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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Don't know where your next locum tenens assignment will be? Try the Gateway to Asia.

Posted by Everett Fitch


It’s summer in the Northern Hemisphere. That means it’s winter in the Southern. Both seasons tend to bring about a thirst for travel in all of us. Maybe it’s the electricity of summer. Or maybe it’s the somewhat cooped up feeling some of us get in the middle of winter. Either way, a tropical island sounds simply pleasant, doesn’t it? Pleasant because of the solitude. Pleasant because of the weather. Pleasant because of the unerring freedom of steady blue skies and cyclical coastline.

The Caribbean, of course, has this appeal. So do the islands that make up Hawaii. Another Pacific island, though, has driven us to write with such fervor. An island that’s filled with massive coast, seaside cliffs, and endless exploits packed inside a beautiful melting pot of a culture. You should most certainly take time to enjoy every last portion of this lush landscape. From the limestone plateaus in the north to the volcanic hills in the south, the island of Guam has a unique character and energy everywhere you turn.

But believe it or not, Guam offers much more than what’s housed within its boundaries. How? It serves as a phenomenal jumping-off point to experience all-things Asia. In fact, it's known as the Gateway to Asia. Guam is only three to four hours flying time away from lively cities such as Seoul, Tokyo and Hong Kong.

So, in light of this, instead of writing unabashedly about all the magnificent aspects of Guam, we thought we’d take time to share a bit about the best things to do in the above-mentioned Asian cities. After all, if you do decide to take a locum tenens assignment in this paradise, you’re a short flight away from these metropolises that once seemed like strange and distant places.

Seoul, South Korea

From the dissipating flames of the Korean War came a roaring, lion-hearted city bent on rebirth. Welcome to Seoul—a 24-hour, brighter-than-bright city you’ll definitely be surprised by. It still retains its seismic past: If you’d like you can take a day-trip to the Demilitarized Zone (DMZ) that splits South Korea from North (this is actually quite the popular tourist spot).


Spend as much time in Seoul as you can though because there’s plenty to see and do in the city itself. And its flashing lights shine the way. It’s perfectly reasonable to take a tour of a centuries-old palace (Changdeokgung) follow it up with a visit to a teahouse in a 1930s hanok (Suyeon Sanbang) and end with city-top views in N Seoul Tower (hint: be sure to visit at sunset) all in one day.

Tokyo, Japan



We think Tokyo and visions of neon immediately dance in our heads. A lot of the city looks like a sci-fi film. Take Tokyo Sky Tree for example. Opening barely in 2012, this silvery broadcasting, restaurant and observation spire stands at 634 meters (2,080 feet) above the cityscape. There’s a glass elevator and even glass floors throughout so you can admire the dizzying magnificence of the megalopolis below. And on the clearest of days you can see all the way to Mt. Fuji.


Still, Tokyo gives a respectful nod to its past while looking ever-forward to the future. Head to the Kokugikan (sumo amphitheater) to witness a sumo wrestling match. If you want to learn more about this 1,500-year-old tradition, stop by the Sumo Museum first. Tokyo’s gems don’t ever end. There are ancient Buddhist temples (Zōjō-ji) to admire. There are riverboat cruises along the Sumida-gawa (the city’s central waterway) to enjoy. There are street-packed festivals (Sanja Matsuri) complete with portable shrines. We can’t forget the famous Roppongi Hills, either. It’s full of shopping malls, museums and breathtaking gardens.

Hong Kong



Hong Kong is quite the interesting place and like Seoul and Tokyo, it has a storied past. As much as you’ll see an endless horizon of modern buildings scraping the misty sky, you’ll see just as much ancient and colonial tradition winding its way through flashy night clubs, idyllic beaches, green mountains, lively markets (Temple Street Night Market) and even atmospheric temples (Man Mo Temple). This fusion of old and new is everywhere.


A mix of chaos and harmony also exists. Within hours you can jump on a double-decker tramcar and explore behind the scenes, wander around in a Song-dynasty village, catch views from Victoria Peak (the highest point on Hong Kong island), be hypnotized by a Cantonese opera, and engorge yourself with sweet and sour prawn in a high-class restaurant or right in a dai pai dong (open-air food stall). Satiate your hunger for adventure and great food virtually anywhere in this vibrant city.

Keep in mind, we do not currently place in any of the above-mentioned Asian cities.

These are simply fantastic regions to explore while you’re on your locum tenens assignment in Guam. If you’re interested in learning more about where we place, go ahead and view our current physician opportunities. Then feel free to request information, or contact us.

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