Rad Onc Twitter

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medgator said:
I saw an age of 69 along with a med rec # and what i think is the name. Wouldn't have hurt Percy to take a millisecond before tweeting the photo out to black out the HIPAA sensitive areas on the screenshot
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I guess “at the edge of legibility” is “at the edge of illegal” here lol
 
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ROforbetterorworse said:


Alternate strategy: “I am not a criminal”

Instant match
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Main hurdle will be having the high standards necessary to secure a pgy1 prelim surgery spot in an inner city hospital on probation
 
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thecarbonionangle said:
I know you folks have your fat wallets ready. ASTRO PAC just sent out an email begging for donations as they running out of money. Stay thirsty ma’ friends!
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Remembering this gem:

1661301332026.png


So finding this solicitation is amusing:

1661301377871.png

Seems like an own goal to me, but maybe not related.
 
temujim said:
Remembering this gem:

View attachment 358757

So finding this solicitation is amusing:

View attachment 358758
Seems like an own goal to me, but maybe not related.
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So just 12% more?

Findings​

Between Nov 24, 2011, and June 19, 2014, we recruited and obtained consent from 4096 patients from 97 UK centres, of whom 1361 were assigned to the 40 Gy schedule, 1367 to the 27 Gy schedule, and 1368 to the 26 Gy schedule. At a median follow-up of 71·5 months (IQR 71·3 to 71·7), the primary endpoint event occurred in 79 patients (31 in the 40 Gy group, 27 in the 27 Gy group, and 21 in the 26 Gy group); HRs versus 40 Gy in 15 fractions were 0·86 (95% CI 0·51 to 1·44) for 27 Gy in five fractions and 0·67 (0·38 to 1·16) for 26 Gy in five fractions. 5-year incidence of ipsilateral breast tumour relapse after 40 Gy was 2·1% (1·4 to 3·1); estimated absolute differences versus 40 Gy in 15 fractions were −0·3% (−1·0 to 0·9) for 27 Gy in five fractions (probability of incorrectly accepting an inferior five-fraction schedule: p=0·0022 vs 40 Gy in 15 fractions) and −0·7% (−1·3 to 0·3) for 26 Gy in five fractions (p=0·00019 vs 40 Gy in 15 fractions). At 5 years, any moderate or marked clinician-assessed normal tissue effects in the breast or chest wall was reported for 98 of 986 (9·9%) 40 Gy patients, 155 (15·4%) of 1005 27 Gy patients, and 121 of 1020 (11·9%) 26 Gy patients. Across all clinician assessments from 1–5 years, odds ratios versus 40 Gy in 15 fractions were 1·55 (95% CI 1·32 to 1·83, p<0·0001) for 27 Gy in five fractions and 1·12 (0·94 to 1·34, p=0·20) for 26 Gy in five fractions. Patient and photographic assessments showed higher normal tissue effect risk for 27 Gy versus 40 Gy but not for 26 Gy versus 40 Gy.

12% is not significant.

(This is a joke. Please no stats lessons)
 
I don't care that ASTRO-PAC "paused" donations to 150 congress people who chose a red hat over country and honor.

I care that ASTRO-PAC is unlikely to have my best interests at heart and would sell me out instantly if an academic center proton facility could gain another buck.
 
Mandelin Rain said:
I don't care that ASTRO-PAC "paused" donations to 150 congress people who chose a red hat over country and honor.

I care that ASTRO-PAC is unlikely to have my best interests at heart and would sell me out instantly if an academic center proton facility could gain another buck.
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100%. And they have sold you out. Astro is basically behind residency expansion.

 
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Mandelin Rain said:
I don't care that ASTRO-PAC "paused" donations to 150 congress people who chose a red hat over country and honor.

I care that ASTRO-PAC is unlikely to have my best interests at heart and would sell me out instantly if an academic center proton facility could gain another buck.
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Then good sir, you will be glad to know ASTRO PAC has "unpaused" those donations. Even less reason for you to support!
 
thecarbonionangle said:
I know you folks have your fat wallets ready. ASTRO PAC just sent out an email begging for donations as they running out of money. Stay thirsty ma’ friends!
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ASTRO is kept afloat by bloated academic institutions providing generous CME stipends to their growing cadre of residents and attendings. They accept just about any abstract that gets submitted to inflate attendance and collect submission fees. It's legal money laundering. Donating to ASTRO PAC on the other hand requires the money to come directly out of our pockets. As unpalatable as ASTRO is as an organization, most of us are still ok with spending our use it or lose it "funny money" on the conference as an opportunity to catch up with old friends. Support for ASTRO PAC, however, requires real money. I think most of us find it challenging to part with our real money to support organizations that, as a result of their policies (or lack of policies), have left us with less real money to support them.

What I WOULD do, is sign a pledge of ongoing financial support contingent on the reduction of residency positions. If ASTRO PAC is so desperate for funding, then perhaps ASTRO should work to solve the problems that are the primary concerns of the vast majority of their constituents.
 
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RSAOaky said:
ASTRO is kept afloat by bloated academic institutions providing generous CME stipends to their growing cadre of residents and attendings. They accept just about any abstract that gets submitted to inflate attendance and collect submission fees. It's legal money laundering. Donating to ASTRO PAC on the other hand requires the money to come directly out of our pockets. As unpalatable as ASTRO is as an organization, most of us are still ok with spending our use it or lose it "funny money" on the conference as an opportunity to catch up with old friends. Support for ASTRO PAC, however, requires real money. I think most of us find it challenging to part with our real money to support organizations that, as a result of their policies (or lack of policies), have left us with less real money to support them.

What I WOULD do, is sign a pledge of ongoing financial support contingent on the reduction of residency positions. If ASTRO PAC is so desperate for funding, then perhaps ASTRO should work to solve the problems that are the primary concerns of the vast majority of their constituents.
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Donate to ACRO PAC then but donate. You have plenty of money!
 


Déjà vu vibes for the countless times I‘ve prescribed WBRT with 5 x 4 Gy hoping to „improve outcomes“, instead of sending patients to hospice.
 
What is the Astro SCAROP financial survey and why is Astro selling the results?

Also, what's with Drew M's reply, "Did you talk with a senior member at SCAROP? I’m not sure why we are discussing this in the public domain." This type of response and the unstated thinking behind it is such a great snap shot of why Astro has such a creditability problems among practicing radiation oncologist.
 
This 2021 data report presents significant indicators valued by leaders of academic radiation oncology clinical services in maintaining a viable operation. This information allows users to evaluate and compare faculty and non-faculty compensation and bonuses, along with department funding resources.

It is just wage fixing.

ASTRO declining to make information that may benefit thousands of their members available to those members in order to benefit a handful of chairmen and the deans they bow to is.... very on brand for ASTRO.
 
fiji128 said:
Also, what's with Drew M's reply, "Did you talk with a senior member at SCAROP? I’m not sure why we are discussing this in the public domain." This type of response and the unstated thinking behind it is such a great snap shot of why Astro has such a creditability problems among practicing radiation oncologist.
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Drew threatening someone on Twitter? No way. Now I've seen everything.

Apparently the financial data is secret, but it's also a secret that it even exists? Nothing shady there at all...
 
Moonbeams said:
Drew threatening someone on Twitter? No way. Now I've seen everything.

Apparently the financial data is secret, but it's also a secret that it even exists? Nothing shady there at all...
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Apparently it was available for purchase until someone outside the "club" put in their CC info

 
It really is quite hilarious to see a hellpit chair call a totally normal discussion “vinegar”. Why is this person so against transparency? Hint: they are currently looking to hire warm bodies so the cheaper the better!
This is a perfect example of the arrogance of these people. They see anyone not in their “level” as not even being worthy of asking a question. Everyone is expected to fall in line and keep their lips closed. This is why our field is so rotten. the program quietly soaped warm bodies and will likely do so again moving forward. Thats the real “vinegar” here but i would pick an acid with a lower PKA. Acetic acid is sort of a weak acid. Pay attention folks. Hellpits will hellpit. We ain’t talking good fermentation here like a good kimchi, this is rotten sulfur stuff!
 
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Mandelin Rain said:
This 2021 data report presents significant indicators valued by leaders of academic radiation oncology clinical services in maintaining a viable operation. This information allows users to evaluate and compare faculty and non-faculty compensation and bonuses, along with department funding resources.

It is just wage fixing.

ASTRO declining to make information that may benefit thousands of their members available to those members in order to benefit a handful of chairmen and the deans they bow to is.... very on brand for ASTRO.
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We can't have anything get in the way of Dr. Dennis Hallahan's plan, of course. Can you imagine what would happen if newly-hired academic radiation oncologists had the ability to evaluate and compare faculty and non-faculty compensation and bonuses? Why, they might be able to use that information to bargain and negotiate! That might cost the department money! Can't have that!

I think it's fun that institutions who use public money to pay their physicians then turn around and tell the public we don't get to see how that money is being spent. Neat.
 
OTN said:
We can't have anything get in the way of Dr. Dennis Hallahan's plan, of course. Can you imagine what would happen if newly-hired academic radiation oncologists had the ability to evaluate and compare faculty and non-faculty compensation and bonuses? Why, they might be able to use that information to bargain and negotiate! That might cost the department money! Can't have that!

I think it's fun that institutions who use public money to pay their physicians then turn around and tell the public we don't get to see how that money is being spent. Neat.
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Dare one say...ANTITRUST???
 
OTN said:
I think it's fun that institutions who use public money to pay their physicians then turn around and tell the public we don't get to see how that money is being spent. Neat.
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The higher education system is being exposed in real time for the scam/racket it has become. They have become too greedy and are showing their hand.

This spurious 10k loan forgiveness is a slap in the face and all of us should be pissed off about it. I don't see any reason why a resident physician earning $60k/year wouldn't qualify for this, which is just insane from a policy standpoint. "Non-profit" universities will just use it to funnel more of the tax base to their multi-billion dollar endowments and increase tuition further making the problem worse. It's always been curious that the rapid rise in tuition was coincident with increased borrowing limits. Oh, your tuition and fees comes out to be exactly the maximum amount I can borrow at 6.8%? Neat.

Regardless, I have no desire to ever been involved with a university system again. Even paying for a football ticket leaves a sour taste in my mouth. It's all corrupt and toxic as hell.
 
OTN said:
We can't have anything get in the way of Dr. Dennis Hallahan's plan, of course. Can you imagine what would happen if newly-hired academic radiation oncologists had the ability to evaluate and compare faculty and non-faculty compensation and bonuses? Why, they might be able to use that information to bargain and negotiate! That might cost the department money! Can't have that!

I think it's fun that institutions who use public money to pay their physicians then turn around and tell the public we don't get to see how that money is being spent. Neat.
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Yup... remember early in my career getting a hold of MGMA numbers and turning the info into a ~60k raise. Chair wasn't pleased, but rarely one can make HR work in your favor.
 
Moonbeams said:
The higher education system is being exposed in real time for the scam/racket it has become. They have become too greedy and are showing their hand.

This spurious 10k loan forgiveness is a slap in the face and all of us should be pissed off about it. I don't see any reason why a resident physician earning $60k/year wouldn't qualify for this, which is just insane from a policy standpoint. "Non-profit" universities will just use it to funnel more of the tax base to their multi-billion dollar endowments and increase tuition further making the problem worse. It's always been curious that the rapid rise in tuition was coincident with increased borrowing limits. Oh, your tuition and fees comes out to be exactly the maximum amount I can borrow at 6.8%? Neat.

Regardless, I have no desire to ever been involved with a university system again. Even paying for a football ticket leaves a sour taste in my mouth. It's all corrupt and toxic as hell.
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At least with NIL the players are finally able to get paid a little for their work as professional athletes while in school full-time.
 
Moonbeams said:
The higher education system is being exposed in real time for the scam/racket it has become. They have become too greedy and are showing their hand.

This spurious 10k loan forgiveness is a slap in the face and all of us should be pissed off about it. I don't see any reason why a resident physician earning $60k/year wouldn't qualify for this, which is just insane from a policy standpoint. "Non-profit" universities will just use it to funnel more of the tax base to their multi-billion dollar endowments and increase tuition further making the problem worse. It's always been curious that the rapid rise in tuition was coincident with increased borrowing limits. Oh, your tuition and fees comes out to be exactly the maximum amount I can borrow at 6.8%? Neat.

Regardless, I have no desire to ever been involved with a university system again. Even paying for a football ticket leaves a sour taste in my mouth. It's all corrupt and toxic as hell.
Click to expand...

I've tried so hard to give the benefit of the doubt on multiple things including this recent salary data debacle, but as you say they've shown their hand. SDN is right again. I don't think my desire to be involved in anything has ever diminished so rapidly than my desire to be involved in ASTRO.
 
NotMattSpraker said:
I've tried so hard to give the benefit of the doubt on multiple things including this recent salary data debacle, but as you say they've shown their hand. SDN is right again. I don't think my desire to be involved in anything has ever diminished so rapidly than my desire to be involved in ASTRO.
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Truth Worship GIF by JPCC
 
fiji128 said:
I'm not a lawyer but this is exactly my thoughts. How can the 90 largest employers all get together and compile and share this information amongst themselves and it not be an antitrust situation. Just add another chit to the who is Astro really for list.
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What you just described is the textbook definition of a cartel.
 
The lack of transparency and the two academics responses are eye opening.

The reason I desire this information is for:

1) Better negotiation for junior faculty.
2) Sunshine for disparities (older data shows "womenandminorities" (man I hate when ASTRO would use it as one word) earn less for same position)
3) Ability for us to see senior staff and admin level salaries

Any reason that they can come up with to not allow an ASTRO member to not be able to pay for the data is a mindf*ck.

This is an absurd directive from an organization that has zero interest in truly engaging with members in a productive way.
 
With respect to negotiation, I'm not sure it even matters. I have encountered numerous systems that refuse to negotiate on literally anything. They will lose hires over trivial stuff.

A good deal is where both parties walk away feeling like they got something from the other side but also left something fair on the table. These employment offers are approached with the attitude that even extending the offer is an act of generosity (rather than a business transaction of selling your valuable professional service to someone who needs them), and trainees are groomed to view it as such, viewing job offers the same way residency jobs are obtained -- Wow, I'm lucky to get this spot!

There was a post about the importance of having attorneys review contracts. It's a waste of money for places like this. They can redline the contract all they want and tell you what to ask for. The answer will be no, and they will feign offense and gaslight you for being completely unreasonable/ungrateful, act like nobody has ever tried to negotiate terms before, and possibly rescind the offer.
 
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