Current MS4 who finalized his rank list for medicine here. Wanted to thank you all for being "woke". Went into medical school a/w one of the programs ya'll routinely crap on and was thinking rad onc. Got a lot of support from the department, but after reading your comments and hearing one of my buddies applying a surg subspecialty SOAPing into the field I decided not to. It sucks. FWIW, the leadership of the program whom ya'll discuss regularly has always been nice to me, but does paint a picture very different from what you all and charting the outcomes present.
GL on the quest to save rad onc.
You have clearly made a wise choice but most importantly, an informed decision. Wish you the best of luck in IM or IM sub-specialty. I think this is why so many of us are here, talking about the issues. We have seen the issues in person, living through the hellscape that is the current state of our field now, and yet our "leadership" continues to largely ignore the major problems as it would directly interfere with their own personal gain.
Med student who wants do well by their future patients, have a nice life near family while getting paid well: I want to learn about medical specialties, heard some things about rad onc, let’s check it out.
(visits rad onc dept associated with med school)
Local rad onc dept: jobs? don’t worry, so many jobs, ignore the lack of good job postings on ASTRO career hub. most important thing to remember is don’t go onto SDN or you’ll get HIV/AIDS.
Med student: wtf
(goes to Twitter)
Twitterati: come get a stipend, delay your entire life by an unnecessary 12 months, and do a research year with us! oh, and SDN is the leading cause of anal cancer. #radoncrocks
Med student: …but that’s not true
(goes to ASTRO ROHub)
ASTRO ROHub: just agree with everything said by Marcus “I need more resident slaves” Randall and Louis “SOAP no matter what” Potters. if you don’t, we will delete all your posts, ban you, and low key try to destroy your career.
Med student: is this North Korea?
(gets direct messaged by brainwashed resident promoting rad onc to simp at attending academic Twitter accounts)
Private message: SDN runs the 2nd largest human trafficking ring in the continental US and is the primary reason there is a lack of basic human rights in sub-Saharan Africa. #radoncrocks
Med student: uh what?
(goes to SDN)
SDN: look, we just want you to make an informed choice. rad onc was great but then chairs got greedy for resident slave labor and buying up practices where they could take the technical and steal a portion of the physician’s professional fees. then due to things like hypofrac and all these RT omission trials, we don’t need as many rad oncs anymore because each rad onc can see more pts. oh and when you get hired at an academic place, they won’t pay you what you’re worth because the chairs will take a part of your professional fee collections and you won’t have negotiating power because there are now over 200 residents graduating/year. and you probably won’t be able to find a good paying job in any major metro area for the first 5-10 years out of residency. oh, and did you know we have the most board exams including boards in physics and rad bio which really suck? if you still want to do rad onc, we’ll support you but there are other great options for specialties where you can get paid what you are worth and have geographic freedom.
Marcus “I need more resident slaves” Randall: those SDN people have tried to literally murder me. but first, let me up my pubs complaining about this attempted murder because that’s what academic rad oncs do.
Med student: ...is this real life?
To all the med students, the only thing we want you to do is be informed. Nothing more, nothing less. Other than a few good souls out there in practice already, you will not find the real truth anywhere but here on SDN. Most everyone else out there in your rad onc dept and Twitter has a hidden agenda and that is promotion – self-promotion and academic promotion. They will disguise it as "mentorship" but given the state of the field, what mentor could knowingly encourage a med student to go into rad onc today? Academic rad oncs need good med students like you to be interested in the field to do their crap research and hopefully as a resident, all their clinical scut work. We here on SDN have an agenda – it is to tell the truth, however ugly it may be. We love rad onc but it is an absolute mess right now with no clear end in sight. With so many great specialties out there that can you give the trifecta of pay, type of job, and location, you really need to think twice about going into rad onc. Things will only get much, much worse with jobs due to the massive residency over-expansion and having 200 residents/year graduate + no clear plan to contract residencies (see what happened to pathology and is now happening to emergency medicine). In time, maybe we can correct that, maybe we won’t.
Regardless, the thing you won’t hear us doing is telling you not to get more information. Go onto Twitter, talk to local rad oncs, go onto ROHub, read all the SDN posts -- then, make your own judgement about the state of the field, job market, and (what I believe to be) the hypocrisy of those academic rad oncs who are often most vocal on social media and academic publications. You should all wonder why so many in academia and rad onc “leadership” consistently promote censorship by warning you all to stay away from SDN.