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drop from 774 to 771 !
At this rate the numbers should balance right about the time the first cancer center opens on Europa.drop from 774 to 771 !
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So pretty much brought rad onc back to where it was in the 70s and 80s.Congratulations SDN, good to know that the cries to curb residency expansion has done very little. Except scare off the AMGs and dilute the field with FMGs and DOs and such.
its nice to know how little you think of us. hopefully you are nicer to the DOs and FMG primary care folks that refer to your serviceCongratulations SDN, good to know that the cries to curb residency expansion has done very little. Except scare off the AMGs and dilute the field with FMGs and DOs and such.
It's generally seen as a mark of competitiveness and desirability of a specialty. It is what it is, unfortunatelyits nice to know how little you think of us. hopefully you are nicer to the DOs and FMG primary care folks that refer to your service
Can you please share where you found this datadrop from 774 to 771 !
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Voila! The benjamin button of specialties!!!So pretty much brought rad onc back to where it was in the 70s and 80s.
For all functions whose derivative is continuous, a positive slope must first equal 0 before becoming negative.At this rate the numbers should balance right about the time the first cancer center opens on Europa.
Congratulations SDN, good to know that the cries to curb residency expansion has done very little. Except scare off the AMGs and dilute the field with FMGs and DOs and such.
I.e. not a good sign when locums recruiters switch from offering locums opportunities to offering locums candidates for providing coverageIt's great that those applicants with options are making informed decisions and choosing not to enter a field with diming employment prospects over the next 30 to 40 years. People here are just providing information. Not really the purpose of this forum to rush up and gaslight candidates like its a sorority or something.
In no universe do we need to be churning out 770 rad oncs every 4 years especially with people routinely practicing well into their late 60's and 70's.
Congratulations SDN, good to know that the cries to curb residency expansion has done very little. Except scare off the AMGs and dilute the field with FMGs and DOs and such.
ACGME Data Resource BookCan you please share where you found this data
I think SDNers think much less of themselves. I once showed this forum to a friend and based on the incessant crying, moping, and whining on here 24/7 he thought everyone on here wanted to commit suicide as quickly as possible. It wouldn't kill us to share some positives here and there... unfortunately the threads designed for that quickly and inevitably get turned into the same ol' stuff about the job market. Some people are just "glass half empty" kinds of people. I'm not a fan of the whole "misery loves company" deal. I believe in bucking up and dealing with it - I am definitely not a weak and sensitive person.its nice to know how little you think of us. hopefully you are nicer to the DOs and FMG primary care folks that refer to your service
Then I hope your write articles, publish opinion pieces, or speak frankly with “leaders” in this field as a sign of your strength.I think SDNers think much less of themselves. I once showed this forum to a friend and based on the incessant crying, moping, and whining on here 24/7 he thought everyone on here wanted to commit suicide as quickly as possible. It wouldn't kill us to share some positives here and there... unfortunately the threads designed for that quickly and inevitably get turned into the same ol' stuff about the job market. Some people are just "glass half empty" kinds of people. I'm not a fan of the whole "misery loves company" deal. I believe in bucking up and dealing with it - I am definitely not a weak and sensitive person.
I agree (though in less hyperbolic terms). The job market is no good for people who are in the market for work… but there is a distinction between “the job market” and “the field”. The former is only a small subset of the latter.I think SDNers think much less of themselves. I once showed this forum to a friend and based on the incessant crying, moping, and whining on here 24/7 he thought everyone on here wanted to commit suicide as quickly as possible. It wouldn't kill us to share some positives here and there... unfortunately the threads designed for that quickly and inevitably get turned into the same ol' stuff about the job market. Some people are just "glass half empty" kinds of people. I'm not a fan of the whole "misery loves company" deal. I believe in bucking up and dealing with it - I am definitely not a weak and sensitive person.
Did you just put "value" and protons in the same sentence?I agree (though in less hyperbolic terms). The job market is no good for people who are in the market for work… but there is a distinction between “the job market” and “the field”. The former is only a small subset of the latter.
Many here appropriately were the first to throw stones at those PDs who were expanding residencies… but many of the same are the first to throw stones when someone tries to add value -dare I say “protons”… you know, the sort of thing that could increase demand to compensate for increased supply. Perhaps some just feel better when they have a rock in their hand.
Yup.Did you just put "value" and protons in the same sentence?
That's nonsensical. The proton data on its face is pretty uninspiring by and large for those of us out in the real world practicing adult oncology.I agree (though in less hyperbolic terms). The job market is no good for people who are in the market for work… but there is a distinction between “the job market” and “the field”. The former is only a small subset of the latter.
Many here appropriately were the first to throw stones at those PDs who were expanding residencies… but many of the same are the first to throw stones when someone tries to add value -dare I say “protons”… you know, the sort of thing that could increase demand to compensate for increased supply. Perhaps some just feel better when they have a rock in their hand.
How confident are you that are zero undiscovered clinical indications for protons? I’m not talking about cost. Are you certain that we know all we need to know?… that we should stop looking?Did you just put "value" and protons in the same sentence?
My point is this: the lack of optimism on SDN isn't a bad thing. But if it's all that's written here all the time, it's just not a good look for SDN and this forum. We portray ourselves as whiners to the Twitterati and whoever else reads this. People take us less seriously which is why SDN's words clearly didn't change much. Moderation and balance go for a lot...it's amazing how much people listen to you if you "selectively whine" or are positive for the most part.But your original point wasn’t that the lack of optimism offended you. Your point was that all of our whining hasn’t effectively translated into change. So I’m not sure how this pivot occurred.
Sure. That sounds like a great idea for a trial. It’s simple and could expand indications.That's nonsensical. The proton data on its face is pretty uninspiring by and large for those of us out in the real world practicing adult oncology.
What about stopping all these trials trying to eliminate or reduce fractions in our 2 biggest indications (breast/prostate)? And maybe trying to show RT might be the better option over Endocrine Therapy?
P.S. how do you expect all of us to adopt protons when they are still in the neighborhood for $20 mil+ for those of us who don't have a center? Between that and the data out so far, seems like a lot of cart before the horse action coming from your post
You really think all of us have protons? And how exactly will protons "expand" indications? Seems like it will simply replace a photon case.Sure. That sounds like a great idea for a trial. It’s simple and could expand indications.
…and the best part of it is, that is an easy study to accrue patients to in the community as well.
Test everything.
No… not everyone has protons, and I don’t have a new indication that’s ready for prime time.You really think all of us have protons? And how exactly will protons "expand" indications? Seems like it will simply replace a photon case.
The onus for proving protons is on those who chose to get in first and pay $100-150 million+ to do so. Do you really not understand the economics of this?
Except you haven't actually grown the pie like you claim to be doing, you've simply replaced a photon case with a proton caseNo… not everyone has protons, and I don’t have a new indication that’s ready for prime time.
…and I agree that the onus is on people like me to prove it is a valuable treatment.
…but there’s no reason you shouldn’t be on my side while I ask the question. Why are we our own worst critics? You who doesn’t do that? Med onc.
Just think… if protons are as useful as some of us theorize they could be, it’s not going to cost $100 million and everyone will get one… and if not, maybe the next guy figures out it’s something else that changes everything. We all benefit from innovation.
I.e. not a good sign when locums recruiters switch from offering locums opportunities to offering locums candidates for providing coverage
Did you just put "value" and protons in the same sentence?
Protons: not just about value... it's about SAVING LIVES. Thirstiness.Yup.
Well it sure ain't protons. Travel with me back in time to 2000. You have a linac. You are a community practice place. Your linac has MLCs. You hear about this thing called "IMRT." Varian tells you it simply requires an upgrade to the planning system and a small upgrade to the machine. That's part of why IMRT could become IMRT. This is a hill impossible for protons, or any very expensive/logistically challenging tech for that matter, to climb.What’s the next IMRT?
Didn't change much? The match this year was atrocious. The intent from those that control the production of labor supply seemed to be ongoing expansion while studying the situation. The only real change this forum had any chance of making was reducing the quality of the cannon fodder, which I would argue it did. We'll see what are the downstream consequences of this, but this seemed like the only way.My point is this: the lack of optimism on SDN isn't a bad thing. But if it's all that's written here all the time, it's just not a good look for SDN and this forum. We portray ourselves as whiners to the Twitterati and whoever else reads this. People take us less seriously which is why SDN's words clearly didn't change much. Moderation and balance go for a lot...it's amazing how much people listen to you if you "selectively whine" or are positive for the most part.
when our ASTRO president is soaping residents at a brand new program 2 years after the workforce survey showed half the field was concerned about oversupply,
that about sums it up....
We really need to have influence on selecting Astro leadership somehow. No one except for the 1% of guys at the very top benefit from this job market bloodbath.
Can we get 30 supporting signatures to nominate Simul Parikh ?
I would re-join ASTRO just to help put SIMUL THE GREAT into the position of leadership he clearly deserves.Can we get 30 supporting signatures to nominate Simul Parikh ?
Would Simul need to be an ASTRO member to be eligible for a leadership position? Got the sense he may not be from the VVPN speech...Can we get 30 supporting signatures to nominate Simul Parikh ?
Yes but we may be able to get them to re-join for this purposeWould Simul need to an ASTRO member to be eligible for a leadership position? Got the sense he may not be from the VVPN speech...
I will match itI'll contribute $20 towards his membership dues too
Am I the only one who believes that lower applicant quality is a good thing? AMG applicants are opting for other specialties with better job opportunities. As for IMG applicants, radiation oncology is open to them now, and may still be attractive to someone from a lower-middle income country, or LMIC.
Without a normalization (i.e. reduction) in residency positions, lower applicant quality and lower applicant numbers is a good thing. From my vantage point as an average joe radiation oncologist, high applicant quality is only a good thing in the context of a drastic normalization in residency positions.
Cardiac SBRT is great and I will support the leaders of clinical trials as an average joe radiation oncologist, but please normalize residency positions to reflect employment opportunities and market demand. The glut of trainees is unsustainable. Many thanks.
"Lower quality applicants" unfortunately means lower professionalism. I trained long enough to remember stories about residents literally washing their socks in the staff bathroom instead of attending port conference