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The Hidden Dangers of "Other Duties as Assigned" in Physician Contracts

When reviewing a physician employment contract, most of the language seems clear: compensation, schedule, benefits, and termination clauses are (if you have done your due diligence) explicitly spelled out. But nestled among the pages is a seemingly harmless phrase that can carry significant consequences: "other duties as assigned."

This vague clause, while common in contracts, has the potential to dramatically impact a physician’s work-life balance, professional scope, and even long-term career trajectory. Here's why it matters and how to approach it.

What Does "Other Duties as Assigned" Really Mean?

At its core, this clause gives employers the flexibility to request additional responsibilities beyond the outlined job description. While it may be intended for rare or temporary needs, the ambiguity leaves room for overreach.

Examples include:

  • Covering for absent colleagues without additional compensation.

  • Taking on administrative or committee work outside your specialty.

  • Being required to work extra shifts or take on-call duties unexpectedly.

Why It Can Be Problematic

1. Scope Creep

What starts as a few additional tasks can snowball into a significant workload increase, often without corresponding pay or support. Physicians may find themselves stretched thin, taking on roles that dilute their focus on patient care.

2. Work-Life Imbalance

Unexpected or excessive responsibilities can disrupt the careful balance many physicians strive to maintain. This can lead to burnout, dissatisfaction, and ultimately higher turnover rates.

3. Legal and Ethical Risks

Performing tasks outside your specialty or expertise could expose you to legal liability. For example, being asked to take on procedures you aren’t fully trained for could result in malpractice claims or harm to your professional reputation.

4. Lack of Compensation

Additional duties often come without corresponding increases in pay or benefits. This can result in a growing sense of undervaluation and inequity.

How to Protect Yourself

1. Clarify the Clause

Ask for specifics during contract negotiations. What types of "other duties" might be expected? How often? Under what circumstances? Ensure that expectations are reasonable and aligned with your role. Get these in writing.

2. Set Boundaries

Request language that limits the scope of additional duties. For example, specify that additional responsibilities must fall within your area of expertise or require mutual agreement.

3. Negotiate Compensation

If the clause remains broad, negotiate for extra compensation or time off when fulfilling duties beyond your standard role. This ensures you’re fairly compensated for the added workload.

4. Document Changes

Get any agreed-upon modifications in writing. A verbal understanding won't hold up if disputes arise later.

5. Seek Legal Counsel

Have an experienced attorney review your contract to identify and address vague or potentially exploitative clauses, including "other duties as assigned."

Final Thoughts

While "other duties as assigned" might seem like a minor detail, it’s a clause that deserves careful scrutiny. Understanding its implications and taking proactive steps during contract negotiations can save you from unexpected burdens down the road.

As a physician, your time, expertise, and well-being are valuable. Protecting them starts with a thorough review of your contract—and advocating for yourself every step of the way.

Looking for guidance on contract negotiation?

At Futurescope, we specialize in helping physicians navigate the complexities of contracts, ensuring your rights and priorities are protected. Schedule a free consultation today!


Futurescope is not a law firm and does not provide legal advice. Our mission is to support physicians by offering guidance, resources, and strategies to help them navigate career challenges, including contract negotiation, career development, and professional growth.

While we specialize in empowering physicians to advocate for themselves and make informed decisions, we encourage consulting with a qualified attorney for legal advice or contract review. Together, we can ensure your career is built on a solid foundation that aligns with your goals and values.

Empowering Physicians. Elevating Careers.



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