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James Paterek

Locum Tenens vs Per Diem Physicians – Understanding the Variations in Medical Staffing

The healthcare industry often relies on various staffing solutions to meet its ever-changing needs. Among these solutions, Locum Tenens and Per Diem physicians play pivotal roles. While both positions fill temporary roles in healthcare settings, significant differences exist in their job structures, duration, and roles. Understanding these differences is crucial for healthcare facilities in making informed staffing decisions and for physicians considering these career paths.


Defining Locum Tenens and Per Diem Physicians

Locum Tenens Physicians - The term 'Locum Tenens,' a Latin phrase meaning 'to hold the place of,' refers to physicians who temporarily fulfill the duties of another. These professionals are often employed to cover for a physician who is absent due to reasons like illness, pregnancy, vacation, or continuing education. Locum Tenens assignments can last from a few days to several months and sometimes even longer. These physicians are typically employed through agencies specializing in this kind of placement.


Per Diem Physicians - 'Per Diem,' translating to 'per day,' denotes physicians who work on a day-to-day basis. These physicians do not have a fixed contract but are employed as needed. Per Diem, roles are ideal for facilities that need to address short-term staffing gaps, often due to unforeseen circumstances like sudden patient influxes or staff emergencies. Per Diem, physicians usually work without the intermediation of an agency and are directly hired by healthcare facilities.


Critical Differences in Job Structure and Duration

Contract Duration: Locum Tenens physicians generally work under more extended contracts, which could range from a few weeks to several months. This extended period allows them to integrate more fully into the team and understand the facility's protocols and patient demographics. In contrast, Per Diem physicians work on a much shorter basis, often filling in for just a few days at a time.


Integration with Permanent Staff: Due to the longer duration of their assignments, Locum Tenens physicians often receive more in-depth onboarding and may integrate more closely with permanent staff. Per Diem, physicians, on the other hand, are expected to adapt quickly with minimal orientation.


Flexibility and Scheduling: Per Diem, physicians typically enjoy more flexibility in scheduling. They can choose shifts that align with their availability, making it an ideal choice for those seeking a better work-life balance. Locum Tenens assignments, while temporary, usually require a set schedule for the contract's duration.


Financial and Career Implications

Compensation Models - Locum Tenen's positions often come with the benefit of having travel, housing, and insurance costs covered by the employing agency. Their pay may also reflect the longer commitment and potential for more consistent work. Per Diem physicians, however, usually receive higher hourly rates to compensate for the lack of benefits and less consistent work hours.


Career Impact: For physicians looking to explore different healthcare settings without a long-term commitment, Locum Tenens offers a suitable path. It can provide valuable experience and a broader professional network. Per Diem work is more suited for physicians seeking supplementary income or more control over their work schedules without the intention of exploring diverse clinical environments.


Choosing the Right Path

The decision between Locum Tenens and Per Diem roles depends on personal career goals, desired flexibility, and the need for job stability. Physicians who prefer variety and longer-term experiences in different settings may find Locum Tenens more fulfilling. In contrast, those seeking high flexibility with no long-term commitments may prefer the Per Diem route.


Both Locum Tenens and Per Diem physicians play crucial roles in maintaining the flexibility and functionality of healthcare services. By understanding the critical differences in their roles, durations, and impacts on career paths, both healthcare providers and physicians can make informed decisions that best suit their needs and preferences. Whether it's the stability and extended experience of Locum Tenens or the flexibility and autonomy of Per Diem work, each offers unique benefits in the dynamic world of healthcare.

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