I will try to answer as many questions as I can regarding cancer care and the principles of. Oncology still receives a lot of philanthropic funding, so it makes research much easier and more impactful. Many fields of research are also growing at an unprecedented pace, providing many opportunities for young researchers to make significant advances early in their careers. Is it possible to work 40 to 50 hours per week (in the weeks without consultation) as a mid-career community oncologist? Is that common? I know that new oncologists work very hard, but I hope that it will be possible to have a more regular schedule mid-career in a small or medium-sized city.
PGY2 IM resident currently asking MKSAP oncology questions and I realized this topic is a waste of time. I sincerely believe that Oncology should be your own residence given how different it is from MI. If it were relevant to our general field, sure, but honestly, the only thing I hope my interns know about oncology is the risk of DIC in the APL. And oncologists deal with many internal medicine issues with their patients, as they often become de facto PCP for them.
You closely coordinate patient care with other specialties, mainly surgery, radiation oncology, pathology, and palliative care (of course there are others). My mother-in-law beat her lung cancer years ago with chemotherapy and surgery, after that she went to an oncologist once a month because of what I have been told. For the first 4 years, I worked as an oncologist (surgeon in the department of head and neck tumors), medical oncologist for the past 3 years. It's also a multidisciplinary field, as you'll work with surgeons, radiation oncologists, and other services, such as palliative medicine, quite often.
However, I now feel a desire to do something more impactful and my new interest in oncology and the other medical elements that surround it (radiology, pathology, surgery) makes me think that it would be worth all the effort to pursue a career in this field. For me, oncology is the most interesting specialty in medicine, you can do surgery, radiation therapy, drug treatment, or immerse yourself in the depths of science. In addition to DIC, other cancer emergencies, tumor lysis, acute leukemia, neutropenic fever, hyperviscosity syndrome, I have seen all of this and am in a community hospital. Also, getting into medical school doesn't guarantee that it matches internal medicine and can then match the oncology fellowship, so you have to agree to have your journey interrupted and redirected to a job you might not necessarily want to do, such as primary care or hospitalist.
I'm also interested in oncology and would love for anyone to talk about the pros and cons of the field. Cancer pathology, patients and I feel that, in terms of personality, I really fit in very well with hematologists-oncologists).