Re: Colorectal cancer screening with faecal immunochemical testing, sigmoidoscopy or colonoscopy: a clinical practice guideline
(Source: BMJ Comments)
Source: BMJ Comments - October 12, 2019 Category: General Medicine Source Type: forums

No prostate hypofx for celebs?
You led me away from home just to save you from being alone... you stole my hypofractionation and that's a pain I can do without. (And in the UK? Sounds like a 45er.) Sir Rod Stewart had to go to a London hospital every day for three months to receive radiation therapy and luckily for the singer the treatment... No prostate hypofx for celebs? (Source: Student Doctor Network)
Source: Student Doctor Network - October 11, 2019 Category: Universities & Medical Training Authors: scarbrtj Tags: Radiation Oncology Source Type: forums

UT Southwestern Vs Fox Chase
trying to decide which one I should rank higher. Any thoughts and opinions would be appreciated. Interested in breast and clinical training more so than research (Source: Student Doctor Network)
Source: Student Doctor Network - October 11, 2019 Category: Universities & Medical Training Authors: frisbeefreak123 Tags: Hematology / Oncology Source Type: forums

Re: Cervical cancer: WHO called for elimination, not eradication
(Source: BMJ Comments)
Source: BMJ Comments - October 11, 2019 Category: General Medicine Source Type: forums

Re: Cancer screening: from uptake to informed decision making
(Source: BMJ Comments)
Source: BMJ Comments - October 11, 2019 Category: General Medicine Source Type: forums

Re: Cancer survival improves in UK but still lags behind other high income countries
(Source: BMJ Comments)
Source: BMJ Comments - October 11, 2019 Category: General Medicine Source Type: forums

p16+ HPV-
Any anecdotal or real data that would suggest improved outcomes for p16+ versus p16- tumors when PCR testing for HPV is negative for head and neck? Got a guy with laryngeal surface epiglottis primary (doesn't appear to be oropharyngeal) and p16 was ordered which came back positive but my understanding is this is meaningless and I'm still wondering if radiation is still a better prognosis in this subset since the G1 chekpoint is liley not working. (Source: Student Doctor Network)
Source: Student Doctor Network - October 10, 2019 Category: Universities & Medical Training Authors: xrt123 Tags: Radiation Oncology Source Type: forums

Re: When should unexpected weight loss warrant further investigation to exclude cancer?
(Source: BMJ Comments)
Source: BMJ Comments - October 10, 2019 Category: General Medicine Source Type: forums

Re: Colorectal cancer screening
(Source: BMJ Comments)
Source: BMJ Comments - October 10, 2019 Category: General Medicine Source Type: forums

Re: FDA recalls ranitidine medicines over potential cancer causing impurity
(Source: BMJ Comments)
Source: BMJ Comments - October 9, 2019 Category: General Medicine Source Type: forums

Clinical practice guideline from a microsimulation model of colorectal cancer screening methods: Confessing ignorance.
(Source: BMJ Comments)
Source: BMJ Comments - October 9, 2019 Category: General Medicine Source Type: forums

Risk based screening against cancer: a miracle or a mirage?
(Source: BMJ Comments)
Source: BMJ Comments - October 9, 2019 Category: General Medicine Source Type: forums

UW resident strike
What's up with UW residents going on strikes lately? And UW administering a pay cut as punishment, then residents writing ROS-free notes to mess with billing. Do UW programs have a history of malignancy, or is that a spur of the moment kind of thing? https://in-housestaff.org/the-epidemic-we-dont-talk-about-response-to-the-university-of-washington-resident-physician-strike-1572 [URL... UW resident strike (Source: Student Doctor Network)
Source: Student Doctor Network - October 8, 2019 Category: Universities & Medical Training Authors: DrStephenStrange Tags: Medical Students - MD Source Type: forums

Strategies for job search
I have been reading on this forum some people giving out bad job search advice, and I want to use my own example to illustrate why they are bad advice: 1. You can wait until later in the year because there will be less competition. While you might think that your odds of landing a better job improves as your PGY5 years goes on because most of the graduates have signed contracts hence less competition, this was absolutely not true in my case. I was stupid enough to decline job offers in the... Strategies for job search (Source: Student Doctor Network)
Source: Student Doctor Network - October 7, 2019 Category: Universities & Medical Training Authors: radoncradonc Tags: Radiation Oncology Source Type: forums

Daily imaging poll
Just want to get a sense of what kind of patients people are doing daily CBCT for when doing IMRT. Head and neck seems standard, CNS, prostate patients. Do you guys standardly do for all lung patients? When you are doing daily CBCT, do you guys get any other 2d images on any of the fractions? (Source: Student Doctor Network)
Source: Student Doctor Network - October 4, 2019 Category: Universities & Medical Training Authors: xrthopeful Tags: Radiation Oncology Source Type: forums

Interviewed but planning not to rank !
I am having a lot of stress regarding the following topic and I would appreciate any insight from experienced people or anyone who would like to provide an opinion I had several interviews for hem/onc this year (first time going to the match). However, most of the places are not academic institutions or university hospitals with very minimal research. I am very interested in pursuing academic hem/onc in the future with heavy focus on clinical research and I don’t believe any of the places... Interviewed but planning not to rank ! (Source: Student Doctor Network)
Source: Student Doctor Network - October 3, 2019 Category: Universities & Medical Training Authors: Immunoonco Tags: Hematology / Oncology Source Type: forums

Confidence of a IM resident: malignant vs. nonmalignant
Hello aspiring docs, Just trying to encourage a discussion. Have you noticed a difference in the confidence level of a resident coming from the typical malignant IM residency program vs. typical nonmalignant IM residency program? Thanks. (Source: Student Doctor Network)
Source: Student Doctor Network - October 3, 2019 Category: Universities & Medical Training Authors: DrImg2020 Tags: Internal Medicine and IM Subspecialties Source Type: forums

Pelvic nodal SBRT
About to do a peer review for a case where I want to use SBRT for an isolated pelvic nodal recurrence for a patient with prostate cancer treated with EBRT (did not include pelvis in prior field). Anyone have strong evidence for this? What does fx would you use? (Source: Student Doctor Network)
Source: Student Doctor Network - October 2, 2019 Category: Universities & Medical Training Authors: Grubbe-a-dub-dub Tags: Radiation Oncology Source Type: forums

Re: Effects of Helicobacter pylori treatment and vitamin and garlic supplementation on gastric cancer incidence and mortality: follow-up of a randomized intervention trial
(Source: BMJ Comments)
Source: BMJ Comments - October 2, 2019 Category: General Medicine Source Type: forums

Re: Asylum seeker whose breast cancer treatment was delayed over eligibility has died
(Source: BMJ Comments)
Source: BMJ Comments - October 2, 2019 Category: General Medicine Source Type: forums

How Early is Too Early?
At the risk of inciting another job market flame war.... How early is too early in your residency to start reaching out to establish relationships and get your foot in the door towards first attending job? Leaning heavily towards rural private practice in midwest or south FWIW. Am only an intern currently so obviously don't even have a good understanding of this field nor what makes for a good job, but with the current climate just want to get an idea of when to start that process. I... How Early is Too Early? (Source: Student Doctor Network)
Source: Student Doctor Network - September 28, 2019 Category: Universities & Medical Training Authors: FindMeOnTheLinks Tags: Radiation Oncology Source Type: forums

7 fractions, meh...howsabout 5
https://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(19)30569-8/fulltext (Source: Student Doctor Network)
Source: Student Doctor Network - September 28, 2019 Category: Universities & Medical Training Authors: Chartreuse Wombat Tags: Radiation Oncology Source Type: forums

EMA and FDA decisions based on flawed evidence to approve new cancer drugs negatively affects Latin American patients.
(Source: BMJ Comments)
Source: BMJ Comments - September 28, 2019 Category: General Medicine Source Type: forums

RadOnc Is Still The Best Field in Medicine
I feel like SDN has become a place for people to vent about things in the our RadOnc world, but I want to use this thread as a place for me, and anyone else who feels similarly, to express what we love about our field. SDN is a place that many many many medical students check out to get their understanding of a field, and it's too bad if people take away too negative of a feeling. Some may have even heard that application numbers across RadOnc programs are down this year (which is a great... RadOnc Is Still The Best Field in Medicine (Source: Student Doctor Network)
Source: Student Doctor Network - September 27, 2019 Category: Universities & Medical Training Authors: RO2019 Tags: Radiation Oncology Source Type: forums

Re: Asylum seeker whose breast cancer treatment was delayed over eligibility has died. Has any sense of shame been noticed on the faces of those responsible for the delay?
(Source: BMJ Comments)
Source: BMJ Comments - September 27, 2019 Category: General Medicine Source Type: forums

medstudents entering the match
" there was an entire panel at ASTRO with four prominent members of our field who all agreed that there are significant labor market concerns about which nothing substantive will be done for some time and is likely to worsen. " After the acknowledgement at ASTRO by RRC chairwoman/ASTRO treasurer as well as other presenters regarding the perfect storm of residency overexpansion/hypofractionation/advanced payment model, extreme geographic restrictions and limited available remedies to correct... medstudents entering the match (Source: Student Doctor Network)
Source: Student Doctor Network - September 26, 2019 Category: Universities & Medical Training Authors: RickyScott Tags: Radiation Oncology Source Type: forums

Re: Flawed evidence underpins approval of new cancer drugs
(Source: BMJ Comments)
Source: BMJ Comments - September 24, 2019 Category: General Medicine Source Type: forums

Why can't a Neurorad/msk(or dual certified in them) do a neurophys/electrodiagnosis/EMG NCS fellowship and why can't INR do gamma knife procedures?
Was just wondering why a neuro and msk certified rad(in either both or neurorad) cannot do a electrodiagnostics fellowship and why an INR cannot do gamma knife procedures when it is minimally invasive and he/she clearly knows the neuroanatomy/radioanatomy as well as or better than a neurosurgeon or radiation oncologist? Has it just never been considered as something a radiologist could do? (Source: Student Doctor Network)
Source: Student Doctor Network - September 24, 2019 Category: Universities & Medical Training Authors: Tman507 Tags: Radiology Source Type: forums

Response to critic: Cancer survival improves in UK but still lags behind other high income countries
(Source: BMJ Comments)
Source: BMJ Comments - September 23, 2019 Category: General Medicine Source Type: forums

Re: Vitamin D does not reduce cancer or cardiovascular events in healthy adults, trial finds
(Source: BMJ Comments)
Source: BMJ Comments - September 23, 2019 Category: General Medicine Source Type: forums

Vail workshop application
I’m starting my 2nd year hem/onc fellowship. I’m interested in drug development and clinical trials. My goal is to attend asco vail workshop. It seems their website is undergoing maintenance. How should I prepare for that to get selected? Thank you in advance for any advice! (Source: Student Doctor Network)
Source: Student Doctor Network - September 22, 2019 Category: Universities & Medical Training Authors: Smallmelon Tags: Hematology / Oncology Source Type: forums

Better to take molecular biology or biology of cancer?
I have one semester left before I hopefully start medical school, and I need a 400 level biology class and lab. Would anyone either in medical school or graduated help me decide which will be most helpful in med school so I am not bombarded with 12 different topics at once? (1) Molecular biology and molecular biology lab (gel electrophoresis, and other stuff I've already done) or (1) Biology of Cancer and Microbiology lab are my two main options. If it helps, the prereq for molecular... Better to take molecular biology or biology of cancer? (Source: Student Doctor Network)
Source: Student Doctor Network - September 21, 2019 Category: Universities & Medical Training Authors: bdawg0426 Tags: Pre-Medical - MD Source Type: forums

ASTRO Congress News
Hey! Was anything interesting presented at ASTRO this year? (Source: Student Doctor Network)
Source: Student Doctor Network - September 19, 2019 Category: Universities & Medical Training Authors: Palex80 Tags: Radiation Oncology Source Type: forums

Re: Cancer screening: only a third of women in England take up all offers. Perhaps they are wise,
(Source: BMJ Comments)
Source: BMJ Comments - September 19, 2019 Category: General Medicine Source Type: forums

Re: Work stress and risk of cancer: meta-analysis of 5700 incident cancer events in 116 ‚ÄČ000 European men and women
(Source: BMJ Comments)
Source: BMJ Comments - September 17, 2019 Category: General Medicine Source Type: forums

Re: Tell women about long term breast cancer risk with HRT, drug agency tells doctors
(Source: BMJ Comments)
Source: BMJ Comments - September 16, 2019 Category: General Medicine Source Type: forums

Re: Management of colorectal cancer
(Source: BMJ Comments)
Source: BMJ Comments - September 16, 2019 Category: General Medicine Source Type: forums

Re: Effects of Helicobacter pylori treatment and vitamin and garlic supplementation on gastric cancer incidence and mortality: follow-up of a randomized intervention trial
(Source: BMJ Comments)
Source: BMJ Comments - September 14, 2019 Category: General Medicine Source Type: forums

Prostate biopsy and Rad Onc
Dear SDN Rad Onc comminity, Thanks a lot for your wonderful inputs, I have benefited a lot over the years! My hospital admin has asked me if I can get credentialed for doing Prostate biopsy. They would like to send prostate patients directly from PCPs to Rad Onc for further work up, staging and management to counter a Urorad group in town. Are Rad Oncs eligible to do prostate biopsy? Do you know any Rad Onc doing Prostate Biopsy? If so do anyone know credentialing requirements for... Prostate biopsy and Rad Onc (Source: Student Doctor Network)
Source: Student Doctor Network - September 13, 2019 Category: Universities & Medical Training Authors: bachiraki Tags: Radiation Oncology Source Type: forums

SBRT Liver
What dose regimen and constraints is everyone currently using for liver SBRT for HCC and/or mets? (Source: Student Doctor Network)
Source: Student Doctor Network - September 13, 2019 Category: Universities & Medical Training Authors: Mandelin Rain Tags: Radiation Oncology Source Type: forums

Re: Prehabilitation before cancer treatment
(Source: BMJ Comments)
Source: BMJ Comments - September 12, 2019 Category: General Medicine Source Type: forums

Re: Cancer survival improves in UK but still lags behind other high income countries
(Source: BMJ Comments)
Source: BMJ Comments - September 12, 2019 Category: General Medicine Source Type: forums

CRISPR to cure "cancer"
In the NEJM... CRISPR treatment of a man's HIV and his "cancer," an ALL. Cancer has been and always will be an aberration in host DNA. XRT (and traditional chemo to some extent) doubles down on this to make (part of) the host's DNA so aberrant the cells go from relative immortality to zero chance of multi-generational replicative ability. Or, at least in the case of long-term cure this... CRISPR to cure "cancer" (Source: Student Doctor Network)
Source: Student Doctor Network - September 12, 2019 Category: Universities & Medical Training Authors: scarbrtj Tags: Radiation Oncology Source Type: forums

Are the same things going on in radiation oncology going to happen in medical oncology?
Is heme/onc still a good gig? Does anybody have opinions like this about heme onc: FUTURE RESIDENT, DO NOT BECOME A RADIATION ONCOLOGIST!!! (Source: Student Doctor Network)
Source: Student Doctor Network - September 12, 2019 Category: Universities & Medical Training Authors: sallyhasanidea Tags: Hematology / Oncology Source Type: forums

Prior authorization: biggest problem small radiation oncology practices are facing
Write your representatives to fix prior authorization. I know how much trouble it causes the little guy in the community. It's not like the real agenda is approval for protons or MRI viewray nonsense. Its helping small businesses. Please help. Forget about residency expansion. That's not real. This is. Stop everything you are doing and call your representative. (Source: Student Doctor Network)
Source: Student Doctor Network - September 11, 2019 Category: Universities & Medical Training Authors: NAMthrow Tags: Radiation Oncology Source Type: forums

Do I have a realistic chance at top/good private universities with ZERO research experience?
Hi all; I am currently a second-year in college (large, mid/low-tier public university). I live in California. I am a philosophy major, and I have decided to attend Middlebury Language Programs this summer to strengthen my Russian before taking my year abroad in Moscow. With this, I have cut out a potential summer of research; I had it lined up to potentially do cancer research at CU Cancer Center, but I was not all that excited about it as I am to further my Russian studies through... Do I have a realistic chance at top/good private universities with ZERO research experience? (Source: Student Doctor Network)
Source: Student Doctor Network - September 10, 2019 Category: Universities & Medical Training Authors: coconutts Tags: Pre-Medical - MD Source Type: forums

Prehabilitation before cancer treatment - The perfect time for Specialist Palliative Care?
(Source: BMJ Comments)
Source: BMJ Comments - September 10, 2019 Category: General Medicine Source Type: forums

is there any special constraints for the esophagus with varices ?
Dear colleagues, would you consider any special constraints to the esophagus in a patient with secondary esophageal varices to portal hypertension? for example when treating a T3N+ subglottic squamous cell carcinoma with concomitant chemo-radiation. Ty (Source: Student Doctor Network)
Source: Student Doctor Network - September 10, 2019 Category: Universities & Medical Training Authors: Kroll2013 Tags: Radiation Oncology Source Type: forums

Qs Negotiating first contract
I am going out for interviews soon, apologies i'm a bit naieve as this will be my first contract negotiation process post fellowship. Couple of q's, would appreciate advice. 1) What is the going rate for a base salary based on number of clinical sessions. is it fair to say that 4 sessions should buy 220 (e.g, academics), and 6 sessions 350 (e.g., community)? Are there any community hospitals that expect 10 clinical sessions, or this is only private practice? 2) Is it ok to haggle... Qs Negotiating first contract (Source: Student Doctor Network)
Source: Student Doctor Network - September 9, 2019 Category: Universities & Medical Training Authors: thisampgoestoeleven Tags: Hematology / Oncology Source Type: forums

Fellowship termination
Lots to say on this topic but I’ll try to be brief with my situation. Wondering if it is even worth reapplying elsewhere in the future or exiting medicine completely at this point? MD PhD from MSTP matched to research/fast track for heme/onc in a pretty good program. Worked my butt off to get here - inner city public school kid, first gen graduate with blue collar parents. Finished first year of fellowship with outstanding reputation on track for faculty position with a basic science... Fellowship termination (Source: Student Doctor Network)
Source: Student Doctor Network - September 7, 2019 Category: Universities & Medical Training Authors: jlm2yb Tags: Hematology / Oncology Source Type: forums