Locums for a Small World Blog

Physician chooses Australian locum tenens assignment for the medical experience and the adventure

Posted by Kari Redfield

After Dr. Mike Spertus finished his post-residency fellowship, he applied for an international locum tenens position and is now about halfway through that assignment in Perth, Australia. He’s thrilled to be there, he says, and loves many things about the job, including: the flexibility, the clinical experiences, the travel opportunities, and the work/life balance.

“You don’t have call-time or overtime,” he explains about his full-time role as a general practitioner. “You're not staying late to catch up on billing or case notes. And you get four weeks vacation right off the bat.” All of that makes it kind of feel a bit like a working vacation, he adds.

Valuable medical experience
One thing that drew Dr. Spertus to this assignment was the clinic’s openness to him doing some integrative medicine — the focus of his fellowship — such as acupuncture. “It took a little bit to get the acupuncture going, but I was able to. And I am really happy that my practice was open to this,” he says.

At the clinic, he has seen newborns, pregnant women, adolescents, adults, and geriatric patients too — all with a wide variety of ailments.

“It’s a big mix,” he says. “The clinical experience has been quite valuable. I see mental health cases and also do pain management too.”

Another thing that drew him to Australia is the high incidence of skin cancer, as skin cancer is one of his medical interests. “Probably 20 percent of my cases are skin cancer,” he explains. “It's a fairly large portion of my practice, which is what I wanted.”

While on assignment, Dr. Spertus has received additional training in skin cancer protocols and mental health treatment. He appreciates how supportive the clinic has been of these educational seminars, as well as the opportunities to visit Melbourne and Sydney.

Practicing medicine in Australia
Australia provides healthcare to all citizens, resulting in some differences from the U.S. system, particularly in billing management. “Healthcare is basically guaranteed, and the system is so much more streamlined because of that,” he explains.

That’s one of the things that Dr. Spertus loves about his assignment in Australia — the streamlined healthcare system.

“Everything at our clinic is pretty much a bulk-billing practice to the government. It makes billing super simple,” he explains.

There is a bit of a hybrid system in Australia, points out Dr. Spertus, with some people getting private insurance on top of the government healthcare. When that happens, practitioners in Australia still don’t have to worry about billing insurance companies, as the patient is responsible for that part, making it easy for them to concentrate on providing quality healthcare instead of doing admin work.

Exploring Australia and Bali
One of Dr. Spertus’ favorite sightseeing experiences in Australia is the beach. “It’s readily accessible with some of the most beautiful beaches I've ever seen!” he says with a smile. “The scenery, the beautiful turquoise water, the soft sand, the beautiful topography in Western Australia with the cliffs and everyone surfing, are stunning. And I love seeing and hearing all of the animals that are so different from the ones in the U.S.”

He adds, “Kangaroos are everywhere, even close to the city and on the beach.”

He also likes seeing Australia’s bird species and other wildlife, like quokkas, a marsupial animal that's native to Rottnest Island off of Perth.

Dr. Spertus routinely visits the local vineyards and has adventured into the outback for camping and exploration too. He went to Bali twice already, for a yoga retreat and for exploration.

“Bali is closer from Perth than most Australian cities — and cheaper to get to,” he points out.

Working locum tenens after residency or post-fellowship
Dr. Spertus recommends that other physicians sign up for an international locum tenens assignment, especially right out of residency or post-fellowship before getting tied down.

“Definitely give it a go,” he encourages. “International locum tenens is oftentimes a once in a lifetime chance. Try to make it work for you, because it's a really great experience. And you get help from your agency for it too.” 

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Interested in starting your own international locum tenens adventure? Browse our current opportunities by clicking the button below. Or give us a call at 1.800.760.3174. We're always here to answer any questions you might have.

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Want to practice medicine in Australia? Three doctors fill us in on work, play and the locum tenens lifestyle.

Posted by Everett Fitch


There’s no doubt about it…Australia is, in a word, vast. Now, when we say “vast” we mean it. No single word in the English language is more appropriate in encapsulating the true essence of Australia. This country contains, in elegant manner, a multitude of cultures, cuisines, dialects, landscapes, oceanscapes and cityscapes all within its 2,969,907 square miles.

You’ve got Western Australia with its picturesque Perth and Queensland with its shining Gold Coast. Then you’ve got the gritty yet charming feel of the outback in the Northern Territory and the craggy island atmosphere of Tasmania. And still there's more: in South Australia, New South Wales, Victoria and the Australian Capital Territory.

So yes, Australia is vast. To place any other adjective by its side would be tantamount to a disgrace. Three doctors who practiced medicine in Australia can testify to its welcoming greatness. They’ll tell you all about what to expect at work as well as what sights they experienced – in a nutshell, they’ll enlighten you on the locum tenens lifestyle here in Australia.

But before we get to their stories you should know that taking an assignment in Australia is about more than just the scenery. It’s about a life experience, a career change. It’s about being entirely immersed in a different culture and healthcare system. (Read: 3 interesting places to practice medicine in Australia plus a brief overview of their healthcare system.) Simply put, practicing medicine in Australia is a work experience you’ll never forget.

And as an Aussie would say, no worries: Your physician placement specialist will handle all the logistics along the way (licensing, registration, travel, etc.). They'll match you with a medical facility as well as put you in touch with the practice where you’ll be working. And if there’s a doctor who has practiced in that area before you’ll even have a chance to chat with them, help you get your bearings ahead of setting foot in the country.

All in all this process should take about three months once a job has been offered. If you’d like you can learn more about the requirements for taking a locum tenens assignment in Australia by visiting our Ask an Expert page. In the meantime, catch a head start on what to expect by reading all about the following doctors’ experiences below.

Isadore Unger, MD – Tasmania


On practicing medicine in another country:


For Dr. Unger, practicing medicine in another country – especially one with socialized medicine – presented a few challenges. “There were differences in language and terminology,” says Dr. Unger. “Interns were called house surgeons and residents were called registrars or 'reggies' for short. And surgeons are never called ‘doctor,’ they're addressed as ‘Mister.’” Kiwis and Aussies do speak English, but they not only have their own accent, they have a few of their own words. Fortunately, the nurses helped Dr. Unger translate the jargon. “One patient told me he felt 'like a box of fluffy ducks,’” says Dr. Unger, “Which I learned is 'great.’”

Rick Abbott, MD – Tasmania


On the differences between the U.S. and Australia’s healthcare system:

Beyond figuring out that a “long black” is Tassie's answer to a simple coffee, Dr. Abbott found out that both the healthcare system and work ethic are a bit different, too. “The ER was a great place to work. Because Australia is a national healthcare system, we had very little 'social safety net' to our practice and so we were a real ER. In other words, a very high proportion of our patients had an acute problem that required an acute intervention. We weren't trying to manage chronic disease that had nowhere else to go (as in the U.S.)." Dr. Abbott also praised Tasmania's implementation of an Emergency Medical Information Book (an organized booklet listing their medical and surgical history, active problem list, and current medications) that lots of patients carry with them.

On the adventures him and his wife, Jean Abbott, MD, had:

For his last month in Tasmania, Jean Abbott, MD (his wife, an ER doctor herself) joined him for some Tassie fun. The “Doctors Abbott” ventured to the capital city of Tasmania, Hobart, which serves as the home port for both Australian and French Antarctic operations. They also made their way to a few nature parks to see the wildlife that you'll only find in Australia: wallabies, kangaroos, wombats, kookaburras, and a lot more. They even saw Little Penguins or “Fairy Penguins” out on a quaint little Tassie beach. Ben Lomond National Park is a spectacular place and it's a haven for rock climbers, bushwalkers, and skiers. “Beautiful tundra - though we could only see a few feet of it at a time because of the thick fog,” Dr. Abbott says. “And wallabies were all over the place up there!”

Kathryn Starkey, MD – multiple assignments throughout Australia


On the experiences you won’t get anywhere else:


"You know when you come to Australia that you're going to see some kangaroos," she says. "What we didn't expect was to see them chewing on the putting green at the local golf course!" It was an event that became a nightly ritual for Dr. Starkey and her partner, Molly Evans, not to mention the famous marsupials. "Watching the kangaroos bounce in – a lovely movement in itself – and chew on the grass at sunset beat anything on the four TV channels," says Dr. Starkey. "And who ever imagines they'll be hiking along and see a platypus swim by on their webbed feet, right there in the wild? A platypus!"

On the reasons for taking a locum tenens assignment in the first place:

As Dr. Starkey tells it, “I had a gynecology practice in the Finger Lakes area of New York, but no life. I went to work early, got home late, had dinner, watched a bit of TV, went to bed, and then did it all again. I told my patients to take care of themselves, but I wasn't taking care of myself.” What she had done was keep a postcard from Global Medical, which inspired her to take action. “I told Molly to start planning; I brushed up on my OB work and we took an assignment a year later." Since then, Dr. Starkey has lost some 40 pounds; she respects a 9-to-5 workday and leads a balanced life. The primary requisite in each new area is a decent library. “I now have time to read, and I love to get books about the areas where we're living and dive into them,” says Dr. Starkey. “I learn the history, the geography, everything. It's fascinating.”

If it feels that you still have unanswered questions after reading these first-hand accounts then read the full stories and more. In fact, we have an online library of sorts you can visit. It's entitled The Locum Life – locum tenens stories told through the eyes of our own doctors. You'll find out more about what it's like to work in Australia, New Zealand and even the U.S. Virgin Islands.

Interested in practicing medicine in Australia right away? Go ahead and view our current locum tenens opportunities in the Land Down Under with the click of a button below.

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