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out of the basement / radiation medicine
out of the basement / radiation medicine episodes
- Towards a shared history: Simone's Maxims for (academic) medicine.
It's easy to forget how quickly things are forgotten. The zeitgeist of the Medicine World feels shared when you're in med school and residency, and there's an assumption that it will always be the way you remember it. Of course, this is not true, and it can quickly lead to folks "talking past each other".
If you're a resident, med student, or just an observer: do you hear the phrase "an institution cannot love you back" and are confused as to why it seems like you're supposed to know what that means?
This episode is for you!
OOTB is produced by Photon Media, a project of the 501(c)(3) nonprofit Cold Light Legacy.
36 min - Cognitive Dissonance in Radiation Oncology: ERAS-tional emergent properties of a complex system.
The NRMP did their weird thing where they release "preliminary" Match application statistics which...I don't quite understand why they do that, but whatever. I originally planned on exclusively talking about emergent properties and mental frameworks around paradox without bringing up our RadOnc baggage, but alas, the universe doesn't care about plans.
For the slides with all the various details and statistics and citations:
http://u.pc.cd/TGs7
OOTB is produced by Photon Media, a project of the 501(c)(3) nonprofit Cold Light Legacy.
54 min - Conflicts on Conflicts on Conflicts on Conflicts - The Final 15
The previous episode on this story clocks in at 2 hours and...14 minutes and 55 seconds. It's insanely dense, and I left out many, many details.
This is the final 15 minutes, which will hopefully convince you to stick through the full episode. The link to the slides is below!
From the humid swamps of Florida to the halls of legislation, discover how this bizarre saga has implications for us all.
https://doi.org/10.6084/m9.figshare.24312775.v1
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Out of the Basement is produced by Photon Media, a project from the 501(c)(3) nonprofit Cold Light Legacy.
coldlight.org | @drbeckta
14 min - Conflicts of Interest: 21C, Humana, DOJ, HHS, Abandoned Patents, GenesisCare, Accuray, Expert Testimony, Antitrust Immunity, ASTRO and...ROCR.
This wasn't what I set out to make. This wasn't the story I expected to tell. In 2012, 21st Century Oncology and Humana created an alternative payment model that appears to be the inspiration for ROCR. As both the 21C/Humana and ASTRO/ROCR models share the same author(s), it's strange we haven't heard about it. From the humid swamps of Florida to the halls of legislation, discover how this bizarre saga has implications for us all.
https://doi.org/10.6084/m9.figshare.24312775.v1
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Out of the Basement is produced by Photon Media, a project from the 501(c)(3) nonprofit Cold Light Legacy.
coldlight.org | @drbeckta
2 hr 15 min - Chicken Little Strikes Back: only 16% of graduating Radiation Oncologists think the job market is bad?
What if I told you that...I agree with the 2023 ARRO survey results presented at this year's San Diego conference? What if I told you that the survey supports my Red Journal "Letter to the Editor" about the Workforce Study? How in the world am I not changing my opinion on the oversupply issue despite personally experiencing the benefits of the current job market? Am I writing these descriptions like a Buzzfeed article now?
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Earn free CME for this episode: https://earnc.me/E9XHPi
www.becktamd.com
www.photonmedia.org
Twitter: @drbeckta
39 min - ASTRO to Biden: "we're incentivizing shortening the overall duration of therapy...because it's easier to stay away from home for a week than it is for 8 weeks."
- ASTRO President, discussing ROCR, during the Advisors to the President [Biden] on the National Cancer Program meeting, 9-7-2023
The inaugural "President's Cancer Panel" meeting took place recently and boy...that was something. Lots of concern over rural cancer care - from people not engaged in rural cancer care.
Coincidentally, I am actually involved in rural cancer care. Join me for another riveting "reaction"-style episode on...federal policy regarding national Healthcare concerns!
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Earn free CME for this episode: https://earnc.me/E9XHPi
www.becktamd.com
www.photonmedia.org
Twitter: @drbeckta
37 min - Bill of Health: is ROCR a Legislation Lifeline or Liability?
On Friday at 4PM, the first "live" presentation of the alternative payment model "ROCR" took place. Though questions were not actively fielded from attendees, several concerns that have been brought up since the ROCR announcement were discussed.
This special Basement episode breaks new ground with a "reaction"-style commentary on the ASTRO Town Hall.
A discussion on the discussion...does this count as a meta-analysis?
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Earn free CME for this episode: https://earnc.me/E9XHPi
www.becktamd.com
www.photonmedia.org
Twitter: @drbeckta
1 hr 2 min - The Code Bundling Conundrum: A Medicare Misadventure (starring 77301, ASTRO, AMAC, public record emails, conspiracy theories, and copy/paste)
In this episode, we unravel the intriguing story of a 2015 correspondence that pulls back the curtain of medical billing. Prepare to be riveted about everyone's favorite topic: CPT code bundling. How and why does the government consider "CT Simulation" (77280-77290) a part of "IMRT Treatment Planning" (77301)? Was it always like this? Does everyone agree and is everyone happy?
Just kidding - we all know no one is happy. Crucial to this episode are the following two PDF files on the government's website:
Email Letter to CMS:
https://downloads.regulations.gov/CMS-2015-0075-0285/attachment_1.pdf
Email Attachment to CMS:
https://downloads.regulations.gov/CMS-2015-0075-0285/attachment_2.pdf
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Earn free CME for this episode: https://earnc.me/E9XHPi
www.becktamd.com
www.photonmedia.org
Twitter: @drbeckta
1 hr 1 min - RVU-U: Private Practice Physician Primer - what the heck is a W2 employee? Or a professional services agreement? Academic satellite?
In this era of massive consolidation, it is incredibly confusing to discuss the different ways doctors can practice medicine in America. In discussing payment reforms, supply, professional vs technical fees, and so on - are we talking the same language? This episode aims, in extremely general, broad strokes, to define the "other" ways to practice medicine, beyond "academic faculty at a medical school's main campus". From being employed at a community hospital to being private practice at an academic hospital, join me on a whirlwind tour of jobs!
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Earn free CME for this episode: https://earnc.me/E9XHPi
www.becktamd.com
www.photonmedia.org
Twitter: @drbeckta
18 min - RVU-U: What are these "wRVU targets" or "average RVU" things I keep hearing about?
The theme of 2023, between workforce studies and payment models, is everyone's favorite: the RVU. Who's got 'em? Who needs 'em? Does it matter? Do we care?
Join me in digital nerd town for a general overview of yearly metrics!
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Earn free CME for this episode: https://earnc.me/E9XHPi
www.becktamd.com
www.photonmedia.org
Twitter: @drbeckta
17 min
About out of the basement / radiation medicine
From the publisher's feed
A sprawling mix of real-world education, armchair journalism, and scientific exploration, all anchored in Radiation Medicine. The Establishment™ has locked information behind towering ivory walls:…
consider this channel your nuclear Robin Hood, stealing from the rich to give to the poor; gadflies forcing radioactive truth into the spotlight. Of course, none of this is medical, legal, or financial advice.