All relationship articles
LeoMed clinical contributor (pending)·September 27, 2026·7 min·Draft
Peer relationships and hospital politics for new attendings
Tumor board etiquette, cross-covering colleagues, calling for a favor, and how to hold a position in a department disagreement without burning capital.
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
Placeholder stub — to be written by a practicing hem/onc attending.
Suggested outline
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Tumor board as social infrastructure
- Prep well, but don't over-prepare — leave room for the surgeons and rad-onc folks to add
- How to disagree publicly at tumor board without damaging a referrer relationship
- When to defer, when to stand your ground
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Cross-covering colleagues
- The first-day sign-out habits that build trust vs erode it
- How to signal “I trust your call” while still asking the questions you need to
- Reciprocity — the coverage math over a full year
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Asking for a favor
- Coverage swaps, urgent consult help, quick chart reviews
- What makes an ask easy to say yes to
- How to keep a running mental ledger without being weird about it
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Departmental disagreements
- Choose your battles: infrastructure, staffing, treatment protocols, RVU disputes
- How to argue a position in a private practice vs an academic center
- When to escalate to the chair vs work through peers first
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Building trust with APPs, nurses, MAs, schedulers
- Small habits that pay off (thank you notes, remembering names, showing up to unit meetings)
- What NOT to do in the first six months
Discussion
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