Term and duties
Clear definitions of start/end dates, full-time or part-time status, rotation schedule, and clinical or research responsibilities to reduce role confusion and ensure accreditation alignment.
A well-drafted Fellow Employment Agreement reduces ambiguity about duties, compensation, intellectual property, and supervision. It protects the institution and the fellow by documenting expectations, reducing litigation risk, and streamlining payroll, credentialing, and benefits enrollment while creating a single reference for post-appointment obligations.
Organizations and individuals commonly involved before, during, and after onboarding.
These stakeholders should confirm the agreement matches institutional policy and applicable law before signing.
The Program Director or Department Chair typically reviews and approves educational obligations, supervision plans, and evaluation schedules. Their signature confirms training objectives and faculty oversight and may be required for credentialing and accreditation records.
The fellow signs to accept the duties, compensation, and institutional policies. The fellow's signature establishes consent to terms including confidentiality, moonlighting restrictions, and intellectual property assignments when applicable.
Clear definitions of start/end dates, full-time or part-time status, rotation schedule, and clinical or research responsibilities to reduce role confusion and ensure accreditation alignment.
Detailed stipend or salary, payment schedule, leave entitlements, health benefits eligibility, and any relocation or licensing reimbursement terms to permit accurate payroll setup.
Nondisclosure clauses and HIPAA compliance obligations when clinical or patient data access is required, plus requirements for institution-specific privacy training.
IP and invention assignment clauses that specify ownership of research results and publication rights while balancing academic norms and sponsor obligations.
Grounds for immediate termination, required notice periods, and post-termination obligations such as return of property or continuation of benefits if applicable.
Designate the controlling state law for disputes and specify arbitration or venue if the institution requires alternative dispute resolution.
Set precise start/end dates (MM/DD/YYYY) to define obligations.
Complete payroll setup before the first pay cycle.
Provide W-2 or 1099 by Jan 31 when required.
Keep I-9 for 3 years after hire or 1 year after separation.
Meet licensing and credential deadlines before clinical duties.
| Field | Configuration |
|---|---|
| Signature Block | Required for all signers; date field required |
| Signing Order | Program Director then Fellow then HR |
| Authentication | Email link or SMS code; use stronger methods for PHI |
| Audit Settings | Enable full audit trail and PDF certificate |
Confirm the eSignature provider supports required security, HIPAA BAA (if needed), and integrations with HR systems before use.
| Criteria | Fellow Employment Agreement | Independent Contractor Agreement |
|---|---|---|
| Control | institution sets schedule | contractor sets hours |
| Taxes | employer withholdings | contractor handles taxes |
| Benefits | eligible for benefits | no employer benefits |
| Credentialing | often required for clinical duties | rarely required |
| signNow | DocuSign | Adobe Sign | PandaDoc | HelloSign | |
|---|---|---|---|---|---|
| Starting Price | $8/user/mo | $15/user/mo | $14/user/mo | $19/user/mo | $15/user/mo |
| Free Trial | 7-day free trial | Varies by vendor | Varies by vendor | Varies by vendor | Varies by vendor |
| Bulk Send | Yes (Business Premium) | Yes | Yes | Yes | No |
| Audit Trail | Yes | Yes | Yes | Yes | Yes |
| HIPAA Compliant | Yes | Yes | Yes | No | No |
A university hospital drafted a one-year clinical fellowship with explicit rotation schedules and supervision rules to meet accreditation requirements.
A research institute used a two-year fellowship agreement tying stipend payments to grant funding streams and establishing IP assignment to the institution.