Clinical Component

Navigating the Clinical Component

A Practice Designed for Comprehensive Cancer Care

Your clinical practice will encompass the full spectrum of hematologic and oncologic conditions, serving a diverse patient population that reflects Northern California's agricultural communities and growing suburban areas. Unlike the fragmented care often experienced in larger metropolitan centers, here you'll have the privilege of guiding patients through their entire cancer journey—from initial diagnosis through treatment and into survivorship—building relationships that span years rather than brief encounters. The patient population includes hardworking families from farming communities, retirees who've chosen the Sierra foothills for their golden years, and multi-generational residents who value the continuity of receiving their cancer care close to home.

The practice operates on Epic, UC Davis's enterprise-wide electronic medical record system, which means you'll have seamless access to subspecialty consultations, prior treatment records, and integrated clinical decision support tools. This technological infrastructure eliminates the frustrations of incomplete records and fragmented communication that plague many community oncology practices. You'll appreciate how Epic's oncology-specific modules streamline chemotherapy ordering, track treatment responses, and facilitate the complex documentation requirements of modern cancer care without becoming a burden to your workflow.

Clinical Operations and Patient Care

Your days will flow between clinic visits and infusion supervision, with a schedule designed to maximize both patient care quality and physician satisfaction. The practice has refined its operations over two decades to eliminate the inefficiencies that lead to physician frustration—dedicated authorization specialists handle prior authorizations, experienced nurses manage routine follow-ups, and a well-trained support staff ensures that your time is spent on clinical decision-making rather than administrative tasks.

  • Typical clinic volume allows 60 minutes for new patients and 30 minutes for follow-ups
  • Mix of solid tumor and hematologic malignancies reflecting community cancer incidence
  • Established referral patterns from primary care and specialty physicians throughout the region
  • On-site infusion center with 23 chairs (typically utilizing 18) with experienced oncology nurses
  • Integrated radiation oncology services for seamless multidisciplinary care
  • Pick line insertion services twice weekly, eliminating hospital referrals

Call Coverage and Work-Life Integration

The call schedule reflects a deep understanding that physician burnout serves no one—not you, your family, or your patients. While specific rotation details will be finalized based on the full team composition, the practice philosophy emphasizes reasonable coverage that allows for genuine time away from clinical responsibilities. The existing providers have cultivated a culture of mutual respect where colleagues provide thorough sign-outs and handle issues independently, minimizing unnecessary interruptions during your off time.

Home call with remote Epic access means you can address many issues without leaving your family dinner or your child's soccer game. The practice has invested in triage protocols and nurse-led symptom management pathways that filter out routine questions before they reach you. When you are on call, you're supported by experienced oncology nurses who understand the difference between issues requiring immediate physician input and those that can be safely managed with established protocols.

Clinical Research and Academic Excellence

Your participation in the UC Davis clinical trials program offers the intellectual stimulation of academic medicine without the administrative burden. The on-site research team is achieving record-breaking enrollment—currently at 11 patients for the year with a goal of 22, the highest in the program's history. The infrastructure is already in place: two dedicated research coordinators handle the administrative complexity, screening schedules daily and identifying potential candidates for you to consider.

  • Weekly virtual tumor boards connecting you with UC Davis specialists
  • Opportunity to serve as Principal or sub-Investigator on trials
  • Research coordinators who proactively screen and manage trial logistics
  • Direct access to UC Davis phase I/II trials for patients requiring novel therapies
  • Optional participation based on your interest level—support without pressure

Support Systems and Collaborative Care

You'll never practice in isolation here. The established team includes Amy Xiong, FNP, an exceptional nurse practitioner who knows the practice intimately, providing reliable coverage for routine follow-ups and treatment supervision. The collaborative model means you can focus on new diagnoses, treatment planning, and complex cases while your advanced practice provider manages stable patients and survivorship care. The pharmacist navigator handles all oral oncologic medications, eliminating another layer of administrative burden while ensuring optimal patient adherence and monitoring.

The practice's connection to UC Davis means that when you encounter challenging cases, expert consultation is just a secure message away. Whether you need input from a leukemia specialist, a second opinion on a rare tumor, or guidance on a novel treatment approach, you'll have the backing of an NCI-designated comprehensive cancer center without the politics and competition often found in academic departments.

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