You didn't say if your practice is in Iowa or not, but for the sake of this question I will make that assumption. If not then this advice is probably inaccurate. It's very difficult to offer advice about contract interpretation without reading the contract and that clearly needs to be done before you make any employment decisions that the contract covers. After all this is an employment contract. The clause to which you refer is commonly called a non-compete clause and I do have some limited information on my website concerning such clauses; I've previously represented a group of 20 to 25 physicians against a major Iowa medical institution renegotiating their employment contracts with the goal of eliminating such a clause. Yes we were successful for those with the patience to wait. You seem to understand that specialists may be treated differently than a family or general practice doctor. That's correct and depending on the needs of society the non-compete clause may be set aside by the courts. If there is no shortage or special circumstance non-compete clauses are enforced by the Iowa courts. 
 What isn't clear from the facts you've stated is the exact clause language. Non-compete clauses have two parts: time and geographic location normally defined by a radius from a definable location. What you've failed to state is from what location the 50 mile radius begins. Does the radius emanate from the clinic, from the hospital or from the outer edge of the hospital systems region? What does the contract language state? And then after that question is answered is the radius reasonable. I'm not sure 50 miles is reasonable, but that would depend on where the center is. The courts have upheld 30 mile radii, but 50 may be a grey area. The language needs to be read by an attorney and the facts of your specialty and whether there is a shortage of the services you provide developed. Also the radii question if vague will need to be clarified; and if not possible it may be a valid reason to void the entire contract provision; so long as you didn't write the contract. From my experience that's doubtful; the hospital systems have lawyers on staff; doctors do not. 
 Clearly you need a formal legal opinion. Call if you wish. Good luck. Steve Lombardi

I am a physician in a 3 yr contract and have a better offer from another hospital 80miles away. I'm 1 yr into my contract with a no compete clause within a 50mile radius. The enity I work for has a network of clinics around the state including a primary care clinic 30 miles away from the other hospital, but I'm a specialist. What are the legal ramifications of breaking my contract? Could they use the no compete clause even though I'm not a primary care doctor? I'm willing to forward my contract. Thanks

 

A:

You didn't say if your practice is in Iowa or not, but for the sake of this question I will make that assumption. If not then this advice is probably inaccurate. It's very difficult to offer advice about contract interpretation without reading the contract and that clearly needs to be done before you make any employment decisions that the contract covers. After all this is an employment contract. The clause to which you refer is commonly called a non-compete clause and I do have some limited information on my website concerning such clauses; I've previously represented a group of 20 to 25 physicians against a major Iowa medical institution renegotiating their employment contracts with the goal of eliminating such a clause. Yes we were successful for those with the patience to wait. You seem to understand that specialists may be treated differently than a family or general practice doctor. That's correct and depending on the needs of society the non-compete clause may be set aside by the courts. If there is no shortage or special circumstance non-compete clauses are enforced by the Iowa courts.

What isn't clear from the facts you've stated is the exact clause language. Non-compete clauses have two parts: time and geographic location normally defined by a radius from a definable location. What you've failed to state is from what location the 50 mile radius begins. Does the radius emanate from the clinic, from the hospital or from the outer edge of the hospital systems region? What does the contract language state? And then after that question is answered is the radius reasonable. I'm not sure 50 miles is reasonable, but that would depend on where the center is. The courts have upheld 30 mile radii, but 50 may be a grey area. The language needs to be read by an attorney and the facts of your specialty and whether there is a shortage of the services you provide developed. Also the radii question if vague will need to be clarified; and if not possible it may be a valid reason to void the entire contract provision; so long as you didn't write the contract. From my experience that's doubtful; the hospital systems have lawyers on staff; doctors do not.

Clearly you need a formal legal opinion. Call if you wish. Good luck.  Steve Lombardi




Welcome to the Lombardi Law Firm website. Knowing your rights and how to protect yourself is important. Always be alert to risks that can cause you injury or get you killed.  Steve Lombardi provides commentary and insight on this blog, The Verdict and also writes for the Iowa Edict and on occasion on the Des Moines Register web site. Steve Lombardi has more than 30 years in civil litigation including death and injury cases for workers and their spouses for all types of accidents and injuries. Attorney Steve Lombardi is a personal injury lawyer. Join us in making the world a safer place. (515-222-1110 or sdlombardi@aol.com )
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What can I do if I was hurt at work and my employer has not helped me yet? I got hurt at work over a month ago and I am in need to get a MRI and the company keeps putting it off. They did not turn it in to workman's compensation and I need to see what's wrong. I am having a lot of pain. What can I do?

What can I do if worker's compensation won't communicate with my attorney? I slipped and fell at work on the school bus steps. I hurt my back and the xray and MRI says I'm fine but I can't function and I am in constant pain. The doctor says I have lower lumbar pain and my left sciatic nerve is giving me problems. I went to physical therapy but workers comp only approved 12 visits. I have a list of restrictions. Workers compensation won't approve my 2nd opinion on my back and won't approve any more therapy and they just started pay me but they are under paying me. On January 13th, I would have been off work for 3 months. I have an 11 month old child and due to non payment from workers comp I lost my apartment and my lights and water got cut off. I had to pull my child out of daycare. My job won’t let my come back unless I am free from restrictions and free from doctors’ care. If I do a settlement case with my job and workers comp how much do you think I'll get? Because I am so far in debt and now I have to go to court over the apartment I just lost. and yes i do have a lawyer but it seems as if he can’t do anything either. workers comp wont communicate with him or email back they won’t correct my amount or back pay me so I'm like what do I have a lawyer for again?

Can I sue my employer if I was injured at work after several months?  I got hurt while working at a company. They treated me for tendinitis and kept me working under lifting restrictions. Seven months later they found an almost 2 inch tear in my rotater cuff. I had surgery then physical therapy for 5 months. After about 3 months of progress at PT I started having severe pain. I returned to the doctor and was put on an anti-inflammatory. I am still currently taking them. A few months prior to having or even knowing about the surgery, I had plans to move closer to family. I had asked my job if my injury would affect my transfer, I was told 'no not at all' they even helped me put in the transfer request. I recently made the move from Pennsylvania to Nebraska. I am now being told that I am non-transferable. I have been with this company for over 3 years, had an excellent annual evaluation, and did everything they asked up until the move. Due to the continuous inflammation and pain, I'm unable to do previous jobs or personal tasks. Do I have a case? Could I sue for continued medical care or a settlement?

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