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Discover the key elements of physician contracts, from practice preferences to compensation and benefits, to help you find your ideal work environment. Learn about contract necessity, responsibilities, compensation details, termination clauses, and more.
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EM Physician Contracts • Borislav Stoev, DO • Emergency Department Medical Director • St. Peters University Hospital • New Brunswick, NJ
FINDING YOUR COMFORT ZONE A job can’t make you happy, but you can strive to be in an environment that mitigates you from being unhappy
The Why • You want a job • You want to take care of patients within your comfort zone • You want to begin a chapter in your life/career • You want to be a respected and trusted healthcare professional • You want to get paid
What Physicians Want • Geographic features • Lifestyle amenities • Significant other issues • Salary and benefits
Practice Preferences • Community vs. Academic • Patient type • Volume • Clinical time • Non-clinical time
Group • Size • Leadership • Number • Structure • Career Track
Contract Necessity • Protects the institution/group • Protects the physician • Legal and third party payor requirements
Elements of the Contract • Prerequisites • License, DEA • Board Certification • Medical Staff Membership and Privileges • Special training • Academic appointment
Responsibilities • Clinical Time • Working hours, call time, in-house coverage • Administration • Scheduling, QI, Compliance with policies • Education • Staff, residents, interns • Medical Records completion • Hospital support
Status • Employment • Hospital vs. Group • Independent Contractor
Compensation and Benefits • Salary • Fee for Service Billing • Hourly rate with/without Bonus • Guarantee • Percentage of Gross or Net
Professional Liability Insurance • Claims vs. Occurrence • Tail payments
Loans • Amount • Purpose • Interest rate and terms
Sign-on Bonus • $1000-$10,000 • Moving expenses
Insurance • Health/dental • Life insurance • Disability insurance • Unemployment insurance
Vacation/Time Off • Vacation • Personal Time • Sick Time • Maternity/Paternity Leave • Professional Development Time • Military Leave
Profit Sharing/Bonus/Incentive • Profit sharing criteria • Bonus/incentives • Tied to Performance Evaluations • Objective and Measurable • Timing • Monetary vs. non-monetary
Other Compensation • License and Professional Fees • Medical Journal, Publications etc • CME • Medical Supplies • Car phone, Pager, Meals, etc. • Parking, Lab coats, and cleaning • Retirement Plan
Restrictive Covenants • Non-compete agreement • Time, distance • Clinical vs. non-clinical • Solicitation of employees, patients • Liquidated damages
Term • Fixed term-year • Renewed automatically – “evergreen” • Notification time for termination – 90-120 days • Timing of new contract negotiations – 60-120 days
Termination • Without cause – any time without reason • With cause • Loss or negotiation of license • Loss or restriction of hospital privileges • Professional liability insurance or claims
Termination continued • Impairment • Professional misconduct • Death/disability • Failure to perform • Criminal activity • Breach of contract
Partnerships • Stipulations for the offer • Cost for buy-in • Means to buy-in • Timing • Terms and conditions
Timeframe • The process usually takes approximately two to three months
Summary/Conclusions • Interview • Negotiate terms and conditions • Review document • Sign Agreement • Contract Maintenance