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Friday, November 21, 2025

No, that physician employment contract is not set in stone - American Medical Association

Resident and fellow physicians looking for their first jobs after completing training might face a challenge they have never encountered before: negotiating an employment contract.

It is natural to wonder, then, whether an employer will be willing to change the terms of the offer, and if so, by how much. Experts say the answer is simple, if frustrating: It depends.

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“It has gotten more difficult” to negotiate physician employment contracts, said Richard H. Levenstein, a health care lawyer and shareholder in the prestigious law firm of Nason, Yeager, Gerson, Harris & Fumero, in Palm Beach Gardens, Florida. “The leverage that they [physicians] used to have is not there because you're [often] dealing with a large institution. You're trying to negotiate the contract that they claim to use for many of their other physicians.”

Levenstein specializes in health care law and has decades of experience representing physician clients, including in negotiating their employment contracts. Though he said he has seen increasing rigidity in those contracts over the years, there are exceptions. Lawyers can help determine when, and where, a prospective health care employer might be willing to compromise and advise physician clients how best to address issues contained in provisions of the proposed contract.

“The attorney...



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