MD&D | Medicine, Dollars & Decisions Transistor (https://transistor.fm) https://feeds.transistor.fm/medicine-dollars-decisions MD&D | Medicine, Dollars & Decisions is a free educational platform about life and finances in medicine. For residents, fellows, and recent graduates. Understand job offers, physician compensation, contracts, and personal finances. Build your career with confidence through clear, practical explanations in everyday language. Hosted by Dr. Bruno Casanova, award-winning, MIGS surgeon, and Department Chair in NYC. New episodes every week. Full articles and free resources: mddecisions.org Disclaimer: The content reflects Dr. Casanova's personal views and professional experience and does not represent his employer or any affiliated institution. ©2026. Medicine, Dollars & Decisions 0584d171-29e1-530a-b86f-e2fe8bfb314d yes The Truth About RVUs: Trailer - Introduction en Mon, 02 Nov 2026 01:00:11 -0500 Mon, 02 Nov 2026 01:02:07 -0500 http://www.mddecisions.org https://img.transistorcdn.com/bT5p0J5z4f2l4aoSpL0WzdEgKTvjWjGvZag3H5lDsBI/rs:fill:0:0:1/w:1400/h:1400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS9hNDdm/N2E1YTU3ZDhlMTcx/N2UxMGIwMTZiNjY0/ZTY2OC5wbmc.jpg MD&D | Medicine, Dollars & Decisions http://www.mddecisions.org episodic Bruno Casanova MD MD&D | Medicine, Dollars & Decisions is a free educational platform about life and finances in medicine. For residents, fellows, and recent graduates. Understand job offers, physician compensation, contracts, and personal finances. Build your career with confidence through clear, practical explanations in everyday language. Hosted by Dr. Bruno Casanova, award-winning, MIGS surgeon, and Department Chair in NYC. New episodes every week. Full articles and free resources: mddecisions.org Disclaimer: The content reflects Dr. Casanova's personal views and professional experience and does not represent his employer or any affiliated institution. MD&D . physician compensation, RVUs, medical contracts, physician finance, healthcare leadership, medical career MD&D | Medicine, Dollars & Decisions No No Withdrawing Money From Your 401K Account | MD&D #39 1 1 20 20 Withdrawing Money From Your 401K Account | MD&D #39 full 5f1a640d-24b3-485d-b9c4-efdd676ca77c https://share.transistor.fm/s/6cfa8bfa Withdrawing Money From Your Traditional 401(k): A Bad Decision, Most of the Time | MD&D #39

Recently, I met a student who was considering withdrawing her entire $10,000 retirement savings to pay off a car loan. She didn't fully understand the financial consequences of that decision.

Early withdrawals from a traditional 401(k) can trigger income taxes, additional tax penalties, and something even more expensive: decades of lost investment growth.

In this episode, I explain why compounding is such a powerful tool for building wealth, why starting early matters, and why paying off debt and investing are not mutually exclusive.

What you'll learn:

  • The potential financial consequences of withdrawing from your 401(k) early.
  • How compound interest works and why time matters.
  • Why consistency is essential to building wealth.
  • How to balance debt repayment and retirement investing.
  • Why your retirement savings should not be your emergency fund.

My goal is to help medical students, residents, fellows, and other healthcare professionals make better financial decisions early in their careers.

Explore Medicine, Dollars & Decisions:
https://mddecisions.org

Subscribe to our free newsletter:
https://read.mddecisions.org

Educational content only. Not individualized financial or tax advice. Withdrawal eligibility, taxes, and penalties depend on plan rules and individual circumstances.

]]> Withdrawing Money From Your Traditional 401(k): A Bad Decision, Most of the Time | MD&D #39

Recently, I met a student who was considering withdrawing her entire $10,000 retirement savings to pay off a car loan. She didn't fully understand the financial consequences of that decision.

Early withdrawals from a traditional 401(k) can trigger income taxes, additional tax penalties, and something even more expensive: decades of lost investment growth.

In this episode, I explain why compounding is such a powerful tool for building wealth, why starting early matters, and why paying off debt and investing are not mutually exclusive.

What you'll learn:

  • The potential financial consequences of withdrawing from your 401(k) early.
  • How compound interest works and why time matters.
  • Why consistency is essential to building wealth.
  • How to balance debt repayment and retirement investing.
  • Why your retirement savings should not be your emergency fund.

My goal is to help medical students, residents, fellows, and other healthcare professionals make better financial decisions early in their careers.

Explore Medicine, Dollars & Decisions:
https://mddecisions.org

Subscribe to our free newsletter:
https://read.mddecisions.org

Educational content only. Not individualized financial or tax advice. Withdrawal eligibility, taxes, and penalties depend on plan rules and individual circumstances.

]]> Mon, 02 Nov 2026 01:00:00 -0500 Bruno Casanova MD Watch on YouTube Bruno Casanova MD 566 Withdrawing Money From Your Traditional 401(k): A Bad Decision, Most of the Time | MD&D #39

Recently, I met a student who was considering withdrawing her entire $10,000 retirement savings to pay off a car loan. She didn't fully understand the financial consequences of that decision.

Early withdrawals from a traditional 401(k) can trigger income taxes, additional tax penalties, and something even more expensive: decades of lost investment growth.

In this episode, I explain why compounding is such a powerful tool for building wealth, why starting early matters, and why paying off debt and investing are not mutually exclusive.

What you'll learn:

  • The potential financial consequences of withdrawing from your 401(k) early.
  • How compound interest works and why time matters.
  • Why consistency is essential to building wealth.
  • How to balance debt repayment and retirement investing.
  • Why your retirement savings should not be your emergency fund.

My goal is to help medical students, residents, fellows, and other healthcare professionals make better financial decisions early in their careers.

Explore Medicine, Dollars & Decisions:
https://mddecisions.org

Subscribe to our free newsletter:
https://read.mddecisions.org

Educational content only. Not individualized financial or tax advice. Withdrawal eligibility, taxes, and penalties depend on plan rules and individual circumstances.

]]> physician compensation, RVUs, medical contracts, physician finance, healthcare leadership, medical career No What Is ICD-10? Why Diagnosis Coding Matters for Physicians | MD&D #18 1 1 19 19 What Is ICD-10? Why Diagnosis Coding Matters for Physicians | MD&D #18 full fc9b04d4-d881-43b9-bd83-800172498c1e https://share.transistor.fm/s/ff0a128b In this episode of Medicine, Dollars & Decisions (MD&D), Dr. Bruno Casanova explains the ICD-10 coding system. Whether you're a medical resident, fellow, or early-career attending physician, understanding ICD-10 is a valuable step toward navigating the financial realities of medical practice.

Medicine, Dollars & Decisions is a free educational platform helping young physicians understand how medicine works beyond the examination room.

Explore more:

🌐 Website: https://mddecisions.org

Topics: ICD-10 coding, medical billing, physician reimbursement, diagnosis codes, medical documentation, medical necessity, physician compensation, and the business of medicine.

#ICD10 #MedicalBilling #PhysicianReimbursement #MedicineDollarsAndDecisions

]]> In this episode of Medicine, Dollars & Decisions (MD&D), Dr. Bruno Casanova explains the ICD-10 coding system. Whether you're a medical resident, fellow, or early-career attending physician, understanding ICD-10 is a valuable step toward navigating the financial realities of medical practice.

Medicine, Dollars & Decisions is a free educational platform helping young physicians understand how medicine works beyond the examination room.

Explore more:

🌐 Website: https://mddecisions.org

Topics: ICD-10 coding, medical billing, physician reimbursement, diagnosis codes, medical documentation, medical necessity, physician compensation, and the business of medicine.

#ICD10 #MedicalBilling #PhysicianReimbursement #MedicineDollarsAndDecisions

]]> Mon, 26 Oct 2026 17:51:11 -0400 Bruno Casanova MD Watch on YouTube Bruno Casanova MD 692 In this episode of Medicine, Dollars & Decisions (MD&D), Dr. Bruno Casanova explains the ICD-10 coding system. Whether you're a medical resident, fellow, or early-career attending physician, understanding ICD-10 is a valuable step toward navigating the financial realities of medical practice.

Medicine, Dollars & Decisions is a free educational platform helping young physicians understand how medicine works beyond the examination room.

Explore more:

🌐 Website: https://mddecisions.org

Topics: ICD-10 coding, medical billing, physician reimbursement, diagnosis codes, medical documentation, medical necessity, physician compensation, and the business of medicine.

#ICD10 #MedicalBilling #PhysicianReimbursement #MedicineDollarsAndDecisions

]]> physician compensation, RVUs, medical contracts, physician finance, healthcare leadership, medical career No The Right Practice for Your Personality | Life in Medicine | MD&D #13 1 1 18 18 The Right Practice for Your Personality | Life in Medicine | MD&D #13 full d71a5ab7-d349-4cb1-b734-52ce4bc16cef https://share.transistor.fm/s/5ba9dda6 Life shapes the changes that make us who we are today. Learn how to match your personality with the right practice.

Choosing the right medical practice involves more than salary, location, and benefits. In this episode of MD&D, we explore how your personality, and professional goals influence the best type of practice for you. Learn why understanding yourself and the culture of a medical practice can help you make better career decisions.

Read more free articles and join our newsletter at mddecisions.org

]]> Life shapes the changes that make us who we are today. Learn how to match your personality with the right practice.

Choosing the right medical practice involves more than salary, location, and benefits. In this episode of MD&D, we explore how your personality, and professional goals influence the best type of practice for you. Learn why understanding yourself and the culture of a medical practice can help you make better career decisions.

Read more free articles and join our newsletter at mddecisions.org

]]> Mon, 19 Oct 2026 19:02:51 -0400 Bruno Casanova MD Watch on YouTube Bruno Casanova MD 584 Life shapes the changes that make us who we are today. Learn how to match your personality with the right practice.

Choosing the right medical practice involves more than salary, location, and benefits. In this episode of MD&D, we explore how your personality, and professional goals influence the best type of practice for you. Learn why understanding yourself and the culture of a medical practice can help you make better career decisions.

Read more free articles and join our newsletter at mddecisions.org

]]> physician compensation, RVUs, medical contracts, physician finance, healthcare leadership, medical career No Learn the Parts of a Physician Employment Contract | MD&D #11 1 1 17 17 Learn the Parts of a Physician Employment Contract | MD&D #11 full 514fe68d-5d68-48c6-ab49-6a335358bec5 https://share.transistor.fm/s/af0fc3ad Learn the Parts of a Physician Employment Contract | MD&D #11

Before signing your first physician employment contract, it's important to understand what you're agreeing to.

In this episode of Medicine, Dollars & Decisions (MD&D), we introduce the general components of physician employment contracts and why understanding them matters for residents, fellows, and early-career physicians.

Our goal is to help you approach employment contracts with greater knowledge and confidence.

🌐 Explore our free educational articles:
https://mddecisions.org

📩 Subscribe to the MD&D newsletter:
https://read.mddecisions.org

MD&D provides free educational content about physician compensation, RVUs, billing, coding, contracts, and personal finances.

For educational purposes only. This episode does not constitute legal or financial advice.

]]> Learn the Parts of a Physician Employment Contract | MD&D #11

Before signing your first physician employment contract, it's important to understand what you're agreeing to.

In this episode of Medicine, Dollars & Decisions (MD&D), we introduce the general components of physician employment contracts and why understanding them matters for residents, fellows, and early-career physicians.

Our goal is to help you approach employment contracts with greater knowledge and confidence.

🌐 Explore our free educational articles:
https://mddecisions.org

📩 Subscribe to the MD&D newsletter:
https://read.mddecisions.org

MD&D provides free educational content about physician compensation, RVUs, billing, coding, contracts, and personal finances.

For educational purposes only. This episode does not constitute legal or financial advice.

]]> Fri, 16 Oct 2026 23:03:08 -0400 Bruno Casanova MD Watch on YouTube Bruno Casanova MD 1018 Learn the Parts of a Physician Employment Contract | MD&D #11

Before signing your first physician employment contract, it's important to understand what you're agreeing to.

In this episode of Medicine, Dollars & Decisions (MD&D), we introduce the general components of physician employment contracts and why understanding them matters for residents, fellows, and early-career physicians.

Our goal is to help you approach employment contracts with greater knowledge and confidence.

🌐 Explore our free educational articles:
https://mddecisions.org

📩 Subscribe to the MD&D newsletter:
https://read.mddecisions.org

MD&D provides free educational content about physician compensation, RVUs, billing, coding, contracts, and personal finances.

For educational purposes only. This episode does not constitute legal or financial advice.

]]> physician compensation, RVUs, medical contracts, physician finance, healthcare leadership, medical career No What Are Bonuses? | Compensation & Contracts | MD&D # 34 1 1 16 16 What Are Bonuses? | Compensation & Contracts | MD&D # 34 full 79d4d925-2b1a-4af3-b2a0-5fdac13fd73f https://read.mddecisions.org/p/physician-bonuses-signing-productivity-retention-clawbacks Physician bonuses can look simple on the surface, but the details matter. In this episode of MD&D, we break down signing bonuses, productivity bonuses, retention bonuses, and the clawback provisions that may require physicians to repay money. Learn what to look for before signing a  contract and why the bonus amount alone may not be as important as the strings attached to it.  


Read more free articles at mddecisions.org
Join the MD&D newsletter at read.mddecisions.org

]]> Physician bonuses can look simple on the surface, but the details matter. In this episode of MD&D, we break down signing bonuses, productivity bonuses, retention bonuses, and the clawback provisions that may require physicians to repay money. Learn what to look for before signing a  contract and why the bonus amount alone may not be as important as the strings attached to it.  


Read more free articles at mddecisions.org
Join the MD&D newsletter at read.mddecisions.org

]]> Tue, 06 Oct 2026 19:58:13 -0400 Bruno Casanova MD Watch on YouTube Bruno Casanova MD 903 Physician bonuses can look simple on the surface, but the details matter. In this episode of MD&D, we break down signing bonuses, productivity bonuses, retention bonuses, and the clawback provisions that may require physicians to repay money. Learn what to look for before signing a  contract and why the bonus amount alone may not be as important as the strings attached to it.  


Read more free articles at mddecisions.org
Join the MD&D newsletter at read.mddecisions.org

]]> physician compensation, RVUs, medical contracts, physician finance, healthcare leadership, medical career No How to Use RVUs? | RVU | MD&D #28 1 1 14 14 How to Use RVUs? | RVU | MD&D #28 full de6f1ddd-e9fc-41f7-86bb-65d3daff0b44 https://share.transistor.fm/s/7c956857 Understanding RVUs is only the first step. In this episode, Dr. Bruno Casanova explains how physicians and other medical professionals can use RVUs to understand coding, productivity, compensation, benchmarks, and employer expectations. Learn how to estimate the work RVUs needed to support your income, evaluate productivity goals, and make better career and compensation decisions.

Read the full article at MD&D:
https://read.mddecisions.org

Learn more:
https://mddecisions.org

]]> Understanding RVUs is only the first step. In this episode, Dr. Bruno Casanova explains how physicians and other medical professionals can use RVUs to understand coding, productivity, compensation, benchmarks, and employer expectations. Learn how to estimate the work RVUs needed to support your income, evaluate productivity goals, and make better career and compensation decisions.

Read the full article at MD&D:
https://read.mddecisions.org

Learn more:
https://mddecisions.org

]]> Sun, 27 Sep 2026 15:37:52 -0400 Bruno Casanova MD Watch on YouTube Bruno Casanova MD 533 Understanding RVUs is only the first step. In this episode, Dr. Bruno Casanova explains how physicians and other medical professionals can use RVUs to understand coding, productivity, compensation, benchmarks, and employer expectations. Learn how to estimate the work RVUs needed to support your income, evaluate productivity goals, and make better career and compensation decisions.

Read the full article at MD&D:
https://read.mddecisions.org

Learn more:
https://mddecisions.org

]]> physician compensation, RVUs, medical contracts, physician finance, healthcare leadership, medical career No Nurse Practitioners, Physician Assistants & RVUs | RVU | MD&D # 25 1 1 13 13 Nurse Practitioners, Physician Assistants & RVUs | RVU | MD&D # 25 full 423bd317-274a-45a8-be6f-6fea264a5e64 https://share.transistor.fm/s/99eb783a How do nurse practitioners and physician assistants fit into RVU-based physician compensation? In this episode of Medicine, Dollars & Decisions, Bruno F. Casanova, MD, MSCE, MA, FACOG, explains how NPs and PAs generate RVUs and wRVUs, how healthcare organizations evaluate APP productivity and reimbursement, and how advanced practice providers fit into the broader RVU compensation model. Learn why RVU attribution, billing, productivity, and compensation matter for physicians, nurse practitioners, physician assistants, and healthcare leaders.
Free RVU Playbook:
playbook.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

]]> How do nurse practitioners and physician assistants fit into RVU-based physician compensation? In this episode of Medicine, Dollars & Decisions, Bruno F. Casanova, MD, MSCE, MA, FACOG, explains how NPs and PAs generate RVUs and wRVUs, how healthcare organizations evaluate APP productivity and reimbursement, and how advanced practice providers fit into the broader RVU compensation model. Learn why RVU attribution, billing, productivity, and compensation matter for physicians, nurse practitioners, physician assistants, and healthcare leaders.
Free RVU Playbook:
playbook.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

]]> Sun, 20 Sep 2026 19:09:27 -0400 Bruno Casanova MD Watch on YouTube Bruno Casanova MD 544 How do nurse practitioners and physician assistants fit into RVU-based physician compensation? In this episode of Medicine, Dollars & Decisions, Bruno F. Casanova, MD, MSCE, MA, FACOG, explains how NPs and PAs generate RVUs and wRVUs, how healthcare organizations evaluate APP productivity and reimbursement, and how advanced practice providers fit into the broader RVU compensation model. Learn why RVU attribution, billing, productivity, and compensation matter for physicians, nurse practitioners, physician assistants, and healthcare leaders.
Free RVU Playbook:
playbook.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

]]> physician compensation, RVUs, medical contracts, physician finance, healthcare leadership, medical career No The Falling Value of RVUs | RVU | MD&D #17 1 1 12 12 The Falling Value of RVUs | RVU | MD&D #17 full af5cce7c-33bb-4152-9365-4eb03caa5ffb https://share.transistor.fm/s/8ba317e2 Physician reimbursement has been losing ground for years. In this episode, Dr. Bruno Casanova explains how declining Medicare payment, changing RVU values, efficiency adjustments, and budget neutrality can force physicians to work more simply to maintain the same income. He also explains why understanding these changes matters when evaluating productivity targets, compensation formulas, and employment contracts.

Free RVU Playbook:
playbook.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

]]> Physician reimbursement has been losing ground for years. In this episode, Dr. Bruno Casanova explains how declining Medicare payment, changing RVU values, efficiency adjustments, and budget neutrality can force physicians to work more simply to maintain the same income. He also explains why understanding these changes matters when evaluating productivity targets, compensation formulas, and employment contracts.

Free RVU Playbook:
playbook.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

]]> Sat, 12 Sep 2026 22:45:51 -0400 Bruno Casanova MD Watch on YouTube Bruno Casanova MD 567 Physician reimbursement has been losing ground for years. In this episode, Dr. Bruno Casanova explains how declining Medicare payment, changing RVU values, efficiency adjustments, and budget neutrality can force physicians to work more simply to maintain the same income. He also explains why understanding these changes matters when evaluating productivity targets, compensation formulas, and employment contracts.

Free RVU Playbook:
playbook.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

]]> physician compensation, RVUs, medical contracts, physician finance, healthcare leadership, medical career No Hiring. The Employers Perspective | Contracts | MD&D #14 1 1 11 11 Hiring. The Employers Perspective | Contracts | MD&D #14 full c5f94247-8604-4aeb-9dd4-2a3bfb37121b https://share.transistor.fm/s/f81331ce How do healthcare organizations decide what to pay clinicians? In this episode of The Truth About RVUs, Dr. Bruno Casanova looks at compensation from the employer’s perspective. We discuss the costs of hiring and onboarding a new clinician, staffing and support, credentialing, practice growth, productivity expectations, and the time it can take before a new hire becomes financially productive.


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


 MD&D is a platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.
 
Free RVU Playbook:
playbook.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

]]> How do healthcare organizations decide what to pay clinicians? In this episode of The Truth About RVUs, Dr. Bruno Casanova looks at compensation from the employer’s perspective. We discuss the costs of hiring and onboarding a new clinician, staffing and support, credentialing, practice growth, productivity expectations, and the time it can take before a new hire becomes financially productive.


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


 MD&D is a platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.
 
Free RVU Playbook:
playbook.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

]]> Sun, 06 Sep 2026 17:07:28 -0400 Bruno Casanova MD Watch on YouTube Bruno Casanova MD 470 How do healthcare organizations decide what to pay clinicians? In this episode of The Truth About RVUs, Dr. Bruno Casanova looks at compensation from the employer’s perspective. We discuss the costs of hiring and onboarding a new clinician, staffing and support, credentialing, practice growth, productivity expectations, and the time it can take before a new hire becomes financially productive.


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


 MD&D is a platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.
 
Free RVU Playbook:
playbook.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

]]> physician compensation, RVUs, medical contracts, physician finance, healthcare leadership, medical career No Evaluation a Job Offer | Contracts | MD&D #12 1 1 10 10 Evaluation a Job Offer | Contracts | MD&D #12 full 07dae604-a10a-452e-9f14-9f0f8bd251e4 https://share.transistor.fm/s/914438e5 A high physician starting salary does not always mean a better job offer. In this episode of Medicine, Dollars & Decisions, Dr. Bruno Casanova explains how physician compensation works beyond the headline salary, including work RVUs, productivity bonuses, compensation thresholds, inflation, geographic differences, and what happens after an initial salary guarantee ends. Learn the questions residents, fellows, and physicians should ask before signing an employment contract and why understanding the structure behind your compensation can matter as much as the salary itself.

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


MD&D is a platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.

Free RVU Playbook:
playbook.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

]]> A high physician starting salary does not always mean a better job offer. In this episode of Medicine, Dollars & Decisions, Dr. Bruno Casanova explains how physician compensation works beyond the headline salary, including work RVUs, productivity bonuses, compensation thresholds, inflation, geographic differences, and what happens after an initial salary guarantee ends. Learn the questions residents, fellows, and physicians should ask before signing an employment contract and why understanding the structure behind your compensation can matter as much as the salary itself.

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


MD&D is a platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.

Free RVU Playbook:
playbook.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

]]> Sun, 30 Aug 2026 17:46:12 -0400 Bruno Casanova MD Watch on YouTube Bruno Casanova MD 510 A high physician starting salary does not always mean a better job offer. In this episode of Medicine, Dollars & Decisions, Dr. Bruno Casanova explains how physician compensation works beyond the headline salary, including work RVUs, productivity bonuses, compensation thresholds, inflation, geographic differences, and what happens after an initial salary guarantee ends. Learn the questions residents, fellows, and physicians should ask before signing an employment contract and why understanding the structure behind your compensation can matter as much as the salary itself.

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


MD&D is a platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.

Free RVU Playbook:
playbook.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

]]> physician compensation, RVUs, medical contracts, physician finance, healthcare leadership, medical career No Location, Supply/Demand & Your Pay | Compensation | MD&D #9 1 1 9 9 Location, Supply/Demand & Your Pay | Compensation | MD&D #9 full 6a17cecc-2d45-4a7a-8c39-0b876c2afd9e https://share.transistor.fm/s/792d75f3 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 these forces can help residents, fellows, and new attendings better evaluate compensation models, job offers, and career decisions.


MD&D is a platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.

Free RVU Playbook:
playbook.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

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


MD&D is a platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.

Free RVU Playbook:
playbook.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

]]> Sun, 23 Aug 2026 13:01:52 -0400 Bruno Casanova MD Watch on YouTube Bruno Casanova MD 372 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 these forces can help residents, fellows, and new attendings better evaluate compensation models, job offers, and career decisions.


MD&D is a platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.

Free RVU Playbook:
playbook.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

]]> physician compensation, RVUs, medical contracts, physician finance, healthcare leadership, medical career No Experience, Past-Productivy & Your Pay | Compensation | MD&D #8 1 1 8 8 Experience, Past-Productivy & Your Pay | Compensation | MD&D #8 full e0954d5c-27c4-45b3-87f4-4666ed632abb https://share.transistor.fm/s/d1aeac4e 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. 
Understanding these forces can help residents, fellows, and new attendings better evaluate compensation models, job offers, and career decisions.


MD&D is a platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.

Free RVU Playbook:
playbook.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

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


MD&D is a platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.

Free RVU Playbook:
playbook.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

]]> Sun, 16 Aug 2026 16:25:49 -0400 Bruno Casanova MD Watch on YouTube Bruno Casanova MD 493 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. 
Understanding these forces can help residents, fellows, and new attendings better evaluate compensation models, job offers, and career decisions.


MD&D is a platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.

Free RVU Playbook:
playbook.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

]]> physician compensation, RVUs, medical contracts, physician finance, healthcare leadership, medical career No MGMA and Other Production Benchmarks | Compensation | MD&D #7 1 1 7 7 MGMA and Other Production Benchmarks | Compensation | MD&D #7 full 3ab6516d-4da2-4d65-896c-2cd20ec51fa7 https://share.transistor.fm/s/fce60f17 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 platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.

Free RVU Playbook:
playbook.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

]]> 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 platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.

Free RVU Playbook:
playbook.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

]]> Sun, 09 Aug 2026 12:37:13 -0400 Bruno Casanova MD Watch on YouTube Bruno Casanova MD 472 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 platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.

Free RVU Playbook:
playbook.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

]]> physician compensation, RVUs, medical contracts, physician finance, healthcare leadership, medical career No Pay Differences Between Specialties | RVU | MD&D #6 1 1 6 6 Pay Differences Between Specialties | RVU | MD&D #6 full dd466bd2-2e88-4634-9be4-635822daad23 https://share.transistor.fm/s/f84e3a9f 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 platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.

Free RVU Playbook:
playbook.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

]]> 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 platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.

Free RVU Playbook:
playbook.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

]]> Sun, 02 Aug 2026 06:51:59 -0400 Bruno Casanova MD Watch on YouTube Bruno Casanova MD 443 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 platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.

Free RVU Playbook:
playbook.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

]]> physician compensation, RVUs, medical contracts, physician finance, healthcare leadership, medical career No Same RVUs. Different Pay. The Effect of Geography | RVU | MD&D #5 1 1 5 5 Same RVUs. Different Pay. The Effect of Geography | RVU | MD&D #5 full d325c471-31f1-4d78-8d57-8b5a1ad2bf01 https://share.transistor.fm/s/ebb3e379 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 platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.

Free RVU Playbook:
playbook.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

]]> 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 platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.

Free RVU Playbook:
playbook.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

]]> Sun, 26 Jul 2026 10:02:32 -0400 Bruno Casanova MD Watch on YouTube Bruno Casanova MD 505 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 platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.

Free RVU Playbook:
playbook.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

]]> physician compensation, RVUs, medical contracts, physician finance, healthcare leadership, medical career No Budget Neutrality and Specialties RVU Value | RVU | MD&D #4 1 1 4 4 Budget Neutrality and Specialties RVU Value | RVU | MD&D #4 full 4f30109e-4d60-4fb2-9d2e-158e63023636 https://share.transistor.fm/s/a23ab638 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 platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.

Free RVU Playbook:
playbook.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

]]> 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 platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.

Free RVU Playbook:
playbook.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

]]> Sun, 19 Jul 2026 11:21:29 -0400 Bruno Casanova MD Bruno Casanova MD 410 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 platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.

Free RVU Playbook:
playbook.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

]]> physician compensation, RVUs, medical contracts, physician finance, healthcare leadership, medical career No The RUC Committee and Your Work Value | RVU | MD&D #3 1 1 3 3 The RUC Committee and Your Work Value | RVU | MD&D #3 full 86905af0-efdf-4add-b680-842da216b305 https://share.transistor.fm/s/0faf1b24 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 platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.

Free RVU Playbook:
playbook.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

]]> 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 platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.

Free RVU Playbook:
playbook.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

]]> Sun, 12 Jul 2026 10:52:52 -0400 Bruno Casanova MD Watch on YouTube Bruno Casanova MD 352 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 platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.

Free RVU Playbook:
playbook.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

]]> MedicineDollarsDecisions, RVU, Physician, Resident, MedicalStudent, Healthcare, Medicine, DoctorLife, PhysicianAssistant, NursePractitioner, MedicalEducation, HealthcareFinance, PhysicianCompensation No Why Were RVUs Created? | RVU | MD&D #2 1 1 2 2 Why Were RVUs Created? | RVU | MD&D #2 full bd3e06f0-c26f-4d97-9031-c49ebd3c2131 https://share.transistor.fm/s/18ac1e54 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 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.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

]]> 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 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.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

]]> Sun, 05 Jul 2026 17:07:12 -0400 Bruno Casanova MD Watch on YouTube Bruno Casanova MD 401 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 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.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

]]> MedicineDollarsDecisions, RVU, Physician, Resident, MedicalStudent, Healthcare, Medicine, DoctorLife, PhysicianAssistant, NursePractitioner, MedicalEducation, HealthcareFinance, PhysicianCompensation No What is an RVU? | RVU | MD&D #1 1 1 1 1 What is an RVU? | RVU | MD&D #1 full 88b227e3-177e-441d-84f9-597c2e1b1680 https://share.transistor.fm/s/4f6bf108 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 platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.

Free RVU Playbook:
playbook.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

]]> 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 platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.

Free RVU Playbook:
playbook.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

]]> Sun, 05 Jul 2026 17:06:42 -0400 Bruno Casanova MD Watch on YouTube Bruno Casanova MD 395 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 platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.

Free RVU Playbook:
playbook.mddecisions.org
Website:
mddecisions.org

Newsletter:
read.mddecisions.org

]]> MedicineDollarsDecisions, RVU, Physician, Resident, MedicalStudent, Healthcare, Medicine, DoctorLife, PhysicianAssistant, NursePractitioner, MedicalEducation, HealthcareFinance, PhysicianCompensation No The Truth About RVUs: Trailer - Introduction 1 1 1 1 The Truth About RVUs: Trailer - Introduction trailer d8fdbc33-aa77-4e3a-939d-5db8f6bfd2e0 https://share.transistor.fm/s/c42d1301 Welcome to MD&D: 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 compensation, RVUs, contracts, investing, leadership, and the finances side of medicine
MD&D is a platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.
 

Free RVU Playbook:
playbook.mddecisions.org

Website:
mddecisions.org

Articles:
read.mddecisions.org

]]> Welcome to MD&D: 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 compensation, RVUs, contracts, investing, leadership, and the finances side of medicine
MD&D is a platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.
 

Free RVU Playbook:
playbook.mddecisions.org

Website:
mddecisions.org

Articles:
read.mddecisions.org

]]> Sun, 05 Jul 2026 17:05:53 -0400 Bruno Casanova MD Watch on YouTube Bruno Casanova MD 159 Welcome to MD&D: 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 compensation, RVUs, contracts, investing, leadership, and the finances side of medicine
MD&D is a platform for medical professionals who want to better understand RVUs, physician compensation, medical finances, career decisions, and leadership.
 

Free RVU Playbook:
playbook.mddecisions.org

Website:
mddecisions.org

Articles:
read.mddecisions.org

]]> MedicineDollarsDecisions, RVU, Physician, Resident, MedicalStudent, Healthcare, Medicine, DoctorLife, PhysicianAssistant, NursePractitioner, MedicalEducation, HealthcareFinance, PhysicianCompensation No