title: The road not taken and choices in radiation oncology.
abstract: Accomplishments and contributions in a career in radiation oncology, and in medicine in general, involve individual choices that impact the direction of a specialty, decisions in patient care, consequences of treatment outcome, and personal satisfaction. Issues in radiation oncology include: the development and implementation of new radiation treatment technology; the use of multimodality and biologically based therapies; the role of nonradiation "energy" technologies, often by other medical specialties, including the need for quality assurance in treatment and data reporting; and the type of evidence, including appropriate study design, analysis, and rigorous long-term follow-up, that is sought before widespread implementation of a new treatment. Personal choices must weigh: the pressure from institutions-practices, departments, universities, and hospitals; the need to serve society and the underserved; the balance between individual reward and a greater mission; and the critical role of personal values and integrity, often requiring difficult and "life-defining" decisions. The impact that each of us makes in a career is perhaps more a result of character than of the specific details enumerated on one's curriculum vitae. The individual tapestry weaved by choosing the more or less traveled paths during a career results in many pathways that would be called success; however, the one path for which there is no good alternative is that of living and acting with integrity.
authors.affiliation: Radiation Research Program, 6130 Executive Boulevard, Bethesda, Maryland 20892, USA. ccoleman@mail.nih.gov
authors.forename: C Norman
authors.initials: CN
authors.lastname: Coleman
authors.forename: Eli
authors.initials: E
authors.lastname: Glatstein
mesh_terms: D002321:Career Choice; D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D009369:Neoplasms / Q000266:history* / Q000532:radiotherapy; D018787:Radiation Oncology / Q000266:history*