Should I block out consultation time or just fit consults in whenever there's a gap? Block it. If you stuff consults wherever there happens to be a hole in the day, you wreck your flow and you risk running off schedule on the procedures that actually pay you. Think about the means of production in your practice. You are most efficient at procedures when you are already doing procedures. I will say that again because it matters: you are most efficient at procedures when you are already doing procedures. The more you string together before you hit that early afternoon fatigue, [...]