The combo of MRI fusion biopsy and PSMA PET has led to major risk group migration without us really knowing how dangerous a lot of this disease is.
Mri fusion/transperineal biopsies pay more?
What I see a lot of is standard TRUS 12 core based on PSA. Then, the radiologists don't want an MRI for at least 6 months due to blood products/hematoma so uro waits until 1 year at time of rebiopsy. Invariably find higher PIRADS lesion and do targeted biopsy revealing higher grade group.
this has long been the strategy of proton centers and prostate/breast.
Not sure if MRI Fusion TP biopsies pay more. They certainly should, probably, IMO.
Or if the urologists own the MRI machine....then AS with MRI q1-2 years is way more $ than treatment.
There was study that came out within the last year or two, maybe was posted on SDN even suggesting more cost to AS once you got to more than 1-2 years out between imaging, biopsies etc
Naive question -- how is it that Urologists can own everything downstream but other docs don't seem to be able to?
Med oncs, ortho/neurosurg can too. In office ancillary exemption. I've heard of big Ortho/pain groups owning MRI machines
Are there things we can buy and own as Rad Oncs?
Sure. The same things as everyone else. The question is where will you get the referrals from? The days of rad onc only practices with ownership are numbered, many have already gone away
Linear accelerators, PET/CT machines, labs, CT scanners would be the big ones. The economics of an MRI machine don't make sense unless you are ordering many, many scans- far more than oncology would normally order.
In many major markets, neurosurgeons can earn a lot more when employed by a hospital than working for themselves. Had quite a few discussions abt this.
Because like everything else. CMS doesn’t value physician work but will pay hospitals handsome fees.
Got the same email..... Sounded like an open ended offer/negotiation. #750korGTFO @sirspamalot
If you have ever had a nightmare and thought "this must be Platte County NE" then have i got a job for you
Anyone try responding with a decent locums rate? I can be convinced to see Nebraska.
3K a day? Hard pass.
I called and they want 3-4 month minimum.
I've seen $4500 opportunities with extra pay for weekend call, 15-20 pts a day in the office. BFE though. Definitely a far healthier locums market than ours
If instead of a Jun-Dec gig for 4K a day you got yourself that gig for a year, you’ve got a $1M a year 1099 rad onc job. In other words like maybe a one in 200 job in rad onc.
Well we’re living here in Morristown
That’s actually me! In full disclosure, I did try ChatGPT but the output was uninspiring
Correction: that's what desperate local radoncs are taking. Or those who are naive.
Supply and demand, not desperation @sirspamalot even the med onc locums paying $4k+ are in the Midwest well away from populated metros
Nope. Well, hard for me to tell exactly what doc gets through the contract, but coastal community hospitals have been paying more than this per day to agencies for awhile.
Doc isn't getting even close to that, the agencies take a big cut. Hopefully the smart ones will figure this out and go directly to the hospital in the future....
Very rare, but AS very slightly increasing N+ is bore out at least by PROTECT. 2.6% in AS vs. <1% in treatment groups.
Kearney, NE is in Buffalo county.....
