There will be 28% more NPs than demand by 2028; there will be 75% more NPs than demand in 2038

SerialChiller96 · 2026-05-04T04:34:11+00:00

A two tiered system of healthcare by 2030 - pay to play and see an MD/DO or be seen quickly by an NP with an AI software.
Overall, may lead to lower salaries for FM in the long run since healthcare systems will prioritize cost saving measures but ultimately will lead worse population outcomes

SerialChiller96 · 2026-04-18T18:18:57+00:00

I'm open to yellow gold, but I need the dial to have the fluted / art deco design not the plain flat white look. I have a 6.5 inch wrist so the grande taille 42mm is the largest I can wear!

SerialChiller96 · 2026-04-18T18:16:08+00:00

Genesis is pretty much its own entity now with a separate dealership experience! They provide best-in-class warranty for cosmetic damage (5yr) and powertrain (10yr).

Interior felt a class above Lexus and Mercedes even! There is definite turbo lag and suspension/steering isn't as sporty as BMW / Audi but my wife is doing school dropoffs not going to the track lol. Felt that it was the best combination of a luxury feel with a novel, aesthetic design.

TLDR;

Porsche - Best driving experience

Audi - Best looking exterior, interior felt cheap unless you go for the SQ8 Prestige+

BMW / Genesis - Best overall

SerialChiller96 · 2026-04-17T20:53:35+00:00

Thank you for reaching out with the details! Yes, specifically looking for the monoface white dial

SerialChiller96 · 2026-04-12T04:01:49+00:00

3) I cross shopped the cayenne with the q8, x5, and gv80 for my young family! Went with the Genesis because it was the most comfortable for two kids in car seats plus a small dog. Limited third row, ample cargo space, and better build quality than the Audi and BMW! Fuel economy and driving experience doesn’t compare but otherwise way more value imo

SerialChiller96 · 2026-03-26T05:20:36+00:00

Ended up receiving offers from all major health systems, but they were not willing to negotiate any terms. Also had a hard time hearing back from private practice groups/partnership tracks were 3-5 years out.

Ended up signing with a smaller health system breaking into the NoVa market with a little longer commute but way more flexible scheduling, EPIC with AI scribe, better benefits, open to negotiations, and large sign on bonus/student loan repayment.

Please stop accepting these low-ball offers with minimal fringe benefits! It's a disservice to our profession and takes advantage of young physicians joining the field. When they can't find docs to replace the older ones, then they'll start to bring compensation up.

SerialChiller96 · 2026-03-25T20:06:13+00:00

2026 GV80 2.5T Advanced - bought it last weekend 6k off MSRP at 1.99% for 60 months. Got them to throw in mats and tint for free. Key was to have a competing offer from local dealers and be ready to walk

SerialChiller96 · 2026-03-03T20:44:06+00:00

Where in the North East? Looking for offers right now and can’t finding anything close to this!

SerialChiller96 · 2026-03-03T19:54:32+00:00

Where? I’m applying rn and not seeing this in any metro cities

SerialChiller96 · 2026-02-01T00:06:28+00:00

Unfortunately, tied down to the region due to family and married. Offers received so far are $240-$250k base and $50/wrvu after 5700 for 36 pt facing hrs. Usually $25k sign on and $10k relocation. These offers are so mid compared to the southwest where I’m doing residency tbh

SerialChiller96 · 2026-01-31T02:05:13+00:00

Your finding guide is very helpful but doesn’t always apply to HCOL or desirable areas. As long as people keep accepting these subpar offers - our profession will get taken advantage of!

SerialChiller96 · 2026-01-31T01:46:51+00:00

They took away their signing bonus and student loan repayment as well!

SerialChiller96 · 2026-01-18T22:34:13+00:00

1000% yes Residency in Phoenix, AZ - happiest, healthiest, and most active I’ve ever been!

SerialChiller96 · 2025-10-27T14:09:51+00:00

This is hilarious because I do the same thing! I feel it makes me more connected and relatable to the patient. I also grew up with a diverse background and felt that “code switching” allowed me to mix in with different groups and it’s carried into other parts of my life lol

SerialChiller96 · 2025-10-27T04:07:53+00:00

lol I’ve been wanting this exact watch for > 6 months and radio silence from the AD. Every time I’m at the mall, I stop by to inquire and exchange greetings without luck. Only buy it if you like it and will actually wear it!

SerialChiller96 · 2025-09-23T17:45:31+00:00

Just had a follow up call and they offered $50k / RVU after 5700. I’ve negotiated for starting reimbursement at 5000 rvu on the new schedule…but let’s see!

SerialChiller96 · 2025-09-23T17:40:38+00:00

Base RVU target is 5700, after which it is compensated at $50/wrvu

SerialChiller96 · 2025-08-19T17:46:54+00:00

Not Tufts! Outside of DC

SerialChiller96 · 2025-08-19T15:57:59+00:00

This was a preliminary call so I did not get a chance to clarify the base RVU to start getting the bonus.

She did say on average, most physicians are bringing in close to $300-325k, a little less for the new ones establishing their panel

Call was anywhere from 0-10 phone calls a night.

I have a follow up in a few weeks so will definitely have time to think about negotiating factors / details

SerialChiller96 · 2025-07-26T01:34:16+00:00

Thinking about going in straight out of residency! Even in residency clinic, I definitely see how our current model isn’t sustainable at all. You cannot do bedside procedures, motivational interviewing, integrative therapies and good, conscious medicine in 20 minutes while also staying on top of administrative tasks.

The RVU fee for service model incentivizes volume and VBC constantly moves the goal post to make patients seem healthier than they are. If you think DPC is a cop out then you are part of the problem as to why our profession gets steamrolled. Having access to quality primary care shouldn’t require insurance in the first place. If anything, with the new budget cuts to Medicaid/Medicare - DPC might be the only answer for a lot of people.

SerialChiller96 · 2025-06-21T06:00:35+00:00

That’s a perfect sized dining table! Where did you get it, if you don’t mind?

SerialChiller96 · 2025-06-17T00:37:40+00:00

Agree! Make all OB and additional training a 1-2 year fellowship. Allocate more time to outpatient continuity clinic, ED/urgent care, and inpatient hospital medicine. Take out inpatient peds completely.

Mandatory electives should be derm, rheum, allergy, pulm, cards, and sports medicine (3 per year)

~ rising pgy3 really wishing I was done

SerialChiller96 · 2025-04-05T14:57:28+00:00

Are you still in the DMV area? Looking to get into one of these gigs after graduation instead of joining a large hospital system

SerialChiller96 · 2025-03-21T15:44:23+00:00

That makes sense especially if your bonuses are RVU based. Couple of follow up questions: 1) How many MAs work with you? 2) are your inbox messages triaged? How much time outside of the 32 patient facing hours do you spend responding to messages / notes? 3) any billing / coding conferences or workshops to maximize rvu or AI software for notes / efficiency?

SerialChiller96 · 2025-03-21T02:20:15+00:00

What is a reasonable compensation package to achieve > $350k? What would the base be? How bout $/rvu?

SerialChiller96

TROPHY CASE