01/01/2025
10 Tips for Thriving as a Locum Tenens Physician
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You have what it takes to thrive as a locum tenens physician—it’s just a matter of connecting with the right resources to make it happen.
Locums is definitely a change from traditional residency. Navigating the difference may seem too much from where you're standing right now, but with the right guidance and support you'll actually find the transition seamless and the outcomes highly rewarding. Like when you partner with a locum tenens company like Era Locums, for instance. At Era, our recruiter guides you every step of the way and connects you with the right people and positions.
Ultimately, locum tenens empowers you to create the career and lifestyle you deserve.
That's why we've outlined the key steps to help you get started with your locum tenens career. With the help of this guide and an Era recruiter, you can feel confident about becoming a locum tenens physician.
10 Tips for Locum Tenens Physicians
- Why Become a Locum Tenens Physician?
- 1. Preparing to be a Locum Tenens Physician
- 2. Update Your Credentials
- 3. Choosing a Locum Tenens Agency
- 4. Find the Right Facility
- 5. Interviewing for Locum Tenens Opportunities
- 6. Get Professional Help Verifying Credentials
- 7. Locum Tenens Contract Negotiations
- 8. Logistics and Preparation
- 9. Delivering Excellence
- 10. Completion & Follow Up
- FAQs about Locum Tenens
- The Era Locums Approach
Why Become a Locum Tenens Physician?
Flexibility and travel opportunities rank highly among reasons to opt for a locums role. Locum tenens positions often give you more control over your schedule, allowing you to choose when and where you work. Working in different locations and settings can also give you more diverse clinical experiences and enhance skills. It's also especially appealing for those who love to travel and explore.
Less administrative burden and reduced commitment also make a significant impact. Because many locum positions have fewer administrative responsibilities compared to permanent roles, they also allow you to focus more on patient care. Along with that, these roles typically involve shorter contracts, making it easier for physicians to transition between jobs or take breaks as needed. The flexibility and variety can help prevent physician burnout, since you can take time off between assignments or choose less demanding roles.
Finally, the opportunity to give back to the community is an important draw for many physicians. Some locums positions are located in areas where staffing is low and need is high. Those doctors who seek to go to place where their work will have the greatest impact often turn to Locum Tenens staffing as a way to connect with the communities who need them most.
1. Preparing to be a Locum Tenens Physician: Designing Your Life
One of the primary reasons to pursue a career as a locum tenens physician is greater control over your lifestyle and schedule. The best way to achieve the kind of freedom you dream of is to start by envisioning what it would look like. If you’re fresh out of residency or just completed a fellowship, plan for the life you want to work toward.
We recommend thinking about your answers to the following questions:
- Where do you want to live? Do you want to stay close to home? Are you looking to travel the country and try out new cities and cultures? Think about your short and long-term goals.
- How long do you want to work? Short-term positions can last a few days to a few weeks, but many locums positions can last months or even years. You can find the type of locums assignment you want — it’s just a matter of preference.
- What type of facility do you want to work in? Decide if you’d prefer to work in large regional hospitals or small clinics.
- What type of schedule do you prefer? Night and weekend shifts may be more available to locum tenens physicians, but you still have options. Do you prefer fewer longer shifts? Do you want to work as many hours as possible in a short period, followed by time off? Think about what you want your work schedule to look like.
- What kind of assignment are you interested in? You can maintain some work variety and go where you’re needed, or you could find recurring locums assignments in a hospital system. You could even find a locums-to-permanent position if that fits your goals.
- What’s your specialty? Do you want to work in your specialty or general medicine? Specialist physicians are in high demand in the locum tenens market, especially those in gynecology, gastroenterology, and neurology.
- Short-term positions can last a few days to a few weeks, but many locum tenen positions can last months or even years. You can find the type of locums assignment you want — it’s just a matter of preference.
2. Update Your Credentials
Collect your medical license, certifications, and any other credentials and ensure they’re current and easily accessible for the credentialing process. When you first partner with a locums company, you'll undergo a vetting process. Before each assignment, the healthcare facility will verify all your documents to make sure you’re cleared to work.
Here are the documents you’ll most likely need to provide:
- Medical licenses
- Medical school diploma
- Board certifications
- DEA certification
- Proof of training
- Life support certifications
Don’t forget to update your CV and references. You’ll need to provide those, too.
3. Choosing a Locum Tenens Agency
Choosing a locum tenens agency to work with is one of your most critical decisions. It will significantly impact your experience, from the quality of assignments to the time you'll save searching to the support you receive throughout your career.
So how do you make the right choice? We wrote a complete guide on choosing a locum tenens agency to help you answer that question. Here are some quick highlights:
- Strong support services: The best locum tenens companies offer more than just job placement — they provide accessible, easy support throughout your assignments. This includes assistance with contracting, scribe services, easy online payroll, travel arrangements, housing, and malpractice coverage.
- Open communication: A solid staffing company should also be available to address issues during your assignment, providing a safety net that allows you to focus on patient care. When researching companies, look for those that offer that concierge approach to support. (We're here for it.) A good locum tenens company will stay in touch with you after your first job as well. They will keep you informed about new opportunities that match your preferences, helping you stay proactive in your career.
- Continuity of care: Good locums agencies understand the vital role that locums plays in maintaining high standards of patient care. Look for signs that your agency is proactive about supporting continuity and quality of care for patients through digital tools and other support services.

4. Find the Right Facility
Steps 3 and 4 can happen interchangeably or at the same time. Once partnered with a locum tenens company, or beforehand, you can actively search and apply for assignments on your own. This process connects you with opportunities matching your skills, preferences, and career aspirations.
- Browse job listings: Explore job listings provided by your locum tenens company. You should be able to find these postings easily online, but if you're already in contact with a company, they can also offer you personalized listings that are relevant to your professional background and specific needs. Thoroughly review each role and consider how they’ll contribute to your professional growth and career goals.
- Apply for assignments: Your recruiter will connect you with opportunities that fit with your preferences and skills. Submit applications through the locums company’s platform to apply to the assignments that stand out. When ready, tailor your resume and cover letter to highlight what makes you the best fit for each role. Promptly provide any additional documentation, and maintain clear communication with your locums company to increase your chances of securing the assignment.
- Leverage your locum tenens company’s support: Throughout this process, your locum tenens company is there to support you. Lean on their expertise for guidance and insights throughout each step. By maintaining open communication, you can ensure you’re matched with positions that align with your professional and personal aspirations.
Throughout this process, your locum tenens company is there to support you. Lean on their expertise for guidance and insights throughout each step. By maintaining open communication, you can ensure you’re matched with positions that align with your professional and personal aspirations.
5. Interviewing for Locum Tenens Opportunities
Landing the ideal locum tenens assignment starts with finding the right fit for both you and the healthcare facility — and the interview process is the time to determine this. Generally, locum tenens physicians complete an interview in two stages:
Recruiter Conversation
Initially, you'll have a conversation with a recruiter to discuss your qualifications, preferences, and requirements. Don't sweat, it's more of a conversation than an interview. Use that time to share with your recruiter any specific requirements you have for the assignment, including location, hours, and housing. At Era, we love this step because it helps the recruiter get to know what you really want out of your career and work-life balance. Once we get off that call, we have a deep understanding of your goals and are committed to finding great opportunities that will get you where you want to go next.
So don't forget that your recruiter is truly invested in your success. Lean on them for advice in your assignment interview. Ask how they presented you to the client, what made other successful candidates stand out, and even if they have any inside tips to help you win the job.
Client Interview
Once you find your assignment match, your recruiter will arrange an interview with the healthcare facility. This interview may be over a phone or video call, and allows you and the facility to discuss the specifics of the role and see if you're compatible. This is a great opportunity to ask questions and ensure the assignment meets your expectations. The facility will be evaluating how well you’ll fit within their team, so use the time to see if the role is right for you, too.

6. Get Help Verifying Credentials
As we mentioned above, gathering your credentials in advance is a great start. Credentialing is one of the most challenging and time consuming aspects of the locums process. For that reason, many providers who did not work directly with an agency to find an assignment choose to reach out to agencies for specific assistance with credentials. That means if you're a physician who has already found their dream role, you can still get support from an agency like Era Locums during the credentialing phase. Reach out to us to find out more about how that works.
7. Locum Tenens Contract Negotiations
The company representing you will negotiate terms with the healthcare facility on your behalf.
- Review the contract: Take the time to carefully review the details, paying close attention to the terms, duration, compensation, malpractice insurance, and other benefits. Your recruiter should always be available to answer any questions or concerns.
- Negotiate terms: If the contract terms don’t fully meet your expectations, it’s time to negotiate! Leverage your recruiter’s knowledge and relationships to maximize your locum tenens opportunity. Together, you can better ensure the agreement aligns with your personal and professional requirements.
- Accept the offer: Once negotiations are complete, you're free to sign and accept your offer. Congrats! You're well on your way to more flexibility, less burnout, and a much-needed change of scene.
8. Logistics, Preparation, and Travel
Now that you’ve accepted the offer, you can prepare for your upcoming assignment. Your locum tenens company usually arranges travel and accommodation, taking the stress out of logistical planning. Make sure to confirm these details to avoid any last-minute surprises. Don’t hesitate to tap into your recruiter’s resources or a locum tenens community for valuable insights or special requests.
Before you start your assignment, gather as much information as possible about the healthcare facility. Understanding the working environment, the team you are joining, and any orientation programs can help you integrate more quickly and effectively. Ask your recruiter for detailed insights into the facility’s culture, expectations, and any specific protocols. This proactive approach will help you hit the ground running and feel more confident on your first day.
Finally, remember that as a locums provider, you want to consider your options for insurance. At Era Locums, we cover malpractice insurance, but many of our doctors use private insurers or healthcare marketplace for their own health insurance. Talk to your recruiter about health insurance options if you have questions.
9. Delivering Excellence
Your on-site work is the heart of your locum tenens assignment. To ensure a successful and fulfilling experience, it’s crucial that you start strong and stay connected throughout your time at the facility.
- Arrival and integration: Arrive at the location on the agreed start date and be ready to begin your assignment. Take the first day to orient yourself, meet key staff, and get a feel for the facility’s workflow. This early integration helps you settle in quickly and sets a positive tone for your time there.
- Daily responsibilities: Once settled, focus on what you do best — delivering high-quality care as you meet the job requirements. Be proactive in understanding your role and the expectations placed on you. As a physician, you're all about consistency and professionalism, which is great because both are key to making a strong impact during your locums assignment.
- Stay connected: Regularly communicate with the healthcare facility and your locum tenens company. Feel free to reach out if any issues arise or you need additional support. Staying connected will also help prevent any feelings of isolation during your locums assignment.
- Performance and feedback: As you work, seek feedback from your colleagues and supervisors. This ongoing dialogue helps you adjust and improve throughout the assignment, ensuring you meet expectations and continuously deliver the best care.

10. Completion and Follow-Up: Wrap Up and Reflect
Wrapping up your locum tenens assignment on a positive note goes beyond finishing your work. It’s about leaving a lasting impression and gathering insights for future success.
- Conduct an exit briefing: Before you leave, offer to participate in an exit briefing with key staff members. This is your chance to review the assignment, discuss any challenges or successes, and provide feedback on your experience. It also helps the facility improve its future locum tenens placements.
- Provide & request feedback: Share your experience with your locum tenens company and offer constructive feedback on your assignment. Your insights help the company refine future placements and find the best match for physicians and hospitals. Request feedback from the healthcare facility on your performance. Understanding their perspective provides valuable input for your professional development, highlighting areas of strength and opportunities for growth.
- Stay connected: Stay in touch with your locum tenens company after your assignment ends. Maintaining this relationship informs you about future opportunities and ensures you’re top-of-mind for assignments matching your skills and preferences.
Common Questions about Working as a Locum Tenens Physician
Still have questions about locum tenens? Here are some of the most common ones asked by first-time locums physicians.
What Are the Disadvantages of Locum Tenens?
While working as a contractor offers fantastic opportunities for flexibility, you should be aware that you'll be a 1099 contractor, which has different tax implications than a traditional role. It also means you may not enjoy the same benefits you would in a hospital or physicians office, such as health insurance or a 401K.
How Long Are Locums Tenens Contracts?
Each contract varies, and the job posting your considering should be explicit about the length of the contract as well as opportunities for renewal. Locums tenens contracts can range from a couple weeks to several months or more. Some positions may offer you the opportunity to extend your contract beyond its original limit depending on their need.
The Era Locums Approach
At Era, we help physicians change their lives. We'll connect you to opportunities that align with your skills, preferences, and lifestyle goals so you can thrive. We’re particularly committed to finding roles where you can fully utilize your skills and expertise, free from the administrative burdens and burnout that often come with permanent positions.
Here's how we make the process smooth, personalized, and efficient.
1. Start with a conversation
Your locum tenens journey with Era Locums begins with a conversation. Whether you prefer to chat with one of our experienced recruiters or explore our online job postings, we’re always here to help you find the perfect fit.
During this stage, we take the time to get to know you. We figure out what you’re looking for — your specialties, preferred work environment, and the assignments that will make you feel most fulfilled.
2. Create your Era Locums profile
Once you’ve identified opportunities of interest, you’ll work closely with a personal recruiter to create a standout profile. We’ll help you update your CV and gather all the necessary documents, ensuring your application highlights your strengths and expertise.
Our team is here for you throughout the process. Together, we'll make sure your profile captures potential employers' attention.
3. Match with the right opportunities
With your profile polished and ready, we set up interviews with interested healthcare facilities that match your preferences. This stage is all about ensuring the role is a great fit for you — and that you’re a great fit for them. We want you to feel valued in your assignment, so we focus on finding placements where you can deliver your best patient care and thrive professionally.
4. Finalize your placement
After successful interviews, our team of experts will work with you to finalize your placement. We handle all the administrative aspects, from credentialing to travel arrangements, so that you can focus your energy on your exciting new role.
We also provide support to help you settle into your new environment, like ensuring your accommodations are comfortable and that you have all that you need to make you feel at home. Are you ready to become a locum tenens physician? Connect with your new Era Locums recruiter today and take the first step to changing the way you practice.
Resources
Featured Image by Ani Kolleshi on Unsplash
Interview Photo by Christina @ wocintechchat.com on Unsplash