Employer’s Reaction to a Legal Review of a Physician Employment Agreement

Physicians can be concerned about the employer's reaction to a legal review of a physician employment agreement, but I have never had a negative reaction.
employer's reaction to a legal review of a physician employment agreement

Employer's reaction to a legal review of a physician employment agreement

Some physicians worry about the employer’s reaction to a legal review of a physician employment agreement. Of the hundreds of physician employment agreements I have reviewed, I have never had a negative reaction to receipt of a legal review.

It’s perfectly natural to be concerned about offending the employer in some way.  But remember, most employers are just as committed to making this your “forever job” as you are. The employer has expended both money and valuable physician time in narrowing the candidates and selecting and vetting you.  They are as invested in getting you into the position as you are!

The employer made sure that its rights were adequately protected by hiring an attorney to draft the agreement.  I think most employers view it as a sign of good faith when the physician is concerned enough about the position to invest in an attorney’s review.  Especially for physicians coming out of training, the employer likely realizes that you are making a sacrifice to make sure that the agreement will last.

I represent many physician practices, and I have never had one of my clients get upset when a lawyer is brought in by a potential new hire.  I’ve actually had the managing partner tell me “She must be serious about the position” when a lawyer’s review was presented to the practice.

Physicians should understand that having a physician contract review and a MGMA compensation analysis means that the comments given to the employer are coming from the attorney, not the physician. In the realm of politics, this is termed “plausible deniability.” A competent physicians’ attorney will not ask for unreasonable changes. Although I have never had an employer get upset about the changes requested (after all, it’s just a negotiation), the physician can easily deflect any criticism by simply shrugging and saying “you know how attorneys are.”

The first contract will set the baseline for the rest of your career with that employer.  Don’t be concerned that a thorough review of a physician employment agreement will  be perceived as a slight by your future colleagues.  Just read a good book on physician employment agreements or retain a competent lawyer to assure you get a fair agreement.  Your colleagues will respect your commitment to the position, and will almost always make reasonable adjustments to the agreement to demonstrate their commitment to you and your future with them. You need not be concerned about the employer’s reaction to a legal review of a physician employment agreement.

You may also be interested in my posts about physician employment contracts, hospital negotiations, and MGMA benchmarks.

To learn more about the critical issues to be aware of when negotiating a physician employment agreement, you can see my podcast of the 4 most common traps in physician employment agreements, my physician employment agreement checklist or, for the most extensive discussion of the topic, my  book on physician employment agreements. For specific information on topics you might be interested in, see my posts about physician productivity compensationMGMA compensation analysismedical record provisions in physician employment agreementsletters of intent in physician contractsphysician covenants not to compete, and call coverage requirements.

If you would like us to assist in this important matter, you can start your review here. We also offer a free consultation to discuss how we can help.

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Dennis Hursh

Dennis Hursh

Dennis Hursh has been providing healthcare legal services in Pennsylvania since 1982. Since 1992, he has been a physician's lawyer serving as Managing Partner of Physician Agreements Health Law, the first law firm in the country to focus exclusively on physician employment agreements. Dennis has devoted his life to serving physicians and medical practices. He is the author of the definitive book on physician contracts "The Final Hurdle - a Physician's Guide to Negotiating a Fair Employment Agreement, and a frequent lecturer on physician employment agreements.

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Physician Prosperity Program

How It Works

After purchasing the physician contract review, you will receive an email asking you to transmit the agreement and any concerns you have to me. Many physicians do this by email, but I will be available by phone, too. In three business days from the time you purchase the Physician Prosperity Program® and transmit the draft physician employment agreement along with any concerns you have about the agreement and the information I will need to perform the MGMA analysis, you will receive a detailed physician contract review letter from me.

After you receive my physician contract review letter, you will have the opportunity to discuss it with me, to make sure all of your concerns were met, and to correct any factual inaccuracies, or to point out things that were verbally promised but didn’t make it into the physician employment agreement. These discussions, and revisions of the letter following these discussions, are included in the initial fixed fee.

Once you are completely comfortable with the physician contract review letter, you transmit the letter to your potential employer.