Rad Onc Twitter

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NotMattSpraker said:
Tweeted out today by ARO.

Haha I am so confused.

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this interview likely predates the official decision to close the program. UVA will be back. ACGME was likely going to withdraw accreditation, Voluntary withdrawal allows a quicker timeline to remediation and re-accreditation.
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Radonky said:
this interview likely predates the official decision to close the program. UVA will be back. ACGME was likely going to withdraw accreditation, Voluntary withdrawal allows a quicker timeline to remediation and re-accreditation.
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I think in the current climate, programs closing or contracting is a win nationally.

The fact Miami continues to expand their residency program in the current era is absolutely BONKERS and really makes me question the minds/motivation of the leadership there.
 
evilbooyaa said:
I think in the current climate, programs closing or contracting is a win nationally.

The fact Miami continues to expand their residency program in the current era is absolutely BONKERS and really makes me question the minds/motivation of the leadership there.
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Classic Tragedy of the Commons. Residents and fellows are cheap labor. Some will hope to settle in southern Florida to practice. Not that complicated.
 
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ACGME says the program is on probation, many rad onc programs have been placed on probation in the past. Anyone aware of actual IRL announcement that the program is closing other then just "trust me".
 
fiji128 said:
ACGME says the program is on probation, many rad onc programs have been placed on probation in the past. Anyone aware of actual IRL announcement that the program is closing other then just "trust me".
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radiaterMike said:
I dont think these types of things are announced. They just happen.
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Agree. What happened to Cornell/presby and Drexel, Howard in the past iirc
 
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Do memes count?
 
evilbooyaa said:
I think in the current climate, programs closing or contracting is a win nationally.

The fact Miami continues to expand their residency program in the current era is absolutely BONKERS and really makes me question the minds/motivation of the leadership there.
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It was always a semi-academic type of place, and I think they're focused more on the clinical side again.

They hire a lot of their own residents to staff their satellite expansions, so given their plans for expansion, it makes sense to have a bigger pool of residents to hire from.
 
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This is an easy one.

1. Neoadjuvant RT does not work. Do not do it.
2. Adjuvant RT is something you will only need for the Boards' exam. You will unlikely ever have to deliver it. If you do deliver it more than once per year, your surgeons are likely incompetent (but you may have already thought so).
3. If a patient has metastatic gastric cancer or is too frail for surgery and starts bleeding from the primary, you should irradiate the primary. The number of fractions delivered should not exceed the number of weeks you expect the patient to live.
 
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Chartreuse Wombat said:
Classic Tragedy of the Commons. Residents and fellows are cheap labor. Some will hope to settle in southern Florida to practice. Not that complicated.
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This is the answer.

Conversely, what is the tangible negative consequence of a program increasing slots? There are plenty of soft consequences but I struggle to envision immediate or semi-immediate negatives. Expansion will continue until serious consequences are directly felt by the expanding department.
 
randomname2018 said:
This is the answer.

Conversely, what is the tangible negative consequence of a program increasing slots? There are plenty of soft consequences but I struggle to envision immediate or semi-immediate negatives. Expansion will continue until serious consequences are directly felt by the expanding department.
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There won't be any

These residents can't hang a shingle to compete with them. The deck is stacked against new freestanding centers, even more so when you're a new grad without a mid -7 figure 💰 load to get a center up and running

It's incredibly selfish for academic rad onc to continue to train as many residents as they are but at the end of the day, it serves their purpose
 
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Are you implying that future doctors shouldn't get their books and household products paid for by supportive future patients that will struggle to pay bills in the future? How dare you.
 
TheWallnerus said:
Wasn’t there an ASTRO keynote by a DEI type who likes freebies (freebie affinity ostensibly evidenced by accepting an ASTRO keynote invite)
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Presumably, that's called getting paid for giving a speech. Not a freebie...also pretty normal.

Glad folks could recognize the tyranny of DEI initiatives...clearly the serious threat to the global order...as evidenced by the remarkable backlash.

It's almost as if "DEI type" thinking was onto something...real.

Imagine the irony of replying to the "dare you to reply" thread today.

Also, think about what gets censored here...enjoy the victory.
 
communitydoc13 said:
Also, think about what gets censored here...enjoy the victory.
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Yep. What gets censored and what doesn’t get censored is telling. I realize this is something regulated at the website level, above this small subforum.

Also - who remembers ASTRO’s one sided statement from October 2023? I do. Won’t say more to keep within the rules of the forum out of respect to our moderators.
 
drowsy12 said:
Yep. What gets censored and what doesn’t get censored is telling. I realize this is something regulated at the website level, above this small subforum.

Also - who remembers ASTRO’s one sided statement from October 2023? I do. Won’t say more to keep within the rules of the forum out of respect to our moderators.
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ASTRO from 2020-2023 for whatever reason felt compelled to weigh in on the issues of the day. For those curious they can search for press releases during this time. A significant number have nothing to do with the practice of radiation oncology. Mission creep at its worst. Save the world on your own dime/time thronesniffers.
 
Chartreuse Wombat said:
ASTRO from 2020-2023 for whatever reason felt compelled to weigh in on the issues of the day
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Agree weighing in back then, almost none so these days. A favorite old saw is “what do you call a Republican?… a Democrat who’s been mugged.” Maybe some DEI types in ASTRO done been mugged by the vicissitudes of life over the last 5 years.
 
TheWallnerus said:
Agree weighing in back then, almost none so these days. A favorite old saw is “what do you call a Republican?… a Democrat who’s been mugged.” Maybe some DEI types in ASTRO done been mugged by the vicissitudes of life over the last 5 years.
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Those labels are meaningless these days. Things have been flipped upside down. Just ask Michael Fanone
 
Fpg1245 said:
Wonder how he would feel about an admin saying the same thing
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Admins take (secret, I’m sure) pride in not publishing papers. You could be a paper publisher, or you can make millions off the work of the paper publishers. Every time a paper publisher and a clinician have a twitter spat a C-suiter gets a bonus.
 
RickyScott said:
doesn’t spratt push protons ?
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I haven’t seen that.

He’s very enthusiastic about spaceOAR a SBRT, but I don’t think I’ve ever seen proton cheerleading. He has protons at his facility, but I still don’t think I’ve seen much proton prostate enthusiasm from him.
 
Gfunk6 said:
As far as medical devices are concerned, we life in a "post-evidence" world where superiority is proved not by rigorous clinical trials but by anecdote, academic bribes (aka. honorariums), and the almighty dollar.
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RickyScott said:
doesn’t spratt push protons ?
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I love to poke fun as much as the next guy, especially to deflate hypocrisy or pomposity. But my dad used to start meetings sometimes with “one of these days we all need to get together and be honest.” Whenever we use IMRT (a “device” I’d argue, as would CPT 77338) for prostate cancer, and I bet we all use IMRT 100 percent of the time, what is the level one evidence that it is superior to non IMRT methods.
 
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