Clinical Component

Navigating the Clinical Component

A Practice Built on Innovation and Comprehensive Care

Your clinical practice will encompass the full spectrum of breast cancer care, from newly diagnosed patients navigating their initial treatment decisions to long-term survivors managing the complexities of metastatic disease. You'll work within a truly integrated multidisciplinary framework where medical oncology, surgical oncology, and radiation oncology collaborate seamlessly—not just in weekly tumor boards but in daily practice patterns that prioritize coordinated care. This collaborative environment means your treatment recommendations are implemented within a system that values both cutting-edge protocols and the human touch that distinguishes academic medicine from community practice.

The Wilmot Cancer Institute has experienced remarkable growth, with clinical volumes expanding significantly across the region. Your patient population will reflect the diverse communities of Western New York, from urban Rochester to the rural Finger Lakes region, bringing both the clinical challenges and rewards of serving patients across the socioeconomic spectrum. The breast program specifically has seen substantial surgical growth, creating increased demand for medical oncology services that drives the current expansion. You'll find that patients here often travel considerable distances for their care, demonstrating the trust the community places in Wilmot's expertise.

Clinical Research Leadership

  • Oversee a robust portfolio of 20-25 active breast cancer clinical trials, with new studies continuously in development
  • Serve as Principal Investigator for 7-12 trials, depending on the research activity of other team members
  • Focus on bringing innovative trials to Rochester through relationships with pharmaceutical and biotechnology sponsors
  • Mentor junior faculty in developing their skills as clinical investigators and sub-investigators
  • Shape trial selection to ensure offerings span from early-phase studies to large cooperative group trials
  • Build infrastructure to make Rochester attractive for industry-sponsored research opportunities
  • Collaborate with the clinical trials office to streamline activation timelines and improve patient accrual

Clinical Responsibilities

  • Clinical Time: 2 clinic days a week
  • Clinical Volume: 16-20 patients per day
  • Call Responsibilities: Minimal 4 weeks inpatient annually, rare overnight call due to fellow/hospitalist support.
  • Support staff includes APPs, nurses, and navigators
  • Clinic Rooms: 2 per physician + 1 for APP
  • Co-located services: radiation, surgery, and infusion all in the same building.
  • EMR: Epic

Clinical Operations and Support

  • Work with a sophisticated clinical trials infrastructure already in place, eliminating the need to build from scratch
  • Benefit from experienced research coordinators and data managers familiar with oncology trial requirements
  • Utilize established relationships with cooperative groups including NCI National Clinical Trials Network
  • Access comprehensive ancillary services including genetic counseling, survivorship programs, and integrated supportive care
  • Participate in weekly multidisciplinary tumor boards that drive collaborative treatment planning. Tumor boards are held on Monday mornings. 2-6 cases reviewed per meeting.
  • Contribute to institutional protocols and pathways that standardize care while allowing for personalized medicine

Academic & Teaching Responsibilites

  • Involved in fellow education- fellows regularly rotate through clinic
  • 1 lecture a year is required

Team Collaboration and Culture

The breast oncology team includes experienced clinicians with strong patient care skills who are eager for renewed leadership and direction in clinical research. Your arrival will reinvigorate a group that has maintained excellent clinical standards while awaiting someone to champion their research aspirations. The recent retirement of a longtime team member has created both an opportunity for fresh perspective and a team ready to embrace new initiatives. You'll find colleagues who value work-life balance while maintaining high professional standards, creating an environment where excellence doesn't require exhaustion.

The broader oncology division, led by Dr. Aaron Hezel for the past decade, fosters a culture of mutual support where subspecialists collaborate rather than compete. The breast program works particularly closely with surgical oncologist Dr. Anna Weiss and radiation oncologist Dr. Kim Gergals, both of whom are committed partners in building comprehensive breast services. This established collaboration means you can focus on program development rather than relationship repair.

Your clinical work will be intellectually stimulating without being overwhelming—the institution understands that effective leaders need time for strategic thinking and relationship building beyond direct patient care. The emphasis on bringing novel therapies to patients through clinical trials ensures your practice remains at the forefront of breast oncology, offering treatment options unavailable in community settings while contributing to the advancement of the field.

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