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will it make me less of an electrical engineer
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You will be more proficient with medical stuff, than power systems stuff.
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do any of the courses actually integrate the medical applications into the electrical aspects
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Tons. 4BD4 for example has 5-6 labs where you design and build various bio-metric instrumentation devices. Knowledge of biology definitely helps in that course, altho it's unnecessary.
ECE gives you a lot of freedom with your electives, more than any other program, 4th year is pretty much just electives that you can use to tailor your skills.
Can't tell you precise average needed, they are always different. But ECE at McMaster is one of the strongest departments with solid staff and course structure, a lot of labs and hands on experience, so it's generally more applied for than something like Eng Phys or something.
Years ago Elec & Biomed only had 60 seats (probably still do), so if a lot of people just happen to apply for it this year, the required average will be much much higher.