Setting Up My NEW Office + Full Tour | New Doctor

[@jameso8711]

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]

Thank you brother 💪

[@FarhadPhotos]

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]

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

[@michaelwu3994]

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!

[@austinsolak]

Canadian med student here! Love to see your clinic - your clinic looks awesome. Love the "OR"

[@nxtgenmd]

Thank you :) good luck with your studies!

[@jcee8493]

I went there yesterday to pick up applications for myself and my Dad....totally forgetting that Duh! Wednesday afternoon 🤦‍♀

[@thiagolusvarghimd]

Congrats! The fun begins :)

[@nxtgenmd]

Thanks dude :) 💪

[@frankv905]

Congrats Dr C! Your training and confidence really comes through! You will be a great Family doc!

[@nxtgenmd]

Thanks Frank! :)

[@ketuketu1567]

Welcome and congratulations…your enthusiasm and passion are inspiring!

[@nxtgenmd]

Thank you Ketu :)

[@royisstr]

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]

I hope that’s the case as well :) congrats on graduating and best of luck with your residency training 💪

[@sanjanakapuria238]

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!

[@jeanetteraichel8299]

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]

Thank you :)

[@lost_soul9325]

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]

Glad that it’s been helpful :) thank you!

[@Sundropfnaf82]

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]

Thank you very much! :)

[@AbdulAli-ku9he]

Congarats bro 👏🏼👏🏼👏🏼👏🏼👏🏼 so happy for you.

[@nxtgenmd]

Thank you very much bro :)

[@harmeetsingh6795]

Congrats Dr, Best of luck

[@nxtgenmd]

Thank you very much :)

[@joannaigo5635]

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]

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 :)

[@victorainebyoona]

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]

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]

@@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

[@jameso8711]

What is your opinion on CPSO regulating PA’s? It has officially passed legislation and will come into affect in 2025

[@nxtgenmd]

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]

@@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

[@Perri.G-eu8ii]

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

[@Jaycar1997]

Do you guys have point of care labs or ultrasound

[@nxtgenmd]

POC glucose and urinalysis / pregnancy. Working on getting an ultrasound for us at some point

[@ShenalThilakarathne-p2w]

are you a canadian medical graduate or IMG?

[@nxtgenmd]

Canadian 🇨🇦

[@shibdassarkar9357]

Sir how much is your salary now as a doctor? Plz reply. Thanks a lot.

[@archeekhamar]

Hi Gianluca, I was wondering if its possible to get your email ID for formal inquiries ?

[@balinderkumar2200]

Contact

[@E-Cyber-S]

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

[@Zacs1993]

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]

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]

@@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.