Healthcare Employment Contracts in the Gulf: 15 Clauses Western-Trained Clinicians Must Review Before Signing

06.11.25 02:50 PM

Why contracts decide stability (not just salary)

In private hospitals, clinics and UHNWI care, scope, schedules and protections live in your contract. Read it like a clinical order set: clear parameters prevent downstream risk—delayed visas, rota drift, or uninsured tasks. Use the checklist below and request amendments before you sign.


The 15 clauses to check (and what “good” looks like)

  1. Job title & scope
    Your contract title must match regulator category and expected privileges. If you’ll do home/hotel/yacht work, settings must be named.

  2. Base salary (tax-free)
    State monthly amount and currency; confirm payment day and account requirements (e.g., UAE/KSA bank).

  3. Allowances
    Spell out housingtransportutilities, and any education or relocation allowances—amounts, frequency, and eligibility.

  4. On-call & overtime
    Define rates (per hour/per shift), caps, and whether post-call recovery is paid/rostered. Avoid vague “included in salary”.

  5. Shifts & rota
    Maximum consecutive days/nights, weekend frequency, and rota publication window (e.g., 4 weeks ahead).

  6. Probation
    Length, extensions, evaluation criteria, and notice during probation.

  7. Notice & termination
    Mutual notice periods, cause vs. convenience, and repatriation specifics (ticket class, destination).

  8. Penalty clause / liquidated damages
    If present, tie it to specific employer costs (visa/licensing) and time-bound amortisation; exclude generic “training costs”.

  9. Licensing & credentialing responsibilities
    Who pays DataFlow/PSV, regulator fees, exams, translations, and tail cover if claims-made policy is used.

  10. Malpractice insurance
    Named clinician, limits (per-claim/aggregate), settings (hospital/clinic/home/hotel/yacht), and tail/run-off on exit.

  11. Health insurance & benefits
    Coverage level (in-patient/out-patient), dependants, waiting periods, excess/co-pay, and start date.

  12. Accommodation & travel
    If housing is provided: type, location, single/shared, utilities. If not: housing allowance amount. Annual flights: class, route, who qualifies.

  13. Visa, residency & family sponsorship
    Who funds Entry/Work Visa, medical fitness, biometrics, Residence/Emirates ID; timelines and support for dependant visas.

  14. Non-competition & secondary practice
    Define radius/duration; ensure permitted secondary practice (if any) is consistent with licence and insurance.

  15. Dispute resolution & governing law
    Jurisdiction and process. Keep copies of everything you sign and any policy referenced.


UHNWI / home-care addendum (if applicable)

  • Setting named (home/hotel/yacht) and escalation pathway to hospital.

  • Medication custody (ordering, storage, transport) and documentation standards.

  • On-call boundaries and response times; household PA handles logistics only.


Red flags (and clean fixes)

  • Overtime included” without numbers → add rate/cap or a comp time rule.

  • Privileges broader than insurance schedule → request policy endorsement before first shift.

  • Penalty clause not time-bound → amortise over 6–12 months; cap at documented costs.

  • Rota issued < 7–14 days ahead → set a minimum publication window.

  • Undefined home-care scope → attach a home-care SOP and insurance rider.


Copy-paste pre-signing checklist

  • Title = regulator category; privileges listed or referenced

  • Base salary + allowances itemised; pay day confirmed

  • On-call/overtime math defined; caps set; recovery stated

  • Rota rules (max consec. days/nights; publication window)

  • Probation & notice clear; termination and repatriation stated

  • Employer funds licensing/PSV/exams/translations (or amounts capped)

  • Malpractice: limits + settings; tail on exit if claims-made

  • Health insurance details; dependants included/excluded

  • Housing provided or allowance; annual flights terms

  • Visa/residency costs and timelines; dependant pathway

  • Non-compete scope reasonable; secondary practice policy

  • Governing law and dispute process specified

  • If UHNWI/home-care: SOP attached; insurance rider confirmed


Short FAQs

Can I sign and fix later?
Assume no. Amendments are hardest after onboarding. Request clarifications now.

What if I don’t know my exact privilege list yet?
Attach a draft scope with a review point at 30–90 days; require insurance endorsement before scope expansion.

Is a penalty clause normal?
Sometimes—tie it to documented employer costs, cap it, and ensure it decreases over time.