No SOAP Pledge Results In No Change In Radonc Residents

[2021Doctor]

2017
767

2018
774

2019
771

2020
773

2021
771

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[Chartreuse Wombat]

2017
767
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2018
774
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2019
771
View attachment 343441
2020
773
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2021
771
View attachment 343440

Psychiatry on a huge upward trajectory...
2017 248 programs 5907 positions
2021 285 programs 7426 positions
Delta 15% increase 26% increase

 

[medgator]

Psychiatry on a huge upward trajectory...
2017 248 programs 5907 positions
2021 285 programs 7426 positions
Delta 15% increase 26% increase

Highly in demand though

 

[fiji128]

2017
767
View attachment 343444
2018
774
View attachment 343443
2019
771
View attachment 343441
2020
773
View attachment 343442
2021
771
View attachment 343440

As I detailed in other posts no programs has actually officially shrunk their allowed compliment per the ACGME. Spots not filled in the match/soap can always be filled on the DL or offered in a future match cycle so long as their officially permitted compliment number goes unchanged. Not saying every program does that but enough do. So these numbers are not surprising at all.

 

[ramsesthenice]

As I detailed in other posts no programs has actually officially shrunk their allowed compliment per the ACGME. Spots not filled in the match/soap can always be filled on the DL or offered in a future match cycle so long as their officially permitted compliment number goes unchanged. Not saying every program does that but enough do. So these numbers are not surprising at all.

Not SOAPing = skipping one meal and calling it a diet. Spots still exist and will be filled. The only meaningful internal change to address oversupply is residency contraction which this is not.

 

[elementaryschooleconomics]

Academic glad-handing at its finest.

The only hand RadOnc needs is Adam Smith's invisible one, but alas, the SCAROP Cabal has performed a bilateral below-the-elbow amputation, and there's nothing but bloody stumps and tears.

 

[metallica81788]

Only a moratorium on all new residency spots for 3-4 years or closing 25% of the programs in the country will help. Even then it's too late.

 

[Neuronix]

For prior no SOAP discussion go here 2019-2020 SOAP Pledge

ARRO and others claimed progress with the no SOAP pledge and fewer positions filled in the match. Meanwhile I've been asking for years: how many of those spots filled outside the match? I never received a response to this question.

We now have our answer. The no SOAP pledge has been meaningless except to virtue signal, post on Twitter, and generate at least one publication. Programs just didn't make the pledge or filled outside the match. The tiny fraction of positions truly unfilled or temporarily contracted are counterbalanced by those few programs still expanding.

Further, none of this accounts for foreign fellows on ABR alternative pathway. All of those positions are unaccredited by ACGME and wouldn't be in the presented data.

 

[DebtRising]

This is a great sign the senior radiation oncology community cares about the concerns and hardships of incoming physicians/trainees, and another great example of how all the cellar dwelling SDN denizens are full of hot air. The academic stewards continue to have only medical students’ best interests in mind this upcoming interview season.

 

[2021Doctor]

"We believe leaving unfilled spots open allows a market-driven contraction to occur naturally rather than artificially inflating the training workforce through the SOAP process. There is little doubt that more durable and comprehensive solutions should follow for the benefit of our future trainees and the specialty. Although we understand that this may be a difficult position for any individual program to take, the market is attempting to correct itself, and it is our opinion that we should stay out of its way."

 

[seper]

There are tentative contraction-type of signs in the work force. A PGY-3 quit at a large program that I know (to go to rads). Position was promptly filled by a Radonc resident from a smaller program. That smaller program kept the spot unfilled.
At this pace, it will take forever to address oversupply though

 

[fiji128]

There are tentative contraction-type of signs in the work force. A PGY-3 quit at a large program that I know (to go to rads). Position was promptly filled by a Radonc resident from a smaller program. That smaller program kept the spot unfilled.
At this pace, it will take forever to address oversupply though

University of Kentucky has had multiple residents leave the program recently and matched PGY 2's that never started advanced training. These spots were all promptly filled outside of the match. So yes a "market-driven contraction" will take about 50 years at this pace.

 

[BobbyHeenan]

Put another coin in the "SDN was right" cookie jar.

The jar is pretty full right now though. May need a bigger one.