Physicians should approach contract negotiations with confidence, yet the process can be overwhelming. All employment agreements are constructed by legal counsel on behalf of the employer, and most agreements will appear one-sided at first glance - and probably are. The larger the Employer the more resistant they will be to changes in their “standard” contracts. But certain provisions simply may be unacceptable. A physician should not enter into an agreement containing provisions (1) they do not fully understand (2) that are unreasonable but seem only remotely applicable (3) that are simply onerous!