Ivy Riano: Practical Tips for Early-Career Oncologists
Ivy Riano, Medical Oncologist at Dartmouth Hitchcock Medical Center and Clinics, shared a post on X:
“As early-career oncologist, starting my second year of Faculty, I quickly learned that clinical skills are only part of the job. Here in this article, we reflect about the things that fellowship didn’t cover, and how to survive and thrive!
Running a Clinic
From infusion scheduling to quality improvement, real-world oncology requires system thinking, not just clinical knowledge.
Tip: Push for more autonomy during training to build operational skills.
Leading the Team
In practice, you are the hub. Whether in community or academia, leadership and communication are core to safe, efficient care.
Tip: Build strong relationships with nurses, APPs, pharmacists, and schedulers.
Insurance + Access Barriers
Delays, denials, and drug access can derail care. Many of us graduated without ever doing a peer-to-peer.
Tip: Learn the codes, appeal strategies, and how to document for approvals.
Coping With Loss
Grief is part of the job.
Tip: Find peer support, stay compassionate, and honor each patient’s story without carrying every burden alone
Time Management
The patient load is heavier, inbox never ends, and “protected time” isn’t always protected.
Tip: Prioritize, delegate, and guard your time fiercely.
Those are only a few of advices provided by us! Read the full article.
Share with fellows, attendings, and future oncologists
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