🦋
Yesssss do more Canadian specific medical info
🔥💪
A video about top 5 competitive med school in Canada pls!! 😀
🤙🤙🤙
I knew for sure dermatology and ophthalmology were going to be on the list.
thanks doc!
No problem :D
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
@@nxtgenmd I look forward to it!! Truly one of my fave channels 😁
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 UA-cam 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 :)
Me, who wants to be a neurosurgeon.
"I'll just pretend that I didn't see this "
*Whistles and walks away* "Nothing to see here" 😅
New Intro and outro 🔥
Maybe we could just keep the Instrumental part of "Dancing on the Moon" for the outro.
Aha thanks for noticing! I like that suggestion :D let's try it out for the next one and see how it fits 🤙
Nice !! Next year im going to Ophthalmo residency in México, very hard to get in there :)
Congrats on securing the residency spot :D Hope you enjoy it and best luck!
@@nxtgenmd ty so much, grats on video and yt channel :)
@@MrJesss27 hey...im an international medical graduate GP in kenya...what are the chances for IMGS to match for opthalm?
Interesting video! Could you talk about tips in medical school for matching into a competitive residency here in Canada?
Will do! Gonna hold off until next summer so that I can hopefully learn these tips for myself first 😅 Then I'll be happy to share 🤙
@@nxtgenmd my friend could you make a video for IMG?
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!!
Thanks Tabita and thanks for sharing :)
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
As soon as I've got all of the correct information, I'll definitely put one together 💪
Please can img match
into CVT Surgery?
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 😂
Lol I hear it is much more competitive in the states for DR. Best of luck!
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.
Is it necessary to have PR for imgs to match residency in Canada?
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
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!
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
@@nxtgenmd cool with a few years data e.g. 5 years we can see some trends.
Am interested in orthopaedic surgery what r my chances here,,,,,,should I go ahead
What do residency programs look at when deciding on who to select?
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!
Hello..
Thank you for your clean explanation..
Can img match in the surgical 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?
Great video, can you make one about international students trying to apply for a residency in Canada? Would be really helpful
Thanks buddy - I'll try my best to get one out as soon as I can 🤙 just want it to be properly researched first
Waiting for that video too
@@nxtgenmd waiting for you to make one asap
It's really hard. Once in a bluemoon it happens.
Thanks
🤙 :D
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
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
Crazy how different everything is in different places :O
Uhhh guess I’m moving to Canada after I finish my ophthalmology residency here in the states. An average of $800K/year is wild
😆 I don't disagree. Not a bad gig even with that 40% overhead
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.
Thanks for sharing Adisorn. There's definitely similarities and differences for trends regarding the medical specialties from country to country.
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
@@nxtgenmd thanks buddy, appreciated
I thought that orthopedic surgery would've been in the top 5, so when you said that it was the 7th easiest, I gave up on guessing the top 5
LOL that's a fair reaction 😆 I was just as surprised
Orthos can’t get OR time, many unemployed in Canada each year!
Orthopedic Surgeons in America have an unusually high salary compared to the rest of the world, so perhaps that’s your view of reference haha
@@sergiosaucedo5834 Yeah, that makes sense. Doctors in the US make more money than doctors in Canada do in general.
@@rogerfederer9999, I didn't know that. Well, I guess you learn something new every day
Good luck take care all the best to you and your family good luck take care
Thank you so much Nuala :) right back at you and your family!
I have done 6 years of UG from Georgia (the country), so will I be able to get into the residency program after clearing mccqe 1 & 2 ?
MCCQE 2 has been discontinued. You need to also complete the NAC Osce and apply to residency via CaRMS. Please see my other videos if you'd like :)
I want ask there is anywhy to get into dermatology by doing family ot medicine ?
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
Hi there! What about the IMG CaRMS data? Can you also share it on another video? Thanks!
I'm definitely going to need to make another video for the IMG applicants at some point in the future :) no problem!
Thank you!
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
Yes, you would need to write these tests before starting your residency in Canada, Check physiciansapply.ca for the timeline on when to do what :)
@@nxtgenmd thanks a lot doc!
I have done my M.D. in Internal Medicine Currently practicing independently, How can i practice in Canada as IMG.
Try for USA or UK
so for an img is it just impossible to get into ophthalmology? is there any way to get to practise in canada after completing US residency?
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 🤙
www.ncbi.nlm.nih.gov/pmc/articles/PMC7378158/
Can u tell me scope for pathologist and what is anatomical Pathology and general Pathology
I have done MD Pathology from india
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
So you can't go to med school in Canada and then match for a specialty in the US? Can you work in the US after your specialty training is over?
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 :)
Can you make a video about applying to residence as an IMG?
Sounds like a great idea 🤙 maybe an IMG vs. American vs. CMG contrast/guide since that's how CaRMS breaks down their stats 🤔
We'll see what I can do!
@@nxtgenmd Please!
I'm going to guess (in no particular order - ENT, Plastics, Ortho, Derm, Optho)!
Almost spot on with the recently released 2021 data! (minus ortho 🔨)
Where did u get the salary data? What about psychiatry
Linked in the description 🤙 check out the CMA specialty profiles
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!
whats the percentage of anesthesiology acceptance?
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 :)
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 🤔
Hi can you send me your what's app number?
👍👍
🤙🤙
What if you don’t have pr what about that?
A PR is required to work as a doctor in Canada in most cases
4:23 Hold on am I seeing that diagnostic radiology, the thing I want to do, has THE highest R value???
The Highest R value out of the most competitive specialties list* :) So it's still competitive but not extremely. Good luck in any case though!
Is internal medicine not even on the list? Guess it’s not hard at all to get into that after med school
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 🤙
Pls what's the probability of an international junior doctor immigrating to Canada to work as a Canadian doctor.
As per the 2020 CarMS match data, that match rate for current year IMGs following the 1st iteration of the match was 61.3% 🤙
@@nxtgenmd thanks!
How much cost of medical doctor study ‘s fee ?
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.
Are these Canadian Dollars?
Yes :) Canadian physical salary = Canadian dollars (I should have specified!)
Can a non Canadian trained MD match into residency in Canada? If yes what are his/her chances. Thanks so much.
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 :)
Yea thanks so much. You're the best.
@@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 😭
Its better and more easy match in BC or Quebec?
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!
Thank you , very much
What about orthopaedics?..
3:29 - orthopaedics
Shocking stuff! 2020 was a crazy year for the match indeed
@@nxtgenmd thankyou very much👍
@@nxtgenmd is this particular to 2020 or it has been like this always ?
How much do the general pathologists make??
How are the chances for IMG who are already Ophthalmoogy specialists from Europe or UK for example after they do the qualification exams?
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
@@nxtgenmd Thank you for your reply
Sir please interview a craniofacial surgeon
I'll keep an eye out for one :D
Why are surgical specialties so low in canada, 500k for neuro? What’s the point of a 7 year residency then😂
*Me, a medical student, trying to conceptualize what 500K even looks like... 😵*
What😳 it is that low? MERCY!
Parli italiano @Gianluca Calcagno ?
Si! Sono andato a scuola per studiare Italiano ogni sabato quando ero un bambino :D
Di dove sei?
@@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 :)
straight forward information
thanks doc
very nice video
but I would have expected to find obstetrician in the list
it is quite strange to me
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
no problem Adel 🤙 ob/gyn had an R value of 0.77. Still very competitive but not top 5 in 2020
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
@@nxtgenmd oh yes, I got it
*I think the toughest residency is Radiation Oncologist.*
I've only ever met 1 Rad Onc. Doc so far. Really interesting field but highly specialized 🤙
@@nxtgenmd
Yep the spots are EXTREMELY limited and mostly Harvard, Yale, Wash U graduates are able to get in.
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 :') ...
Shiiiiii , am actually competing in ophthalmology god help me
Moment of silence... Lol just kidding, good luck with it! :D
but if you get in.... my god, 800k per year is INSANE
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
lool how Opthalmology make so much $$ 😂😂
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 🔥
amazing content, could you just speak a bit slower?
Thanks! And noted 🤙
Just a suggestion William. You can change the speed on any UA-cam video to adjust to what works for you. And you can also rewind if you miss something.