Make sure your physician employment agreements address when a physician can request to be removed from the call schedule and any related reductions to his or her compensation. Most groups I see either require a length of service requirement to get off call or when a physician reaches a certain age. The penalty for coming off call is usually a 20-30% reduction in compensation, depending of course on the medical specialty and the intensity of getting called out after hours. Any reduction in compensation is divided equally among the physicians who remain on the call schedule.
Medical Practice Management, Physician Compensation Models