Unsolicited Jobs Thread

Started by Gfunk6
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allseasons said:
Is that not common? I've seen multiple postings like that. 35 hours a week, typically friday afternoons off.
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It's a thing that sounds wonderful. I suppose if you'd like to strictly define it as clinical time then sure, call it 4.5 days/week. It really only exists at clinics that need to be open 2.5 days/week. These places might pay 750 for a couple years, but not after that. Alternatively, you can grow things to earn your keep, but you'll be working 6+ days/week. Much of the time, you'd rather be at work anyway than wherever it is alwaysbeimrting cut his or her teeth.
 
Ray D. Ayshun said:
It's a thing that sounds wonderful. I suppose if you'd like to strictly define it as clinical time then sure, call it 4.5 days/week. It really only exists at clinics that need to be open 2.5 days/week. These places might pay 750 for a couple years, but not after that. Alternatively, you can grow things to earn your keep, but you'll be working 6+ days/week. Much of the time, you'd rather be at work anyway than wherever it is alwaysbeimrting cut his or her teeth.
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If you are actually working 35 hours a week in the clinic, you should be seeing 8 new pts a week and generating a ton of prof income. Long term, a good salary and stable employment depends on patient load which most of these places can’t provide.
 
RickyScott said:
If you are actually working 35 hours a week in the clinic, you should be seeing 8 new pts a week and generating a ton of prof income. Long term, a good salary and stable employment depends on patient load which most of these places can’t provide.
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Hypofx has only exacerbated this problem. HOPPS billing has allowed the technical revenue to make it feasible to keep a lot of these places open, if they were private freestanding centers, many would have been shut down or bought out by a hospital by this point
 
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DrProtonX said:
While rad onc residency is less brutal than like of nsgy, gen surg, ortho etc. if you expect 8-4pm and couple hours of studying after, you’d be greatly disappointed when you start residency. The workload of rad onc is much different from other specialties.
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Can you clarify this a little for me? Why so? From what residents have told me, this is exactly what I should expect, and that’s something that’s relatively important to me too.
 
RickyScott said:
If you are actually working 35 hours a week in the clinic, you should be seeing 8 new pts a week and generating a ton of prof income. Long term, a good salary and stable employment depends on patient load which most of these places can’t provide.
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The short of it is, we really can't turn the spigot on or off. There are situations where there's probably an ideal work-life balance, but my experience is we're either bored or stretched thin.
 
allseasons said:
Can you clarify this a little for me? Why so? From what residents have told me, this is exactly what I should expect, and that’s something that’s relatively important to me too.
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Depends on the residency. I had an 8-4 type gig, but at the time, Jefferson and Maryland, for example had 12 hour days even though the patient load/physician at those places was pathetic.
 
@allseasons I know what @RickyScott is saying. I think it will be continually important to think about what the workload is and why? We are approaching an AI and tecnhology revolution. Specialties that are doing manual, 80 hours a week stuff will be inherently more protected long term than a specialty (RadOnc), doing 8-4 a few days a week while being currently highly technology based. If you want long term protection, surgery and maybe psychiatry (but I doubt psych will be as protected as surgical based specialties).

Good luck with whatever you do, be smart with your money, live frugally and invest wisely while learning about markets.
 
allseasons said:
I saw the job postings for two of them and there wasn't any length restriction. I remember seeing things like that even last year, where the high salary was only guaranteed for the first year or two. This year, most offers don't seem to be like that. I do not know if there are productivity requirements.
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Eh, I don’t think lifetime contracts exist in medicine. Almost always a 2 year guarantee followed by renegotiation or volume based pay.

Those $850k jobs in the sticks treating 12 patients, often become $500k jobs year 3.

Definitely possible to stream them sequentially for some, but much tougher if you have a family. When looking at these jobs, understanding the volume is the most important thing. Ultimately, that’s how you’ll be paid.
 
Mandelin Rain said:
Eh, I don’t think lifetime contracts exist in medicine. Almost always a 2 year guarantee followed by renegotiation or volume based pay.

Those $850k jobs in the sticks treating 12 patients, often become $500k jobs year 3.

Definitely possible to stream them sequentially for some, but much tougher if you have a family. When looking at these jobs, understanding the volume is the most important thing. Ultimately, that’s how you’ll be paid.
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How do they have retention then?
 
allseasons said:
How do they have retention then?
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They don't, and they don't care.

Don't take these jobs. Almost all new grads who fall for the 750k 2 year guarantee and 150k signing bonus with 5 year clawback scam in Ogdenville or North Haverbrook leave rapidly after blowing their lives up over what they realize is a trivial extra amount of money in the long run. Friends don't let friends take these jobs.
 
allseasons said:
I always wondered, how is that even cost effective for them? Because then they have to pay a new doctor that inflated salary again anyway right.
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Lets imagine you get paid 750k for one of these jobs. With benefits etc, you cost the hospital 850-900k. Your 2 year contract ends and the hospital says you know what, now we're only going to pay you production. Or now we're only going to pay you 500k + a production bonus you can never meet.

So now you've uprooted your life to take this job. Maybe you met someone you like. Maybe you bought a house. Maybe your spouse found a job they like. Maybe you hate the place and can't wait to leave. But now you need to look for a job. And once you find a job, it takes time to get credentialed/licensed etc and start that job.

Or maybe you don't find a job. Maybe the reason you took a job in Minot, ND to begin with was because you weren't that attractive of a candidate from the get go. There's a good chance that your potential employer doesn't think all too highly of your time in the Dakotas and, given the job market, picks someone else ahead of you. Every day you stay in the job is now a day that your clinic is making money off of you. If/when you ultimately leave, you will be replaced by a locum for similar or cheaper pay while they try to hire someone else. Rinse and repeat.
 
allseasons said:
I always wondered, how is that even cost effective for them? Because then they have to pay a new doctor that inflated salary again anyway right.
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I have a sneaking suspicion a lot of these small hospitals and admins are making 2025 decisions based on their 2015-2020 reimbursement trends and memories. Let’s all enjoy the “brand new grad got a 750k salary” stories for as long as we can.

1755526298546.jpeg
 
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drowsy12 said:
Dude. up your game.
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??
How do you expect him to entice more money out of someone hiring? They are offering $1500 because it is WORKING for them.

Easy to have some retired Rad Onc soak up the sun in Florida and babysit a linac for $1500 or do jacked up non-sense without a care in the world. Locums doesn't care if you're good at Rad Onc.

Enough boomers who will never have money willing to take bottom of barrel prices.
 
evilbooyaa said:
How do you expect him to entice more money out of someone hiring? They are offering $1500 because it is WORKING for them.
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doubt it recently.

I imagine Neuronix is speaking about a while ago.

and past that, as @OTN said - know your worth.

if you dont know your own worth, how do you expect someone else to.
 
drowsy12 said:
doubt it recently.

I imagine Neuronix is speaking about a while ago.

and past that, as @OTN said - know your worth.

if you dont know your own worth, how do you expect someone else to.
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Not awhile ago. I stopped seeking locums after I had kids, so it's been a few years since I was actively looking and negotiating. I also figured it just wasn't worth my time to go work on my time off and make less than I would in my day job.

I did tell all the Florida recruiters to stop bothering with me rates under $1500/day, and they did. Except CompHealth. CompHealth has a different recruiter calling me every other month who has no idea what I told the last recruiter.

I know some practices that are happy to cut the recruiters out and are still paying $1000-1500/day. At least one of them is probably still on SDN reading my posts thinking the rates are totally fair. They recently acted like $1500/day was doing me a huge favor and how could they possibly pay more.

I will be fair that there is one SDN poster who had an unadvertised gig that did pay more. I never took them up on it. That's the one and only time I found a rate in Florida offering more than $1500/day.

Everything I wrote includes ASTRO week, Christmas week, etc.

Gfunk6 said:
Wow. Is the meth and oxy included?
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Plenty of that in Florida too. Looking at you rural central Florida.

grenz said:
Recently got a text from a headhunter for Locums $4k/day. Not in Florida though
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I got that one too. It said medical oncologist, or was it radiologist?
 
drowsy12 said:
doubt it recently.

I imagine Neuronix is speaking about a while ago.

and past that, as @OTN said - know your worth.

if you dont know your own worth, how do you expect someone else to.
Click to expand...

Clearly, with the level of confidence with which you speak, you must have intimate knowledge of the locums market in Florida.

And with that intimate knowledge, you must be personally aware of situations paying well above $1500/day in Florida.

I encourage you to share that knowledge with us, so that you can demonstrate your dominance over Neuronix, that he is getting indentured servant-level locums offers, while you, Sir/Madam Drowsy12, are getting prince/princess-level locums offers in Florida.
 
evilbooyaa said:
Clearly, with the level of confidence with which you speak, you must have intimate knowledge of the locums market in Florida.

And with that intimate knowledge, you must be personally aware of situations paying well above $1500/day in Florida.

I encourage you to share that knowledge with us, so that you can demonstrate your dominance over Neuronix, that he is getting indentured servant-level locums offers, while you, Sir/Madam Drowsy12, are getting prince/princess-level locums offers in Florida.
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not that deep
 
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If these recruiters were smart they would ask me to pay them to make it so I stop getting calls and emails. Lots of money being left on the table! I'm not going to do locums no matter how many times you call/email/voice mail me within 2 minutes. I don't see how it is useful at these rates. I get about 6-7 weeks of vacation a year (around average in our field) and people are really doing locums during this time for less than just working close to their home/family?

I think it's cheaper long term for facilities to pay someone down on their luck relatively lower pay than to run it w/o physician, this builds in a sponge to take lawsuits/blame from their facility if something goes wrong. But I also worry that many of these places are struggling already and are going to struggle more and more as continued cuts happen.

Edit- I don't even know how much anyone is paying because I answer the phone:
Simon Lewis How Did You Get My Number GIF by Shadowhunters
 
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If you’re in a healthy community practice, it’s better to work at your full time gig or go on vacation.

Locums is decent for residents and retirees, or if you’re in a low fixed salary job with ample PTO time, it could also make sense.
 
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When I first started out, I worked a few weeks a year as a locum. It was never worth it. You have to fill out a mountain of credentialing work only to show up, and the clinic is not at all prepared. No usernames, no passwords, nothing. At best, you get a number to the outsourced IT department.

I'd never cover another unknown clinic.
 
Not precisely a job, but are you guys being spammed non stop about this prostate SBRT conference?

SBRT for Prostate Cancer: A Comprehensive In-person and web-based Interactive Hands-On Course for Radiation Oncologists, Medical Physicists, and Radiation Therapists, and Dosimetrists

Endorsed by ISRS!

Endorsed by RSS!
at the Fontainebleau Miami Beach in Miami, Florida
January 30-31, 2026

It seems like they grossly over-estimated the interest in this and are trying to get as many warm bodies as possible.
 
Gfunk6 said:
Not precisely a job, but are you guys being spammed non stop about this prostate SBRT conference?

SBRT for Prostate Cancer: A Comprehensive In-person and web-based Interactive Hands-On Course for Radiation Oncologists, Medical Physicists, and Radiation Therapists, and Dosimetrists

Endorsed by ISRS!

Endorsed by RSS!
at the Fontainebleau Miami Beach in Miami, Florida
January 30-31, 2026

It seems like they grossly over-estimated the interest in this and are trying to get as many warm bodies as possible.
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How was it last year?
 
Is it just me or has anyone else also noticed that there are 20-25 jobs that get frequently posted. Barely anything new. Yet, none those jobs that get posted repeatedly, increase their compensation to become more appealing. Something doesn’t add up. If job market is weak, why aren’t those jobs getting filled? If it’s strong, where are the new jobs and why aren’t those jobs increase their offers?
 
for as long as I have been aware of rad onc, there's been those jobs. they exist in a place outside of time and space, not encumbered by the realities of market forces or other job postings. it's weird.

If a job is never filled, does it really make a sound exist? makes you wonder.
 
My sense is across the economy, including residential real estate and jobs, people who wanted to move post 2020 did so, and there is going to be very little movement until the next economic cycle, White House admin, etc.
 
In case anyone is interested:

Subject:Radiation Oncology | Monterey, CA | Housing Assistance Available


I am working with the hospital there to hire a second radiation oncologist to replace two physicians who retired late last year.

If is a well established practice with 2 LINAC machines who have an annual volume of ~9200 patients.

They offer incredible salary, benefits, and significant housing assistance as well.

Let me know if you'd like to connect and discuss.

All my best,
Jeff Foster

303-927-9226
[email protected]

Schedule a call with me: Jeff Foster

Opportunity Details:

A thriving 250-bed community hospital right on the coast of California in Monterey is seeking a BE/BC Radiation Oncologist to join their team.

The practice is looking to rebuild a team of two full-time radiation oncologists after their two physicians who provided coverage over the last 30 years retired. After recently hiring their new medical director, they are seeking on additional physician to complete the team.

The Position:
- 4.5 Days of Clinical Care and 0.5 of Administrative Time
- No Call Required
- Base Salary with strong production upside.
- Benefits Covered: Health, Life, Vacation, CME, Long-Term Disability, and 401k (4% Match)
- Housing Assistance - the practice can offer significant housing assistance to all applicants to better navigate the higher cost of living on the coast

The Community:
- The practice is located 2 hours south of San Francisco right on the Pacific Ocean
- Monterey\s rich history boasts 20 world-class golf courses, the world\s best aquarium, unique variety of shops and galleries and a spectacular assortment of parks and natural areas combine to provide a truly unrivaled place to live and raise a family.
- Unbeatable climate – Enjoy an incredible Mediterranean climate where average high temperatures range from 58 degrees to 69 degrees year round.
- Enjoy a slower pace of life by avoiding the California traffic and California cost of living – Housing costs 65% of what it would be in San Francisco according to Sperling\s

Additional Details:

  • Location: Monterey, California
  • Type: Full-time
  • Est. Compensation: $550-650k
  • Hospital Affiliations: Not Specified
  • Visa Waiver: No
 
Gfunk6 said:
In case anyone is interested:

Subject:Radiation Oncology | Monterey, CA | Housing Assistance Available


I am working with the hospital there to hire a second radiation oncologist to replace two physicians who retired late last year.

If is a well established practice with 2 LINAC machines who have an annual volume of ~9200 patients.

They offer incredible salary, benefits, and significant housing assistance as well.

Let me know if you'd like to connect and discuss.

All my best,
Jeff Foster

303-927-9226
[email protected]

Schedule a call with me: Jeff Foster

Opportunity Details:

A thriving 250-bed community hospital right on the coast of California in Monterey is seeking a BE/BC Radiation Oncologist to join their team.

The practice is looking to rebuild a team of two full-time radiation oncologists after their two physicians who provided coverage over the last 30 years retired. After recently hiring their new medical director, they are seeking on additional physician to complete the team.

The Position:
- 4.5 Days of Clinical Care and 0.5 of Administrative Time
- No Call Required
- Base Salary with strong production upside.
- Benefits Covered: Health, Life, Vacation, CME, Long-Term Disability, and 401k (4% Match)
- Housing Assistance - the practice can offer significant housing assistance to all applicants to better navigate the higher cost of living on the coast

The Community:
- The practice is located 2 hours south of San Francisco right on the Pacific Ocean
- Monterey\s rich history boasts 20 world-class golf courses, the world\s best aquarium, unique variety of shops and galleries and a spectacular assortment of parks and natural areas combine to provide a truly unrivaled place to live and raise a family.
- Unbeatable climate – Enjoy an incredible Mediterranean climate where average high temperatures range from 58 degrees to 69 degrees year round.
- Enjoy a slower pace of life by avoiding the California traffic and California cost of living – Housing costs 65% of what it would be in San Francisco according to Sperling\s

Additional Details:

  • Location: Monterey, California
  • Type: Full-time
  • Est. Compensation: $550-650k
  • Hospital Affiliations: Not Specified
  • Visa Waiver: No
Click to expand...

Isn't an annual volume of 9000 patients kinda crazy? that is over 300 patients per month for each physician.
 
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