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Olubukola Ayodele: A Glimpse Into What Happens in a Consultation

Olubukola Ayodele/LinkedIn

May 27, 2025, 15:48

Olubukola Ayodele: A Glimpse Into What Happens in a Consultation

Olubukola Ayodele, Consultant Medical Oncologist at the University Hospitals of Leicester NHS Trust, shared a post on LinkedIn:

“Have you ever waited an hour past your appointment time to see your doctor? It’s frustrating, I get it (I’ve been there). However, I want to share a glimpse into what happens in a consultation.

In oncology, conversations are rarely straightforward. We’re often navigating life-altering decisions, fears, complex treatments and emotional terrain: all within tightly allocated clinic slots. A new consultation in the NHS is typically scheduled for 45 minutes. A follow-up? Just 10-15 minutes.

But here’s the reality: that time is never enough.

Take breast cancer, for example. Management has become very complex with conversation including genomic testing, targeted therapy, fertility discussions, long-term side effects and more. I often need 90 minutes or more to properly counsel patients and families at a first consultation. Anything less risks glossing over crucial decisions or dismissing patient fears. These conversations can’t be rushed and shouldn’t be.

When an appointment runs late, it’s important to recognise that it’s not due to disorganisation or a lack of effort. Rather, it reflects our dedication to giving each patient the time and care they need to process their emotions and make informed decisions.

Once the patient departs, there’s still a lot of work to do such as dictating notes, requesting investigations and writing prescriptions. To make the most of your consultation, here are a few suggestions:

Do some research ahead of time and come equipped with a list of key questions. It’s helpful to prioritize the most pressing ones.

Consider taking notes or bringing someone with you to listen. If you’re alone, ask if you can record the conversation for your reference.

Be open and honest about your concerns and fears.

Please remember that if we run late, it’s not out of neglect; it’s out of compassion for those we’re helping. That cup of coffee/tea you see in front of your oncologist might be a small lifeline, helping them stay grounded after just sharing a difficult conversation. Oncology is one of the specialties facing the highest rates of burnout. Be kind to your doctor.

We carry many stories between appointments. Every minute spent is a life being held.”