Do people take them though? New grads don’t seem too desperate anymore.If people keep taking those jobs it'll continue
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Unsolicited Jobs Thread
Started by Gfunk6
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I don't think much has changed in last few years
The jobs in smaller town 90 minutes or more outside of major cities remain well compensated, flexible work weeks (3-4 days in office not unreasonable) and having worked / locumed in places like this, job itself tends to be great - just if you can manage to live in the smaller towns.
City and suburb and exurb jobs are less well paid, less flexible and also less options available. Many are still 5 days a week with no WFH (mine included). Some hospitals, despite this, still limit time off.
Pay attention to benefits, retirement match, health care. These vary widely and can change the bottom line compared to just reviewing salary alone.
If I were a young man graduating now and had no kids, I'd go to one of these small towns and bank for 5 years, maintain connections to cities/suburbs I was interested in and then proceed to move when kids are in elementary school. If not having kids, enjoy that 3 day in person work week, make a ton of money, vacation widely, have a summer or winter home and enjoy taking care of small town folks. I have not only found the patients gratifying to work with, but the staff tends to be excellent (when they can be found). Typically, it's a person that wants to be in that town and is pretty much stuck because it's likely the only radiation oncology job within many miles.
I work harder and make less money in absolute dollars then I did 10 years ago. That is not uncommon. Accounting for inflaysh and cost of living, definitely earning less.
The jobs in smaller town 90 minutes or more outside of major cities remain well compensated, flexible work weeks (3-4 days in office not unreasonable) and having worked / locumed in places like this, job itself tends to be great - just if you can manage to live in the smaller towns.
City and suburb and exurb jobs are less well paid, less flexible and also less options available. Many are still 5 days a week with no WFH (mine included). Some hospitals, despite this, still limit time off.
Pay attention to benefits, retirement match, health care. These vary widely and can change the bottom line compared to just reviewing salary alone.
If I were a young man graduating now and had no kids, I'd go to one of these small towns and bank for 5 years, maintain connections to cities/suburbs I was interested in and then proceed to move when kids are in elementary school. If not having kids, enjoy that 3 day in person work week, make a ton of money, vacation widely, have a summer or winter home and enjoy taking care of small town folks. I have not only found the patients gratifying to work with, but the staff tends to be excellent (when they can be found). Typically, it's a person that wants to be in that town and is pretty much stuck because it's likely the only radiation oncology job within many miles.
I work harder and make less money in absolute dollars then I did 10 years ago. That is not uncommon. Accounting for inflaysh and cost of living, definitely earning less.
Not really suitable for a new grad per se, but good comp per unit work at the Baltimore VA...
Radiation Oncologist – Baltimore, Maryland
Long-Term Federal Healthcare Opportunity | 0.75–1.0 FTE | Independent Contractor
ABR Consulting LLC, a Service-Disabled Veteran-Owned Small Business (SDVOSB), in conjunction with Cancer CarePoint, is recruiting an experienced, board-certified Radiation Oncologist for an anticipated long-term engagement supporting the Baltimore VA Medical Center Radiation Oncology Clinical Care Center in Baltimore, Maryland. There is an IMMEDIATE need for a radiation oncologist and the suitable candidate would ideally be ready to commence work in fall 2026 (but we are happy to discuss a suitable timeline for the right candidate).
This is an onsite independent-contractor opportunity expected to range from 0.75 to 1.0 FTE, with a guaranteed minimum workload equivalent to approximately 1,560 hours annually (0.75 FTE). The required workload may flex up to 1.0 FTE (2080 hours) annually depending on VA needs.
Compensation for the independent contractor position will be determined based on the physician’s skill and experience, and will range from $425,000 - $500,000 annually for a 0.75 FTE arrangement, and $550,000-$650,000 annually if VA needs flex to a 1.0 FTE arrangement.
The physician will work alongside VA-employed Radiation Oncologists and an established multidisciplinary oncology team. Current clinical support includes five radiation therapists (one Chief RTT and four Staff RTTs), one dosimetrist, two medical physicists, three nurses plus a CNA, and administrative support. Dedicated onsite dosimetry and medical physics support will be available.
The Baltimore VA provides a diverse but manageable Radiation Oncology practice that offers most forms of modern external beam photon radiation therapy (IMRT/VMAT, 3DCRT, IGRT, SRS, SBRT, and electrons) but does not perform any brachytherapy. The VA replaced their linear accelerator and CT sim in 2025, and thus best data for assessing one full-time equivalent has come from 2024, when the VA was staffed by 1.5 full-time physicians who shared the following annual workload:
This opportunity may be particularly attractive to an experienced Radiation Oncologist seeking a stable, long-term clinical role with a predictable minimum commitment, established clinical support, sophisticated Radiation Oncology technology, and the opportunity to care for the Veteran population.
Requirements
Candidates must meet the following requirements:
Radiation Oncologist – Baltimore, Maryland
Long-Term Federal Healthcare Opportunity | 0.75–1.0 FTE | Independent Contractor
ABR Consulting LLC, a Service-Disabled Veteran-Owned Small Business (SDVOSB), in conjunction with Cancer CarePoint, is recruiting an experienced, board-certified Radiation Oncologist for an anticipated long-term engagement supporting the Baltimore VA Medical Center Radiation Oncology Clinical Care Center in Baltimore, Maryland. There is an IMMEDIATE need for a radiation oncologist and the suitable candidate would ideally be ready to commence work in fall 2026 (but we are happy to discuss a suitable timeline for the right candidate).
This is an onsite independent-contractor opportunity expected to range from 0.75 to 1.0 FTE, with a guaranteed minimum workload equivalent to approximately 1,560 hours annually (0.75 FTE). The required workload may flex up to 1.0 FTE (2080 hours) annually depending on VA needs.
Compensation for the independent contractor position will be determined based on the physician’s skill and experience, and will range from $425,000 - $500,000 annually for a 0.75 FTE arrangement, and $550,000-$650,000 annually if VA needs flex to a 1.0 FTE arrangement.
The physician will work alongside VA-employed Radiation Oncologists and an established multidisciplinary oncology team. Current clinical support includes five radiation therapists (one Chief RTT and four Staff RTTs), one dosimetrist, two medical physicists, three nurses plus a CNA, and administrative support. Dedicated onsite dosimetry and medical physics support will be available.
The Baltimore VA provides a diverse but manageable Radiation Oncology practice that offers most forms of modern external beam photon radiation therapy (IMRT/VMAT, 3DCRT, IGRT, SRS, SBRT, and electrons) but does not perform any brachytherapy. The VA replaced their linear accelerator and CT sim in 2025, and thus best data for assessing one full-time equivalent has come from 2024, when the VA was staffed by 1.5 full-time physicians who shared the following annual workload:
- 285 consultations
- 1150 follow-ups
- 135 new starts (approximately 80% IMRT; 10% SBRT; 10% 3DCRT)
- 2500 fractions delivered
- Varian Edge Linear Accelerator with Identify
- Siemens SOMATOM g😵pen Pro CT Simulator
- Eclipse treatment planning system
- ARIA record-and-verify system
- VA CPRS electronic medical record
This opportunity may be particularly attractive to an experienced Radiation Oncologist seeking a stable, long-term clinical role with a predictable minimum commitment, established clinical support, sophisticated Radiation Oncology technology, and the opportunity to care for the Veteran population.
Requirements
Candidates must meet the following requirements:
- Board certification in Radiation Oncology by the American Board of Radiology (ABR) and maintenance of certification throughout the engagement.
- Current, full, and unrestricted license to practice medicine in any U.S. state, territory, Commonwealth, or the District of Columbia.
- Minimum five years of documented post-residency Radiation Oncology experience.
- At least three years of continuous Radiation Oncology work experience within the previous five years.
- At least five years of post-residency experience involving consultations, CT simulation, treatment planning, treatment management, and follow-up care.
- Experience with Varian linear accelerators (Edge or equivalent).
- Experience with IGRT, including Cone Beam CT.
- Experience with Eclipse treatment planning and ARIA record-and-verify systems, including 2D/3D conformal radiation therapy, SRS, SRT, SBRT, and IMRT/VMAT.
- Experience with Siemens SOMATOM g😵pen Pro CT Simulator or equivalent.
- Current BLS and other required VA clinical training/credentials.
- Current NPI.
- Current DEA registration in Maryland will be required.
- Ability to successfully complete VA credentialing, privileging, background investigation, and mandatory training requirements before providing clinical services.
- Ability to provide onsite clinical services at the Baltimore VA Medical Center.
- Fluent spoken and written English and ability to communicate effectively with patients, families, referring physicians, and multidisciplinary clinical staff.
- Prior experience practicing within the VA or another Federal healthcare environment.
- Experience with VA CPRS.
- Familiarity with VA credentialing, privileging, quality-management, peer-review, and documentation requirements.
Good point my understanding is that they've had a hard time implementing the measures of the Elizabeth Dole Act because of (no surprise here) an inability for the VA to determine how to do it:
www.govexec.com
VA's failure to use its new authority to boost pay for doctors draws bipartisan criticism
Department officials, including those in the Trump administration, have long complained that legal pay caps are hurting retention and veteran care.
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They can give 10-50% boost for specialists
$400k being base max up to 600k - through the VA. This looks like they outsourced it to some other entity.
Detroit would only give 10%. And they make you stay on site for 40 hours. You leave half hour early, you make it up next day. I found that infantilizing. Especially with how little workload. I think for 2 fte in Detroit they have like 20-25 on beam.
$400k being base max up to 600k - through the VA. This looks like they outsourced it to some other entity.
Detroit would only give 10%. And they make you stay on site for 40 hours. You leave half hour early, you make it up next day. I found that infantilizing. Especially with how little workload. I think for 2 fte in Detroit they have like 20-25 on beam.
I was thinking the same thing but I noticed it says independent contractor so this may be some odd 1099 setup where the taxes and benefits are differentsince when are VA salaries that high
FletchersGarb
Full Member
550K for a VA? Whoa
$14K in the Civil War era fyi$365k in 2010 dollars fyi
there's probably a mandatory salary and then a va.
doubt the salary comes from the va. Sounds like someone bid on the contract and now hiring for the position. Not sure how stable something like this is. Va may decide to hire their own doc someday.550K for a VA? Whoa
The VA can pay up to 150% to specialty, so instead of 400 max (highest salary cannot exceed POTUS salary), it can be up to 600k. But this one appears contracted. It’s depends on the region and the need. I know that PR and Miami VA have that 150% allowance for RadOncdoubt the salary comes from the va. Sounds like someone bid on the contract and now hiring for the position. Not sure how stable something like this is. Va may decide to hire their own doc someday.
Careful with these VA jobs through recruiters. I was talking to one a long time ago and they were really pushing the lifestyle even though the money was low. I finally said I wasn’t interested and was walking away and they said “well we could throw in benefits if that would help?”
4 day work week with 800K salary/100K signon ... pretty nice!
Come work with me in metro south Denver!
New center, joining 3 centers 4 docs
Supportive group, values QoL, good benefits with vacation and weekly off site admin day.
Elite physics/dosi with unique tech perks and network brachy/RPT
Nascent hospital network cancer program that is trying to be academic style, so there are a lot of opportunities to grow a career if thats your thing.
Link: https://jobs.adventhealth.com/job/2...-cancer-center-at-castle-rock-castle-rock-co/
New center, joining 3 centers 4 docs
Supportive group, values QoL, good benefits with vacation and weekly off site admin day.
Elite physics/dosi with unique tech perks and network brachy/RPT
Nascent hospital network cancer program that is trying to be academic style, so there are a lot of opportunities to grow a career if thats your thing.
Link: https://jobs.adventhealth.com/job/2...-cancer-center-at-castle-rock-castle-rock-co/
Hi Dr. — Jesse Knox again. I wanted to reach out as we have several Radiation Oncology opportunities available, ranging from 1–4 weeks per month to permanent positions, including a role that is 50% remote.
Locations include: Montana, Colorado, North Dakota, Minnesota, Ohio, and Florida.
• Pay varies by location, ranging from $2,800–$3,400 per day, not including call.
If you're interested in any of these opportunities, or interested in other locations, what time are you free for a call this week or next?
Thanks, Jesse Knox
Message me if anyone is interested and I will give you contact.
Locations include: Montana, Colorado, North Dakota, Minnesota, Ohio, and Florida.
• Pay varies by location, ranging from $2,800–$3,400 per day, not including call.
If you're interested in any of these opportunities, or interested in other locations, what time are you free for a call this week or next?
Thanks, Jesse Knox
Message me if anyone is interested and I will give you contact.
FletchersGarb
Full Member
These are “ongoing” or “long term”’ locum jobs that usually offer higher pay than vacation coverage.
DM me if interested
What does "50% remote" entailHi Dr. — Jesse Knox again. I wanted to reach out as we have several Radiation Oncology opportunities available, ranging from 1–4 weeks per month to permanent positions, including a role that is 50% remote.
Locations include: Montana, Colorado, North Dakota, Minnesota, Ohio, and Florida.
• Pay varies by location, ranging from $2,800–$3,400 per day, not including call.
If you're interested in any of these opportunities, or interested in other locations, what time are you free for a call this week or next?
Thanks, Jesse Knox
Message me if anyone is interested and I will give you contact.
General supervision half the time ?
I know our collegues in other specialties of same complexity (Rads, Gas, Med Onc etc) are probably getting offers $700-800k+ in similar locations but it’s stll nice to see $600k base instead of $300-400k that we used to see only few years ago for positions in middle of nowhere!
I don't know for certain, but I presume it is an arrangement of "two weeks in person, on-site and two weeks remote" or something similar.What does "50% remote" entail
I’m seeing even in my mid metro area bases over 600 from the hospitals , some approaching 700.
Well known academic guy told me his hospital routinely gets $1500 per 77412. This of course implies anybody getting $60 per wRVU is maybe getting about half of the professional being brought in (one could argue something closer to 100% would be fairer since the hospital gets 100% of the technical but I digress). Still a great profit margin in rad onc and room for hospitals to jack up the base as needed to remain competitive.I’m seeing even in my mid metro area bases over 600 from the hospitals , some approaching 700.