Originally published by Brent Thoma on August 31, 2013. Expert reviewed and re-published on September 23, 2014. How time flies. About 4 years ago at this time I was in Edmonton on an Emergency Medicine elective when the CaRMS website opened to applicants. The next few months were a blur of an empty word document in need of a personal letter, many frantic e-mails to my references (that I tried to make sound …