And those proton centers popping up in every city are what, for research and charity?
We call out the proton w****$ all the time here. They are just as bad, and in my neck of the woods the urologists hate them as much. I just don't see the rad Onc equivalent of hifu, cryo etc happening in upfront pca management at the same scale.
At least they are nccn recognized therapeutic modalities for prostate cancer. Over treatment is a real but separate issue.
There is a certain amount of decorum you need to follow on a public forum. This shouldn't be surprising....
I think it's obvious where the line was crossed- however if I were him and thinking just a few people (or only radoncs) would be reading it, maybe I wouldn't hesitate to post. However the wrong people saw it, and it was an unprofessional statement (read: a middle schooler or high schooler may be expected to talk like that, not a faculty member). If I were the uro chair, having read that and feeling slighted, I would be having words with the radonc chair too.
The good ole boy culture at vanderbilt is well known. Know thy place and keep your mouth shut, if you know what is good for you. Isn’t this the place that got rid of a resident for kneeling to support BLM because some old white donor got “offended”? These people are badly afflicted by snowflakism. Similarly, the urology “chair” straight up threatens a junior colleague. Really great stuff and very representative of the entrenched mob like mentality of academic medicine. “We’ll see what your chair, my good ole buddy does to you”
Related, I was advised not to apply for Vanderbilt for faculty jobs.
They were in market for warm bodies recently at ASTRO. Switch and bait “main site” jobs but really a lot of them were trying to place you in a SLEEPY AF “academic satellite”.
Yep, at least here (for the most part), I can express my true opinion with a few posts deleted (thanks mods).
I have only been junior faculty a short while, but in my limited experience, this sort of thing was more a issue with urologists than politics. Urologists are the specialty with whom I have debated the most ... and I don’t even treat prostate/GU. The tone got nasty quickly in these few instances, especially when the word “data” is mentioned, just like the above example. If the urology chair had an evidence-based methodology for which HR patients get RP, why discuss it “offline”? The threats are for public consumption but the data are secret?
There's no other specialty equivalent to hifu or cryo, except maybe the unscrupulous IRs I've come across who try to steer patients referred for biopsies to lung and liver RFA without appropriate multi-D consultations
Yup... Definitely can't start trash talking other physicians you work with until at least 3-4 years in. In mid career practice, i feel quite comfortable talking $h!/ when warranted. Shinde needs to simmer down until he gets a bit more seasoned into his practice
What are your favourite ways to slip “money under table”? Do you give a bit extra to greedy sticky fingered urologists?
That’s the hardest part to figure out. It’s almost like buying drugs on the street, you have to know somebody first. They made it hard these days so I just can’t hand them a money bag like I was planning to do.
Amazon e- gift cards always make it easy
Basically any story I hear about Radiation Oncology from ~2001 to ~2011 I'm like, "ah yes, I understand where all of our problems in 2020 came from".
Supposedly ASTRO used to have barely clothed women walking around giving you drinks and hors d’oeuvres. The chairs loved it, heavily attended by them. Anybody shocked? How times change!
I have the same experience. Fifteen years ago invited to conference in Turkey. At the reception prior to the meeting attended by international faculty envelopes full of Benjamins handed out. Not quite pallets of cash...
Comped overseas trip and wads of cash? Where do i sign up?
Med onc
oops
