Recently had a discussion with an executive at a major healthcare system. He's over 1000's of MDs within that system. Said that across the board in nearly every specialty, anybody under the age of 45 is rarely hitting their bonus threshold. They meet the minimum RVUs for their salary and that's it. When admin meets and asks how they can 'help' them get their bonus they all say the same thing: I'm ok with the 350k min salary, I don't want to sacrifice my personal life to work extra.

Definitely a change in culture for most healthcare systems and they are scrambling to figure it out.