Signing a physician contract after a long, exhausting shift—especially a 24-hour call—can severely impair your judgment. The brain fog experienced during and after such intense work often leads to overlooking critical contract details. From my own experience and from sharing with colleagues, the risk is real: signing a contract that seems "fine" at first glance can result in binding terms that restrict your future opportunities or undervalue your work. One key element often missed when fatigued is the non-compete clause. These clauses can limit where you practice after your contract ends, sometimes restricting you within entire geographic regions. Additionally, contracts that include poor RVU (Relative Value Unit) arrangements may seem standard but actually disincentivize volume or quality work, impacting your income and job satisfaction. I’ve learned that taking time—at least several days of rest—before thoroughly reviewing any contracts is crucial. If possible, seek legal advice or use trusted contract review services designed specifically for physicians. Join communities online where residents and new attendings share their contract experiences. This can help you spot red flags early. Lastly, don’t underestimate burnout's effect not only on your clinical work but on important career decisions like contract signing. Protect your future by staying alert and informed, and remember that it’s okay to delay signing until you’re fully rested and clearheaded. The free guides and resources available online can be invaluable tools during this process, ensuring you enter your new role with confidence and clarity.