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LeoMed staff·October 9, 2026·10 min
APP delegation frameworks for a new hem/onc attending
What a fellow-turned-attending can safely offload to their nurse practitioner or physician assistant in the first six months — and what they absolutely can't. A practical delegation ramp for the first year of practice.
Operational content, not clinical guidance.
Workflow patterns and career-craft observations from practicing oncologists. Not a substitute for clinical judgment, institutional protocols, or the advice of your department chair, program director, or attending mentors. Adapt to your setting.