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 do not see this ad.
Ray D Ayshun - what you need to remember is that when the titanic sinks, these academics will ALWAYS look out for each other and protect each other FIRST. You and I are garbage to be stepped on.

and if we want to make a little cash, we are GREEDY.

but if lamount, evan thomas, etc want to grab a little side money from VARIAN or IBA - well it's all groovy, son!
 
jondunn said:
Ray D Ayshun - what you need to remember is that when the titanic sinks, these academics will ALWAYS look out for each other and protect each other FIRST. You and I are garbage to be stepped on.

and if we want to make a little cash, we are GREEDY.

but if lamount, evan thomas, etc want to grab a little side money from VARIAN or IBA - well it's all groovy, son!
Click to expand...
Says the guy shaming freestanding guys and extra fractions elsewhere on this thread and forum 😂😂
 
I’m sure many docs have done many procedures after a drink or two. Most have the good judgement to not advertise it for the world to see. Especially when protected information is also involved.

That level of bad judgement is shocking from a physician. And should be properly parodied at every opportunity.
 
Ray D. Ayshun said:
What is your deal? Attacking a physician at ASTRO who is contouring? He was contouring at a table a public bar next to a glass of wine. If you can't see my issues with that, then we really needn't talk about it any more. I don't think you're going to convince me to see things your way.
Click to expand...
Not trying to convince you (at least no more than you were trying to convince Evan). Agree his post wasn’t bright…

…but you implied that etoh was affecting patient care. That’s a BIG accusation… but no matter for you, you are just posting anonymously on SDN, and you work REALLY hard… so it’s cool.

I trained in place where much of the staff and faculty would be polite to each other’s face, but would say awful things the second the person left the room. It really disgusted me to overhear the nameless, faceless snickering.

If you feel strongly enough about his tweet, go on twitter and comment in-person.
 
Lamount said:
Not trying to convince you (at least no more than you were trying to convince Evan). Agree his post wasn’t bright…

…but you implied that etoh was affecting patient care. That’s a BIG accusation… but no matter for you, you are just posting anonymously on SDN, and you work REALLY hard… so it’s cool.

I trained in place where much of the staff and faculty would be polite to each other’s face, but would say awful things the second the person left the room. It really disgusted me to overhear the nameless, faceless snickering.

If you feel strongly enough about his tweet, go on twitter and comment in-person.
Click to expand...


dude. he deleted it himself because he realized it was a dumb move.

hes someone that is incredibly arrogant and is not liked. when someone like that makes a dumb move, someone you dont like anyways, they get made fun of.

welcome to life.
 
medgator said:
Have you figured out whether you hate or love this forum overall? Seemed pretty conflicted about it before...
Click to expand...
From 'Private Parts':

"The average radio listener listens for 18 minutes. The average Howard Stern fan listens for, are you ready for this, an hour and 20 minutes . . . Answer most commonly given? ‘I want to see what he’ll say next.’ The average Stern hater listens for two and a half hours a day . . . Most common answer? ‘I want to see what he’ll say next.’"
 
Lamount said:
Not trying to convince you (at least no more than you were trying to convince Evan). Agree his post wasn’t bright…

…but you implied that etoh was affecting patient care. That’s a BIG accusation… but no matter for you, you are just posting anonymously on SDN, and you work REALLY hard… so it’s cool.

I trained in place where much of the staff and faculty would be polite to each other’s face, but would say awful things the second the person left the room. It really disgusted me to overhear the nameless, faceless snickering.

If you feel strongly enough about his tweet, go on twitter and comment in-person.
Click to expand...
Like I said, I shouldn't have made the joke again as we already went through this when he made the post late last year. Nonetheless, I am pissed that the tweet serves to represent our specialty. Lambasting him here seems effective. As I hate Twitter, and the twats that tweet, I don't see how I can fix the problem by becoming a part of it.
 
Lamount said:
Not trying to convince you (at least no more than you were trying to convince Evan). Agree his post wasn’t bright…

…but you implied that etoh was affecting patient care. That’s a BIG accusation… but no matter for you, you are just posting anonymously on SDN, and you work REALLY hard… so it’s cool.

I trained in place where much of the staff and faculty would be polite to each other’s face, but would say awful things the second the person left the room. It really disgusted me to overhear the nameless, faceless snickering.

If you feel strongly enough about his tweet, go on twitter and comment in-person.
Click to expand...
I don’t always drink wine while providing patient care, but when I do, it definitely doesn’t affect patient care.


pimp GIF
 
jondunn said:
dude. he deleted it himself because he realized it was a dumb move.

hes someone that is incredibly arrogant and is not liked. when someone like that makes a dumb move, someone you dont like anyways, they get made fun of.

welcome to life.
Click to expand...
Anonymously discussing ideas is very reasonable, and indeed NECESSARY in a system with such a power asymmetry.

…but let’s not pretend that those who anonymously snicker about individuals are the heroes in this story. They are, in fact, never the heroes.
 
Lamount said:
Anonymously discussing ideas is very reasonable, and indeed NECESSARY in a system with such a power asymmetry.

…but let’s not pretend that those who anonymously snicker about individuals are the heroes in this story. They are, in fact, never the heroes.
Click to expand...
I was shooting for snarky dick, not hero. But as I contour on a sunny Sunday morning, I can't help but be a little triggered.
 




Good ep Simul. was disappointed when the great Jason Beckta brought up how we should move past fractions for thinking about rad onc work, but then Scarborough started talking about bone met palliation. I think the work metric definition needs its own podcast.
 
Lamount said:
I once bought a mouse in an airport tech store because I was losing my mind trying to contour with the trackpad. Still have it… solid wired mouse.

I wonder if anyone uses a trackball. I am thinking of giving it a shot because it would be nice not being tethered to a desk, but the learning curve seems daunting.
Click to expand...
Both choices (mouse and trackball) are suboptimal
You need a portable stylus pad/graphics tablet…ask my right ulnar nerve how I know…
 
medgator said:
They had a weaker job market several years ago.. Not that surprising. They cut slots however and demand has continued to grow
Click to expand...

No slots were cut. Growth just slowed down. Combination of IR+DR positions in the match is greater than the number of DR positions 10 years ago.
 
medgator said:
I guess i should have clarified, didn't a lot go unfilled?
Click to expand...

All that means is that they didn’t fill in the match. They would all (generally) fill in the post-Match SOAP/scramble. Very few spots are left over after that.

I know because my own medical school matched only 2/8 in the match for a variety of reasons the year I graduated. Bias against DOs being one of them. Interview experience sucked. An attitude of “well you should be happy to match here”.

All spots were eventually filled. Including 2 by failed Derm and Ortho applicants.

The next year they filled all their spots in the Match after policies, such as those against DOs, changed.

Sounds a lot like what RadOnc is going through.
 
qwerty89 said:
All that means is that they didn’t fill in the match. They would all (generally) fill in the post-Match SOAP/scramble. Very few spots are left over after that.

I know because my own medical school matched only 2/8 in the match for a variety of reasons the year I graduated. Bias against DOs being one of them. Interview experience sucked. An attitude of “well you should be happy to match here”.

All spots were eventually filled. Including 2 by failed Derm and Ortho applicants.

The next year they filled all their spots in the Match after policies, such as those against DOs, changed.

Sounds a lot like what RadOnc is going through.
Click to expand...
Did any of those scramblers have problems getting prelim spots secured? Some of the weakest scramblers in rad Onc don't even have a strong enough CV to secure a prelim surgery spot

The difference i see with rad Onc is some of the lower tier places are really reaching to the bottom of the barrel to match anyone, rather than taking a derm/ortho reject who will look a lot better on paper. Rad onc was here before.... Terribly uncompetitive in the 70s and mid 90s, looks like another cycle is here again. Afaik, derm has always been competitive
 
jondunn said:
Click to expand...

This isn't surprising. Brachy is about as technical a skill as we get in this field but people don't do enough in residency, few places have enough volume to support multiple proceduralists, and even if they did there's not enough people with enough interest or training to do them. I know a lot of people who need to structure their brachy around vacation or vacation around brachy, and for many of them even if they did have some coverage they often have a sense of duty to their patient that prevents them from letting others take over their care.
 
jondunn said:
Click to expand...

Every July 1st, every hospital in the country goes from having the most experienced group of doctors running the ICU to the least experienced doctors running the ICU and it all seems to work out.

There are certain rotations that are going to be difficult no matter when you do them. I don't necessarily think it's the best thing to have a PGY-2's first rotation be head and neck but, as a counterpoint, that resident is going to learn an immense amount of radiation oncology in their first month and will probably crush it the rest of the way through.

The difference is that in the case of the ICU, the attending acknowledges that there is going to be a steep learning curve and that they will need to pick up the slack and, quite frankly, has no other choice. In the case of the radonc attendings Simul is referring to, and we have all dealt with them, they prefer to shy away from the extra effort.
 
Does anybody else remember making the resident rotation schedule as chief and having the endless b!$&ing from attendings about not wanting to work with the new residents in in July? Yet also seemingly not adjusting expectations for different PGY levels during any rotation...

Good times.
 
Mandelin Rain said:
I’m sure many docs have done many procedures after a drink or two. Most have the good judgement to not advertise it for the world to see. Especially when protected information is also involved.

That level of bad judgement is shocking from a physician. And should be properly parodied at every opportunity.
Click to expand...
RSAOaky said:
This isn't surprising. Brachy is about as technical a skill as we get in this field but people don't do enough in residency, few places have enough volume to support multiple proceduralists, and even if they did there's not enough people with enough interest or training to do them. I know a lot of people who need to structure their brachy around vacation or vacation around brachy, and for many of them even if they did have some coverage they often have a sense of duty to their patient that prevents them from letting others take over their care.
Click to expand...
I wouldn’t put it on burnout level. But one December I had something like 17-20 tandem and ovoids for the month all at 7 am on different days. not the best Christmas/New Years. But compared to what surgery is doing that is nothing.
 
metallica81788 said:
Does anybody else remember making the resident rotation schedule as chief and having the endless b!$&ing from attendings about not wanting to work with the new residents in in July? Yet also seemingly not adjusting expectations for different PGY levels during any rotation...

Good times.
Click to expand...

A resident shouldn't start on H&N or Gyn, it's so complicated!
A resident shouldn't start on breast, they're so busy!
A resident shouldn't start on GU, that attending is so demanding and doesn't teach residents at all!
A resident shouldn't start on lymphoma, that's the chairman's service and they have to double cover with GI!
A resident shouldn't start at the VA, they don't know how to do anything and now they're expected to see everything?!
etc. etc. etc.

I've heard every excuse in the book of why a resident shouldn't start on XYZ rotation. Yup. Every rotation has its challenges. The only challenge that can't be overcome is an attending that cares more about having their notes and contours done on time and clocking out at 4 than actually doing the "academic" part of their job and teaching their resident.
 
RSAOaky said:
Every July 1st, every hospital in the country goes from having the most experienced group of doctors running the ICU to the least experienced doctors running the ICU and it all seems to work out.

There are certain rotations that are going to be difficult no matter when you do them. I don't necessarily think it's the best thing to have a PGY-2's first rotation be head and neck but, as a counterpoint, that resident is going to learn an immense amount of radiation oncology in their first month and will probably crush it the rest of the way through.

The difference is that in the case of the ICU, the attending acknowledges that there is going to be a steep learning curve and that they will need to pick up the slack and, quite frankly, has no other choice. In the case of the radonc attendings Simul is referring to, and we have all dealt with them, they prefer to shy away from the extra effort.
Click to expand...
Talk to anyone who went to a hellpit and they all share similar stories of being thrown in, no help, no support, sink or swim with attendings who see your only existence as making their life easier with zero education. So many programs need to shut down. This is an existential issue for our field
 
Can we all agree to be nice to the medical students posting on twitter about matching into rad onc?

I can't stand these faceless trolls belittling these students for their decision.

Please - let them have their moment. We all were so excited on match day and it's really a special day after 4 years of med school torture. Please STOP BEING dinguses.
 
Grubbe-a-dub-dub said:
Can we all agree to be nice to the medical students posting on twitter about matching into rad onc?

I can't stand these faceless trolls belittling these students for their decision.

Please - let them have their moment. We all were so excited on match day and it's really a special day after 4 years of med school torture. Please STOP BEING dinguses.
Click to expand...
So much this.
 
Just learned the term "adjunctification" from twitter. Is this an accurate depiction of the future of academic medicine, more specifically rad onc?
 
Grubbe-a-dub-dub said:
Can we all agree to be nice to the medical students posting on twitter about matching into rad onc?

I can't stand these faceless trolls belittling these students for their decision.

Please - let them have their moment. We all were so excited on match day and it's really a special day after 4 years of med school torture. Please STOP BEING dinguses.
Click to expand...
yes.

of course lemmiwinks couldn't help himself or herself. makes sdn look bad
 
Mandelin Rain said:
Just learned the term "adjunctification" from twitter. Is this an accurate depiction of the future of academic medicine, more specifically rad onc?
Click to expand...

Adjunctification is pretty much the model for all big universities and and non elite colleges across the US.

In medicine it’s like having a Peds NP be your attending to the resident.
 
You must log in or register to reply here.

Similar threads

uchihastan
Rad Onc vs. Heme/Onc
Replies
16
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
5
Views
803
RSAOaky
R
Top