The change from residency to your first job marks the first time that you have the ability to try to negotiate the terms of your employment. During training, you take the position – internship or residency – “as is,” with outside organizations such as the Accreditation Council for Graduate Medical Education and its Residency Review Committee for Anesthesiology determining the conditions of your position. As you consider employment options post-residency, you likely will be given an employment agreement or offer letter with various attachments to review. This article will explore some of the important issues in an employment agreement and practical aspects of negotiating your deal.

Although a written agreement is not required, it memorializes the key terms of employment, which can be important over time as leadership within an employer changes. If you are offered something during the interview process, whether time off to take Board examinations or a...

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