Astro Career Center and "A Roadmap for Recruiting Medical Students into Radiation Oncology during a Period of Waning Interest"

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Update of the current Astro Career Center Job posting on 07/01/2022 (done via Astro Member search):


1) Rad Onc employed with Essentia Health (Fargo, ND).
2) Rad Onc community academics with University of Michigan (Alma, MI).
3) Rad Onc academics with SUNY Upstate (Syracuse, NY).
4) Rad Onc private practice with Cancer Care Group (Indianapolis, IN).
5) Rad Onc community academics with Cleveland Clinic (Clinics in NE, Ohio).
6) Urorads with Associated Medical Professionals (Syracuse, NY).
7) Rad Onc community academics with Rutgers (Several sites in NE, NJ).
8) Rad Onc employed with Barrow Neurological Institute (Phoenix, AZ).
9) Rad Onc private practice with The Oregon Clinic (Portland, OR).
10) Rad Onc hospital employed with St Joseph Medical Group (Bardstown, KY).
11) Rad Onc academics with Case Western (Cleveland, OH).
12) Rad Onc employed with West Michigan Cancer Center (Kalamazoo, MI).
13) Rad Onc hospital employed with Meadowview Regional Medical Center (Maysville, KY).
14) Rad Onc department chair with Geisinger Medical Center (Danville, PA).
15) Rad Onc community academics with UPenn (Lancaster, PA).
16) Rad Onc employed with Bassett Healthcare Network (Cooperstown, NY).
17) Rad Onc private practice with the Lexington Clinic (Lexington, KY). $150k singing bonus.
18) Rad Onc academics with Jefferson Health (Philadelphia, PA).
19) Rad Onc academics with University of Nebraska (Omaha, NE).
20) Rad Onc private practice with Pottstown Regional Radiation Oncology (Pottstown, PA).
21) Rad Onc academics with Ohio State (Columbus, OH).
22) Rad Onc employed with Centura Health (Denver, CO) no salary listed as required by law.
23) Rad Onc community academics with Cleveland Clinic (Stuart and Vero Beach, FL).
24) Rad Onc community academics with Cornell (Flushing Queens, NY).
25) Rad Onc employed with Spencer Hospital (Spencer, IA).
26) Rad Onc employed with Averna Medical Group (Marshall, MN).
27) Rad Onc academics with Penn State (Hershey, PA).
28) Rad Onc academics with University of New Mexico (Albuquerque, NM).
29) Rad Onc employed with US Oncology (Springfield, OH).
30) Rad Onc employed with US Oncoogy (Daytona Beach, FL).
31) Rad Onc academics with Washington University (St Louis, MO).
32) Rad Onc employed with Aspirus Health (Wausau, WI).
33) Rad Onc employed with Presbyterian Healthcare Services (Albuquerque, NM).
34) Rad Onc academics with UPenn (Philadelphia, PA).
35) Rad Onc employed with OSF HealthCare (Danville, IL).
36) Rad Onc academics with University of Minnesota (Minneapolis, MN).
37) Rad Onc employed with St. Elizabeth (Greendale, IN).
38) Rad Onc employed with US Oncology (Prescott, AZ).
39) Rad Onc academics with University of Vermont (Burlington, VT).
40) Rad Onc employed with Northern Light Gould Hospital (Presque Isle, ME).
41) Rad Onc private practice with Clearwater Radiation Oncology (Clearwater, FL).
42) Rad Onc community academics with Mayo (Albert Lea, MN).
43) Rad Onc academics with University of Southern California (Los Angeles, CA).
44) Rad Onc community academics with Duke (Wake County, NC).
45) Rad Onc community academics with Duke (Orangeburg, SC).
46) Rad Onc employed with Marshfield Medical Center (Eau Claire, WI).
47) Rad Onc academics with Mass Gen (Boston, MA).
48) Rad Onc hospital employed with St Joseph (London, KY).
49) Rad Onc employed with MultiCare Regional Cancer Center (Tacoma, WA).
50) Rad Onc community academics with Wake Forest (High Point, NC).
51) Rad Onc employed with Laredo Medical Center (Laredo, TX).
52) Rad Onc employed with New York Cancer and Blood Specialists (Brooklyn, NY).
53) Rad Onc Department Chair OHSU (Portland, OR).
54) Rad Onc employed with Atlantic Health System (Summit, NJ).
55) Rad Onc employed with Physician Affiliate Group of NY (Brooklyn, NY).
56) Rad Onc employed with Alpha Premier Radiation Oncology (Houston, TX).
57) Rad Onc community academics with OHSU (Roseburg, OR).
58) Rad Onc academics with OHSU (Portland, OR).
59) Rad Onc employed with Methodist Health System (Omaha, NE).
60) Rad Onc community academics University of Iowa (Clinton, IA).
61) Rad Onc hospital employed with Our Lady of Lourdes Hospital (Binghamton, NY).
62) Rad Onc community academics with Stanford (Turlock, CA).
63) Rad Onc hospital employed with Benefis Health System (Great Falls, MT).
64) Rad Onc private practice with Associated in Radiation Medicine (Salisbury, MD).
65) Rad Onc employed with Sand Lake Cancer Center (Orlando, FL).
66) Rad Onc employed with US Oncology (Tucson, AZ).
67) Rad Onc employed with North Texas Cancer Center (Denton, TX).
68) Rad Onc academics with University of Kentucky (Lexington, KY).
69) Rad Onc employed with Hackensack Meridian Health (Neptune, NJ).
 
So many rural midwest permalocums trash jobs. Glad to see nobody is taking them.

40) Rad Onc employed with Northern Light Gould Hospital (Presque Isle, ME).

Think I talked to these people almost 2 years ago. Nobody is going to move to rural Maine for MGMA avg. unless their only other option is unemployment. Good news for the hospitals is look what is going to be coming out of the training pipeline in 2-3 years. Hang in there admins!
 
Members don't see this ad :)
Yup lots of the same old jobs. Anything halfway decent only gets posted once or maybe twice. 41) Rad Onc private practice with Clearwater Radiation Oncology (Clearwater, FL) looked like a legit small private practice.
 
Alma, MI job is not community academics really. It’s basically Perma Locums
 
Alma, MI job is not community academics really. It’s basically Perma Locums

Community academics vs. permalocums hospital employee?


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Agree, not a very impressive list. Slow time of the year, though.
Related, can anyone with access to a library share a snapshot of the latest AAMC salary data? Thx
 
Members don't see this ad :)
My guess is they will be very pedigree oriented.
Ya think?

Just count the number of IVY undergrad degrees in this group.

The marquee, urban private groups (see INOVA, SERO, Princeton, TOG) are filled to the brim with pedigree. Nice gig if you can land it. Only folks from very top training programs need apply.
 
Ya think?

Just count the number of IVY undergrad degrees in this group.

The marquee, urban private groups (see INOVA, SERO, Princeton, TOG) are filled to the brim with pedigree. Nice gig if you can land it. Only folks from very top training programs need apply.
Basically every southwest florida practice. I gave up trying to get in there long ago with my cow college degrees. Not sure I would fit in with a culture where that is an important thing anyway.
 
Legit but selective according to people I asked.

Applied and haven't heard anything 🙁

Sounds like they are looking for someone with brachytherapy experience. " Position: We are seeking a full-time clinically focused ABR Board Eligible/Certified Radiation Oncologist, prefer HDR experience and interest. -Full-time position details: 5 days per week for first 3 months, then 4.5 days per week for next 3 months, then 4 days per week thereafter. Full-time is 4 days per week for all partners. Vacation starts at 5 weeks per year."
 
The number of new grads with legit HDR experience falls every year

Def a marketable skill for those who know how to do it well

If I was in a high volume brachy residency PGY4ish, could try as much as possible to get extra brachy time/experience that PGY5 year and market that for jobs. That person could find themselves a nice niche - if you like it of course (as I say being 3.5+ years from my last implant of anything).
 
If I was in a high volume brachy residency PGY4ish, could try as much as possible to get extra brachy time/experience that PGY5 year and market that for jobs. That person could find themselves a nice niche - if you like it of course (as I say being 3.5+ years from my last implant of anything).

HDR skill is not as valuable as it used be... cervix is rare and won't support > 1 FTE at most centers.
Prostate HDR is not much better
 
HDR skill is not as valuable as it used be... cervix is rare and won't support > 1 FTE at most centers.
Prostate HDR is not much better
I wish I had this skill, although I'm not at a center that justifies it. At larger places, they are going to want to be comprehensive (understandably so) and I would say having good brachy in your pocket is going to be a big plus when applying as most of their docs also have no desire to do it.
 
I wish I had this skill, although I'm not at a center that justifies it. At larger places, they are going to want to be comprehensive (understandably so) and I would say having good brachy in your pocket is going to be a big plus when applying as most of their docs also have no desire to do it.
I would say peds and brachy are both very marketable in those larger non academic places where they still have to offer those services (financially less lucrative too, which is why they are often subsidized by some of the other services in the dept... Personally I'd be fine contributing my revenue to not deal with peds or interstitial brachy)
 
As a greenhorn peering into the job market

can someone explain why community academics is so disliked? Will be interviewing with a few -

If pay is 400-500k, 4 day clinic 1 admin day
 
As a greenhorn peering into the job market

can someone explain why community academics is so disliked? Will be interviewing with a few -

If pay is 400-500k, 4 day clinic 1 admin day

Current salaries seem to be about 300-400k for new grad and 400-500k for busy established doc who would be making at least 1.5x in an equivalent private practice.

Also have to deal with academic bureaucracy from main center that cuts down on independence. A lot of do what you're told or pack your bags.

Ability to grow in academics little to none, no path to private level salaries even if you are busy.

If location and lifestyle ok, may not be a bad gig. I've seen several gigs that were supposed to be cush blow up in the rad oncs face to be much busier than expected, without significant financial reward or ability to advance meaningfully in academics.

All of the above tends to lead to high turnover in these positions and wariness among radiation oncologists.
 
As a greenhorn peering into the job market

can someone explain why community academics is so disliked? Will be interviewing with a few -

If pay is 400-500k, 4 day clinic 1 admin day
Imagine getting paid 6 figures more than that for the same work in a non academic hospital or PP? You might find your answer there
 
As a greenhorn peering into the job market

can someone explain why community academics is so disliked? Will be interviewing with a few -

If pay is 400-500k, 4 day clinic 1 admin day
In general it's all of the bad of academics with none of the good. You also have in the back of your mind the knowledge that the PP docs that used to own and work that site on their own were making literally at least double what you are for the same work.

However.

If you can get a 4 day clinic and convince them to not make you come in on your "admin" day (good luck), I'd be all over that for 500k if volume is reasonable and it's in a desirable area. Usually what you see is a small town satellite in the country 60+ miles from the main center wanting you on site every day with the same base pay as the main site but no volume to support bonus above that or adjustment for the fact that you have to live in BFE or have a stupid commute.
 
Some of these community academics jobs have been posted for a year to years without filling (Duke/Chapel Hill/UPenn/UPMC ect). Generally speaking these are probably considered the least desirable jobs due to a suboptimal combination of pay/location/professional growth. Not saying they won’t work for some though.
 
Yes these jobs are always 5 d / week on-site because University sticks to the maximalist definition of the supervision requirements (ACR accreditation etc).

Vacation time is low (4 or 5 weeks in my region at the main players). You have to file for coverage time at your satellite months in advance.

Once the pool RadOnc doc comes to cover you, they are always pissy due to their 60 miles morning drive and are trying to re-plan your patients since they want that 3 extra wRVU.
 
As a greenhorn peering into the job market

can someone explain why community academics is so disliked? Will be interviewing with a few -

If pay is 400-500k, 4 day clinic 1 admin day
If that’s the starting gig, not so bad, depending on production thresholds.

Some places truly give you that day from home.

“Community academics” is not well defined. Could be a UPMC satellite 5 miles from the city that has residents. Some may consider Banner that - associated with medical schools and other non RO residents and fellows, clinical trials, and the work / pay are fair and reasonable.

Seper seems to have described the worst possible version of it.

If you get starting 450+ and 4 days in office, 5-7 consults a week in a decent area - this is now a “good job”
 
If that’s the starting gig, not so bad, depending on production thresholds.

Some places truly give you that day from home.

“Community academics” is not well defined. Could be a UPMC satellite 5 miles from the city that has residents. Some may consider Banner that - associated with medical schools and other non RO residents and fellows, clinical trials, and the work / pay are fair and reasonable.

Seper seems to have described the worst possible version of it.

If you get starting 450+ and 4 days in office, 5-7 consults a week in a decent area - this is now a “good job”
Judgement call based on limited info but I take “community academics” to mean non primary site with no resident coverage but in a hospital system that has a rad onc residency program.

Good example:
60) Rad Onc community academics University of Iowa (Clinton, IA).
 
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I can say I don’t know Fargo at all. Is it comparable to Boise? I would definitely consider Boise. Fargo appears to have way less to do, but I could be wrong.

It’s funny that tag line is “booming metro”
 
Are academic sites now doing the classic onerous non-compete with "two years guaranteed" salary but no hope of meeting production metrics and subsequent steep decrease in pay in year-3 thing... that private hospital employed positions love?
 
Yes these jobs are always 5 d / week on-site because University sticks to the maximalist definition of the supervision requirements (ACR accreditation etc).

Vacation time is low (4 or 5 weeks in my region at the main players). You have to file for coverage time at your satellite months in advance.

Once the pool RadOnc doc comes to cover you, they are always pissy due to their 60 miles morning drive and are trying to re-plan your patients since they want that 3 extra wRVU.
Agree with first two lines.
Have not seen the third. Generally they just work on academic pursuits or putz about on SDN or something otherwise low-brain.
 
Are academic sites now doing the classic onerous non-compete with "two years guaranteed" salary but no hope of meeting production metrics and subsequent steep decrease in pay in year-3 thing... that private hospital employed positions love?

In my > 10 years experience working with large RO networks, salary guarantees and contract obligations have eroded to almost nothing. They pay you however much they want, for however long they wish. And yes you sign a broad non-compete if you "hired to work for a satellite"
 
I doubt it. aren't we against their abortion stance or something?
Blue city in a red state is ideal for many.... Unfortunately if that situation comes up, many will just travel to get that care if needed hence the ones that are the screwed are generally the impoverished (like in most situations).

many companies are paying up for that type of travel and care already.

If it comes down to Austin vs NYC or SF for PP, I'm still guessing the Austin job is more competitive to get
 
Blue city in a red state is ideal for many.... Unfortunately if that situation comes up, many will just travel to get that care if needed hence the ones that are the screwed are generally the impoverished (like in most situations).

many companies are paying up for that type of travel and care already.

If it comes down to Austin vs NYC or SF for PP, I'm still guessing the Austin job is more competitive to get
I'm prepping my CV right now. Doesn't matter to me. My wife already said she's not getting any more abortions.
 
I'm prepping my CV right now. Doesn't matter to me. My wife already said she's not getting any more abortions.
No place is perfect... I'd take the Bible thumpers in TX (which are probably well outside the PRA's city limits) over the poop patrol in SF any day
 
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If you get starting 450+ and 4 days in office, 5-7 consults a week in a decent area - this is now a “good job”

Very interested in these models so spent a lot of time talking to chairs and ops directors about them when I could. The downsides have been outlined nicely, agree that special attention is needed on the details because they are highly variable. "Bad" is also only relative to what you have now.

If I were looking for such a job, I'd focus a lot more on the standard happiness related aspects than how "academic" the job is, since that part is highly variable, poorly defined, and its hard to be academically "successful" in the traditional sense in Rad Onc anyway. You don't hear a lot of stories of people being hired on as an academic satellite person then moving to the main center with significant protected time for research, but they are out there. Rarely.

Things like: pay with bonus structure, especially relative to other faculty (sometimes better than main), expected volume and if there are expectations to grow, who refers to you (local PP or academic, and is this changing), do you commute far from where you want to live, who hires the staff, is there "decentralization"... ie do you get "main center" physics and dosimetry. Do you get trials, if you care. Can you do all procedures at the satellite such as spine SBRT or abdomen, if you care.

Another thing to think about is whether you have access to some main center faculty for mentorship (clinical or otherwise, some are excellent teachers) and if the big center name on your CV will help you achieve some goal in the future.

Admittedly, not well versed in all the jobs, but the above situation doesn't seem all that common unfortunately.
 
do you commute far from where you want to live
The driving all over the place model for the same pay and benefits as the people who staff the main site all day is untenable. Main site rad onc doesn't want to staff multiple satellites but at the same time they want the volume funneled to them for extra RVU so will be unhappy if the float rad oncs have a ton of patients under beam at 3 different sites that is counting to their production numbers resulting in them outearning the main site docs. Will try to make policies like all SBRT, curative H&N, or even breast with RNI have to be funneled to main site. Puts the chair in a lose-lose position and the commuter positions become high turnover slots for newbies.

Many new grads do not want to work hard, but there are a few out there who will be happy to drive between multiple sites and cover 40 patients if pay is double compared to a standard 20 patient load (as it should be) and given adequate time off to decompress from grueling work days. Make somebody do that for 25th percentile pay without an admin day (or worse make them staff palliative cases and funnel everything else), and you will have a very high turnover (or completely unfillable in a less desirable city) position.
 
Update of the current Astro Career Center Job posting on 09/01/2022 (done via Astro Member search):


1) Rad Onc academics with University of Nebraska (Omaha, NE).
2) Rad Onc community academics with University of Kentucky (Morehead, KY).
3) Rad Onc community academics with Cleveland Clinic (Vero Beach, FL).
4) Rad Onc academics with UC Davis (Sacramento, CA).
5) Yale academics with Yale (New Haven, CT).
6) Rad Onc private practice with Missouri Cancer Associates (Columbia, MO).
7) Rad Onc private practice with Anchorage and Valley Radiation Therapy (Anchorage, AK).
8) Rad Onc community academics with Thomas Jefferson (Cherry Hill, NJ).
9) Rad Onc academics with SUNY Upstate (Syracuse, NY).
10) Rad Onc academics with Beaumont (Royal Oak, MI).
11) Rad Onc employed with Saint Joseph Hospital (Bardstown, KY).
12) Rad Onc academics with Cleveland Clinic (Cleveland, OH).
13) Rad Onc private practice with Radiation Oncology Associates (Appleton, WI).
14) Rad Onc employed with Barrow Neurological Institute (Phoenix, AZ).
15) Rad Onc private practice with Sand Lake Cancer Center (Orlando, FL).
16) Rad Onc employed with SSM Health Monroe Clinic (Monroe, WI).
17) Rad Onc employed with Essentia Health (Duluth, MN).
18) Rad Onc academics with Metro Health ie Case Western (Cleveland, OH).
19) Rad Onc academics with Thomas Jefferson (Philadelphia, PA).
20) Rad Onc academics with Standford (Palo Alto, CA).
21) Rad Onc academics with University of Pittsburgh (Pittsburgh, PA).
22) Rad Onc employed with Rochester Regional Health (Rochester, NY).
23) Rad Onc employed with University of New Mexico (Albuquerque, NM).
24) Rad Onc private practice with Piedmont Radiation Oncology (Winston Salem, NC).
25) Rad Onc private practice with Spectrum Healthcare Partners (Portland, ME).
26) Rad Onc employed with Centura Health (Colorado Springs, CO). Salary $30.00 to $283.02/hour.
27) Rad Onc academics with MDACC (Houston, TX).
28) Rad Onc employed with Essentia Health (Fargo, ND).
29) Rad Onc employed with Holy Family Memorial Medical Center (Manitowoc, WI).
30) Rad Onc employed with Avera Medical Group (Marshall, MN).
31) Rad Onc academics with NYU (New York, NY).
32) Rad Onc community academics with University of Michigan (Alma, MI).
33) Rad Onc private practice with Associated Medical Professionals (Syracuse, NY).
34) Rad Onc private practice with Pottstown Regional Radiation Oncology (Pottstown, PA).
35) Derm Rads employed with Riverchase Dermatology (Naples, FL).
36) Rad Onc academics with Columbia (New York, NY).
37) Rad Onc employed with VA (Houston, TX).
38) Rad Onc employed with Methodist Health System (Omaha, NE).
39) Rad Onc academics with U Pennsylvania (Philadelphia, PA).
40) Rad Onc community academics with U of Iowa (Clinton, IA).
41) Rad Onc academics with U of Indiana (Indianapolis, IN).
42) Rad Onc employed with Northern Light Health (Presque Isle, ME).
43) Rad Onc employed with Vassar Brothers Medical Center (Poughkeepsie, NY).
44) Rad Onc academics with Medical College of Wisconsin (Milwaukee, WI).
45) Rad Onc academics with U Michigan (Ann Arbor, MI).
46) Rad Onc private practice with Tampa Oncology and Proton (Winter Haven, FL).
47) Rad Onc academics with University of Southern California (Los Angeles, CA).
48) Rad Onc academics with University of Florida (Gainesville, FL).
49) Rad Onc academics with University of Pennsylvania (Philadelphia, PA).
50) Rad Onc private practice at confidential (Los Angeles, CA).
51) Rad Onc employed with Marshfield Clinic Health System (Eau Claire, WI).
52) Rad Onc academics with Henry Ford Health (Detroit, MI).
53) Uro Rads with Summit Medical Group (Clifton, NJ).
54) Rad Onc employed with RWJBarabas Health (several locations in northern NJ).
55) Rad Onc academics with UC San Diego (several location in the San Diego area).
56) Rad Onc employed with New Mexico Cancer Center (Albuquerque, NM).
57) Rad Onc academics with Harvard (Boston, MA).
58) Rad Onc private practice with Valor Oncology (Chico, CA).
59) Rad Onc community academics with Stanford (Turlock, CA).
60) Rad Onc private practice with Radiation Oncology Care at Meridian Park (Portland, OR).
61) Rad Onc private practice with West Michigan Cancer Center (Kalamazoo, MI).
62) Rad Onc employed with US Oncology (Silver Spring, MD).
63) Rad Onc employed with US Oncology (Blairsville, GA).
64) Rad Onc academics with University of Southern Florida (Tampa, FL).
65) Rad Onc employed with Kona Community Hospital (Kealakekua, HI).
66) Rad Onc private practice with Radiation Oncology Consultants (Grants Pass, OR).
67) Rad Onc employed with CarleHealth (Urbana, IL).
68) Rad Onc employed with OSF HealthCare (Danville, IL).
69) Rad Onc private practice with Northeastern Radiation Oncology (Saratoga Springs, NY).
70) Rad Onc private practice with Tacoma Radiation Oncology Centers (Washington Peninsula, WA).
71) Rad Onc employed with North Texas Cancer Center (Denton, TX).
72) Rad Onc employed with Benefis Health System (Great Falls, MT).
73) Rad Onc employed with Kadlec Clinic Cancer Center (Kennewick, WA).
74) Rad Onc private practice with Associates in Radiation Medicine (Salisbury, MD).
75) Rad Onc community academics with Northwestern (McHenry, IL).
 
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