When you receive a new job offer, it’s exciting to imagine the next chapter of your career. But before you sign your physician employment agreement, it’s critical to slow down and understand the details. These contracts shape your compensation, work-life balance, and even where you can practice in the future. Unfortunately, many doctors make costly mistakes during physician contract negotiations—mistakes that could easily be avoided with the right preparation and guidance.
One of the biggest mistakes is not reading the entire contract carefully. A physician employment agreement may be full of legal terms that look routine, but hidden in the fine print are provisions about call coverage, termination, or restrictive covenants like non-compete clauses. Assuming the contract is “standard” or skimming it quickly can leave you stuck with obligations that limit your flexibility down the road.
Another common error is failing to negotiate at all. Many physicians believe their offer is non-negotiable or feel uncomfortable pushing back. In reality, employers expect some negotiation. By staying silent, you may miss out on higher compensation, more favorable call schedules, or critical protections like malpractice tail coverage. Even modest improvements in your contract can make a big difference over time. It is extremely rare for a potential employer to revoke an offer simply because a physician attempts to negotiate.
Overlooking non-compete restrictions is another major pitfall. A non-compete clause in a physician contract can limit where you are allowed to practice after leaving your employer. If the restriction is too broad—covering too many miles or lasting too long—you could be forced to move or face a long period without work in your community. Reviewing these provisions with a physician contract lawyer can help ensure they are reasonable.
Physicians also make mistakes when it comes to compensation models. A signing bonus may look generous but could require repayment if you leave early. Productivity-based models, like RVUs, can be hard to achieve depending on patient volume and resources. Without understanding the fine print, you may find your pay is less than you expected.
Finally, one of the worst mistakes is not hiring a lawyer who focuses on physician employment contract review. Even small details—like how “cause” for termination is defined—can dramatically affect your rights. An experienced lawyer can identify red flags, explain the contract in plain English, and negotiate changes that protect your career.
In short, the most common mistakes physicians make during contract negotiations come down to rushing, staying silent, or overlooking critical details. By carefully reviewing your agreement, asking the right questions, and working with a physician contract attorney, you can avoid costly surprises and sign an agreement that truly supports your long-term goals.
The Physician Contract Lawyer can review your contract to help you avoid costly mistakes.