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That’s because of elasticity. With radoncs midcareer routinely in mid 300s,you can replace one doc with 2, and there was babysitting linacs involved. It’s why in the 90s to fix the issue you has to stop an entire class from graduating.
Absolutely, and I don’t see why if it happened in path, it wouldn’t happen here. On path boards you still have DMs and KOs saying that everything is a ok, even with multiple fellowships.
totally depends on your location and the candidate.
I honestly think only long term practical solution will be creation of fellowship to train clinical oncologist like in the uk. don’t see residencies being cut in half and if you add a year, why not make it 2 and get a medonc out of it.
Yup. SoCal and FL pp jobs last decade started at $200-225k partnership track.
The thing about SoCal and nocal for that matter, tons of Indians and Asians, who also make up really disproportionate number of residents (until self hating umich prof has her way). Lot of them like to go back home to their families and communities. Absolute last place you would ever need a new residency program.
I would wager most of the programs created this decade don't fall into that category
The crap older ones have shut down over the years... Drexel, Howard, etc
Personally I don't care where the fat is trimmed, I just want it trimmed. Realistically, podunk U that never had a training program until 2015 and decided to jump on the expansion bandwagon probably isn't going to match the mid and upper tier places that have been training residents for awhile in terms of training experience.
It's a legit point, but then you also have reasonable places like UF and CCF that provide solid training and have been very clear about acknowledging the problems in the field.
I get the sense that many of the recent programs that have opened fit that bill. Didn't COH essentially absorb a bunch of private practices right around the time they started a residency?
I thought coh was only a few years old and I know they took over a bunch of the vantage practices
It's true. It's more about the individual than the program. That being said, the best programs are probably the ones that can expose you to the most pathology and types of treatment, so tightening up standards through the RRC and acgme will be the best way to go about it, with the idea of improving the training experience while closing down a lot of these borderline places, which will end up reducing spots.
Vs a place like Beaumont which was really a near top notch place when I interviewed despite it being a "community hospital" program. Huge names like Martinez, kestin and vicini before their exodus to 21C
COH is example of place that paid 200 in the not so distant past. I thought Uci residents used to rotate through, but I guess they needed their own program to supply SoCal with docs.
You may have trained where I trained
Exactly.
In many specialties it is common to take up to a 50% paycut to be in academics, especially large places like Stanford or MGH so that salary range is not too shocking to me. But then there should be sufficient academic time and support for research. And a private practice job in this salary range just can't ever seem justified to me, I don't care where it's located.
I met someone who took $225k beginning of this decade to be in socal.
Sarasota is a nice part of FL. And 400k there probably goes farther than the metropolitan ne or socal/NorCal. At least there is an option their for a job, med onc wise.
