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

Building referring-provider relationships in your first attending year

How to introduce yourself to community internists, PCPs, and surgeons — and how to keep the referrals warm without becoming a burden on your own inbox.

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. The first-90-days introduction protocol

    • What to send in an introduction letter / email
    • Which community internists and surgeons to prioritize
    • How to structure a five-minute in-person visit to the referring practice
  2. Keeping referrals warm without becoming a burden

    • Consult-letter cadence and content (letter after new patient, letter after major decision points, brief post-treatment summary)
    • When a phone call beats an email
    • EMR-based referral loop-closing when your systems and theirs don't talk
  3. The "curbside" question

    • When to say yes, when to say "let's see them formally"
    • Documenting curbsides without exposing yourself
    • How to give a real answer that protects the referrer's relationship with the patient
  4. When referrals dry up

    • Reading the signals
    • The recovery conversation
    • When it's the referring provider, when it's the group, when it's you
  5. Signals you're trusted

    • Being called first for specific tumor types
    • Referrers asking for you by name
    • Post-visit follow-up requests

Discussion

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