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                                                                    EXHIBIT 10.2

 
                   SECOND AMENDMENT TO EMPLOYMENT AGREEMENT
                                        
     THIS SECOND AMENDMENT TO EMPLOYMENT AGREEMENT (this "Amendment") is made
and entered into effective December 1, 1998 by and between MedPartners, Inc., a
Delaware corporation ("MedPartners") and E. Mac Crawford ("Executive").
Capitalized terms used herein and not otherwise defined herein shall have the
meanings ascribed to them in that certain Employment Agreement by and between
MedPartners and Executive dated March 18, 1998, as amended August 6, 1998 (the
"Employment Agreement").

     WHEREAS, MedPartners and Executive entered into the Employment Agreement
whereby Executive agreed to serve as President and Chief Executive Officer of
MedPartners;

     WHEREAS, effective December 1, 1998, Executive was elected to the office of
Chairman of the Board of Directors of MedPartners ("Chairman of the Board");

     WHEREAS, MedPartners and Executive desire to amend certain provisions of
the Employment Agreement to reflect the additional powers and duties which
Executive assumed upon taking the office of Chairman of the Board.

     NOW, THEREFORE, in consideration of the foregoing recitals and of the
mutual covenants and agreements contained in this Amendment, the parties agree
as follows:

     1.  Amendment of Section 3.  Section 3 is hereby deleted in its entirety,
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and the following substituted therefore:

      Executive shall be employed by MedPartners during the term of employment
under this Agreement as the President and Chief Executive Officer of
MedPartners.  Executive shall perform such duties as may be assigned to him from
time to time by and shall report to the Board of Directors of MedPartners (the
"Board of Directors"), provided that such duties are consistent with Executive's
title and position.  Executive shall also serve as a member of the Board of
Directors.  Effective December 1, 1998, Executive was elected to the additional
office of Chairman of the Board of Directors of MedPartners ("Chairman of the
Board"), and shall serve as Chairman of the Board until his successor is duly
elected and qualified, or until his earlier death, resignation or removal.

      In carrying out his duties under this Agreement, Executive shall have such
powers and duties usually incident to the offices of President and Chief
Executive Officer and shall have general responsibility for the overall
development, expansion and operations of MedPartners and its subsidiaries and
affiliates.  Executive shall also have such powers and duties usually incident
to the office of Chairman of the Board until his successor is duly elected and
qualified, or until his earlier death, resignation or removal.

      Executive shall devote substantially all of his time and energies during
business hours to the supervision and conduct, faithfully and to the best of his
ability, of the business and affairs of MedPartners; provided  that it shall not
be a violation of this Agreement for the Executive to serve on the Board of
Directors of First Union National Bank of Georgia, Integrated Health Services,
Inc. and MaterniCare, Inc. The Executive shall not be restricted, subject to
Section 12 hereof, from investing his assets in such form or manner as will not
require any services on his part in the operation of the affairs of the
companies in which such investments are made.

     2.  No Other Amendment. Except as expressly modified by this Amendment, all
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other terms and conditions of the Employment Agreement shall not be modified or
amended and shall remain in full force and effect.

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     3.  Miscellaneous.
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         (a) Entire Agreement. This Amendment, together with the Employment
         Agreement and the Stock Option Agreements dated August 6, 1998 and
         January 27, 1999, contain the entire agreement of the parties relating
         to the subject matter hereof and thereof, and such documents replace
         and supersede any prior agreements between the parties relating to said
         subject matter.

         (b) Waiver and Amendment. No provision of this Amendment may be waived
         except by a written agreement signed by the waiving party. The waiver
         of any term or of any condition of this Amendment shall not be deemed
         to constitute the waiver of any other term or condition. This
         Amendment may be amended only by a written agreement signed by each of
         the parties hereto.

         (c) Captions. Captions have been inserted solely for the convenience
         of reference and in no way define, limit or describe the scope or
         substance of any provisions of this Amendment.

         (d) Severability. If this Amendment shall for any reason be or become
         unenforceable by any party, this Amendment shall thereupon terminate
         and become unenforceable by the other party as well. In all other
         respects, if any provision of this Amendment is held invalid or
         unenforceable, the remainder of this Amendment shall nevertheless
         remain in full force and effect and, if any provision is held invalid
         or unenforceable with respect to particular circumstances, it shall
         nevertheless remain in full force and effect in all other
         circumstances.

         (e) Governing Law. This Amendment shall be governed by the laws of the
         State of Alabama.


     IN WITNESS WHEREOF, the parties have executed this Amendment as of the date
first above written.

                                           MedPartners, Inc.


                                           By: /s/ C. Clark Wingfield
                                              --------------------------------
 
                                           Name: C. Clark Wingfield

                                           Title: Executive Vice President and
                                                  Chief Administrative Officer
 
                                           /s/ E. Mac Crawford
                                           -----------------------------------
                                           E. Mac Crawford

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