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but if I go to SUNY Upstate, it is possible I will only be in debt about $50–$100,000, although with a much smaller chance of getting into radiation oncology (I know this because I've studied the match lists of each of the schools, and the "brand name" programs seem to get more people into radiation oncology every year).
strongly encourage you to avoid debt. If you go 250 in debt, you will have to work the rest of your life without any reprieve. You would be taking on a big risk. Medical education is simply not worth 250k anymore (was it ever?). Now for the more important issue "I feel the work was isolating" Medicine as an attending is very isolating. Radiation oncology I think is one of the most isolating fields (with the exception of a pathologist that just does autopsies). You sit in a basement all day, maybe you have 1 or 2 partners. You go to tumor boards with other specialists that have no clue what they are talking about half the time (surgeons are not oncologists). The cases are complex and interesting which is a saving grace, but it is professionally a lonely existence as well (unless you enjoy blabbing about half millimeter PTV margins in the academic setting).
strongly encourage you to avoid debt. If you go 250 in debt, you will have to work the rest of your life without any reprieve. You would be taking on a big risk. Medical education is simply not worth 250k anymore (was it ever?). Now for the more important issue "I feel the work was isolating" Medicine as an attending is very isolating. Radiation oncology I think is one of the most isolating fields (with the exception of a pathologist that just does autopsies). You sit in a basement all day, maybe you have 1 or 2 partners. You go to tumor boards with other specialists that have no clue what they are talking about half the time (surgeons are not oncologists). The cases are complex and interesting which is a saving grace, but it is professionally a lonely existence as well (unless you enjoy blabbing about half millimeter PTV margins in the academic setting).
The 'isolated' description was disconcerting to read. Reminded me of a radiologist I know who sits in a room all day by himself. So does it mainly depend on job location? What percentage of jobs are isolating vs. at a larger center such as the one that you describe? How much time do you spend with patients each day vs. by yourself working on treatment plans? You said you are surrounded by other oncologists but how much do you need to interact with them for patient care? I guess I hadn't thought about this side of things before but similar to OP, i am also coming from an engineering background and do not want to end up where i started in terms of isolation.From your previous post I'm assuming that this is your experience with your job. Most people in radonc don't find the field isolating. Please don't generalize when your speaking for yourself. I find myself surrounded by wonderful medical oncologists, surgical oncologists who are my peers, dosimetrists, radiation therapists, and nurses who are my allied health professionals. You'll by far interact with more people in this field than most others. Unfortunately you took up a job in a very small center in the boonies and therefore have no interaction with others or other oncologists. Most people try to avoid that.
Honestly, the only field we possibly don't interact with is cardiology because coronary brachy was replaced by drug-eluting stents.
I don't dismiss the comments about isolation..but they do surprise me.
I practice in a solo radonc setting and even in that setting if anything I suffer from too much team interaction rather than isolation. It is a rare day that I can hide in my office for longer than 20 minutes to dictate without being interrupted by my nurse, physicist, dosimetrist, therapist, medical oncologist, surgeon or whomever about something..I find this field CONSTANTLY interactive, so much so that for me, it's almost too much. Haha, I guess it just depends on point of view. Maybe the poster meant isolated on a peer-to-peer level with other radoncs..but again, that really does boil down to a choice. My first job was in a large academic environment and while it was nice to have buddies/colleagues in my radonc department, I definitely enjoy running my own show and the lack of politics and stuff of academia.
From your previous post I'm assuming that this is your experience with your job. Most people in radonc don't find the field isolating. Please don't generalize when your speaking for yourself. I find myself surrounded by wonderful medical oncologists, surgical oncologists who are my peers, dosimetrists, radiation therapists, and nurses who are my allied health professionals. You'll by far interact with more people in this field than most others. Unfortunately you took up a job in a very small center in the boonies and therefore have no interaction with others or other oncologists. Most people try to avoid that.
Many specialists I work with are on the younger side in my area. To each his/her own.bitter much huh. Im in a large top 3 by population city (middle of the city, not suburb) at a large practice. You'll see for yourself OP, medicine is a lonely path to put in as much time and effort as one has to. I mean, if you love being buddy buddy with your patients and nurses/techs then great. You'll be interacting with a lot of old referrings who are working way past their expiration date. If that sounds like its worth the 10 years of work after 30 year old (step 1, 2, 3, med school tests/shelfs/grading, residency applications/interviews, residency tests and in service and mock orals, physics/bio boards, written boards, oral boards, job search, geographic uncertainty) then ok, this is the way to go. There is a lot of variety and the cases are always interesting, no two patients are the same.
bitter much huh. Im in a large top 3 by population city (middle of the city, not suburb) at a large practice. You'll see for yourself OP, medicine is a lonely path to put in as much time and effort as one has to. I mean, if you love being buddy buddy with your patients and nurses/techs then great. You'll be interacting with a lot of old referrings who are working way past their expiration date. If that sounds like its worth the 10 years of work after 30 year old (step 1, 2, 3, med school tests/shelfs/grading, residency applications/interviews, residency tests and in service and mock orals, physics/bio boards, written boards, oral boards, job search, geographic uncertainty) then ok, this is the way to go. There is a lot of variety and the cases are always interesting, no two patients are the same.
You're asking me if I'm bitter? or are you bitter complaining how lonely you feel? If you think you're too good to talk to people around you then of course you're going to feel isolated. Almost everyone I've met who thought that they were better than those around them felt pretty lonely like you do. Funny thing is they usually weren't the sharpest one around either.
I think you're (medicinewoman) describing the angst with becoming a physician, rather than the angst of becoming a radiation oncologist. Which is fair.
Many younger/new physicians feel similarly and there are high burnout rates approaching 50%. Whether you're a Rad Onc, or a Family Practice, or Whatever doc, you're going to have to "give up" nearly a decade of your young life and earning potential while your friends are out traveling/starting families, cast yourself in mountains of debt, be stressed to the max, and then realize the ultimate payout is ever shrinking reimbursement/respect levels and ever growing paperwork/bureaucracy levels. Churn patients through; just make sure you're providing quality care wholly evidenced by printing an After Visit Summary (sarcasm). But that's every field of medicine nowadays. Rad Onc is not unique in that way.
Hi all,
Sorry for not getting back sooner. I want to thank you all for your advice, and support. I think I am personally leaning towards Dartmouth Medical – I was told that Geisel Medical Hospital will be starting a residency program in radiation oncology within the next couple of years, and a part of me feels compelled to go to it since it's "ivy" – I know, I know, SUNY Upstate is cheaper, but personal factors are in place too (location of Dartmouth is closer to family), and it would be cool to go to an ivy league school. I'm still not 100% decided, but that's what I'm thinking for now.
Regarding some of the issues about younger doctors and high burnout rates – I think a lot of students who enter after college are not really ready or realize the sacrifice medicine is. I mean they may say it in the admission essays, but you don't really feel it until you've gone through the monotony and grind of the real world, because college is nothing like the real world – and way easier imho.
I think the grass is always going to be greener on the other side, but from my experience in both the military, and private sector – job security is a nice thing & experience being valued as you get older is nicer. It's something I'm always worried about in programming. Yes, I get paid a respectable middle to upper middle class wage (although a lot of it is nullified by Bay Area high cost of living & CA taxes), and I see myself taking a hit of about $1 million (4 years of medical school is about $200,000 + 4 years of lost income + 4 years of reduced income), but a lot of the work isn't personally fulfilling, making someone else rich, and sometimes little personal gratification, although I do enjoy the technical aspects of it. Furthermore, technologies are rapidly changing, and things quickly become obsolete, or you hear some division has been outsourced to India or China.
I guess what I'm trying to say is that all jobs and careers suck at some point, or in general, but they have their upsides as well. In programming, I can work remotely, and have been fortunate enough to have been able to live in Europe, and Asia an still make a nice income. But I think also for raising a family, being able to make an income over >$200K a year, and in areas that aren't in high cost of living (whereas the Bay, NYC, & other tech valleys tend to be more expensive) is a huge plus.
I think having a family is possible while in medical school – I would probably wait until I was 34 or so to have a kid – around the time residency started, and I think kids can be pretty cheap early on if you things frugally. What I care more about is being able to provide for a family down the road, and to afford things I couldn't afford/go to when I was younger – for instance, for me, the fear of college debt deterred me from going to school right away which is one of the reasons why I joined the military post high school, and I would like to be able to send any future kids to any school they can get into.
Yeah the money, job security, status, and ability to work well into the 70s are major plusses in my opinion. In IT it’s rare to see someone programming past their 60s – either they are forced to retire, burn out/become obsolete, or retire early. In my case, I am not fond of being sedentary – and think I would decay/deteriorate pretty quickly if I were to retire altogether.
If you do decide to do radiation you'll realize 4 years from now no one cared that you went to Dartmouth (which in radonc is not considered prestigious or well known) but you will care that you're 300k in debt (don't forget the compound interest). If it was Harvard I'd say go for it, but in my opinion it's nuts to goto Dartmouth for that much money. Anywhose it's your life.
Dartmouth is a complete no name in the world of rad Onc.
And lol if you think they're going to have a residency any time soon.
Good luck brother. See you in another life.
Absolutely, 100% would choose Dartmouth. No question. I'm getting the feeling those above posters are either joking/trolling.
The OP did indicate in their second post that there were personal reasons for them to go to Dartmouth (possibly nearby family?), and also that he felt that it would be "cool" to go to an Ivy League school. Some people may have come from a background where no one has gone to a "name" college, and in those cases there is a huge pride factor to go to a place like Dartmouth. I had to choose between St. George's and Ross, and there was no way I could look my family in the eye if I turned down the "Harvard of the Caribbean" to attend Ross to save a few bucks.
For everyone to just say "ur so dumb to spend all that $$; ur gnna be a radonc no matter what, and dartmuth is just that dum dum animal house movie place, anyway" (I swear the grammar and syntax on this forum is just remarkable) ... In my eyes, that is just not right. I get the feeling there is some communal animosity towards Belushi and I have a feeling that's why the vitriol.
Two separate personal attacks to a new member of the community. I have not personally attacked anybody. Just voiced a dissent, and one that takes into account the OP's preferences, which people don't seem to be doing. Do you make your patients' choices for them - "Oh, no Mrs 100 year old stage I receptor positive breast cancer patient, you definitely need 5 weeks and a boost, omitting radiotherapy wouldn't be good for my bottom line, I mean, for your health." There is a lot of evidence on patient preferences in oncology (I believe ASTRO once gave a grant to a resident for researching this), and there is probably a similar role in advising people making a major life decision for 4 years, to keep their preferences in mind.
Seriously ... the seething I'm seeing. You tell me to my face that this isn't about Belushi!