Another new chair who only took about a decade to get there. Good for WashU
Another new chair who only took about a decade to get there. Good for WashU
I like how the MD salary went down.
I like how the MD salary went down.
I talked to an academic dosimetrists. They had their main job and two remote full time jobs. They said they just planned while at work and on weekends. If you are pulling 100-150k per job, you are approaching MD salaries. Way less school and way more flexibility. It is a great gig right now
lol at 70k for front desk. My old place was paying them like 14 an hour or something.
I talked to an academic dosimetrists. They had their main job and two remote full time jobs. They said they just planned while at work and on weekends. If you are pulling 100-150k per job, you are approaching MD salaries. Way less school and way more flexibility. It is a great gig right now
I can't imagine going into medicine in this environment.Every one else in the clinic pay is up 50% or more in past 15 years while the physician's is down over 10%. Well done.
Ditto for med physics. Approaching $300k for chief positions in some marketsI talked to an academic dosimetrists. They had their main job and two remote full time jobs. They said they just planned while at work and on weekends. If you are pulling 100-150k per job, you are approaching MD salaries. Way less school and way more flexibility. It is a great gig right now
I can't imagine going into medicine in this environment.
FtfyI can't imagine going into radiation oncology/peds/pathology/fp in this environment.
I've looked into this.Maybe rad onc MDs could also get certified in dosimetry as well so we could get in on this double dipping thing.
Fair.Things can look much better when demand for specialties' services increase rather then constantly decrease.
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Wow! Looks like I’ve chosen the wrong “Rad”😂 is it even possible to pull this kind of money as a rad onc nowadays unless you’re a chair or a boomer with a well-established busy PP?Things can look much better when demand for specialties' services increase rather then constantly decrease.
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I can see this happening and better use of time during residency.It's actually a pathway to combat the overtraining if you think about it.
Instead of reducing resident numbers, because that would be way too simple, instead have the residents spend a year on dosimetry, so when they get pumped out by the hundreds and only have 5-10 OTVs a week, they will have plenty of time to do their own plans and supplement their income with what dosimetry was being paid.
I can see this happening and better use of time during residency.
Wow! Looks like I’ve chosen the wrong “Rad”😂 is it even possible to pull this kind of money as a rad onc nowadays unless you’re a chair or a boomer with a well-established busy PP?
Yes. It would be a SIGNIFICANTLY better use of time in residency, from just a pure educational perspective - even if someone never ends up opening the Optimizer section of whatever TPS they use for the entire career.It's actually a pathway to combat the overtraining if you think about it.
Instead of reducing resident numbers, because that would be way too simple, instead have the residents spend a year on dosimetry, so when they get pumped out by the hundreds and only have 5-10 OTVs a week, they will have plenty of time to do their own plans and supplement their income with what dosimetry was being paid.
It’s possible to pull that money but almost impossible to get that 9-11 weeks PTO with itWow! Looks like I’ve chosen the wrong “Rad”😂 is it even possible to pull this kind of money as a rad onc nowadays unless you’re a chair or a boomer with a well-established busy PP?
Yeah it is possible. It is also possible to win the lottery. If you look at the MGMA data, most people clearly make less. I know more people at the median than at 600+.It’s possible to pull that money but almost impossible to get that 9-11 weeks PTO with it
$750K salary = 1 in 100Yeah it is possible. It is also possible to win the lottery. If you look at the MGMA data, most people clearly make less. I know more people at the median than at 600+.
Yeah it is possible. It is also possible to win the lottery. If you look at the MGMA data, most people clearly make less. I know more people at the median than at 600+.
We all run in different circles and locations but with my closer friends from residency (scattered all over the country albeit no huge cities) if you're at 600 you are at the bottom of the compensation/comparison. Guess we all just got lucky. I am fortunate and unfortunate to know quite a few radoncs with these "unicorn" type jobs at least on the pay front.
Most graduates will never be interested in fly over. The ones who state they are are currently single mostly. Life changes and you get a partner, they have a career too. You have kids and all of a sudden need help and need to be closer to family or in better schools etc etc. Life comes at you fast.Agree. Flyover country and coasts are very different.
Doesn't Varian offer remote dosimetry?I work in a "desirable" area and no question the income opportunities for enterprising dosimetrists and physicists exceeds that of physicians. Many dosimetristd covering multiple sites. Of course, that's totally illegal per RonD if they aren't billing the services from the location they are performing the planning.
Another new chair who only took about a decade to get there. Good for WashU
Hmmm a varian qui Tam could be worth billions? RonD can be our expert witness and maybe we can get in on the selfie?Doesn't Varian offer remote dosimetry?
Lol at RonD mansplaining to Varian.
Yes they do. Remote planning widespread and totally legit. Ron D should stick to mansplaining the benefits of heavy ion therapy on XDoesn't Varian offer remote dosimetry?
Lol at RonD mansplaining to Varian.
Varian now employs more medical physicists than any entity in the worldYes they do. Remote planning widespread and totally legit. Ron D should stick to mansplaining the benefits of heavy ion therapy on X
did michalski want the chair position? the guy spent his career as Perez's b and invested so much time w/astro, advocating advantages/profits for large medical systems to the detriment of 95% of his colleagues, and this is his reward?Hallahan retiring? I wonder if he succeeded in dropping clinical ROs salaries sufficiently during his tenure.
Michalski always the bridemaid, never the bride?
Wonder if Karam can slow down the hemorrhaging of Rad Onc talent out of Wash U. Although I see that they've recently got some good pickups from other facilities...
But also, there's the possibility - the unspoken possibility - you end up in a situation without a Dosi/Physics arrangement that can produce minimally competent plans for your patients, and it's either do it yourself or be OK with the plan isocenter being set 7cm off the actual isocenter, etc etc etc
Bootlickers are not always rewarded. He can keep bringing the diet coke when the button is presseddid michalski want the chair position? the guy spent his career as Perez's b and invested so much time w/astro, advocating advantages/profits for large medical systems to the detriment of 95% of his colleagues, and this is his reward?
did michalski want the chair position? the guy spent his career as Perez's b and invested so much time w/astro, advocating advantages/profits for large medical systems to the detriment of 95% of his colleagues, and this is his reward?
Yep. Chair, POTUS, no thanksVery kind to say so.
Maybe in a few years if someone wants me.
I'm not ready yet. It's not my goal to be chair--seems like a major headache.
My goal is to be a physician-scientist. The only reason I'd do it would be to help others be physician-scientists.
There are no regulations of who can do dosimetry other than HR. Ultimately no one cares who did the plan, bc the Rad Onc is responsible. But don't begrudge the current slate of dosimetrists making as much bank as possible. The profession won't disappear but the current numbers will no longer be necessary. Writing has been on the wall for 15 years, but starting to see quality auto-planning solutions emerging from the Varians and Raysearch companies of the world. I feel sorry for those who just paid the CMD school fees over the last several years and don't have an RTT to fall back on, or some other profession.I've looked into this.
A lot.
Unfortunately, and similar to the Palliative Care cert, there is no longer a "practical pathway" to sit for the exam based on experience.
Now, I stopped short of contacting the AAMD to see if an exception could be made for physicians because I assume no one has asked before...it does remain on my long-term, "potential to-do list".
However, there doesn't really appear to be any regulations around this, other than perhaps something like APEx. There's no overt prohibition on a RadOnc working as a Dosimetrist - and there are, of course, the tales floating around of a solo RadOnc here and there doing their own Dosimetry for their practice.
The real world is the Wild West.
If only people knew what was happening in the Wild West...I feel personally attacked
If you're a rural doc I don't see on site dosimetry as being a good option. Maybe you get very lucky but for the most part it's not very qualified people as opposed to having some badass do things remotely.If only people knew what was happening in the Wild West...
(this also is a big component of my opinion on supervision, in that the horrifying atrocities I've seen/experienced under the guise of "Dosimetry" and "Physics" could not be fixed by any form of supervision...only me, learning on the fly how to be my own Dosimetrist...)
If you're a rural doc I don't see on site dosimetry as being a good option. Maybe you get very lucky but for the most part it's not very qualified people as opposed to having some badass do things remotely.