The 6 AM callout with no coverage plan.The spreadsheet nobody trusts.The provider who showed up at the wrong site.Here's one day, two ways.
One Monday at a private practice.The same problems show up in a residency program.
The office manager wakes up and scrolls the roster for who's free.She texts three people.Nobody responds.She texts three more.One person says "maybe." It's now 6:40 AM and there's still no coverage for an 8 AM session.
Orbit ranks who can actually cover and offers the session to the right person first, by push or text, never a blast to the whole roster.Dr. Reyes texts back YES at 6:04 AM without opening anything.The office manager sees the receipt at 7, not the scramble.
Thursday's email said West Clinic; she was swapped to Main Street Friday night.The email is buried.She's 25 minutes away, running late, and embarrassed.
The schedule change triggered a push notification Friday night (queued until her quiet hours ended at 7 AM).Her daily card says "Main Street — 18 min drive" and "You were moved from West Clinic to Main on Monday."
Time off came in by text all week.She checks who took what, who ran over their hours, and whose balance is short.It takes her all afternoon.
Each person's scheduled hours already sit against their expected hours.Approved time off has already come out of their leave balance.She checks the one person running over.She spends the afternoon on something that actually needs her attention.
She opens the spreadsheet.Six providers, nine MAs, two offices, AM and PM sessions, who pairs with whom, three time-off requests in her texts, and an MA who thinks she gets too many Fridays.It will take most of her evening.It does every week.
The standing pattern places itself exactly, and the rest is worked out by rule — the whole week lands in seconds.The judgment calls arrive sorted first, each with its reason in plain English.She steers once — "keep Patel off Thursdays" — and only those slots redraw.The check before launch comes back clean; she launches.She's done the same evening.
You own the practice, so you own the schedule — and the callouts, the approvals, and the hours math that come with it.None of that should live on your phone at 6 AM.
Every request routes to one Decisions inbox and waits for your tap.The obvious ones Orbit resolves itself and marks "Handled by Orbit." Approve, and the schedule updates itself — with the trail kept.
Credentials, room rules, and pairings are configured once and enforced automatically.Staff see their own day — site, times, team — on their phones, and HAL answers "who's at West Clinic tomorrow?" so you don't have to.
Scheduled hours roll up against each person's expected hours and FTE, so a lopsided week is visible before it publishes.PTO draws from real leave balances, and actual hours are compared against the plan — never quietly merged into it.
You show up to clinic and discover your team when they walk in.On-call feels uneven.There's a better way.
Your daily card shows exactly who's on your team — with photos, roles, and site prep context."New Teammates" flags colleagues you haven't worked with before.
Three-tier tracking (Primary / Backup / Night Float) with 8-week fairness scoring.Distribution bars show exactly who's overloaded and who's behind.
Set prefer/avoid/block for days, sessions, and sites, with dates when needed.The draft treats your blocks as hard rules.You can see they're being respected.
You spend more time on the schedule than on medicine.Every week, you rebuild what should already exist.
Orbit drafts a complete week — respecting preferences, credentials, pairing rules, rotation blocks, and fairness.You review and tweak, not build from scratch.
"Launch" triggers push, in-app, and email notifications.Monday morning briefing emails each person their week-at-a-glance with session counts, sites, and days off.
You just want to know where you're going, who you're working with, and that it's fair.That shouldn't require digging through email.
One screen: today's site with address, session times, your team (with photos), weather, commute time, and any changes — summarized in plain English.
"Ask HAL why" explains your schedule in warm, plain language.My Fairness tool shows your sessions vs. team average, AM/PM split, and site distribution.
A site prep card: orientation tips, staff contacts, equipment, available procedures, and training goals — surfaced automatically when you're assigned somewhere new.
Start with a 90-day pilot at $250 a month, set up with you.After the pilot, one price for the whole roster, set with you.Paste your roster and your first drafted schedule is ready the same day.
Built by David C. Reid, MD — a practicing dermatologist and department chair.