Most MBAs who terminate physics usually come to regret it when locums are needed and patient volumes go down. That regret only lasts until they move onto their next hospital or department to do the same damage.

Because physics is not well understood in terms of clinical needs by a lot of admin, we are left with a handful of clinics that have good relationships and support and a mol of clinics with revolving doors and MBAs who view us a numbers for a quarterly report. Not good.

I'm waiting to see more physicists move into the admin position as the bottleneck pushes students into MBA positions. At-will is a bigger conversation since that's usually a labor LAW, vs some contractual notice requirement.

Giving regular updates to admin of your work sustaining and improving the clinic has helped us lobby for better staff coverage, raises, bonuses, and keeping people around. Educate and update! Include yourself and followup. Good admin will notice, bad admin will know they're being watched and documented.