A few years... Most of his time was at Mayo and uf iirc. The big picture answer is that the IOAE is the only way private practice rad oncs have been able to survive. Being a single specialty RO group has pretty much gone the way of being a dinosaur, only want to ensure referrals is to get everyone skin in the game
I just don't find it to be helpful to say he's never worked in PP when in fact he was an owner, and changing goalposts to say "oh well it was a few years". Either he worked as an owner and has experience or he doesn't. It's pretty binary.
Think someone could get "Academic Medicine's Use of Proton Therapy for Prostate Cancer" accepted into NEJM? Would likely make urorads look bush league in terms of expenditures on a per patient basis.Yes ASTRO held a big press conference about it
NEJM study exposes overuse of radiation therapy when urologists profit from self-referral
A comprehensive review of Medicare claims for more than 45,000 patients from 2005 through 2010 found that nearly all of the 146 percent increase in intensity- modulated radiation therapy for prostate cancer among urologists with an ownership interest in the treatment was due to self-referral...www.eurekalert.org
Once again MDACC leads the way
I bet they "chose wisely" and boosted the lumpectomy bed with protons.Once again MDACC leads the way
Or maybe it isn't? 10+ years at Mayo/UF and a few at okc? If he was in PP why would he blatantly misrepresent what the IOAE allowed private practitioners to do?
Because there were two sides to this.
Actually I hear the side effects are sometimes so bad with proton breast that patients have to be switch to photons by the boost phase because their skin is "roasted" according to proton therapy techs TRUE STORY!
Once again MDACC leads the way
Omg the worse part is they think they are helping people when they take on these ancillary roles
We can't just eliminate UroRads because we don't like their tactics. And they have one tactic, really: they (the urologists) control the patients. And as we know, whole health systems base their existence on this "tactic." In-office ancillary cuts both ways, good and bad. I think there is patient care value to having in-office radiology, in-office labs, in-office pharm, in-office PT, etc. We can get jealous and bitter and call our congressman, we can go into specialties that are not "tertiary referral," or we can join with other colleagues in other specialties. That rad onc is an in-office ancillary exemption is a relic of the not-too-long-ago days gone by when "radiology" meant "diagnostic radiology" or "therapeutic radiology" (and the phrase "radiation oncology" didn't even exist).
Another good reason not to hitch our professional livelihood's future to ASTRO's wagon!
www.propublica.org
I'd be sprightly too if my response to problems was "there is no problem.". How great would that be? Not having to listen to my patients problems would make things way easier.
He strikes me as more of an adderall snorter.
Drew used to be in the South, surprised he doesn't remember the real definition of "spright"... it's almost the opposite of "alive"
def see him with the 2 hookers and coke, but would be in a cheap motel and no monologue about phil collins- just some pathetic babbling about lung sbrt, and then leaving with monkeypox
Rumor has it that Drew Moghanaki only has 10 ribs.
I would much rather hang out with Patrick Bateman than Drew M. What a great movie. You can close your fist on it a hundred times and come away empty handed every time.
This thread pretty much sums up the field. The radonc world was very eager for Pippa Cospers (I don't know her and will assume the best) circa 2013. The field at prestige programs had essentially transcended clinical medicine at that time in terms of residency selection. Residents were a collection of the "best of the best" who were gonna change medicine through research. Some of them did land jobs as bonified physician scientists, but many are now stuck in a shrinking clinical field. The values of academic medicine will of course favor the former over the latter. Some of the former will end up being chairs who will discourage residency contraction.
"Transcended clinical medicine" is the perfect way to describe my entire experience in RadOnc residency recruitment and "training".
Same. I applied in those years and was in utter panic about matching because I do not have a PhD. I am still committed to cancer patients, but as Simul put it on the recent pod, my connection with those patients is waning because of the shorter treatment courses.
Through all the MD PhDs, all the Eponymous Labs, all the hype... not one drug has ever shown more synergy/additive effect with radiation therapy than cisplatin, and not one drug has shown better radioprotective effects than WR-2721. Both drugs were not discovered or developed by MD PhD rad oncs AFAIK, and both are 60-plus years old. I wonder if Hallahan still trumpets "I have patents on molecules" as much as he used to... he's been at it as long as I've known him (decades), and none of it has gone any damn where. A patent on a molecule is one thing. A patient on a molecule is another. What has truly propelled rad onc along the last 30 years have been the concepts of radiosurgery and IMRT, both developed by neurosurgeons (and in their initial incarnations uniformly and wholly derided by radiation oncologists).
Many people have cured cancer in rodents or in a petri dish. Unfortunately we have nothing to show for it
this was the
for every pippa cosper, there are a lot more md/phds covering a rural satellite 2 hrs from the main campus with under 5-10 on beam
We (for the most part) have one drug. Its target is cellular DNA with which it interacts stochastically.
I heard a story once of a young rad bio scientist studying novel drugs in petri dishes. There were multiple drugs which showedWe (for the most part) have one drug. Its target is cellular DNA with which it interacts stochastically.
They didn’t include a defecation arm ??
I am sure Ron D will tell us that you can bill for real time adaptive plan from anywhere but need to be in the building for cbct.I wonder if Drew would go on record for doctors being able to do "remote SBRT" literally from anywhere (like the beach?) which it seems that's partly what a3i is for
Aren’t most therapists paid by hour?
Interesting
In this environment that's asking to lose therapists and have them to move somewhere else for more. Locums market for them probably even better than it has been for us now with the recent bounce
