Locums for a Small World Blog

International Locum Tenens 101 — A Beginner’s Guide

Posted by Mark A. Kellner

It’s a tempting idea: Ditch the rat-race for six months (or longer), practice overseas where you can work in the morning and surf or hike in the afternoon—or perhaps the other way around.

It’s also quite possible: Thousands of your colleagues are doing it right now.

The plusses of such work extend beyond catching the perfect wave or “throwing another shrimp on the barbie,” as our Australian friends might say. There’s the chance to engage a different culture, work in a new environment, and enjoy a “working sabbatical” from which you can jump off to explore another part of the world.

For those interested in volunteer and humanitarian work, a short-term overseas assignment can provide proximity to service areas and the extra financial resources to make it happen.

But what do you really know about international locum tenens, and how to get in on the action?

Here are some basic details to help you get started:


THE FEW, THE QUALIFIED, THE LOCUMS PHYSICIANS.

We know practice standards differ from country to country, so it’s important to note that, although there are sometimes exceptions, an international locum tenens practitioner generally must be board certified or board eligible to practice in Australia or New Zealand. In those countries, they also want you to have recent, extensive, postgraduate training or experience–three or more years in a comparable health system. Requirements will always vary from position to positon depending on a number of factors including specialty and training.

Our friends Down Under also want to make sure your medical school is listed in either the WHO Directory of Medical Schools or the ECFMG/FAIMER Directory.

To work in Canada or Singapore, you’ll need to be board certified or a fellow of the various specialty colleges, though this doesn’t apply to Family Medicine or Emergency Medicine physicians.

So, clearly, an international locum tenens assignment may not be possible for everyone—some practitioners may not have all the needed qualifications yet. If your background meets the requirements, you might be able to quickly embark on the adventure of a lifetime. Unsure of whether you meet the qualifications? Give one of our international experts a call and they’ll let you know how your training measures up to what our clients are looking for. 


THEY NEED YOU, THEY REALLY, REALLY NEED YOU!

If you’re qualified, here’s some good news: You’re probably needed. Just as there’s a growing need for healthcare in the U.S., the world’s needs are growing, too. In rural and underserved areas of Australia and New Zealand, for example, the need for physicians is strong, because there may well not be enough doctors—or those in your specialty—to go around. Some community hospitals struggle to provide basic services due to a variety of factors: new graduates choosing specialization, expanding local populations, and fill-ins for doctors on maternity leave or who have accrued long-term sabbaticals.

According to Global Medical Staffing international placement specialist Sara Cosmano, “Many of our openings are in attractive communities that have simply grown and require additional medical assistance. Many of the communities are coastal cities with populations ranging from twenty thousand to a million people.”

Translation: You won’t be stuck in the middle of nowhere! (Unless you want to be, that is.)

The compensation is nothing to sneeze at. Your airfare, housing, transportation, and malpractice coverage are typically paid for. Pay will vary from country to country but it’s important to understand that overseas locum tenens assignments generally don’t pay as much as positions in the United States. However, international positions offer additional benefits such as the opportunity to see the world, unique cultural experiences, the chance to help in areas of need, and better work/life balance. Wherever you practice, you’ll earn a competitive wage that will allow you to live comfortably and travel.

If you're not a native English speaker, you may be required to take and pass the International English Language Testing System (IELTS) exam which measures language proficiency. The test, which has been designed to avoid cultural bias, places users in bands from "1" (non-user) to "9" for an expert speaker.

If it’s nice to be somewhere that you’re wanted, an international locum tenens assignment could provide that — and more.


YOU CAN PUT PATIENTS FIRST. TRULY.

Thanks to the healthcare systems in place in many countries such as Australia and New Zealand, it’s possible for a physician to concentrate on patient care. Yes, there are systems and recordkeeping (paper-based or digital) to be involved with, but the emphasis is on providing optimal care.

Here’s what Sara Cosmano has to say: “Doctors are respected members of the community and patients are genuinely thankful for medical care. Both countries still focus heavily on quality patient care over the business and financial aspects of medicine—one of the top reasons many of our physicians choose to extend or repeat their locum experience.”

That can be a refreshing change from the competing demands a physician faces in the U.S.


IT CAN LEAD TO A WHOLE NEW LIFE — OR A NEW LEASE ON YOUR CURRENT ONE!

The writer David Foster Wallace was right when he said, "Routine, repetition, tedium, monotony…these are the true hero's enemies." It’s not difficult to fall into a rut with the practice of medicine in one place and under one system over time.

Many of those who take international locum tenens assignments say the experience sparked new enthusiasm for doing the work they do. After a few months or a year overseas, they return to the U.S. with a renewed vigor, new experiences under their belt, and perhaps new ways of viewing things. They and their families enjoy the experience of living in a different culture, as well as the travel opportunities this affords.

You could call it a “refresh” or a “reboot” when things have perhaps gone a bit stale—and you get paid for it! Best of all? Working overseas assignments gives many physicians the freedom and work/life balance they so badly want, but can’t get, here in the U.S. Generally speaking, you’ll get to spend more time seeing fewer patients, you’ll work less hours and even get have more time off to travel and explore.

But for some, the adventure goes even further. We’ve seen many practitioners take to living and working overseas and want to extend their assignments indefinitely. Our assistance in placing them on an international locum tenens can be a vital first step towards an overseas relocation, and our staff is here to guide job-seekers through every aspect of the process.

Think about it: your skills, training and experience are in demand in right now in some of the most beautiful locations in the world. You can be well compensated for those skills and expertise, and show your family things they’d possibly never see otherwise, certainly not as part of a new and exciting culture.

An international locum tenens assignment can revitalize your practice of medicine, offer new experiences and perhaps lead to an entirely new life and lifestyle.

Global Medical has placed thousands of top-caliber doctors in facilities throughout Australia and New Zealand, the U.S. and its territories, Southeast Asia, the South Pacific, the Caribbean and Canada. We actively recruit doctors from the U.S., Canada, Australia, New Zealand and Europe; though we also have recruited doctors from such far-flung areas as Iceland.

To get the process started you can click here to request more information or click below to see what’s currently available.
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QUIZ: Where should you take your next international locum tenens assignment?

Posted by Bryan Chouinard

You've gotten the itch to place your feet on new land, you know that much. But where to go? Take our fun, short, seven-question quiz to find out where you should head off to on your next international locum tenens assignment.

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Considering locum tenens? Discover the 7 best places to practice medicine in the U.S.

Posted by Everett Fitch


Where you travel in the U.S. largely depends on what types of destinations you’re attracted to. It goes without saying that If you’re a beach-lover then you'll head to one of the coasts. If you have an affinity for the desert then you'll try the southwest; it will most certainly fascinate you. Are you in search of mountains? Then you'll want to venture toward Colorado, the Rockies. Do you yearn for great lake scenery? Then Minnesota will be your next stop on the list. Of course if you’re looking for that thick green forest then the Pacific Northwest is always a welcoming haven.

What’s our point? If your heart desires a specific landscape then there’s no reason for you as a locum tenens doctor to not seek out these types of locations. Still there’s more to choosing an assignment than just the scenery. There are other factors you should consider like: What city should I practice in and why? What kind of compensation will I receive? What is the cost of living? Will this assignment turn from temporary to permanent if I end up liking it?

These are all pertinent questions that the following blog will address. (And if not then you can always request more information from us.) In fact, Medscape puts out a yearly review of Best and Worst Places to Practice exactly with these kinds of things in mind. So if you’re new to locum tenens then you should consider reading their 2016 list. Otherwise we’ll fill you in on our own seven favorite locations to practice medicine in the U.S. Discover all of them below (in no particular order).

Minnesota


The Midwest is grossly underestimated. Take Minnesota: sure the winters can be tough but not so tough that you can’t see the beauty in the frozen tundra still. No worries though. The summers here are amazing. There are lakes and beaches galore. Plus for those doctors seeking a good career path anywhere near the big cities – like Minneapolis for example – you’ll find excellent compensation plus low malpractice payouts according to Medscape’s 2016 article. What else will you find? Great health industry employers like the Mayo Clinic, UnitedHealth Group and St. Jude Medical to name a few.

Ohio


Again, harkening back to our last point, the Midwest is underrated. Most people think of the cold, oncoming winter when it comes to this region of the U.S. Rarely do people see the allure of the Great Lakes nearby and the countless state parks like Hocking Hills State Park which houses Old Man’s Cave, Ash Cave and Cedar Falls.

Still the bigger cities in Ohio hold more allure than you think. Columbus, for one, has an affordable cost of living plus great job opportunities. Medscape states “Ohio’s physician density hovers slightly above the national average (279.8 vs. 265.5 per 100,000 population).”

New Hampshire


Now on to the East Coast where every season glistens in its own unique way. The White Mountains in New Hampshire hold more spring, summer and autumn mystery to the uninitiated than any other state on the eastern seaboard, so explore away. In other words you’re in for a treat if you vacation in these parts.

What else is great here? Medscape’s article states, “New Hampshire is the only Northeastern state to make Medscape’s top 10 in terms of compensation. Plus the cost of living here is the second lowest in the Northeast.

Pennsylvania


Pennsylvania is smack dab in between the Midwest and the East Coast. It’s considered a northeastern state no doubt. Still you’ll get an eclectic mix of mountain and plains scenery in this portion of the United States.

In addition to that, the cost of living in places like Pittsburgh are very reasonable. In fact it’s, “half that of DC or San Francisco according to the AIER (American Institute for Economic Research).”

California


It’s almost common knowledge nowadays that living along the coast of California is a tad more expensive than living in many other parts of the U.S., specifically in the Bay Area. Though, there are some cities that are slightly south of San Francisco that offer not only peace of mind in the form of adventuring through state parks and beaches but also in the abundance of assignments offered. You’re able to see the wonders of every bit of California all while supplementing your income with frequent opportunities.

Oregon


Ah, the gritty elegance of the Pacific Northwest, what else do you need? If your assignment is in Portland, Oregon you’ve got pretty much everything you ever wanted. There are waterfall trails (Multnomah Falls) and mist-filled beaches (Cannon Beach) nearby, plus tons of local culture as well as a great restaurant scene.

Don’t let the higher cost of living bother you while working in Portland, the quality of life is still there. Again, Medscape’s 2016 review reports that, “Oregon’s economy has grown nearly three times faster than the national economy since 2001, and the Portland metro area, which accounts for three quarters of the state’s economy is the main driver.”

Arizona


The Grand Canyon, Saguaro National Park, Petrified Forest, need we name off more amazing sights to convince you to practice medicine in Arizona? Of course we don’t. We know it’s not all about the national parks. You need more to tempt you than that.

Even though the bigger cities here do attract more physicians – the Phoenix-Scottsdale area to name one – the state still has lower physician density than the national average (234.0 per 100,000 to the nation’s 265.5 per 100,000). Never mind any of that if you’re a golfer, this state is replete with gorgeous golf courses.

There are a lot of factors to consider when taking a locum tenens assignment in the U.S. Luckily we have locum tenens experts here to help guide you in your search for a new opportunity. Are you up for a new 2017 locum tenens adventure this summer? Click the orange button below to discover all the best places to practice medicine in the U.S.

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Leaving New Zealand: The Taylors say so long to feijoa fruit, friends & more

Posted by Jesse Black

On the eve of their departure from New Zealand, Kenneth Taylor, MD and Lori Taylor, MD, along with their two boys, Gavin and Griffin, sat down and penned a heartfelt last entry for their family blog:

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Forget the milk and cookies: hokey pokey's what it's all about in New Zealand

Posted by Saralynn White

'Twas the night before Christmas;
there wasn't a sound.
Not a possum was stirring;
no-one was around.
We'd left on the table
some tucker and beer;
hoping that Santa Claus
soon would be here.

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Why locum in Colorado? It's no great mystery.

Posted by Saralynn White

The Colorado Rocky Mountain high. If you’re into skiing, hiking, biking, birding, hunting, campingyou name itthere’s no better place to connect with your inner 'mountain man' than in this beautiful state. The Rockies (and what lies beyond them) simply offer too much to keep any outdoor fanatic away.

The air is thinner here. More than 54 mountain peaks reach 14,000 feet, but it’s not all uphill. Come down from the snowcapped summits and you’ll discover places like Boulder and Golden, Rainbow Curve and Roaring River. Slip a little further off the beaten path and you’ll find a place that’ll make the hairs on the back of your neck stand up.

Welcome to Estes Park, a village surrounded by nationally protected lands. Listen the whisper of aspen leaves. Take in the breathtaking scenery. Oh, and enjoy your stay at the Stanley Hotel.

A throwback to opulent times, the Georgian-style hotel sparked the attention of Easterners heading to the frontier over a century ago. The Stanley’s guest ledger boasts names like Teddy Roosevelt, the “Unsinkable” Molly Brown and Emperor Akihito of Japan. In 1976, the hotel hosted Stephen King and the rest, as they say, is history.

After spending one night in the now-famous room #217 (featured prominently in the 1977 movie), King was inspired to pen his page-turner, The Shining. Skim its pages, then buy a ticket to the hotel's Ghost Tour and you’ll be you questioning just how much of King’s book is fiction.

The Stanley sits on a sprawling 160 acres that boasts a golf course, concert hall, spa and more. Unlike the “Overlook Hotel” depicted in the onscreen adaptation of King’s thriller, the Stanley is open year round and has been restored to the incredible grandeur deserving of its place on the National Register of Historic Places.

All play and no work? Jack’s no dull boy here. Step outside and soaring crags are on the A-list for rock and ice climbers; mountain biking and horseback trails forge into the forests and meadows; and snowshoeing and ski trails crisscross the landscape. Leave your binoculars in the room, too. Wildlife watching here is as simple as looking over your shoulder. Elk, big-horn sheep, and foxes roam freely, foraging in the open meadows and dense thickets. On occasion, Elk herds mosey through town and snarl local traffic.

Colorado’s signature, fluffy snow is on the ground now. Locals are gearing up for another winter in the Rockies. And as luck would have it, locum tenens opportunities are aplenty here.  

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Southern California: The happiest place to locum

Posted by Saralynn White

Locum dreams really can come true in Southern California. If you're immune to the magic of Disneyland, or just prefer your excursions without wall-to-wall people then here are some lesser-known, yet worthy spots to indulge your California dreamin'.

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A bite of Tasmania: Another locum adventure with Dr. Starkey

Posted by Saralynn White

By Kathryn Starkey, MD, and Molly Evans

We had a few days to kill, so we decided to head south - across the Tasman Sea - to Hobart, the capital city of Tasmania. We were a bit overwhelmed to learn that over 100,000 people call Hobart home; however, we soon realized that Hobart is more like a village than a big city. The old-world city streets, combined with the fact that we were staying in a 100-year-old refurbished horse stable, led us to believe this was no bustling metropolis.

We didn’t completely appreciate the incredible sustainable food and wine production on the island until we had the opportunity to visit Salamanca Place. What we found were a collection of old stone warehouses built by convicts in the 1800’s, all filled to the brim with purveyors of fine foods, local wines, baked goods, artisan cheeses and restaurants. Local fishmongers sold their goods from Victoria dock, which we soon discovered was the center of the waterfront activity.

Every Saturday, the Salamanca Market is in full swing. There are over a 250 stalls that line the streets; each specializes in Tasmanian produce, honey, jams, wool products, wood-fired baked bread, cheeses, wood crafts and every form of the Tasmanian Devil known to the artistic mind. Our first day at the market, we enjoyed an egg and bacon roll with what the locals call, “the lot." The Aussie "Brekkie" sandwich included egg, ¼ lb of ham, grilled tomato, cheese, mushroom and a sauce of your choice all on a massive toasted, buttered roll. Yummy!

Later, we visited the Tassal Salmon Company - a beautiful store filled with farm-raised, fresh and smoked salmon. They conduct cooking demonstrations a few days a week throughout the year. It’s a great way to learn new ways to prepare salmon and enjoy a free lunch, too.

Our visit wouldn’t have been complete without a trip to Hobart’s own distillery and brewery, Lark Distillery. Known for its exceptional barrel-aged, single malt whiskey and its unique Tasmanian Bush Liqueur, Lark isn't alone on the island. There's Cascade Brewery, which is Australia’s oldest continuously operating brewery. Needless to say, we employed a few cold ones to wash back that smoked salmon.

Although we couldn't stay more than a week, the locals reminded us that summer would soon be there, and so, too, another bounty of great food. At the end of December, Hobart plays host to a seven day “Taste Festival” which coincides with the famous Sydney to Hobart Yacht Race.

By far, this has been our favorite place to visit. The locals constantly remind us that Tasmania is “a world apart, but not a world away.” We welcome company to latitude 40-44 degrees south. Cheers!


Dr. Kathy Starkey, an OB/GYN, and her partner, Molly Evans, have chosen locum tenens as a permanent lifestyle. Their adventures have taken them to New Zealand's North and South Islands, the Caymans, Western Australia (twice) and the small Australian state of Tasmania. They're such great storytellers that they appear in our blog often, so watch right here for more amazing tales from Down Under and beyond.

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Locum lore: favorite 5 stories revisited

Posted by Saralynn White

We've been blogging for a year now, and we have so many new subscribers that we thought we'd revisit these five great locum tenens stories that appeared in our
first post. If you've already read them, they're worth another look. Enjoy!

#1 Do you take this animal barb from your common-law husband?

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