Re: info regarding hiring doctor

From: Joanne Bulley, MD (jbulley@cheshire.net)
Sun Mar 26 18:20:18 2000


I agree with Efrain... Not a stupid post - just a complex issue!

My recollection - dating back to the mid 80's - was in joining a practice, there would freqyuently be a three (=/-) year "probation" period - wherin either party could decide the "fit" wasn't there. The new doc would usually be salaried for that period of time. Some sort of productivity expectation laid out... To become a "full" partner, the new doc would "buy" into the practice. At the time of becoming a full partner - the net worth of the practice would be computed and the new doc would buy half of that (or some agreed upon portion). Or the new doc could buy half of the A/R.

>From having been in a practice with a non-compete clause and having
'negotiated' out of it (another two docs litigated out of it) - I can see both sides to the question. You don't want to bear the cost of getting someone started in the business, just to have that doc split off and ruin your hard built practice. So ... if you put in a clause like that - my suggestion is that there is a finite limit as to how many years of partnership there has to be to "repay" your costs of start-up. Such as if the doc splits within 5 (?7) years of joining the practice - then for 2 years from splittinig the doc's "new" practice could not be within a radius of some appropriate # of miles. If you put that in - specify whether those miles are as the crow flies or as the patient drives... I seems ridiculous to me to have this be a "forever" restriction. After some number of years, the practice has re-couped the cost of start-up and if the docs want to split, there should be a better way to do it. If the doc "bought" in - you'd likely need to buy bakc that interest...

Check with an astute attorney experienced with such law in your state!

>No -- problem is that it's somtimes as complicacted as looking for the
>right marriage couple!! :-)
>

--
Joanne Bulley, MD
Keene, NH, USA




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