- Joined
- Apr 16, 2004
- Messages
- 4,658
- Reaction score
- 5,070
Also highly appropriate because Rad Onc Twitter loves to engage in catfishing of potential students and residents.
- Joined
- Apr 21, 2011
- Messages
- 3,613
- Reaction score
- 9,228
I keep waiting for radonc Twitter to go all wsb
"Come on students.
We dumb together.
💎💎💎💎🤲🤲🤲🤲
RadOnc📈📈📈"
- Joined
- Sep 20, 2004
- Messages
- 11,715
- Reaction score
- 11,801
Rad onc = BLIAQ
- Joined
- Sep 20, 2004
- Messages
- 11,715
- Reaction score
- 11,801
- Joined
- Nov 2, 2019
- Messages
- 3,495
- Reaction score
- 14,488
- Joined
- Jan 10, 2010
- Messages
- 2,690
- Reaction score
- 3,662
Depends what you're looking for. If you want a pure 100% surgonc job that isn't taking general surgery call, you're limited to academic places or private groups that have a high enough volume to need a dedicated surgonc, and that market is partially saturated.
If you approach it as I'm a general surgeon with an additional skill set and you join a general surgery group as their "onc guy" and take general surgery call then the world is your oyster.
Same for my field (Urology). Market for general urologists is amazing. Market for some of the sub-specialties (oncology especially) is somewhat saturated, but only if you are limiting yourself to pure sub specialty jobs.
- Joined
- Jul 7, 2008
- Messages
- 1,348
- Reaction score
- 876
Lot of overlap between those 2.
- Joined
- Sep 20, 2004
- Messages
- 11,715
- Reaction score
- 11,801
Almost makes UPMCs CEO pay seem reasonable by comparison
- Joined
- Oct 4, 2017
- Messages
- 5,010
- Reaction score
- 9,772
And lou potters measly 1.7 million.
- If you click on that Tweet by Simul, so far there are some 85 likes or so.
- Then click on the "likes" to see who liked it, very entertaining!
- Basically a whole bunch of good decent radonc's "liked" the tweet. This implicitly sends a signal to ASTRO that most of the young people (the future of this field) have had enough of ASTRO. This is how I read it...
- Joined
- Sep 7, 2014
- Messages
- 3,202
- Reaction score
- 5,885
Liking **** on twitter is the future of our field. Hopefully I'll retire before I have to get an account.
- Joined
- Oct 27, 2013
- Messages
- 154
- Reaction score
- 266
Has anyone thought of nominating Simul for the ASTRO board?
His tweets are on point and message and do not try to be politically correct.
The guy should have some power to effect change.
His tweets are on point and message and do not try to be politically correct.
The guy should have some power to effect change.
I wish him great success.
It is a different thing to be a faculty.
It is another thing to be the chair.
He is new to this chair game...
Dean, CEO will play with the mighty dollars...
PS: he completely misses the BIG picture: 180 PGY-5's graduating, less indication for RT, hypofx, pandemic etc.
I will talk to him in 5 yrs...
It is a different thing to be a faculty.
It is another thing to be the chair.
He is new to this chair game...
Dean, CEO will play with the mighty dollars...
PS: he completely misses the BIG picture: 180 PGY-5's graduating, less indication for RT, hypofx, pandemic etc.
I will talk to him in 5 yrs...
- Joined
- Apr 16, 2004
- Messages
- 4,658
- Reaction score
- 5,070
Always be recruiting?
SCAROP: You call yourself a radiation oncologist, you son of a bitch?
Residents: I don't have to listen to this ****.
SCAROP: You certainly don't pal. 'Cause the good news is -- you're fired. The bad news is you've got, all you got, just one week to regain your jobs, starting tonight. Starting with tonights sit. Oh, have I got your attention now? Good. 'Cause we're adding a little something to this months sales contest. As you all know, first prize is an Instructor “faculty” position. Anyone want to see second prize? Second prize's an “advanced” radiation oncology fellowship. Third prize is you're fired. You get the picture? You're laughing now? You got leads. Wallner and Curran paid good money. Get their names to sell them! You can't close the leads you're given, you can't close ****, you ARE ****, hit the bricks pal and beat it 'cause you are going out!!!
Residents: The leads are weak.
SCAROP: 'The leads are weak.' ****ing leads are weak? You're weak. I've been in this business fifteen years.
Residents: What's your name?
SCAROP: **** YOU, that's my name!! You know why, Mister? 'Cause you drove a Hyundai to get here tonight, I drove a eighty thousand dollar BMW. That's my name!! And your name is "you're wanting." And you can't play in a man's game. You can't close them. And you go home and tell your wife your troubles. Because only one thing counts in this life! Get the patients in the vaults which are shielded. You hear me, you ****ing *******?
SCAROP: A-B-C. A-always, B-be, C-closing. Always be closing! Always be closing!! A-I-D-A. Attention, interest, decision, action. Attention -- do I have your attention? Interest -- are you interested? I know you are because it's **** or walk. You close or you hit the bricks! Decision -- have you made your decision for Christ?!! And action. A-I-D-A; get out there!! You got the prospects comin' in; you think they came in to get out of the rain? Medical student doesn't walk into the department unless he wants to buy. Sitting out there waiting to give you their money! Are you gonna take it? Are you man enough to take it? What's the problem pal? You.
Residents: You're such a hero, you're so rich. Why you coming down here and waste your time on a bunch of residents?
SCAROP: You see this watch? You see this watch?
Residents: Yeah.
SCAROP: That watch cost more than your car. I made $970,000 last year. How much you make? You see, pal, that's who I am. And you're nothing. Compassionate physician? I don't give a ****. Up to date on literature? **** you -- go home and read your journals!! You wanna work here? Close!! You think this is abuse? You think this is abuse, you c*ck******? You can't take this -- how can you take the abuse you get on a sit?! You don't like it -- leave. I can go out there tonight and recruit a hapless resident! Tonight! In two hours! Can you? Can you? Go and do likewise! A-I-D-A!! Get mad! You sons of bitches! Get mad!! You know what it takes to be a radiation oncologist?
SCAROP: It takes brass balls to be a radiation oncologist. Go and do likewise, gents. The money's out there, you pick it up, it's yours. You don't--I have no sympathy for you. You wanna go out and get a glorified faculty position, it's yours. If not you're going to be shining my shoes. Bunch of losers sitting around in a bar. "Oh yeah, I used to be a radiation oncologist, it's a tough racket." These are the new RO job leads. These are the U Michigan leads. And to you, they're gold. And you don't get them. Why? Because to give them to you is just throwing them away. They're for closers. I'd wish you good luck but you wouldn't know what to do with it if you got them. And to answer your question, pal: why am I here? I came here because Wallner and Curran asked me to, they asked me for a favor. I said, the real favor, follow my advice and fire your ****ing ass because a loser is a loser.
SCAROP: You call yourself a radiation oncologist, you son of a bitch?
Residents: I don't have to listen to this ****.
SCAROP: You certainly don't pal. 'Cause the good news is -- you're fired. The bad news is you've got, all you got, just one week to regain your jobs, starting tonight. Starting with tonights sit. Oh, have I got your attention now? Good. 'Cause we're adding a little something to this months sales contest. As you all know, first prize is an Instructor “faculty” position. Anyone want to see second prize? Second prize's an “advanced” radiation oncology fellowship. Third prize is you're fired. You get the picture? You're laughing now? You got leads. Wallner and Curran paid good money. Get their names to sell them! You can't close the leads you're given, you can't close ****, you ARE ****, hit the bricks pal and beat it 'cause you are going out!!!
Residents: The leads are weak.
SCAROP: 'The leads are weak.' ****ing leads are weak? You're weak. I've been in this business fifteen years.
Residents: What's your name?
SCAROP: **** YOU, that's my name!! You know why, Mister? 'Cause you drove a Hyundai to get here tonight, I drove a eighty thousand dollar BMW. That's my name!! And your name is "you're wanting." And you can't play in a man's game. You can't close them. And you go home and tell your wife your troubles. Because only one thing counts in this life! Get the patients in the vaults which are shielded. You hear me, you ****ing *******?
SCAROP: A-B-C. A-always, B-be, C-closing. Always be closing! Always be closing!! A-I-D-A. Attention, interest, decision, action. Attention -- do I have your attention? Interest -- are you interested? I know you are because it's **** or walk. You close or you hit the bricks! Decision -- have you made your decision for Christ?!! And action. A-I-D-A; get out there!! You got the prospects comin' in; you think they came in to get out of the rain? Medical student doesn't walk into the department unless he wants to buy. Sitting out there waiting to give you their money! Are you gonna take it? Are you man enough to take it? What's the problem pal? You.
Residents: You're such a hero, you're so rich. Why you coming down here and waste your time on a bunch of residents?
SCAROP: You see this watch? You see this watch?
Residents: Yeah.
SCAROP: That watch cost more than your car. I made $970,000 last year. How much you make? You see, pal, that's who I am. And you're nothing. Compassionate physician? I don't give a ****. Up to date on literature? **** you -- go home and read your journals!! You wanna work here? Close!! You think this is abuse? You think this is abuse, you c*ck******? You can't take this -- how can you take the abuse you get on a sit?! You don't like it -- leave. I can go out there tonight and recruit a hapless resident! Tonight! In two hours! Can you? Can you? Go and do likewise! A-I-D-A!! Get mad! You sons of bitches! Get mad!! You know what it takes to be a radiation oncologist?
SCAROP: It takes brass balls to be a radiation oncologist. Go and do likewise, gents. The money's out there, you pick it up, it's yours. You don't--I have no sympathy for you. You wanna go out and get a glorified faculty position, it's yours. If not you're going to be shining my shoes. Bunch of losers sitting around in a bar. "Oh yeah, I used to be a radiation oncologist, it's a tough racket." These are the new RO job leads. These are the U Michigan leads. And to you, they're gold. And you don't get them. Why? Because to give them to you is just throwing them away. They're for closers. I'd wish you good luck but you wouldn't know what to do with it if you got them. And to answer your question, pal: why am I here? I came here because Wallner and Curran asked me to, they asked me for a favor. I said, the real favor, follow my advice and fire your ****ing ass because a loser is a loser.
Last edited:
- Joined
- Nov 2, 2019
- Messages
- 3,495
- Reaction score
- 14,488
I LOVE THIS:
"I will single-handedly save this entire specialty" is the most on-brand Dan Spratt Tweet ever.
I am rooting super hard for you man. I want you to win. Please prove me wrong about RadOnc, I cannot be more serious about that. I don't want this specialty to continue down this path, and if you're the one who can effect massive change, we'll cheer you on from the shadows.
"I will single-handedly save this entire specialty" is the most on-brand Dan Spratt Tweet ever.
I am rooting super hard for you man. I want you to win. Please prove me wrong about RadOnc, I cannot be more serious about that. I don't want this specialty to continue down this path, and if you're the one who can effect massive change, we'll cheer you on from the shadows.
- Joined
- Dec 17, 2007
- Messages
- 3,381
- Reaction score
- 4,388
Well, that's just wonderful. I just checked out his twitter and Dr. Spratt seems to have a new job at University Hospitals Ohio as Chair.
Well done.
I then checked out the University Hospitals Twitter account.
I wish him all the best!
- Joined
- Dec 18, 2015
- Messages
- 3,216
- Reaction score
- 4,930
Insurance companies are so nice. They let docs choose between omitting radiation altogether or a $100K treatment on a $100 million machine. We can stack rad oncs as high as the sky as long as they maintain their stupidity *cough* largesse. And lord knows there’s an epidemic of radiation related heart disease from breast cancer treatments in America. “Angels and ministers of grace defend us” said Shakespeare. Protons and Dr Spratt defend us!Well, that's just wonderful. I just checked out his twitter and Dr. Spratt seems to have a new job at University Hospitals Ohio as Chair.
Well done.
I then checked out the University Hospitals Twitter account.
View attachment 330533
I wish him all the best!
D
deleted941485
Part of me thinks the best he’s gonna do is delay the inevitable. I just hope he’s got enough energy to go up against the massive forces against this field.
- Joined
- Oct 24, 2010
- Messages
- 3,508
- Reaction score
- 6,350
I bet patients with bone mets will be able to receive protons from a “metastasis specialist” soon.
Last edited:
- Joined
- Oct 4, 2017
- Messages
- 5,010
- Reaction score
- 9,772
"Ontologically" speaking, radiation just may have a limited role in cancer, and this wont be changed by self promotion, or force of will, even Dan's or Ralph's. ((BTW Dan's work in genetic profiling of prostate cancer, if successful, ultimately serves to limit use of radiation. Again, 70-80% of prostate cancer treatment would disappear overnight -especially post prostatectomy-if we could better identify the truly aggressive disease)
Case Western still not a great program, and residents 5 years from now likely to be unemployable. Below average program in below average city, in the shadow of the Cleveland Clinic. Previous chair was very capable, and my guess is hospital thought by spending 50+ million on protons they could compete better with their neighbor.
Last edited:
- Joined
- Aug 20, 2014
- Messages
- 564
- Reaction score
- 959
Remember when Spratt came on SDN and y'all were enamored by him? Now we get to see his true colors as he says what he really thinks about us to the Twitterati virtue signalers. There is just no possible way to ignore the fact that rad onc residency expansion is causing the job market to tank. But Spratt apparently does, showing his politician nature even before he becomes an official chairman (of course, he was probably a chairman in his own mind long ago). How you defend residency expansion and think that the job market will get better is absolutely BEYOND ME.
- Joined
- Sep 20, 2004
- Messages
- 11,715
- Reaction score
- 11,801
Attachments
- Joined
- Sep 7, 2014
- Messages
- 3,202
- Reaction score
- 5,885
That thing looks set-up to squirt protons onto somebody's face.Well, that's just wonderful. I just checked out his twitter and Dr. Spratt seems to have a new job at University Hospitals Ohio as Chair.
Well done.
I then checked out the University Hospitals Twitter account.
View attachment 330533
I wish him all the best!
- Joined
- Apr 21, 2011
- Messages
- 3,613
- Reaction score
- 9,228
Best guess, he saw the roster of misfit applicants to Case Western and ran straight to the Twitter machine. ABR! ABR!
- Joined
- Dec 18, 2015
- Messages
- 3,216
- Reaction score
- 4,930
Just wanted to thank you for this. The words “hit the bricks” are my verbal tic if I have one.
- Joined
- Oct 27, 2013
- Messages
- 154
- Reaction score
- 266
His comments on Twitter are a bit bold.
I looked into University Hospitals for positions and they seemed to have a ton of "community centers" that were just old, unsupported, bought-up or "partner" hospitals that happened to have a linac in them.
I'm not sure this is the path to solving the job crisis, just more of a way to dump graduates into places they don't want to be.
I looked into University Hospitals for positions and they seemed to have a ton of "community centers" that were just old, unsupported, bought-up or "partner" hospitals that happened to have a linac in them.
I'm not sure this is the path to solving the job crisis, just more of a way to dump graduates into places they don't want to be.
- Joined
- Aug 23, 2014
- Messages
- 3,264
- Reaction score
- 6,612
Case western was on my hellpit list for a reason. We’ll see what happens.
- Joined
- Apr 28, 2005
- Messages
- 1,194
- Reaction score
- 3,428
Total joke but whatever. He now has a job that requires him to be predatory in his efforts to attract medical students into Case Western's training program. This is a third or fourth tier training program that no US med student should consider as an option. But cool he says rad onc indications and job market are about to explode citing nothing. May as well posted
- Joined
- Dec 18, 2015
- Messages
- 3,216
- Reaction score
- 4,930
"Hands to the moon" ... what Dan Spratt calls a DRE
- Joined
- Sep 20, 2004
- Messages
- 11,715
- Reaction score
- 11,801
They don't call it the Allegany of Cleveland (aka the mistake on the lake) for nothing.
Out of state med and dental applicants used to love calling it "In Case" Western too
- Joined
- Mar 20, 2013
- Messages
- 1,909
- Reaction score
- 3,495
I like Spratt's stuff.
I'm interested to see if they treat prostate with protons off study (I mean a real, randomized study, not registry) under his tenure.
I'm interested to see if they treat prostate with protons off study (I mean a real, randomized study, not registry) under his tenure.
- Joined
- Sep 20, 2004
- Messages
- 11,715
- Reaction score
- 11,801
Guessing he'll pull a Nancy Lee
- Joined
- Mar 30, 2009
- Messages
- 751
- Reaction score
- 1,370
He has done some good. I hope he will be a change for good with his chairmanship. We shall see.
- Joined
- May 27, 2020
- Messages
- 43
- Reaction score
- 392
So little faith Frosty...so much hate
I still appreciate you as you keep it raw, real, and reactionary. I personally just dont see how the negative attitude helps our field as I believe you genuinely care about our field and are trying to make people aware of real issues. If you read what I wrote I stated that the concerns about our field are justified, and that the people on SDN I want to see this message as I was speaking to you! The concerns are real, but you cant believe they cant be changed. I stated and will commit to not blindly expanding residency programs or filling them just to get more resident bodies. Expansion of residencies was/is a problem, but only one of so many in our field. Radonc must change from its ways to become relevant. We must push and shove our way and prove with evidence the powerful role of RT, but be humble as to where it is not needed. I intend and have the resources to do so and to hire numerous high quality recruits for excellent jobs, and was one of many reasons I am excited about the job. If I dont then you all get to watch me fail...however that is part of trying to build something great is failing often.As someone who has been at Cancer Centers that many consider top centers, like MSKCC, I think what resonates with many is wanting to personally have impact. Like many of you, when others see problems we see opportunities, and Case/UH is an amazing opportunity at a huge clinical program that has the potential to be a true top 10 program for training, working, research, and cancer care. If they were already flawless I would have zero impact and likely only hurt the place as I am highly flawed. I hope to work with the great people and there are recruit amazing people to make this a place that all of you would love to work at (assuming you can tolerate the cold!).
Stayed tuned for a piece in Red Journal about protons for prostate cancer and you can see if I changed my tune. So little faith everyone. You should know me by now that I do my best, imperfectly, to do what is best for patients and not for financial pressures. I am excited to actually start and participate in trials, and I in no way will stake my career on forcing any modality to be the best blindly. That is one of the reasons radonc has had challenges is not accepting when it is time to move on.
I have been told so many times that various things I want to do can't be...as I said...the impossible is often simply the untried.
Keep pushing eveyone, myself included to stay true to their word and making people aware of issues our field faces from your vantage point.
However, know that working together and supporting one another will likely help push us all forward faster than forcing people into buckets of evil or good, when I hope all of us are trying to do our best.
Until next time Frosty. Keep up the great work every one!
Best,
Dan
- Joined
- Mar 30, 2009
- Messages
- 751
- Reaction score
- 1,370
Glad I posted right before this and even happier to see my hope is not misplaced. Just remember, there are 4 people I recall who actually come on here to talk with us @Dan Spratt @cujust Evan Thomas (not in a while) and Simul Parikh (signed off SDN). I give them respect for showing up here and many of us appreciate it though we may disagreeSo little faith Frosty...so much hate
As someone who has been at Cancer Centers that many consider top centers, like MSKCC, I think what resonates with many is wanting to personally have impact. Like many of you, when others see problems we see opportunities, and Case/UH is an amazing opportunity at a huge clinical program that has the potential to be a true top 10 program for training, working, research, and cancer care. If they were already flawless I would have zero impact and likely only hurt the place as I am highly flawed. I hope to work with the great people and there are recruit amazing people to make this a place that all of you would love to work at (assuming you can tolerate the cold!).
Stayed tuned for a piece in Red Journal about protons for prostate cancer and you can see if I changed my tune. So little faith everyone. You should know me by now that I do my best, imperfectly, to do what is best for patients and not for financial pressures. I am excited to actually start and participate in trials, and I in no way will stake my career on forcing any modality to be the best blindly. That is one of the reasons radonc has had challenges is not accepting when it is time to move on.
I have been told so many times that various things I want to do can't be...as I said...the impossible is often simply the untried.
Keep pushing eveyone, myself included to stay true to their word and making people aware of issues our field faces from your vantage point.
However, know that working together and supporting one another will likely help push us all forward faster than forcing people into buckets of evil or good, when I hope all of us are trying to do our best.
Until next time Frosty. Keep up the great work every one!
Best,
Dan
- Joined
- Aug 23, 2014
- Messages
- 3,264
- Reaction score
- 6,612
I think it is a good thing that a leader is willing to engage in this forum. I wish you the best at SCAROP meetings and hope you continue to be bold and maybe just maybe lead this field out of the trenches. A SCAROP meeting is no different than a bunch of old white men at a vigil for their high school friend reminiscing the good ole days. We need fresh, energetic, competent blood in there and people who care about the next generation becuse they got skin the game.
keep in mind that it is a big step, sadly so, that a leader is willing to unequivocally admit that there is an issue of overtraining and expansion. Keep in mind that this is happening at the same time Rohub bans any dissenting voices while allowing racist posts to stay up, and “established” chairs say “where is the evidence”? Lactating women haters like Walner have their buddies pen litigious letters which go unchallenged by anybody in the field. There is such a power vacuum when it comes to leadership...
keep in mind that it is a big step, sadly so, that a leader is willing to unequivocally admit that there is an issue of overtraining and expansion. Keep in mind that this is happening at the same time Rohub bans any dissenting voices while allowing racist posts to stay up, and “established” chairs say “where is the evidence”? Lactating women haters like Walner have their buddies pen litigious letters which go unchallenged by anybody in the field. There is such a power vacuum when it comes to leadership...
Last edited:
- Joined
- Oct 24, 2010
- Messages
- 3,508
- Reaction score
- 6,350
I do see a little star struck gazes on ya’ll whenever one of these academic big wigs come on. Let’s see what happens in 5 years.
- Joined
- Aug 20, 2014
- Messages
- 564
- Reaction score
- 959
Well bud, I appreciate the reply but it might as well have been to all of us "who live on SDN and say radonc is dying". I would love to hear your optimism on why you think the field is not dying - I'm sure the other SDNers would cower in fear and not talk to you directly, but if you look at our posts on other threads and everything, the rest of them feel even stronger about that than I do. I think that SDN "negative attitude" is the only balance out there to the uber-optimistic virtue signaling by the Twitterati. We have talked so much about how job market concerns were first voiced on SDN for years before the academic crowd caught on to it. I by no means want you to fail, but it will be hard for you as Chairman Dan to "prove with evidence the powerful role of RT" (is this why your NRG trial has nothing to do with expanding RT but rather expanding use of a systemic agent?) when, as one of the above posts said, that chairs get dragged into too much admin BS with people that are way more powerful than them. You have been uber-successful everywhere you have been, and I have no reason to think this will be any different. But at the end of the day, one chairman does not make (or break) the field as a whole nor can it address the myriad deeper issues in the field right now. That's what we are trying to unify and coalesce around here on SDN, and I fully support all my colleagues here on SDN in trying to do so.So little faith Frosty...so much hate
As someone who has been at Cancer Centers that many consider top centers, like MSKCC, I think what resonates with many is wanting to personally have impact. Like many of you, when others see problems we see opportunities, and Case/UH is an amazing opportunity at a huge clinical program that has the potential to be a true top 10 program for training, working, research, and cancer care. If they were already flawless I would have zero impact and likely only hurt the place as I am highly flawed. I hope to work with the great people and there are recruit amazing people to make this a place that all of you would love to work at (assuming you can tolerate the cold!).
Stayed tuned for a piece in Red Journal about protons for prostate cancer and you can see if I changed my tune. So little faith everyone. You should know me by now that I do my best, imperfectly, to do what is best for patients and not for financial pressures. I am excited to actually start and participate in trials, and I in no way will stake my career on forcing any modality to be the best blindly. That is one of the reasons radonc has had challenges is not accepting when it is time to move on.
I have been told so many times that various things I want to do can't be...as I said...the impossible is often simply the untried.
Keep pushing eveyone, myself included to stay true to their word and making people aware of issues our field faces from your vantage point.
However, know that working together and supporting one another will likely help push us all forward faster than forcing people into buckets of evil or good, when I hope all of us are trying to do our best.
Until next time Frosty. Keep up the great work every one!
Best,
Dan
Godspeed,
FH
Last edited:
- Joined
- Oct 10, 2011
- Messages
- 8,613
- Reaction score
- 10,665
As always, appreciate open discussion in the SDN forums. Congrats on becoming chair.So little faith Frosty...so much hate
As someone who has been at Cancer Centers that many consider top centers, like MSKCC, I think what resonates with many is wanting to personally have impact. Like many of you, when others see problems we see opportunities, and Case/UH is an amazing opportunity at a huge clinical program that has the potential to be a true top 10 program for training, working, research, and cancer care. If they were already flawless I would have zero impact and likely only hurt the place as I am highly flawed. I hope to work with the great people and there are recruit amazing people to make this a place that all of you would love to work at (assuming you can tolerate the cold!).
Stayed tuned for a piece in Red Journal about protons for prostate cancer and you can see if I changed my tune. So little faith everyone. You should know me by now that I do my best, imperfectly, to do what is best for patients and not for financial pressures. I am excited to actually start and participate in trials, and I in no way will stake my career on forcing any modality to be the best blindly. That is one of the reasons radonc has had challenges is not accepting when it is time to move on.
I have been told so many times that various things I want to do can't be...as I said...the impossible is often simply the untried.
Keep pushing eveyone, myself included to stay true to their word and making people aware of issues our field faces from your vantage point.
However, know that working together and supporting one another will likely help push us all forward faster than forcing people into buckets of evil or good, when I hope all of us are trying to do our best.
Until next time Frosty. Keep up the great work every one!
Best,
Dan
Good to hear that you won't be SOAPing at UH (which will likely be necessary this year if you guys want to fill your spots), unless some folks get sucked into the hype and change rank list at the last second. Seriously, UH just has a reputation as the second-rate center in Cleveland behind CCF. Look forward to verifying this in the upcoming match.
What are you going to be hiring for at UH? Looks like you have 9 main campus (website outdated, as Machtay isn't there anymore, and right?) and 7-9 satellite faculty (at least one of those doesn' twork for case western anymore either). What sites will you be looking to hire for in your first year? How many positions (an estimate) are you expecting to hire for?
In regards to the bolded, what is your plan in terms of expanding indications for radiation?
Last edited:
- Joined
- Dec 18, 2015
- Messages
- 3,216
- Reaction score
- 4,930
Dan heck I'll say it I am "enamored" with you. You're fair and not unpragmatic. The "issues" the field faces are really more like a single issue; sort of what Clinton used to say in his first Presidential election... "it's the economy, stupid." I am no economist but I have read economics has a lot to do with supply and demand which are ratio, numerator/denominator-type entities. I deeply and firmly believe the QOL of every now and future rad onc will be improved by focusing on this ratio. I also believe the lowest hanging fruit and best present fix is slow the production of radiation oncologists in America. But others can see it differently. At least we're talking about this ratio now. And at least one person, a CHAIR, is talking about it. That's progress!So little faith Frosty...so much hate
As someone who has been at Cancer Centers that many consider top centers, like MSKCC, I think what resonates with many is wanting to personally have impact. Like many of you, when others see problems we see opportunities, and Case/UH is an amazing opportunity at a huge clinical program that has the potential to be a true top 10 program for training, working, research, and cancer care. If they were already flawless I would have zero impact and likely only hurt the place as I am highly flawed. I hope to work with the great people and there are recruit amazing people to make this a place that all of you would love to work at (assuming you can tolerate the cold!).
Stayed tuned for a piece in Red Journal about protons for prostate cancer and you can see if I changed my tune. So little faith everyone. You should know me by now that I do my best, imperfectly, to do what is best for patients and not for financial pressures. I am excited to actually start and participate in trials, and I in no way will stake my career on forcing any modality to be the best blindly. That is one of the reasons radonc has had challenges is not accepting when it is time to move on.
I have been told so many times that various things I want to do can't be...as I said...the impossible is often simply the untried.
Keep pushing eveyone, myself included to stay true to their word and making people aware of issues our field faces from your vantage point.
However, know that working together and supporting one another will likely help push us all forward faster than forcing people into buckets of evil or good, when I hope all of us are trying to do our best.
Until next time Frosty. Keep up the great work every one!
Best,
Dan
- Joined
- Nov 2, 2019
- Messages
- 3,495
- Reaction score
- 14,488
Coming on SDN to talk about it, no less!
The SDN Radiation Oncology Forums: an Impact Factor higher than Cell.
- Joined
- Jan 6, 2021
- Messages
- 36
- Reaction score
- 330
Only time will tell. I have a feeling that @Dan Spratt will be the very different than the mouth-breathing boomer chairs we all know so well. It will take time and true leaders to heal our field and make it strong once more. And to be fair, we should give him more than 24 hours as chair before trying to put him on the spot and make him commit to things on social media. Let’s trust that Dan and most of us here are all trying to save the field we all love so much from the pain and horrors of where we are today.
We should also all be aware that a chair has many competing priorities and goals. Sometimes you may have to take a step back so that you can take two steps forward a year later. Dan is clearly someone who is willing to listen, engage, and take feedback without it getting personal -- and that in and of itself, puts him far above most of the “so-called” leaders in our field.
We are all rooting for you Chair Spratt. I hope you have continued success. Your academic product and work ethic is something to admire.
“Here’s to Dan and here’s to SDN,
Friends may we always be.
But, if by chance we disagree,
Up yours! Here’s to me!”
We should also all be aware that a chair has many competing priorities and goals. Sometimes you may have to take a step back so that you can take two steps forward a year later. Dan is clearly someone who is willing to listen, engage, and take feedback without it getting personal -- and that in and of itself, puts him far above most of the “so-called” leaders in our field.
We are all rooting for you Chair Spratt. I hope you have continued success. Your academic product and work ethic is something to admire.
“Here’s to Dan and here’s to SDN,
Friends may we always be.
But, if by chance we disagree,
Up yours! Here’s to me!”
- Joined
- May 27, 2020
- Messages
- 43
- Reaction score
- 392
I am not even Chair yet
Still working hard at U of M. Chair is a title and for those that know me I dont put a lot of weight in academic hierarchy. As many leadership books and speakers write/say, anyone can be a leader. A title doesnt make you a leader. A leader is someone that can rally people to a common vision to follow. Residents, junior faculty, etc can all be leaders. I appreciate the slack, but we should and we must be willing to receive criticism and know that it is not personal. We are all trying to help patients, and doing our best, but can always do better. We wont succeed by everyone saying everyone/everything is great, but we also wont succeed if we believe people are intrinsically bad/evil. I would love to hear strategies to how you think radonc can improve as a field. I dont believing shrink residency programs solves the whole problem. I think we need innovation and transformation to get with the times. If we keep doing the same thing as we have done for decades, we will get phased out and I think that is what many of you are seeing. Change though must come from us. No one will do it for us. I promise.
- Joined
- May 27, 2020
- Messages
- 43
- Reaction score
- 392
Website needs work....understatement. There are multiple positions actively being recruited and interviewed for (some main, some part of the network) and about 5 clinical/academic positions that will be added. I am a firm believer in finding talent and the right people and giving them what they need to succeed, rather than saying we have an opening in XYZ please fill it. That all too often creates a misfit. We will need more of many of the most common cancer types (GU, breast, head and neck, oligomets/SBRT, etc) and are soon to open a new site and have 2 more in the works. I hope to develop a true network rather than the broken model of main campus vs satellites. Some of our best docs at U of M are at regional sites. With proper alignment and resources the whole network should be strong, be able to enroll in trials, have academic time, etc. Patients would love to get high quality treatment closer to home and have access to trials, and many docs (I am one of them) would rather live a little further out to have their space. Just as we grew the GU program from 1 cFTE to 3.5 cFTE in the 5 years at U of M, growth comes in part from being available, collegial, and networking. I expect with the many changes UH/Case has invested in we will grow and need another likely 4 hires we estimate. I expect 10+ hires in the first 5 years, which is not 100, but it is not 0 and I intend for these to be well compensated good jobs.
Many of you are spot on to the strength of CCF, and I hope they stay strong and get stronger. I dont see them as competition. Great organizations dont think about how great someone else is, they focus on their vision and learn from those who are doing things well. I am excited to partner with CCF for residents, research, teaching, etc = stronger through collaboration.
Although I am no Steve Jobs, Apple has gone from great to almost bankrupt to great, etc, and we should learn from the past and not let it define us. I see opportunity!
I will be popping on SDN when we have openings to let you all know, but we are actively interviewing (Janice Lyons is the interim Chair and leading the process). Stay tuned.
Best,
Dan
