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Cheyenne was paying low 500s I think.
Which is where virtual/NP supervision makes a lot of sense here. 3 days on-site for the doc for $5-600k is a whole different ballgame
Yup. If they’re not giving you some of the tech they should be open to 3 days on site for a sleepy clinic. Any sane administrator would make that deal in a second.
There's a huge difference of a request and a demand. Disposable scopes pay for themselves and without ENT in town it is essential to treat HN. The CT sim is ancient, does not have OMAR and RPM system is down most of the time. There was a brachy afterloader at end of life and without consulting the physician they decomissioned it and didn't get capital for a replacement. SRS cones were purchases 2.5 years ago and never installed because the physicist didnt know how and they didnt want to pay outside help. Identify surface guidance has been installed for 2 years and still no DIBH again because of no physics on site. ACR accreditation was being done and was 80% complete until both physicists left. They provide 26 days PTO but that doesnt count holidays, sick time or the occasional need to leave clinic a couple hours early for a car check etc. I took 1.5 weeks of actual vacation. So no, three physicians were not let go for demanding things. The last two left voluntarily breaking contracts early and paying back all the incentives.
Not questioning the ROI aspect or that 4 departments support the whole hospital. This radonc department did 15 million in revenue last year, 19k wRVU and cried about ROI for autocontouring (~$7k) when they were only paying a 0.8 FTE dosimetrist. CT sim wont have an ROI, but I did an ROI on already purchased cones, and they were hemorrhaging money.
I know of another rad onc department that purchased cones and never commissioned them. These themes are bizarre. Managerial incompetence.
Have you met upper level admins who care more about appeasing the lower level managers than the doctors? I have.
They literally are the kindergarten teachers of Medicine.
They will never get it. Kids don't vote. Peds, teachers etc get paid the lowest
Is that you Ralph W?
Supervision boat sailed years ago. Why are you trying to beat the dead 🐴? Esp without evidence to back it up. Honest question. @NotMattSpraker posted earlier today that the general movement has been towards virtual in multiple specialties.
Are you working "hard" when that last breast pt shows up, your clinic is over and you've run out of cat videos to watch on YouTube but you couldn't leave early to see that inpatient consult at the hospital because of "direct supervision" rules meant to allow us to graduate extra residents every year?
With all the crap applicants pouring into this field today, can you imagine the kind of residents coming onboard when salaries fall in line with peds? In all honesty, radonc “deserves” more pay/less work presently given the risky future.
Residency expansion, hypofrac and ommission were enough of a black cloud before supervision appeared.
Sorry but this is such a trash take. Just because someone didn’t score 260 on the step 2 or didn’t graduate from Harvard doesn’t mean they’re “crap applicants”. There’s zero evidence showing higher step score correlates with becoming a better physican. Don’t **** on the applicants who are passionate about the field.
Some of the folks matching now can't even secure pgy1 positions and have had to take step exams multiple times to pass. Not sure what else you call that. EM and rad onc had the most unfilled slots going into the SOAP the last few years.
I am not universally condemning all applicants. there undoubtedly would be some passionate abt radonc among the specialty refugees. I am actually pretty passionate abt this field, but couldn’t see myself applying based on the existential job risk in 15-20 years. Even a 10-20% risk is disasterous in my opinion. Plenty of great specialties out there and it is hard to believe there is not a single other specialty that an applicant couldn’t embrace with similar passion. No one was born to be a radonc.
At this point, if you’re a med student and you’re tied to certain location or wants to live in big metro cities, you absolutely shouldn’t go into rad onc. But not everyone wants to live NYC, San Fran, Miami etc. let’s say you’re from Pittsburgh and okay with living within 1-2 hours, you can easily find a rad onc employed position that pays $500-600k for 4-5 days 8-4 with no calls! That’s literally dream job for many people! Also if you wanna go into academic, most places that I checked rad onc assistant professor gets paid more or equal to med onc, Rads, Anesthesiologist assistant professor. At the big university in my home town, rad onc assist prof salary is 1.5x of med onc assist prof.
The only thing missing from this ad is the fact that you get an additional 4 weeks off every year (along with the patients and staff) due to annual hurricane season which is only getting worse. Plus, even if you don't evacuate you can enjoy the warm weather and sunshine without electricity for a few days each time the hurricane knocks out the power lines.
Not quite the perk of the Career Center posted UNC satellite clinic in Smithfield, NC that comes replete with the smell, sounds, and runoff into ground water taste of hog slaughter. Most of your patients will have 8 or less fingers and a weird, novel virus from working the line. But at least, you also get to cover 4 other clinics in the division. Not main campus, of course.
Dude, they're looking for providers who put patients first. If you have to ask about money up front then this job is probably not for you.
I need to know how many consults are referred to the clinic and what the mix of cases is. Then we can negotiate a RVU rate. This is the most important information I need to know when evaluating a JOB. Is this a volunteer position? Who knows!
You forgot also move to the community (McAllen Texas) and live there and become engaged in local civic activities rotary club, volunteer your Saturdays to do local radio shows, etc). We’re holding out for the right fit for someone who wants to move here (far flung border town on the edge of Texas) and never leave because it’s heaven. Maybe you can go to the beach in Galveston for a week in July.
supply and demand.
But orthodontics is included lol
I’m sure these locations have more applicants in tech too but the tech jobs actually pay more in these locations comparing to LCOL rural locations.
Husband works on Wall Street.
I looked at their other jobs postings… intersting!
$380k for rad onc. It’s shockingly more than some other specialties i had some of them couple posts above (still less than gas and rad)
Wild that anyone would have a dream to become a doctor as a kid and try hard in junior high, take advanced classes in high school, go to college and do all the things necessary to get into med school, go to med school and almost kill yourself studying and working there, and then do a 5 year medical residency…
