Rad Onc Twitter

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medgator said:
Spratt 💕💕 fest on Twitter today

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"Academic health system uses predatory billing to increase market share at the expense of private practice" would be another way to describe it.

I like Dr. Daniel Pratt, but let's be real here: Can you imagine a private group hiring 7 radoncs all at once in the same city? Of course not. Why not? Why isn't this even remotely possible in the private world, but lauded and celebrated in the academic one?
 
OTN said:
"Academic health system uses predatory billing to increase market share at the expense of private practice" would be another way to describe it.

I like Dr. Daniel Pratt, but let's be real here: Can you imagine a private group hiring 7 radoncs all at once in the same city? Of course not. Why not? Why isn't this even remotely possible in the private world, but lauded and celebrated in the academic one?
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Very much doubt population in Cleveland is increasing much (if at all- probably declining). So where is this growth coming from (satellite buyouts/ force outs) and will they sustain these positions for greater than 5 years? Or maybe, they can just hire extra docs because they are billing such high prices which allows them to treat 120 pts per year?
 
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OTN said:
"Academic health system uses predatory billing to increase market share at the expense of private practice" would be another way to describe it.

I like Dr. Daniel Pratt, but let's be real here: Can you imagine a private group hiring 7 radoncs all at once in the same city? Of course not. Why not? Why isn't this even remotely possible in the private world, but lauded and celebrated in the academic one?
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His subsequent posts said he is not hiring all at once

Funny enough, I'm reminded of a time when prominent Houstonians gaslit and said no problems b/c they are hiring 10 ppl in 1 yr....
 
Sorry; @ROforbetterorworse I'm a total Cleveland fan; did undergraduate there. Campus was just in far better shape than the 90s; where before the Clinic and UH were separated by some not-so-safe areas. If you were starting an academic career, it could be a good thing to have easily accessible collaborators.

I think the private groups had been pushed out / bought out between the Clinic and UH some years ago; to @OTN's point. I think @RickyScott they had a bunch of people leave to go to Penn State; and it's an aging population that is flat. At least it's seven more job opportunities than there were before (yes employed, yes academic, but what're you going to do?).

And I'm going to tell the young'uns on this board that working with a chair with a forward look is going to be important if you want a longer term career.. so if someone got a dean to pony up that many recruitment packages; it's a good start.

I promise I'm not part of radoncrocks; just got a touch of nostalgia about Cleveland. Good biryani.
 
GI_RadOnc said:
Sorry; @ROforbetterorworse I'm a total Cleveland fan; did undergraduate there. Campus was just in far better shape than the 90s; where before the Clinic and UH were separated by some not-so-safe areas. If you were starting an academic career, it could be a good thing to have easily accessible collaborators.

I think the private groups had been pushed out / bought out between the Clinic and UH some years ago; to @OTN's point. I think @RickyScott they had a bunch of people leave to go to Penn State; and it's an aging population that is flat. At least it's seven more job opportunities than there were before (yes employed, yes academic, but what're you going to do?).

And I'm going to tell the young'uns on this board that working with a chair with a forward look is going to be important if you want a longer term career.. so if someone got a dean to pony up that many recruitment packages; it's a good start.

I promise I'm not part of radoncrocks; just got a touch of nostalgia about Cleveland. Good biryani.
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I agree with you that hiring someone is better than hiring no one, and that Spratt seems like a potential disruptor

Not sure how much of this is directly due to Spratt

They have been trying to hire since when I was looking for attending jobs, unsuccessfully, due to being a poorly run dept

They have filled some of those this year finally with bad market
 
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GI_RadOnc said:
Sorry; @ROforbetterorworse I'm a total Cleveland fan; did undergraduate there. Campus was just in far better shape than the 90s; where before the Clinic and UH were separated by some not-so-safe areas. If you were starting an academic career, it could be a good thing to have easily accessible collaborators.

I think the private groups had been pushed out / bought out between the Clinic and UH some years ago; to @OTN's point. I think @RickyScott they had a bunch of people leave to go to Penn State; and it's an aging population that is flat. At least it's seven more job opportunities than there were before (yes employed, yes academic, but what're you going to do?).

And I'm going to tell the young'uns on this board that working with a chair with a forward look is going to be important if you want a longer term career.. so if someone got a dean to pony up that many recruitment packages; it's a good start.

I promise I'm not part of radoncrocks; just got a touch of nostalgia about Cleveland. Good biryani.
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I am not trying to diminish Cleveland, case or spratt- just trying to point out this is not likely to be growth in overall job market.
 
We discussed this in the past. I'm friends with a few CC / Ohio docs... Most of these jobs will be a classic satellite gig much derided on this board. 5-10 patients under the beam and numbers very unstable due to ever-shifting competition. One advice I would give is not to rely on their individual bonus projections when trying to figure out future income. Another advice to expect a lot of traveling and cross-coverage on short notice.
 
seper said:
We discussed this in the past. I'm friends with a few CC / Ohio docs... Most of these jobs will be a classic satellite gig much derided on this board. 5-10 patients under the beam and numbers very unstable due to ever-shifting competition. One advice I would give is not to rely on their individual bonus projections when trying to figure out future income. Another advice to expect a lot of traveling and cross-coverage on short notice.
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And that is the current game. Until APM and short courses drives the fiscal reality of the geographic market share approach to an unsustainable level. 5-7 years is my guess.
 
I thought in 2002, Cleveland Clinic and Case Western got married (marriage made in Heaven)???
 

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ROforbetterorworse said:
Academic radiation oncology at its finest

Becoming a trainee peer reviewer is a major accomplishment and destiny for superstardom!!!

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I applied to this program in residency and was flat out rejected. I guess I wasn't a superstar.

Sad thing was I was genuinely interested at the time, but now could careless about the Red Journal.

I'll go back to trying to be famous in our field through misguided Tweets...
 
Grubbe-a-dub-dub said:
I applied to this program in residency and was flat out rejected. I guess I wasn't a superstar.

Sad thing was I was genuinely interested at the time, but now could careless about the Red Journal.

I'll go back to trying to be famous in our field through misguided Tweets...
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Welcome to mediocrity like the rest of us! 😆
 
aspiring rapper said:
They pay fewer faculty to teach and pocket the difference in tuition.
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Well the classroom part of medschool (and college for that matter) is a textbook example of inefficiency. Hundreds of schools giving the same lectures to mostly empty classrooms of varying quality. Everyone watches lectures virtually now anyways. You could easily make a medschool curriculum composed of excellent lecturers from across the country in a virtual format (with in person small group sessions with clinicians) for a third of the cost.

Of course schools have no incentive to do this, there are a lot of legacy costs to maintain (buildings, faculty, admin), and there is no shortage of applicants, and ultimately you are still paying for the name brand degree. What we really need is for some forward looking institution or group of institutions (say the UC or UT system) to do it.
 
seper said:
night shifts... bad setup for trying to keep family together
although, try to tell your spouse when you are graduating from UCSF RadOnc residency that the only interview you've got is one for assistant professor position in Louisville
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Probably better biryani in L'ville than Ponca City OK or Evansville IN
 
seper said:
night shifts... bad setup for trying to keep family together
although, try to tell your spouse when you are graduating from UCSF RadOnc residency that the only interview you've got is one for assistant professor position in Louisville
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My BF would leave me lol
 
seper said:
night shifts... bad setup for trying to keep family together
although, try to tell your spouse when you are graduating from UCSF RadOnc residency that the only interview you've got is one for assistant professor position in Louisville
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Hmm, this joke hits incredibly close to my reality.

1618396895425.png
 
This Emory account is ridiculous. Sounds like Emory is a true head in the sand type of program. Just recruit more aggressively and fill and everything will be fine! Don't attack us because we want to fill our 16 spots at all cost so our department can maintain the veneer of academic prestige. If every program cuts one spot we would be training 700 residents every 4 years instead of 800. It would be at least a start.

This type of thinking might help explain why recent matches have been so difficult for Emory. FWIW I know someone in PP in Macon GA. I don't think that group has hired anyone new in about 5 years.


82645D22-3120-4C25-99FD-0E8B805EADD7.jpeg
 
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fiji128 said:
This Emory account is ridiculous. Sounds like Emory is a true head in the sand type of program. Just recruit more aggressively and fill and everything will be fine! Don't attack us because we want to fill our 16 spots at all cost so our department can maintain the veneer of academic prestige. If every program cuts one spot we would be training 700 residents every 4 years instead of 800. It would be at least a start.

This type of thinking might help explain why recent matches have been so difficult for Emory. FWIW I know someone in PP in Macon GA. I don't think that group has hired anyone new in about 5 years.


View attachment 334794
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Perhaps one of this year's grads signed at Mcaon, GA (know nothing about it), but Emory hasn't exactly been loading up small towns with well-trained docs, unless you count all those coastal cities in NC, SC, and GA...


I can think of at least 1 alum that might have a different opinion.
 


Ah yes, the ol’ “superstar” praise. I remember this well from one of my particularly lazy attendings, who would frequently throw around this term in an effort to get residents to write worthless database reviews, and subsequently not write any meaningful comments before submission.

“Just think, this could get into JAMA Oncology and you would be *jazz hands* a SUPERSTAR!”

Guy didn’t lift a finger to help me find a job.
 
GapCalc said:


Ah yes, the ol’ “superstar” praise. I remember this well from one of my particularly lazy attendings, who would frequently throw around this term in an effort to get residents to write worthless database reviews, and subsequently not write any meaningful comments before submission.

“Just think, this could get into JAMA Oncology and you would be *jazz hands* a SUPERSTAR!”

Guy didn’t lift a finger to help me find a job.
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Sounds like a classic catfish RO
 
Most of us on this board didn't have to fight to preserve our market influence and power as physicians. We already have jobs, aren't going anywhere, etc. I know I'm not.

What I wanted was to try to help preserve what we had for future medical students/residents, so they could enjoy the choice of location and variety of job opportunities I did.

I never thought I would see residents themselves fighting against what we are doing. Their arguments are ridiculous on their face. I had to check several times to make sure the Emory Radonc Residents Twitter account wasn't a parody account. Unfortunately, no. What it is, is evidence of either someone with a proverbial gun held to their head, or someone with severe Stockholm Syndrome.
 
GapCalc said:


Ah yes, the ol’ “superstar” praise. I remember this well from one of my particularly lazy attendings, who would frequently throw around this term in an effort to get residents to write worthless database reviews, and subsequently not write any meaningful comments before submission.

“Just think, this could get into JAMA Oncology and you would be *jazz hands* a SUPERSTAR!”

Guy didn’t lift a finger to help me find a job.
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Superstar GIF by memecandy
 
OTN said:
Most of us on this board didn't have to fight to preserve our market influence and power as physicians. We already have jobs, aren't going anywhere, etc. I know I'm not.

What I wanted was to try to help preserve what we had for future medical students/residents, so they could enjoy the choice of location and variety of job opportunities I did.

I never thought I would see residents themselves fighting against what we are doing. Their arguments are ridiculous on their face. I had to check several times to make sure the Emory Radonc Residents Twitter account wasn't a parody account. Unfortunately, no. What it is, is evidence of either someone with a proverbial gun held to their head, or someone with severe Stockholm Syndrome.
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Likely the latter plus anxiety, self preservation about having less residents which will lead to more call and scut. This is the way at many places and why cutting spots is not enough but other measures must be taken to protect residents as many places will just make people double/triple cover
 
Real talk, I think Emory was at 12 residents circa 2010. Now they are at 16 only ten years later. This despite a decreasing foot print and utilization of rad onc with waning medical student interest for obvious reasons. Now they claim letting go of even just 1 spot simply makes no sense and they have no problem filling via SOAP or whatever means necessary. Total garbage program that does not care about the long term health of the field.
 
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When the boat is taking on water, always refuse to bail. What good would it do? Just lather up in Irish Spring and go down with the ship.
 
Mandelin Rain said:
When the boat is taking on water, always refuse to bail. What good would it do? Just lather up in Irish Spring and go down with the ship.
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As the titanic sunk, the fiddlers serenated the crowd. Some rats jumped ship but many sunk with it. Some floated around and the sharks feasted. It always repeats itself
 
medgator said:
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I don't know who is running this Emory twitter account, but whoever it is really needs to chill out. They're putting their colleagues at risk when they start looking for jobs and have Emory on their CV, which is now associated with these idiotic posts. News flash, there are plenty of residents, no practice needs to have an Emory grad at all.
 
OTN said:
Railing on 30 Gy in 10 fractions for palliation, while meanwhile on the Emory proton therapy web page, they claim benefit for breast cancer, prostate cancer, rectal cancer, etc...

Page Not Found | Winship Cancer Institute of Emory University

We're sorry, this page has moved or has been deleted.
winshipcancer.emory.edu
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Yip, hypofract gives them moral cover to charge 100k-or whatever they want-, and push protons, while using the convenience aspect of hyopfrac as a competitive advantage.
 
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Turaco said:
Really sad. This is what gaslighting looks like.

Oddly enough, Atlanta seems to consistently have multiple jobs available. Anyone know why? Atlanta and Georgia in general is a good place to live.
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Supposedly one of the large PPs is a know churn and burn place, but my info is from years ago
 
Turaco said:
Really sad. This is what gaslighting looks like.

Oddly enough, Atlanta seems to consistently have multiple jobs available. Anyone know why? Atlanta and Georgia in general is a good place to live.
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Big area which is very populated with lots and lots of rad oncs. Always going to be some low rate of docs leaving jobs for multitude of reasons. Often times they will just take another doc from immediate areas looking for a little non lateral move. The availability of these jobs to any new grads is very unlikely but it happens. ATL is not that suffused with Emory grads.
 
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