Physician groups are facing a severe shortage, particularly in Primary Care.

• Competition for Talent: Groups are offering massive sign-on bonuses (often $50k–$100k) and student loan repayment programs to attract residents.

• The Role of APPs: Nurse Practitioners (NPs) and Physician Assistants (PAs)—collectively known as Advanced Practice Providers (APPs)—are now being fully integrated into "Team-Based Care" models. In many groups, APPs manage chronic conditions while physicians focus on the most complex "high-acuity" cases.