We wanted to scale our existing specialities before launching new ones because we didn’t managed to scale our existing specialities (pediatrics, endocrinology, gastroenterology, gynecology and dermatology) as we would like. We noticed a low shift occupancy: Our specialists’ shifts are not used correctly (70% for specialists vs 83% for doctors). The principal reasons are no-shows and late cancellations. This low shift occupancy impacts the retention of our specialists and their motivation.