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OTN said:
Her2+ patients who are controlled extracranially but who fail in the brain, causing their demise, is one of the worst things ever, and I see it frequently. Let's hope Enhertu helps.
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Seems like the big deal here is that it helps with low score her2 patients 1+ etc. maybe it will make into the adjuvant/neoadjuvant setting and help decrease local failure?
 
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RealSimulD said:
Lugubrious leader of ABR:

“It’s urban legend that our long certification process is scaring off applicants”

Said today at ABR townhall.

So glad we give our money to these scoundrels.
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I hear PW is in amazing health and easily has 15 years in him! He will die on throne.
 
jondunn said:
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This is the big one: "Programs, regardless of size, must maintain a ratio of at least 1.5 clinical physician faculty members to each resident." Previously, this was "The core clinical faculty-to-resident ratio must be at least 0.67 FTE clinical faculty members for every resident in the program."

Some programs will have trouble or may not be able to meet that. This may force some downsizing of resident compliments or hiring of new faculty or maybe even program closures. It will be interesting to see how this requirement plays out.
 
fiji128 said:

This is the big one: "Programs, regardless of size, must maintain a ratio of at least 1.5 clinical physician faculty members to each resident." Previously, this was "The core clinical faculty-to-resident ratio must be at least 0.67 FTE clinical faculty members for every resident in the program."

Some programs will have trouble or may not be able to meet that. This may force some downsizing of resident compliments or hiring of new faculty or maybe even program closures. It will be interesting to see how this requirement plays out.
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Also the way this is worded makes me think that adjunct faculty not at main site can be counted? So places can include affiliated docs, satellites to meet this or is this only primary site and primary affiliation? Places like NYPM lumping cornell faculty. Same folk approved their expansion
 
thecarbonionangle said:
Also the way this is worded makes me think that adjunct faculty not at main site can be counted? So places can include affiliated docs, satellites to meet this or is this only primary site and primary affiliation? Places like NYPM lumping cornell faculty. Same folk approved their expansion
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I don't think so. Description of "Core" faculty starts on line #516 but sounds like they need to have at least some real resident contact.
 
fiji128 said:

This is the big one: "Programs, regardless of size, must maintain a ratio of at least 1.5 clinical physician faculty members to each resident." Previously, this was "The core clinical faculty-to-resident ratio must be at least 0.67 FTE clinical faculty members for every resident in the program."

Some programs will have trouble or may not be able to meet that. This may force some downsizing of resident compliments or hiring of new faculty or maybe even program closures. It will be interesting to see how this requirement plays out.
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I think some places will hire faculty to maintain their program. I guess will help the job market
 
Any place where the main site Is a county hospital is usually a pretty bad residency experience replete with scut, low funding work environment.
 
jondunn said:
If enforced this is huge. Most places don’t meet this.

Time to shut down some total ****holes like Miami and Baylor
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Miami is a large department w/protons and hundreds of pts on beam. (And I know some very good faculty) Pollack is a thought leader w/R01s who has multiple phase 3 trials nationally, at mdacc and Fox chase. I have no clue abt their residents, but it is not in the same league as a Baylor, Nypresby, Columbia , Mississippi, or LIJ. I would say that it is a solid mid tier, but that may not be enough for the residents to land decent employment.
 
RickyScott said:
Miami is a large department w/protons and hundreds of pts on beam. (And I know some very good faculty) Pollack is a thought leader w/R01s who has multiple phase 3 trials nationally, at mdacc and Fox chase. I have no clue abt their residents, but it is not in the same league as a Baylor, Nypresby, Columbia , Mississippi, or LIJ. I would say that it is a solid mid tier, but that may not be enough for the residents to land decent employment.
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Which is quite a statement considering the weight that Miami throws around. Abysmal employment prospects and they just keep coming.
 
RickyScott said:
Miami is a large department w/protons and hundreds of pts on beam. (And I know some very good faculty) Pollack is a thought leader w/R01s who has multiple phase 3 trials nationally, at mdacc and Fox chase. I have no clue abt their residents, but it is not in the same league as a Baylor, Nypresby, Columbia , Mississippi, or LIJ. I would say that it is a solid mid tier, but that may not be enough for the residents to land decent employment.
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I thought protons were at Baptist/MCI?
 
RickyScott said:
Miami is a large department w/protons and hundreds of pts on beam. (And I know some very good faculty) Pollack is a thought leader w/R01s who has multiple phase 3 trials nationally, at mdacc and Fox chase. I have no clue abt their residents, but it is not in the same league as a Baylor, Nypresby, Columbia , Mississippi, or LIJ. I would say that it is a solid mid tier, but that may not be enough for the residents to land decent employment.
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That all sounds good on paper!

I’m sure that’s all over their residency interview day slides!

Have you talked to someone who trained there in the last 5 yeears? They all freaking hate it

Meanwhile btw LIJ residents actually have good things to say

Culture and day to day matter a lot.
 
RealSimulD said:
Lugubrious leader of ABR:

“It’s urban legend that our long certification process is scaring off applicants”

Said today at ABR townhall.

So glad we give our money to these scoundrels.
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...what?

Does that even make logical sense if you have ever:
1) lived as a human?
2) known other living humans?

Becoming a physician in the United States is an incredibly long, difficult, and expensive process.

If you are someone who could see yourself practicing in at least a few different specialties - you know, like 95% of us - and you're looking at pros and cons of each, do PW et al REALLY think our board certification process isn't noticed?

Four exams over three years, two of those exams in basic science, one oral exam at least a year after finishing residency?

Unchanged pass rates year after year despite a huge increase in average Step 1 score? A "bad" year pre-crash where a HUGE number of people failed and the ABR's response was the resident quality was dropping...with absolutely zero evidence to back up that claim? The actual board exams themselves a black-box process with no feedback and no accountability?

What an absolutely crazy statement. It's not like people are out here picking specialties ONLY based on the certification process, but...I have absolutely heard people say they loved RadOnc and went elsewhere specifically because of physics boards.

Objectively, RadOnc is:

5 years long
With no integrated intern year
Meaning you might/probably will have to move twice
Difficult job prospects
The most elaborate board exam process in all specialties medical students can directly Match into

Wow, what an appealing prospect.
 
jondunn said:
That all sounds good on paper!

I’m sure that’s all over their residency interview day slides!

Have you talked to someone who trained there in the last 5 yeears? They all freaking hate it

Meanwhile btw LIJ residents actually have good things to say

Culture and day to day matter a lot.
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LIJ residents may have good things to say but let's be honest.... Does that program need to exist? Are they seeing the same breadth of cases as Miami is as the only training center in the largest city in FL and the gateway to South America?
 
jondunn said:
That all sounds good on paper!

I’m sure that’s all over their residency interview day slides!

Have you talked to someone who trained there in the last 5 yeears? They all freaking hate it

Meanwhile btw LIJ residents actually have good things to say

Culture and day to day matter a lot.
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I have not spoken with any residents and it could very well be malignant. Heard that one of their best docs got screwed by the university and took simuls job at banner. I am just pointing out that is not a dinky department like brooklynn and others on the hellpit list. Regardless, residents will need to attend top tier programs to have a decent shot at future jobs.
 
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Who cares if pollack has an RO1 or if he had that mdacc hypofrac trial. The residents have terrible job placement, some have graduated straight up unemployed. Some literally ended up in middle of nowhere for years. Talk to former residents and hear truth. Pay attention folks
 
thecarbonionangle said:
Who cares if pollack has an RO1 or if he had that mdacc hypofrac trial. The residents have terrible job placement, some have graduated straight up unemployed. Some literally ended up in middle of nowhere for years. Talk to former residents and hear truth. Pay attention folks
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That’s my point. Even a midrange program is not enough. Residents at such places absolutely must be elected to ARRO, spout off on DEI, leadership, and radonc propaganda on twitter to have any hope of snagging a crappy satellite in Kansas.
 
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Speaking of Kansas i have heard nothing but good things recently. This program went from half of grads failing boards and worst program in country to a decent place. There is hope for improvement in places who care. The issue is many hellpits like the status quo just fine. Sometimes institutional MO is precicesily what it was designed to be! Dont get it confused!

Some hellpits have been around since 1980s and yet zero improvement. Many places need to be shut down.
 
I’m hearing that LeBron will only match where his son matches!
 
Reading about Miami here seems like we're dealing with different worlds.
Our residents are amazing, and pretty much everyone over the years has gotten the job they wanted. We advocate very strongly for them on their job search, successfully.
They are pretty well protected, with consistent and constant improvement in their education/experience. We're really busy, and residents have their choice of attendings to work with. We're above 1.5 attendings per resident, and no one does double coverage or anything like that.
Jackson Memorial Hospital is a county hospital, and on the same campus as Sylvester, though it is very much a minor clinical site.
Sylvester is a NCI-designated cancer center, having attained the grant 2 years ago. It's a very different place than it was 20+ years ago when it lost its NCI designation.
The strength of our other service lines, (oncology, surgery, etc) are also top of the line, which only adds to a great residency experience.

It's an anonymous forum and I have no doubt I'm not changing some of your minds. though if any of you want to learn more about what it's really about and maybe join us (we're growing. A lot). send me a DM!
 
rymd said:
Reading about Miami here seems like we're dealing with different worlds.
Our residents are amazing, and pretty much everyone over the years has gotten the job they wanted. We advocate very strongly for them on their job search, successfully.
They are pretty well protected, with consistent and constant improvement in their education/experience. We're really busy, and residents have their choice of attendings to work with. We're above 1.5 attendings per resident, and no one does double coverage or anything like that.
Jackson Memorial Hospital is a county hospital, and on the same campus as Sylvester, though it is very much a minor clinical site.
Sylvester is a NCI-designated cancer center, having attained the grant 2 years ago. It's a very different place than it was 20+ years ago when it lost its NCI designation.
The strength of our other service lines, (oncology, surgery, etc) are also top of the line, which only adds to a great residency experience.

It's an anonymous forum and I have no doubt I'm not changing some of your minds. though if any of you want to learn more about what it's really about and maybe join us (we're growing. A lot). send me a DM!
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Thanks for coming on here and clarifying some of the misinformation. Good to hear that Sylvester regained NCI designation
 
rymd said:
Sylvester is a NCI-designated cancer center, having attained the grant 2 years ago. It's a very different place than it was 20+ years ago when it lost its NCI designation.
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This was something that used to be talked about a lot more during "peak" RadOnc, but other more pressing issues (jobs etc) have dominated the conversation in recent years.

Not commenting on Miami specifically but - I have personally witnessed programs undergo relatively drastic culture/education changes in relatively rapid timeframes. In such a small field, having just a few faculty come or go - especially a change in Program Director - can have huge consequences in both good and bad directions, sometimes in very unpredictable ways.

It is hard for programs to "shake" reputations once earned, sometimes unfairly, sometimes very much deserved.

But, just because I haven't gotten to say this in awhile and it feels nostalgic - students considering Matching into RadOnc should look closely at faculty turnover of things like losing (or re-gaining) NCI/program project grants etc.
 
Of course the usual drive by from someone affiliated with the institution, likely a PD saying what others know to be truth is usual fake news. Back to regular business folks. Ignore those anonymous misanthropes
 
Miami is definitely not a bottom tier program but it is also definitely not top tier. This is best illustrated with current MD, PhD faculty member from Miami who graduated medical school from Miami, but went elsewhere for residency and then returned home for work. Obviously, he thought UM wasn’t top tier. The program is a solid mid-tier program that has lots of positives and some negatives.
 
Bequerel said:
Miami is definitely not a bottom tier program but it is also definitely not top tier. This is best illustrated with current MD, PhD faculty member from Miami who graduated medical school from Miami, but went elsewhere for residency and then returned home for work. Obviously, he thought UM wasn’t top tier. The program is a solid mid-tier program that has lots of positives and some negatives.
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In the current environment, a decently competitive US grad should be matching above Miami nonetheless
 
jondunn said:
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Hit him with the triple negative. "don't not disagree." Confusing? Sure. But he's still not in agreement.

Anyway.... I had a similar STS of the extremity approved some time back. Contour the underlying bone and make a comparison 3D. If IMRT spares the v50 of the bone to <50% and 3DCRT does not, they can approve I was told. My plans met the criteria.
 
rymd said:
Reading about Miami here seems like we're dealing with different worlds.
Our residents are amazing, and pretty much everyone over the years has gotten the job they wanted. We advocate very strongly for them on their job search, successfully.
They are pretty well protected, with consistent and constant improvement in their education/experience. We're really busy, and residents have their choice of attendings to work with. We're above 1.5 attendings per resident, and no one does double coverage or anything like that.
Jackson Memorial Hospital is a county hospital, and on the same campus as Sylvester, though it is very much a minor clinical site.
Sylvester is a NCI-designated cancer center, having attained the grant 2 years ago. It's a very different place than it was 20+ years ago when it lost its NCI designation.
The strength of our other service lines, (oncology, surgery, etc) are also top of the line, which only adds to a great residency experience.

It's an anonymous forum and I have no doubt I'm not changing some of your minds. though if any of you want to learn more about what it's really about and maybe join us (we're growing. A lot). send me a DM!
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I know rank lists were due for you all yesterday - hope this got you some hits!

I empathize with the fact that you guys have gone unfilled in recent past. If you don’t fill, I know pollack may be angry with you.

In all seriousness - i hope Miami improves and becomes a better training program for residents. You all certainly have the location.
 
jondunn said:
I know rank lists were due for you all yesterday - hope this got you some hits!

I empathize with the fact that you guys have gone unfilled in recent past. If you don’t fill, I know pollack may be angry with you.

In all seriousness - i hope Miami improves and becomes a better training program for residents. You all certainly have the location.
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I know nothing about Miami, but I do find it interesting that a few short posts after admitting that you were wrong about Kansas and how the culture there clearly changed in a short time from what you knew, you are now doubling down on another institution that claims to have done the same?

I agree with what others have said. Culture can change year to year particularly if there are big changes in program leadership or in the institution. It's really hard for an outsider to know if things have gotten better or worse.
 
CaesarRO said:
I know nothing about Miami, but I do find it interesting that a few short posts after admitting that you were wrong about Kansas and how the culture there clearly changed in a short time from what you knew, you are now doubling down on another institution that claims to have done the same?

I agree with what others have said. Culture can change year to year particularly if there are big changes in program leadership or in the institution. It's really hard for an outsider to know if things have gotten better or worse.
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What did I say about Kansas?

You have me confused

The people I know graduated in the last 4 years, multiple

Really not sure why people are not even a little bit suspicious of an Assistant PD’s post
 
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