The Chelle Law Physician Assistant Resource Library provides practical guidance to help physician assistants understand compensation structures, restrictive covenants, malpractice obligations, termination provisions, productivity models, supervision requirements, and other issues commonly found in PA employment and independent contractor agreements.

Developed by attorney Robert Chelle, these guides explain complex physician assistant contract and compensation issues in clear, practical language so PAs can better understand how an agreement may affect their income, professional responsibilities, and future employment options before signing, renewing, requesting changes to, or terminating a contract.

The library covers salary and productivity compensation, bonuses, non-compete clauses, malpractice and tail insurance, termination provisions, repayment obligations, independent contractor arrangements, supervision requirements, and other important terms of physician assistant contracts.

Compensation & Pay Models

Understand common physician assistant compensation structures, including salary, productivity incentives, RVUs, bonuses, negative accrual, and employee versus independent contractor pay arrangements.

Contract Terms & Risk Areas

Review important provisions that can affect a physician assistant’s compensation, schedule, termination rights, financial obligations, and future employment options.

Restrictive Covenants

Learn how non-competes, non-solicitation clauses, and other restrictive covenants may limit a physician assistant’s employment options after leaving a practice.

Malpractice Insurance & Tail Coverage

Understand malpractice policy types, insurance limits, premium obligations, tail coverage, and how professional liability provisions may affect a PA after termination.

Independent Contractor Agreements

Review contractual issues that can arise when a physician assistant works as an independent contractor rather than as a traditional W-2 employee.

Physician Assistant Contract Resources — Frequently Asked Questions

What Should a Physician Assistant Review Before Signing an Employment Contract?

A physician assistant should review compensation, productivity incentives, scheduling requirements, work locations, termination rights, restrictive covenants, malpractice coverage, tail insurance, signing bonuses, repayment obligations, and any other provisions that could affect compensation or future employment options.

How Are Physician Assistants Commonly Compensated?

Physician assistants may be paid through a fixed salary, hourly rate, productivity-based compensation, RVU-based compensation, collections-based incentives, bonuses, or a hybrid of several methods. The agreement should clearly explain how compensation is calculated, when it is paid, and whether any thresholds, deductions, or reconciliation provisions apply.

What Is RVU Compensation for Physician Assistants?

RVU compensation ties some or all of a physician assistant’s pay to productivity measured through relative value units. The contract should explain which RVUs count, the applicable conversion factor, any productivity threshold, how often production is measured, and when incentive compensation is paid.

What Contract Red Flags Should Physician Assistants Watch For?

Common concerns include unclear compensation formulas, negative accrual, broad non-competes, excessive notice requirements, large bonus repayment obligations, vague scheduling or location requirements, employer discretion to change compensation, and unclear malpractice or tail insurance responsibilities.

How Do Non-Compete Clauses Affect Physician Assistants?

A non-compete can restrict where or for whom a physician assistant may work after employment ends. Important terms include the duration, geographic scope, locations used to calculate the restriction, activities covered, triggering events, and whether state law limits or prohibits the restriction.

What Should a PA Contract Say About Malpractice and Tail Insurance?

The agreement should identify the type of malpractice coverage provided, policy limits, who pays the premium, whether tail coverage may be required after employment ends, and who is responsible for the cost of any required tail coverage.

What Is the Difference Between W-2 and 1099 Physician Assistant Agreements?

A W-2 physician assistant is generally treated as an employee, while a 1099 physician assistant is treated as an independent contractor. The arrangements can differ significantly in taxes, benefits, expenses, insurance obligations, control over work, and contractual responsibilities, so the agreement should clearly define the relationship.

When Should a Physician Assistant Have a Contract Reviewed?

A physician assistant should consider review before signing a new employment or independent contractor agreement, accepting a renewal or amendment, agreeing to a compensation change, or signing a termination-related document. Review is most useful while there is still an opportunity to clarify or negotiate important terms.

Have Your Physician Assistant Contract Reviewed

Attorney Robert Chelle provides attorney-led physician assistant contract reviews to help protect your compensation structure, restrictive covenants, malpractice obligations, and long-term career flexibility.

Request a Physician Assistant Contract Review