- Joined
- May 18, 2021
- Messages
- 163
- Reaction score
- 261
I 100% agree with you and am very much in the same position as you. I will also leave if direct supervision becomes the rule and my center will return to filling with locums as they have the past 2 years prior to my joining.Disagree completely. This percentage idea is nonsense. Either direct supervision is needed for certain codes in certain settings or it's not. There is no credible argument I have heard for direct supervision of 3D and IMRT treatments in a hospital-based setting. I need to be immediately available? For what exactly? The photons got stuck in the patient and I have to remove them? I need to approve the images in person before each treatment? Literally nobody has ever done that for non-stereo cases. It's asinine.
Of course, I am biased. What ASTRO is trying to do is an existential threat for my current position that I literally just moved for and started. If I have to be here 8-5 M-F, I will likely not be able to continue this as it will not be worth it to me unless the hospital increases my salary guarantee to 7 figures or gives me a share of technical revenue. So I will leave and the hospital will have to staff with locums or someone desperate for any job because of issues. It's a lose-lose, but ASTRO doesn't give a rats asz about rural centers. We've known that for a long time. I thought I had FINALLY found a decent gig in this dumpster fire of a specialty self-inflicted by ASTRO and the academics, and then they come out with this hot garbage.
Does anybody know how to write a letter directly to CMS? I suspect my letter to Jeff Michalski was promptly printed and used as toilet paper.
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Additionally, apparently per ASTRO, none of us actually work in rural centers. In the meeting, when asked Jeff said they’d define “rural” using RUCC (although he was very vague and ambiguous).
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