Rad Onc Twitter

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radoncdoc16 said:
they have a predatory system

pre residency fellowship. If they like you, then they take you outside or match

doesn’t count as any time served unfortunately
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Wow so probly like IMGs and DOs? I know derm has a lot of those fake “fellowships” where they just exploit you and you MIGHT get a spot out of it after doing a research with them and working as a doctor for low wages
 
thecarbonionangle said:
Wow so probly like IMGs and DOs? I know derm has a lot of those fake “fellowships” where they just exploit you and you MIGHT get a spot out of it after doing a research with them and working as a doctor for low wages
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They’re IMGs (India)
 
medgator said:
Their entire affiliated hospital system went kaput this year also. Crazy story
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yeah. From inside sources Cristiana Care(where most of the rotations for Drexel were) got used to the residents writing their notes for them and so now want to either restart program or ask surrounding philly programs to let residents rotate to CC for “community experience”
 
radoncdoc16 said:
yeah. From inside sources Cristiana Care(where most of the rotations for Drexel were) got used to the residents writing their notes for them and so now want to either restart program or ask surrounding philly programs to let residents rotate to CC for “community experience”
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yeah It was a great pp it seemed. Attendings all from top places but def not a place to ever be allowed to start their own program.

is the new Miami cancer center pp also starting a program?
 
MCI I don’t believe are. In a different era they probably would have and it would certainly be a good program they have the technology and the academic productivity.
 
PhotonBomb said:
MCI I don’t believe are. In a different era they probably would have and it would certainly be a good program they have the technology and the academic productivity.
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They were offering an unaccredited fellowship though earlier this year
 
PhotonBomb said:
MCI I don’t believe are. In a different era they probably would have and it would certainly be a good program they have the technology and the academic productivity.
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they may not be starting a residency but already started a fellowship = predatory

'advanced OR radiation OR oncology OR fellowship OR program OR STATECODE:"FL"' Jobs | ASTRO Radiation Oncology Career Center

3,352 'advanced OR radiation OR oncology OR fellowship OR program OR STATECODE:
careers.astro.org careers.astro.org
 
Fellowships aren’t inherently predatory. That’s fake news.
 
PhotonBomb said:
Only for the ones where US grads are taking them because they don’t have a job (rare)

For international people who want exposure/education I don’t see the issue
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But what is available here that is not available in other countries? Have had interactions with a lot of Indians, and there are many centers in India with same technologies that are busier than any large center in us?
 
RickyScott said:
But what is available here that is not available in other countries? Have had interactions with a lot of Indians, and there are many centers in India with same technologies that are busier than any large center in us?
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Right. But many don’t have the same tech. Or they want to make a nice US salary for a year or two. Or they want to eventually get their foot in the door to move here. For whatever reason they all come.
 
PhotonBomb said:
Right. But many don’t have the same tech. Or they want to make a nice US salary for a year or two. Or they want to eventually get their foot in the door to move here. For whatever reason they all come.
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I am pretty sure they all just want to get their foot in the door.
 
thecarbonionangle said:
Any proton center who wants you will send you to training and teach you anything you have to know. You don’t need a fellowship. Get paid people.
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Eh I mean you're not wrong but proton places, at this point, would probably prefer people who have completed a proton fellowship. I imagine at least.
 
evilbooyaa said:
Eh I mean you're not wrong but proton places, at this point, would probably prefer people who have completed a proton fellowship. I imagine at least.
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the three people I know that got proton jobs the past 3 years did not train at institutions with proton and did not need to do a fellowship. I think most places realize they can train you on the job plus send you to the Swiss course or others.
 
While I applaud Dr. Chowdhary for this- and it certainly will have more impact than any of my research- I hope after this publication we can move on from the “did we expand too much” question to the far-more-important “what now?”
 
OTN said:
While I applaud Dr. Chowdhary for this- and it certainly will have more impact than any of my research- I hope after this publication we can move on from the “did we expand too much” question to the far-more-important “what now?”
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I agree with you. From the tweets the RO residency distribution is cray.

find it funny that RO twitter silent now lol
 
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Dave Fuller back at it. Unfortunately, backing my nightmare scenario of pushing radonc more toward diagnostic radiology. Click on thread to see response. The more we align ourselves with DR, the quicker we hasten the death of this field and make it a 1-2 year fellowship like IR. We need to distance ourselves as much as possible. ABR ---> ABRO would be a good start.

 
Mandelin Rain said:
Dave Fuller back at it. Unfortunately, backing my nightmare scenario of pushing radonc more toward diagnostic radiology. Click on thread to see response. The more we align ourselves with DR, the quicker we hasten the death of this field and make it a 1-2 year fellowship like IR. We need to distance ourselves as much as possible. ABR ---> ABRO would be a good start.

Click to expand...


I think this is a very academic sub specialist rad onc opinion...

I can't tell you how much my general internal medicine training helps especially as a rad onc generalist with indigent patients that have little (or zero) primary care. You can't "stay in your lane" and avoid PCP-ish things when you (or just you and med onc or you and neurosurg) are the only doctors the patients have. So having a little knowledge about adjusting BP meds, monitoring blood sugars on dexamethasone, treating UTI's, etc that is picked up in intern year is very helpful. You also get a feel for what "sick" looks like - like does this patient need to go to the ER or can I perk them up with fluids in office? Nothing but time in the hospital lets you get a feel for sick. Staring at CT's in the reading room won't help.

Sure, you pick up on some of that in your rad onc residency/clinic, but I think that intern year is very helpful.
 
BobbyHeenan said:
I think this is a very academic sub specialist rad onc opinion...

I can't tell you how much my general internal medicine training helps especially as a rad onc generalist with indigent patients that have little (or zero) primary care. You can't "stay in your lane" and avoid PCP-ish things when you (or just you and med onc or you and neurosurg) are the only doctors the patients have. So having a little knowledge about adjusting BP meds, monitoring blood sugars on dexamethasone, treating UTI's, etc that is picked up in intern year is very helpful. You also get a feel for what "sick" looks like - like does this patient need to go to the ER or can I perk them up with fluids in office? Nothing but time in the hospital lets you get a feel for sick. Staring at CT's in the reading room won't help.

Sure, you pick up on some of that in your rad onc residency/clinic, but I think that intern year is very helpful.
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I also feel like it also gives you a better reputation in the community. I've heard some PCPs talk crap about stupid stuff a RO will send to them to manage, when they feel the RO should be capable of managing. If they have a bad feeling about the care a RO gives their patients, they may try to send them elsewhere.
 
BobbyHeenan said:
I think this is a very academic sub specialist rad onc opinion...

I can't tell you how much my general internal medicine training helps especially as a rad onc generalist with indigent patients that have little (or zero) primary care. You can't "stay in your lane" and avoid PCP-ish things when you (or just you and med onc or you and neurosurg) are the only doctors the patients have. So having a little knowledge about adjusting BP meds, monitoring blood sugars on dexamethasone, treating UTI's, etc that is picked up in intern year is very helpful. You also get a feel for what "sick" looks like - like does this patient need to go to the ER or can I perk them up with fluids in office? Nothing but time in the hospital lets you get a feel for sick. Staring at CT's in the reading room won't help.

Sure, you pick up on some of that in your rad onc residency/clinic, but I think that intern year is very helpful.
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"Knowing who is sick" was the biggest benefit I saw to doing an IM intern year.
 
1574892222854.png


This made me chuckle
 
At the end of the day.. we are physicians and specifically clinicians. My IM training has been very useful.

Two examples this past year:

1) H&N pt developed unilateral neck swelling 1-2 weeks into RT and severe pain. Did not make any sense- medonc convinced the tumor was growing on treatment lolz... I suspected thrombus, neck was also warm to touch on exam and tender. Sent patient for ultrasound and he had a massive clot in the jugular- got him anti-coagulated immediately.


2) Patient with oral cavity cancer presenting in follow up after first surveillance scan. Patient chest imaging suggested right lower lobe infiltrate which the radiologist read as metastatic disease. On H&P patient had recent elective procedure a few days prior requiring general anesthesia and some low grade fever afterwards. Before assuming she had developed mets and given the location and history, I started abx to cover hospital acquired pneumonia thinking she might of aspirated. Repeated imaging 2 weeks later... report: prior infiltrate no longer visualized. She’s been NED almost a year now.

The academics talk about taking ppl with low Step scores and genuine interest- how about we take ppl that are good doctors?

On a side note....
we are not data scientists or AI engineers or radiologists...short of a fellowship at the NIH for a future clinical trialist it’s a waste of money and bad value to society for a physician to be doing a research post doc after residency
 
goodkerma said:
On a side note....
we are not data scientists or AI engineers or radiologists...short of a fellowship at the NIH for a future clinical trialist it’s a waste of money and bad value to society for a physician to be doing a research post doc after residency
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agree with the rest about importance of basic medical knowledge, but on this point that came out of left field - anyone doing a research post-doc after residency is trying to become a career scientist. I see no issues with this, nor does anyone else, I don't think?
 
PhotonBomb said:
agree with the rest about importance of basic medical knowledge, but on this point that came out of left field - anyone doing a research post-doc after residency is trying to become a career scientist. I see no issues with this, nor does anyone else, I don't think?
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I’ll admit that is more of my opinion, but given how many years it takes to educate an MD and then do an internship and residency- that person is best served to be taking care of patients. Not out of clinical medicine for 1-2 years. Agree those who want to be physician scientists, especially MD/PhDs should have the opportunity- but the current state of affairs and certain chairmen on twitter stating they should do research post docs just seems like a colossal waste of a highly trained individual.
 
goodkerma said:
I’ll admit that is more of my opinion, but given how many years it takes to educate an MD and then do an internship and residency- that person is best served to be taking care of patients. Not out of clinical medicine for 1-2 years. Agree those who want to be physician scientists, especially MD/PhDs should have the opportunity- but the current state of affairs and certain chairmen on twitter stating they should do research post docs just seems like a colossal waste of a highly trained individual.
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well yeah I think everyone agrees that people shouldn't be doing research post-docs unless they are going to be scientists.

This is probably the least controversial take ever posted on the internet, lol.
 
PhotonBomb said:
well yeah I think everyone agrees that people shouldn't be doing research post-docs unless they are going to be scientists.

This is probably the least controversial take ever posted on the internet, lol.
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This post was my trigger.... just in case it has been buried in the archives at this point lol.
E6EF0EDB-FE19-4393-9D0C-23C6AC4DC177.jpeg
 
medgator said:
Except this was not an uncommon mentality last decade when I applied
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When you graduated around 2010, when the market was better than now, it was common for people to be told to do research fellowships for a few years and then apply for clinical jobs?

Maury: The story.......does NOT check out!
 
PhotonBomb said:
When you graduated around 2010, when the market was better than now, it was common for people to be told to do research fellowships for a few years and then apply for clinical jobs?

Maury: The story.......does NOT check out!
Click to expand...
No the idea of pushing people out of clinic for a year or two into research and somehow expecting them to become the next academic physician scientist
 
radoncdoc16 said:
This thanksgiving I’m grateful for radonc SDN for being the leaders against this specialty going into the toilet bowl

Was able to gain a preprint copy of Chowdhary residency expansion article
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MUST READ. Turd Specialty already circling toilet bowl
 
(1) Geographic: MW growing
at rates slower than other regions, 2) Urban: the major urban areas are growing at equal rates as
elsewhere, and 3) Size: larger programs are growing more rapidly than smaller programs.
Click to expand...

So larger programs are the greatest culprit, but imo there is no reason for rural programs to be growing as fast as their urban counterparts given demographic trends about where people are moving and prefer to live.

My original solution of closing down smaller, more recent programs, including rural ones and making the msk, mdacc, cc, and Mayos trim spots will be the most common sense solution considering the above.

www.sciencedaily.com

Shrinking population in more than a third of rural U.S. counties

Nearly 35 percent of rural counties in the United States are experiencing protracted and significant population loss, according to new research. Those counties are now home to 6.2 million residents, a third fewer than lived there in 1950.
www.sciencedaily.com

www.pewsocialtrends.org

1. Demographic and economic trends in urban, suburban and rural communities

Three key demographic forces have reshaped the overall U.S. population in recent years: growing racial and ethnic diversity, increasing immigration and
www.pewsocialtrends.org www.pewsocialtrends.org
 
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