Episodi

  • The Physician Job Market: How It Affects Your Salary & RVU Pay | MD&D #9
    Aug 23 2026

    In this episode of The Truth About RVUs, we look at something physicians often underestimate when thinking about compensation: the physician job market.

    Your salary and RVU rate are not determined by productivity alone. Specialty demand, geographic location, physician supply, recruitment difficulty, competition between employers, and local market conditions can all affect what an organization is willing to pay.

    Understanding the job market gives you important context when evaluating a physician contract, negotiating compensation, or comparing your RVU rate with national benchmarks.

    In this episode, we discuss:

    How physician supply and demand influence compensation
    Why the same physician may be paid differently in different markets
    How geography affects salary and RVU rates
    Why national compensation benchmarks do not tell the whole story
    How understanding your market can strengthen contract negotiations

    Medicine, Dollars & Decisions
    A free educational platform for residents, fellows and early-career physicians
    Life and Finances, in Medicine.

    Educational content only. This is not legal, financial, or employment advice.

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    6 min
  • What Else Determines Physician Pay? Experience, Productivity & Value | MD&D #8
    Aug 16 2026

    RVUs are only part of the physician compensation equation. In this episode, Dr. Bruno Casanova explains how experience, productivity, professional history, reputation, and organizational value can influence how much a physician is paid per work RVU.

    Learn why two physicians in the same specialty, working in the same region and even within the same organization, may receive very different compensation. We also discuss how productivity benchmarks, including MGMA data, can affect negotiating power, and why understanding your own RVU production is essential when evaluating compensation, bonuses, and future job offers.

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    8 min
  • Who Decides What Physicians Earn? Beyond RVUs and Productivity | MD&D #7
    Aug 9 2026

    Your income isn't determined only by your employer or your productivity. In this episode, Dr. Bruno Casanova explores the organizations, What really determines physician compensation? RVUs and productivity matter, but they are only part of the story. The episode explains how employers, reimbursement systems, and market forces can influence what physicians ultimately earn.

    Understanding these forces can help residents, fellows, and new attendings better evaluate compensation models, job offers, and career decisions.


    MD&D is a FREE platform for residents, fellows, and early-career attendings who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.
    Free RVU Playbook:
    playbook.medicinedollarsanddecisions.com

    Website:
    medicinedollarsanddecisions.com

    Newsletter:
    newsletter.medicinedollarsanddecisions.com

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    8 min
  • Why Do Some Medical Specialties Make More Money? | Physician Compensation | MD&D #6
    Aug 2 2026

    Why do some medical specialties earn significantly more than others? In this episode, Dr. Bruno Casanova explores the key factors that influence physician compensation, including supply and demand, training, productivity, reimbursement, and market forces. Understanding these differences can help you make more informed career decisions.

    MD&D is a FREE platform for residents, fellows, and early-career attendings who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.
    Free RVU Playbook:
    playbook.medicinedollarsanddecisions.com

    Website:
    medicinedollarsanddecisions.com

    Newsletter:
    newsletter.medicinedollarsanddecisions.com

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    7 min
  • Why Two Doctors Can Have the Same RVUs but Different Pay | MD&D #5
    Jul 26 2026

    In this episode Dr Casanova discusses how your location in the United States affects your income. Why two providers in different parts of the country may provide the exact same services and get very different compensation.

    MD&D is a FREE platform for residents, fellows, and early-career attendings who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.
    Free RVU Playbook:
    playbook.medicinedollarsanddecisions.com

    Website:
    medicinedollarsanddecisions.com

    Newsletter:
    newsletter.medicinedollarsanddecisions.com

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    8 min
  • Why One Specialty’s Gain Can Be Another’s Loss | RVU Budget Neutrality Explained | MD&D #4
    Jul 19 2026

    Why do specialties compete for a portion of the same pie? In this episode, Dr. Bruno Casanova explains the principle of budget neutrality. Why increases in payment for one specialty can lead to reductions for another specialty. And how this policy continues to shape physician reimbursement across the healthcare system.

    MD&D is a FREE platform for residents, fellows, and early-career attendings who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.
    Free RVU Playbook:
    playbook.medicinedollarsanddecisions.com

    Website:
    medicinedollarsanddecisions.com

    Newsletter:
    newsletter.medicinedollarsanddecisions.com

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    7 min
  • Who Decides What an RVU Is Worth? How Physician Work Is Valued | MD&D #3
    Jul 12 2026

    Who decides how many RVUs a procedure or encounter is worth? In this episode, Dr. Bruno Casanova explains how physician work is valued, the role of a committee called RUC, and how those decisions ultimately influence compensation across the healthcare system.

    MD&D is a FREE platform for residents, fellows, and early-career attendings who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.

    Free RVU Playbook:
    playbook.medicinedollarsanddecisions.com

    Website:
    medicinedollarsanddecisions.com

    Newsletter:
    newsletter.medicinedollarsanddecisions.com

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    6 min
  • Why Were RVUs Created? Why They Still Shape Physician Compensation | MD&D #2
    Jul 5 2026

    Why were RVUs created in the first place, and why do they continue to shape modern healthcare? In this episode, Dr. Bruno Casanova explores the history behind the RVU system, the problems it was designed to solve, and how it evolved into the foundation of physician compensation in the United States. Understanding where RVUs came from is the first step to understanding how they influence your career today.

    MD&D is a FREE platform for residents, fellows, and early-career attendings who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.

    Free RVU Playbook:
    playbook.medicinedollarsanddecisions.com

    Website:
    medicinedollarsanddecisions.com

    Newsletter:
    newsletter.medicinedollarsanddecisions.com

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    7 min