The Ultimate Guide: 6 Essential Tasks for Locums Before Getting Started

Beginning as a locum doctor can be a daunting prospect. When transitioning from a permanent position to one that is more temporary, it can be overwhelming. There are more documents to complete, more planning to do, and more preparation to complete than anyone ever realizes. Whether you are straight out of residency or an experienced physician trying out locum jobs in USA for your first time, taking steps to get organized and prepare ahead of time will save you loads of hassle down the road. Think of it like preparing for a large move, but now you will be doing this multiple times per year. The good news is, once you have the essential elements figured out, it will be smooth sailing for your subsequent assignments. Here are six essential things every locum must do before you take on your first assignment.


1. Streamline Your Documentation


Before applying and finding locum jobs, organize all your professional documents. Digitize and update your medical license, DEA registration, certifications, CV, malpractice history, immunization records, and references. Store them in a cloud system like Google Drive or Dropbox, and label files with expiration dates for easy tracking. For example, save your license as "John_Doe_Medical_License_2025_12_15" to monitor renewals. Keep your CV updated with every assignment, noting duties and systems used, which will help when applying for future roles.


2. Understand the Licensing Maze


Each state has its own licensing requirements, and locums may need licenses in multiple states. Start early, as processing can take 60-120 days. Consider the Interstate Medical Licensure Compact (IMLC) to simplify licensing in compact states, but still be aware of state-specific requirements, fees, and renewals. Also, ensure you have the necessary DEA registrations for each state where you'll prescribe controlled substances. Keeping track of paperwork and renewals will make the process easier.


3. Secure Proper Insurance Coverage


Malpractice insurance is often provided by locum agencies, but it's important to understand the coverage details. Most agencies offer $1-3 million per claim, but check if it's occurrence-based or claims-made. Occurrence coverage protects you after the policy ends, while claims-made only covers you during the policy period. If you’re on multiple short-term assignments, you may need "tail coverage." Additionally, as an independent contractor, you'll need your own health, disability, and possibly life insurance, as these are not usually provided.


4. Build Your Professional Network


Finding locum jobs is often about networking. Start 3-6 months early by joining local medical societies, attending conferences, and connecting with fellow locums. Consider joining locum groups for support and job leads. Building relationships with specialized recruiters is key—they can match you with better opportunities through word-of-mouth and personal connections.


5. Research Each Assignment Thoroughly


Never accept a locum assignment without researching first. Check the facility’s website, learn about the patient population, and understand their mission and culture. Get details on the EHR system, patient volume, and whether you'll have support staff. Ask about housing arrangements and nearby areas to reduce stress and avoid surprises.


6. Negotiate Your Contracts Wisely


Negotiating a locum contract involves more than just pay – everything from the schedule to housing and scope of practice is up for discussion. To succeed, research market rates for your specialty and know your worth. Use flexibility, like working holidays or tough shifts, as leverage for better pay. Pay close attention to termination clauses, payment schedules, and buyout terms. Ensure all agreements, including non-monetary terms like housing and meal allowances, are clearly outlined in writing.


The Bottom Line


Locum jobs in USA offers flexibility and diverse clinical experience, but success demands preparation. Start planning at least six months before you begin, especially if you're newly out of residency. Thriving in locum roles requires embracing uncertainty while staying organized. Each assignment differs, but mastering key fundamentals ensures not just survival, but enjoyment in the locum lifestyle. The goal is to build a sustainable career that offers the freedom and variety you sought from locum work.

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