Pros
They make leaving an easy choice.
Cons
Sweet talked the APP group into what a "great deal" this would be for them. "We're gonna be the company all the APPs want to work for." "We're all about work-life balance." BUT THEN: 1. Removal of paid vacation AND paid sick leave. 2. Retirement reduced to 3%. 3. The "free" health care plan is high deductible. 4. Require THREE MONTHS notice. 5. Model going forward increases the number of APPs, who see more complicated patients, while worsening MD/DO:APP ratio: Practicing medicine is becoming dangerous, and very unsatisfying with US Acute Care Solutions. 6. When asked about the loss of PTO for APPs, management replied that was the industry standard, while APP organizations' data reveal 92% of EM APPs have PTO. There's your standard. They replied that it would cost $5M to give APPs PTO, and that was too expensive. Really. 7. The MD APP manager is "replaced" by an APP at the site to be their mouthpiece.