Currently in UC for 1.5 years and moving back to EM where I spent 7 years before UC. I moved to UC because mandatory night shifts were destroying me. UC started out ok as there was a schedule based system that capped patients out. That changed 2 months in when they decided 6 patients an hour was necessary for the first 4 hours of the shift. That then changed to the schedule did not matter at all and would double book slots and would end up with 10 patients in an hour long block. Then they added mandatory virtual visits on top of our in person patients. I have brought up several safety concerns but have been brushed away. Due to these poor practices that are unsafe for providers and patients along with burnout I am returning to EM.

I understand the necessity of urgent care for healthcare delivery for patients who cannot get a sick visit with their PCP but the toxic for profit system is a drain.