Rad Onc Twitter

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temujim said:
Such smart people without an understanding of basic civics.
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I mean… I kinda agree with them. Is there a good “civics” reason that medical licenses need to be individually acquired in each state one practices? It seems like one of those things that is the way that is the way it is… because that’s the way it always has been.
 
I think it has to do with that which is not the purview of the federal government is left to the states.
 
madchemist89 said:
I think it has to do with that which is not the purview of the federal government is left to the states.
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Sure….

…but what about the driver’s license model? You don’t need to get another driver’s license whenever you cross state lines.
 
Lamount said:
I mean… I kinda agree with them. Is there a good “civics” reason that medical licenses need to be individually acquired in each state one practices? It seems like one of those things that is the way that is the way it is… because that’s the way it always has been.
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It’s ‘Muh states rights’ performative activism

Sue and Ralph are absolutely correct.
 
Lamount said:
I mean… I kinda agree with them. Is there a good “civics” reason that medical licenses need to be individually acquired in each state one practices? It seems like one of those things that is the way that is the way it is… because that’s the way it always has been.
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The federal government has enumerated powers as specified by the constitution. 10th amendment specifies that beyond those enumerated powers, not prohibited to the states, are reserved to the states or to the people. Technical licensures are not in the constitution, and despite expansive readings of general welfare clause, reserved to the states.

Your drivers license example unfortunately does not extend to moving to another state. Doing so will require you to get that states' drivers license.

You may not like it, and certainly there are downsides, but as much as I dislike my state medical board, the last thing I want is a federal medical board.

Now there is no reason individual states cannot make compacts to recognize each other's licensures. Many states have done this for example with concealed carry licenses and recognizing another states drivers license for purposes of travel, etc. But then of course there becomes an issue of which medical board would then have oversight.

Anyway good luck getting rid of state medical boards, when folks (other than Rand Paul) can't even beat MoC.
 
TheWallnerus said:
Is my DEA license in the Constitution?
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I'm guessing that falls under the (interstate) commerce clause considering the FDA and scheduled drugs.

But it brings up a good point... Medical MJ is quite the pickle these days... Schedule I at the federal level but medically/recreationally legal in nearly half the states in 2022. Banks won't lend cannabis outfits money but they have to taxes etc
 
theres so many grifts in medicine, the state license thing is just another one
 
medgator said:
(interstate) commerce clause
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This is what the fed needs to use to enforce anything behavioral at the state level. Feds needed to use commerce clause to enforce Civil Rights Act along with many other things, including crop production (marijuana among others).

State licensure the rule not the exception. I doubt it is making a lot of money for small states.
 
jondunn said:
imagine what florida probably does

i wouldnt practice medicine there if I had to
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I’m paying for ob/gyn malpractice because of my FL license. Even if I decided to let it expire, I still have to pay up as long as I continue to practice medicine.
 
communitydoc13 said:
This is what the fed needs to use to enforce anything behavioral at the state level. Feds needed to use commerce clause to enforce Civil Rights Act along with many other things, including crop production (marijuana among others).

State licensure the rule not the exception. I doubt it is making a lot of money for small states.
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So you're saying Hoover should have leveraged the Lindbergh baby to also pass legislation that would have allow Feds power over a national medical license?

Get it together, Hoover.
 
It appears this is still going on:

1647797789687.png


Drew, why are you doing this? Is this a productive dialogue for someone who has intentionally built a Twitter network of lung cancer patients?

Twitter isn't tumor board. If I found out my Mom was getting lung cancer treatment and Googled her doctor, and found a flame war like this, I would be steering her elsewhere.

I know people (including Drew) hate that SDN is anonymous, but it provides a vehicle for us to be publicly "unprofessional" in our dialogue. The internet is forever. While I'm sure many people know who I am, and I know who many other posters are, our patients and colleagues do not. Social media for physicians remains difficult to navigate, and if you're doing stuff under your real name, it's easy to forget your patients can see it too.

(perhaps he knows this and doesn't care)
 
elementaryschooleconomics said:
It appears this is still going on:

View attachment 352079

Drew, why are you doing this? Is this a productive dialogue for someone who has intentionally built a Twitter network of lung cancer patients?

Twitter isn't tumor board. If I found out my Mom was getting lung cancer treatment and Googled her doctor, and found a flame war like this, I would be steering her elsewhere.

I know people (including Drew) hate that SDN is anonymous, but it provides a vehicle for us to be publicly "unprofessional" in our dialogue. The internet is forever. While I'm sure many people know who I am, and I know who many other posters are, our patients and colleagues do not. Social media for physicians remains difficult to navigate, and if you're doing stuff under your real name, it's easy to forget your patients can see it too.

(perhaps he knows this and doesn't care)
Click to expand...
I spent my morning sanding some tables. My patients want surgery or sbrt. Either's fine by me, and regardless of which they choose, they're gonna die some day. C'est la vie.
 
elementaryschooleconomics said:
It appears this is still going on:

View attachment 352079

Drew, why are you doing this? Is this a productive dialogue for someone who has intentionally built a Twitter network of lung cancer patients?

Twitter isn't tumor board. If I found out my Mom was getting lung cancer treatment and Googled her doctor, and found a flame war like this, I would be steering her elsewhere.

I know people (including Drew) hate that SDN is anonymous, but it provides a vehicle for us to be publicly "unprofessional" in our dialogue. The internet is forever. While I'm sure many people know who I am, and I know who many other posters are, our patients and colleagues do not. Social media for physicians remains difficult to navigate, and if you're doing stuff under your real name, it's easy to forget your patients can see it too.

(perhaps he knows this and doesn't care)
Click to expand...
Agree. I think if you're going to be well known in our speciality, medicine, or the world perhaps it should be for the right reasons (i.e. David Palma and his body of trial work) as opposed to your twitter persona. I don't understand why people feel the need to post inflammatory things on social media. Just go ride a bike or spend time with your family or work on research or do one of the many other things that you could be doing.
 
radoncftw said:
Agree. I think if you're going to be well known in our speciality, medicine, or the world perhaps it should be for the right reasons (i.e. David Palma and his body of trial work) as opposed to your twitter persona. I don't understand why people feel the need to post inflammatory things on social media. Just go ride a bike or spend time with your family or work on research or do one of the many other things that you could be doing.
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I agree, many of these folks really have some sort of complex going on.
 
elementaryschooleconomics said:
It appears this is still going on:

View attachment 352079

Drew, why are you doing this? Is this a productive dialogue for someone who has intentionally built a Twitter network of lung cancer patients?

Twitter isn't tumor board. If I found out my Mom was getting lung cancer treatment and Googled her doctor, and found a flame war like this, I would be steering her elsewhere.

I know people (including Drew) hate that SDN is anonymous, but it provides a vehicle for us to be publicly "unprofessional" in our dialogue. The internet is forever. While I'm sure many people know who I am, and I know who many other posters are, our patients and colleagues do not. Social media for physicians remains difficult to navigate, and if you're doing stuff under your real name, it's easy to forget your patients can see it too.

(perhaps he knows this and doesn't care)
Click to expand...
My guess is Drew will be "transitioning" to a new VA job in a couple years.

The VA pt population is likely a lot different than the typical high SES woke SoMe types getting second opinions at the big whig academic center hence why Drew will never actually be in the mothership of any halfway decent academic dept
 
Last edited:
voxveritatisetlucis said:
Is immunotherapy even thal effective? I read earlier that only 25% of patients taking Keytruda had their cancer go partially away and only 5% had their cancer go fully away. Does this speak more to melanoma’s lethality thanks immunotherapy’s efficacy?

Edit: seems to be more effictive against lung cancer and some others
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Lamount said:
I’m not so certain this is accurate (though would be interesting to actually see numbers). I feel like I have heard of many ongoing clinical trials assessing pretty much every immunotherapy/SBRT combo for stage I, CRT +/- IO/anti-tigit for stage II/III… and IO/SBRT combo for oligomet. There are also some interesting new radiation sensitizers under investigation
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medgator said:
Statistically, he's not wrong:

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A year or 2 ago, Percy was encouraging medstudents to apply to the field by boasting on twitter that there were many jobs available with mdacc adding 5 or six. Is he a clown?
 
RickyScott said:
A year or 2 ago, Percy was encouraging medstudents to apply to the field by boasting on twitter that there were many jobs available with mdacc adding 5 or six. Is he a clown?
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Well his program did cut a spot didn't they? At least someone at the Anderson gets it over there
 
communitydoc13 said:
This is what the fed needs to use to enforce anything behavioral at the state level. Feds needed to use commerce clause to enforce Civil Rights Act along with many other things, including crop production (marijuana among others).

State licensure the rule not the exception. I doubt it is making a lot of money for small states.
Click to expand...

Seems like in the era of telemedicine this could come back up.

I can’t legally see my patient through a video or phone visit if their physical location is in another state. Can’t bill for it. Can’t prescribe. So my patient gets a UTI while traveling theyre SOL and can bother some urgent care or ER.
 
elementaryschooleconomics said:
It appears this is still going on:

View attachment 352079

Drew, why are you doing this? Is this a productive dialogue for someone who has intentionally built a Twitter network of lung cancer patients?

Twitter isn't tumor board. If I found out my Mom was getting lung cancer treatment and Googled her doctor, and found a flame war like this, I would be steering her elsewhere.

I know people (including Drew) hate that SDN is anonymous, but it provides a vehicle for us to be publicly "unprofessional" in our dialogue. The internet is forever. While I'm sure many people know who I am, and I know who many other posters are, our patients and colleagues do not. Social media for physicians remains difficult to navigate, and if you're doing stuff under your real name, it's easy to forget your patients can see it too.

(perhaps he knows this and doesn't care)
Click to expand...

His patients are (mostly) from the VA who probably do not have the current wherewithal to know how to look up somebody on twitter. Drew goes on the list of people that I would never hire. Drew is the best troll, in the worst way possible, like an annoying raccoon. The one who says things that would get him beat up on the playground.

The thoracic surgeons Drew is frequently fencing with frequently have pretty crap takes (Servais, Spicer, etc.) that deserve a callout but even before Drew went off the deep end and just started attacking Stiles willy-nilly, I always sided more with Stiles's opinions on certain handles.

The fact that drew appears to be one of the visible faces of Rad Onc is a disservice to our field.
 


Now that match 2022 is over, onward to match 2023. Never thought I would see this type of begging and pleading from our colleagues when I applied nearly ten years ago.

I am now at a program that filled during the match, and it is thought that the extensive recruitment outside of the interview lured applicants to our program. While I cannot comment on the folks and their programs who commented on that thread, I suspect that we will see a lot of this as the future comes especially behind closed doors (probably more so than what was previously happening), just to avoid the embarrassment of not filling. I always thought that sort of post-interview communication was not okay per NRMP, but what do I know.

Also, Why Does Sean Collins Capitalize Every Single Letter?
 
SubserviantToABR said:


Now that match 2022 is over, onward to match 2023. Never thought I would see this type of begging and pleading from our colleagues when I applied nearly ten years ago.

I am now at a program that filled during the match, and it is thought that the extensive recruitment outside of the interview lured applicants to our program. While I cannot comment on the folks and their programs who commented on that thread, I suspect that we will see a lot of this as the future comes especially behind closed doors (probably more so than what was previously happening), just to avoid the embarrassment of not filling. I always thought that sort of post-interview communication was not okay per NRMP, but what do I know.

Also, Why Does Sean Collins Capitalize Every Single Letter?
Click to expand...

I'm Not Sure Why But His Commitment Is Remarkable.
 
SubserviantToABR said:


Now that match 2022 is over, onward to match 2023. Never thought I would see this type of begging and pleading from our colleagues when I applied nearly ten years ago.

I am now at a program that filled during the match, and it is thought that the extensive recruitment outside of the interview lured applicants to our program. While I cannot comment on the folks and their programs who commented on that thread, I suspect that we will see a lot of this as the future comes especially behind closed doors (probably more so than what was previously happening), just to avoid the embarrassment of not filling. I always thought that sort of post-interview communication was not okay per NRMP, but what do I know.

Also, Why Does Sean Collins Capitalize Every Single Letter?
Click to expand...

Tweets like this make me nauseous

Can someone find out the ratio of - Tweets from PD/Chairs going to bat for medical students going in to residency to Tweets from PD/Chairs going to bat for their residents on their job search
 
w00tz said:
Tweets like this make me nauseous

Can someone find out the ratio of - Tweets from PD/Chairs going to bat for medical students going in to residency to Tweets from PD/Chairs going to bat for their residents on their job search
Click to expand...
That ratio is rivaling cosmic inflation right now
 
SubserviantToABR said:


Now that match 2022 is over, onward to match 2023. Never thought I would see this type of begging and pleading from our colleagues when I applied nearly ten years ago.

I am now at a program that filled during the match, and it is thought that the extensive recruitment outside of the interview lured applicants to our program. While I cannot comment on the folks and their programs who commented on that thread, I suspect that we will see a lot of this as the future comes especially behind closed doors (probably more so than what was previously happening), just to avoid the embarrassment of not filling. I always thought that sort of post-interview communication was not okay per NRMP, but what do I know.

Also, Why Does Sean Collins Capitalize Every Single Letter?
Click to expand...

Do any other specialties post tweets of med students rotating complete with photos and bios like this? This just seems both desperate and kind of creepy. What if the med student doesn't want to be posted on twitter? How is she supposed to speak up? What if she's applying to programs outside of the midwest? Does this hurt her chances? So many issues with this..
 
radoncle said:
Do any other specialties post tweets of med students rotating complete with photos and bios like this? This just seems both desperate and kind of creepy. What if the med student doesn't want to be posted on twitter? How is she supposed to speak up? What if she's applying to programs outside of the midwest? Does this hurt her chances? So many issues with this..
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So true. You feel very little agency to say no as a med student. Can we go for a walk in a park? Um... okay. Can I take your picture? Um... I guess. Can I post it online? Um...sure.

Given most of the training programs are coastal or south, I'm sure this tweet doesn't help her in the least.
 
Mandelin Rain said:
So true. You feel very little agency to say no as a med student. Can we go for a walk in a park? Um... okay. Can I take your picture? Um... I guess. Can I post it online? Um...sure.

Given most of the training programs are coastal or south, I'm sure this tweet doesn't help her in the least.
Click to expand...
How will he fill up his binders full of women without a picture?
 
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