Who here practices outside the US?
Started by thesauce
Advertisement - Members don't see this ad
Supply of patients or jobs or radiation oncologists?
Scope: Tons of palliative patients, including oligometastatic, oligoprogressive, etc.
Job market: Supply remains low.
Supply of radoncs. Interestingly, people entering the field have increased, however:
a) lots of already working doctors decide to quit / shift careers / lower working hours
b) new specialists opt to not work full time
In America rad oncs opting not to work full time is a very rare option to have.
Why is that however so?
I’m not sure I agree. All we have seen in the last 5-10 years is more and more rad oncs working part time or groups deciding to work 4 days a week and hire more people or take a bit less pay.
This is one reason of many job market has been buyoyed despite the projections of some
The younger generation of rad onc is different
Canadian here. We have decent job data, but it’s due for a renewal. Massive hiring spree in past few years in every province except Ontario give or take, which may settle soon back to retirement replacements and nominal growth, we’ll see. But the market is much more healthier for our grads as of late.
European Country with a public health care system:
-Rad onc ist not very popular here: the vast amount of rad oncs are hospital employed in a public system, therefore pay is less than doctors would make in private practice.
lack of specialists/attendings however there seems to be more intrest in in recent years with numbers of residents increasing.
- I can VMAT all day long and what i want, treamtent is normally doctors choise, insurances normally dont argue
- more and more hypofractionation in the recent years due to high patient numbers, but theoretically i could treat a palliative patient with 20x2Gy without injurance problems
- high demand for benign treatments (arthritis, tennis elbow, etc...), more than we have resources for.
- quite a lot of patients in an inpatient setting: we give concomitant chemotherapy (eg lung, h&n, gyn, etc.) also do neoadjuvant chemo/immunoTx for h&n/ gyn.. cns, etc., organise ports, central lines, gastric tubes, etc; are on call during the weekends, holidays, which means managing a patient who gets a neutropenic spesis on a sunday night... (however this is very much hospital dependent, there are also outpatient only deparments.
-Rad onc ist not very popular here: the vast amount of rad oncs are hospital employed in a public system, therefore pay is less than doctors would make in private practice.
lack of specialists/attendings however there seems to be more intrest in in recent years with numbers of residents increasing.
- I can VMAT all day long and what i want, treamtent is normally doctors choise, insurances normally dont argue
- more and more hypofractionation in the recent years due to high patient numbers, but theoretically i could treat a palliative patient with 20x2Gy without injurance problems
- high demand for benign treatments (arthritis, tennis elbow, etc...), more than we have resources for.
- quite a lot of patients in an inpatient setting: we give concomitant chemotherapy (eg lung, h&n, gyn, etc.) also do neoadjuvant chemo/immunoTx for h&n/ gyn.. cns, etc., organise ports, central lines, gastric tubes, etc; are on call during the weekends, holidays, which means managing a patient who gets a neutropenic spesis on a sunday night... (however this is very much hospital dependent, there are also outpatient only deparments.
A four days per week job is not traditionally defined as “part time”; if it were, almost every heme onc I know works part time 🙂
It is especially not part time if you’re getting full benefits. That said, is there any part time job being advertised in the US right now? I have seen ads for 4 days per week but they’re very uncommon.
I've done 4 clinic days/week my whole career it's very much considered full-time.
Across the board all my med onc colleagues - employed and private practice - are 4 days/week.
We are likely going back to this model, though when we’ve had the staffing for it in past the “day off” you are still expected to check films and get caught up on Tx planning if you’re not already caught up.
Pretty sure on treatment volume matters more than days in clinic esp in the post COVID supervision era
This idea of wasting away in clinic doing nothing on the 5th day helps no one except all these extra rad onc training programs trying to find reasons to train extra residents we don't need in the field
Last edited:
Advertisement - Members don't see this ad
Oh I still check films, do tx planning, have meetings virtually, etc. Just no clinic appointments.
I'm down to create a part-time job if anybody's interested. My impression is that they're not listed bc a current partner or two transition to PT thus creating a new FT opening. I know several places with 1 or 2 part timers.
A number of academic, private, and hospital-based groups will work 4 days per week, with the 5th day being a work-from-home day. Your mileage may vary considerably on how this is defined. Assuming your work is done in a timely fashion, it could be a true off day. I had this in academics. The leaders and senior doctors would actively screw over junior faculty, so what the chair told you during interviews didn't mean a goddamn thing.
I have seen others try to negotiate a true part-time job at 2 or 3 days per week. I've never seen a new hire manage to pull it off, though. I know of maybe 3 doctors who do this, and it's always academic-industry partnered jobs.
More about international jobs - I'd love to hear about that!
