Rad Onc Twitter

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that's applicable to way more things or people than rad onc, which is a speck of dust in society at large.
Yeah, I'm aware that there are rich kids in all walks of life whose parents pave the way for them and they never really think about what they really want to do with their lives and take being a 1%'er for life for granted. It just seems abnormally common in rad onc. For all the talk about diversity and being underprivileged in medicine, there sure are a lot of people who have every break made for them.
 
I assume there will only be three dozen other teenagers with brachytherapy publications and perfect SAT scores applying to all of the Ivy League schools this year.
I'm convinced that at some point meritocracy (like free market capitalism and anything else) becomes regressive. Some level of meritocracy is good, but there needs to be space for smart slackers, bad testers, brilliant dyslexics and late bloomers for a system to optimally stimulate innovation and provide opportunity.

Radonc crossed that meritocratic threshold in the early 2010s. It was better off when it there was a "smart but chill" ethos. You know....when residents used condiments and such.
 
The mean GYN salary DEFINITELY went up by 363k in one year.

SOOOOOOOOOOO many COVID babies

They surveyed 155 docs over 40 specialties and had a non-zero response rate in 28 specialties.

N of a nice, round number like say... 500,000 is exactly 1.
N of a number like 341,666 is exactly 3, and I can tell you that those salaries were exactly 350k, 350k, and 325k.

This is a useful chart. Would look at again.
 
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Ob gyn doubling in a year seems suspect. Ophtho making 50k more then peds seems suspect.

Oh there it is. 155 surveyed doctors across all specialties.
 
To be honest, why even boast about this type of data, true or not? We’re literally inviting more wolves and foxes into the already slaughtered hen house!
Because if any seemingly legit salary survey seems to give bogus data and is suspect, all salary surveys dealing with rad onc are suspect *when* coupled with the externally well validated data that per RO reimbursement is falling.
 
how do the guys who do proton for prostate sleep at night?
Look, I am probably the biggest proton prostate cancer critic here, but if it came between treating prostate w/protons and unemployment, I would treat with protons. I don’t have unlimited integrity. Anger and accountability needs to be directed against astro and the academic centers.
 
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how do the guys who do proton for prostate sleep at night?
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I gave $1000 to med students for choice, which I was a part of, a few weeks ago. Here's to hoping astro can focus on other issues facing radiation oncologists.
Sure, not a big deal if they stand for women's rights and public health however imo
 
It definitely is a little odd that we didn't see anything from ASTRO today. We all knew this was coming. I've been out of the news cycle a bit - was the fact it was "official" now a surprise or something? Even then...just bang out a statement, guys. Real quick, fire off one of those little emails.

Maybe they're too busy getting the Jack-in-the-Box job ads up on the career center?
 
It definitely is a little odd that we didn't see anything from ASTRO today. We all knew this was coming. I've been out of the news cycle a bit - was the fact it was "official" now a surprise or something? Even then...just bang out a statement, guys. Real quick, fire off one of those little emails.

Maybe they're too busy getting the Jack-in-the-Box job ads up on the career center?
The “leaders” are too high on their own supply hot boxing a nice car and ordering a “munchie box” at jack in the box to care
 
You might want to study your fast food as you study for OLA brotha!
This is no joke. When I was a resident, our narcissistic chairman purportedly claimed that he provided the idea for the extra value meal to McDonald’s so that residents could grab a cheap, quick lunch and rapidly return to clinic.
 
This is no joke. When I was a resident, our narcissistic chairman purportedly claimed that he provided the idea for the extra value meal to McDonald’s so that residents could grab a cheap, quick lunch and rapidly return to clinic.
...he was joking, right? Right?

Like, unless he personally knew people within the McDonald's corporate structure who could make that happen, the notion that anyone cares AT ALL about what Radiation Oncologists are doing is laughable. If he said that with even a hint of sincerity, I might need to give myself 4mg of Zofran right now.

We hit an unreal, ultra-sweet spot of being oversupplied for our profession, but being insignificant when considered in the population at large.
 
...he was joking, right? Right?

Like, unless he personally knew people within the McDonald's corporate structure who could make that happen, the notion that anyone cares AT ALL about what Radiation Oncologists are doing is laughable. If he said that with even a hint of sincerity, I might need to give myself 4mg of Zofran right now.

We hit an unreal, ultra-sweet spot of being oversupplied for our profession, but being insignificant when considered in the population at large.
No, it really wasn’t clear and he was a textbook narcissist very much like Trump.(you could get away with murder as long as you praised him and professed interest in his career-which in retrospect made it the best residency in the country as far I was concerned) He had claimed to have come up with many of the advances in radiation oncology that he seemingly had no part in.
 
No, it really wasn’t clear and he was a textbook narcissist very much like Trump.(you could get away with murder as long as you praised him and professed interest in his career-which in retrospect made it the best residency in the country as far I was concerned) He had claimed to have come up with many of the advances in radiation oncology that he seemingly had no part in.
Did we train at the same program? Your chair sounds awfully similar to my residency program chair. Huge narcissist with lots of unjustified claims about inventions and contributions in the field. I assume these qualities are probably similar amongst most rad onc chairs though, unfortunately.
 
Did we train at the same program? Your chair sounds awfully similar to my residency program chair. Huge narcissist with lots of unjustified claims about inventions and contributions in the field. I assume these qualities are probably similar amongst most rad onc chairs though, unfortunately.
Just think about when these no talent @$$ clowns actually matched into the specialty and you'll have your answer as to how they got in
 
Did we train at the same program? Your chair sounds awfully similar to my residency program chair. Huge narcissist with lots of unjustified claims about inventions and contributions in the field. I assume these qualities are probably similar amongst most rad onc chairs though, unfortunately.
Did we train at the same program as well? LOL
 
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There are many different takes we can all have on this Tweet and article, obviously.

However, I would argue a significant proportion of our issues stem from the fact that we're so obscure and (relatively) tiny. We can't take care of ourselves, and are so puffed up about our own importance we don't see the forest for the trees.

We're essentially an abscess within a 5mm teratoma, lodged in the retroperitoneum, not growing in 30 years, not doing anything really except making our own little 5mm environment very complex while the rest of the world moves on without us. The government taking note of how much "excess" money we generated in the decade after IMRT was released is basically the same as the abscessed teratoma being incidentally discovered on a CT abdomen/pelvis ordered for an unrelated indication. But, once we were seen, we had to be worked up. There have been repeated drainage/excision attempts, but it appears we're being taken care of by a world-famous academic chair, so the PGY2 is actually performing the procedure and doesn't have a lot of experience yet.

Thank God we're not being drained by one of those grubby community doctors, though. We probably would have been excised on the first attempt.
 
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There are many different takes we can all have on this Tweet and article, obviously.

However, I would argue a significant proportion of our issues stem from the fact that we're so obscure and (relatively) tiny. We can't take care of ourselves, and are so puffed up about our own importance we don't see the forest for the trees.

We're essentially an abscess within a 5mm teratoma, lodged in the retroperitoneum, not growing in 30 years, not doing anything really except making our own little 5mm environment very complex while the rest of the world moves on without us. The government taking note of how much "excess" money we generated in the decade after IMRT was released is basically the same as the abscessed teratoma being incidentally discovered on a CT abdomen/pelvis ordered for an unrelated indication. But, once we were seen, we had to be worked up. There have been repeated drainage/excision attempts, but it appears we're being taken care of by a world-famous academic chair, so the PGY2 is actually performing the procedure and doesn't have a lot of experience yet.

Thank God we're not being drained by one of those grubby community doctors, though. We probably would have been excised on the first attempt.
I am always in awe of the depth and creativity of your hyperbole.
 
Was reading this and realized that this field (and much of medicine) suffers from this problem: “once and for-all-ism”

People eventually decide they are done thinking about a problem and won’t let future facts or data change their mind. Like anyone who still thinks the specialty is safe. Or that 60 Gy is all it takes to treat stage 3 lung (yah, I went there). More people should think rationally and with Bayesian mindset ..

 
Was reading this and realized that this field (and much of medicine) suffers from this problem: “once and for-all-ism”

People eventually decide they are done thinking about a problem and won’t let future facts or data change their mind. Like anyone who still thinks the specialty is safe. Or that 60 Gy is all it takes to treat stage 3 lung (yah, I went there). More people should think rationally and with Bayesian mindset ..

I am guilty of this. There is so much data (and opinion) to synthesize into a meaningful whole in radiation oncology that once you feel you’ve finally got your arms ‘round it all (usually this feeling first comes after you’ve passed oral boards), adding new or conflicting information to the Brain Hard Drive is… very uncomfortable.
 
What’s the benefit that’s been published for BOS/sinus etc? Would like to know. Dosimetric benefit to brain? Any clinical outcome ?
 

I like the "they need to do things differently there so I'll be outraged on Twitter or to my friends about it until it changes" approach. Always effective. We're still living in a democracy, more or less. There's a pretty straightforward approach to fixing these things. San Franciscans can't vote in Tejas.
 
So ironic that esophagus - the one site with a modicum of randomized evidence - barely registers. This really reeks of "do as I say and not as I do", "let them eat protons" and evidence based medicine is only for the masses using IMRT and not for the elites.
Showed the meme to my H&N friend. “There is a reason Batman is rich and espousing protons”
 
Guys I have many a story of patient going to Local Proton Academic Center and paying out of pocket for proton.

A HS football coach who’s a friend of a friend recently paid OOP $50k for ipsilateral proton RT for a salivary SM gland neoplasm postop.

There’s just no honor among thieves anymore.
 
Showed the meme to my H&N friend. “There is a reason Batman is rich and espousing protons”
Guys I have many a story of patient going to Local Proton Academic Center and paying out of pocket for proton.

A HS football coach who’s a friend of a friend recently paid OOP $50k for ipsilateral proton RT for a salivary SM gland neoplasm postop.

There’s just no honor among thieves anymore.
Even if the money where going directly into my pocket, I would draw the line at oop protons to middle class pt.
If I owned the machine or worked for proton center, I could probably hold my integrity in check while treating those with good insurance or the super wealthy.
 
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