Are the same things going on in radiation oncology going to happen in medical oncology?

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Is heme/onc still a good gig?

Does anybody have opinions like this about heme onc: FUTURE RESIDENT, DO NOT BECOME A RADIATION ONCOLOGIST!!!

Rad onc and heme onc are VASTLY different specialties though the both “treat” cancer.

First off, most rad onc groups even at large academic centers are less 15 faculty. There can be as many or more than 50 in hem/onc various subspecialties.

2nd, even if you don’t come from a great hem/onc program you absolutely can find a job in private practice (or community hospital) making a decent amount of money in or near a desirable place to live.
 
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If it cost $20M up front to be able to give a single dose of chemo, then med onc would have similar issues to rad onc. Luckily for us, it doesn't.

Could you expand on what you mean by this statement please?
 
Could you expand on what you mean by this statement please?

Big zappy machines that shoot gamma radiation and light particles to do bad things to cancer cells represent a very high overhead for institutions and facilities that have these machines. To establish a program where you can bill for these services, you need lots of dough, so there are few of these places and few machines that can work at any one time.

On the other hand, GutOnc can walk to a semi large town anywhere in the US, hire a pharmacist, a nurse, a secretary, and setup a contract with a GPO to start infusing chemo and IO at any time, pretty much (economics of it are way more complicated by this is the gist).
 
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Is heme/onc still a good gig?

Does anybody have opinions like this about heme onc: FUTURE RESIDENT, DO NOT BECOME A RADIATION ONCOLOGIST!!!
obviously, you received some ill advise.... the BEST 'gig' is being a radiation oncologist, great hours, great pay, great work/lif balance.... but you know what you are doing everyone that decides to become a radiation oncologist a favor, the demand is super high, and the supply is dwindling because of you. good for the ones that become radonc docs.
 
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obviously, you received some ill advise.... the BEST 'gig' is being a radiation oncologist, great hours, great pay, great work/lif balance.... but you know what you are doing everyone that decides to become a radiation oncologist a favor, the demand is super high, and the supply is dwindling because of you. good for the ones that become radonc docs.

I’d recommend not trying to play the “when the crowd zigs I zag” game. You inevitably will get burned.
 
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