![]() ![]() These techniques allow assessment of changes in the tumour volume and its location during the course of therapy (interfraction motion) so that re-planning can adjust for such changes in an adaptive radiotherapy process. New treatment technologies are evolving at a rate unprecedented in radiation therapy, paralleled by improvements in computer hardware and software. This increasing emphasis on technology, together with other important changes in the health-care economic environment, now place the specialty of radiation oncology in a precarious position. In recent years, this approach has become increasingly absorbed with technological advances. ![]() Radiation oncology is a very unique branch of medicine connected with clinical knowledge and also with medical physics. Currently, more than 50% of all cancer patients can expect to receive radiotherapy during the course of their disease, either in a primary management (radical or adjuvant radiotherapy) or for symptom control (palliative radiotherapy). I think in most specialties it's just not really realistic to expect your first job out of residency to have great hours, guaranteed pay (even if you are losing the hospital money), in a great location, without doing a fellowship.Radiation therapy plays an increasingly important role in the management of cancer. I don't know, the whole post just seems like this dude had weird expectations. These places have plenty of things to do, nice neighborhoods, other educated people, decent schools, decent economy, cultural events etc. They may not be in the northeast but the locations are certainly better than wherever this guy ended up. Finally, I did a quick google for rad onc jobs and I saw plenty in nice large towns or small cities. I don't know if this is normal for rad onc or if there is something about this dude in particular that caused them to not interview this guy. Second, it seems a little odd to apply to 50 open positions as an physician and only get 3 interviews. He wanted a guaranteed salary even if he wasn't bringing money in, he didn't want to do locums, he didn't want long hours, and he didn't want to do a fellowship to improve his employment prospects. First, it's not as much that this guy couldn't find a job as much as he couldn't find a job that met all his requirements. Something tells me there is more than this story. It's not that crazy to be unhappy with the kind of life you live in little rustbelt cities. in fact, some of the people I described above have ended up sounding similar after a couple of years. And I would end up feeling and saying a lot of the same things as this person has. ![]() If my specialty choice got me stuck here indefinitely, I would seriously consider leaving medicine to get out. I found ways to be happy for a while here, but a few years with a defined exit point is a lot different than a few years with no end in sight. It's like animals chewing their fucking legs off to get out of a trap. I even know someone who spent two years living 3.5h away, working from home half the week, sleeping in the office two nights a week, because that was better than being stuck here. Two others live in a slightly nicer, similar-sized city 90min away and voluntarily commute that far every workday. I have known a few who moved out with no job prospects lined up, because they preferred poverty to their lives here. Probably half the people I met four years ago have already found jobs in other small cities. I've been lucky enough to find a small group of vibrant young people to be friends with - and guess what? They, like me, are all plotting their escape. And still, this person's post completely resonates with me. "≥250k residents and a semifunctional economy with some recreational opportunities, or maybe ≥100k if it's a really cool, young city" would better describe my location preferences. I'm a Midwesterner who would actually like to stay in the Midwest.
0 Comments
Leave a Reply. |
Details
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |