Moving Medicine Podcast
Your Physician Contract Is Negotiable – Ep 34
Episode Summary
Before you sign a physician employment contract, look beyond the salary. Healthcare attorney Kyle Claussen joins Zoe Taylor to explain what physicians should know about compensation, noncompetes, bonus repayment terms, scheduling, support staff, and contract negotiation—and why even a “standard” agreement deserves a professional review.
Episode Notes
A physician employment agreement can shape far more than salary. In this episode, Zoe Taylor talks with healthcare attorney and physician spouse Kyle Claussen about how physicians can evaluate compensation, identify hidden risks, negotiate from a position of clarity, and protect their careers and families before signing.
Kyle explains why a “standard contract” is still worth reviewing, how verified market data can strengthen a physician’s position, and which clauses can create expensive problems later—from productivity formulas and repayment obligations to restrictive noncompetes and missing promises about schedules, staffing, or practice location.
In This Episode
- Why contract education is an essential—but often missing—part of physician training
- The difference between understanding an offer, benchmarking it, and negotiating changes
- Why base salary is only one part of total compensation
- How work RVUs, collections, guarantees, signing bonuses, student-loan assistance, and relocation benefits affect the real value of an offer
- The contract terms that influence daily quality of life, including call schedules, administrative time, staffing, and satellite-location expectations
- How tail coverage, bonus clawbacks, production payments, termination language, and noncompetes shape an exit
- Why verbal promises should be clearly documented in writing
- How multiple offers—and reliable market comparisons—can create leverage and confidence
- What residents, fellows, mid-career physicians, and future private-practice partners should review before committing
Key Takeaways
- Do not assume “non-negotiable” means “do not review.” Even when an employer will not revise every term, physicians should understand the agreement and its risks before signing.
- Compare the entire opportunity—not only the guaranteed salary. Long-term production formulas, time commitments, benefits, working conditions, and exit costs may matter more.
- Get important promises in writing. If a role includes a scribe, protected administrative time, a specific practice site, or certain procedures, the contract should reflect that understanding.
- Preserve options when possible. Two or three acceptable offers can reduce pressure and make it easier to negotiate objectively.
- Review early. The best time to seek guidance is when the first written terms arrive, including a letter of intent, term sheet, or memorandum of understanding.
Episode Timeline
- 00:00 — Welcome and introduction to Kyle Claussen
- 01:00 — How Kyle entered physician contract law and the origin of Resolve
- 03:00 — Contract clarity, compensation fairness, and physician retention
- 06:00 — What physicians overlook when focusing only on salary
- 08:00 — Reviewing versus benchmarking versus negotiating
- 10:00 — Verified contract data, anonymity, and market comparisons
- 12:00 — Employment agreements, private practice, and partnership tracks
- 15:00 — When physicians should begin reviewing an opportunity
- 16:00 — Why multiple offers improve leverage and decision-making
- 18:00 — Compensation wins and small clauses with major lifestyle impact
- 20:00 — Noncompetes and the “Swiss cheese city” problem
- 22:00 — Burnout, misalignment, and documenting verbal promises
- 23:00 — Resolve’s self-service and attorney-supported options
- 25:00 — How to connect with Resolve
About Kyle Claussen
Kyle Claussen, JD, is a healthcare attorney and the CEO of Resolve. He has spent more than a decade advocating for physicians in negotiations with major health systems, private practices, and academic medical centers. As a physician spouse, he also understands how employment terms affect the entire household—not only the physician’s career.
Resources & Connect
Review physician contract services and market-comparison options at Resolve.
Learn more about Kyle and the legal team at Resolve Legal.
Explore physician relocation support at Moving Medicine Partners.
Listen to more episodes of the Moving Medicine Partners Podcast.
About Moving Medicine Partners
Moving Medicine Partners is a national relocation network built to support physicians and their families through moves from residency to retirement. Founded by physician spouse Zoe Taylor, the network connects medical professionals with relocation guidance and trusted professionals who understand the demands of a medical career.
Disclaimer: This episode is for educational purposes only and does not constitute legal, financial, tax, or employment advice. Consult an appropriately licensed professional about your specific circumstances.