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

  1. 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
  2. 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
  3. 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
  4. 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
  5. 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

NPI verified only
Loading comments…