Struggling residents in Medicine

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IpG4j

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We all know that some trainees due to various reasons are unable to cope with the rigours of residency and may struggle to various levels. If they incur liabilities with the training hospital for any reason whether related to failure to maintain standards or disciplinary or health reasons, how much damages can the hospital sue the resident for in terms of cash, labour or any other penalties relating to practice? Are there legal statutes to limit the damages that can be claimed by a hospital from an erring trainee. For eg, if a trainee is tardy; doesn't perform to standards or has interpersonal issues, can the hospital later claim millions from the trainee later on after he eventually completes training? I would appreciate if someone can shed light on this. Thanks
 
Can the hospital/residency sue a resident for not being good at his job?

Not sure if this is even possible, but more commonly the resident would be fired instead of sued. Residents are all working under their attending physician, so unless he blatantly kills somebody with malice (like stabs a patient), I can't imagine a hospital suing a resident.

A patient suing the hospital/attending and the resident being named? Now that can certainly happen.

I'm confused as to what real life scenario that you have knowledge of that this would even be a question.
 
I agree with @evilbooyaa... If things don't get done, it's ultimately the attending physician's responsibility. If the resident is tardy or doesn't follow professional standards, they are either fired, or put on probation with the program and given a chance to remediate, depending on the offense.

Even HIPAA compliance issues, I'm pretty sure they can't sue the resident.
 
Thank you friends, I will say no more, but there is more to this. All I will say is to be wary of hospitals coercing the distressed resident to enter into agreements (profiting the hospital) in exchange for giving the resident second chance without termination. I cannot divulge more details here, but will conclude by saying struggling residents should be very careful before acknowledging/signing anything during disciplinary/remedial procedures as it could land them in deep waters. It is better to use an attorney if the hospital uses obscure and vague language in terms of consequences when a resident comes under scrutiny for any reason.
 
Another weird thread and almost alarmingly paranoid. Residents haven't yet realized their full earning potential and unless they are already independently wealthy it doesn't make sense for a hospital to sue... they'd just fire them.

Statute of limitation laws prevent people/businesses from filing things like this years/decades down the line.

Like the above have said, the buck stops with the attending surgeon except in cases of criminal activity or gross negligence which deservedly would involve criminal charges. Assuming you are overreacting (best case) or fear mongering (a more likely worse case), relax and take a chill pill. People on SDN have enough to worry about.
 
It sounds like the OP signed something as part of their remediation plan that put them on a financial hook to their program. That could get around any statue of limitations issue, I would think. It's probably legal but seems sketchy. Raises some interesting ethical issues -- i.e. could I create a residency contract that (perhaps) pays residents more than their baseline salary, for a percentage of all future earnings. I expect that for some IMG's that are having trouble finding a spot, a deal like that would be completely acceptable.
 
It sounds like the OP signed something as part of their remediation plan that put them on a financial hook to their program. That could get around any statue of limitations issue, I would think. It's probably legal but seems sketchy. Raises some interesting ethical issues -- i.e. could I create a residency contract that (perhaps) pays residents more than their baseline salary, for a percentage of all future earnings. I expect that for some IMG's that are having trouble finding a spot, a deal like that would be completely acceptable.

...Or allow them to 'remediate' with an extra unpaid year?
 
Thanks friends; I am certainly not paranoid and speak from observed facts (which I cannot reveal for various reasons). I have realised that every hospital has unique policies with regards to dealing with struggling residents and have lot of autonomy in that regard. The issue is transparency; it is one thing to be frank with a resident that he has serious drawbacks and making transparent demands (low pay, negotiate employment contracts at low pay for many years, etc) in exchange for letting him get second chance (remediation) and a totally different issue altogether to trick the resident into signing away the aforementioned demands without informed consent by giving false hopes and misleading them. ACGME clarified that a hospital can enter into any kind of agreements with a trainee who incurs liabilities and there is nothing to stop them from tricking a resident or implementing hidden policies unfairly benefitting the hospital for a long time, though it is only targeted on struggling residents who fall short of competencies.
 
Thanks friends; I am certainly not paranoid and speak from observed facts (which I cannot reveal for various reasons). I have realised that every hospital has unique policies with regards to dealing with struggling residents and have lot of autonomy in that regard. The issue is transparency; it is one thing to be frank with a resident that he has serious drawbacks and making transparent demands (low pay, negotiate employment contracts at low pay for many years, etc) in exchange for letting him get second chance (remediation) and a totally different issue altogether to trick the resident into signing away the aforementioned demands without informed consent by giving false hopes and misleading them. ACGME clarified that a hospital can enter into any kind of agreements with a trainee who incurs liabilities and there is nothing to stop them from tricking a resident or implementing hidden policies unfairly benefitting the hospital for a long time, though it is only targeted on struggling residents who fall short of competencies.

A resident may be foolish enough to sign a one sided agreement but it may not be enforceable by the hospital for a variety of reasons. For example, I don't think many courts would allow an indefinite extension of the statute of limitations. Furthermore, it would generally be left to the institution to prove actual damages. The courts in many jurisdictions do not favor unreasonable liquidated damages provisions in contracts especially when one side has enormous bargaining power.
 
Thanks for the reply, but a hospital can certainly trick a trainee to consent (lack of informed consent, false reassurances and obscure language in agreements) to indefinite waiver from laws, which practically makes him a slave of the hospital forever because nothing can save him then in a court of law; only signed agreements matter regardless of lack of informed consent. This is what I wanted the forum to be aware of so that any struggling residents working in hospitals pursuing such atrocious policies remain on guard and protect themselves. It is better to get terminated and start your career anew than becoming a perpetual slave of a hospital with career and pay restrictions forever, which is the case when a resident waives his legal rights, making him totally defenceless forever.
 
Thanks for the reply, but a hospital can certainly trick a trainee to consent (lack of informed consent, false reassurances and obscure language in agreements) to indefinite waiver from laws, which practically makes him a slave of the hospital forever because nothing can save him then in a court of law; only signed agreements matter regardless of lack of informed consent. This is what I wanted the forum to be aware of so that any struggling residents working in hospitals pursuing such atrocious policies remain on guard and protect themselves. It is better to get terminated and start your career anew than becoming a perpetual slave of a hospital with career and pay restrictions forever, which is the case when a resident waives his legal rights, making him totally defenceless forever.

Somehow I doubt this is the case...
 
Thanks for the reply, but a hospital can certainly trick a trainee to consent (lack of informed consent, false reassurances and obscure language in agreements) to indefinite waiver from laws, which practically makes him a slave of the hospital forever because nothing can save him then in a court of law; only signed agreements matter regardless of lack of informed consent. This is what I wanted the forum to be aware of so that any struggling residents working in hospitals pursuing such atrocious policies remain on guard and protect themselves. It is better to get terminated and start your career anew than becoming a perpetual slave of a hospital with career and pay restrictions forever, which is the case when a resident waives his legal rights, making him totally defenceless forever.
In the US the worst thing that ever happens if you break a contract is that you are held liable for damages. And damages from civil liability are dischargeable in bankruptcy, wgich dies not affect your board certification. If a hospital was unethical enough to try to get a resident to sign away 50% of all future earnings, or whatever, all your friend would need to do is break the contact, take the damages, and go bankrupt. Unless he has some huge pile of assets from the premed years this seems like a non issue.

At least right now, in the US you can't actually indenture yourself to another private individual.
 
Thanks friend. Some hospitals obviously found a way to circumvent what you said to fleece the poor trainee to the maximum!! Let's consider this (I have omitted the modus operandi to avoid identification of the hospitals/trainees and am not making this up)- a trainee makes a significant mistake (serious enough for the hospital to consider termination); the trainee is threatened with termination and he is demoralised as his career is at stake and the hospital pressurises him to sign an agreement (using obscure, vague language) releasing the hospital forever from all federal/state laws for any demands or action or liabilities. Then through a well orchestrated series of steps, the trainee once he completes residency, is made to do locums in areas designated by the hospital forever and rather than suing the victim, the hospital keeps tapping the victim's bank account permanently leaving him only with a minimum amount to maintain his family rather than suing him for a lump sum (which the resident can never pay). The victim cannot stop working because he has to maintain his family, pay student loans, etc. That way, the hospital uses the victim as a perennial source of income. If the victim's bank account swells (inheritance, higher locum rates, etc), the hospital withdraws a higher proportion of money from his bank account, ensuring the victim's bank balance never goes above a certain limit. This way, the hospital doesn't have to worry about claiming damages as they have full access to the victim's bank account with withdrawing privileges. I know at least 4 victims who are in this plight (can't name them) and they are trapped to a lifetime of exploitation. One victim (guilty of sexual harassment) and who signed the agreement waiving all legal rights to avoid termination, has been forced to remain single for a long time as the hospital wants his/her money, which would decrease if the victim had a family/kids. That's why friends, never, never, sign any agreement asking for waiver from federal/state laws even if it means termiation otherwise, as that gives the hospital total control over your life including where you work, live; your bank account balances and even whom you choose to have a relationship with or freedom to have kids (I know a few victims and am not making this up). Hospitals have immense power which no one can imagine.
 
This is exactly the reason why this practice is still continuing because no one believes this and even the most astute of attorneys cannot do much for the victims (due to waiver of laws) and the victims are too scared anyways. I ask one question to my disbelieving friends- Why use obscure, vague language in the first place and obtain waiver from laws instead of directly listing the consequences of the victims' liabilities or directly suing the resident or claiming damages for his/her liabilities????? It is because no court of law would permit such policies unless the trainee signs waiver of his legal rights. As I said, I cannot reveal identifying information nor list the format of the waiver agreements here!!
 
This is exactly the reason why this practice is still continuing because no one believes this and even the most astute of attorneys cannot do much for the victims (due to waiver of laws) and the victims are too scared anyways. I ask one question to my disbelieving friends- Why use obscure, vague language in the first place and obtain waiver from laws instead of directly listing the consequences of the victims' liabilities or directly suing the resident or claiming damages for his/her liabilities????? It is because no court of law would permit such policies unless the trainee signs waiver of his legal rights. As I said, I cannot reveal identifying information nor list the format of the waiver agreements here!!

Serfdom went out of style about 700 years ago, but I guess it's returned. If you aren't a troll, you should probably call an attorney well-versed in feudal law.

Also, I was under the impression that you can't waive laws or human rights.

I would be fascinated to learn more. I implore you to share the "format of the waiver agreement." Leave identifying info out but give us some details! That way you can help us to avoid falling into a similar trap, forced to live out the rest of our days serving the lord of the manor and getting the Plague.
 
I'm doing this purely out of concern and philantropic motives for my fraternity in USA (foreign residents who invest so much of their life to build their career in USA). I am a victim who ran away from USA after signing the waiver from all Federal and State laws (by Gods grace); I'm able to share this with you because my hospital's hands are tied outside USA as I am protected by local laws; else I wouldn't be able to share this here for sure. My career is stable wherever I am; If I reveal more, my local career could suffer.
 
Basically an agreement which doesn't specify the exact demands, damages, liabilities, but just demands a permanent waiver from all Federal/State laws throughout USA for any damages or liabilities claimed by hospital thereafter (cleverly worded to trick a callous attorney)!! Hope this helps😉
 
I've seen waiver of liability laws, but I cannot fathom a waiver of all legal rights, or how such a waiver would be legal in the first place. And I certainly cannot imagine a hospital system having full withdrawing power on a bank account. I also encourage you to please state some of this wording that makes this waiver and withdrawal possible.
 
A hospital garnishing your wages and inheritance, what? That's called income tax from the federal government, welcome to the USA.

If you are really have an issue then you should speak with a lawyer. Your flight of ideas and paraphrasing aren't helpful and honestly sound made up. I don't blame you for not sharing personal details but unless you give us more accurate specifics I doubt anyone here can advise you properly.
 
I'm doing this purely out of concern and philantropic motives for my fraternity in USA (foreign residents who invest so much of their life to build their career in USA). I am a victim who ran away from USA after signing the waiver from all Federal and State laws (by Gods grace); I'm able to share this with you because my hospital's hands are tied outside USA as I am protected by local laws; else I wouldn't be able to share this here for sure. My career is stable wherever I am; If I reveal more, my local career could suffer.
So you ran away from the USA and its brutal feudal system but wound up someplace where people regularly cruise sdn?

Some people can never catch a break...
 
I shared this because the hospital continues to victimise struggling trainees and this will not stop and once someone signs the waiver from laws, there is no escape (in USA) as it is permanent. When I mentioned "inheritance", all I meant was that the hospital takes away any extra money that you may have in your account from any source, barring a minimal amount for your maintenance and that of family. I have discussed my situation with ACGME and a fw attorneys and they all threw the towel as I had waived all legal rights (in USA); but thankfully I'm outside USA; so my earnings are safe. If I replicate my agreement or the exact wordings and word gets out, my hospital (a very powerful hospital) may take legal action which could affect my career here as they know where I am and the fact that I'm opposing their brutal policies!!! I don't know which other hospitals are pursuing this practice, but if I put the agreement here, my hospital (if word gets out), will easily know it is me as very few people are able to leave USA after signing the waiver and may take legal action for "exposing the goose laying golden eggs"!!! I know you find this hard to believe, but what do I get from trolling or spreading rumours especially when I have a stable career wherever I am??????????? I found this medical forum randomly recently. As I said, this concerns only struggling residents falling short of competencies or subject to disciplinary action, entirely at the hospital's discretion. My only message is in the unfortunate event of anyone facing termination, never sign waiver from laws for the privilege of resignation or to get a chance for remediation (reassuring words don't matter at all in court). If you accept termination, all of the above won't apply and you are free to start your career anew, but most struggling residents feel demoralised at the prospect of termination, which is exploited by hospitals like mine to extract grossly unfair agreements. As I said, the waiver agreement is the key step, followed by a few further steps before the hospital will take full control. I can't give you precise details of the other short steps as I evaded them, but without signing the waiver from laws, other steps aren't possible as they are illegal otherwise. In my case, I had an outburst at my Program Director as I made a mistake and he/she insulted me publicly, which nailed me!! Though I didn't realise then, a few things happened after I signed the waiver from laws, which made me decide to run away and never return to USA.
Basically it's an agreement which doesn't specify the exact demands, damages, liabilities, but just demands "a permanent waiver from all Federal/State laws throughout USA for any damages or liabilities claimed by hospital thereafter..." The lines in quotes are from the waiver agreement I signed and the key points to be noted. I am only trying to help young doctors from a lifetime of exploitation, that's all. I'm safe.
 
Shx72E.gif


I don't know why I can't stop checking this thread. This is brutal but I can't look away. This last post made the organization sound a lot like a cult. Extrapolation suggests the next post will be ~700 words... and I can't wait.
 
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I don't know why I can't stop checking this thread. This is brutal but I can't look away. This last post made the organization sound a lot like a cult. Extrapolation suggests the next post will be ~700 words... and I can't wait.
It will also do away with spaces between words, and probably punctuation, since the OP has already done away with paragraph breaks.
 
The situation you describe -- that my employer can reach into my bank account and remove any money I receive from other sources, and that this is possible because I have signed a contract forever giving my employer this right and waiving all of my legal rights -- is simply not possible. I know you're telling us it's happening, but I can't see any way that a contract like this is enforceable.

For example, the person could simply move to a new state. Now, the hospital could try to enforce this, but my new state's legal system certainly won't allow it. You can't sign away all future income with no limits. As you mention, perhaps people are too frightened to fight it -- that's certainly understandable, especially if they are here on visas which are employment based and getting fired = getting deported.

It might be possible (although deplorable) that 1) a trainee makes some sort of a mistake that loses the hospital money; 2) the hospital threatens to fire the resident; 3) the hospital agrees to retain the resident, but the resident needs to repay the damages over time. I'm not a lawyer, so I don't know if such a contract would be enforceable, but it might. The key here is that the most the hospital could recover is their actual loses (plus interest, probably). In a case like this, the hospital might be able to claim other income (i.e. inheritance, etc). This would be the same as being found guilty in court and having a financial judgement against you -- the court could compel you to pay what you owe over time. But it can't be open ended, I would think. State laws vary, so it's possible that this could be "legal" in one jurisdiction and not in another.

Perhaps @Law2Doc could chime in.
 
Friends, I stand nothing to gain from sharing this and as I said, i am safe. I am trying to minimise harm to young doctors as medicine is stressful and people can falter depending on circumstances. If you dont believe me, it's your choice, but please don't sneer or ridicule. You are not mindful of my risk when you ask me to divulge sensitive information.
For the esteemed members taking this seriously, the waiver is for all federal/state laws throughout USA, that exonerates the hospital from persecuting victims in other states. As I said, the release from laws is the seminal step, I don't have full knowledge of the succeeding short steps as I wouldnt be writing this here had I gone through them. I can vouch 100% that the hospital controls the bank balances of victims/monitors them throughout USA forever. My take home message is never sign any agreement demanding release/waiver from all federal/state laws of USA.
If you need more authentication, you can verify this policy with American Police.
 
Friends, I stand nothing to gain from sharing this and as I said, i am safe. I am trying to minimise harm to young doctors as medicine is stressful and people can falter depending on circumstances. If you dont believe me, it's your choice, but please don't sneer or ridicule. You are not mindful of my risk when you ask me to divulge sensitive information.
For the esteemed members taking this seriously, the waiver is for all federal/state laws throughout USA, that exonerates the hospital from persecuting victims in other states. As I said, the release from laws is the seminal step, I don't have full knowledge of the succeeding short steps as I wouldnt be writing this here had I gone through them. I can vouch 100% that the hospital controls the bank balances of victims/monitors them throughout USA forever. My take home message is never sign any agreement demanding release/waiver from all federal/state laws of USA.
If you need more authentication, you can verify this policy with American Police.
Ah yes, the good old APD. I'll get right on it.

I think we've had enough of your trolling.
 
Well, the hospital is in north east USA, I will get into trouble for sure if I reveal more. Even if I give you details, do you think the hospital would acknowledge its hidden policies involving Police input to you or in a public forum????? You can't reach the victims on social media!! I'm also in the pending victim list but safe as I'm outside USA!! Please dont dissuade other users who could benefit from this info. As I said, this only happens if you get into trouble and face termination, if you are good, this doesn't apply!!
 
Well, the hospital is in north east USA, I will get into trouble for sure if I reveal more. Even if I give you details, do you think the hospital would acknowledge its hidden policies involving Police input to you or in a public forum????? You can't reach the victims on social media!! I'm also in the pending victim list but safe as I'm outside USA!! Please dont dissuade other users who could benefit from this info. As I said, this only happens if you get into trouble and face termination, if you are good, this doesn't apply!!

Here's the thing you clearly don't understand. If you can't tell us what institution does this, how can you warn anyone away from it? Your "warning" is completely useless. And very hard to believe.
 
you can verify this policy with American Police.

Who should we verify with - the crew on Law & Order SVU? How about NICS? Or maybe LL Cool J and NCIS Los Angeles crew? The FBI? NSA? CIA? Boston Police? Random county sheriff? Hospital rent-a-cops? All of the above (even the actors) would tell you no organization other than the Federal Government in the form of income taxes can garnish your wages for the duration of your career.

Say for a moment we entertain this, what did you do at this nefarious hospital - did you vandalize property? Physically assault your PD? Attack a patient with an IV catheter? Let's hear more details, you are so hesitant to reveal them and yet you give a little more each post - like a bad police procedural you just can't turn the channel from.
 
Friend, how do I if my hospital is the only one doing this? I suspect thete are more as otherwise how can police permit one hospital alone to play havoc???????? Thats why i warned everyone just to be careful and avoid waiving legal rights under any circumstances. As residents, we can only follow prevention of harm rather than fighting a mighty hospital after waiving legal rights which makes us powerless. Last clue (no more) its in transatlantic area. Bye
 
Mid-Atlantic states in previous post. There may be more hospitals pursuing duch brutal policies; so we can only safeguard ourselves rather than avoiding each and every hospital doing this. Be very vigilant during residency, avoid any conflict and worse come worse, better accept termination unless the hospital is transparent and never waive your legal rights under any circumstances. Best wishes
 
The nature of offence is relevant enough for the hospital only to decide on terminating the resident; once the resident signs waiver from laws as a tradeoff for resignation or to be offered remediation, they go to a separate pool and go through further short steps (I'm unaware as i fled from USA) before they become "slaves" as described in earlier posts, but the other short steps are illegal without waiver from laws in the first instance. I confronted my PD and called him/her unprofessional as he/she openly insulted me for some drawbacks I had (I only objected to him/her insulting me and not for the fact that I had drawbacks). Management decided to put me in the execution chamber as I had the guts to confront my PD; I wasn't aggressive and didn't commit any crime as such. My management had a "slave quota" and I fulfilled their criteria at that time!! Usual victims are sluggish trainees who are tardy, unsmart or who committed significant disciplinary infraction or made mistakes on more than one occasion. My colleague got done for sexual harassment and has been forced to remain single for years (He/she alone knows how long!!). It is all in management's hands.
 
funny, you said "bye" in post #33, yet you keep posting...

and if your "friend" was snagged for sexual harassment, he should have gone to jail.
 
. My take home message is never sign any agreement demanding release/waiver from all federal/state laws of USA.

Sorry this is all just very confusing. You have taken us on an enlightening journey through modern economic policy, to consider the nuanced interplay of laborers and their masters, and to take a long hard look within ourselves and consider, introspectively, whether we believe an individual's personal finances should be governed by a supportive and paternalistic feudal code or whether a more Laissez-faire approach is prudent. I agree with you that freedom and choice is paramount, but then you suggest that the associated risk may well not be worth the benefits for most residents who are supporting not only themselves but a family. So I please ask you to clarify- when I am asked to sign away the rights and protections provided by national, state, and local government... do I sign or refuse???

I think you are of the belief that I truly consider not signing and explore other options- such as changing or altering the contract which may be best with help of a highly skilled attorney highly trained in contract law. However in some posts you seem to favor signing the documents and embracing the very same laissez-faire policies that have damaged or ended the careers of many esteemed physicians from around the world. Is it because the release from law, if signed, extends to all reaches of law? If i do in fact sign, am I then free from the countless restrictions that limit my freedoms? If so, then this is obviously most appealing. I was not born in this society so why must I automatically have its restrictions forced upon me?? If this latter understanding is correct, then I agree that the best course for each of us will be to sign the release from law and prepare for the thunderdome.
 
If I just disappear, people will dismiss me as a troll; so I'm hanging around to clear your doubts as much as possible while not revealing identifying details. Otherwise, people will hold on to a few sceptical comments and not take me seriously. I started this post because I came to know someone I knew got done recently at this hospital (ongoing exploitation). Sexual harassment can be a woman vs man too (not just males) and may just involve unprofessional mails like asking out for a coffee without any offending behaviour!! As I said, only 1 victim was done for sexual harassment; majority were done for being slow, inefficient or talking back to attendings or PD's or other disciplinary infractions. Even then, my point is, had the same offence happened outside of the hospital, the damages or discipline would have been meagre and not a lifetime of persecution; that's why the hospital tricks the victim into signing waiver from legal rights!!!
 
@Bonferroni, friend, I'm not that knowledgeable or smart as some of you folks; but release from laws means you surrender yourself to the hospital's mercy bypassing all protective laws. For eg, you don't have the freedom to work overseas because you are bound to remain in USA as otherwise, the hospital cannot access your accounts overseas (illegal outside). Similarly, though i am not 100% sure, I am not sure if you will have full freedom of communication as none of the victims can be reached on social media. You will be forced to live in rented accommodation (small, cheap place), will not be allowed holidays or anything that incurs expenditure as the hospital keeps sucking out your money. You won't be allowed to switch careers (lets say for health reasons, etc). Don't ever waive your legal rights.
 
@Bonferroni, friend, I'm not that knowledgeable or smart as some of you folks; but release from laws means you surrender yourself to the hospital's mercy bypassing all protective laws. For eg, you don't have the freedom to work overseas because you are bound to remain in USA as otherwise, the hospital cannot access your accounts overseas (illegal outside). Similarly, though i am not 100% sure, I am not sure if you will have full freedom of communication as none of the victims can be reached on social media. You will be forced to live in rented accommodation (small, cheap place), will not be allowed holidays or anything that incurs expenditure as the hospital keeps sucking out your money. You won't be allowed to switch careers (lets say for health reasons, etc). Don't ever waive your legal rights.

Wait wait wait. So you are saying I should NOT sign??? Earlier you suggested that signing a release is how you free yourself from the law of the hospital and potential enslavement.

This is a potentially major issue as our program recently made changes to the residency manual and has edited several portions of our contracts. We all signed them. But perhaps we must think twice before signing again this year. Can you tell us what language to look for?

If they ask me to waive all legal rights but allow me to travel is that ok? Then can I sign? Should I look for details regarding relocation policy in the contract? If no, can I still sign? Or should I only waive my rights once they provide me with a full plan for a potential relocation?

We await your response and are so thankful for your insight and compassion, brother. Fortunately it is a slow shift and the entire nightfloat team can devote their full attention to this matter.
 
@Bonferroni, friend, I think there has been a misunderstanding at your end. Pardon me if I hadn't made it clear. The terms release and waiver are analogous, meaning you discharge (or release) hospital from all your legal rights that you can potentially invoke on any of the hospital's demands, claimed liabilities, action etc in the future with respect to you or you waive (give up) your legal rights. This only applies when you are subject to termination as no hospital would or can persecute a good resident by taking away his/her legal rights!!! My message always has been to avoid signing any agreement that demands you to waive your legal rights or release the hospital from legal action for any demands/liabilities claimed by the hospital as you can minimise your damages. I never said anywhere that you can waive your legal rights. The question of travel becomes pertinent only if you waive all your legal rights; otherwise there is no question of any organisation restricting your freedom of travel; right to live where you want or choice of work!! I also don't think any hospital would openly mention about waiving legal rights in their contracts; this is a secret, hidden clause meant for "victims meant for execution", at least in my former hospital. Friends, as I already said, I don't have full details of the minor steps in the execution plan after signing the release (waiver) from laws, which is the cardinal step; so I acknowledge it is hard for you to believe, but what I have stated so far is 100% truth. Even if I gave you the names of a few victims notwithstanding the risk, you can never reach them as I have tried my best to reach them by various means, to no avail. I reiterate, if you release the hospital from legal action or waive your legal rights, you have set yourself up for permanent exploitation and restriction of some rights.
 
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