Cancer changes almost every aspect of daily life, and your oncologist often becomes the anchor in that storm. This is the person you rely on for answers, guidance, and honest conversations about what comes next. During treatment, your oncologist will likely be your primary healthcare provider, seeing you every few weeks over many months—or even years.
This ongoing relationship shapes not only your medical care but also how supported, informed, and hopeful you feel throughout the process. Research consistently shows that patients with communicative, empathetic oncologists experience better treatment adherence, higher satisfaction, greater trust, and improved overall outcomes.[55][56][60] One landmark study found that collaborative, trusting relationships between patients with advanced cancer and their oncologists are directly linked to better quality of life.[55]
The strongest oncologist-patient relationships are true partnerships, where medical expertise and your lived experience work together rather than one voice dominating the conversation.[61] Patients who perceive high levels of respect and collaboration with their oncologist report significantly better quality of life. In one study, those who felt highly respected had dramatically lower odds of rating their quality of life as poor or fair compared with patients who felt less respected.[61]
However, even a skilled and well-intentioned oncologist may not always be the right fit for every patient. Differences in communication style, personality, cultural background, or expectations can leave you feeling rushed, unheard, or uncertain—just when clarity and confidence are most critical.[59] Recognizing early red flags and understanding that it is acceptable to question the fit are essential steps in ensuring you receive the care and support you deserve.
Red Flags: When Your Oncologist May Not Be a Good Match
1. Non-Responsive Communication
What to notice: Messages unanswered for days, no emergency protocol, difficulty scheduling appointments, limited hours that don't align with your needs.
When your oncologist doesn't respond promptly, it creates significant stress. A responsive oncologist provides reassurance and helps you feel more in control during an inherently uncertain situation. Timely communication ensures symptom changes are promptly managed and demonstrates that your concerns are a priority.
2. Vague Treatment Plan Communication
What to notice: Unclear explanation of your diagnosis, uncertain about why treatments are recommended, lack of clarity about what to expect.
You deserve to understand your cancer type, stage, treatment objectives, expected outcomes, and side effects. Research shows that patient-centered communication is positively associated with patients' confidence in their doctors and their satisfaction with the quality of care.[60] A clear treatment plan reduces anxiety and ensures you and your oncologist are aligned on goals. If discussions are vague, ask directly for clarification—a good oncologist will take the time to explain thoroughly.
3. Dismissive Attitude
What to notice: Your concerns seem unimportant, quick reassurance without exploration, not making eye contact during discussions about your concerns.
Feeling dismissed erodes trust and can cause you to avoid mentioning important symptoms. Research specifically examining the patient-oncologist relationship found that physician attentiveness and empathy directly predict patient satisfaction and reduced emotional distress.[56] When you feel validated and heard, you're more likely to report symptoms accurately, adhere to treatment, and experience reduced anxiety.
4. Lack of Empathy and Emotional Support
What to notice: Clinical detachment, focus solely on disease statistics, disregard for your emotional state, uncomfortable with discussing emotions.
Cancer is profoundly emotional. An empathetic oncologist acknowledges this, listens without judgment, and creates a supportive environment. Research demonstrates that clinicians who show more empathy promote better psychological health among breast cancer patients, with studies showing that patient-perceived empathy is associated with decreased anxiety, increased satisfaction, and improved emotional well-being.[62][59] Compassionate care has documented biological effects—even brief demonstrations of empathy significantly reduce patient anxiety.
5. Undermining Your Knowledge
What to notice: Dismissing your observations about symptoms, suggesting your input is irrelevant, not considering your preferences in treatment decisions.
You're an expert in your own body. A collaborative oncologist values your input and incorporates your observations into decisions. Research on shared decision-making shows that when physicians take a controlling role rather than a collaborative role, patients report significantly lower satisfaction with care (OR=0.64, 95% CI=0.54–0.75).[65] This respectful approach improves treatment adherence and psychological well-being.
6. Lack of Personalized Care
What to notice: One-size-fits-all treatment approach, dismissing your life circumstances, prescribing identical protocols without considering individual factors.
Modern cancer care should be individualized based on your specific cancer's characteristics, overall health, life circumstances, and preferences. Your oncologist should discuss impact on your work, family, and quality of life before finalizing treatment.
7. Limited Team Coordination
What to notice: Conflicting information from different specialists, no central point of contact, specialist unaware of your current treatment, delays between team members.
Cancer care requires coordinated multidisciplinary teams. Research shows that multidisciplinary team (MDT) review of cancer patients is associated with survival advantages, with meta-analyses demonstrating reduced risk of death for MDT-reviewed patients compared to non-reviewed patients.[66][72] Poor coordination results in delayed testing, gaps in care, and unnecessary stress.
8. Inadequate Support Resources
What to notice: No referrals to counseling, nutrition advice, or support groups; limited patient education; absence of psychosocial support recommendations.
Comprehensive cancer care addresses psychological, social, nutritional, and spiritual needs—not just chemotherapy and radiation. Your oncologist should connect you with these resources.
9. Resistance to Second Opinions
What to notice: Active discouragement of second opinions, negative reactions to patient advocacy, limiting access to your medical records.
You have an absolute right to seek a second opinion. Recent research examining the clinical value of second opinions in oncology found that 23-57% of patients across multiple cancer types experienced clinically meaningful treatment changes, with expected improvements in morbidity and prognosis.[64][67] Second opinions confirm diagnoses, validate treatment, identify additional options, and improve outcomes. A secure oncologist welcomes this process.
One study found that among second opinion consultations, "all those with positive expected outcomes had improved expected morbidity (short- and/or long-term); 11 (0–23%) also had improved expected prognosis."[73] Many changes involved de-escalation of treatment—reducing surgery extent or shifting from treatment to observation—thereby reducing patient side effects while maintaining effectiveness.
10. Overly Optimistic or Pessimistic Outlook
What to notice: Unrealistic expectations, dismissing important end-of-life planning, conversely, offering only pessimistic information without hope.
A balanced perspective is essential. Overly optimistic approaches set unrealistic expectations and delay important planning. Overly pessimistic approaches diminish hope and worsen psychological outcomes.
11. Rushed Appointments
What to notice: Appointments ending abruptly, oncologist checking their watch, insufficient time for questions, feeling like "a number on a conveyor belt."
Rushed appointments prevent thorough discussion of symptoms and concerns. Patients consistently identify adequate time with their provider as a top priority for satisfaction. Research on physician-patient communication shows that patients value time to ask questions and feel heard, not just receive information.[56]
12. Lack of Trust
What to notice: Persistent skepticism about their recommendations, discomfort with their communication style, inconsistencies in care.
Trust is foundational to effective cancer care. Research demonstrates that trust in healthcare professionals is positively associated with symptom-related outcomes, patient satisfaction, quality of life, and treatment adherence.[58] If you consistently doubt your oncologist, it may be time to explore other options.
What to Expect: Green Flags in a Great Oncologist
Clear Communication • Active listening • Responsiveness • Genuine empathy • Respect for your autonomy • Collaborative approach • Adequate appointment time • Connection to support resources • Effective team coordination • Openness to second opinions • Evident medical competence • Genuine care for your well-being
Steps to Take If Your Oncologist Isn't a Good Match
Step 1: Try Direct Conversation
Express concerns calmly and specifically: "I feel rushed during appointments. Could we schedule longer visits?" "I'm not clear about my treatment plan. Can we review it step by step?"
Step 2: Seek Help from Your Healthcare Team
Talk with your family doctor, oncology nurse, hospital patient advocate, or social worker. They may help facilitate communication or provide perspective.
Step 3: Get a Second Opinion
Second opinions serve important purposes: confirming your diagnosis, validating treatment alignment with guidelines, discovering additional treatment options, and providing reassurance.
How to arrange in Canada:
- Ask your current oncologist for a referral (most will provide one)
- Contact your provincial cancer center
- Your provincial health system may have specific second opinion processes
Step 4: Research Your Needs and Interview Potential Oncologists
Reflect on what's not working and what qualities matter most to you. If possible, arrange consultations and prepare questions about communication style, treatment philosophy, and availability.
Step 5: Make the Change
- Inform your current oncologist professionally
- Request your medical records (you have the legal right)
- Coordinate timing to prevent care gaps
- Brief your new oncologist thoroughly
Canadian Support Resources
National Resources
| Organization | Services | Contact |
|---|---|---|
| Canadian Cancer Society | Information, support groups, counseling, transportation assistance | cancer.ca or 1-888-939-3333 |
| CancerConnection.ca | Online community and support forums | cancerconnection.ca |
| Wellspring Cancer Support | Supportive programs and counseling | wellspring.ca |
Newfoundland and Labrador-Specific Resources
Provincial Cancer Care
Dr. H. Bliss Murphy Cancer Centre (St. John's)
- Tel: 709-777-6480
- Hours: Monday–Friday, 8:30 a.m.–5:00 p.m.
- Address: 300 Prince Phillip Drive, St. John's, NL A1B 3V6
- Only facility in the province providing radiation therapy
Cancer Centre, Corner Brook
- Tel: 709-784-5476
- Hours: Monday–Friday, 8:30 a.m.–4:30 p.m.
- Location: Fourth floor, Western Memorial Regional Hospital
Cancer Centre, Grand Falls-Windsor
- Tel: 709-292-2112
- Hours: Monday–Friday, 8:30 a.m.–4:30 p.m.
- Location: Main floor, Central Newfoundland Regional Health Centre
Labrador Cancer Patient Navigators
Labrador Grenfell Health offers specialized oncology nurses:
- Goose Bay: 709-897-3115 (includes Sheshatshiu, North West River, North Coast)
- Labrador City: 709-285-8332 (includes Churchill Falls)
- St. Anthony: 709-454-3999 (South Coast of Labrador)
Medical Transportation Assistance Program
1-877-475-2412 – Help for patients who need to travel for cancer care
The Heather Cutler Foundation
About the Foundation
The Heather Cutler Foundation is a Newfoundland and Labrador-based non-profit dedicated to improving survival and quality of life for Canadians living with pancreatic cancer. The Foundation is committed to addressing systemic barriers in cancer care, with special focus on patients in smaller provinces and rural communities.
Mission: Advocate for equitable, timely, and effective care for pancreatic cancer patients, empowering patients in underserved regions.
Key Initiatives:
- Port to Care: Travel relief grants ($500) for eligible Newfoundland and Labrador residents with pancreatic cancer requiring travel for treatment
- From Coast to Cure: Research fundraising campaign launching dedicated research grants in 2026, prioritizing pancreatic cancer research
- Education and awareness programs
- Healthcare advocacy and policy reform
- Support resources for patients and families
Other Provincial Supports
Cancer Care Foundation Newfoundland & Labrador
Raises funds to enhance cancer care throughout the province, including purchase of treatment equipment and supportive programs.
Eastern Health Provincial Cancer Care Program
Coordinates cancer services across Newfoundland and Labrador, including chemotherapy at multiple sites and supportive services.
Canada-Wide Cancer Organizations
- Canadian Cancer Society: cancer.ca
- Pancreatic Cancer Canada: pancreaticcancercanada.ca | 1-888-726-2269
- Young Adult Cancer Canada: youngadultcancer.ca
- Canadian Association of Psychosocial Oncology: oncology.capo.ca
Frequently Asked Questions
Is it okay to change oncologists mid-treatment?
Yes. You have the legal and ethical right to change oncologists at any point. Ideally coordinate timing to prevent care gaps.
Will my oncologist be offended if I seek a second opinion?
A secure, confident oncologist welcomes second opinions. If your oncologist reacts negatively, this is itself a red flag.
How do I change oncologists without disrupting treatment?
Communicate clearly to both oncologists, ensure medical records transfer promptly, and coordinate appointment timing.
What if I'm not satisfied with my current oncologist but have already completed treatment?
You can still transition to a new oncologist for follow-up and survivorship care. Your comfort and confidence matter.
Where can I get help if I'm uncertain about changing oncologists?
Contact a cancer organization, your provincial patient advocate, hospital patient relations, or organizations like Canadian Cancer Society for guidance.
The Bottom Line
Cancer treatment is one of life's most challenging experiences. You deserve an oncologist who has medical expertise, communicates clearly, listens respectfully, shows genuine empathy, and works collaboratively with you.
Research consistently shows that patient-oncologist relationships characterized by good communication, empathy, and collaboration result in better health outcomes and quality of life.[55][56][60][61]
If you recognize red flags in your relationship with your current oncologist:
- Your concerns are valid
- You have the right to change oncologists
- Seeking a second opinion is normal and encouraged
- Most issues can be addressed through direct conversation first
- Support resources exist to help you navigate this process
Organizations like The Heather Cutler Foundation are specifically here to support cancer patients in Canada, particularly in underserved regions and smaller provinces. Don't hesitate to reach out for guidance as you navigate your cancer care.
Your well-being is worth the effort to find an oncologist who is the right match for you. Trust your instincts, advocate for yourself, and access the support available to you.
Research Sources Cited
[55] Thomas, T. et al. "Stronger therapeutic alliance is associated with better quality of life in patients with advanced cancer." Journal of Clinical Oncology, 2021. doi: 10.1200/JCO.21.01513
[56] Zachariae, R. et al. "Association of perceived physician communication style with patient satisfaction, self-efficacy, and distress." Journal of Clinical Oncology, 2003.
[58] "Building Trust in the Doctor-Patient Relationship." Cancer Therapy Advisor, 2024.
[59] Hahn, S. et al. "Patients' and Clinicians' Perceptions of Clinician-Expressed Empathy." Journal of Oncology Practice, 2020.
[60] Elkefi, S. et al. "Patient-centered communication's association with trust, satisfaction, and perception of EHR use among newly diagnosed cancer patients." Frontiers in Communication, 2024. doi: 10.3389/fcomm.2024.1391981
[61] Keating, N.L. et al. "Associations between the patient-physician relationship and health-related quality of life among patients with cancer." Journal of Clinical Oncology, 2018. doi: 10.1200/JCO.2018.36.34_suppl.162
[62] Broadbridge, L. et al. "Empathetic cancer clinicians promote psychological well-being in breast cancer patients." Patient Education and Counseling, 2023.
[64][67][73] Ye, L.C. et al. "Clinical value of second opinions in oncology: A retrospective review of changes in diagnosis and treatment recommendations." Cancer Medicine, 2023. doi: 10.1002/cam4.5598
[65] Kehl, K.L. et al. "Shared decision-making in cancer care." Journal of Clinical Oncology, 2015. doi: 10.1200/JCO.2014.59.1890
[66] Brouwers, M.C. et al. "Management changes and survival outcomes for cancer patients after multidisciplinary team discussion; a systematic review and meta-analysis." Annals of Oncology, 1997.
[72] Karimi, P. et al. "The effect of multidisciplinary team on survival rates of women with breast cancer: a systematic review and meta-analysis." International Journal of Breast Cancer, 2023.
About This Article
This article was prepared for the Heather Cutler Foundation's health education program. Information is based on current research from peer-reviewed medical literature, Canadian Cancer Society guidelines, Eastern Health resources, and patient advocacy organization materials. It reflects evidence-based best practices for patient-centered cancer care.
The Heather Cutler Foundation is committed to providing accessible, evidence-based health information to support patients and families navigating cancer care across Canada, with particular attention to healthcare equity in rural and smaller provincial communities.
Citation of Sources: Information throughout this article is supported by research published in peer-reviewed journals including studies from the National Center for Biotechnology Information (NCBI), the American Society of Clinical Oncology (ASCO), Journal of Clinical Oncology, Cancer Medicine, Patient Education and Counseling, and systematic reviews of patient-oncologist communication literature.
