Work Hours

[Spectre of Ockham]

How many hours is an oncology resident expected to put in ? Does it differ from state to state or from large academic centers vs flyover states ?

Is having a child in the second year a deal breaker if you don't have leverage over the PD / board of admins ?

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[gutonc]

How many hours is an oncology resident expected to put in ? Does it differ from state to state or from large academic centers vs flyover states ?

Is having a child in the second year a deal breaker if you don't have leverage over the PD / board of admins ?

There are a lot of "large academic centers" in "flyover states".

I worked more my 1st year of fellowship than I did most of my IM intern months (not counting the Q3 overnight ICU months). I have never worked as little (at least clinically) as I did my 2nd and 3rd years of fellowship.

 

[Spectre of Ockham]

There are a lot of "large academic centers" in "flyover states".

I worked more my 1st year of fellowship than I did most of my IM intern months (not counting the Q3 overnight ICU months). I have never worked as little (at least clinically) as I did my 2nd and 3rd years of fellowship.

Thank you for your answer.

No disrespect to the Mid West intended . I'm actually gunning for a Texas residency myself (the culture seems a bit less toxic than on the coasts from my personal experience).

I'm asking the question for my fiancee since she has oncology in her crosshairs since joining med school. I mean I understand working your fingers trough the proverbial bone in neurosurgery but I do know know the exact hours you'd have to put in as an oncology resident. We do plan to have a family and I'm trying to figure out what options we have.

As a matter of fact I'm not 100% sure on the oncology path in the US , in the EU you're an oncology resident straight from med school , after 5 years you become a specialist (allowed to have his own practice) I assumed that's the equivalent of fellowship in the US . After another 5-6 years you're primary physician in that field (allowed to become chief of a whole team of fellow / unit)

 

[gutonc]

As a matter of fact I'm not 100% sure on the oncology path in the US , in the EU you're an oncology resident straight from med school , after 5 years you become a specialist (allowed to have his own practice) I assumed that's the equivalent of fellowship in the US . After another 5-6 years you're primary physician in that field (allowed to become chief of a whole team of fellow / unit)

Well...now you're asking a completely different question.

To become a medical oncologist in the US, you need to do 3y of IM residency followed by a 3y fellowship. During residency, you will work 80h/wk for 6-11 months and 50-60 the rest of them your first year. 2nd and 3rd years vary more widely but you'll still have 2-5 of those 80h/wk months each year. First year of fellowship (your 4th year of training), you'll be back to 80h/wk for most of the year. Most fellowship programs have much more chill 2nd and 3rd years.

 

[Spectre of Ockham]

Is there any mandatory training left after the fellowship or can you become chief of oncology and take your own fellows / residents ?

 

[visari]

Is there any mandatory training left after the fellowship or can you become chief of oncology and take your own fellows / residents ?

strange question but probably because you're in a totally different system.

No "mandatory" training after fellowship. A few choose to do an extra year of advanced training (usually malignant hem/BMT but can be anything). After you finish fellowship you either choose to go into practice in the private setting or , if you're interested and qualified (or lucky?) enough, you choose to be a junior faculty in the academic setting. I don't know what you mean by "chief of oncology".

You never have "your own" residents/fellows. they belong to the program/institution and not to a specific person. They don't work for you as minions like in other countries.

 

[gutonc]

You (and your wife) need to come do some rotations in the US to understand the system. You also will need to do them if either of you have any hope of doing any of your training here.