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shematoma

Ontario's 53 extra residency spots

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1 hour ago, JohnGrisham said:

Thank you for your insight - very valuable.

That said:

2018 NRMP match had a mean Step 1 of 247 for RadONC. With 194 spots, and 165 USMD applicants(total applicants 215). 20% having PhDs, another 20% having a graduate degree.

2011 NRMP shows  171 spots with 181 USMD applicants(total applicants 211).  Same 20%+ had PhDs. 

Hardly "doubling" of spots over 7 years. I don't claim to know as much as you about job market however, from what I know from a colleague with sparse communication, if you don't end up in a "good" brand-name program much like pathology in the US, job prospects are definitely much tougher.   Job prospects from your thread linked definitely seem to be much poorer than before. 

Sorry, I should be more precise. Residency expansion has been going along for a while in US RO (>10 yrs) but effectively it has been ~double the amount of applicants. >25% expansion in the past 5 years. For a small specialty to start with, along with the other utilization changes in recent practice,  there is a drastic impact.

Recent literature:

 https://www.jacr.org/article/S1546-1440(18)31472-8/pdf

https://www.ohsu.edu/xd/education/schools/school-of-medicine/departments/clinical-departments/radiation-medicine/presentations-publications/upload/ARRO-Resident-Supply-Commentary.pdf

At present the market for US RO grads of course is better than pathology. But for those entering once they are done training, that may not be the case, and the comparison is not an exaggeration. The full discussions if people care to read are below and are probably outside the purview of this thread's intended scope, but it does show to what extent a poor job market and mobility can mean for a field. Of course, the opinions are vast and varied but amongst all of them there is a theme of the market is down, applications are down, and the trend shows no sign of stopping in the US. I should really emphasize this only applies to the US market as well. Canadian applicants should have heard the Canadian data on their recently completed CaRMS tour. More recent threads on the same topic:

Job market short and long term: https://forums.studentdoctor.net/threads/job-market-short-term-and-long-term.1360620/

Rad Onc with biggest decrease in applications of any specialtyhttps://forums.studentdoctor.net/threads/rad-onc-with-biggest-decrease-in-applications-of-any-specialty.1352291

Would you advise m3 m4s to go into this field: https://forums.studentdoctor.net/threads/would-you-advise-m3-m4s-to-go-into-this-field.1356600/

Letter to medical students: https://forums.studentdoctor.net/threads/letter-to-medical-students.1362992/

Radonc is still the best field in medicinehttps://forums.studentdoctor.net/threads/radonc-is-still-the-best-field-in-medicine.1347647/

and its sister rebuttal topic, 

Radiation oncology is not the best field in medicine: https://forums.studentdoctor.net/threads/radiation-oncology-is-not-the-best-field-in-medicine.1354526/
 

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Everyone keeps pointing to FM (maybe along with psychiatry, dermatology and a few niche fields) as one specialty where people seem to be happy with the job prospects. Is this really the case? I have heard many reports that some cities are oversaturated with FMs and they are advertising with mailers or radio ads to find new patients. Also, many FM practices are wide open for walk-ins.

Can most graduating FMs expect to be able to relatively easily pick up a busy practice in the city of their choice? Or do they have to also be flexible about where they work in order find enough work?

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19 hours ago, shematoma said:

Everyone keeps pointing to FM (maybe along with psychiatry, dermatology and a few niche fields) as one specialty where people seem to be happy with the job prospects. Is this really the case? I have heard many reports that some cities are oversaturated with FMs and they are advertising with mailers or radio ads to find new patients. Also, many FM practices are wide open for walk-ins.

Can most graduating FMs expect to be able to relatively easily pick up a busy practice in the city of their choice? Or do they have to also be flexible about where they work in order find enough work?

I have many friends in FM find work in the GTA. However, they have had to hustle compared to other friends who moved to a small community and just joined a FHO or something. 

I think you have geographic flexibility in FM but I'm not sure if the most "desirable" setups are available everywhere. 

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3 minutes ago, blah1234 said:

I have many friends in FM find work in the GTA. However, they have had to hustle compared to other friends who moved to a small community and just joined a FHO or something. 

I think you have geographic flexibility in FM but I'm not sure if the most "desirable" setups are available everywhere. 

Whats the benefit of doing FHO vs regular FM work in GTA

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10 minutes ago, friedchickendudeMD said:

Whats the benefit of doing FHO vs regular FM work in GTA

I don't like making generalizations as there are a lot of variables, but typically the consensus is that you work less and get paid more in a FHO. I think FM training programs train you to operate in a FHO and I think pure FFS is a very different way of practicing. 

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