Rad Onc Twitter

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Here's some more of that rad onc twitter stuff

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Times must be tough In our field that “leaders” are trolling twitter like confused rabid bunnies looking for fresh meat. Stay woke folks!
 
thecarbonionangle said:
Times must be tough In our field that “leaders” are trolling twitter like confused rabid bunnies looking for fresh meat. Stay woke folks!
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What else are they going to do? They treat one organ site, have constant resident coverage and clearly aren't leading any breakthrough research trials/projects.

I sincerely believe these folks are turning to twitter because they are bored out of their minds. And twitter rewards people for saying nonsense.

I remember the good ol'days when people celebrated tangible achievements. What a time to be alive that was.

Time to top up my beverage and imbibe further. I'm glad Johnny Walker is here to keep me company in these "unprecedented times" as the TV keeps saying.
 
Zahramar said:
What else are they going to do? They treat one organ site, have constant resident coverage and clearly aren't leading any breakthrough research trials/projects.

I sincerely believe these folks are turning to twitter because they are bored out of their minds. And twitter rewards people for saying nonsense.

I remember the good ol'days when people celebrated tangible achievements. What a time to be alive that was.

Time to top up my beverage and imbibe further. I'm glad Johnny Walker is here to keep me company in these "unprecedented times" as the TV keeps saying.
Click to expand...

reminds of that Midland song:
“People say I got a drinkin' problem
But I got no problem drinkin' at all…“
 
medgator said:
The op looks like a male ORM. Perhaps the trolling/joke is on Dr Siker.... In any case, absurd hard sell on the field
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Our field needs more Harvard med students to do residency at Harvard and then take a faculty position at Harvard where they can help the underserved.
 
thecarbonionangle said:
i went to academy the other day to load up for my purse gun. Everything sold out. Revolvers are on back order.
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I was once told by a patient/accountant who grew up as a child in East Berlin during WWII that every American family should have at least 20K rounds of ammunition at home - preferably .22LR as it is the easiest to barter with.
 
medgator said:
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I believe that this year, because of the elements of the perfect storm coming together (COVID, jobs, SDN, Boards), will be the high water mark point of the Rad Onc Twitter mafia. After that it's all downhill starting with the absolute joke of virtual electives and interviews and culminating in the most spectacularly disappointing match statistics.

I didn't say they wouldn't fill the seats. I just said it would be hilarious, in a dark humor kind of way.
 
Is there evidence that having a gaslighting Twitter account increases the chance of a match? Seems like a faulty assumption to start.

Virtual away rotations strike me as a lousy way of promoting anything minus boredom and frustration.



This is laying the groundwork for the excuses in Spring. "The field is fine. YOU just didn't tweet enough!"

The authors should have just come out and said, "If you aren't Harvard, MDACC, or MSKCC... you're probably ****ed this cycle."
 
Ray D. Ayshun said:
Our field needs more Harvard med students to do residency at Harvard and then take a faculty position at Harvard where they can help the underserved.
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The harvard program stopped working at the county charity hospital when Herman Suit was in charge. I think they still take medicaid and medicare
 
Mandelin Rain said:
Is there evidence that having a gaslighting Twitter account increases the chance of a match? Seems like a faulty assumption to start.

Virtual away rotations strike me as a lousy way of promoting anything minus boredom and frustration.



This is laying the groundwork for the excuses in Spring. "The field is fine. YOU just didn't tweet enough!"

The authors should have just come out and said, "If you aren't Harvard, MDACC, or MSKCC... you're probably ****ed this cycle."
Click to expand...

“you just did not tweet enough”
“You just did not network enough”
Tough luck bro!
 
elementaryschooleconomics said:
1) The 5th author on that study is a kid in high school - seriously, check it out.

2) That article is CLASSIC Red Journal.
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probably a nepotism thing. Maybe not. I know of two people who had their own parents put them as authors in their papers starting in early college. One of them even got to be senior author. Both of them in rad onc now. Academic medicine is a complete joke. I find that when someone has like a ton of pubs the higher chance someone is full of BS. I just do not trust resume padders. Seeing this sort of thing across academic medicine and culture of “i scratch your back and you scratch mine”, people get added to papers with minimal to nocontributions, people are left out who actually do the work. The politics are nauseating. For example, Lisa Kachnic ended up senior author in the hippocampal avoidance paper and she treats GI, not Mehta but Kachnic.Disgusting stuff. I doubt my sister can actually contour the hippocampus or even find it. You know im right folks!
 
thecarbonionangle said:
probably a nepotism thing. Maybe not. I know of two people who had their own parents put them as authors in their papers starting in early college. One of them even got to be senior author. Both of them in rad onc now. Academic medicine is a complete joke. I find that when someone has like a ton of pubs the higher chance someone is full of BS. I just do not trust resume padders. Seeing this sort of thing across academic medicine and culture of “i scratch your back and you scratch mine”, people get added to papers with minimal to nocontributions, people are left out who actually do the work. The politics are nauseating. For example, Lisa Kachnic ended up senior author in the hippocampal avoidance paper and she treats GI, not Mehta but Kachnic.Disgusting stuff. I doubt my sister can actually contour the hippocampus or even find it. You know im right folks!
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My theory is he shadowed with Emma Holliday (he's from a high school in the Houston suburbs).

Totally agree about academics, considering I have explicitly been involved in the political gaming you're talking about. It's sad. It's not what I got into medicine for. It's systemic rot that pervades every level of every institution, RadOnc or not.
 
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medgator said:
The op looks like a male ORM. Perhaps the trolling/joke is on Dr Siker.... In any case, absurd hard sell on the field
Click to expand...
If he’s truly a med student at Harvard I doubt he would troll
thecarbonionangle said:
probably a nepotism thing. Maybe not. I know of two people who had their own parents put them as authors in their papers starting in early college. One of them even got to be senior author. Both of them in rad onc now. Academic medicine is a complete joke. I find that when someone has like a ton of pubs the higher chance someone is full of BS. I just do not trust resume padders. Seeing this sort of thing across academic medicine and culture of “i scratch your back and you scratch mine”, people get added to papers with minimal to nocontributions, people are left out who actually do the work. The politics are nauseating. For example, Lisa Kachnic ended up senior author in the hippocampal avoidance paper and she treats GI, not Mehta but Kachnic.Disgusting stuff. I doubt my sister can actually contour the hippocampus or even find it. You know im right folks!
Click to expand...
the nepotism in this field is repulsive. This includes protecting your incompetent friend who clearly should not have a job. Not just the nepotism with blood relatives.
 
elementaryschooleconomics said:
My theory is he shadowed with Emma Holliday (he's from a high school in the Houston suburbs).

Totally agree about academics, considering I have explicitly been involved in the political gaming you're talking about. It's sad. It's not what I got into medicine for. It's systemic rot that pervades every level of every institution, RadOnc or not.
Click to expand...
Yes and got the shadowing opportunity because his parents are friends with the right people. This is deplorable.
 
Academic medicine has this problem in all fields. It tends to be more prominent in the smaller ones. Rad Onc is one. Ophthalmology and dermatology are two other ones. I've friends in those and they just gave up on that sweet academic medicine salary and ventured into private practice. Suffice it to say they're not doing too good right now because of some pesky RNA floating around in droplets.

I swear, sometimes life is like one of those videogames where no matter what choices you make you always get the bad ending.
 
Zahramar said:
Academic medicine has this problem in all fields. It tends to be more prominent in the smaller ones. Rad Onc is one. Ophthalmology and dermatology are two other ones. I've friends in those and they just gave up on that sweet academic medicine salary and ventured into private practice. Suffice it to say they're not doing too good right now because of some pesky RNA floating around in droplets.

I swear, sometimes life is like one of those videogames where no matter what choices you make you always get the bad ending.
Click to expand...

yes. Unless you have the right DNA. people have no shame. people who hire family and protect incompetent family/friends are shameless (the latter are shameless and dangerous).
 
Zahramar said:
Academic medicine has this problem in all fields. It tends to be more prominent in the smaller ones. Rad Onc is one. Ophthalmology and dermatology are two other ones. I've friends in those and they just gave up on that sweet academic medicine salary and ventured into private practice. Suffice it to say they're not doing too good right now because of some pesky RNA floating around in droplets.

I swear, sometimes life is like one of those videogames where no matter what choices you make you always get the bad ending.
Click to expand...
“Oh, you hate your job? Why didn’t you say so? There’s a support group for that. It’s called ‘Everybody’, and they meet at the bar.”
- George Carlin
 
hbosch said:
yes. Unless you have the right DNA. people have no shame. people who hire family and protect incompetent family/friends are shameless (the latter are shameless and dangerous).
Click to expand...

I dunno. If I thought my daughter were a good physician, I would love to hire her for my practice. (She’s 7, so reaaaaly hard to say right now.) I find it hard to criticize those who would want to help their offspring. What’s more of a human drive than that? We should instead criticize the system which limits avenues of success to the point where this seems necessary or a big part of the game overall.

I realize you wrote ‘incompetent’, which changes the discussion, sure, but i just wanted to give a familial perspective.
 
OTN said:
I dunno. If I thought my daughter were a good physician, I would love to hire her for my practice. (She’s 7, so reaaaaly hard to say right now.) I find it hard to criticize those who would want to help their offspring. What’s more of a human drive than that? We should instead criticize the system which limits avenues of success to the point where this seems necessary or a big part of the game overall.

I realize you wrote ‘incompetent’, which changes the discussion, sure, but i just wanted to give a familial perspective.
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Where the line is varies. More of a ‘know it when u see it’ problem. For instance, when multiple chairs, including former ASTRO presidents, match their own kids— there’s a negative look to that no matter how much the kid may have earned it. Certainly happens in other specialties as well.
 
StIGMA said:
Where the line is varies. More of a ‘know it when u see it’ problem. For instance, when multiple chairs, including former ASTRO presidents, match their own kids— there’s a negative look to that no matter how much the kid may have earned it. Certainly happens in other specialties as well.
Click to expand...

Agreed - I don't necessarily think RadOnc faces unique problems, more that we're so small all of our problems are amplified.
 
I listed my sister as a 4th author once (she helped with stats). Still regret it almost more than anything in my career
 
OTN said:
I dunno. If I thought my daughter were a good physician, I would love to hire her for my practice. (She’s 7, so reaaaaly hard to say right now.) I find it hard to criticize those who would want to help their offspring. What’s more of a human drive than that? We should instead criticize the system which limits avenues of success to the point where this seems necessary or a big part of the game overall.

I realize you wrote ‘incompetent’, which changes the discussion, sure, but i just wanted to give a familial perspective.
Click to expand...

Killing is also very human. Wars are human. Tribalism is human. Nepotism is human. Cheating is human. Incompetency is human.

Hiring family members is nepotism and the phrase exists because this is how people without connections who are more competent are excluded.

It’s not wrong for patients necessarily for someone to hire their offspring but I think it’s safe to say that parents are biased. Few parents have the ability to say “yeah my child sucks”- be it competency, ethics, amiability or reliability. Or “wow- you know my child is intelligent but this other person who is interested is a better candidate so I’m going to hire the better candidate.

Lastly, I wouldn’t join you and your daughter in practice because if I had a concern about anything she’s doing I would fear for my job, be concerned about retaliation or it simply falling on deaf ears...that would be a super awkward conversation and therefore demoralizing to unsafe for the work environment. It takes a very special person to be able to hire their offspring and then treat them the same way they treat the next person. 99% of humans are not this special. As you said, it’s human to protect your child and help them.
 
But also- I’m not criticizing only parents. Obviously you don’t need to be related to someone to practice favoritism.

and in a bad job market in a small field those undeserved personal connections (be it familial or chosen) just makes the people without personal connections the field even more sore. Again- not talking about basic networking- talking about underserved favoritism- like it’s obvious the person is a crap worker but their best friend/parent protects them.

but let’s not encourage anyone to go in this field, offspring or not. Though maybe when your daughter gets to match day the job market might be much better. Best wishes to her wherever she ends up- may she enter a career where she is very competent and very deserving of whatever job she gets.
 
seper said:
Same last name, screams nepotism and corruption, which it was
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I appreciate your ability to see this. It depends really- was she a deserving statistician...or she just did some basic stuff just so she could say she helped just so she could put her name on it...in any case, your feelings of guilt are punishment enough, so you should absolve yourself and stop feeling bad. I forgive you 😀
 
I despise nepotism. It is a big problem in our field . Two attendings at NY Methodist ( an awful awful place btw) RO program have graduated their kids from it (one of them is the chair). The chair of University of Wisconsin just matched his own son. Howard Sandler’s daughter is a RO. The CS program was not around yet but she did match nearby with his buddy at UCLA. The specialty has been corrupt for a long time. When it all burns down, and one may argue it already is ( the dance by Garth Brooks serenates our cremation), we will have earned it many times over. I mean we have PW who heads one of the most corrupt companies in oncology, the JP MORGAN Jamie Dimond of RO in charge of our boards. We are fu**** in case you did not know!

the field deserves a 2 am no knock fed raid, dragged out of mansion bag over head, no shirt on, aaron hernandez roger stone style. The day of reckoning is coming folks.
 
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thecarbonionangle said:
I despise nepotism. It is a big problem in our field . Two attendings at NY Methodist ( an awful awful place btw) RO program have graduated their kids from it (one of them is the chair). The chair of University of Wisconsin just matched his own son. Howard Sandler’s daughter is a RO. The CS program was not around yet but she did match nearby with his buddy at UCLA. The specialty has been corrupt for a long time. When it all burns down, and one may argue it already is ( the dance by Garth Brooks serenates our cremation), we will have earned it many times over. I mean we have PW who heads one of the most corrupt companies in oncology, the JP MORGAN Jamie Dimond of RO in charge of our boards. We are fu**** in case you did not know!

the field deserves a 2 am no knock fed raid, dragged out of mansion bag over head, no shirt on, aaron hernandez roger stone style. The day of reckoning is coming folks.
Click to expand...

I honestly don't think most people understand how strange it is to have a Senior VP of 21C be the Executive Director of RadOnc for the ABR.

It's like putting Bernie Madoff in charge of the Federal Reserve.

Our house is definitely in order, nothing to see here folks, #radoncrocks, medical students trying to match into this specialty totally aren't torching their futures, nope nope nope.
 
thecarbonionangle said:
...I despise nepotism. ...
Click to expand...

I agree with this. Nepotism is bad.

Most father-kid doctors I know are from different programs.
For example, a thoracic surgeon I know (surgeon A)...his son (surgeon B) was trained in a different thoracic program and practices independently.
Ditto for father-kid internists or ENTs I know etc.

I cannot even think about telling my kid to attend the same program where I work. It is just sickening.
It creates a conflict-of-interest issues, if the other residents want to complain, how do they complain?

The people in this field can be very good or can be a disgrace!
 
thecarbonionangle said:
probably a nepotism thing. Maybe not. I know of two people who had their own parents put them as authors in their papers starting in early college. One of them even got to be senior author. Both of them in rad onc now. Academic medicine is a complete joke. I find that when someone has like a ton of pubs the higher chance someone is full of BS. I just do not trust resume padders. Seeing this sort of thing across academic medicine and culture of “i scratch your back and you scratch mine”, people get added to papers with minimal to nocontributions, people are left out who actually do the work. The politics are nauseating. For example, Lisa Kachnic ended up senior author in the hippocampal avoidance paper and she treats GI, not Mehta but Kachnic.Disgusting stuff. I doubt my sister can actually contour the hippocampus or even find it. You know im right folks!
Click to expand...

When I was in residency at unnamed institution, we were required to list all the faculty on our papers as authors (including those out on maternity leave, etc.), but the same courtesy was not extended to the residents. Per our chairman, the faculty "needed more publications to advance in academic rank." When asked why they weren't doing their own research or publishing their own papers, we were told if we asked that again we would be let go.
 
Tigerstang said:
When I was in residency at unnamed institution, we were required to list all the faculty on our papers as authors (including those out on maternity leave, etc.), but the same courtesy was not extended to the residents. Per our chairman, the faculty "needed more publications to advance in academic rank." When asked why they weren't doing their own research or publishing their own papers, we were told if we asked that again we would be let go.
Click to expand...
Sounds about right.

In my experience the number of last minutes changes and/or additions requested by co-author is inversely proportional to their involvement in said project. I always loved sending out the final paper for approval before submission and having Dr. Joe Blow want these 12 other papers cited or wants another factor analyzed. Whatever. Just take the CV fodder.
 
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Tigerstang said:
When I was in residency at unnamed institution, we were required to list all the faculty on our papers as authors (including those out on maternity leave, etc.), but the same courtesy was not extended to the residents. Per our chairman, the faculty "needed more publications to advance in academic rank." When asked why they weren't doing their own research or publishing their own papers, we were told if we asked that again we would be let go.
Click to expand...

this is still happening.
 
Tigerstang said:
When I was in residency at unnamed institution, we were required to list all the faculty on our papers as authors (including those out on maternity leave, etc.), but the same courtesy was not extended to the residents. Per our chairman, the faculty "needed more publications to advance in academic rank." When asked why they weren't doing their own research or publishing their own papers, we were told if we asked that again we would be let go.
Click to expand...

This has been my favorite experience in RadOnc residency:

"Why is this thing done this way?"

"Ask again and you'll find no one is willing to be a reference for your job search."

"Ah...message received."
 
Tigerstang said:
When I was in residency at unnamed institution, we were required to list all the faculty on our papers as authors (including those out on maternity leave, etc.), but the same courtesy was not extended to the residents. Per our chairman, the faculty "needed more publications to advance in academic rank." When asked why they weren't doing their own research or publishing their own papers, we were told if we asked that again we would be let go.
Click to expand...

Yeah I dealt with some form of this as well - put all the senior author's buddies and referring docs on a site-specific paper, i.e. H&N paper got H&N surgeons, med oncs, and a couple H&N RO buddies all on it. 10-15 authors for one database analysis. Only allowed to put one other resident on it.

It was just 'how things are done', not only in our department, but many others. Which is why unless someone is first, second, or senior author on a retrospective analysis, I just figure they did nothing for the actual paper.
 
evilbooyaa said:
Which is why unless someone is first, second, or senior author on a retrospective analysis, I just figure they did nothing for the actual paper.
Click to expand...
Safe assumption.

There was one paper I published as a resident where I literally did all the work. Conception, chart review, dosimetric analyses, stats, wrote it, everything. Months of work. Chairman took 1st and bumped me to 3rd.

Still sticks in my craw.

Had a similar thing happen in med school but effectively begged for 2nd. Like guys, why isn't senior good enough for you? You REALLY need to take my authorship? Are you that thirsty?
 
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elementaryschooleconomics said:
This has been my favorite experience in RadOnc residency:

"Why is this thing done this way?"

"Ask again and you'll find no one is willing to be a reference for your job search."

"Ah...message received."
Click to expand...

common threat in academics: “ you know it woud be shame if you just did not get a job”, usually with like something they want you to do or change. It is no surprise there is constant advocacy for people to voice their opinions with their “real names”. You would be run through the meat grinder. These people are absolute THUGS. Rad onc size lends itself to this sort of mob like behaviour thuggery, where you have to kiss the ring, bend the knee. Even then you may still get whacked.
In the Irishman, they ask him “i hear you paint houses”. Irishman responds “i also do a bit of carpentry”. As a rad onc resident you are an irishman painter carpenter plumber electrician butcher. You do all to serve your mob overlords. They even use your back as a stepping stool for their career. You get the theme here folks!
 
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Mandelin Rain said:
Safe assumption.

There was one paper I published as a resident where I literally did all the work. Conception, chart review, dosimetric analyses, stats, wrote it, everything. Months of work. Chairman took 1st and bumped me to 3rd.

Still sticks in my craw.

Had a similar thing happen in med school but effectively begged for 2nd. Like guys, why isn't senior good enough for you? You REALLY need to take my authorship? Are you that thirsty?
Click to expand...

Similar thing happened to me just a few months ago. I also begged to be moved up after doing the bulk of the work/writing/figure design.

My begging was not as successful, sadly.

Oh well, #radoncrocks.
 
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