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LeoMed clinical contributor (pending)·September 27, 2026·6 min·Draft

Clinic scheduling patterns for a first-year hem/onc attending

How to structure a full clinic day so you close notes before dinner — and what to negotiate with your scheduler in month one.

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.

Author contribution pending

This is a placeholder stub for a clinical-efficiency article to be written by a practicing hem/onc attending.

Suggested outline

  1. The new-vs-follow-up mix that works in year one

    • Typical academic ratios (e.g. 4 new / 12 follow-up for a full clinic day)
    • Community group ratios (often heavier on follow-up)
    • What to negotiate in month one before your first template is locked
  2. Buffer time — where and how much

    • The lunch-hour buffer that saves your afternoon
    • Post-new-patient buffer for note-completion in real time
    • End-of-day buffer for phone calls and prescription refills
  3. When to fight for a template change

    • Signs your current template isn't working (chart-closing time > 90 min post-clinic)
    • How to bring data to your scheduler / practice manager
    • Common tradeoffs and what to concede
  4. Half-day vs full-day patterns

    • Half-day AM + admin PM, vs alternating full days
    • Tumor board integration
    • Research / academic time preservation
  5. Locum-specific scheduling considerations

    • Working someone else's template
    • What to ask before you accept an assignment

What we need from a contributing author

  • 1000–1500 words
  • Named attribution with credentials + years attending
  • At least one worked example template
  • Adaptable across academic / community / private practice contexts

Discussion

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