I use a modified version of
Elizabet's luas for RDM SCH BLM GEO.
It's nice in that you can cycle elements and then have a single macro bar entry each for t1, t2, t3, t4, t5, helix, helix2, etc.
Other things that found their way onto the bar are kaustra, "open sc," "close sc," absorb-tp, ebullience, enlightenment, food, and whatever weapon skills i tend to be using at the time.
I find all the buffing and white magic can be managed easily enough with shortcuts and don't really require macro spots.
If you prefer a more vanilla approach, I'd recommend reading
Lute's blog even though it's in Japanese. His macro bars are very well thought out and conducive to high level vanilla play.
Just DM me if you'd like to see my actual luas.