Rad Onc? Burnt Out?
Here’s some advice from a senior medical director from a leading prior auth company.
You know, those guys who make you wait one week to do a P2P because you wanted to do SRS on a solitary brain met and the nurse reviewer said she can authorize it right away if you do it “by 3D.”
Then the P2P guy says, sorry prostate cancer brain mets are excluded from our SRS policy. You can appeal if you’d like.
Those guys have nothing to do with your burn out I’m sure.
Not to be...
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Source: Student Doctor Network - March 7, 2024 Category: Universities & Medical Training Authors: Gfunk6 Tags: Radiation Oncology Source Type: forums
immunotherapy cheat sheet for radonc tumor boards [crowdsourcing] [sticky?]
You:
“ChatGPT, please write me a cheat sheet of key immunotherapy trials I should be aware of as a radiation oncologist in 2024, grouped by disease site. Include PubMed or journal URLs. Exclude distantly metastatic trials.
-be me
-be MD
-at tumor board”
ChatGPT 4.0:
As an AI language model, I do not have pre-authorization to assist you in medical decision making. Please consult your Insurance Medical Director for next best steps in managing your patient. You may file an...
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Source: Student Doctor Network - March 6, 2024 Category: Universities & Medical Training Authors: bevacizzlemab Tags: Radiation Oncology Source Type: forums
Pathologist misdiagnosis in the news
Patients informed of cancer misdiagnoses, as Providence reviews pathologist’s work
FOX 12 Investigates has heard from seven patients who had lab results reviewed incorrectly by a single Providence pathologist.
www.kptv.com
Looks like the pathologist has about 20+ years in practice. This is why having confirmation with a second pathologist on malignant diagnoses (especially first time diagnoses) is important. (Source: Student Doctor Network)
Source: Student Doctor Network - March 4, 2024 Category: Universities & Medical Training Authors: caffeinegirl Tags: Pathology Source Type: forums
Re: Smoking and lung cancer —70 long years on
(Source: BMJ Comments)
Source: BMJ Comments - March 4, 2024 Category: General Medicine Source Type: forums
Johns Hopkins University (JHU) Residency Reviews
Johns Hopkins:
Pro's:
-Strong academics with interesting fellowships (11 of them) open to residents
-Diverse clinical settings and patients
-Tremendous resources (tons of office space, lots of grant money)
-Interesting faculty with many connections
-Good peds exposure
Con's:
-Reputed to be "malignant" -- while I find this to be an overstatement, several of the faculty were not the friendliest
-Facilities a bit outdated and cramped, with new ED not to open until 2010...
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Source: Student Doctor Network - March 3, 2024 Category: Universities & Medical Training Authors: AnonEMous Tags: Emergency Medicine Source Type: forums
Re: Illness trajectories of incurable solid cancers
(Source: BMJ Comments)
Source: BMJ Comments - March 3, 2024 Category: General Medicine Source Type: forums
Do I have a chance?
Hello I’m 27 years old. Currently in community college for social work. I come from a rough childhood and poverty. I tried going to college after high school. But had a baby, my brother had cancer and COVID hit later in 2020. I amassed 9 Ws. 2 in 2016 right after high school. 3 in 2017 (dealing with child) and 2020 (COVID hit, got laid off ñ, and went on mission with military service for COVID relief.) all those Ws I had really good grades. I really like school. I decided to go back to...
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Source: Student Doctor Network - March 3, 2024 Category: Universities & Medical Training Authors: Adonis Iraheta Tags: Nontraditional Students Source Type: forums
clinic resources
Interested to hear what everyone is using for clinic resources/decision support tools. NCCN guidelines +uptodate + clinical trials. gov?
Can anyone comment on Flatiron assist or clear value plus? (Source: Student Doctor Network)
Source: Student Doctor Network - March 2, 2024 Category: Universities & Medical Training Authors: txmedstudent87 Tags: Hematology / Oncology Source Type: forums
Fair compensation
So i’ve seen the $250-300k offers for big academic places in big cities, i’ve also seen $500-600k pp offers in middle of nowhere. Both have pros and cons. But my question is, what do you guys think the fair compensation should be for new grads in terms of base salary, expected RVUs etc.? Or in other terms, what would indicate a strong, healthy job market in your opinion? (Source: Student Doctor Network)
Source: Student Doctor Network - February 29, 2024 Category: Universities & Medical Training Authors: UndecidedMS2 Tags: Radiation Oncology Source Type: forums
Rationale for timing of adjuvant RT after surgery: breast and prostate
I'm seeing someone, Gleason 4+5=9, pre-tx PSA 8, pT3bN1, 9 months after radical prostatectomy whose post-op PSMA PET showed residual uptake in the pelvic nodes, no distant disease. He was started on ADT + zytiga and due to multiple issues (continence, logistical hurdles, etc) I'm only seeing him now. PSA is now undetectable.
So I understand that in breast and prostate, we typically have thresholds (which may vary between provider) for when we would consider adjuvant radiation. For breast, I...
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Source: Student Doctor Network - February 28, 2024 Category: Universities & Medical Training Authors: RadOncBeamer Tags: Radiation Oncology Source Type: forums
Site Neutral Payments Axed
"Congress will not move forward with a controversial policy to equalize certain Medicare payments to hospitals and physicians’ offices in an upcoming government funding package, five lobbyists and sources following the talks told STAT.
The delay is a win for hospitals, which have adamantly lobbied against the policy." (Source: Student Doctor Network)
Source: Student Doctor Network - February 28, 2024 Category: Universities & Medical Training Authors: Chartreuse Wombat Tags: Radiation Oncology Source Type: forums
What's the average salary for an academic oncologist?
I'm interested in the field and would love some answers. I've heard the starting salary is low but what does the average salary eventually look like? (Source: Student Doctor Network)
Source: Student Doctor Network - February 27, 2024 Category: Universities & Medical Training Authors: Shoopoo Tags: Hematology / Oncology Source Type: forums
Would you continue working if you won the lottery?
Was talking to an orthopod recently, he had been involved in the development of a medical device and receives a massive check every year from royalties for it. He no longer needs to work to live comfortably. But he continues to work a ton, see patients, and operate all day, because he absolutely loves his job and loves helping his patients. Was curious if onc folks on here feel the same way about their work? (Source: Student Doctor Network)
Source: Student Doctor Network - February 27, 2024 Category: Universities & Medical Training Authors: TexasMed22 Tags: Hematology / Oncology Source Type: forums
Secondary Polycythemia
New attending here. Hoping to get some advice from those of you practicing for a while. I just started a job in a somewhat rural setting. I get a lot of Heme referrals from PCPs, pulmonologists, etc for patients for polycythemia. These are almost always known tobacco abuse cases, COPD, etc. We were always taught in training to treat the underlying cause, but the referring docs and patients expect to be treated with therapeutic phlebotomy. Some of them have had this issue for years and...
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Source: Student Doctor Network - February 25, 2024 Category: Universities & Medical Training Authors: DoctorDontStop Tags: Hematology / Oncology Source Type: forums
WAMC/School list 3.89 (s3.75) /513 + retake MCAT?
1 cGPA: 3.89; sGPA: 3.75
2 513 (127,128, 128, 131) --> 512 (128, 129, 129, 127) (a drop and considering retaking in 3 months - help pls!)
3 Virginia residence; Texas college
4 Black female (grew up in Lagos - site for gap year research)
5 Attend Small research University
6 Weekly Hospice volunteer (2 years)
7 3 years of research + 1 summer of research; won award at conference (1 year emotional regulation, 2 years cancer research, 1 year med...
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Source: Student Doctor Network - February 23, 2024 Category: Universities & Medical Training Authors: carbocation345 Tags: What Are My Chances? WAMC Medical Source Type: forums
