Supply and Demand for Radiation Oncology in the United States: A Resident Perspective

Burt, Lindsay; Trifiletti, Daniel M.; Nabavizadeh, Nima; Katz, L.M.; Morris, Zachary S.; Royce, Trevor J.

doi:10.1016/j.ijrobp.2016.10.038

Cited by 20 publications

(14 citation statements)

References 27 publications

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“…The projections by Pan et al (4) and the concomitant increase in annual radiation oncology graduates have led to concern among US trainees (6) over a potential shortage of future employment opportunities. This problem is not unique to US radiation oncology graduates; for example, delayed workforce entry for Australian (15) and Canadian (16) trainees has resulted in extended resident training via single or multiple fellowships and even increased emigration.…”

Section: Discussionmentioning

confidence: 99%

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Domestic Job Shortage or Job Maldistribution? A Geographic Analysis of the Current Radiation Oncology Job Market

Chowdhary

Chhabra

Switchenko

et al. 2017

International Journal of Radiation Oncology*Biology*Physics

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Purpose To examine whether permanent radiation oncologist (RO) employment opportunities vary based on geography. Methods and Materials A database of full-time RO jobs was created by use of American Society for Radiation Oncology (ASTRO) Career Center website posts between March 28, 2016, and March 31, 2017. Jobs were first classified by region based on US Census Bureau data. Jobs were further categorized as academic or nonacademic depending on the employer. The prevalence of job openings per 10 million population was calculated to account for regional population differences. The χ2 test was implemented to compare position type across regions. The number and locations of graduating RO during our study period was calculated using National Resident Matching Program data. The χ2 goodness-of-fit test was then used to compare a set of observed proportions of jobs with a corresponding set of hypothesized proportions of jobs based on the proportions of graduates per region. Results A total of 211 unique jobs were recorded. The highest and lowest percentages of jobs were seen in the South (31.8%) and Northeast (18.5%), respectively. Of the total jobs, 82 (38.9%) were academic; the South had the highest percentage of overall academic jobs (35.4%), while the West had the lowest (14.6%). Regionally, the Northeast had the highest percentage of academic jobs (56.4%), while the West had the lowest (26.7%). A statistically significant difference was noted between regional academic and nonacademic job availability (P=.021). After we accounted for unit population, the Midwest had the highest number of total jobs per 10 million (9.0) while the South had the lowest (5.9). A significant difference was also observed in the proportion of RO graduates versus actual jobs per region (P=.003), with a surplus of trainees seen in the Northeast. Conclusions This study presents a quantitative analysis of the RO job market. We found a disproportionately small number of opportunities compared with graduates trained in the Northeast, as well as a significant regional imbalance of academic versus nonacademic jobs. Long-term monitoring is required to confirm these results.

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Section: Discussionmentioning

confidence: 99%

“…The predictions of a tighter labor market are beginning to manifest for senior radiation oncology residents (5, 6). A survey of the 2014 graduating class showed that 71% of respondents believed the job market was worse than what they anticipated when beginning residency (7).…”

Section: Introductionmentioning

confidence: 99%

Domestic Job Shortage or Job Maldistribution? A Geographic Analysis of the Current Radiation Oncology Job Market

Chowdhary

Chhabra

Switchenko

et al. 2017

International Journal of Radiation Oncology*Biology*Physics

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“…This increase in trainee numbers has created apprehension about job prospects post training. ANZ are not alone in this regard with recent data from the United States and Canada reflecting similar concerns …”

Section: Introductionmentioning

confidence: 82%

“…Interestingly, half of Australian trainees say they would have reconsidered their choice of specialty had they known about possible oversupply in the workforce . ANZ trainees are not alone in this concern with recent data from the United States and Canada revealing an oversupply . .…”

Section: Discussionmentioning

confidence: 99%

“…ANZ are not alone in this regard with recent data from the United States and Canada reflecting similar concerns. [4][5][6][7][8] However, there is no 'hard' evidence to confirm whether trainees struggle to secure employment post training. In fact, the 'evidence' is either anecdotal or reflects apprehension amongst the radiation oncology community.…”

Section: Introductionmentioning

confidence: 99%

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Employment for radiation oncologists in Australia and New Zealand: Recent graduates survey of experiences and perspectives

et al. 2017

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Introduction: This paper reports the key findings of the first survey of recent Radiation Oncology graduates in Australia, New Zealand (ANZ) and Singapore. It explores their experiences in entering the workforce, challenges and perspectives. Methods: The survey was conducted in April and May 2016 focusing on graduates from 2013 to 2015. The questions related to relocation, current employment, experiences in finding a job, intentions regarding rural work, job satisfaction and perceptions of the job market. Results: The response rate was 80% (66/83). Most respondents (72.7%) commenced and completed their training in the same location. The large majority of respondents (91%) were employed with 51% as consultants, 20% as fellows and 15% as locums. Sixty-four percent of respondents spent more than twelve weeks looking for a consultant position, but this was expected by 80% of respondents. Seventy-three percent of respondents spent more than four weeks looking for a fellowship position, but this was expected by 90%. Twenty seven percent of respondents lived and worked in a rural area with nearly half of respondents who did not work in a rural area, indicating they would consider so if certain conditions were met. The large majority (75%) were satisfied with their current employment with only seven percent reporting dissatisfaction. Respondents felt that the job market was very competitive because of the large number of trainees and better workforce planning was required to ensure a reasonable balance between workforce supply and demand. Some career guidance and mentorship for readiness for the job market was thought to be beneficial. Conclusions: This initial survey of recent Radiation Oncology graduates in ANZ and Singapore has revealed the large majority are employed as consultants or fellows, although there is apprehension about a competitive job market. The survey should be repeated on a regular basis to monitor future trends.

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Medical workforce in the United States

Bluth

Frush

Oates

et al. 2022

J Applied Clin Med Phys

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This section focuses on the professional workforce comprised of the primary medical specialties that utilize ionizing radiation in their practices. Those discussed include the specialties of radiology and radiation oncology, as well as the subspecialties of radiology,namely diagnostic radiology,interventional radiology, nuclear radiology, and nuclear medicine. These professionals provide essential health care services, for example, the interpretation of imaging studies, the provision of interventional procedures, radionuclide therapeutic treatments, and radiation therapy. In addition, they may be called on to function as part of a radiologic emergency response team to care for potentially exposed persons following radiation events, for example, detonation of a nuclear weapon, nuclear power plant accidents, and transportation incidents. For these reasons, maintenance of an adequate workforce in each of these professions is essential to meeting the nation's future needs.Currently,there is a shortage for all physicians in the medical radiology workforce.

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Supply and Demand for Radiation Oncology in the United States: A Resident Perspective

Cited by 20 publications

References 27 publications

Domestic Job Shortage or Job Maldistribution? A Geographic Analysis of the Current Radiation Oncology Job Market

Domestic Job Shortage or Job Maldistribution? A Geographic Analysis of the Current Radiation Oncology Job Market

Employment for radiation oncologists in Australia and New Zealand: Recent graduates survey of experiences and perspectives

Medical workforce in the United States

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