Absolutely horrendous place to work as a PCP; physicians heed this warning and stay away!!! - werkgeversreview Primary Care Physician bij One Medical

One medical... where can I start? Despite all of the flashy furniture and stylish advertisements, One Medical is a for profit company at its core. The company went public in 2020 and ever since then it's apparently all been downhill. Welcome to the McDonald's of healthcare. When you take a for profit system where all that matters is the bottom line and you combine it with primary care, One Medical is the result. There is almost too much to type out here but I will take the time to articulate why this is not a company that physicians should work for. - The vast majority of the patients are members who pay an annual $199 fee (or they received a membership from their places of employment). Naturally this attracts a certain type of patient population. In fact, take a look at where most One Medical offices are located and you'll see exactly what type of clientele they are catering to while preaching "diversity and inclusion." Don't make me spell it out for you. In any case, the patients are very entitled and have the ability to review you after their visit which as you can imagine can lead to all sorts of mishaps. In fact, if you receive a low Net Promoter Score (NPS, yes they use those here), you get to have a meeting with your supervisor to go over what may have gone wrong during the visit even though it may not have been your fault (ie the patient was late and you had to shorten the visit as a result). I'm not sure how you feel but this is not the way healthcare should be run and it sounds like a dystopian hellscape to me (which it is). - The patients will feel like they have a sense of entitlement because of their membership and will come to you for the littlest thing. Furthermore as I alluded to above the membership and location of the clinics selects for a healthier and wealthier patient population. For example, my panel had no patients with CHF and only a handful of patients with hypertension or diabetes. Therefore most patients end up coming to you for mundane reasons such as "finger pain" or "stomach aches." I feel as if I have lost a large portion of the medical knowledge I have acquired during my training because the patients at One Medical will come to you for any little reason and think they are somehow dying. This can make for very stressful visits as you can imagine and a large part of your day is indeed urgent care. - The salary for primary care physicians is not competitive at all. You are at the bottom of the barrel if you choose to work here. The company uses its pathetically performing stock as a form of extra payment (RSUs) even though the stock continues to tumble day by day. Believe me, you can make more money working elsewhere with much less stress. - Physicians are expected to do their own vitals and point of care tests (ie rapid strep tests) which is asinine. Furthermore, if your office does not have a nurse you are expected to administer vaccines. And you have to physically perform EKGs (you have to actually place the leads) if the patient has chest pain or is in any way symptomatic. The ridiculousness of board-certified physicians having to perform these tasks doesn't seem to faze the company's senior leadership. I did not go to medical school to take vitals. Although you have 30 minutes for each patient visit, you have to make time for these tasks and thus the actual time you are performing the history and examination ends up being closer to 20 minutes. I myself didn't personally realize how much time these tasks take until I started working for the company and as a result I now appreciate the important role medical assistants play in the healthcare ecosystem even more. However the company refuses to hire medical assistants all in the name of "increasing time between the provider and the patient" although the real reason is probably because the company thinks it can use its providers as task rabbits to save a quick buck. Although the company preaches its 16 patient cap per day and 30 minute appointment slots as the solution to provider burnout, it is anything but that. Because you are doing the above tasks on your own, you are constantly on your feet with no breathing room during the work day all at the same time trying to finish your notes. The lower than average compensation with the lack of RVUs is the real gut wrencher. Despite what they would like you to believe, you are working just as hard if not harder on some days as a PCP in a traditional medical office despite getting paid less and not enjoying the perks of RVUs. - One Medical is contributing to the growing inequality in healthcare in this country. The company does not accept any form of Medicaid and the way it treats Medicaid patients is absolutely disgusting (ie they are treated as vermin that are to be shood away if they seek care). Granted, the company does on occasion waive membership fees for select patients but if you have Medicaid, you still cannot be seen unless you want to pay out of pocket. This is primary care for the rich and entitled. - As a PCP you do have one day "off" per week but in reality you are catching up on inbox management during your "off" day. Of course they don't tell you this during your orientation. The inbox system at this practice is one of the major contributors of burnout due to the way in which it is set up. Since there is no MA, you have to review each and every patient message, lab result, imaging result, and task that comes to you. And you betcha the patients here will utilize the messaging system since it is one of the perks of the membership; not only that but you are expected to respond to patient messages within 24 hours even on days that you are working. And they will of course message you for any little thing that in a normal practice an MA would take care of such as wanting a referral sent to a different facility, having issues getting a hold of a specialist's office, etc. You can't use your "off" day to do all of your tasks at once since the company expects you to do them within a short timeframe for customer satisfaction. There is no admin time built into your day. As you can imagine this can lead to burnout and the physician getting overwhelmed. The company touts itself as having solved physician burnout by using AI that is built into the EMR to automatically route some tasks but that is anything but the case. - Speaking of the EMR (which they also are proud of), it's nothing to call home about. The EMR is missing many features of other EMRs such as automatically populating healthcare screening recommendations based on the patient's age /gender (ie you have to manually put in the screening or vaccine recommendation yourself). Furthermore, the patients often receive questionnaires before their visits (ie before their physical) but for whatever reason the answers are not automatically populated into the EMR. You have to manually enter in the answers yourself (ie how much a patient drinks). The EMR does not make life easier despite what they would like you to believe. - The PTO policy is abysmal. There is no sick leave, vacation, or personal leave. Instead, everything is lumped into "PTO." Not only that, they tell hired physicians that they have 3 weeks of PTO during their first year but in actuality this only comes down to 12 days since they are counting your "off" day and the weekend in those 3 weeks. This is by far one of the worst PTO policies I've seen with a healthcare employer. So yes in your entire first year you can only take off 12 days whether that's sick leave, vacation or personal leave. They are nice enough to give 3 additional days for bereavement in case a close family member passes away. - When you start out, patients are scheduled for procedures with you even though you may not perform them. For example, I've had patients with finger lacerations scheduled with me even though I don't perform lac repairs. This is dangerous and stressful for both the physician and the patient. It took the company several months to fix this issue so that I am not having to unnecessarily scan my schedule for patients who want to receive procedures I don't perform. - Although the company preaches its 30 minute visits as a godsend, it is anything but. The company expects you to start appointments on time and end them on time. Except that's not how healthcare works. What makes this policy absurd is that patient's are allowed to be up to 15 minutes late for a physical (and up to 20 minutes late for a regular visit) and you are still expected to see them. Never mind that the patient's often brush off the fact that they are 20 minutes late and still expect you to address all of their complaints. This can cause all sorts of chaos as you can imagine since your whole day is thrown off course. - This company thrives on daily meetings which tend to be uninformative and regurgitate the same information over and over again. But that isn't the worst part. The worst part is that these meetings are during your non-paid lunch hour and you are still expected to attend them. Yep you heard me right. The meetings can last up to 30 minutes at times and therefore take away half off your lunch hour. Absolutely heartless and disgusting for the company to take time away from our only break during the day. - As I mentioned above this is the McDonalds of healthcare. Therefore patients will utilize it as such. You are often seeing someone else's patient because the patient found it convenient to book an appointment with you. Only a few patients will truly stick with one PCP. Most patients will go to one physician for a problem and then if the problem still needs to be addressed they will often jump to another physician just because of availability. This can lead to all sorts of issues as you can imagine due to the lack of continuity of care. You have to spend time getting the history all the way from the beginning because the patient found it convenient to book a visit with you rather than stick with the same provider they saw previously. - Although the company preaches diversity and inclusion, the lack of BIPOC providers shows that this company is just putting on a facade to look nice. I can count with both hands how many providers of color I knew of in my entire city. - This company reeks of toxic positivity. They are all about CI-CARE (look up what it means) although those at the frontlines (providers, nurses, admins, and phlebs) are becoming overwhelmed because the company is expanding too rapidly. Many offices are understaffed and office staff are constantly leaving like there's a revolving door. If you work at a busier office, each and every day feels like complete chaos. Moreover, if you bring any concerns up to your senior management, you are gaslighted into oblivion. If you for example mention that medical assistants would make the providers' days much easier and more productive, you are told that this is just the way the company operates and that you should just learn how to be self-sufficient. The company claims that it thrives on feedback; however that's anything but the case.