Rad Onc Twitter

  • Thread starter Thread starter deleted1002574
  • Start date Start date
This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.
metallica81788 said:
The only way change happens is when offenders get called out. Full stop.
Click to expand...
Yeah, I don't see any other way to do it - we can't keep just talking in a general sense of "oh we should cut spots".

At this point, not naming names is basically turning RadOnc Residency Expansion into the (apocryphal) Kitty Genovese.
 
Also, this is my favorite part:

1643926896275.png
 
jondunn said:
Click to expand...

TheWallnerus said:
I don't think that letter pattern from step 1 to 2 to 3 is achievable unless you are a bad WORDLE player. It's not computing for me.
Click to expand...
You must not be... a FUNGI to be around Wallnerus.

Not a bad word for Wordle. Not the best word, probably not the 'optimal' word, but not a bad second screening word
Chartreuse Wombat said:
Agree. Need wordle thread?

www.macobserver.com

Here's How to Save 'Wordle' After its Purchase by New York Times

A tip from The Verge shows you how to save Wordle so you can play it on your computer at any time, even offline.
www.macobserver.com
Click to expand...
Feel free to! I'm sure lots of the nerds that joined RO are playing...
 
methodist is still around? By far the worst program back in my day

dumpster trash had to interview everyone in my year just to match despite rad onc being so competitive
 
the methodist program is terrible, would make a baptist curse in church
 
ROforbetterorworse said:
methodist is still around? By far the worst program back in my day

dumpster trash had to interview everyone in my year just to match despite rad onc being so competitive
Click to expand...
What exactly happened there? Methodist program merged with someone?
 
1643937743284.png


I am so utterly exhausted from the weaponization of the word "professionalism" in medicine.

In 2022, anyone who chooses to unsheathe "professionalism" when expressing an opinion or taking a side in a debate is basically doing the same thing as saying "no offense, but..."

It's a huge red flag.
 
jondunn said:
Click to expand...


I think both posters seem misguided.
Medical students don’t know anything. They like to think they are informed but they are not.

Also I think market based correction will never happen due to soap. The solution to this problem seems to be to extend and increase training requirements but what would this even look like?

Radonc residencies on the whole I think are already just large tracts of wasted time. People get one whole year of research at many institutions and what exactly are they learning at that point? You extend the residency for what so you can contour a prostate better? Add another year of research which is basically just a paid vacation at a lot of lower tier programs. It’s a joke.
 
evilbooyaa said:
You must not be... a FUNGI to be around Wallnerus.
Click to expand...
So here was my thinking. First, assume the player is not an idiot and tries to build on successive plays. "FUNGI" on the second play works (many plays work on the second play in isolation; I saw "BUNGE" e.g.). But FUNGI on the second play means his first play would have required the letters in (yellow) spots 1 and 3 as: U-G, G-U, N-U, or N-G (and no play of L or S anywhere). N could not be in spot 3 in play 1 ("FUNGI" in play 2 strongly implies N was in spot 1 in play 1 I think, too; leaving just N-U or N-G as options... I don't know of ANY constricted-play N-G-- word, and N-U-- is "nouns" but that's unplayable in play 1). That really restricts the words in play 1 to such a degree you couldn't have played a word in play 1 to get to play 2 and 3 (if play 3 is "LUNGS" and play 2 has all green "-UNG-"). Admittedly I have not deeply analyzed this with dictionary searches... just a brain search.
 
Last edited:
RadsWFA1900 said:
Radonc residencies on the whole I think are already just large tracts of wasted time. People get one whole year of research at many institutions and what exactly are they learning at that point? You extend the residency for what so you can contour a prostate better? Add another year of research which is basically just a paid vacation at a lot of lower tier programs. It’s a joke.
Click to expand...
Completely agree. I understand how the structure of our current 5 year residency evolved, but man is there a lot of wasted time.

If we're being honest with each other, it's really just 3 years of RadOnc, with a year of "research" (lol) and usually an intern year in general medicine, which is great if you want to have a well-rounded life experience but very little is applicable to our actual practice.

In a perfect world, we would take those two...superfluous...years and do something meaningful with them, like dedicated experiences with the surgeons, Radiology, Medical Oncology, etc. Or heck even build in more Internal Medicine to allow us to sit for those boards too and expand our presence in medicine in general.

Eh this is another conversation for another time, we can't even stop people from opening new programs for no reason, who even cares anymore.
 
elementaryschooleconomics said:
Completely agree. I understand how the structure of our current 5 year residency evolved, but man is there a lot of wasted time.

If we're being honest with each other, it's really just 3 years of RadOnc, with a year of "research" (lol) and usually an intern year in general medicine, which is great if you want to have a well-rounded life experience but very little is applicable to our actual practice.

In a perfect world, we would take those two...superfluous...years and do something meaningful with them, like dedicated experiences with the surgeons, Radiology, Medical Oncology, etc. Or heck even build in more Internal Medicine to allow us to sit for those boards too and expand our presence in medicine in general.

Eh this is another conversation for another time, we can't even stop people from opening new programs for no reason, who even cares anymore.
Click to expand...

Its really amazing just the sheer amount of wasted time. Where is the moral outrage for that? They just fill it with nonsense. I think this is the root of the clinical minutiae that we are expected to regurgitate. It simply papers over the fact that there isn’t much to learn.
 
One year of internship and then 24-36 months of an intense residency. 24 + 12 months research plus the oral or 36 months clinical without the oral?
 
fiji128 said:
If training can be sufficiently completed in 24 months that strongly argues we should just be a fellowship after radiology or IM.
Click to expand...

Which is probably what it should have been made into back in the 90s.
 
maxxor said:
Radonc training should be no longer than hemonc.
Click to expand...

The fact that it is just illustrates what a sham RO training has become. In the era of penny pinching and ****ty job prospects, trainees should have little patience for the hand waving obscurantism used to justify unnecessarily long residencies.
 
TheWallnerus said:
So here was my thinking. First, assume the player is not an idiot and tries to build on successive plays. "FUNGI" on the second play works (many plays work on the second play in isolation; I saw "BUNGE" e.g.). But FUNGI on the second play means his first play would have required the letters in (yellow) spots 1 and 3 as: U-G, G-U, N-U, or N-G (and no play of L or S anywhere). N could not be in spot 3 in play 1 ("FUNGI" in play 2 strongly implies N was in spot 1 in play 1 I think, too; leaving just N-U or N-G as options... I don't know of ANY constricted-play N-G-- word, and N-U-- is "nouns" but that's unplayable in play 1). That really restricts the words in play 1 to such a degree you couldn't have played a word in play 1 to get to play 2 and 3 (if play 3 is "LUNGS" and play 2 has all green "-UNG-"). Admittedly I have not deeply analyzed this with dictionary searches... just a brain search.
Click to expand...

I think you're assuming that line 2 has to build off the yellow in line 1. That is a natural assumption, and, in general, how I would play the game. However, I do wonder if some out there may be doing two separate 'screening' words to cover say all vowels and the major consonants (say the RSTLNE from Wheel of Fortune), especially those with say... less comprehensive vocabularies, who need more of "Here are the vowels that are or are not in the word". Sure, it eliminates their chances of getting a 2/6, but maybe it increases 3/6? Or maybe it's for those who are scared of not getting the word AT ALL.

What if the first word was solar? That with FUNGI would knock out every vowel except E. and hit many of RSTLNE. Or maybe salty (b/c a Y can really throw folks for a loop)? Again, perhaps not optimal play, but I'm sure some folks out there play Wordle for fun not for ze most optimal strategy of all time.
 
evilbooyaa said:
I think you're assuming that line 2 has to build off the yellow in line 1. That is a natural assumption, and, in general, how I would play the game. However, I do wonder if some out there may be doing two separate 'screening' words to cover say all vowels and the major consonants (say the RSTLNE from Wheel of Fortune), especially those with say... less comprehensive vocabularies, who need more of "Here are the vowels that are or are not in the word". Sure, it eliminates their chances of getting a 2/6, but maybe it increases 3/6? Or maybe it's for those who are scared of not getting the word AT ALL.

What if the first word was solar? That with FUNGI would knock out every vowel except E. and hit many of RSTLNE. Or maybe salty (b/c a Y can really throw folks for a loop)? Again, perhaps not optimal play, but I'm sure some folks out there play Wordle for fun not for ze most optimal strategy of all time.
Click to expand...
Can confirm, I have done this, and I've advocated others do this when stuck as well.
 
RadsWFA1900 said:
The fact that it is just illustrates what a sham RO training has become. In the era of penny pinching and ****ty job prospects, trainees should have little patience for the hand waving obscurantism used to justify unnecessarily long residencies.
Click to expand...
The PD from Columbia was on here promoting his residency, boasting they allow residents a year off from clinical responsibility to get a masters in bioethics. WTF? Defacto proof of overdrawn residency. Also, i would nver hirse someone who spent one year of residency getting an MFA/film degree etc instead of improving clinical skills.
 
Last edited:
RealSimulD said:
24 months at a good program probably enough ? High volume and actual teaching. Maybe I’m off…
Click to expand...

I'd personally advcoate for 36 months clinical, with the last year being a "yeah you're basically doing attending level work with a backstop"
 
evilbooyaa said:
I think you're assuming that line 2 has to build off the yellow in line 1. That is a natural assumption, and, in general, how I would play the game. However, I do wonder if some out there may be doing two separate 'screening' words to cover say all vowels and the major consonants
Click to expand...


yeah some are, this is called easy mode

aka WEAK

If you're going to play Wordle, play hard more (aka you have to use letters you have identified) or don't play at all.
 
evilbooyaa said:
I think you're assuming that line 2 has to build off the yellow in line 1.
Click to expand...
CaesarRO said:
Can confirm, I have done this, and I've advocated others do this when stuck as well.
Click to expand...

Of course I'm assuming that! To use the parlance of the TG physicists: I "constrained the optimization" and I'm assuming the player is playing optimally. I freely admit that a Lloyd Christmas type move of SOLAR->FUNGI->LUNGS is playable. But getting two yellows in play 1 is a good play, and it's sure not being "stuck"; it's too much information to ignore/avoid in play 2. Not using that much info in play 2 wouldn't be easy mode, it'd be loooooooser mode 🙂
 
TheWallnerus said:
Of course I'm assuming that! To use the parlance of the TG physicists: I "constrained the optimization" and I'm assuming the player is playing optimally. I freely admit that a Lloyd Christmas type move of SOLAR->FUNGI->LUNGS is playable. But getting two yellows in play 1 is a good play, and it's sure not being "stuck"; it's too much information to ignore/avoid in play 2. Not using that much info in play 2 wouldn't be easy mode, it'd be loooooooser mode 🙂
Click to expand...

There's a joke somewhere in there about medical physicists not having the best english language skills and thus having to play wordle on easy mode, but I won't make it!
 
Krukenberg said:
I would take my kid to a proton center with high peds volume. I don’t have numbers, but I’d guess most centers do not. Proton therapy done poorly is very dangerous IMO
Click to expand...
Practice does not make perfect.

Only perfect practice makes perfect.

Too bad the "P" in "CPT" stands for something else.
 
You must log in or register to reply here.

Similar threads

uchihastan
Rad Onc vs. Heme/Onc
Replies
18
Views
2K
medgator
M
B
Rad Onc Procedures and RVUs
Replies
35
Views
5K
CurbYourExpectations
CurbYourExpectations
D
Saving Rad Onc
2
Replies
60
Views
7K
RickyScott
R
TheWallnerus
Rad Onc is in a dark place
Replies
13
Views
3K
RickyScott
R
M
Rad Onc Oral Boards: To quote or not quote studies?
Replies
2
Views
262
medgator
M
Top