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April 18, 2024

A closer look at physician noncompetes

The ability to recruit and secure top talent can be a game-changer for health care organizations. In their quest to retain their valuable recruits, many organizations turn to noncompete agreements as a means of protecting their investments. But should you include noncompete agreements in physician contracts?

The pros

Noncompete agreements can help health care organizations protect their investments in recruiting and training physicians. They discourage newly hired physicians from leaving for competing practices or hospitals shortly after being hired.
Noncompetes can help maintain patient relationships and continuity of care by restricting physicians from
practicing in the same geographic area for a specified period of time after leaving.
These agreements usually include clauses that protect sensitive patient data and medical information from being used by a departing physician in a competitive setting.

The cons

Some physicians may be reluctant to consider job offers that come with restrictive noncompete agreements, potentially limiting the candidate pool for recruiters.
Noncompetes can limit a physician’s career mobility, making it challenging for them to explore new opportunities, especially those looking to relocate or change specialties.
The enforceability of noncompete agreements varies from one state to another, and some courts may deem them overly restrictive.

Alternatives to noncompete agreements

Tailored Restrictive Covenants. Rather than blanket noncompete agreements, consider creating tailored
restrictive covenants that are more reasonable in scope. This approach can address specific concerns without
unnecessarily restricting physicians.
Non-solicitation agreements. As opposed to preventing physicians from working in a certain area, a non-solicitation agreement can be used to prohibit them from actively soliciting patients or staff from their former employer.
Garden leave clauses. A “garden leave” clause allows physicians to leave their current position but requires
them to serve a notice period during which they are paid but cannot practice medicine or compete with their
current employer.
Buyout provisions. Including a buyout provision in contracts allows physicians to pay a predetermined sum to be released from their noncompete obligations. This gives them more freedom to explore new career opportunities.
Mentorship programs. Physicians may feel less inclined to leave your organizations if they feel valued and
supported. Invest in mentorship and onboarding programs that foster strong physician-employer relationships.
Focus on incentives. Attract physicians and reduce the need for restrictive agreements by offering competitive compensation packages, signing bonuses, loan repayment assistance or other incentives that make your organization an appealing choice.
Collaboration agreements. Encourage physicians to collaborate on research or projects that could strengthen their ties to your facility and reduce the chance of them seeking employment elsewhere.

Considerations for physician recruiters

When you’re pondering whether to include noncompete agreements in physician contracts, consider the following:
Local regulations. Be familiar with the specific regulations governing noncompete agreements in your
state or region and ensure that any agreements you draft comply with local laws.
Negotiation flexibility. Physicians may be more willing to accept restrictive covenants if they are tailored to their specific circumstances and goals, so it helps to be open to some negotiation.
Transparency. Clearly communicate the terms of any restrictive covenants to candidates during the recruitment process. Being transparent from the beginning can help build trust and avoid surprises down the road.
Long-term goals. Give serious consideration to the long-term effects of including noncompete agreements.
Will they hinder your organization’s ability to attract top talent? Will they help?
Legal counsel. Consult with legal experts experienced in health care employment contracts to ensure any
agreements you use are legally enforceable.

Whether you opt to use noncompetes or an alternative option, it’s important to strike a balance between protecting the organization’s investments and fostering positive physician-employer relationships. In the end, a thoughtful, flexible approach to physician contracts will likely be the most successful.

Read articles by Jackie Farley

Jackie Farley



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