Switch to Rad Onc from Radiology?

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drpopeye

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I am a rad resident and having difficulties with the work. I have no issues with procedural work and have passed my initial primary exams. However, I am consistently being ranked below the other registrars. The main complaints revolve around how I respond to on the spot questioning regarding radiodiagnosis and that I am not showing enough of a positive attitude. I still have a job but was advised that perhaps I should investigate a different specialty. I believe I can salvage my position but I was trying to work through the worst case scenario (ie. no position next year). I briefly thought about GP + some sort of procedural work since that would get me out and trained the fastest. Getting on with my life is a big priority since I am 10+ years older than the other residents. However, I don't want to make a mistake and regret the decision later. Life is too short.

I initially looked into rad onc but was first accepted into radiology. Rad onc was appealing in terms of the mixture of clinic work, planning etc. I am not sure about the greater focus on research but there are many appealing aspects vs. radiology. Avoiding the assembly line feel of reporting largest possible #s of studies for $ is one example. I have spent a little time in a rad onc clinic when investigating it as a possibility. I think that the issues I have with radiology will not be as apparent with rad onc.

I will have lost 2 years if I decide to attempt this switch. It is either that or struggle on in an environment where I am having difficulties. I have had excellent feedback in most of the other jobs I have worked at within medicine. My first tendency is to ignore the criticism and power on. However, I have to consider that the criticism when it comes from a PD and consider my options. I am just bouncing off ideas here and would like to hear any logical suggestions. Thanks.
 
Realistically speaking, radonc will be a very difficult residency to match in, especially due to the very competitive nature of this residency.
 
Realistically speaking, radonc will be a very difficult residency to match in, especially due to the very competitive nature of this residency.

It sounds like perhaps drpopeye isn't here in the states? (He mentioned his fellow registrars)

Are you in the US drpopeye?
 
You are right Sheldor. Actually in the country I am in rad onc is probably less competitive than radiology. However they have too many people in training and people are worried about their job prospects in the future. We all do 3 years before getting on to any of the programs here. That is the hard part. I am 5 years out and no spring chicken since this is a second career for me. The prospect of changing is frustrating and not likely. I was just trying to bounce ideas here.
 
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