Already Have the Job Offer? Here's Exactly What the Next Steps Look Like

By DR Advisors | Physician's Trusted Advisor

The offer letter just landed in your inbox. Maybe you've been waiting for it. Maybe it came faster than expected. Either way, the clock is now running — and speed matters more than most physicians realize.

This isn't a general checklist. It's exactly what happens, step by step, when you work with us to respond to an offer — because the faster you move, the more room you have to negotiate. Employers expect a response within a reasonable window. The longer that window stretches, the less inclined they are to make changes on your behalf. Speed isn't just convenient. It's leverage.

Step One: You Buy In and Upload Your Contract

You start the Physician Contract Review Program and upload your employment agreement — the actual document, plus anything it references. That's it. From there, the work is ours.

Start your review with the Physician Contract Review Worksheet if you want a head start before you upload. Download the Worksheet → Physician Contract Review Worksheet

Step Two: You Receive Your Report Within 24 Hours

Within one business day, you have a complete written report. It includes:

A full risk assessment. We go through your contract and identify everything that carries real risk — broadly defined termination language, tail coverage gaps, non-compete exposure, undefined compensation formulas. Each one is flagged and explained.

Financial modeling for Year 1 through Year 3. Not just the number on the offer letter — a realistic projection of what your compensation actually looks like over the first two to three years, based on your specialty, your productivity formula, and your panel build timeline.

A full walkthrough of your contract terms. This includes the things you wouldn't change — the standard provisions present in virtually every physician contract. You're not negotiating these, but you should understand exactly what they mean before you sign. Knowing what's standard is as important as knowing what's not.

Step Three: Your Coaching Session

Once you have the report, we sit down together and walk through it. By the end of the session, you have a clear, specific response ready to go back to the organization — exactly what to push back on from a contractual standpoint, with recommendations, stated clearly enough that you walk out knowing precisely what you're going to say.

This whole process — from upload to a response ready to send — typically takes one to two business days.

Expert Advice: That timeline matters more than it might seem. A lawyer reviewing your contract will often take a week or more to get back to you. And realistically, you don't have the time to do this thorough a review yourself — you're either still in training or already working full time, with everything else that comes with it. One to two days gets you a response that's ready to send while the offer is still fresh and your timeline still gives you room to negotiate.

Ready to start the clock in your favor? Book Your Physician Contract Review → Physician Contract Review

The Bottom Line

Once the offer is in hand, the process doesn't need to be complicated or slow. Upload your contract, get a complete risk assessment and financial model within a day, walk through it with us, and leave with a clear, ready-to-send response. The faster that happens, the more negotiating room you keep.

Related reading: [The Physician Contract Review Program: What It Is, How It Works, and Why It Matters] | [What a Contract Review Actually Looks Like: Inside a 1-Business-Day Report] | [The 5 Contract Questions Every Physician Should Be Able to Answer Before Signing]