Although that may not lead to significant changes in the contract, you can at least have comfort that there is nothing outrageous in the contract. I have received many phone calls from physicians who did not have an attorney review their initial contracts and were now concerned about onerous provisions. The first sign that an attorney may be needed is that the contract is inconsistent with the verbal discussions. That usually occurs due to miscommunication between the practice and the attorney, the attorney or accountant convincing the practice that it was being too generous, or second thoughts by the practice. The likelihood of the practice to make changes to the contract depends on the reasonableness of the physicians.
Bargaining power is also a key factor.
If the practice has hired another physician recently, most likely they will be hesitant to vary from the previous format and substance so as to not offend the employed physician. However, if you bring a special skill to the table, you may be able to get some variation. If the practice has not recently hired a physician, you are more likely to be able to negotiate. However, do not let the practice know you are committed before the contract is finalized. For example, do not commit to buying a house in the area and do not turn down other offers.