You think people that are partnered into technical practices now got in for free? You seem like a big Bernie bro, bro
Agree. That said, I’ve found it’s way easier for an admin to replace you than it is for an admin to decimate (using strict definition of the word) a practice.
Makes me sad that you're wrong. Neither admin nor patients know the difference between a great rad onc vs a crappy rad onc. Neither do probably 90% of our colleagues in other specialties. And that's being generous.
It is INCREDIBLY hard for non-RadOncs to know who is "crappy" and who is not.
I don't even know if I'M crappy.
Heck, you could literally be the best doc on the planet - but if your Dosimetrist is meh, and your therapists are phoning it in, it doesn't matter at all.
If you don’t know when to give 20/5 vs 30/10 then you’re crappy!
No just need an inpatient Palliative fellowship. Unfortunately Columbia rad onc stopped offering that experience
The Mendoza line of every rad onc in a group should be recorded and assiduously followed
Works great until word gets out unless you're in a captive market... Eventually people figure out who not to send to
Recently asked an admin about how to measure quality of a rad onc in the context of metrics/incentives. Was taken on a roundabout of the first two "A"s of private practice.
Definitely batting above that line in trivia not previously known to me. Kudos.
Had to always stay above our group's Mendoza line in one practice I was in; which essentially was if you were the lowest producer you couldn't go less than 20% lower than the person above you in terms of collections or your time was numbered. Mendoza lines can be arbitrarily decided.
www.medscape.com
I can’t guess.. what happened ?Not a tweet but this has become de facto news thread. This one is….weird.
Wake Forest Cancer Center Director Fired, Advisory Board Resigns
The director, Boris Pasche, MD, was fired one day after the National Cancer Institute renewed its funding for the center; the entire external advisory board has resigned.
You can pretty much guess at what happened, but it won’t make you love modern day medicine anymore.
Atrium buys Wake for the name. I'd guess that Pasche's academic vision was not compatible with Atrium Health's corporate goals. The fact they fired him 1 day after securing NCI designation and grants, indicates he was used exclusively for that purpose.
Look for rapid expansion of Wake's residency program.
SERO is HUGE. Have to be at least twice as big as Wake in terms of clinical (money making) docs. Additionally, "their" system just bought Wake and fired the director. Not the other way around. They're in the driver's seat.
If they are doing a joint venture proton center with the system, I'm guessing they are pretty secure.
youll make plenty, plenty more once partner. they're not worried about those associate years.
Very short sighted to concern yourself with early lower salary. But it does take til year 10 to really see the good good.
Yup almost guaranteed. Private groups starting fellowships, some private groups truing to start “residencies”, and private groups expanding residencies for cheap labour is the present and future folks!
Would love to see it!
Which ones?
MCI and INOVA have both posted for “fellowships”. Minesh and Gopal love a good IMG slave.
Sero has reputation as being very fair and transparent with their new docs (unless things have changed recently). It is a relative king path to full technical partnership but they are upfront about that. The workload used to be balanced by a fairly strict formula. If your site became low on patients you might have to rotate to a different site one day a week to keep workload balanced between docs.
