This is a community-based oncology practice that sees the full spectrum of cases. You would treat all major cancer types, including breast, lung, prostate, colorectal, and hematologic malignancies, and manage treatment plans across chemotherapy, targeted therapy, immunotherapy, and hormone therapy. If you have a particular interest, GI-heavy cases can be routed to you. New patient consultations and follow-ups make up the bulk of the day, with treatment planning shared across the team.
A representative day:
| Time | Activity |
|---|---|
| 7:00 AM | inpatient rounds, using the tunnel to the hospital |
| 9:00 to 9:30 AM | clinic begins |
| 12:00 to 1:00 PM | lunch |
| Around 3:30 PM | last patient |
| Around 5:00 PM | home |
Fridays are light and usually finished by noon, which opens time for administrative work or short follow-ups. Procedure rooms are available for bone marrow biopsies if you perform them. Telehealth and occasional outreach are available if you want to incorporate them.
Medical oncology, radiation oncology, imaging, lab, and pharmacy sit in the same 24,000 square foot building.
Medical oncology:
Radiation oncology:
Imaging:
Additional services in the building:
Two tumor boards meet each week:
Attendance is encouraged rather than required and draws medical oncology, pathology, radiology, surgery, and plastic surgery, along with Great Falls Clinic providers and several retired community physicians who stay engaged. You would also work closely with the two radiation oncologists to coordinate combined treatment when appropriate.
Certain complex cases, such as acute leukemias, are transferred. Common destinations are Seattle, University of Utah, Mayo Clinic, and MD Anderson. Transfer decisions follow disease type, clinical needs, and patient preference. A visiting gynecologic oncologist from University of Utah provides additional support to the group.
Call runs on a community model shared across two Benefis medical oncologists, two Great Falls Clinic medical oncologists, and one per diem physician. The rotation is 1 in 5 today and moves to 1 in 6 once a new physician joins.
A hospitalist team manages daily medical care, while medical oncologists round and place oncology-specific orders. Inpatient oncology nursing is strong, and hospitalist support reduces unnecessary calls, so the call burden is described as low.
Beyond the physicians and APPs, the department includes OCN-certified infusion nurses, nurse navigators, genetic counselors, a dietician, social workers, financial counselors, care navigators, and clinical research staff who support the late-phase trials.
The group can consider adjusted schedules based on physician preference, including potential part-time or job-sharing arrangements. Administrative time is allocated for tumor boards, care planning, and related tasks.