Rad Onc Twitter

[deleted1002574]

Getting annoying because of the sycophants.

We all are on here posting. We can do the same thing on twitter. Use your SDN name, post, and we can All retweet each other to make the salient points more prominent to push back on the nonsense and garbage being spewed. I’m getting fatigued of reading the BS. Here, it’s easy to weed out the nonsense, but there people are taking it as fact. Let’s get out there.

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[medgator]

Honestly, I wouldn't be surprised if some of the RO twitter folks are posting nonsense over here. Good idea though

 

[Krukenberg]

Just use your real names. If you’re all in PP as you say there won’t be any blowback from academics.

 

[xrthopeful]

Plenty of PP people post on Rad Onc Twitter. lots. no rule against us being part of the conversation.

 

[deleted1002574]

I’m in favor of real names. Point is, we can re tweet each other to make it more prominent. That’s what the academics do, and that’s why their posts are leading.

 

[RadOncDoc21]

Let the facts fall and by this time next year we’ll know where we are. Twitter appears to be the Russian troll bots spitting out propaganda. The only thing that truly matters are the outcomes for the match and job placements.

 

[thecarbonionangle]

Let the facts fall and by this time next year we’ll know where we are. Twitter appears to be the Russian troll bots spitting out propaganda. The only thing that truly matters are the outcomes for the match and job placements.

the russian trolls are really getting out control. Is KO a russian agent? I dont know anything about it but many people are saying it?!

 

[deleted1002574]

There will be a congressional hearing on it. And they will serve lamb biryani. (Because they aren’t a-holes.)

 

[OTN]

The misinformation campaign on Twitter is very real and very coordinated.

This was posted on Twitter awhile back, but I just found it*. I find it abhorrent that academic physicians in our field are being told what they can and cannot say and who/what they can and cannot critique on Twitter. The fact they acquiesce makes it even worse.

*Dr. Thomas posted this on a public forum in a public debate. I am not maligning him, his character, or his ability as an oncologist.

 

[medgator]

The misinformation campaign on Twitter is very real and very coordinated.

This was posted on Twitter awhile back, but I just found it*. I find it abhorrent that academic physicians in our field are being told what they can and cannot say and who/what they can and cannot critique on Twitter. The fact they acquiesce makes it even worse.

*Dr. Thomas posted this on a public forum in a public debate. I am not maligning him, his character, or his ability as an oncologist.



View attachment 284766

And that is why the only complete picture of this specialty can be garnered from SDN

 

[OTN]

This is going off the rails. We should refocus on radonc twitter. The problem there isn't restriction of free speech, but rather the academic cabal actively preventing their own from discussing issues within the field.

 

[taserlaser]

Allegations of tweet suppression are very concerning on their own.

 

[radiaterMike]

A decade ago tweet suppression is what happened after surgery - before the patient was able to pass gas and advance diet.

 

[medgator]

This is going off the rails. We should refocus on radonc twitter. The problem there isn't restriction of free speech, but rather the academic cabal actively preventing their own from discussing issues within the field.

Agree. No reason why we can't create anonymous accounts there and re tweet each other. I doubt anyone is getting our IP addresses and if you are so worried, use a VPN

 

[thecarbonionangle]

The misinformation campaign on Twitter is very real and very coordinated.

This was posted on Twitter awhile back, but I just found it*. I find it abhorrent that academic physicians in our field are being told what they can and cannot say and who/what they can and cannot critique on Twitter. The fact they acquiesce makes it even worse.

*Dr. Thomas posted this on a public forum in a public debate. I am not maligning him, his character, or his ability as an oncologist.



View attachment 284766

this is our field in a nutshell, filled with petty vindictive little people. Very low energy field. Canaries take note.

 

[xrthopeful]

what's that old story about the bear and the hunter in the forest?

 

[evilbooyaa]

28 Posts deleted for being off-topic. Warnings handed out for going off-topic. Seriously, quit it with this ****. This forum is for RAD ONC, NOT Politics.

Extended discussions of **** not applicable to Rad Onc will result in warnings.

 

[radoncgrad2019]

 

[thecarbonionangle]

Is Suhil Beriwal ready for the match? UPMC will once again not match due to history of malignancy and clown bully chair toward females. Good luck to you, Sushil. 😛 Receipts??

 

[radoncgrad2019]

Is Suhil Beriwal ready for the match? UPMC will once again not match due to history of malignancy and clown bully chair toward females. Good luck to you, Sushil. 😛 Receipts??

Lol you know evil is gonna delete this!

 

[Neuronix]

Unfilled Positions in the 2019 National Resident Matching Program Radiation Oncology Match and Supplemental Offer and Acceptance Program

www.sciencedirect.com

I'm not clear that 11 spots not filling in the SOAP meant anything when it comes to contraction.

Spots may also be filled outside of the Match by international medical graduates or residents switching specialties.9 It is unknown how many of the 11 positions that did not participate in or fill via the SOAP ultimately filled.

That is the easiest survey to conduct. Just ask those programs. A few e-mails would solve that dilemma for publication purposes.

Of course programs have a lot more options if they don't fill. They could just roll those spots over to the class the following year by expanding next year's class. They could take extra fellows and put them on ABR accreditation pathway, locking them in for four years. Or they could take residents from elsewhere in transfer. I know from personal discussions that all of these things did happen.

I am really curious what will happen this year. That is: how many spots won't fill in the first round of the match, and how many really will go unfilled this year and in the long term. I don't know if UPMC is serious about being willing to contract their residency program, but I know again from personal discussions that most programs are not going to willingly contract. And even if we go from 210 spots on offer to say 190-200 actually filled, does a 5-10% contraction make any meaningful difference?

Further, what is "demonstrated interest in rad onc" ? One fourth year rotation to get you in as a backup specialty in case you don't match something else? Or has the fourth year now picked rad onc because they didn't want to take a chance on what was previously their more competitive first choice specialty? I'm seeing this now.

 

[radoncgrad2019]

 

[deleted774703]

 

[Mandelin Rain]

Oh lordy me.

Rad onc is now the safety school in the match for future specialists.

Just a crazy fall from grace.

 

[medgator]

Not everyone will have Beriwal's standards I'm willing to bet. Any warm body with associated gme funding will do for powering the residency matrix

 

[deleted573262]

even with 11 spots going unfilled after the soap, there was an increase in residents from previous years (196 in 2019, 192 in 2018). programs need to refuse the soap.

 

[GapCalc]

even with 11 spots going unfilled after the soap, there was an increase in residents from previous years (196 in 2019, 192 in 2018). programs need to refuse the soap contract.

FTFY

 

[deleted1002574]

Lol you know evil is gonna delete this!

He isn’t. He doesn’t just delete factual posts that have a harsh edge to it.

Two things we know: 1) rad onc has an oversupply people 2) UPMC Chair is Clown Bully. Everything else is debatable on the merits.

 

[deleted774703]

He isn’t. He doesn’t just delete factual posts that have a harsh edge to it.

Two things we know: 1) rad onc has an oversupply people 2) UPMC Chair is Clown Bully. Everything else is debatable on the merits.

3rd thing we know - chairs don’t care

All seriousness though I’m glad they brought the SOAP issue up.

 

[evilbooyaa]

Lol you know evil is gonna delete this!

I'm not exactly sure why you would think that. Criticism of individual programs is allowed otherwise I'd be deleting close to 50% of posts on this forum. I do think that deciding not to take folks in the match who have demonstrated zero interest in Rad Onc is one possible step in the right direction from Sushil Beriwal, despite the feelings that one may have regarding the overall job market and the chair at UPMC.

Can other PDs say the same thing he said? So far only UPMC and MDACC have done anything (including lip service) to actually address this issue. More than can be said for any number of other programs that did not match last year.

 

[PleaseRemainCalm]

Beriwal's and Chowdhary's positions seem reasonable to me. I'm not worried about the future competence or even commitment of people who considered derm and then opted for rad onc as a more realistic choice. I'm worried about people who have no idea what rad oncs do or lack basic understanding of oncology committing to rad onc on a whim. But yes on top of that, positions need to be contracted overall.

 

[radoncgrad2019]

 

[medgator]

About damn time, KO

 

[deleted1002574]

Eh...

“The feeling is”

Is quite a passive way of putting it. And he didn’t own that feeling or say that he had it. Let’s not give too much credit, yet.

 

[medgator]

Eh...

“The feeling is”

Is quite a passive way of putting it. And he didn’t own that feeling or say that he had it. Let’s not give too much credit, yet.

Seems like a tectonic shift compared to this:

 

[deleted573262]

Credit where credit is due. He’s challenging a deeply held orthodoxy amongst his superiors and doesn’t want to be Chirag Shah’d, so to speak. He’s testing the waters and it’s understandable he’s being circumspect.

One thing that everyone says about KO is that he cares deeply about his residents and treats them well. If he feels that this issue is likely to impact their livelihood and passion for the field,I give him the benefit of the doubt that he’s using his social media clout for the right reasons.

amen this is what sdn has been touting for years. i'm glad it is now picked up by academics.

 

[radoncgrad2019]

KO has always been a good, thoughtful guy.

People here tried to paint him as a bad guy because he has said SDN can be toxic. Which is true.

also there is a weird 'purity test' thing going on where people are immediately 'BAD' if they dont use the same strong language that they want them to use. There have Loooooong been 'allies' in academics, but people here want to believe that it's SDN or bust.

 

[medgator]

KO has always been a good, thoughtful guy.

People here tried to paint him as a bad guy because he has said SDN can be toxic. Which is true.

Wrong. Sure sdn isn't perfect but he has flat out lied or ignored the problems with residency expansion, job market and the impacts of hypofx and APM on the above, trying to make things personal rather than address the (very valid) arguments brought forth by myself and others on SDN





I'm thrilled with my situation personally but feel it necessary to correct the gaslighting and denial that has been going on the last several years regarding the health and longevity of this specialty and its appeal to medical students, which is why SDN exists in the first place (!)

 

[radoncgrad2019]

Most people agree that there are jobs now. The concern most people have is about the future.

Source - multiple people applying this year

This has been discussed a lot here.


You must have missed it.



Nothing KO says there is bad. At all. You’re insane if you think it is.

 

[medgator]

Most people agree that there are jobs now. The concern most people have is about the future.

Source - multiple people applying this year

Completely geography-dependent

Source - multiple people applying this year, and the cold call/emails I've been getting looking for a job

 

[medgator]

It’s almost like you sound like KO!


*EDITED by mods*

I guess you want to go from probationary status to banned? Hey when you can't fight the facts, ad-hominem! Is that you, KO?

Here's another gem, completely divorced from the reality of clinical practice:

 

[RadOncDoc21]

I mean his direct quote state’s SDN is full of “unhappy attendings and few students.” That sounds pretty bad to me.

 

[radoncgrad2019]

I mean his direct quote state’s SDN is full of “unhappy attendings and few students.” That sounds pretty bad to me.

Would you argue that?

 

[radoncgrad2019]

I guess you want to go from probationary status to banned? Hey when you can't fight the facts, ad-hominem! Is that you, KO?

Here's another gem, completely divorced from the reality of clinical practice:

Again - what is wrong with this?

Hypofrac has not made Radiation obsolete.

 

[medgator]

Would you argue that?

I'm probably happier than you and KO combined, assuming you aren't the same person.

 

[medgator]

Again - what is wrong with this?

Hypofrac has not made Radiation obsolete.

So you don't see you patients weekly during standard course xrt, leading to more time in the clinic per week?

I guess that's what residents and NPs are for, huh?

 

[RadOncDoc21]

Would you argue that?

i would argue that’s a general statement and comes across as someone who is out of touch with realty. Are there unhappy attendings on here, of course. Are there some on Twitter, I would assume so. Either way, it seems like he is finally starting to get the message we all have been stating on here for years.

I don’t speak for anybody else on here but I’m actually pretty happy with my job. I do worry that I will be limited if I decided to leave or if my situation was to suddenly change. I am definitely very fortunate to not be in residency at this time.

As far as medical students, I don’t know the amount of medical students on this site, but I am pretty sure he doesn’t know either.

 

[radoncgrad2019]

So you don't see you patients weekly during standard course xrt, leading to more time in the clinic per week?

I guess that's what residents and NPs are for, huh?

Huh?

What he said was that hypofrac has not made the modality of radiation oncology obsolete.

 

[radoncgrad2019]

i would argue that’s a general statement and comes across as someone who is out of touch with realty. Are there unhappy attendings on here, of course. Are there some on Twitter, I would assume so. Either way, it seems like he is finally starting to get the message we all have been stating on here for years.

I don’t speak for anybody else on here but I’m actually pretty happy with my job. I do worry that I will be limited if I decided to leave or if my situation was to suddenly change. I am definitely very fortunate to not be in residency at this time.

As far as medical students, I don’t know the amount of medical students on this site, but I am pretty sure he doesn’t know either.

Dude.

All of us here are basically attendings with some residents. Lot of unhappy and negative posts, even if many of us like our own jobs.

Very few students if any.


This isn’t hard.

 

[medgator]

Huh?

What he said was that hypofrac has not made the modality of radiation oncology obsolete.

It has reduced the RO labor necessary to treat patients, allowing existing docs to treat more patients.

It absolutely does reduce the need for radonc clinically, something that seems to be flying over his (and your) head.

All of us here have been seeing more and more patients/year in the era of hypofx and sbrt. Way more than we ever saw in residency because of those trends.

But somehow residency expansion was supposed to be just fine and dandy until recently