MD&D | Medicine, Dollars & Decisions

Bruno Casanova MD
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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.

  1. 5d ago

    What Are Bonuses? | Compensation & Contracts | MD&D # 34

    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.orgJoin the MD&D newsletter at read.mddecisions.org

    What Are Bonuses? | Compensation & Contracts | MD&D # 34

  2. Sep 27

    How to Use RVUs? | RVU | MD&D #28

    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

    How to Use RVUs? | RVU | MD&D #28

  3. Sep 20

    Nurse Practitioners, Physician Assistants & RVUs | RVU | MD&D # 25

    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.orgWebsite:mddecisions.org Newsletter:read.mddecisions.org

    Nurse Practitioners, Physician Assistants & RVUs | RVU | MD&D # 25

  4. Sep 13

    The Falling Value of RVUs | RVU | MD&D #17

    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.orgWebsite:mddecisions.org Newsletter:read.mddecisions.org

    The Falling Value of RVUs | RVU | MD&D #17

  5. Sep 6

    Hiring. The Employers Perspective | Contracts | MD&D #14

    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.orgWebsite:mddecisions.org Newsletter:read.mddecisions.org

    Hiring. The Employers Perspective | Contracts | MD&D #14

  6. Aug 30

    Evaluation a Job Offer | Contracts | MD&D #12

    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.orgWebsite:mddecisions.org Newsletter:read.mddecisions.org

    Evaluation a Job Offer | Contracts | MD&D #12

  7. Aug 23

    Location, Supply/Demand & Your Pay | Compensation | 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 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.orgWebsite:mddecisions.org Newsletter:read.mddecisions.org

    Location, Supply/Demand & Your Pay | Compensation | MD&D #9

  8. Aug 16

    Experience, Past-Productivy & Your Pay | Compensation | 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 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.orgWebsite:mddecisions.org Newsletter:read.mddecisions.org

    Experience, Past-Productivy & Your Pay | Compensation | MD&D #8
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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.

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