FREE — RED FLAG CONTRACT CHECKLIST
The contract provisions that quietly cost you.
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RED FLAG CHECKLIST · EMERGENCY MEDICINE
The contract provisions
that quietly cost you.
Data. Leverage. Fair pay.
Hourly, RVU, CMG models · specialty-specific
The provisions below are the ones most likely to cost emergency medicine physicians money, mobility, or leverage. Read each item against your contract and mark whether it is present, missing, or unclear. A single CRITICAL finding warrants careful review before signing.
THE RED FLAGS
4 CRITICAL · 5 HIGH · 6 MODERATE
wRVU rate with no named benchmark
Flat dollar rate with no external benchmark gives the employer full discretion over future adjustments.
No minimum shift or hours guarantee
Without a floor, the employer controls your income by controlling your schedule — no breach required.
Termination without cause under 90 days
Short notice means little time to secure replacement income, credential elsewhere, or relocate.
Claims-made malpractice, no tail commitment
If the contract doesn't specify who pays for tail coverage when you leave, that obligation defaults to you.
Non-compete over 15 miles or 1 year
Broad restrictions on where you can practice after departure shift leverage to the employer.
No written compensation schedule
Pay structure referenced via handbooks or policies can be modified unilaterally.
Productivity bonus above median production
A threshold above what most physicians actually produce is structurally unreachable.
Unilateral schedule modification rights
Employer-discretion language over shifts, sites, or hours strips your control over working life.
APC supervision credit below 75%
You carry medicolegal risk for APCs; partial wRVU credit means you absorb liability without revenue.
No rate escalation clause
Without annual increases, real compensation declines every year you remain. A flat multi-year rate is a multi-year pay cut.
Sign-on clawback with no pro-ration
Full repayment regardless of tenure treats the bonus as a leash rather than compensation.
Billing data access restricted
If you can't review your own wRVU production and billing, you can't verify you're being paid correctly.
No settlement consent clause
Without consent-to-settle, the carrier can resolve a claim against you without your approval.
Restrictive moonlighting clause
Broad bans on outside clinical work cap earning potential without compensating for exclusivity.
No renewal notice requirement
Without a defined renewal window, you can be left without warning that the contract is ending.
For informational purposes only. Does not constitute legal advice.
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