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Most doctors are trained to save lives — not read contracts. Yet more than 70 percent of physicians are now employed by large institutions, working under compensation models and clauses that few were ever taught to navigate. In this episode, Spencer sits down with Cynthia Chen-Joea, DO, MPH, FAAFP, and Peter Baum, DO, the founders of Physician Contract Negotiation. They unpack how modern physician pay really works, why RVU-based incentives can erode quality and accelerate burnout, and how sign-on bonuses and relocation stipends quietly lock doctors into jobs that no longer serve them. More importantly, they reveal what physicians can negotiate, how to align a contract with your personal values, and why reclaiming agency is essential for staying in medicine long-term. If you’ve ever felt overworked, undervalued, or unsure how to advocate for yourself, this episode offers a clear, empowering roadmap for creating a career in medicine that works for you, not just the system. 🎙️ Want to be a guest on the podcast? Click👉 https://medstorymedia.com/podcast 📚 Access free tools and downloads. Click 👉 https://medstorymedia.com/resources... Disclaimer: The views expressed in this podcast are solely those of the individuals speaking and do not represent the views of their employers. This episode is for informational and storytelling purposes only and should not be taken as medical advice. Always consult your healthcare provider with any personal medical concerns. Music Credits: Music for this episode comes from Blue Dot Sessions and the Descript Audio Library. Production Note: The MedStory Podcast is made possible by MedStory Studios and listeners like you.