Heme Onc job market

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osprey099

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2nd year fellow here, now starting to think about community/private practice jobs (will probably apply summer of 2023 for start date of summer 2024). I'm seeing a lot of threads and hearing from colleagues in other fields about the tight job market these days. Fields such as ER, rad onc, ophthal, etc seem to be all very saturated and low paying as a result. Are we seeing a similar trend in oncology?

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Job market is generally thought of as pretty good in Onc right now and probably will be next year when you are applying. 5-10 years from now is anybody's guess as usual.

One caveat: if you are looking for a job in a top 10 metro area you will be disappointed and/or raked over the coals regardless of specialty.
 
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Not at all in Hematology/Medical Oncology; mostly as a result of exploding novel indications/treatments... which leads to more visits and imaging studies (PET scans esp.). The professional reimbursement isn't so high, but there is a substantial dollar value associated with the technical reimbursement from the imaging that goes along with your practice. Remember that when negotiating.

Maybe CMS will target the obscene costs of novel therapeutics in the future the way they went after rad onc; but at least you will have pharma on your side.
 
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Quick ques for the group.

In the community group private practice setting, after the initial contract with base salary +RVUs, do you continue to receive that base or will the biweekly paychecks be different each time (depending on production)? Thank you
 
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Quick ques for the group.

In the community group private practice setting, after the initial contract with base salary +RVUs, do you continue to receive that base or will the biweekly paychecks be different each time (depending on production)? Thank you
Sing along...you know the words...

"It Depends"

Some places will continue a "base" and then true-up based on your productivity on a monthly/quarterly/semi-annual/annual basis. Others will pay you for what you kill every month but will likely be 1-3 months behind because of how billing works. Others will have other systems, but those are probably the most common.

My group does base with 50% of your productivity paid quarterly and then an annual true up (to avoid having to claw back money out of a regular check if productivity drops). I think it's a pretty good system and evens out the bumps over the year for both sides.
 
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