Heme/Onc Job Offer Discussion

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Hemeoncfellow said:
Does anyone have good experience or know-how with private practices in the Northeast, specifically New York, New Jersey, Connecticut, or Pennsylvania that are hiring in the next year or two? I have seen NY Cancer and Blood and Astera Care as options but it seems that they are associated with OneOncology. Does anyone know of or work with more private groups that might be hiring? I’m currently a second year fellow
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You youngins need to consider other parts of the country if you actually care about finding something that pays decently. Otherwise just accept your fate of being underpaid if you want to stay northeast.

Underrate areas:
MidWest (Iowa, Wisconsin)
PNW
Southeast (like southern VA, North FL)
Southwest
Members don't see this ad.
 
bobow98 said:
You youngins need to consider other parts of the country if you actually care about finding something that pays decently. Otherwise just accept your fate of being underpaid if you want to stay northeast.

Underrate areas:
MidWest (Iowa, Wisconsin)
PNW
Southeast (like southern VA, North FL)
Southwest
Click to expand...
PNW underrated in 2025?

You serious Clark?
 
bobow98 said:
You youngins need to consider other parts of the country if you actually care about finding something that pays decently. Otherwise just accept your fate of being underpaid if you want to stay northeast.

Underrate areas:
MidWest (Iowa, Wisconsin)
PNW
Southeast (like southern VA, North FL)
Southwest
Click to expand...
Where do you move to make the most money if open to moving anywhere? (I dislike the entirety of the USA equally)
 
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IM_to_ortho_hopeful said:
Where do you move to make the most money if open to moving anywhere? (I dislike the entirety of the USA equally)
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I mean areas like Iowa, Minnesota, ND paying around $500/hr or 5000-6000$ a day for Oncology shifts, In Illinois area seen around 4500-5000 aday.
 
MD46 said:
I mean areas like Iowa, Minnesota, ND paying around $500/hr or 5000-6000$ a day for Oncology shifts, In Illinois area seen around 4500-5000 aday.
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Nice why don’t more people move there to grind 300 shifts and make 1.8M/year?
 
IM_to_ortho_hopeful said:
Nice why don’t more people move there to grind 300 shifts and make 1.8M/year?
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That's a LOT of oncological histories to read through, goals of care, multidisciplinary discussions, and answering "Is it from the cancer doc" or "what can i do about my fatigue". Your patients show up with a notebook to write in, even for the 20-minute follow-ups. This is not an outpatient specialty where you can churn and burn without burning yourself out.
 
I think most of us want something sustainable for years, not just a few months out of the year.
Most of us want a place for our families to settle down and be happy.
Most of us want access to other things outside of work nearby.
Therefore, you should not really be picking between

1) BFE 4 hours from airport, nothing else to do there, live next to cattle only, and make 2+ milly a year
2) Be broke working full time in an oversaturated city or location or where the houses cost 1.5 million for a 2 bed 2 bath


There are lots of jobs out there where people can work 4 days a week with 1 admin day, see 15-18 patients a day or maybe fewer, take 7-9 weeks off a year and still bring home a decent wage. They just happen to be in the second and third tier cities in the USA outside of the Northeast.

Here is a random list of cities from google for tier 3.
You can find really good oncology jobs in or within 1 hour of downtown of all of these below cities.

  • Albany, NY Metro
  • Atlanta, GA Metro
  • Baltimore, MD Metro
  • Baton Rouge, LA Metro
  • Birmingham, AL Metro
  • Charleston, SC Metro
  • Charlotte, NC Metro
  • Cincinnati, OH Metro
  • Cleveland, OH Metro
  • Dallas/Fort Worth, TX Metro
  • Detroit, MI Metro
  • Houston, TX Metro
  • Indianapolis, IN Metro
  • Las Vegas, NV Metro
  • Milwaukee, WI Metro
  • Nashville, TN Metro
  • New Orleans, LA Metro
  • Omaha, NE Metro
  • Orlando, FL Metro
  • Phoenix, AZ Metro
  • Pittsburgh, PA Metro
  • Research Triangle, NC Metro
  • Salt Lake City, UT Metro
  • St. Louis, MO Metro
  • Tampa, FL Metro
  • Twin Cities, MN/WI Metro
 
bobow98 said:
I think most of us want something sustainable for years, not just a few months out of the year.
Most of us want a place for our families to settle down and be happy.
Most of us want access to other things outside of work nearby.
Therefore, you should not really be picking between

1) BFE 4 hours from airport, nothing else to do there, live next to cattle only, and make 2+ milly a year
2) Be broke working full time in an oversaturated city or location or where the houses cost 1.5 million for a 2 bed 2 bath


There are lots of jobs out there where people can work 4 days a week with 1 admin day, see 15-18 patients a day or maybe fewer, take 7-9 weeks off a year and still bring home a decent wage. They just happen to be in the second and third tier cities in the USA outside of the Northeast.

Here is a random list of cities from google for tier 3.
You can find really good oncology jobs in or within 1 hour of downtown of all of these below cities.

  • Albany, NY Metro
  • Atlanta, GA Metro
  • Baltimore, MD Metro
  • Baton Rouge, LA Metro
  • Birmingham, AL Metro
  • Charleston, SC Metro
  • Charlotte, NC Metro
  • Cincinnati, OH Metro
  • Cleveland, OH Metro
  • Dallas/Fort Worth, TX Metro
  • Detroit, MI Metro
  • Houston, TX Metro
  • Indianapolis, IN Metro
  • Las Vegas, NV Metro
  • Milwaukee, WI Metro
  • Nashville, TN Metro
  • New Orleans, LA Metro
  • Omaha, NE Metro
  • Orlando, FL Metro
  • Phoenix, AZ Metro
  • Pittsburgh, PA Metro
  • Research Triangle, NC Metro
  • Salt Lake City, UT Metro
  • St. Louis, MO Metro
  • Tampa, FL Metro
  • Twin Cities, MN/WI Metro
Click to expand...
May I ask what you're seeing in Atlanta? Looking around that area and having a hard time
 
Are the signing bonuses usually paid out when you sign the contract or on your first day of work? I’ve got a couple of kids and an extra 2K per month times 18 months would be big time.
 
EEtoPre-Med said:
Are the signing bonuses usually paid out when you sign the contract or on your first day of work? I’ve got a couple of kids and an extra 2K per month times 18 months would be big time.
Click to expand...
Generally paid on day 1. But no reason why you can't ask for it to be distributed. You could also just DIY that by putting it in an HYSA and have it automatically transferred to your checking account on a monthly distribution.
 
bobow98 said:
I think most of us want something sustainable for years, not just a few months out of the year.
Most of us want a place for our families to settle down and be happy.
Most of us want access to other things outside of work nearby.
Therefore, you should not really be picking between

1) BFE 4 hours from airport, nothing else to do there, live next to cattle only, and make 2+ milly a year
2) Be broke working full time in an oversaturated city or location or where the houses cost 1.5 million for a 2 bed 2 bath


There are lots of jobs out there where people can work 4 days a week with 1 admin day, see 15-18 patients a day or maybe fewer, take 7-9 weeks off a year and still bring home a decent wage. They just happen to be in the second and third tier cities in the USA outside of the Northeast.

Here is a random list of cities from google for tier 3.
You can find really good oncology jobs in or within 1 hour of downtown of all of these below cities.

  • Albany, NY Metro
  • Atlanta, GA Metro
  • Baltimore, MD Metro
  • Baton Rouge, LA Metro
  • Birmingham, AL Metro
  • Charleston, SC Metro
  • Charlotte, NC Metro
  • Cincinnati, OH Metro
  • Cleveland, OH Metro
  • Dallas/Fort Worth, TX Metro
  • Detroit, MI Metro
  • Houston, TX Metro
  • Indianapolis, IN Metro
  • Las Vegas, NV Metro
  • Milwaukee, WI Metro
  • Nashville, TN Metro
  • New Orleans, LA Metro
  • Omaha, NE Metro
  • Orlando, FL Metro
  • Phoenix, AZ Metro
  • Pittsburgh, PA Metro
  • Research Triangle, NC Metro
  • Salt Lake City, UT Metro
  • St. Louis, MO Metro
  • Tampa, FL Metro
  • Twin Cities, MN/WI Metro
Click to expand...
I'm not sure where "Google" got those, but I'm not sure I'd consider ATL, HTX, DFW, LV, PHX, ORL, PITT, SLC and MSP as 3rd tier cities. And Albany, St Louis and Cleveland deserve to be demoted to tier 5 or 6.
 
gutonc said:
Generally paid on day 1. But no reason why you can't ask for it to be distributed. You could also just DIY that by putting it in an HYSA and have it automatically transferred to your checking account on a monthly distribution.
Click to expand...
Day 1 as in when you start working or when you sign? Sorry, I’m a bit dense.
 
EEtoPre-Med said:
Day 1 as in when you start working or when you sign? Sorry, I’m a bit dense.
Click to expand...
I’ve usually seen it paid on your start date but I imagine you could negotiate it to your signing date at many places. I would caution you about singing (edit: signing, but probably don’t sing in clinic either) halfway through 2nd year, your goals may change unless you really know where you want to live
 
EEtoPre-Med said:
Are the signing bonuses usually paid out when you sign the contract or on your first day of work? I’ve got a couple of kids and an extra 2K per month times 18 months would be big time.
Click to expand...
Traditional signing bonuses should usually be paid out within 30 days of your start date.

Some jobs will also offer a separate incentive in the form of a "fellowship stipend", which is what it sounds like you're looking for. Incentives are usually one of the more negotiable aspects of contract discussions, so if you find a place you really like that also really likes you, there could be some hope to improve your cash flow situation as a fellow.

That said, I agree with above that you shouldn't rush the job selection for this purpose.
 
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