I think in jail pitching and catching may have other meanings but i would not know only heard!!!
Webex and Proctorio
You are not alone. I agree. We should not get rid of oral boards. There are still a lot of fields that have them.
I usually go with what the referring doc wants me to say or say something different from the opposing rad onc.
I won’t lie. I really want to oppose you because you have a picture of Hot Rod holding the matrix of leadership as your picture/avatar it makes me (Megatron) want to oppose you at every turn (though I mostly agree with everything you say hahaha)
I won’t lie. I really want to oppose you because you have a picture of Hot Rod holding the matrix of leadership as your picture/avatar it makes me (Megatron) want to oppose you at every turn (though I mostly agree with everything you say hahaha)
I'm not worried about these board certified radoncs when they take oral boards and get certified. I'm worried about them years to decades later when they've forgotten most of it + haven't kept up with new literature. They're basically 19__ or 20__ (years around board certification) radoncs walking around in 2021 (or whatever year in the future). Those are the "board certified in name only" radoncs who no one would trust to give HO ppx to your pet chinchilla.
Do not wish for oral physics boards. Well actually maybe we should because that is guaranteed to cut down residency spots LOL
I don't think any of us defenders of the oral boards want to keep doing 4 board exams. I think most of us (myself for sure) see it more of an either or between oral and written clinical exams and feel that, on average, the oral format does a better job of assessing competence rather than random factoids. Looking at the exams that I took, I would take the oral exam over the written exam in a heart beat. Disclaimer: its been a few years and all of that could change with the new formatting and new crops of examiners enter the picture.
I'm watching some of the 2020 ASTRO review videos to prep for oral boards, and sadly, though not surprisingly, some of the presenters themselves don't seem to have a firm grasp on the data or trial designs, despite making the presentation. Some are helpful of course. This makes me wonder, in addition to having to take boards and be examined by these people, if I can get my $250 back.
I'm surprised he doesn't plug his old boss, Sleazy Mikey Steinbergworst Astro refresher presenter by far has been Percy lee
plugs himself a lot (seriously 4 pi SBRT wtf) and his own Twitter feed plus friends
Rad onc's great, till it gotta be great.
Ah, essays mean a literal written record of examinee's responses, which allows requests for review of scoring, which can actually be performed and there might be accountability?I hear Australia makes some good radiation oncologists? Good physicists too?
No oral examinations. (And they have way less RO examinees to deal with.)
Essay only in what they call "phase 2." Phase 1 is a multiple choice. You take phase 2 after being in practice for a year or so. Or so I have heard mate.
A reviewable paper trail? That is crazy talk. Here at ABR, our innovative leaders in the field of disappointment have been tirelessly putting the ass in assessment for over 20 years. Trust us, our way is better.
Sorry to hear, but hang in there. My partner conditioned peds a couple of times. Lots easier to only have to study a single section. I'm sure you'll be fine in the long-term. Hasn't affected her in the least.
I know, and that solace does help. We do have to option to retake in September so it’s not that far off, but it’s mostly super disappointing to know I’m not done
You have a good attitude and I agree with above: it won’t affect your career at all. There are a couple academic chairs out there who conditioned at least 1 section. At least you hit a speed bump now and not on Step 1. In our field you have to get at least 250...oh wait. Never mind. If you are an American MD who can spell your name right at least 50% of the time you will match now. I keep forgetting that.
I agree with everyone else. You did great and take a break for a while. This is just a small hurdle in a long career with no long term side effects.
Very true.
For a topic that's so simple in practice it can get unnecessarily complicated in a test environment. I treat 50% breast and wouldn't have been surprised if I'd conditioned it. Sometimes you just don't jive with your examiner. For one section you could realistically study hard for 2-4 weeks and that'll be the end of it. To reiterate what everyone has said it will have no bearing on your career and nobody that you currently work with truly gives a ****, it's just a bit of an extra annoyance. On the flipside, congrats on passing everything other than breast!
This is what kills me about breast (and, obviously, so many of us as well).
If that answer was grounds for conditioning it, then something needs to be done, as they're asking for a trial that would fit this criteria, but I don't do 1 week bid apbi. Sorry. I only want to focus on what I do as that's what the boards should be concerned with. In addition to heart and lung constraints to obsess over for breast, there are doctor constraints. My constraint would have been violated by this idiotic scenario.
I’ve said it before and will say it again... breast is the worst! Nothing to do with complexity of the treatment, it’s all about “style.”
THIS. I also treat about 50% breast and actually feel really comfortable with the data, and spouting off in tumor board. I guess what frustrates me is how the pass/fail line in any given section comes down to jiving with your examiner. I actually think I learned a lot and consolidated knowledge through the process of studying, as painful as it was, but there has to be some way of improving the process so you don’t fail based on bad vibes (I actually did have bad vibes coming out of that section tbh).
Passed.
congrats!
Remember how the German Engineers at Siemens drove their linacs into the ground with over engineering in the 90s? That is exactly how I feel about academic breast cancer. So. Much. Granularity. The sheer boredom of having to relearn the minutia of managing the axilla is 99% of the reason I get all of my certification requirements knocked out as far in advance as possible.
Ah that's a great analogy of what RadOnc has turned into -"over engineering". Are patient outcomes better by requiring this level of minutiae memorization to attain board certification?
Right, and wrt partial breast RT, I have opted to go with the IMPORT-LOW approach, which is basically just WBRT with some cheating. That's what community docs do, try to generally standardize things instead of having an infinite armamentarium of approaches that are all the same wrt outcomes, and for which nobody site-specific specialists has the brain space to know in great detail. Since my patients aren't flying in for a week, I don't ever need to know the APBI approach beyond that it exists, and maybe someday I'll use it. I don't disagree with others using it, but wrt to boards, a simple question like, would you use partial breast and when is more in line with confirming competence than, "you have a week to get partial breast done," which is absurd. This isn't trauma surgery.
I try to go with the Intensity Modulated Partial Organ Radiotherapy approach, but Evicore doesn't allow it
EDIT: Returning to post cool video
