Rad Onc Twitter

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Guys, come on. Let’s give credit where credit is due. They totally fixed the job market problem in the 90s. They did it by making residency a year longer. Boom, job market fixed! Expect similarly brilliant ”solutions” this time around.
 
GapCalc said:
Guys, come on. Let’s give credit where credit is due. They totally fixed the job market problem in the 90s. They did it by making residency a year longer. Boom, job market fixed! Expect similarly brilliant ”solutions” this time around.
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Make residency another year longer! We'll just call it fellowship instead.

And yeah of course residents are contacting practices as PGY-2 and cold calling up a storm. All the advice they get is to "network". Networking doesn't create more jobs, just more competition in stress for what remains out there.
 
Neuronix said:
Make residency another year longer! We'll just call it fellowship instead.

And yeah of course residents are contacting practices as PGY-2 and cold calling up a storm. All the advice they get is to "network". Networking doesn't create more jobs, just more competition in stress for what remains out there.
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A lot of programs also closed. Also they were just facing an overexpansion, not a problem with demand/utilization.
 
Neuronix said:
And yeah of course residents are contacting practices as PGY-2 and cold calling up a storm. All the advice they get is to "network". Networking doesn't create more jobs, just more competition in stress for what remains out there.
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Debate on the objective truth of oversupply aside, we've basically created an extension of the "application arms race" seen when medical students apply to residency. In a fixed system (# of residency spots available) there is a natural "competition creep" as students learn from previous generations how to game their CV and then shotgun apply EVERYWHERE.

Congratulations, academic chairs - you've brought this system to jobs! Now we have a huge number of historically very competitive and savvy students-turned-residents who are only given the advice to "network". What is networking?

- talking up places as soon as you start residency (cold calls, emails)
- leveraging social media to your cause
- hitting up the alumni network and current attendings
- sending your CV to HUNDREDS of people

And so on. Cool!
 
RickyScott said:
Hunger games. This will inevitably become ugly.
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Totally agree. Again, oversupply and unemployment aside, this will counterintuitively cost departments/practices time and money. They will all court the most attractive applicants first, spending time and money interviewing them and inviting them for site visits. When the first wave commits to the places they're actually interested in, departments/practices will have to repeat the process - over and over.

District 13, here we come!
 
KHE88 said:
The young woke socialist rad onc twttier bully-mob occupying the junior faculty academic positions in the oversaturated urban hellscapes has never made me more happy to be practicing in middle of nowhere (an underserved area even! Remember when that was important?). Lack of biryanis is a small price to pay to be as far removed from this noxious cloud of doxx-proof smugness and virtue-signalling as possible.

These people are so "brave." Writing about racial justice in rad onc in relation to a killing of an unarmed black man committing petty crime by a known terrible cop, a very rare event by statistics, and certainly something that has absolutely nothing to do with rad onc. Regardless, it's obviously our most important issue and it's shameful than anyone would try to discuss any other issues. We're an evidence based field after all. Evidence suggests we have a massive problem of racism and violence against minorities in radiation oncology. Well done. So brave! What exactly was it you were fearing would happen to you by speaking out on the obviously-and-universally-agreed-on-by-literally-everyone reprehensible George Floyd killing and supporting the BLM political movement? Your evil white racist overlords in academia would have fired you (the only people in America who thought the killing was justified apparently)? So brave. Really, well done.

Just when you think they can't take the virtue signalling to any higher of a vomit-inducing level...

Can't wait to get through boards and never attend an ASTRO meeting ever again.
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i love you so much!!! (wanna hate you cuz you said what I wanted to say, and so much better)
 
This is an amazing post via ROHub from Daniel Flynn:

1594733917515.png

1594733940491.png

1594733975681.png
 
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Flynn... Davis... Hussey... if they had a say/were alive, they wouldn't put up with this silly obvious oversupply s*&t. My worry is Flynn is hearkening to, and believes is still extant, a relative age of reason. That age is gone with the wind. People will not do the right thing anymore for a nameless fellow human unless they're about to lose an eye or a leg or a dollar.
 
elementaryschooleconomics said:
I really would prefer we not go down the road of leveraging Twitter for jobs...but I guess she opened the box.

*sigh*
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How I foresee myself coming across in new world order:
"Why should you offer me a rad onc job? Because I'm good enough, I'm smart enough, and doggone it, people like me! Just check my twitter and IG feed."
Meanwhile, the above.
Gents, and certain ladies too, many of us are done for.
I don't know if I can't compete or my CTZ will be over-stimulated if I try to compete. Kinda like that girl in 'Knives Out.'
 
scarbrtj said:
How I foresee myself coming across in new world order:
"Why should you offer me a rad onc job? Because I'm good enough, I'm smart enough, and doggone it, people like me! Just check my twitter and IG feed."
Meanwhile, the above.
Gents, and certain ladies too, many of us are done for.
I don't know if I can't compete or my CTZ will be over-stimulated if I try to compete. Kinda like that girl in 'Knives Out.'
Click to expand...

Guess I'm gonna have to pull the trigger on my YouTube channel with 2 minute contouring tips (GTV, not cheekbones) sponsored by BANG Energy Drinks

BANG - Copy.jpg
 
Imagine a future where your IG and TWITTER wasnt up to par, you didn’t at the right people, not enough hashtags, didn’t show enough leg or abs, you didn’t butter up the right people, your marketing was just weak and should have hired a consultant. NO JOB FOR YOU. Some very intetesting times are ahead.
 
radoncdoc16 said:
I'm disappointed @scarbrtj 😛

View attachment 312742
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Was required viewing in our med school! I was more a The Doctor kinda guy. Kids interested in rad onc: check out the (relatively negative) portrayal of rad onc in this movie! URM rad onc, and FMG, however. (Spoiler alert: XRT fails for his LC.. and in fact for every major character in the movie... and he has to have surgical salvage. But his soul is salvaged in the process!)
 
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elementaryschooleconomics said:
This is an amazing post via ROHub from Daniel Flynn:
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Saw that this morning and felt the same, however it would be nice to see his opinion and thoughts about NOW. All of the material and data, while relevant, is from the 1990s. Clearly it's worse now but without extrapolation, it's kind of "cool story bro."
 
Seriously, if someone can't figure out how to match rad onc in the current #spots >>> #applicants environment aren't we all better off in the long run just letting them match into IM or something else?

I would love to ask one of these ACRO gaslighters that given the current grim prognosis for the specialty due to the lack of real leadership, declining utilization, increasing grad numbers and hypofraction would you recommend going into rad onc to one of your own family members? lol
 
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fiji128 said:
Seriously, if someone can't figure out how to match rad onc in the current #spots >>> #applicants environment aren't we all better off in the long run just letting them match into IM or something else?

I would love to ask one of these ACRO gaslighters that given the current grim prognosis for the specialty due to the lack of real leadership, declining utilization, increasing grad numbers and hypofraction would you recommend going into rad onc to one of your own family members? lol
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Paul Harari’s son apparently matched in Im.
Edit: this may be innacurate.
 
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elementaryschooleconomics said:
Wow - even Ralph thinks ASTRO/"the leadership" is out of touch now. Well, we can disagree on what makes them out of touch...but as long as we all realize it together now...

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Ralph could fund every resident this year to go to Astro with his salary and still have enough to be paid like a pediatrician... Sounds like a win win to me
 
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MegaVoltagePhoton said:
Treat nodes on everybody?
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ASTRO choosing wisely again making all of the best decisions for patients /s

Choose wisely on fractionation sure, but when can we see some group start a:
"Choosing Wisely: Practice Location (or why your bill is 10X the cost of the center down the road despite the same therapy)"
 
mheat3 said:
ASTRO choosing wisely again making all of the best decisions for patients /s

Choose wisely on fractionation sure, but when can we see some group start a:
"Choosing Wisely: Practice Location (or why your bill is 10X the cost of the center down the road despite the same therapy)"
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ASTRO is one step away from announcing academics are better than everyone else and thus we get to charge more see my NCDB/SEER study! I think that "one step" will be taking away these reimbursements and then they may be tempted to come out and just flat out say "C'mon, ya'll know academics are better. You need to pay extra for our expertise when giving radiation for low risk prostate cancer."

I hope I am dead wrong, but I've seen reluctance of main centers to refer even to their own satellites, let alone another hospital.
 
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