Attending Physician Schedule Management Simplified

Attending physician schedule management shouldn't fall on a program director's shoulders. Thrawn delivers finished attending schedules built on mathematical optimization, balancing coverage, FTE obligations, and fairness across the academic year.

Why Attending Schedules Are Hardest to Build

Attending schedules are often the last piece built and the first to break. Most programs manage them entirely on paper, in a separate spreadsheet, or in a disconnected system — completely isolated from the resident schedules they're supposed to coordinate with. Program directors inherit this burden directly: manually tracking FTE obligations, fielding time-off requests, and trying to ensure no single attending is overloaded while another coasts. Rule-based scheduling tools weren't designed for attending complexity, and self-serve software still requires someone to do the work. The result is a coordination nightmare that compounds every time something changes.

Why Attending Schedules Are Hardest to Build

FTE Obligations Encoded as Constraints

FTE AND CONTRACT TRACKING

FTE Obligations Encoded as Constraints

Thrawn encodes each attending's FTE percentage and contractual obligations directly into the optimization engine. Assignments are generated to respect these boundaries mathematically, not checked manually after the fact. See how this works for [program directors](/uses/scheduling-for-program-directors).

  • FTE percentages respected per attending
  • Contractual minimums and maximums enforced
  • No over-assignment without visibility
Coverage Load Distributed Fairly

FAIR COVERAGE DISTRIBUTION

Coverage Load Distributed Fairly

Thrawn's Fairness and Equity Engine distributes coverage duties across all attendings using mathematical balance, not manual judgment. Undesirable shifts, high-acuity coverage, and weekend assignments are spread equitably so no attending carries a disproportionate load.

  • Undesirable shifts spread equitably
  • No attending absorbs disproportionate load
  • Distribution visible and defensible
Time-Off Requests Handled Systematically

TIME-OFF REQUEST HANDLING

Time-Off Requests Handled Systematically

Rather than manually rearranging the schedule each time an attending requests time off, Thrawn treats all time-off requests as constraints at generation time. When unplanned absences arise mid-year, rapid re-optimization redistributes coverage without creating new gaps.

  • Vacation requests factored as hard constraints
  • Coverage gaps prevented at generation time
  • Re-optimization handles last-minute changes
Service Rotation Equity Across the Year

ACADEMIC YEAR EQUITY

Service Rotation Equity Across the Year

Thrawn optimizes across the full academic year as a single problem, ensuring that desirable and undesirable service rotations are distributed equitably over time. Fairness is measured year-long, not just within individual blocks where short-term imbalances can compound.

  • Desirable rotations distributed evenly
  • Year-long equity not just block-to-block
  • No rotation hoarding or blind spots

Simplify Attending Scheduling for Good

19 departments across 14 hospitals at top academic health systems trust Thrawn to deliver finished, fair attending schedules. Send your constraints and review the result.

Talk to a Scheduling Specialist

Common Questions