Unsolicited Jobs Thread

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RickyScott said:
The margins are really with 340b. Otherwise, to earn money on chemo, need a large Economy of scale like florida cancer specialists.
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Or US Oncology.

However, even if you are a small Oncology practice you can join nationwide aggregators to reduce drug costs.
Members don't see this ad.
 
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RickyScott said:
The margins are really with 340b. Otherwise, to earn money on chemo, need a large Economy of scale like florida cancer specialists.
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Oral pharmaceuticals are a whole different ball game with much better margins if you have the insurance contracts to dispense drug in house. No need for chemo nurses or infusion chair overhead...
 
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radoncftw said:
no surprise that the great resignation has hit academic depts hard. my training program is running thin.
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Happy if true. Training programs can’t expand as easily if they don’t have faculty.

Fpg1245 said:
W2 people living in CT or MA are the ones that get hosed. The rich living in Boston and the Gold Coast in CT barely notice because they barely pay taxes as it is!
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The rich in coastal states can use pass-through entities like partnerships, S-corps to avoid the SALT cap whereas w2 workers in NY, MA, CA are stuck paying high state and federal taxes.
 
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yesmaster said:
Happy if true. Training programs can’t expand as easily if they don’t have faculty.
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Especially with the new criteria increasing the ratio to 1.5:1 faculty to residents.
 
CaesarRO said:
Especially with the new criteria increasing the ratio to 1.5:1 faculty to residents.
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I still do not understand if and/or how these will be enforced. No one has really given a clear answer on that other than it's going to take a bit because the rules phase in and it's hard to enforce things with GME.

I also wonder if it's so difficult to expand faculty. It still seems to be the case that people will sign contracts with very low pay and other features that are not ideal.

You know, supply and demand and all that.
 
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yesmaster said:
Happy if true. Training programs can’t expand as easily if they don’t have faculty.



The rich in coastal states can use pass-through entities like partnerships, S-corps to avoid the SALT cap whereas w2 workers in NY, MA, CA are stuck paying high state and federal taxes.
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This is what frustrates me the most. None of this is available to me and yet people making less that are self employed will walk away with even more take home pay. State doesn’t get the revenue they want…take in more debt and add yet another surcharge on top of their progressive income taxes to make it work out.
 
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Got this one by email today described as a "Midwest Rad Onc Position"

Good Afternoon,

I am currently retained by a 170 physician multispecialty group in Illinois to find a qualified radiation oncologist to join their team. Please see below for more information about the position:

  • Joining a well-respected group of 170 physicians and 50 APP's that has been in the community since the 1930's
  • Physician-led, physician driven organization
  • Work in a state-of-the-art cancer center built in 2021
  • Base salary in the $600,000 range with potential above $800K
  • $60,000 sign-on
  • Comprehensive benefits package
  • 1 year track to become a shareholder
If this might be something you'd want to discuss further, please let me know and we can schedule some time to speak. Thank you.
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Gfunk6 said:
Got this one by email today described as a "Midwest Rad Onc Position"
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Leslie Nielsen Good Luck GIF by filmeditor


My recent favorites are "180-220$ an hour for locums in (nowheresville)!!" or "Immediate licensing, 10k a week! for placeyoudontwannago!"

Lol. $375/hr, 15k a week or, you know, # sand

Remember the crypto cheer... "ape together strong"
 
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sirspamalot said:
Leslie Nielsen Good Luck GIF by filmeditor


My recent favorites are "180-220$ an hour for locums in (nowheresville)!!" or "Immediate licensing, 10k a week! for placeyoudontwannago!"

Lol. $375/hr, 15k a week or, you know, # sand

Remember the crypto cheer... "ape together strong"
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Yeah i saw a $220/hr posting recently. 👎👎
 
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radoncftw said:
curious where this is.
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1676439502180.png


But seriously, I'm sure it's in a super awesome place within this circle like Chicago, Ann Arbor, or Minneapolis. There is no way it could possibly be in a completely rural and isolated area. The recruiters are trying to stop a stampede of applicants if they prematurely reveal how awesome the location is.
 
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Gfunk6 said:
View attachment 366206

But seriously, I'm sure it's in a super awesome place within this circle like Chicago, Ann Arbor, or Minneapolis. There is no way it could possibly be in a completely rural and isolated area. The recruiters are trying to stop a stampede of applicants if they prematurely reveal how awesome the location is.
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You can’t get a job within 2 hours of any city in rad onc.
 
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Ah, I saw the location, but can’t come up with it. It is not Ann Arbor or Chicago.
 
sirspamalot said:
And yet, if you learn to fly, this matters much less. Enjoy double the pay, half the headache administratively, and bonus.. you can tell everyone you're a pilot.

This is the (only) way.
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The other way is to have more by wanting less. Won't take me long to Molotov cocktail my career. In a good way I mean. The over the shoulder while walking away Molotov cocktail.
 
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sirspamalot said:
And yet, if you learn to fly, this matters much less. Enjoy double the pay, half the headache administratively, and bonus.. you can tell everyone you're a pilot.

This is the (only) way.
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I’ve seen enough doctor pilots burn alive and sometimes take their families with them. No thanks
 
medgator said:
sarcasm?

I know jobs paying mgma within 1-2 hours of major metros. Best job market we have seen years post pandemic
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Rad onc is not healthy and neither is the market for rad oncs. If it is, the reasons are far less glamourous. Pushing out an old overpaid MD for 2 new grads OR you aren’t doing evidence based practice.
 
Fpg1245 said:
I’ve seen enough doctor pilots burn alive and sometimes take their families with them. No thanks
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Yes, historically, the "doctor as pilot" mantra may have run true. But it often comes down to poor attitudes, poor training, and poor decision making.

Speaking as someone who has flown 18 years.. with over 2000 hours.. those deficiencies can be found amongst any hard charging group.

And, for what its worth, you can just as easily die driving to work if you have the same deficiencies.. or just bad luck.

BTW, just how many doctors have you seen burned alive? I haven't seen any. But I do read Kathryn's report and am very familiar with my own aircraft model's history.
 
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sirspamalot said:
Yes, historically, the "doctor as pilot" mantra may have run true. But it often comes down to poor attitudes, poor training, and poor decision making.

Speaking as someone who has flown 18 years.. with over 2000 hours.. those deficiencies can be found amongst any hard charging group.

And, for what its worth, you can just as easily die driving to work if you have the same deficiencies.. or just bad luck.

BTW, just how many doctors have you seen burned alive? I haven't seen any. But I do read Kathryn's report and am very familiar with my own aircraft model's history.
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Two. Both with their families. One on staff and one from my training program.

Probably about 3 close calls. In one the guy was up with his daughter and took the plane off autopilot resulting in stall.
 
I think an analysis of each of those would help shed light on whether what I highlighted was actually the problem. There are plenty of car drivers who don't pay attention and result in deaths of others, or who speed recklessly, or drive too fast for the conditions, or whatever.

The question is: how do you ensure appropriate risk management? Some people are just afraid to fly, and thats fine, but the best way to get over that is to learn how to do it. Properly.

Flying is physics in 3 dimensions, car driving is in 2. Its the decisions and attitudes around the activity that generate the results.
 
NotMattSpraker said:
Genuine question, do we know that this year? I've heard it's strong, but only from a few people that are at big programs. That doesn't mean much. Im curious what others have heard.
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I've got a small n to work with but compared with 2018 to esp 2020, it sounds better both in terms of starting salaries and geography. The caveat is that these are all hospital employed jobs. PP is few and far between and almost exclusively word of mouth still with existing docs having an advantage over new grads in terms of lateraling in.

Locums also sounds better in terms of daily rates than what was seen at that time
 
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Fpg1245 said:
Rad onc is not healthy and neither is the market for rad oncs. If it is, the reasons are far less glamourous. Pushing out an old overpaid MD for 2 new grads OR you aren’t doing evidence based practice.
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Oh i agree... Still nothing like 2001-2012 for finding 2/3 with lots of options, still think it's subjectively better than what i saw at the bottom of and immediately prior to the covid pandemic. I do think covid may have been a boomer remover as far as the job market goes, but obviously no way to prove that
 
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medgator said:
I've got a small n to work with but compared with 2018 to esp 2020, it sounds better both in terms of starting salaries and geography. The caveat is that these are all hospital employed jobs. PP is few and far between and almost exclusively word of mouth still with existing docs having an advantage over new grads in terms of lateraling in.

Locums also sounds better in terms of daily rates than what was seen at that time
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Locums is where its at. First, you can negotiate upfront. Second, if for long term you can determine if its a good fit and if mutual, third you can then get them to become highly motivated to meet your requirements (and you know what they are paying if you leave). You have a lot of leverage to leave. Its the only time you'll have this much leverage. Consider:

If you're getting 2800 a day as a locums (672k 1099 no bennies) then the agency is getting at least another 30%. How about you hire me direct for 750k and throw in 4-5 weeks of vacation coverage and we'll split the diff and everyone wins?

#
 
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this is reality if you wanna work in a desirable place not everyone can go work 2 hours away from civilization never thought i would even think about accepting a job that pay less than a hospitalist.
What a shame


2820EB19-6082-4A03-A08B-603762FC0C77.jpeg
 
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sam1234567 said:
this is reality if you wanna work in a desirable place not everyone can go work 2 hours away from civilization never thought i would even think about accepting a job that pay less than a hospitalist.
What a shame


View attachment 366306
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This is disgusting. Even Gas and Derm easily exceed 400 in desirable locales and they generate nowhere near what Rads does.
 
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Fpg1245 said:
This is disgusting. Even Gas and Derm easily exceed 400 in desirable locales and they generate nowhere near what Rads does.
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Supply and demand… solution: increase supply with more grads and decrease demand with less utilization. Add protons and decrease reimbursements on top of that.
 
medgator said:
Not surprised.... Sf, nyc, Boston etc. Enjoy being a renter for life
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have good friend who is a doc in southern california. told me he needs to spend at least 1.5 mil for a reasonable house within 25-30 min of his main site. he can also go to the beach multiple times per week and ragged on me because he is wearing shorts right now while i am in a parka.
 
1.55mm in Los Angeles gets you a broke ass home with steel bar windows, bums on your doorstep, and their discarded heroin needles on your lawn. You may even be lucky enough to have BLM rioters trying to burn your place down
 
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Lol happy to live in SF/Bos/LA/NYC and rent forever. I’ve trained/worked in not those places and the trade off is worth it (for me personally, I’m sure 80% rightly disagree)

But with GPCI, Medicare payments are higher in those geographies too (not enough to make up COL difference, but still.) Insane that some places can get away with offering those salaries and no real upward potential….
 
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WanderingRad3 said:
Lol happy to live in SF/Bos/LA/NYC and rent forever. I’ve trained/worked in not those places and the trade off is worth it (for me personally, I’m sure 80% rightly disagree)

But with GPCI, Medicare payments are higher in those geographies too (not enough to make up COL difference, but still.) Insane that some places can get away with offering those salaries and no real upward potential….
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Going to look on guidestar to see if Michael steinberg - or lou- was able to bump his million dollar salary from a few years ago.
 
Neuronix said:
Used to be 1.5 mil here, now if you want a good commute and good school you're looking at 2.5 mil for a decent 3-4 BR 2000 sq ft single family home.
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Dude I was on Zillow. Town I grew up in. 900K for a 1000sqft Reno. A ****ing reno!! And Ofcourse the town is very successful and keeping out any development you know anything that might actually help people get into a home. I think what’s gonna happen is eventually the situation is gonna get so bad that the state or federal government will start to supersede town rules
 
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