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When Joseph Scherger, MD, was fired from his post as the dean of the medical school at Florida State University in March 2003, he negotiated a five-month severance package. But he didn’t want to remain idle during that stretch, so he applied for a job covering for a family physician who had been disabled in an accident. Scherger ended up with between 25 and 30 percent of that doctor’s patient load—a move that bought him still more time to assess his next job. All in all, he took nearly a year before reporting to his next job at the University of California-San Diego.
    Locum tenens organizations rely on folks like Scherger to fill their ranks. These temporary work assignment groups are particularly great for physicians who lack a solid idea of where they want to be or the type of practice they wish to join, says Katie Abby, the chief operating officer for Vista Staffing Solutions in Salt Lake City, Utah, and the president of the National Association of Locum Tenens Organizations, headquartered in Altamonte Springs, Florida.
     “First of all, it gets them into a position of generating income. Second, so many of our clients use locum tenens services as a way to recruit for permanent staff—a test drive before committing long term,” Abby says.
    Assignments vary from private sector to government contracting with the Indian Health Service or the Department of Veterans Affairs, and the average assignment lasts four to eight weeks. Physicians, naturally, can limit their involvement by practice type or geographic area. Pay is lower than what physicians typically earn in the marketplace, but the medical facility picks up transportation, housing, and any state licensing fees. The locum tenens malpractice insurance policy covers the work physicians do for the organization.
     This is not, however, a way to hide your unemployed status. “Locum tenens work is not the place for a physician who has problems or bad issues in their background,” Abby says. “Certainly being dismissed from a position may not disqualify you, but you can expect to explain your situation in every location you go, much as you would when you apply for a job.”
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