TL/DR: DON'T WORK HERE - Primary Care Physician One Medical Employee Review

I could probably max out the word count on this, so I will list the main highlights: 1) This is NOT a provider friendly organization. Despite what they'll tell you in the interview process, this organization is not the solution to provider burnout. In fact, of all the places I've worked at since graduating residency, I have never seen an organization that has treated their providers more like the diaper of medicine where all the garbage trickles down to us like One Medical does. The desktop medicine "support" that is advertised in the form of VMT (virtual medical team) simply doesn't exist in its current state. Part of this is because One Medical has expanded too rapidly AND providers are leaving (for example, over the summer of 2021, 15+ providers left CA), leaving a major shortage of qualified individuals to handle this work. Patients' messages will be unanswered for 5-7 DAYS, when the turn around times are supposed to be within 24-48 hours. VMT backlogs are so overwhelmed that they've actually mandated our district to be "task fairies" (rebranded to task buddies because their initial "cute" choice of words was poorly received) for in office providers to do this work. I am all for helping out our fellow colleagues, but when you look at the serious harms that this model can entail (for example, labs showing an AKI on CKD3 for one of my patients that sat for 5 days until I came back into office) AND also knowing that task queues for our admin team has numbered in the 1000s and sat for several months without being touched, this shows a systemic problem they have not yet figured out how to address. In fact, it's been like this since the beginning of the pandemic. Meanwhile patient care will suffer, and I anticipate there will be safety events that I'm glad I won't be a part of anymore. 2) We were told OM's solution is to hire 100s of new providers, but they have ZERO retention strategies. They do hire great people, but if you don't drink their Kool Aid and continue to bring up concerns, you are gaslit into infinity or until you quit. What concerns, might you ask? Let's start with the fact that OM does not require BLS/CPR certification for any of their employees and yet somehow we've been giving COVID vaccines, monitoring patients for signs of anaphylaxis without knowing if our providers have updated life sustaining intervention training. Another red flag - our privacy screens in our street facing rooms were see-through during evening hours for EIGHTEEN months, meaning people walking by could look in during an evening PAP exam, for example. As of the day I quit, there was still no resolution to this concern despite it being "escalated" for months. The accumulation of serious concerns like these two of many instances is something that outweighs any benefits of staying employed at this organization. Leadership will ask you to escalate concerns again and again, then do absolutely nothing to address them and often times will tell you the issues you raise are actually a "personal" problem. The things that will "retain" providers are laughable - looking at the MGMA 2021 compensation data, provider salaries are at the 15-20th %ile. Moreover, they dangle RSU stock incentives as if their declining stock values mean anything (value has gone down 50% since they were first granted to me). Finally, they lure you in with the promise of being able to complete all your work during your work hours, but in reality they actually expect you to work an additional 8-10 hours of your personal time in order for you to complete your inbox management, for less pay than you'd get doing this at another organization, mind you. 3) For a tech startup company, their EMR is underwhelming. Upon starting, it became immediately clear to me that OM hasn't compared their product with the newest generation of EMR's in the last 5 years. They are so proud of their EMR, and yet the functionality performs at the level of an MS-DOS operating system compared to Apple's newest iOS version. Don't be distracted by the shiny app patients use - what providers and team members use is a far cry from that. From scrolling down the timeline to find imaging results (their search function is useless because it's apparent there was no naming standardization for a long time), to copying and pasting patient answers on questionnaires, to re-typing out medications and orders in our assessment/plans instead of them wonderfully showing up as it does in EPIC and even ECW, their EMR is a time sinkhole that's hobbled together by a ton of workarounds. One of the most mindboggling things to me is that they haven't quite figured out how to effectively have any appointments that are not just 30 minutes long. Concern for strep throat or rash? 30 minutes. Annual physical? 30 minutes. Medicare AWV? 30 minutes. Their "brilliant" techy system is incapable of dealing with a more logical schedule currently. But, providers are expected to run on time because that's what the company advertises to our patients. It sets you up for failure every . single . day. It's one of the reasons I started off as full time but moved to part time fairly quickly, because every additional day spent at work became something I dreaded. I could go on, but I'll end with this: This whole place reeks of toxic positivity which is used to gaslight employees while ineffective leadership and management skate by on the hard work of the employees. They will wring you dry while at the very same time give themselves accolades for being a "great place to work". In fact, one of the last conversations I had with my former medical director included the phrase, "You will do it, because you're salaried." The thing this company doesn't understand is many of us are willing to stay late until 6:30/7 pm finishing tasks and answering patient messages because our patients deserve great care. But not for this laughable salary. Not for this company. Not for the liability on my medical license. I can do this anywhere else because the truth is, dedicated PCPs are needed everywhere. If you choose to work here, know what you're signing up for. Know that many people use this as a resting place to recuperate from other more toxic work environments, but this place is never intended to be THE forever job. Not even the job that you'll be listing in your 5 year plan. The amount of turnover will worsen because they've shown zero intention of actually listening to the concerns of their employees, despite the insane amount of lip service they devote to it. They chose Amir Rubin, the former CEO of one of the worst healthcare insurance companies to steer this company. Of course OM is going to run like a for-profit company and exploit their workers at every level.