Abstract
Although concerns regarding an imbalance in the radiation oncology workforce were raised nearly a decade ago,1 the radiation oncology workforce has continued to grow. The annual number of positions and trainees increased for several years and then plateaued, with some programs requesting larger resident complements and/or filling unmatched positions through the Supplemental Offer and Acceptance Program (SOAP). At the same time, rising concerns exist regarding radiation therapy (RT) utilization, including the decline in demand/revenue in fraction-based reimbursement models with increasing use of hypofractionation, omission of RT due to greater availability of systemic therapy options, and increased acceptability of watchful waiting/surveillance (eg, breast and prostate cancers).
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