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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
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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
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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
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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
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Half-day vs full-day patterns
- Half-day AM + admin PM, vs alternating full days
- Tumor board integration
- Research / academic time preservation
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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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