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A Physician is Leaving Your Practice “Must Have Employment Agreement Provisions (Part I) By Howard E. Board and Kelli C. Fleming March 2017Reprinted with Permission from the Medical Association
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How to fill out a physician is leaving

01
Gather all necessary information about the physician who is leaving, such as their name, contact information, and any relevant documentation or paperwork.
02
Notify the appropriate individuals or departments within your organization, such as HR, administration, or the medical staff office, about the physician's departure.
03
Provide a formal resignation letter or notice to the designated authority, following any applicable procedures or guidelines.
04
Ensure that all patient records and medical documentation related to the departing physician are properly transferred or assigned to other healthcare providers.
05
Communicate the departure of the physician to their patients, if necessary, and assist them in finding alternative medical care or transferring their records as per their preferences.
06
Complete any necessary paperwork or administrative tasks related to the departure, such as updating schedules, notifying insurance companies, or deactivating access privileges.
07
Conduct an exit interview or evaluation with the departing physician to gather feedback, identify any outstanding responsibilities or tasks, and ensure a smooth transition for patients and staff.
08
Assign a point person or contact for any inquiries or concerns related to the physician's departure, both within and outside of your organization.
09
Continuously monitor and manage the transition process to address any challenges or issues that may arise.
10
Maintain confidentiality and professionalism throughout the entire process, respecting the privacy and rights of the departing physician and their patients.

Who needs a physician is leaving?

01
Organizations or institutions where the physician is currently employed or associated with.
02
Patients who have been receiving medical care or treatment from the departing physician.
03
Other healthcare providers or medical staff who may need to assume or redistribute the responsibilities and patient load of the departing physician.
04
Administrative and HR departments within the organization to ensure proper documentation, transfers, and handling of the departure.
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A physician leaving refers to when a medical professional decides to depart from their current position or practice.
The healthcare facility or organization where the physician is leaving from is typically required to file a notification.
The notification should typically include the physician's name, reason for leaving, effective date of departure, and any necessary contact information.
The purpose of filing a physician leaving notification is to ensure continuity of patient care and to inform relevant parties of the upcoming change.
The information to be reported may include the physician's name, specialty, departure date, and any transition plans for patient care.
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