The art of the humble brag
Astro Career Center and "A Roadmap for Recruiting Medical Students into Radiation Oncology during a Period of Waning Interest"
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But then, John would probably never leave his room or show up for work.
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Update of the current Astro Career Center Job posting on 01/10/2022 (done via Astro Member search):
1) Rad Onc private practice with Lexington Clinic (Lexington, KY). $150k signing bonus. This job has been post off and on for years.
2) Rad Onc private practice with Methodist Health System (Omaha, NE).
3) Rad Onc private practice with Genesis Care (Oklahoma City, OK).
4) Rad Onc employed with West Tennessee Healthcare (Jackson, TN).
5) Rad Onc employed with Guthrie Clinic (Sayre, PA).
6) Rad Onc private practice with Sand Lake Cancer Center (Orlando, FL).
7) Rad Onc urorads with Solaris Health Partners (Chicago Ridge and Joliet, IL).
8) Rad Onc academics with City of Hope “diversity focus” (Duarte, CA). Job upgraded to attract more diverse candidates (whatever that means).
9) Rad Onc academics with University of Maryland (Baltimore, MD).
10) Rad Onc private practice with West Michigan Cancer Center (Kalamazoo, MI).
11) Rad Onc private practice with Radiation Oncology Associates (Milwaukee, WI).
12) Rad Onc community academics with Cleveland Clinic (Stuart, FL).
13) Rad Onc academics with the University of New Mexico (Albuquerque, NM).
14) Rad Onc private practice with Radiation Oncology Associates (Arlington Heights, IL).
15) Rad Onc community academics with Baptist MDACC (Jacksonville, FL).
16) Rad Onc academics with Cedars Sinai (Los Angeles, CA).
17) Rad Onc private practice per diem with MultiCare Rockwood Clinic (Spokane, WA).
18) Rad Onc employed with Geisinger (Wilkes-Barre, PA).
19) Rad Onc employed with Providence St. Mary Medical Center at 4 days/week (Walla Walla, WA).
20) Rad Onc employed with Marin Cancer Care “the position will be part-time for several years, with the option to transition to full-time in 5-7 years” (Marin, CA).
21) Rad Onc employed at VA (Brooklyn, NY).
22) Rad Onc academics with University of South Florida (Tampa, FL).
23) Rad Onc employed with US Oncology Network (Maplewood, MN).
24) Rad Onc private practice with Coastal Radiation Oncology Medical Group (Coastal, CA).
25) Rad Onc employed with Aultman Hospital (Northeastern, OH).
26) Rad Onc employed with US Oncology (Phoenix, AZ).
27) Rad Onc employed with US Oncology (Tucson, AZ).
28) Rad Onc academics with University of Iowa (Iowa City, IA).
29) Rad Onc community academics with Duke (Orangeburg, SC).
30) Rad Onc academics with UCSF (San Francisco, CA).
31) Rad Onc employed with Cape Cod Healthcare (Hyannis, MA).
32) Rad Onc employed with Marshfield Medical Center (Marshfield, WI).
33) Rad Onc private practice with Washington Permanente Medical Group (Seattle, WA).
34) Rad Onc employed with WellSpan Health (Chambersburg, PA).
35) Rad Onc employed with WellSpan Health (York, PA).
36) Rad Onc academics with UPenn (Philadelphia, PA).
37) Rad Onc community academics with Dartmouth (Keene, NH).
38) Rad Onc confidential (Bullhead City, AZ).
39) Rad Onc community academics “The practice will include two clinical days/week at the Duke University Hospital in Durham and 1-2 clinical days/week at a community cancer center within 45 minutes of the triangle area with 1-2 days/week for scholarly time.” (Triangle Area, NC).
40) Rad Onc employed with Kadlec Clinic (Kennewick, WA).
41) Rad Onc employed with Ascension's Our Lady of Lourdes Memorial Hospital (Binghamton, NY).
42) Rad Onc academics with Indiana University (Indiana, nos).
43) Rad Onc academics with Allegheny Health Network (Pittsburgh, PA).
1) Rad Onc private practice with Lexington Clinic (Lexington, KY). $150k signing bonus. This job has been post off and on for years.
2) Rad Onc private practice with Methodist Health System (Omaha, NE).
3) Rad Onc private practice with Genesis Care (Oklahoma City, OK).
4) Rad Onc employed with West Tennessee Healthcare (Jackson, TN).
5) Rad Onc employed with Guthrie Clinic (Sayre, PA).
6) Rad Onc private practice with Sand Lake Cancer Center (Orlando, FL).
7) Rad Onc urorads with Solaris Health Partners (Chicago Ridge and Joliet, IL).
8) Rad Onc academics with City of Hope “diversity focus” (Duarte, CA). Job upgraded to attract more diverse candidates (whatever that means).
9) Rad Onc academics with University of Maryland (Baltimore, MD).
10) Rad Onc private practice with West Michigan Cancer Center (Kalamazoo, MI).
11) Rad Onc private practice with Radiation Oncology Associates (Milwaukee, WI).
12) Rad Onc community academics with Cleveland Clinic (Stuart, FL).
13) Rad Onc academics with the University of New Mexico (Albuquerque, NM).
14) Rad Onc private practice with Radiation Oncology Associates (Arlington Heights, IL).
15) Rad Onc community academics with Baptist MDACC (Jacksonville, FL).
16) Rad Onc academics with Cedars Sinai (Los Angeles, CA).
17) Rad Onc private practice per diem with MultiCare Rockwood Clinic (Spokane, WA).
18) Rad Onc employed with Geisinger (Wilkes-Barre, PA).
19) Rad Onc employed with Providence St. Mary Medical Center at 4 days/week (Walla Walla, WA).
20) Rad Onc employed with Marin Cancer Care “the position will be part-time for several years, with the option to transition to full-time in 5-7 years” (Marin, CA).
21) Rad Onc employed at VA (Brooklyn, NY).
22) Rad Onc academics with University of South Florida (Tampa, FL).
23) Rad Onc employed with US Oncology Network (Maplewood, MN).
24) Rad Onc private practice with Coastal Radiation Oncology Medical Group (Coastal, CA).
25) Rad Onc employed with Aultman Hospital (Northeastern, OH).
26) Rad Onc employed with US Oncology (Phoenix, AZ).
27) Rad Onc employed with US Oncology (Tucson, AZ).
28) Rad Onc academics with University of Iowa (Iowa City, IA).
29) Rad Onc community academics with Duke (Orangeburg, SC).
30) Rad Onc academics with UCSF (San Francisco, CA).
31) Rad Onc employed with Cape Cod Healthcare (Hyannis, MA).
32) Rad Onc employed with Marshfield Medical Center (Marshfield, WI).
33) Rad Onc private practice with Washington Permanente Medical Group (Seattle, WA).
34) Rad Onc employed with WellSpan Health (Chambersburg, PA).
35) Rad Onc employed with WellSpan Health (York, PA).
36) Rad Onc academics with UPenn (Philadelphia, PA).
37) Rad Onc community academics with Dartmouth (Keene, NH).
38) Rad Onc confidential (Bullhead City, AZ).
39) Rad Onc community academics “The practice will include two clinical days/week at the Duke University Hospital in Durham and 1-2 clinical days/week at a community cancer center within 45 minutes of the triangle area with 1-2 days/week for scholarly time.” (Triangle Area, NC).
40) Rad Onc employed with Kadlec Clinic (Kennewick, WA).
41) Rad Onc employed with Ascension's Our Lady of Lourdes Memorial Hospital (Binghamton, NY).
42) Rad Onc academics with Indiana University (Indiana, nos).
43) Rad Onc academics with Allegheny Health Network (Pittsburgh, PA).
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deleted1111261
The West Michigan practice is a good one, with good people. Kalamazoo is not for everyone, but not terribly far for the occasional weekend trip to Chicago or Detroit.
Tucson AZ Onc is a good position, with good people. They are truly hiring.
I interviewed with Coastal CA at ASTRO years ago. Nice people. Did not invite me for onsite 🙁
Allegheny is a sleeper. I really like the city of Pittsburgh and with Dr. Beriwal joining there, program will continue to improve. Staff docs appear to be quite happy there.
Milwaukee group is legit and good people.
Baptist MDACC is a good gig if you like Jax, FL (I know, I know, people hate the affiliates).
Tucson AZ Onc is a good position, with good people. They are truly hiring.
I interviewed with Coastal CA at ASTRO years ago. Nice people. Did not invite me for onsite 🙁
Allegheny is a sleeper. I really like the city of Pittsburgh and with Dr. Beriwal joining there, program will continue to improve. Staff docs appear to be quite happy there.
Milwaukee group is legit and good people.
Baptist MDACC is a good gig if you like Jax, FL (I know, I know, people hate the affiliates).
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Thanks for the commentary/color there. That costal California one is surprising, to me at least, given the super desirable location. I think a lot of these repeat jobs could get more interest if they would clearly state what compensation would look like instead of just vague terms.
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Orlando job has been a revolving door every few years. Med onc owns the Linac and the practice, further digging around would be prudent for anyone considering that job.
Jax group fairly stable, partially made up of a well known private practice that dissolved many years ago. Interestingly, no affiliation with any of the 3 particle centers (uf, mayo, Ackerman)
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In the past coastal California had terrible compensation.
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deleted941485
About to get a lot worse with AB1400.
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can you explain, not familiar
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Going to make it that much harder to make rent in the bay area...
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deleted941485
Doctors live in the Bay Area?
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I just can’t see this passing. Supermajorities required in both houses to pass plus multiple propositions. Specific Medicare/Medicaid waivers needed, likely by congress. A lot of people support single payer in theory but don’t want to give up their current plan . Kaiser and Sutter are 2 of the biggest employers in the state before we even consider the insurance side. It may be a sad state of affairs, but our current system may be “too big to fail”
Sure, if their spouse is in private equity
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They rent there. Prob own in Fremont or something
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Would provide an incredible incentive to cross the border for free health care.
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Absolutely. There are the dual doc couples or doc/tech couples that stretched and bought a 2-3 million dollar 1800 square foot house. Or, more infuriatingly there are the docs who started practice 20 years ago and bought a 1-2 million dollar house that is now with 10 million.
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Between natural calamities, water scarcity, and public policy that seems to be chasing people with jobs away, it seems like the California housing bubble is going to end really poorly for a lot of people.
Meanwhile, I'm buying up every moderately tall hill in south Florida because it'll be a private island in a decade.
Meanwhile, I'm buying up every moderately tall hill in south Florida because it'll be a private island in a decade.
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Stanford is looking better and better. Taking 5 residents a year and then all those fellowships and instructorships to go with a warm and fuzzy faculty.
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People already come for this. No further carrot needed
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I think this article was mentioned somewhere on here but couldn't find it. Just read it today. I'd like to highlight:
Canadian Perspective on Radiation Oncology Workforce Planning and the Job Market
"In response, the CARO Human Resources and RO Program Director Committees agreed to voluntarily decrease resident intake to 21 per year in 2011 and limit resident transfers into the specialty. The CARO Human Resources Committee also provides annual monitoring of workforce trends, reports RO graduates’ employment outcomes, and performs iterative needs-based workforce projections to advise residency programs of the appropriate trainee cohort size. CARO supports this work to increase awareness and understanding among stakeholder groups and provide transparency to the Canadian RO community. As a result, annual trainee numbers decreased 36% from 163 RO residents in 2008 to 105 in 2020.
Although the current RO workforce situation in Canada favors a modest oversupply, modeling predicts an imminent transition to a balanced employment market due to fewer trainees and rising retirement numbers. A 2020 update of Canadian RO graduates’ employment outcomes found 89% secured staff employment within 1 year after residency (unpublished data), compared with 54% to 68% reported in prior studies. Fellowship training remains common after residency, especially for graduates interested in academic practice. Crucially, trainee regulation has also led to reduced graduate emigration outside Canada."
Just a reminder to all those considering rad onc in the US, there is zero evidence that I have seen that the current academic programs/"leadership" have any interest in studying the issue in a serious manor or reducing the trainee numbers in a substantive fashion do to the inherent conflict of interest in shrinking one's program.
Canadian Perspective on Radiation Oncology Workforce Planning and the Job Market
"In response, the CARO Human Resources and RO Program Director Committees agreed to voluntarily decrease resident intake to 21 per year in 2011 and limit resident transfers into the specialty. The CARO Human Resources Committee also provides annual monitoring of workforce trends, reports RO graduates’ employment outcomes, and performs iterative needs-based workforce projections to advise residency programs of the appropriate trainee cohort size. CARO supports this work to increase awareness and understanding among stakeholder groups and provide transparency to the Canadian RO community. As a result, annual trainee numbers decreased 36% from 163 RO residents in 2008 to 105 in 2020.
Although the current RO workforce situation in Canada favors a modest oversupply, modeling predicts an imminent transition to a balanced employment market due to fewer trainees and rising retirement numbers. A 2020 update of Canadian RO graduates’ employment outcomes found 89% secured staff employment within 1 year after residency (unpublished data), compared with 54% to 68% reported in prior studies. Fellowship training remains common after residency, especially for graduates interested in academic practice. Crucially, trainee regulation has also led to reduced graduate emigration outside Canada."
Just a reminder to all those considering rad onc in the US, there is zero evidence that I have seen that the current academic programs/"leadership" have any interest in studying the issue in a serious manor or reducing the trainee numbers in a substantive fashion do to the inherent conflict of interest in shrinking one's program.
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deleted941485
the Canadians don’t seem to be relinquishing fellowships despite the improvement. Unless those fellowships are in giving chemo, it sounds like they are still wasting time.
Also 89% placement. So 11% are graduating and doing what exactly? Fellowship? A research year?
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Well I guess that's a substantial improvement compared to 10 or 15 years ago. Just shows how long it takes to turn around the ship even after the vested parties actually decided to take corrective action.
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deleted941485
I think it’s been agreed the ship will not turn around. That’s why I’m hawking protons or anything that keeps the people coming in. Academics will never be your friends.
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Us has also been an outlet for Canadians.
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I would say it’s only been in the past 1-3 years that we’ve been seeing a small but increasing amount of Canadian RO grads going straight into practice. The more desirable/larger academic centres have still been placing a value of fellowship training but my estimate is between 5-15% of Canadian ROs have been going direct to clinical practice, which in the 5-10 years prior to this has been very rare. Most proceed to a fellowship.
Edit: I just looked at the latest numbers. Has ranged but 2021 35% of graduates are going direct to practice which is the highest it has been (15% year prior)
Absolutely, but the amount of ROs going to the US has also been dropping over the last few years as well. The few ones that continue to do so in the past few years to the best of my knowledge I think are those that are pursuing higher remuneration, also have citizenship, or have been getting positions more in line with their research aspirations, and not for lack of career opportunities up North. Most Canadian RO trainees do want to stay in Canada, for which the opportunity now is better than ever. I was looking myself for a period of 6-12 months for a position in the US but happy and lucky to have found a spot in my hometown at the end of the day.
It is a substantial improvement, and only one that really has started to seen results in the past few years. We are at the point where they are looking at very slowly increasing enrolment again in Canada to match forecasted need with anticipated demographic shifts in patients and retirees.
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The number 3 top Medicare-reimbursed new grad of 2014 in the whole U.S... was a Canadian grad. (Number 1, a lady in Cali. Number 2, a nice guy at MDACC. Both U.S. grads.)
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pretty bold move tbh.
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deleted941485
Not that bold. The need for RT is dropping wayy faster than these mega academic places will address it. Bold would have been going from 12 to 6 and taking applicants every other year and then introducing a fellowship pathway so the grads can give systemics. 12 to 10? Ha!
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Have to give credit here where its do. Most every other program (except Colorado 1 per 4 years and MDACC 1 per year?) are not stepping up like this.
The last thing we need to do is rip on programs who actually are doing the right thing
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deleted941485
This is true. But I don’t think I’ll be putting my faith in them to do me or any applicant any favors. I can picture the red journal article now about how to academics can deal with less resident coverage by further reducing RTs footprint
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deleted1111261
Of course people won't be satisfied until there are literally zero spots left., but I am happy to see this.
He walks the walk. Has for many years. What it took to get to this point - it's extremely hard in a department if you are not the chair to make these types of decisions. It literally goes against everyone's self interest, yet he made his argument and won it. That's leadership, even if it isn't down to 6 spots.
He walks the walk. Has for many years. What it took to get to this point - it's extremely hard in a department if you are not the chair to make these types of decisions. It literally goes against everyone's self interest, yet he made his argument and won it. That's leadership, even if it isn't down to 6 spots.
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deleted941485
How many of those spots are funded by CMS?
I’m trying to get an idea of how much these people actually “sacrificed”.
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deleted1111261
Does it matter? If every program dropped 1 spot tomorrow, we would be in better shape than we are today. Every little bit helps. I'm not at nihilist point (yet).
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deleted941485
I agree with you it’s a step in the right direction. Maybe it’s just my attitude, I am a nihilist when it comes to RO and oncology in general.
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This is why SDN gets called misanthropes. Guy does a good thing and still gets blasted for it.
Can only hope others follow suit, although not holding my breath. CCF continues to show why it's #1 RO in Cleveland. Dare-say in all of Ohio.
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deleted1111261
Who would be better than CCF in Ohio??
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I've heard many say good things about OSU. Didn't want to sound like too much of a homer!
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deleted941485
Yeah sure I’ll get right on it. The home/car/529 plans will pay for themselves!
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I am also a nihilist in that I don’t believe reducing spots will have an impact for 15-20 years min, but at least they are starting to take action. Ultimately, a soulution will likely require more than eliminating positions, and entail broadening the field ie systemic, ddiagntostic etc.
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Personally, i am so excited for the hellpit SOAP coming up. Almost half of resident applicants dual applied. Some of these overconfident PDs/lord of hellpit chairs are in for a bad hang over once the SOAP hits. So much overconfidence! I am sipping my rosé to this!
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deleted1111261
Girl, so am I, but I don’t know. They are a wily bunch. Let’s see what happens. Maybe they promised them jobs at SERO or Princeton or something.
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Gonna fight over who gets to be a proton fellow, i mean associate, at sero or inova
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Should I be referring all my breast patients who need IM nodes covered to these fellows or...?
