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I like my job, but seeing a posting in Honolulu makes me think...especially in February. Kinda the wrong season to post an opening in Evansville, presuming there's a right one.
Be prepared for island fever. Kinda like cabin fever when people take a job in AlaskaI like my job, but seeing a posting in Honolulu makes me think...especially in February. Kinda the wrong season to post an opening in Evansville, presuming there's a right one.
The Alaska guys have all stayed. One used to post a while back!Be prepared for island fever. Kinda like cabin fever when people take a job in Alaska
I just looked at md Anderson rad onc alumni list..it’s amazing they continue to take 3-4 of the graduating residents every year. Their department is enormous
The number of MD Anderson GU attendings is up 50% the last 15 years.I think it goes... there's the right way, the wrong way and the MD Anderson way.
Fair point. I couldn't take those winters with 3 hours of sunlight, but I'm sure they're making plenty of cheddarThe Alaska guys have all stayed. One used to post a while back!
Isn't definitive bladder up 600000%?The number of MD Anderson GU attendings is up 50% the last 15 years.
The number of prostate cancer patients is down 10% in that timeframe.
If MD Anderson gave 39 fractions to everyone 15 years ago, and it is (or should be) giving 28 nowadays, then the number of "patient-fractions" is down 63%.
This would mean each MD Anderson GU attending is managing 42% as much, or 58% less, prostate CA patients today as 15 years ago (because of rise in their "labor force," and a decline in patients/fractions). So, that's a silly result right? Unless everyone at MD Anderson is stupid, I just proved they've either 1) stolen a lot of business from others, or 2) came up with ever new ways to keep boosting reimbursement. Or both!
Yah you just wear one of theseFair point. I couldn't take those winters with 3 hours of sunlight, but I'm sure they're making plenty of cheddar
The number of MD Anderson GU attendings is up 50% the last 15 years.
The number of prostate cancer patients is down 10% in that timeframe.
If MD Anderson gave 39 fractions to everyone 15 years ago, and it is (or should be) giving 28 nowadays, then the number of "patient-fractions" is down 63%.
This would mean each MD Anderson GU attending is managing 42% as much, or 58% less, prostate CA patients today as 15 years ago (because of rise in their "labor force," and a decline in patients/fractions). So, that's a silly result right? Unless everyone at MD Anderson is stupid, I just proved they've either 1) stolen a lot of business from others, or 2) came up with ever new ways to keep boosting reimbursement. Or both
+ 1000% cms rates and just hiring more facultyThe number of MD Anderson GU attendings is up 50% the last 15 years.
The number of prostate cancer patients is down 10% in that timeframe.
If MD Anderson gave 39 fractions to everyone 15 years ago, and it is (or should be) giving 28 nowadays, then the number of "patient-fractions" is down 63%.
This would mean each MD Anderson GU attending is managing 42% as much, or 58% less, prostate CA patients today as 15 years ago (because of rise in their "labor force," and a decline in patients/fractions). So, that's a silly result right? Unless everyone at MD Anderson is stupid, I just proved they've either 1) stolen a lot of business from others, or 2) came up with ever new ways to keep boosting reimbursement. Or both!
C’mon this is totally Reddit vs. the Hedge funds.+ 1000% cms rates and just hiring more faculty
Is certainly a component. When are we going to see red journal articles on this?
If you penn can have some codes reimbursing at 1300% cms rates, certainly mdacc can one up them?C’mon this is totally Reddit vs. the Hedge funds.
+ 1000% cms rates and just hiring more faculty
Is certainly a component. When are we going to see red journal articles on this?
Probably when the choosing wisely campaign actually focuses on high vs low cost treatment settings. Which is probably when 🐖🕊️+ 1000% cms rates and just hiring more faculty
Is certainly a component. When are we going to see red journal articles on this?
I talked with some of them at ASTRO. All were happy at the multi-doc group I talked to. I also talked to one doc who is the only doc at his shop in Alaska... they were from a large city in Texas and said "I wish I would have done it sooner."The Alaska guys have all stayed. One used to post a while back!
I'm sure the pay and autonomy must be great. It's a fair point, don't see a lot of alaska openingsI talked with some of them at ASTRO. All were happy at the multi-doc group I talked to. I also talked to one doc who is the only doc at his shop in Alaska... they were from a large city in Texas and said "I wish I would have done it sooner."
Bingo. Houston Methodist was offering 500k starting and 650k as once you make partner for a 7 on 7 off overnight gig.Probably a night shift job. They're one week on, one week off around here. Some places pay a premium for it because it's hard to find people who will work just nights.
Heres the other one. Also just reposted'radiation OR oncology OR physician OR to OR join OR ascension OR STATECODE:"IN"' Jobs | ASTRO Radiation Oncology Career Center
3,322 'radiation OR oncology OR physician OR to OR join OR ascension OR STATECODE:careers.astro.org
Evansville, Indiana is back!!
srsly...how bad is this job where it gets posted EVERY DAMN year???
Perhaps you should actually look at their benefit package and cost of living before making unsupported assertions. 11% of your salary for retirement investment, in addition to 401k, is nothing to sneeze at.The Marshfield, WI posting is particularly egregious. I just checked my email. This job has been spammed to me for over 3 years. THREE YEARS. What kind of insanely crap offer are they trying to get away with there? Anyone actually talk to them? Very curious as to what absurdity is being thrown out there. I'm going to take a wild guess and say $350k salary, crap production bonus, crap benefits, PTO you can't use, and some crap signing bonus/loan repayment deal that you only get it you somehow make it 5 years without killing yourself. Am I close?
Perhaps you should actually look at their benefit package and cost of living before making unsupported assertions. 11% of your salary for retirement investment, in addition to 401k, is nothing to sneeze at.
I'll not do your reading for you. Benefit details are readily available....if this job was financially worthwhile despite the location, it would not be still be unfilled after 3+ years. By all means though, enlighten us what their salary offer and benefits package is and we can all make our own decisions on whether it is "nothing to sneeze at"
Perhaps you should actually look at their benefit package and cost of living before making unsupported assertions. 11% of your salary for retirement investment, in addition to 401k, is nothing to sneeze at.
Does Stanford actually hire real faculty these days? This job has been reposted several times recently, haven't seen any full professor postings though
Great lymphoma RT team from what I understandFaculty
radonc.stanford.edu
I will be charitable and describe Stanford as "top heavy".... lots of Professors
The joint weekly Stanford RT lymphoma/syphilology conferences are 🔥Great lymphoma RT team from what I understand
Stanford used to call these fellowships. They pay under 200 and are for 1-2 years.Does Stanford actually hire real faculty these days? This job has been reposted several times recently, haven't seen any full professor postings though
Yes, they used to call them fellowships.
It's probably not for an external candidate. It's for one of their internal candidates.
Folks, you do realize that for the graduating class of this year they hired one of their own as a clinical instructor, two stayed on as research fellows and one got a job in the community.
That's only one out of four that got a job that pays real money. And this is Stanford.
Depressing...
Not exactly the easiest job market/region to land a job in, but point takenYes, they used to call them fellowships.
It's probably not for an external candidate. It's for one of their internal candidates.
Folks, you do realize that for the graduating class of this year they hired one of their own as a clinical instructor, two stayed on as research fellows and one got a job in the community.
That's only one out of four that got a job that pays real money. And this is Stanford.
Depressing...
Yes, they used to call them fellowships.
It's probably not for an external candidate. It's for one of their internal candidates.
Folks, you do realize that for the graduating class of this year they hired one of their own as a clinical instructor, two stayed on as research fellows and one got a job in the community.
That's only one out of four that got a job that pays real money. And this is Stanford.
Depressing...
Unless of course you’re doing Stanford V followed by RT. LOL. Why did I care so much about scoring so high on the usmle again?Being known for lymphoma RT isn't exactly going to be the hallmark of a great program these days, I'm afraid. Stanford put its eggs in precisely the wrong basket.
Because you didn't think RO would be the flaming dumpster fire that it turned out to be.Unless of course you’re doing Stanford V followed by RT. LOL. Why did I care so much about scoring so high on the usmle again?
Pulse is all you need now. These will be your equals. You are welcome sir!Unless of course you’re doing Stanford V followed by RT. LOL. Why did I care so much about scoring so high on the usmle again?
Classic, non-confrontational catfish RadOnc moves. I can picture the exasperated sighs you caused now. How bold you must be, delivering 24 Gy ISRT in the community! What a maverick move.I was at a local cancer convention a few years ago where Dr. Richard Hoppe was one of the panelists for a lymphoma case. A couple of observations:
1. Every single Med Onc on that panel ****ted all over radiation as a modality in lymphoma. Not based on any contemporary data mind you, but mindlessly quoting the known sequelae of old mantle-type radiation including secondary malignancy, hypothyroidism, and acceleration of coronary artery disease. Hoppe didn't say one word in protest.
2. When we finally got the RT portion, one of the Stanford Med Oncs on the panel commented that he would only trust Hoppe's expertise in delivering ISRT after chemo. Ridiculous - we need to send a patient to a center of excellence to deliver 24 Gy in 12 fractions!
I actually tore into the panel during the Q&A session but I'm just "small" Rad Onc so I'm sure there was a lot of eye rolling and patronizing sighs in response.
Classic, non-confrontational catfish RadOnc moves. I can picture the exasperated sighs you caused now. How bold you must be, delivering 24 Gy ISRT in the community! What a maverick move.
Yep. I can't get XRT into a lymphoma pt in the community and the community medoncs are probably more receptive to my opinion than the academic docs. The regional big name places (including where I trained) dismiss it in every setting even pretty classic ones like Deauville 4 after 2 cycles or older high grade B-cell pts with bulky or extranodal disease.Medical oncs are holding all the cards and they know it
Yep. I can't get XRT into a lymphoma pt in the community and the community medoncs are probably more receptive to my opinion than the academic docs. The regional big name places (including where I trained) dismiss it in every setting even pretty classic ones like Deauville 4 after 2 cycles or older high grade B-cell pts with bulky or extranodal disease.
In my opinion, ISRT is probably the least toxic drug a 70 year old will get. They don't see it that way.
Medonc so much healthier field. If you are in the community, log-on to an NCORP meeting. Many, many trials at any time with the periodic XRT trial that dies due to poor accrual. Essentially infinite combinatorial immunotherapy trial space for medonc at this juncture.
Nature of medonc research is -->drug development-->demonstrate efficacy-->disseminate in community ASAP
Nature of radonc research is (non-inferiority trials or cost analysis or biomarker trials to reduce XRT indications) or-->tech development (e.g. protons)-->don't demonstrate superior efficacy-->market superiority of tech relative to the community.
In lymphoma, absolutely. I would say everything outside of lymphoma and mets are fair game for getting direct specialty referrals from elsewhereThat’s annoying but at the end of the day, Medical oncs are holding all the cards and they know it.
Depends on practice environment. In my system, medonc would not want primaries referring directly to radonc.In lymphoma, absolutely. I would say everything outside of lymphoma and mets are fair game for getting direct specialty referrals from elsewhere
Absolutely.... Harder in certain employed multispecialty group situations, absolutely necessary out in the wilderness in community practice imo, esp if an adversarial med onc is in the pictureDepends on practice environment. In my system, medonc would not want primaries referring directly to radonc.
Currently my situation but starting to see significant changes with new docs coming into the community. Sometimes, all you can do is sit... especially in today's current environment.Absolutely.... Harder in certain employed multispecialty group situations, absolutely necessary out in the wilderness in community practice imo, esp if an adversarial med onc is in the picture
“This is an excellent opportunity for anyone interested in a general practice affiliated with a large academic medical center with integrated physics support and vacation coverage.” Clinton Iowa is on the Mississippi River maybe about a hour north of the quad cities and 3 1/2 hours from O’hare airport in Chicago. Absolutely bonkers they think they can get someone for $240K. That is probably about 40K more then the local wal mart store manager is making who I guarantee you didn’t do 9 years of further education after undergrad.Faculty Requisition Details - Jobs@UIOWA: Search and Apply for Jobs at The University of Iowa
Jobs@UIOWA: The official place to search and apply for jobs at The University of Iowa.jobs.uiowa.edu
240K for a fulltime job in the middle of nowhere; hilarious how med students continue to apply to this specialty
(FYI: these job postings are super common as academic centers expand and close down the private practices)
you seem new to the game. welcome.Faculty Requisition Details - Jobs@UIOWA: Search and Apply for Jobs at The University of Iowa
Jobs@UIOWA: The official place to search and apply for jobs at The University of Iowa.jobs.uiowa.edu
240K for a fulltime job in the middle of nowhere; hilarious how med students continue to apply to this specialty
(FYI: these job postings are super common as academic centers expand and close down the private practices)