Rad Onc Twitter

  • Thread starter Thread starter deleted1002574
  • Start date Start date
This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.
Members don't see this ad.

Boris Gershman, MD - DF/HCC

- DF/HCC
www.dfhcc.harvard.edu www.dfhcc.harvard.edu

6997B7F1-78CB-4EF0-B84C-C05F7B8BF8BE.jpeg
 
When SEER studies (esp. linked to Medicare claims data) started coming out 15 years ago, its was very fun to read/do. Makes it extra sad to read this garbage now
 
This gives me an idea for a study.

Step 1: Find a bunch of SEER/NCDB papers comparing treatment modalities.
Step 2: Find the first author's specialty
Step 3: Find the correlation between a "positive" study and author specialty.

I'll settle for being middle author.
 
Doctorer said:
This gives me an idea for a study.

Step 1: Find a bunch of SEER/NCDB papers comparing treatment modalities.
Step 2: Find the first author's specialty
Step 3: Find the correlation between a "positive" study and author specialty.

I'll settle for being middle author.
Click to expand...

What if there is a middle author of a different specialty? Maybe you could do propensity weighting based on author order?
 
Cap'n Crunch cures alzheimers (assertions based on simulated clinical trial constructed from facebook survey)
 
Doctorer said:
This gives me an idea for a study.

Step 1: Find a bunch of SEER/NCDB papers comparing treatment modalities.
Step 2: Find the first author's specialty
Step 3: Find the correlation between a "positive" study and author specialty.

I'll settle for being middle author.
Click to expand...

Over/under of 6 months that this will be in print within next 6 months

$20

Radonc vs the field (all other specialties) on who will complete the project

$20

DM me for parlay 🤣
 
Doctorer said:
This gives me an idea for a study.

Step 1: Find a bunch of SEER/NCDB papers comparing treatment modalities.
Step 2: Find the first author's specialty
Step 3: Find the correlation between a "positive" study and author specialty.

I'll settle for being middle author.
Click to expand...
pubmed.ncbi.nlm.nih.gov

Stereotactic Ablative Radiation Therapy Versus Surgery in Early Lung Cancer: A Meta-analysis of Propensity Score Studies - PubMed

For patients with early-stage non-small cell lung cancer who are eligible for either treatment, better overall survival was seen after surgery compared with SABR. However, lung cancer-specific survival was similar for both treatments. Prospective clinical trials are preferred to propensity...
pubmed.ncbi.nlm.nih.gov pubmed.ncbi.nlm.nih.gov

Underrated paper

1620360841388.png
 
I couldn't help but think of the current state of affairs in Rad Onc when I read this NYT article about polarization and in-grouping. About the motivations for posting on Twitter and SDN, and how both groups accuse each other of misinformation.

www.nytimes.com

‘Belonging Is Stronger Than Facts’: The Age of Misinformation (Published 2021)

Social and psychological forces are combining to make the sharing and believing of misinformation an endemic problem with no easy solution.
www.nytimes.com www.nytimes.com
 
beamotherapy said:
I couldn't help but think of the current state of affairs in Rad Onc when I read this NYT article about polarization and in-grouping. About the motivations for posting on Twitter and SDN, and how both groups accuse each other of misinformation.

www.nytimes.com

‘Belonging Is Stronger Than Facts’: The Age of Misinformation (Published 2021)

Social and psychological forces are combining to make the sharing and believing of misinformation an endemic problem with no easy solution.
www.nytimes.com www.nytimes.com
Click to expand...
While there is increasing polarization, at the end of the day, it is undeniable that resident numbers have doubled, while pt numbers have not, and that hypofractionation is increasing. This is just not in dispute by anyone. One side believes medstudents should just ignore these facts because we don’t have level 1 “evidence” of widespread unemployment. I very much doubt medstudents are making career choices based on the rantings of anonymous internet posters.
 
RickyScott said:
While there is increasing polarization, at the end of the day, it is undeniable that resident numbers have doubled, while pt numbers have not, and that hypofractionation is increasing. This is just not in dispute.
Click to expand...
I would think, in addition, the anonymous nature of SDN would blunt some of the social benefit aspects of social media posting. To characterize what's been posted here as misinformation would be incorrect.
 
RickyScott said:
While there is increasing polarization, at the end of the day, it is undeniable that resident numbers have doubled, while pt numbers have not, and that hypofractionation is increasing. This is just not in dispute by anyone. One side believes medstudents should just ignore these facts because we don’t have level 1 “evidence” of widespread unemployment. I very much doubt medstudents are making career choices based on the rantings of anonymous internet posters.
Click to expand...
I love this.

SDN Guidelines: The rapid expansion of residency programs is causing oversupply which has a negative effect on the job market (Level 1)

Twitter Guidelines: The expansion of residency programs could theoretically make finding the ideal job slightly more difficult (Category 2B)
 
RickyScott said:
While there is increasing polarization, at the end of the day, it is undeniable that resident numbers have doubled, while pt numbers have not, and that hypofractionation is increasing. This is just not in dispute by anyone. One side believes medstudents should just ignore these facts because we don’t have level 1 “evidence” of widespread unemployment. I very much doubt medstudents are making career choices based on the rantings of anonymous internet posters.
Click to expand...
These are good points. I was also thinking of opinions about where our specialty is heading in general. On the one hand you have #radoncrocks encouraging med students to match in Rad Onc; on the other you have predictions on SDN of declining use of radiotherapy, breadlines etc.

I don't know, I think SDN does influence med student career choices. There have been several who have posted about it on this board.
 
OTN said:
I would think, in addition, the anonymous nature of SDN would blunt some of the social benefit aspects of social media posting. To characterize what's been posted here as misinformation would be incorrect.
Click to expand...
You are right, residency expansion is certainly a fact. The twitter crowd also has their "alternative facts" about how great things are in our specialty, and seems to think SDN is misinforming about the state of our specialty in general. I think there is a community on SDN or hive mind that reinforces negativity about our specialty and mocks dissenters and outsiders. I give credit to the academicians that try to come on here and bring their perspective, and likewise to SDN members who try to engage on twitter.
 
Ray D. Ayshun said:
This thread has sort of become a catch all. In any case, being as I took a dump on the rj publishing that covid paper last week, I can say I like the question this paper is asking, SEER analysis and all:

oh, and I like the answer too.
Click to expand...
"Further study of the omission of endocrine therapy in this patient population is warranted."

Yas Queen GIF by K.I.D
 
I really wanted to refute Ralph on Twitter. You know, use logic and data and what not. And then I realized... why. Not refuting him is SO more effective than responding.
 
OTN said:
Glad this was brought up. I was going to post it. Dr. RW decided to end the conversation when it was apparent he was getting wrecked. He is a big part of the generation who has failed the rest of us. His lack of ability to look in the mirror is telling.
Click to expand...

Retraining in a new specialty is like getting a divorce its messy, financially ruinous, and downright soul sucking but sometimes you're just forced to do it.
 
OTN said:
Glad this was brought up. I was going to post it. Dr. RW decided to end the conversation when it was apparent he was getting wrecked. He is a big part of the generation who has failed the rest of us. His lack of ability to look in the mirror is telling.
Click to expand...
therealdeal.com

Waterfront Hibiscus Island mansion sells for $8M

A Hibiscus Island waterfront mansion sold for $7.8 million.
therealdeal.com

Sold the specialty for their own gains...
 
Baws said:
"Trends in the quality of residents accepted for training have been drifting slightly downward.”

These "leaders" like Wallner, DO and Ralph Weasel are so full of ****

View attachment 337351
Click to expand...
Let’s not leave out million dollar Mikey Steinberg who sold multiple practices for tens of millions and now encourages suckers and minorities to come to his department. Or 2 million dollar Lou “shame on us if medical students have better knowledge of the job market”
 
The audacity and/or tone-deafness to imply residents are selfishly motivated to care about how they are financially compensated for their labor after residency is stunning especially coming from figures in the field who are so old and senior that they have surely amassed high 7 figures if not 8 figure net worths (or else they have done something spectacularly wrong in their financial planning) having lived through a long career where radiation oncologists were able to keep most of the income they generated with fewer middlemen to siphon it off.

It's really easy to point your finger and call aspiring rad oncs improperly motivated for caring about jobs (money) when you've got 10 million in the bank, likely offshore or in other investments to somehow avoid taxes. Meanwhile the new crop of rad oncs is selfish to complain about having worries about our prospects of becoming W2 employees for the organizations these people control, making a fraction of what they did in their heyday, and not having any good way to shelter it from being chopped in half off the bat before reaching our pockets and paying our bills and debt obligations (which are proportionally far higher than whatever they were in 1970 because of academic bloat and the student loan scam).

Capitalism drives innovation, Ralph. All those companies making the products that we use in clinic and fund our studies? That wasn't the result of benevolent socialist-minded physicians and scientists working only to better society and happily accepting low salaries and volunteering nights and weekends for their passion for research while maintaining full clinics without protected time and having a good junk of the professional component scalped off by higher ups. Of course you know that, but it's insulting that you think you can deceive others into believing it. The COVID vaccine did not magically appear in record time from a few well-meaning post-docs slaving away in a university lab. It appeared because private pharma was heavily incentivized to make it happen. If you drive down salaries in rad onc to the bottom of the field, you are not going to get the best and the brightest. There will be some, but not a lot. This should not be surprising, nor should it be something you should lament. Using this as a criticism is deeply insincere.

As the saying has always been, those who can't do teach. And as such academia will ironically reap what it has sewn, and become filled with practitioners that any remaining private practices won't touch who pump out the bare minimum inconsequential research as a checkbox to keep their job and "teach" residents what the important trial data to memorize is so as to be a competent practitioner one day and not discuss anything that actually involves getting compensated for your time or preparing students to go out and work independently (which used to be the point of education) as that would be improper and contrary to the mission of making the majority of us permaresidents at satellites.
 
Last edited by a moderator:
Turaco said:
The audacity and/or tone-deafness to imply residents are selfishly motivated to care about how they are financially compensated for their labor after residency is stunning especially coming from figures in the field who are so old and senior that they have surely amassed high 7 figures if not 8 figure net worths (or else they have done something spectacularly wrong in their financial planning) having lived through a long career where radiation oncologists were able to keep most of the income they generated with fewer middlemen to siphon it off.

It's really easy to point your finger and call aspiring rad oncs improperly motivated for caring about jobs (money) when you've got 10 million in the bank, likely offshore or in other investments to somehow avoid taxes. Meanwhile the new crop of rad oncs is selfish to complain about having worries about our prospects of becoming W2 employees for the organizations these people control, making a fraction of what they did in their heyday, and not having any good way to shelter it from being chopped in half off the bat before reaching our pockets and paying our bills and debt obligations (which are proportionally far higher than whatever they were in 1970 because of academic bloat and the student loan scam).

Capitalism drives innovation, Ralph. All those companies making the products that we use in clinic and fund our studies? That wasn't the result of benevolent socialist-minded physicians and scientists working only to better society and happily accepting low salaries and volunteering nights and weekends for their passion for research while maintaining full clinics without protected time and having a good junk of the professional component scalped off by higher ups. Of course you know that, but it's insulting that you think you can deceive others into believing it. The COVID vaccine did not magically appear in record time from a few well-meaning post-docs slaving away in a university lab. It appeared because private pharma was heavily incentivized to make it happen. If you drive down salaries in rad onc to the bottom of the field, you are not going to get the best and the brightest. There will be some, but not a lot. This should not be surprising, nor should it be something you should lament. Using this as a criticism is deeply insincere.

As the saying has always been, those who can't do teach. And as such academia will ironically reap what it has sewn, and become filled with practitioners that any remaining private practices won't touch who pump out the bare minimum inconsequential research as a checkbox to keep their job.
Click to expand...
With the current stock market, I pity the boomer radonc with a 7 figure net worth
 
Turaco said:
As the saying has always been, those who can't do teach. And as such academia will ironically reap what it has sewn, and become filled with practitioners that any remaining private practices won't touch who pump out the bare minimum inconsequential research as a checkbox to keep their job and "teach" residents what the important trial data to memorize is so as to be a competent practitioner one day and not discuss anything that actually involves getting compensated for your time or preparing students to go out and work independently (which used to be the point of education) as that would be improper and contrary to the mission of making the majority of us permaresidents at satellites.
Click to expand...
I love this description.

Hiring new grads for satellite permaresident positions! Not entirely clear what a VSIM is, but knows every single reported result from the CROSS trial to two significant digits, and ensures that all OARs fall within the institutionally-mandated constraints (though not sure what to do other than ask Dosimetry to "try harder" if the constraints aren't met).
 
medgator said:
Honestly, i hope they never take away his Twitter account...

Click to expand...

1621596469743.png


"New to Twitter"? I hope he's making a joke there...but perhaps he feels like Twitter, similar to RadOnc, requires a full 5 years of training before you can independently practice it?
 
elementaryschooleconomics said:
View attachment 337370

"New to Twitter"? I hope he's making a joke there...but perhaps he feels like Twitter, similar to RadOnc, requires a full 5 years of training before you can independently practice it?
Click to expand...
I’m sure you can’t take this guy’s word to mean anything. He is a troll and can not be taken seriously at this point in time.
 
I don't blame those guys for making a lot of money. Good for them for building successful practices- they should be rewarded for it. 0

I absolutely blame them for shutting the door on the next generation and then denying they ever did so.
 
Baws said:
"Trends in the quality of residents accepted for training have been drifting slightly downward.”

These "leaders" like Wallner, DO and Ralph Weasel are so full of ****

View attachment 337351
Click to expand...
I cannot believe this guy is in charge of our boards. WOW. All that needs to come out is he also hung out with Epstein and i still will not be surprised. Lollita express Wallner.
 
While the link about PW buying a home (which is public knowledge since it has been posted on the internet) is kosher, let's not post people's home addresses on Zillow as an insinuation of where a certain high profile Rad Onc lives. That's shady and weird. 2 posts deleted.

I would be similarly weirded out if any other rad onc's home address on Zillow (or any site where it does not mention the person's name) was posted on this website.
 
Mandelin Rain said:
The point remains, the multi-decamillionaires in this specialty have already been made. Now, it's just about protecting their interests.
Click to expand...
It’s something more than just protecting their interests. Although that’s bad enough and the worst. They want to protect their interests and not feel or face the moral wrongs of past acts. For that breed, they need the cloak of correctness as much as a fat wallet. Did you guys not see the fake anger and umbrage Wallner displayed when Simul dared question him.
 
TheWallnerus said:
It’s something more than just protecting their interests. Although that’s bad enough and the worst. They want to protect their interests and not feel or face the moral wrongs of past acts. For that breed, they need the cloak of correctness as much as a fat wallet. Did you guys not see the fake anger and umbrage Wallner displayed when Simul dared question him.
Click to expand...
“I am THE senate”
 
Baws said:
Ralph is going off on Twitter calling low tier chief residents Narcissists for wanting a job

btw: Ralph lives in a $2 million Chicago penthouse

(also steinberg’s house is also public knowledge, but I see ur point)
Click to expand...
2M? Is he slumming it? I am not gonna throw stones over that priced residence. Building a house right now is +70k in extra lumber for God’s sake. One comparison may be one rad oncs 8 + 8M real estate portfolio. That seems excessive. Can’t wait to see em on HGTV or something.
 
Lmao...I seriously doubt that’s his only residence though
 
WOW this field is in complete free fall, more than Sandra Bullock’s arse in “Gravity” . Thanks “leaders”
 
You must log in or register to reply here.

Similar threads

uchihastan
Rad Onc vs. Heme/Onc
Replies
18
Views
2K
medgator
M
B
Rad Onc Procedures and RVUs
Replies
35
Views
5K
CurbYourExpectations
CurbYourExpectations
D
Saving Rad Onc
2
Replies
60
Views
7K
RickyScott
R
TheWallnerus
Rad Onc is in a dark place
Replies
13
Views
3K
RickyScott
R
M
Rad Onc Oral Boards: To quote or not quote studies?
Replies
2
Views
221
medgator
M
Top