Non compete clauses?

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finalpsychyear

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I'm close to finalizing a position with a hospital which has no psychiatrists who are looking to start outpatient and some er/floor consults to be done. Upon reviewing the contract they have a 2 year non-compete in the county only where the hospital is located which i don't find all that bad since in certain directions as little as 10-12 miles is another county. Is it worth my efforts to try and negotiate this out entirely from the contract or is this standard? Is there a greater chance having a non-compete clause taken out if you are part time vs full time?
 
Any smart outpatient clinic will add a non-compete. It takes time to build a full clinic and FU's pay better than new evals. Someone that leaves to compete after 1 year would stick the original company will all of the higher initial costs and lose out on the more lucrative years.
 
Any smart outpatient clinic will add a non-compete. It takes time to build a full clinic and FU's pay better than new evals. Someone that leaves to compete after 1 year would stick the original company will all of the higher initial costs and lose out on the more lucrative years.


I think my wording was not accurate. The 2 year non compete starts at termination of the contract. I keep hearing to get this out of physician contracts but I am iffy that a hospital that is starting a new psych service with me leading would do this even if I hold all the cards being the only psychiatrist as all their psych care has to be sent an hour away. Though I don't see what would stop me from being able to go 10 miles away and be out of the county and be able to pick up a good chunk of the patients I would theoretically have as there is no non-solicitation of patients in the contract but only that i cannot solicit employee's and the patient's are theirs but I don't see how that has anything to say about patients coming to me if i were to leave at some point. Just curious to the wording below as this is my first real gig and i don't want to kick myself later.

Below is the exact wording from the contract for those that have a few minutes to read just the part of restrictive covenants:

RESTRICTIVE COVENANTS


4.01 Covenant Not to Compete. For the term of this Agreement, including all renewals hereto, and for a period of two (2) years following termination or expiration of this Agreement, Employee shall not provide psychiatry or other medical services, directly or indirectly, individually or in concert with any other person or entity, or through a corporation, partnership or other entity, or own, manage, operate, control, be employed by, work on behalf of, invest in, assist (financially or otherwise), provide advisory, consulting or other services for, participate in or be interested or connected in any manner with the ownership, management, operation, promotion or control of any person, corporation, partnership, limited liability company, proprietorship or other business enterprise that competes with Employer or is engaged, directly or indirectly, in providing psychiatry or other medical services within xxxxxx County. This Section 4.01 shall survive termination or expiration of this Agreement.

4.02 Non-solicitation. For the term of this Agreement, including all renewals hereto, and for a period of two (2) years following the termination or expiration of this Agreement, Employee agrees not to hire, solicit to hire or accept solicitation for hire, through an employment or services agreement or otherwise, any employee, agent or independent contractor of Employer or any individual who has provided services as an employee, agent or independent contractor of Employer at any time during the year prior to termination or expiration of this Agreement. This Section 4.02 shall survive termination or expiration of this Agreement.

GENERAL PROVISIONS

5.01 Patient Records. For the purpose of this Agreement all patients are those of Employer and all patient records shall belong to and remain the property of Employer.
 
My advice is to always negotiate for the best possible and least restrictive contract for yourself from the beginning. Keep in mind every job will have some extra work added in that you might not expect and try to get you to do more for less compensation. You don't want to start out with extra restrictions if you don't have to. Why would you give up leverage for later without even asking for a better deal? The worst case scenario is they refuse. "Those who don't ask don't get", a friend once told me.
 
How does the population breakdown across these counties, is the hospital in the high population area, are the surrounding counties rural? Does the current county have other psych jobs? What if you want to change to a different job within the same county? Do the outside counties have psychiatry jobs, or is setting up your own practice there going to be feasible? If you decide to leave your job do you want to drive 10+ miles to your new job everyday?

How desperate is the hospital?
 
How does the population breakdown across these counties, is the hospital in the high population area, are the surrounding counties rural? Does the current county have other psych jobs? What if you want to change to a different job within the same county? Do the outside counties have psychiatry jobs, or is setting up your own practice there going to be feasible? If you decide to leave your job do you want to drive 10+ miles to your new job everyday?

How desperate is the hospital?


60k in the county the hospital is in. The 3 surrounding counties being anywhere from 20-30 minutes drive from the hospital are 35k, 140k, 170k and of course the capital is 1 hr ish and that county is 1 million. Yes, there are jobs in all the counties. I think they are desperate as they were willing to take me in any capacity.. part, full... indep contractor so i guess i will go for taking out the non compete.
 
I have multiple jobs and they are all more than 10 miles from my house. Just having 1 job 10-30 miles from your house is very doable

Am i correct in the thinking that if i want a 4 day a week outpatient practice that is RVU based in compensation (so insurers don't matter) that is consistently full (20-25 pts) as soon as possible that it is better to be in two markets 2 days each in a week? Maybe in 2 years either one would be that busy but my logic is that maybe in half that time or less I would be at capacity?
 
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