MEDICINE, DOLLARS & DECISIONS
Medicine, Dollars & Decisions is a podcast about the life and business of medicine. Clinicians receive little education on physician compensation, RVUs, contracts, leadership, investing, and the financial decisions that shape their careers. Hosted by Dr Bruno Casanova, a gynecologic surgeon and Department Chair at one of New York City's largest multi-specialty physician groups, each episode explores the life and business of medicine in clear, practical language. Whether you're a medical student, resident, fellow, physician, nurse practitioner, physician assistant, or healthcare leader, you'll gain the knowledge needed to make smarter career and financial decisions.
Episodes
The Truth About RVUs: Trailer - Introduction
Welcome to Medicine, Dollars & Decisions. Discover why this podcast was created and what you'll learn about physician compensation, contracts, RVUs, leadership, and the business of medicine, helping you make smarter career and financial decisions.Dr Bruno Casanova shares why he created this podcast and what you can expect from future episodes. Together, we'll explore physician compens
What Are RVUs? How They Affect Physician Compensation | MD&D #1
What are RVUs, and why do they matter? Dr. Bruno Casanova introduces the fundamentals of Relative Value Units and explains how they shape physician compensation and the financial side of medicine.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
Why Were RVUs Created? Why They Still Shape Physician Compensation | MD&D #2
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 y
Who Decides What an RVU Is Worth? How Physician Work Is Valued | MD&D #3
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 compen
Why One Specialty’s Gain Can Be Another’s Loss | RVU Budget Neutrality Explained | MD&D #4
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 at
Why Two Doctors Can Have the Same RVUs but Different Pay | MD&D #5
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 deci
Why Do Some Medical Specialties Make More Money? | Physician Compensation | MD&D #6
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, a
Who Decides What Physicians Earn? Beyond RVUs and Productivity | MD&D #7
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 the
What Else Determines Physician Pay? Experience, Productivity & Value | MD&D #8
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 c
The Physician Job Market: How It Affects Your Salary & RVU Pay | MD&D #9
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 organizat
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