• Funniest Story on the Job Contest Starts Now!

    Contest starts now and ends September 27th. Winner will receive a special user banner and $10 Amazon Gift card!

    JOIN NOW
  • Site Updates Coming Next Week

    Site updates are coming next week on Monday and Friday. Click the button below to learn more!

    LEARN MORE

Why is no one single boarding in heme?

Bowel Movers and Shakers

Full Member
2+ Year Member
May 4, 2018
30
18
86
  1. Resident [Any Field]
Hi all,

Just curious about this, because a lot of programs are functionally requiring their fellows to single board now. Out of all those programs, virtually all fellows i've met are choosing to single board in onc. No one's been able to give me a great reason besides "heme is boring" but honestly, you'd think that out of such a large number of people, at least one person should be more interested in heme than onc. Anyone have any idea as to what's going on. All these folks btw are interested in going into academics fwiw

Thanks
 

gutonc

No Meat, No Treat
Staff member
Administrator
Volunteer Staff
15+ Year Member
Mar 6, 2005
19,937
14,709
626
  1. Attending Physician
Because people like to get jobs after fellowship and single boarding in heme is a great way to minimize your options there. I'd hire 10-15 onc-only boarded docs for every 1 heme only.

Also, "a lot of programs" is a little misleading. True, some of the big name programs will make you single-board while still doing 3 full years so they can get extra work out of you. But it's certainly not the standard.
 
  • Like
Reactions: 1 user
About the Ads

gutonc

No Meat, No Treat
Staff member
Administrator
Volunteer Staff
15+ Year Member
Mar 6, 2005
19,937
14,709
626
  1. Attending Physician
Gotcha, thanks @gutonc that's good to know. Is it just because heme problems are rarer to see in the clinic?
Outside of academics or a very large group, you're much less likely to be able to create a heme-only niche (even more so for benign heme only).

In my 2 clinic days this week (I'm in admin/leadership so only do half-time clinic now), I will see 36 patients. Of those, 3 (<10%) are heme malignancy patients (well within the purview of oncology only) and none are benign heme cases. I suspect that my partners have similar numbers and across the board, we probably see somewhere in the neighborhood of 10-15% benign heme and a similar percentage of malignant heme cases. There's no way I could pay more than 1 person to do just heme...and even that would be a stretch since I have 15 docs in 5 offices over a 250 square mile area.
 
  • Like
Reactions: 1 users
About the Ads
This thread is more than 1 year old.

Your message may be considered spam for the following reasons:

  1. Your new thread title is very short, and likely is unhelpful.
  2. Your reply is very short and likely does not add anything to the thread.
  3. Your reply is very long and likely does not add anything to the thread.
  4. It is very likely that it does not need any further discussion and thus bumping it serves no purpose.
  5. Your message is mostly quotes or spoilers.
  6. Your reply has occurred very quickly after a previous reply and likely does not add anything to the thread.
  7. This thread is locked.