Resident Physician Contract Review: What Residents Must Know
Resident contracts are different from attending contracts but still important. This guide covers resident-specific terms, red flags, and what to negotiate.
Resident Contract Specifics
Resident contracts cover: Salary (standardized by PGY level), benefits, call schedule (often demanding), work hours compliance, moonlighting permissions (outside income), malpractice coverage (program sponsors, but understand limits), research/teaching expectations, dismissal terms (more rigid than attending roles).
Key Resident Red Flags
Red flags: Excessive call schedule (beyond legal work hour limits). Dismissal clause without due process. Malpractice coverage too limited. Moonlighting restrictions too broad. Research requirements conflicting with clinical work. Program culture issues (burnout indicators in contract language).
Resident Negotiation Points
Negotiate (limited options): Call schedule (ensure legal compliance). Moonlighting allowance (understand restrictions). Research time (protected or flexible). Dismissal process (fairness protections). Malpractice coverage understanding (know limits and tail coverage responsibility post-training).
Post-Resident Non-Competes
Critical for fellows: Many fellowships include non-competes after graduation. Review: What's the restriction scope? Duration? Geography? Enforceability in your state? Negotiate before signing fellowship—much harder post-graduation.
Frequently Asked Questions
Can residents negotiate their contracts?
Limited options. Programs offer standardized contracts. But can negotiate: call schedule (ensure legal compliance), moonlighting allowance, post-graduation non-compete (if included in fellowship).
What about post-resident non-competes?
Critical to review. Fellowship non-competes can be 2-3 years post-graduation. Negotiate duration/geography while you still have leverage (before you sign).
Do residents need attorney?
Limited attorney leverage (contracts standardized). But if non-compete included or unusual terms: $300-500 attorney review worthwhile for residents.
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