Provided are mechanisms and processes for a lighting system for medical schedule management. According to various examples, an apparatus is provided which comprises a lighting interface configured to connect to a lighting element for illuminating a medical examination room. The apparatus further comprises a power interface coupled to a power source. The apparatus further comprises a Wi-Fi transceiver configured to transmit a wireless signal to connect to a device corresponding to a physician. The wireless signal corresponds to a local area network. The duration of the connection is used to track the presence of the physician in the medical examination room. The Wi-Fi transceiver is tuned to transmit a signal strength corresponding to the size and characteristics of the medical examination room. The apparatus is located in a lighting fixture in the medical examination room. The lighting fixture may be centrally located in the medical examination room.