Unsolicited Jobs Thread

[Neuronix]

We aren’t in the secret jobs club…if it’s not on ASTRO then we are not hiring

How do you know as an applicant? Put yourself in the desperate residents' shoes.

There are definitely places out there that when they decide to hire just pull from the "people who have sent us CVs recently" pile and never advertise the position. How do you know where those places are? Even worse for everyone is: how do you know how many of those jobs are out there?

All the advice residents get now is "be proactive!" "Market yourself early in residency!" ... Also, anyone who isn't successful in getting a job or getting what they want is told that it's their fault for not marketing themselves enough. ASTRO job seminars are great for stories like "I showed up at the practice and begged them every year until they gave me a job" or "I kept calling until I could get someone on the phone" etc.

If you're in a position to hire, be ready to get CVs. I knew a guy who used to send a thousand dollar gift basket to the main person at private practices he was interested in until he got hired.

You don't have to respond of course. As an applicant you get used to being ghosted too. I never get a response to at least 90% of the jobs I apply to that are advertising. Among the rare responses are the generic form letters with my name misspelled, even more crushing after spending hours on an application that requires essays (academic positions) or after talking to someone there and getting a high level of interest at first. I actually get a better response rate from places that aren't advertising. Every job offer I've ever gotten except one was not advertised.

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Members don't see this ad.

 

[deleted1111261]

I don’t mean to say it’s easy out there

But places where I had never even got a response from, now are asking for phone and on-sites.

It is an unusual thing - amongst my group of friends - we are seeing something unique compared to what we know.

@elementaryschooleconomics may further expound on it.

 

[Mandelin Rain]

I’m not sure I understand Simul. You’re seeing the jobs get more desperate for new grads, or are contacting you specifically requesting interviews?

 

[medgator]

I don’t mean to say it’s easy out there

But places where I had never even got a response from, now are asking for phone and on-sites.

It is an unusual thing - amongst my group of friends - we are seeing something unique compared to what we know.

@elementaryschooleconomics may further expound on it.

Market definitely feels more open now in the last 1-2 years than it has in several. Not amazing, but certainly better

 

[deleted1111261]

I’m not sure I understand Simul. You’re seeing the jobs get more desperate for new grads, or are contacting you specifically requesting interviews?

Well, just as an example, in the past I was dying to go to the LA area.

And recently have had a few opportunities

And, the people that know who I am - they have zero interest in hiring me.

Small “n” but friends have said similar

 

[elementaryschooleconomics]

I don’t mean to say it’s easy out there

But places where I had never even got a response from, now are asking for phone and on-sites.

It is an unusual thing - amongst my group of friends - we are seeing something unique compared to what we know.

@elementaryschooleconomics may further expound on it.

This is why ASTRO's choice of denying reality/inventing data is so frustrating. Well, one of the many reasons I guess.

But the job market/Healthcare economics really is like talking about the climate vs the weather.

Sometimes it snows in Florida.

Sometimes it's 100 degrees in Vermont.

That's just how it is.

I've tried, and continue to try, to get actual data/numbers to be more precise as to "why", but there was a huge bump in retirements in RadOnc with the pandemic.

To be clear, the data "exists" - you can see increased exits in the AAMC data, the assumption of retirements is mine and harder to prove. You can see it in the CMS claims data too, but unfortunately that's around the time the Medicare Advantage plans shoot up in popularity.

My hypothesis: linac babysitting was artificially keeping 100-200 elderly RadOncs in the game. The pandemic got them out. 100-200 is actually a huge number for us, especially if they covered unpopular areas. Then, people shifted around in lateral job moves a lot. And the establishment RadOnc lost all power up bully.

Ergo: Simul can work in LA if he wants.

(But Simul is well known, new grad mileage may vary)

 

[sirspamalot]

Unpopular areas?

definition: Any job you currently see advertised on ASTRO job listings

 

[IonsAreOurFuture]

I used to really enjoy OTV or "weekly" day in clinic. It was my favorite day of the week, even up there with Saturday sometimes! Get to see a lot of people, help them out with side effects, prescribe some simple things like Flomax, Imodium, magic mouthwash and Silvadene. Maybe send someone for hydration if they are really struggling. You feel good as a doctor and the patients feel cared for.

Lately though, I am struggling to find it as interesting/rewarding because the side effects are so much milder and fewer, or don't even have time to develop (I'm looking at you, SBRT). When I ask the patients "Are you having any major side effects?" the answer is almost always no. Most of them would just like some reassurance that the treatment is actually working, because they don't really feel any different, and want to know what kind of follow up studies we'll be doing to "prove" that it worked. I think a single "Exit exam" at the end of the course could fulfill that purpose a lot more efficiently, and document maximum grade of toxicity. A lot of the other behind-the-scenes management (checking port films, etc) is now being done daily, or during the SRS/SBRT/HDR at time of delivery.

I think that OTV day really could go the way of the dodo in terms of medical necessity for a lot of what we treat, excepting probably head and neck and concurrent chemo patients who Actually get sick.

The job repercussions in the US would be far reaching, but I'm just sayin..

 

[yesmaster]

Thank goodness for H&N and anal cancer.

 

[RadRadRad]

think it depends on practice setting
Over half my patients have something going on during radiation.
Scans that need to be reviewed due to urgent starts, pain meds, usual hn, pelvic, thoracic (esophagitis), dermatitis complaints

Agree that most sbrt and partial breast do well. But even your srs orobabky need to be seen for steroid tapers, etc

I will say that hypofrac and sbrt definitely take away from the bond that we had with patients over 6-8 weeks . This is better for patients but takes away some satisfaction

 

[evilbooyaa]

Not all OTVs are created equal. Anything 5Fx or less likely isn't going to develop significant acute toxicity. Everyone knows the problematic vs less problematic disease sites.

I don't mind an OTV day filled with people who don't have much going on.

 

[A_DeMichele]

that weekly management charge is the bedrock of revenue. Besides, I don't see a mechanism (?CMS) on how to get rid of it

 

[Gfunk6]

And another one

Join the McFarland Clinic Team Physician-Led Medicine in Iowa

McFarland Clinic is seeking a BE/BC Radiation Oncologist to join our growing Cancer Care Team at our comprehensive Cancer Center in Ames, Iowa within Iowa’s largest physician-owned, multi-specialty clinic. Collegial team eager to welcome a new team member Accredited department and cancer centers LINAC with TrueBeam® Technology 3-D CRT, IGRT, IMRT, SBRT, SRS, VMAT HDR Brachytherapy Radiopharmaceuticals including Xofigo, Pluvicto, Quadramet, and Lutathera Weekly tumor boards Exceptional work-life balance Competitive compensation and benefits package Large, established referral network McFarland Clinic is physician owned and governed Affiliated with Baldrige and Magnet-recognized hospital Iowa is one of the least litigious states in the country Iowa ranks in the Top 10 Best States to Practice Medicine – WalletHub Ames, Iowa is a family-friendly university town with a true sense of community, excellent schools, and a lower cost of living. Home to Iowa State University, Ames is consistently named one of the “Best College Towns” by Livability. Ames offers the cultural, recreational, and entertainment amenities of a big city while maintaining small-town charm. Ames is a great place to call home. If you're interested in learning more about this opportunity, email your CV and let's find a time to connect. I look forward to hearing from you! Doug Kenner [email protected]

 

[evilbooyaa]

I *snip*

Can we please NOT give CMS more ideas on how to **** us? Or if you are going to do it, do it in the business forum. Non-zero percent chance that they read SDN for ways on how Rad Oncs continue to self-flagellate as to how they are over paid. Posts deleted.

 

[elementaryschooleconomics]

Can we please NOT give CMS more ideas on how to **** us? Or if you are going to do it, do it in the business forum. Non-zero percent chance that they read SDN for ways on how Rad Oncs continue to self-flagellate as to how they are over paid. Posts deleted.

Hahahaha I actually thought about that when I wrote the post.

Sad spoiler alert: I was not being original. I was ripping off conversations that have already taken place at the RUC level.

(but I endorse the deletion)

 

[Gfunk6]

RADIATION ONCOLOGY - South Central NY​

​ ​

Seeking BC/BE Radiation Oncologist to join our team. For over 30 years our local Medical, Radiation and Surgical Oncology Team of Fellowship Trained Physicians have advanced cancer focus education and experience. Our dedicated specialists provide the full spectrum of cancer treatment, palliative care, and support. ​ Medical Oncology and Radiation Oncology located in the same clinic Clinical Trials Multidisciplinary Tumor Board Conference State-of-the-art Varian TrueBeam Linear Accelerator, with SBRT capabilities Aria Oncology information system with Eclipse treatment planning Advanced MIM software to assist with image registration and contouring for treatment planning with ability to utilize PET/CT and MR images in treatment planning Cases – 99% Outpatient Patient Population – Breast, Prostate, Lung, Bone Mets Schedule Monday-Friday – Weekend Call 4 Clinic Days with 1 Administrative Day Benefits: ​ Highly Competitive Salary Guarantee with Incentives Employment Bonus Loan Repayment Vacation Time CME Days Relocation Residency / Fellowship Stipend Full Malpractice Insurance Health, Vision, Dental Benefits 401(k) and/or 403(b) Our Community: The Southern Finger Lakes and Pennsylvania Grand Canyon area, known locally as the Twin Tiers, offer a truly exceptional lifestyle. Nestled in low rolling hills carved by prehistoric glaciers, the Twin Tiers covers 9,000 square miles of lakes, hills, villages and vineyards and includes over 650 miles of lakefront property. Midway between New York City and Niagara Falls, the Twin Tiers is known for picturesque lakes, lush forests, scenic bluffs, and valleys dotted with wineries, orchards, dairy farms, resorts and country inns. Our local communities are rich in history and offer abundant, varied and competitively priced housing in and around the cities and suburbs of Elmira and Corning. Low crime rate, low traffic volumes, short commuting distances, and an easygoing, rural character enable a comfortable lifestyle that urban areas can't match. The Twin Tiers boasts many educational opportunities for families. Choose from public, private, faith-based and Montessori schools, located in Schuyler, Chemung, Steuben, Tompkins and Tioga Counties in New York and Bradford and Tioga Counties in nearby Pennsylvania. An array of arts and music, athletics and other educational programs are available through local learning and community organizations. Colleges and universities within convenient distance include Cornell University, Ithaca College, Mansfield University, Hobart and William Smith Colleges, Elmira College and more institutions of higher learning. Outdoor enthusiasts can visit lakes, rivers, and canals to fish, swim, canoe, wind surf, snorkel, water ski, sail, kayak or go white-water rafting. On land they can hike, bike, golf, rock climb, bird watch, hunt, downhill or cross-country ski, snowboard, or snowmobile.​

 

[A_DeMichele]

there is only one city in "South NY" and jobs there don't pay well

 

[sirspamalot]

Meanwhile, in happy Medonc Land:

"You'd like to hire a Medonc from AcmeLocums Agency? Why sointenly. Thats only 6 thousand per day, 500/hr overtime and of course, the usual expenses. Don't forget 1500/weekend for phone call coverage."

 

[communitydoc13]

there is only one city in "South NY" and jobs there don't pay well

Twin Tiers refers to the "southern tier" of NY state (southwestern upstate NY, does not include Catskills down to NYC) and adjacent northern PA. I have family there. Elmira, Corning, Ithaca, Binghampton, Troy PA. It's beautiful but generally economically depressed. Lots of industry there 40 years ago that has largely left. I believe federal Prisons are large employers near Elmira/Binghamton region. Of course, Cornell is there, and Corning is still a lovely town.

Finger Lakes are gorgeous (sic).

I like the area, but not cosmopolitan. Nearest big city is Rochester. It would not qualify as rural per the recent workforce academic studies but it's an example of a locale that will be able to recruit a radonc with an excellent resume and have difficulty staffing medical oncology. I would consider it "small town/small city" US living.

Tomkins county (where Ithaca is) will get you some ethnic diversity and Ithaca has great restaurants.

Not a bad place.

 

[fiji128]

RADIATION ONCOLOGY - South Central NY​

​ ​

Seeking BC/BE Radiation Oncologist to join our team. For over 30 years our local Medical, Radiation and Surgical Oncology Team of Fellowship Trained Physicians have advanced cancer focus education and experience. Our dedicated specialists provide the full spectrum of cancer treatment, palliative care, and support.​ Medical Oncology and Radiation Oncology located in the same clinic Clinical Trials Multidisciplinary Tumor Board Conference State-of-the-art Varian TrueBeam Linear Accelerator, with SBRT capabilities Aria Oncology information system with Eclipse treatment planning Advanced MIM software to assist with image registration and contouring for treatment planning with ability to utilize PET/CT and MR images in treatment planning Cases – 99% Outpatient Patient Population – Breast, Prostate, Lung, Bone Mets Schedule Monday-Friday – Weekend Call 4 Clinic Days with 1 Administrative Day Benefits:​ Highly Competitive Salary Guarantee with Incentives Employment Bonus Loan Repayment Vacation Time CME Days Relocation Residency / Fellowship Stipend Full Malpractice Insurance Health, Vision, Dental Benefits 401(k) and/or 403(b) Our Community: The Southern Finger Lakes and Pennsylvania Grand Canyon area, known locally as the Twin Tiers, offer a truly exceptional lifestyle. Nestled in low rolling hills carved by prehistoric glaciers, the Twin Tiers covers 9,000 square miles of lakes, hills, villages and vineyards and includes over 650 miles of lakefront property. Midway between New York City and Niagara Falls, the Twin Tiers is known for picturesque lakes, lush forests, scenic bluffs, and valleys dotted with wineries, orchards, dairy farms, resorts and country inns. Our local communities are rich in history and offer abundant, varied and competitively priced housing in and around the cities and suburbs of Elmira and Corning. Low crime rate, low traffic volumes, short commuting distances, and an easygoing, rural character enable a comfortable lifestyle that urban areas can't match. The Twin Tiers boasts many educational opportunities for families. Choose from public, private, faith-based and Montessori schools, located in Schuyler, Chemung, Steuben, Tompkins and Tioga Counties in New York and Bradford and Tioga Counties in nearby Pennsylvania. An array of arts and music, athletics and other educational programs are available through local learning and community organizations. Colleges and universities within convenient distance include Cornell University, Ithaca College, Mansfield University, Hobart and William Smith Colleges, Elmira College and more institutions of higher learning. Outdoor enthusiasts can visit lakes, rivers, and canals to fish, swim, canoe, wind surf, snorkel, water ski, sail, kayak or go white-water rafting. On land they can hike, bike, golf, rock climb, bird watch, hunt, downhill or cross-country ski, snowboard, or snowmobile.​

I think this is the Corning NY job that’s been posted off and on for about 5 years. Upstate NY is probably one of the most depressing regions in the US. It feels like the fall of the Roman Empire anytime I’ve driven through. But I’m sure if it was a physician ownership type of practice it would have no problem finding a permanent rad onc.

 

[RickyScott]

I think this is the Corning NY job that’s been posted off and on for about 5 years. Upstate NY is probably one of the most depressing regions in the US. It feels like the fall of the Roman Empire anytime I’ve driven through. But I’m sure if it was a physician ownership type of practice it would have no problem finding a permanent rad onc.

There was some sht job in cooperstown that was permanent fixture on Astro job site

 

[communitydoc13]

It feels like the fall of the Roman Empire anytime I’ve driven through

I encourage folks to reconsider these places. (Leadership will never have to consider these places BTW.)

I agree, you can just sense the decline of upstate NY in the Southern Tier, but it has some benefits to anyone with job flexibility, and I could see it as a possible place to be revitalized with the ascendance of remote work (again, not for us, but maybe for our partners).

It really is naturally beautiful (lush, hilly, lots of rivers, usable, clean and beautiful lakes, waterfalls, good hiking and within distance of good skiing for the east coast).

It has crazy, baller old-tyme real estate from it's gilded ages (late 1800s through mid 20th century). Elmira has some of the cheapest, gorgeous houses that you could find...and I mean cheap. You pay taxes in NY state, but schools and land preservation are much better than the low tax state I live in.

There are good universities around, and this can always be leveraged if you have academically precocious kids or are just a bit of a tiger parent.

There's an airport.

I cannot speak to the practice, but it is also not a million miles away from med schools at Rochester and Syracuse. They are growing some of their own docs...this is a very good thing.

 

[sirspamalot]

No thanks.

 

[Ubba]

Meanwhile, in happy Medonc Land:

"You'd like to hire a Medonc from AcmeLocums Agency? Why sointenly. Thats only 6 thousand per day, 500/hr overtime and of course, the usual expenses. Don't forget 1500/weekend for phone call coverage."

I get multiple emails daily as a H/O fellow. The advertised rate for the physician is typically 3.5k/day. Maybe the locums agency takes in close to 6k sometimes, but 6k a day for the doctor is a dot on the far right of the normal distribution. I have never seen anything at this rate.

 

[medgator]

There was some sht job in cooperstown that was permanent fixture on Astro job site

Utica 21c job got posted a lot over the years too.

@communitydoc13 the area is amazing in the summer (Ithaca is gorges!) but clearly difficult the majority of the year... Basically Halloween to mother's Day can you can see snow and lots of it, definitely a risk of SAD for anyone who doesn't know what they are getting into

 

[sirspamalot]

You'll get what you accept. If you as as MedO tell them "I won't work for less than 5k whatcha got" I promise you, you'll get 5k.

Doctors are terrible at dealing with locums companys. Your most powerful word is "no."

For radoncs with experience, I wouldn't take less than 3k at this point.

 

[udrag14]

I think this is the Corning NY job that’s been posted off and on for about 5 years. Upstate NY is probably one of the most depressing regions in the US. It feels like the fall of the Roman Empire anytime I’ve driven through. But I’m sure if it was a physician ownership type of practice it would have no problem finding a permanent rad onc.

Disagree with this statement. There are definitely worse places in the US. The major cities like Buffalo, Rochester, Syracuse have plenty of access to necessities of life. They pass the infamous curry test of SDN.

 

[deleted1111261]

Disagree with this statement. There are definitely worse places in the US. The major cities like Buffalo, Rochester, Syracuse have plenty of access to necessities of life. They pass the infamous curry test of SDN.

*biryani
But point taken

 

[sirspamalot]

I ain't goin'

 

[Fpg1245]

I ain't goin'

Hell no we won’t go…or whatever the boomers said.

 

[Gfunk6]

If you are a brachtherapy guru, I have an intriguing offer for you:

 

[copperfrog]

If you are a brachtherapy guru, I have an intriguing offer for you:

View attachment 383985

A… hospitalist brachytherapist?? Ok, I’m intrigued. Do they have enough brachy volume that you’d be busy all week? I like the thinking outside the box on the coverage model, though.

 

[TheWallnerus]

If you are a brachtherapy guru, I have an intriguing offer for you:

View attachment 383985

Essentially a $300K per year job to work half the year. I think this is just a way to entice a rad onc with a $300K job. And it’s probably a fair enough enticement. That’s going to be the way to get a pay raise in rad onc in the future: work less days at the job per year, which means admin can tell you they just raised your hourly rate!

 

[elementaryschooleconomics]

Hello it is me, a time traveler from the future.

I received the following email next Wednesday:

"This is Bob from Vista Staffing. We have an immediate opening for a Chairman of the Board position at a national professional society, with a focus on Radiation Oncology. You can stay in your current job remotely supervising your clinic from the ski cabin of your choice. Pay is $300k/year base with unlimited industry kickbacks. Would you be interested in hearing more?"

 

[medgator]

If you are a brachtherapy guru, I have an intriguing offer for you:

View attachment 383985

UPMC posted this job a few months ago with lower pay looking for a brachytherapy focused person but then mentioned within the job description that brachy experience wasn't necessary

 

[radiaterMike]

Essentially a $300K per year job to work half the year. I think this is just a way to entice a rad onc with a $300K job. And it’s probably a fair enough enticement. That’s going to be the way to get a pay raise in rad onc in the future: work less days at the job per year, which means admin can tell you they just raised your hourly rate!

More like 460 k ? The ad said 7 days on and 7 off - so: 26 weeks x 7 x daily rate ? Though not sure what goes on over the weekend -- so maybe it is 5 days on and 9 days off ? Either way - not bad.

 

[radoncftw]

Maybe if it is a well-run/oiled service with good nursing support it could work well, but you would have a constant handoff every week. I guess if you are just the brachytherapist, it would be like being a proceduralist and having another rad onc do the EBRT planning etc. for your patients.

 

[drowsy12]

These kind of jobs are becoming more attractive to younger generations of medical trainees. Some people really want a lot of time off, at the expense of money. This is a reasonable job to pilot I’m curious to see how it’s handled. Probably also they’re having a very hard time getting a brachy person as Upmc is super busy, sushil is probably one of the few who could fully handle it, from what I understand

 

[copperfrog]

More like 460 k ? The ad said 7 days on and 7 off - so: 26 weeks x 7 x daily rate ? Though not sure what goes on over the weekend -- so maybe it is 5 days on and 9 days off ? Either way - not bad.

I’m assuming there aren’t full case days every day- maybe the $300 call in rate is to be available for the day, and the full rate if you actually come in that day? I’m at a very high volume brachy location and we don’t do cases all day every day. Unless the 7 off weeks mean there are no cases and they’re not alternating with another person. Otherwise I get $464k also.

 

[Gfunk6]

Want to make $850k plus and live in one of the top 10 overall best cities in America??

 

[deleted1180461]

Want to make $850k plus and live in one of the top 10 overall best cities in America??

The private group in KC imploded a few years ago so there is definitely something fishy about this.

 

[Mandelin Rain]

Want to make $850k plus and live in one of the top 10 overall best cities in America??

I got this one too. Very specific "potential" salary, whatever that means. I'd guess that's the most anyone has made there in the past 20 years.

 

[drowsy12]

I mean it’s the best known suburb in a city big enough to have multiple pro sports teams. Pretty standard/normal location IMO.

Not every place is the Bay Area nor does everyone want to be there.

 

[medgator]

I mean it’s the best known suburb in a city big enough to have multiple pro sports teams. Pretty standard/normal location IMO.

Not every place is the Bay Area nor does everyone want to be there.

KCMO is a legit place to live imo if you don't mind the weather. Certainly better than some of the rural/less desirable places that have been posted several times so far

 

[deleted1180461]

I’m guessing this is the advent health job that’s been posted forever that used to be covered by the private group.

And I’m guessing this employer job has a maximum compensation cap and that “potential compensation” number is exactly what it is hence the oddly specific “potential,” which is probably 90% MGMA. Do 15k wRVU get 850k. Do 20k wRVU get 850k. Ie work your butt off for free.

“Potential compensation” should be infinity as you should be paid per RVU with no cap or decreasing rates as you produce more. Those kinds of jobs are laughable. Worst of both worlds of salary and eat what you kill models combined.

 

[thesauce]

I’m guessing this is the advent health job that’s been posted forever that used to be covered by the private group.

And I’m guessing this employer job has a maximum compensation cap and that “potential compensation” number is exactly what it is hence the oddly specific “potential,” which is probably 90% MGMA. Do 15k wRVU get 850k. Do 20k wRVU get 850k. Ie work your butt off for free.

“Potential compensation” should be infinity as you should be paid per RVU with no cap or decreasing rates as you produce more. Those kinds of jobs are laughable. Worst of both worlds of salary and eat what you kill models combined.

Agreed. Anyone who signs a contract with a cap deserves what they get. I know some idiots that have done this. Have more respect for yourself.

 

[TheWallnerus]

The private group in KC imploded

Always a little sad for our fellow rad oncs to have to go through stuff like this, and it seemed more common 5+ years ago this was happening. I think it's "bottomed out" though; private group deaths have flatlined iow.

 

[Mandelin Rain]

KCMO is a legit place to live imo if you don't mind the weather. Certainly better than some of the rural/less desirable places that have been posted several times so far

No doubt. I do think the fact that Overland Park is having to go through a staffing agency, with mass mailed fliers, and advertise a high "potential" salary is a bit of a red flag as to what the nuts and bolts of that contract might look like. It's a desirable enough area that they should have a good handful of candidates interested each year with even a decent package.

 

[Mandelin Rain]

Always a little sad for our fellow rad oncs to have to go through stuff like this, and it seemed more common 5+ years ago this was happening. I think it's "bottomed out" though; private group deaths have flatlined iow.

I've thought this too, and not just limited to rad onc. Did the systems already buy out and employ all the specialty groups they thought might be profitable, or to they just go on a random buying spree and then determine that many specialty groups just don't make much sense to employ?

Rad onc is one of the specialties that seemingly makes the least sense for a system to want to employ.

 

[yesmaster]

It seems like an above average employed job. Odd to speculate on contractual details without having interviewed or received a written contract. Even if you’re not a sports fan, Patrick Mahomes will be racking up Super Bowl wins for the next decade, and that’s neat. Personally I would take 2M metro population in the Midwest over a small town 3+ hours from major metro in California or PNW or New England. I’d apply if I was a PGY-5 or making mgma median or less.