5+ Year Member
- Dec 18, 2015
- Attending Physician
Forget where I read it but something like only a third of American Stage I br Ca patients getting hypofrac. People don’t realize how profound a full shift from std frac in breast to, say, 5 fx schedules will be. Much less 3 fx. Breast is rad onc bread and butter. It (post lump RT vs MRM) caught stride in the 1990s and to some extent we are still riding that wave. Six weeks to 5 fx is huge. Like going from telegraphy to iPhone. Pony express to jet. Except the change is happening overnight, or can or should. ASTRO and leadership totally head in sand about this.Med students have already figured this out. Rad Onc is now one of the least competitive specialty in medicine based on US MDs to available spots.
The shocking part is the total lack of an appropriate response by "leadership."
Meanwhile I get a noticed on Twitter from Mayo clinic that they can now do breast RT in 3 fractions! (It wasn't disclosed how that is a huge benefit for their hospital system if they can keep patients in Rochester for treatment). If KO is really advocating for this, why not decrease your residency complement by 50% to reflect this new future?