All moves, med school to late career · Early career · Mid career · reviewed October 27, 2026 · oldest source check October 21, 2026
The decision. Signing a renewed or amended employment contract.
What changes
- Any clause can change at renewal. The renewal comparison opens the old and new versions in the browser and lists every clause that was changed, added or removed, without uploading either.Andwise: what changed in a renewal contract · checked October 21, 2026
- Texas SB 1318 (2025) applies to physician covenants entered into or renewed on or after September 1, 2025; covenants entered into or renewed before then stay under prior law. A renewal can move an existing covenant under the newer statute.Tex. S.B. 1318 (89th Leg., R.S. 2025), enrolled text; Andwise: Texas non-compete law · checked October 21, 2026
- Fee-schedule changes reach a renewal's compensation terms: the 2026 efficiency adjustment cut work RVUs 2.5% for services that are not time-based.CMS, CY 2026 Medicare Physician Fee Schedule final rule fact sheet · checked October 21, 2026
- Deferred compensation in a non-governmental 457(b) plan, the kind a nonprofit employer offers, remains the employer's property and is subject to its general creditors until paid; the plan is limited to management or highly paid employees. A governmental 457(b) holds assets in trust for participants.IRS, non-governmental 457(b) deferred compensation plans; 26 U.S.C. §457 · checked October 27, 2026
Who is paid for what
How each party at this decision is paid, and what its role does not include. The page states payment structures only, not intentions.
The employer
Pays the contract's formula, which the renewal can change.Andwise: what changed in a renewal contract
Not part of its role Pointing out which terms changed between the old and new versions.
Costs that come later
What is agreed at this decision, and when its cost arrives.
- A restated non-competeLands at Leaving the job, under the statute in force at renewalNon-compete laws by state
- Restated vesting, repayment or notice termsLands at Leaving within the new periodsWhat changed in a renewal contract
- Deferrals into a non-governmental 457(b)Lands at Leaving, when the plan pays out under its own distribution rules
Dates for a calendar
Contract dates come from the terms the contract checker read, saved in this browser only; a start date places them. Rule changes come from the site's feed of dated changes. The calendar file is built on this device.
Deadlines, and who sets them
- Set in the contractThe renewal or non-renewal notice date
Tools, in the order this decision uses them
What changed in a renewal contract
Every clause changed, added or removed, quoted side by side.
Offer comparison
The renewal against an outside offer at 1, 3 and 5 years.
wRVU statement checker
Last year's statement against the contract's terms.
Questions for a professional or the other party
Counsel
- Does the renewal restate the non-compete, and does that change which statute applies?
The employer
- Does the renewal restart any vesting, repayment or notice period?
- Which fee-schedule year does the renewed compensation clause use?