Locums for a Small World Blog

Domestic vs. international: Which locum tenens assignment is right for you?

Posted by Kari Redfield



Ready to escape the demanding hours of your long-term physician position and instead gain work/life balance, while earning a good living? Want to travel near or far, while getting paid? Then, chances are, locum tenens can benefit you.

An important consideration is whether to take a domestic assignment or an international one. This doesn’t have to be an either/or proposition, as many physicians work both kinds during their career, points out Global Medical Staffing's Dena Sween, especially as they transition out of or back into the U.S.

Still, to help you get started on your first locum tenens assignment, we’ve broken down the pros and cons of both types.


Dr. Anu Taylor on assignment in the U.S. territory of Guam

International assignments
Our international assignments deliver a memorable experience living like a local in another culture, while practicing first-world medicine in a safe environment, in locations such as Guam, Canada, the Caribbean, the U.K., China, or the “down under” countries of Australia and New Zealand. These positions usually involve set hours without on-call time, along with generous vacation time, allowing for extensive travel time while you are there. That’s one of the biggest reasons physicians choose international locums.

International assignments provide adventure and exposure to different health systems, which builds your CV and helps you to increase your skill level. Additionally, many physicians, like Dr. Sara Jalali, report that these assignments reinvigorate their passion for medicine, helping relieve burn out.

Another perk is that we’re placing in more areas of the world than ever before. “There are all of these fantastic options just starting to pop up, so basically what we tell people is to get on our list so that when that really cool new thing comes through, you hear about it first,” Sween says.

Challenges of international assignments can include collecting the necessary paperwork and the requirement to take on longer commitments, often one year. Although there are some three month assignments available in Guam and the Caribbean. Going to Guam and other U.S. territories requires that U.S. physicians possess a U.S. passport but no visa. Plus, as with all positions, it requires credentialing and privileging, often taking three months from the time you accept the assignment.

Paperwork for other international placements takes a little longer; the typical minimum assignment length is longer too. For instance, it usually takes three months to complete the medical registration and visa process for New Zealand, and requires a six-month minimum assignment. The paperwork for credentialing, privileging, licensing, and visa processes in Australia and Canada take six to eight months, and typically require longer assignments, usually one-year minimum.

“There’s going to be paperwork anywhere you go, domestic or international,” Sween points out. “They [the hospital administrators] need to know who’s coming in and working in their healthcare system. The fantastic thing is that we have an amazing team who walks you through all of that and holds your hand throughout the process.”

Another possible challenge of international locums might be an expectations mismatch. For instance, housing may be different from the typical U.S. set up.

“We look at what the local doctors live in, and that’s kind of the level we put doctors into,” Sween explains. “For example in New Zealand, you may not have air-conditioning; that’s standard in the area. Having that flexibility in your expectations and listening when our recruiters are setting those expectations is really important.”

She adds that part of the reason many physicians choose an international assignment is to live like a local. “It’s part of the adventure.”

Other possible challenges: Practicing medicine in another country might involve differences. Also, many people feel both excited and nervous about the assignment.

These are valid concerns, Sween points out, but it’s rare that a physician takes an international assignment and feels like it wasn’t worth their time or that their family didn’t bond because of it. The keys are to communicate your expectations with your recruiter, and then go with an open mind.

Dr. Anita Haugabrook takes a selfie with colleagues while on assignment in the U.S.

Domestic assignments
If you want less adventure or can’t leave the U.S. for several months, choose a domestic assignment instead of an international one, Sween says. Domestic assignments allow you to take on very short assignments. They provide more flexibility, more choice, and more options. You choose your pay, your schedule, and your working conditions.

“You can do weekend work. You can commit to five shifts a month,” Sween explains. “That’s the beauty of domestic work, the flexibility.”

Another benefit is that domestic assignments pay more than international assignments, and often more than a long-term position, especially for hard-to-fill shifts or specialties, like psychiatry.

Some physicians choose domestic assignments in order to spend time near their family/college kid, to tackle their travel bucket lists, or to use their skills to help a vulnerable population. Other motivations include spending more time with family, combating physician burn out, avoiding extensive admin and billing paperwork, and taking charge of their destiny.

Possible challenges can include the paperwork involved in getting licensing in other states, or for some positions, requirements can be very specific (i.e. certain certifications, experience, or training). However, don’t let those possible challenges hold you back. We have all kinds of assignments across specialties all over the U.S. and are committed to helping physicians find what they’re looking for.

Reach out to us today
If you’re interested in learning more about locum tenens, contact us. “Let us know what your expectations are, so we can find you a great fit,” Sween encourages. “And feel free to call us ahead of time, even years before you can go international. We can answer questions along the way, or place you in domestic assignments, or help you start planning in a certain direction to turn those dreams into reality.”

Ready to launch your own locum tenens adventure? Click the button below to browse our current opportunities or give us a call at 1.800.760.3174.

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Why this psychiatrist left her permanent position to embrace locum tenens

Posted by Kari Redfield


For as long as Dr. Eva McCullars can remember, she always wanted to be a physician, just like her mom. As a child, she helped her pediatrician mother with patients, answering the phone when her mom was out treating patients on house calls. Her father is also a physician, a surgeon, so Dr. McCullars says, “I was the only child, and I grew up in medicine, so I think it’s in my genes.”

When her family moved to the U.S. from Prague, Dr. McCullars pursued her medical degree, first considering pediatrics, but deciding against that particular specialty during residency. She found her calling in psychiatry after taking a psychiatry program and loving it.

“Even though you have the same diagnoses for different people, everyone’s different,” she explains. “Everybody’s their own person. I was always an artist growing up, and to me, psychiatry’s an art because you have to combine the people’s personalities and their histories with medication, if that’s appropriate, or with a type of therapy or other interventions. Not a single person is alike.”

While working in Yuma, Arizona, at a sub-acute hospital, she ran into physicians working locum tenens, which exposed her to the idea of trying locums at some point. She gave it serious consideration later when, while working at a permanent position at a big hospital, she became dissatisfied with the way things were being run.

“It was all about the bottom-line, and patients weren’t getting good care [because of it],” Dr. McCullars explains.

So she considered moving into private practice. At the same time, her family in Oregon needed help. “The two situations came together where I was starting to be dissatisfied with my permanent job and needing to respond to my family in crises,” she says. “I thought, I can go to Oregon and work. That’s how the process [to full-time locum tenens] started.”

After making the move, the big revelation for Dr. McCullars was discovering that locum tenens provides her with a better way to practice medicine than full-time permanent positions. She feels that with locums, she is better able to make a difference to patients, use her time effectively, and share her gifts.


Benefits of working locum tenens

Why does Dr. McCullars like working locum tenens? “I like the freedom,” Dr. McCullars explains. She says that with locum tenens, she gets to make a comfortable income while going to places she has always wanted to explore. “I wouldn’t go back to a full-time permanent position,” she adds.


Dr. McCullars points out some additional benefits of locum tenens. She says, you can:
   
  • Set your own hours. For Dr. McCullars, this means working four 10-hour days a week and not having to be on call.
  • Take off time between assignments. “I like being able to work for six months and then be off for four months,” she says, which allows her to take a month to go somewhere overseas.
  • Spend time on patients, not politics. “There are a lot of pressures other than taking care of patients when in a permanent position. I love taking care of patients, and locum tenens allows me to do this without any of the other distractions,” Dr. McCullars explains.
  • Avoid being tied down to one location/facility. “Let’s say I want to work in Canada,” says Dr. McCullars. “Just to be able to go to Canada if I want [is a big benefit of locums]. As is the ability to leave a political situation when it’s time to leave.”
  • Avoid burnout. Working locum tenens allows physicians to set realistic work hours, not take work home, and to avoid much of the paperwork and politics that contribute to burnout, Dr. McCullers explains.

Dr. McCullars’ advice for physicians coming out residency


To younger doctors, she says, “It’s really hard to come out of training and make an instantaneous commitment to an area and to a facility. I think you should leave your options open…Definitely become a locums before you settle.”

READ MORE: 9 reasons to work locum tenens after residency

Dr. McCullars’ advice to other physicians

To all physicians considering locum tenens, she says, “You have nothing to be afraid of…you have lots of support along the way. The benefits: being on your own time, being able to work four days a week instead of five days a week, not doing weekends, not doing call, being able to finish an assignment and leave without worrying about the patients…That’s one of the problems of long-term jobs and private practice is you take it home with you…You don’t have to do that as a locum tenens.”

Ready to explore your own locum tenens adventure? Click the button below to browse our current openings or give us a call at 1.800.760.3174.
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QUIZ: Are you ready for an international locum tenens assignment?

Posted by Bryan Chouinard

You've thought before about an international assignment, but how do you know if the timing is right? Take our fun, short, eight-question quiz to find out whether you’re ready to head off on your own international locum tenens assignment.

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How one physician used locum tenens to explore Guam and Asia

Posted by Kari Redfield

Ever consider doing a short work stint on the other side of the world to immerse yourself in another culture, explore the tropics, and travel throughout Asia? When Dr. Kevin Arnold approached retirement from fulltime urgent care, he and his wife, Linda, wanted to explore new places, so they researched options and talked to Global Medical Staffing. In the end, they picked Guam for its nearly limitless potential for travel.

“It’s America’s other tropical paradise,” Dr. Arnold says. “At 10 p.m., it’s still 80 degrees. It was a delight to experience weather like that.”


Almost like a vacation rather than work
In the mornings before Dr. Arnold’s shift started at noon, he and Linda had plenty of time to explore and relax. They went hiking in the jungle, saw tourist sights like the local World War II museums, and spent time poolside.

The couple also checked out Guam’s massive amusement and water park, along with exploring all kinds of natural pools out in the jungle.

“You go in and hop into tiny lagoons among the rocks,” Dr. Arnold explains, “which is a lot of fun since it’s always hot and sunny.”

True to its reputation, Guam provided the Arnolds with numerous travel opportunities. For instance, they took a three-day weekend to visit Tokyo, and after the assignment, they flew to Manila, and during a month-long adventure, also checked out Singapore, Vietnam, China, South Korea, and Japan.

“Guam is like the ‘Chicago of Asia,’” explains Dr. Arnold. “You can easily go anywhere on that side of the world.”

And about the current tensions between the U.S. and North Korea — Dr. Arnold says that the U.S. military, which maintains a strong presence in Guam, showed no signs of concern, nor did the local people, so the Arnolds didn’t worry.

Medicine in Guam
Practicing medicine in Guam felt refreshingly different to Dr. Arnold from his 35 years of urgent care experience in Wisconsin, something that included many colds and sinus infections. “I treated almost no sinus infections in Guam, a real treat for me,” he says with a grin.

Territorial authorities own the hospital where Dr. Arnold worked, so like any public hospital, it operates on a tight budget. That said, the technology was all up-to-date, Dr. Arnold adds.

He treated many abscesses along with sprains and strains in the local population. “I had a little bit of a learning curve with the Chamorro culture, in that they do everything as a family, including coming into the clinic together and all staying in the exam room during procedures.” But he adjusted quickly, he says. “The Chamorro people are friendly and gracious.”

He also saw a mix of tourists, most of whom didn’t speak English, so he made good use of the Google translator app. Through this, and some of the nurses, the patients and Dr. Arnold communicated back and forth without problems.


A welcoming people
The people are friendly and inviting, Dr. Arnold emphasizes. While there, the Arnolds went to a couple of local festivals, including one that celebrated the Chamorro indigenous culture. Residents invited them to try the local food dishes. “I asked if I could buy our meals, and they said please join us, for free. They’re very inclusive,” Dr. Arnold explains.

While there, the Arnolds both easily made friends — Dr. Arnold mostly through work and Linda through social groups, like a book club. Now, they keep in touch with their new friends in Guam.


Step outside your comfort zone
If you’ve ever considered traveling and practicing medicine in another part of the world, all while earning a typical U.S. physician salary, consider Guam. Physicians can take short three-month assignments like Dr. Arnold did, and licensing and privileging prove no harder than anywhere else in the United States, he adds.

“It’s a step outside your comfort zone, but the experience is rich and fulfilling,” Dr. Arnold says. “You’re taking care of a population that really needs doctors. I would definitely urge you to try it.”

Take your spouse and family along, he adds. “Linda really enjoyed it, and the physician who replaced me signed up for two years and even brought his kids,” Dr. Arnold says. “All and all, our experience there ended too soon.”

Click the button below to browse our current opportunities. Or just pick up the phone and give us a call at 1.800.760.3174.  

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The unique benefits of practicing healthcare in Canada, Australia, New Zealand, and Guam

Posted by Kari Redfield

Thinking about exploring another part of the world, while working and gaining valuable career experience? Global Medical Staffing can help make it happen.

We place physicians in first-world countries for six-month to one-year assignments (and shorter assignments in U.S. territories) — and as part of our services, we handle all the logistics of securing the assignment, your visa, and any necessary professional credentials. And, in most of our international assignments, we pay for your airfare, housing and transportation.

The reasons physicians choose a particular part of the world vary, so it pays to learn about the differences in healthcare systems, along with the unique benefits these places offer.


Australia: Good pay and plenty of travel opportunities

Physicians in Australia make good money, similar to what doctors make in the U.S. That’s a big part of the draw for physicians doing locum tenens there — that and the boundless travel potential.

In Australia, the remote areas need physicians (not the urban centers), which means locum tenens physicians on assignment in Australia practice in facilities similar to those found in rural areas in the U.S. (adequate but not super high-tech).

“Typically, physicians decide to take a locum tenens placement in Australia in order to make good money while traveling extensively all around the country and region,” explains Matt Brown, director of Global Medical Staffing’s international division.

Australia provides universal healthcare to citizens, so locum tenens physicians can see high case loads but get paid a pre-negotiated salary that eliminates the hassle of medical billing.

“Our international locum tenens physicians often tell us that they desire a break from private health insurance billing — and they get that in Australia and in most of our international placements,” Brown says.

Three doctors share what it’s like to work locum tenens assignments in Australia.


New Zealand: A slower pace of life in a gorgeous, wild country

Many of New Zealand’s home-trained doctors (1 in 6) go to other countries like Australia for better compensation, which results in a need for physicians throughout all of New Zealand.

“This provides numerous opportunities for visiting physicians in both urban and rural areas,” Brown says.

In fact, any qualified physician who wishes to live like a local in New Zealand for six to 12 months should be able to go, as New Zealand needs physicians in all medical specialties.

Other benefits: great weather, friendly people, and skills that easily transfer. “New Zealand makes it really easy for visiting doctors,” Brown explains.

“The pay is much lower than what a U.S.-practicing doctor makes, so physicians go to New Zealand for the experience,” says Brown. “They go for the lifestyle of being able to walk right out their door into nature to hike and to surf, to travel extensively, and to get back to the roots of practicing real medicine. Every doctor loves their time there.”

Find out how this physician found a new love for medicine while on assignment in New Zealand.


Guam and the U.S. territories: Toehold into Asia

Guam and the Pacific Islands use the U.S. healthcare system, so the quality of care and the way practices operate are identical to U.S. rural areas, making it easy for physicians to adjust.

Because visas and special licenses aren’t required, since Guam is a U.S. territory, doctors who decide to take an assignment can go for a short time while earning the same high wages as they would in the continental U.S.

“Guam is close to everything you would want to see in Asia, making it a perfect way to access all of Asia for travel and exploration. Because of the similarities in pay and assignment duration, going to Guam looks more like what taking a locum tenens assignment within the continental U.S. looks like,” Brown says.

Get one doctor’s take here.


Canada: Good work/life balance, good pay, pretty places

In Canada, healthcare operates as a single-payer government system with some private hospitals and clinics too. Locum tenens physicians earn a similar salary as they would in the U.S. The quality of care and the facilities rank high, but physicians work with large case loads. That said, many locum tenens physicians report that Canadian physicians experience a better work/life balance and lower burnout rates than U.S. physicians. Additionally, assignments can take physicians to especially beautiful places.

We offer two scenarios in Canada:

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Physician reinvigorates her love for practicing medicine while adventuring on the other side of the world

Posted by Kari Redfield


Have you ever wanted to get off the beaten path to travel, revitalize the passion for your career, and experience another culture? Dr. Sara Jalali chose exactly that when she lined up a six-month international locum tenens assignment in Whanganui, New Zealand, through Global Medical Staffing.

“It feels like a working holiday. I just love seeing the country!” says Dr. Jalali.

Dr. Jalali first contemplated international locum tenens after hearing about it at a conference during her residency. Over the years, she kept coming back to the idea, and eventually took steps to make it a reality.

Her only regret? This assignment lasts only six months.

A family affair

As part of putting the assignment into motion, Dr. Jalali’s husband took a sabbatical from work in order to join her.

“He just can't rest, so he ended up doing a couple pro bono projects for local organizations here in Whanganui,” she says with a laugh. “I joke that he’ll run for mayor one day because he seems to know everyone.” He also took time in New Zealand to pursue a passion: building a guitar."

Today I stopped by our neighbor's wood shop to see my husband's progress building a bass under the guidance of Kevin, a luthier. Whanganui is a very artistic town with opportunities for classes in woodworking, ceramics, glass blowing, and just about anything else you want to try!

Discovering gorgeous vistas and yummy foods

Dr. Jalali and her husband love Whanganui’s beauty and its artistic culture. It makes for an ideal home, even if only for a half year.

Check out this sunset view from our home. We feel so lucky to look out the window and see the famous Whanganui River snaking around the city to our left, and lush green hills with sheep, donkeys, chickens, and horses to our right! This town has a perfect blend of rural and urban vibes.

They’ve extensively explored the town, made many friends, and delighted in the local cuisine, which Dr. Jalali calls “truly farm-to-table fresh.”

Check out this photo from an egg shop where you can pick your eggs based on size, single or double yolk, free range, etc. On that note, not far from here you can get unpasteurized milk out of a vending machine!

In order to travel all over New Zealand, Dr. Jalali works a stretch of shifts over two weeks, then takes advantage of a week or more off. After the assignment, they plan to see Fiji and Australia as well.

Medicine that matters

New Zealand allows doctors to spend more time with patients and provide care to those who truly need it, something Dr. Jalali finds refreshing.

“The people are lovely — so appreciative, patient, and kind. Patients often tell me, ‘You can send me home; you guys are busy, and other patients need this bed more than I do,’ ” says Dr. Jalali.

Because of this, the assignment has helped revitalize her passion for medicine.

“Only three years out of residency, I already started feeling burned out. Coming here has reminded me why I went into emergency medicine in the first place. This is what I always thought practicing in my field would entail.”

The clinics and hospitals where locum tenens physicians work make sure that new staff quickly get indoctrinated into the new culture through cultural training, along with the ongoing help of cultural liaisons.

Meet two valuable colleagues in the Emergency Department: Ren and Kiri, liaisons for our Maori Health Services who assist our multidisciplinary teams with family-centered care, discharge planning, and community services. Their invaluable support facilitates relationships between patients, families, and staff.

“Oh, and the ED facilities are absolutely first-rate,” she adds. “The technology is even more up to date than the big name hospitals in the U.S. that I came from!”

Dr. Jalali urges physicians to give international locum tenens a go. It delivers opportunities to travel, get a new perspective on medicine, and do meaningful work. “Just do it,” she says. “It provides such amazing experiences.”

Dr. Jalali recently took over our Instagram to share pictures from her locum tenens assignment in New Zealand. Head over to our Instagram page to see all her photos.

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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‘Can my spouse work?’ plus other visa-related questions about international locum tenens

Posted by Kari Redfield


Imagine jetting to the other side of the world where you’ll immerse yourself in the local culture, travel extensively, and work a flexible schedule. Through our international locum tenens program, many physicians — and their spouses — live like locals in another country.

The idea of taking a break from our incredibly demanding, fast-paced U.S. medical field to see other parts of the world while still earning a living tends to get physicians dreaming. When couples consider how to make it a reality, many logistics come into play, such as whether both need to work or if just one can. For some, the former holds true. Other couples purposefully free up their spouse in order to more fully explore the new area.

Whatever your situation, this Q&A with Andee Nelson, an international placement specialist at Global Medical Staffing, will help clear up basic questions about visas and your spouse’s work privileges.

Can my spouse work too?
Whether or not your spouse can work will depend on many factors, including the location of the assignment, your spouse’s line of work, and your length of stay.

In New Zealand and Australia, where we place many international locum tenens physicians, the rules are that your spouse can work via your work visa if: 

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Guam can launch a new phase of your medical career

Posted by Mark A. Kellner



Picture yourself in paradise: warm ocean waters, 
dozens of sparkling beaches, exotic food and culture, oh, and year-round temperatures between the low 70s and mid-80s Fahrenheit.

Imagine that this locale needs the exact medical skills you have honed over the years, and is willing to reward you with an enviable lifestyle and environment.

Now imagine, that this place — the Micronesian island of Guam, to be precise — is part of the United States, which means they use U.S. currency and already recognize U.S.-trained physicians (among other familiar elements of life in the U.S.). Contrary to recent news reports, Guam is actually a very safe and tranquil country and traveling there is as simple as traveling to another state—no passport or visa required.

You don’t have to imagine, though, really. Everything said about Guam here is 100-percent true. It’s a paradise, it’s a U.S. territory, and it has a continuing need for physicians who are willing to relocate to this unique, beautiful and exciting part of the world for as little as six months.

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How a Physician Who Loves Traveling Reaps the Benefits of International Locum Tenens

Posted by Kari Redfield


We’re spotlighting one of our international locum tenens physicians: Dr. Sean Ryan. He chose locum tenens because he loves experiencing other cultures like a local. This prompted him to take an assignment to New Zealand when his daughter was a toddler.

“I was there for six months and received the same vacation as a regular, full-time employee, which was three weeks off. In addition to all kinds of weekend explorations, we [my wife, daughter and myself] took two big trips, one through the North Island, where we went blackwater rafting on innertubes through glowworm caves. The other was to the South Island, where we were able to take a boat trip to Milford Sound, hike on a glacier, and go wine tasting and whale watching."

While on his New Zealand assignment through Global Medical Staffing Dr. Ryan, a psychiatrist, worked with the Māori Mental Health Team that served New Zealand’s native Polynesian people. The team greets all new providers with a traditional welcoming ceremony.

“It was such a welcome beyond anything I would have expected,” says Dr. Ryan. “Additionally, my colleagues were so inviting. I couldn’t have felt more part of that team while I was there.”

The natural splendor of the remote tropics often left him awestruck. “It was so beautiful. Parua Bay was just outside our house, and we could see wildlife and go on hikes deep into the forest right out the front door.”

After that six-month locum tenens assignment, Dr. Ryan took a second assignment in Tasmania, Australia.

"We loved living in Tasmania. Hobart is a fun, walkable city that's surrounded by beautiful nature.  We were close to waterfalls and giant tree fern forests, and we loved seeing wild animals like wallabies and echidnas on our hikes."

In between the two assignments, he and his family spent time exploring the Cook Islands, Fiji and Bali.  While in Australia, they visited Sydney, Melbourne, and went scuba diving in the Great Barrier Reef.


New Zealand: A Slower Pace of Life

In the northern, more tropical part of New Zealand, the facilities were small and simple, reminding Dr. Ryan of his past experience in the Eastern Caribbean’s Saint Lucia. Sometimes lab work and radiological exams took longer than in the U.S., but Dr. Ryan quickly adjusted to the differences. In fact, for psychiatry in particular, the slower pace perhaps was more beneficial for patients in order to get more time with physicians and longer in-hospital stays when necessary, he says.

“I reminded myself that it doesn’t matter what country you’re in, the goal is the same: to take care of patients. My advice to other international locum tenens doctors is to settle into that idea, and you’ll have a much easier time adjusting.”


City Life in Australia

His Tasmanian experience was in a modern hospital, similar to the U.S. teaching hospital where he did his residency. There, he made a point of introducing himself to people and setting up social outings in order to get to know his colleagues well, which created lifelong friendships.

That’s the second piece of advice he offers doctors who take an international locum tenens assignment: Get out and meet people.

How Locum Tenens Works

Global Medical Staffing took care of all the logistics for Dr. Ryan, from helping secure Dr. Ryan’s medical licensure for working internationally, to arranging the family’s housing, to booking the flights.

“They even helped with a poorly working vacuum when the landlord was giving us the runaround and just let us purchase one and get reimbursed,” Dr. Ryan points out, a big deal to a family with a toddler. His Global Medical Staffing recruiter also helped the family look into licensing requirements for his wife, a speech pathologist, to see if it was feasible for her to work in Australia as well. “Global Medical Staffing made everything so much easier,” he explains. She opted instead to volunteer at a local vocational college, helping refugees and immigrants learn English, and had an incredible experience.

Although in the U.S. locum tenens assignments pay really well, international locums rates are typically lower. But with the hospitals providing their housing and transportation, Dr. Ryan’s family was actually able to save money, even while traveling extensively. “We thought we would need extra money to do this, and it turned out we put money into savings instead, which was a nice surprise,” says Dr. Ryan.


Ready for More Overseas Adventure

Dr. Ryan is already excited to take on another international assignment when his daughter graduates from high school. In the meantime, in addition to his full-time practice he occasionally takes on a weekend locum tenens assignment in places like Santa Cruz, California, a city he loves visiting.

He says to other healthcare professionals: “Don’t hesitate to look into international locum tenens. It's easier than it seems, especially with a locum tenens company like Global Medical Staffing that assists throughout the whole thing. I can’t wait to go do it again.”

Ready for your own international locum tenens adventure? You can view our current opportunities here. Or just pick up the phone and give us a call at 1.800.760.3174. We're always here to discuss your options and answer any questions you might have.
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Meet Tyler Black, President of Global Medical Staffing

Posted by Mark A. Kellner



It’s been a long, successful journey for Global Medical Staffing, since getting its start in 1994 providing physicians to rural facilities in Australia, to its acquisition by CHG Healthcare in 2016.

It’s been an equally successful journey – though not quite as long – for Tyler Black, GMS’ president since January 2017, and a 10-plus year veteran of CHG before taking on the new role.

Tyler recently talked about his background, why GMS is a good partner for CHG, why GMS is part of the National Association of Locum Tenens Associations, or NALTO, and what the future holds for the trail-blazing firm.

Before moving to GMS, Tyler was vice president of CompHealth’s Allied Healthcare Division, which he helped become one of the fastest growing divisions within CHG during his time there. Tyler’s responsibilities included leading sales and support operations for the division of the Salt Lake City-based healthcare staffing firm. He was responsible for the direction and results of sales and support employees as well as for the development of all compensation plans, business intelligence reporting, and divisional marketing strategy.

But, he adds, moving to a newly acquired company within the CHG family was also attractive: “Global was a very exciting opportunity from every angle.  Being a growing domestic locums division, along with a unique international team, made GMS extremely attractive.  Also, I thought it would be a great learning experience to be part of integrating a newly acquired company to the CHG family.”

Often in business, there are challenges in integrating an acquired company, but Tyler told us “the GMS team was very similar to other teams within CHG. I found some great people who were committed to doing great work, and a culture of taking care of each other.  I knew immediately CHG and GMS would be a great fit.”

And, Tyler added, it “made a lot of sense” for CHG to acquire GMS.

“We are the best in the business when it comes to locums and the locums market continues to grow,” he explained. “That and the unique aspect of the international business made GMS not only complimentary to our other business line, but added a new offering CHG didn’t have.”

In addition, the acquisition of Global Medial Staffing increases CHG’s presence among locums providers, he said. “Global’s international placement expertise is also attractive to both physicians and healthcare systems, allowing CHG to expand its leadership position by offering more staffing solutions to clients,” Tyler added.

What are the benefits for physicians? Several, according to Tyler.

“Adding another domestic brand now offers physicians another trusted company where they can have a great experience,” he said. “It offers additional locations, additional clients and options in the domestic space, as well as amazing experiences working abroad with our international clients.  Previous to the GMS acquisition, CHG did not have the international aspect. Now, there’s even more access to licensing, credentialing, and travel resources and support.”

GMS clients, Tyler said, “benefit from getting the opportunity to work with another company that is extremely committed to quality, professionalism, integrity, ethics, and ‘Putting People First.’ And, they gain access to even more CHG resources, such as our world-class credentialing department.”

Indeed, he said, it’s “attention to the little details” that separates GMS from others in the field.

“I believe our international experience provides a good sense of how important the small details are in locums,” Tyler explained. “Doctors who are doing assignments for six months or a year often want more details than if an assignment was just a few weeks or a month,” and GMS knows how to provide the needed information and support  through its dedicated team of placement specialists.

Tyler added that GMS’ membership in NALTO “sends a message to clients and providers that we are committed to doing things the right way and that we hold ourselves accountable to a certain standard.” NALTO, he points out, has both a code of ethics and standards of practice by which member firms must abide, and serves as a clearinghouse when complaints arise.

And why should a physician choose GMS? That’s an easy question to answer, Tyler said: “It’s our people! We have great people that are committed to making a difference…highly engaged and happy people make GMS a better choice for locum tenens physicians.”

As to GMS’ business outlook, Tyler said it’s certainly a bright one: “I believe the sky really is the limit,” he said. “I see GMS aggressively growing the number of specialties we focus on in both the domestic and international business. Within the next four to five years, I believe GMS can grow its revenue by three or four hundred percent and more than double in size of employees dedicated to making the locums experience a great one for all sides.”

Curious about locum tenens opportunities in the U.S. and throughout the world? You can click here to see what opportunities are currently available.

Short staffed at your facility? Click here to learn about how Global Medical can help with your staffing needs, domestically or abroad.

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