7. Will I have an orientation? Will I be paid for any portion of the orientation?

A structured orientation is key for a successful start. It’s optimal to have a well-defined orientation process, and it’s a plus if when you start seeing patients, you are compensated for your time even during orientation shifts.

8. What performance expectations do you have?

Every medical director will have performance expectations. You need to know what they are before you accept the job. If you can meet or exceed them, great! If not, think twice about signing on the dotted line.

9. Are there plans for the hospital to change ownership?

Although hospital restructuring can be positive, it may also signal more change, including who staffs the ED.

10. Do you think the CEO will be staying in the position?

Much like hospital ownership, when a new CEO is hired, you can expect that policy change will follow. This can also result in a change in ED staffing models and partners.

Dr. Klauer is director of the Center for Emergency Medical Education (CEME) and chief medical officer for Emergency Medicine Physicians, Canton, Ohio; on the board of directors for Physicians Specialty Limited Risk Retention Group; assistant clinical professor at Michigan State University College of Osteopathic Medicine; and medical editor in chief of ACEP Now.