Avoid Locumtenens.com

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livinlavidalocums

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Like many others have said, avoid the big agencies!
I asked to be presented for 60 hrs a week including 20hrs of OT. Locumtenens.com presented and said only 40 hrs which is -40% lower income. I said No. 6 weeks later another smaller agency with good reviews on this forum with a much better offer has hit a roadblock as I was victim to “bait and switch” from locumtens.com 6weeks ago.
I hope me sharing this information helps my colleagues and prevents them from the headache I am dealing with now. Stay away from Locumtenens.com with higher markups and aggressive unethical tactics.
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Yes they were very shady when I talked to them. Kept saying this locums offer was 'going to become available' soon...I put off another offer because it was a driving distance from my house...3 months go by, I never see the same position offered anywhere else, I ask around and locumstenems settled on local prns at a much lower cost. Seemed like they just gathered up as many resumes as they could and went with the cheapest option. Which I understand from a business perspective but the string along was a lot worse than any other agency I've worked with
 
I think we all becareful for any presentation via email or text to state if locums agency presents us at X rate/terms and its rejected, then what happens next?
 
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aneftp said:
I think we all becareful for any presentation via email or text to state if locums agency presents us at X rate/terms and its rejected, then what happens next?
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There is usually a contract between the agency and the hospital that prevents the hospital from employing you for a certain time frame without compensating the agency. Otherwise the hospital could just cut out the middle man early on.

You do need to be careful who you let present you and where. I believe it applies to a whole hospital system, not just one site and it’s usually 2 years.
 
ryanjmy said:
There is usually a contract between the agency and the hospital that prevents the hospital from employing you for a certain time frame without compensating the agency. Otherwise the hospital could just cut out the middle man early on.

You do need to be careful who you let present you and where. I believe it applies to a whole hospital system, not just one site and it’s usually 2 years.
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Seems more on the agency

I guess I’ve never had that same issue in my 20 plus years of doing locums here and there

But I’ve never shopped around at a place that I couldn’t agree to on terms.

But usually there is some written communication text email you are being presented so I don’t think the whole entire hospital system applies.

The enforcement must be strong. This newer grad got rejected by envoy cause he didn’t have 2 years experience at one hospital so he went to another locums agency who got him in. Maybe envoy didnt bother presenting him at all. That’s probably what happened.
 
I did not shop around. To me weekly income is what matters so I wanted 60hrs since the rate was on the lower end in this market. 40 hrs at a liwer rate was not going to cut it. In my email to locumtenens, I specifically state I agree to be presented under terms of 60 hrs guaranteed income including total compensation and which expenses locumtenes will be required to pay me. Since my conditions of presentation were not met, why am I prevented from working with another agency later who can meet my demands. Not sure it is even the same facility. Can anyone chime in on what I can do?
 
Anyone have a solution? I emailed and texted Locumtenens.com requesting them to withdraw the presentation since the terms of permission to present were not honored
 
livinlavidalocums said:
Anyone have a solution? I emailed and texted Locumtenens.com requesting them to withdraw the presentation since the terms of permission to present were not honored
Click to expand...
Feel like this is entering lawyer territory. I don't have a solution for you beyond to send a certified letter about ceasing all business relationship etc etc etc.
 
I really can’t understand why the hospitals bother with the agencies. Especially if you are in a big metro area just try to get a lot of per diems on your roster. Cut out the middleman and don’t deal with these non competes.
 
dannyboy1 said:
I really can’t understand why the hospitals bother with the agencies. Especially if you are in a big metro area just try to get a lot of per diems on your roster. Cut out the middleman and don’t deal with these non competes.
Click to expand...
Because many hospitals are loathe to have "fight" club. They don't want to employ anesthesia, radiology, EM. If a surgeon complains to hospital admin there is no anesthesia staffing. Is the admin who is responsbile for staffing in house anesthesia gonna to fight him or herself? Or is it better to have a 3rd part like envision/usap/team health be the fall guy and have to answer those questions.

I think 50% of administrations have no clue how surgery runs in their own hospital. They are more focus on revenue being generation globally in their hospital (adminssions, infections). They al attend the same meetings and events being lecture how to run hospitals a certain way.

As for cutting out the middle man. Some hospitals that do employ in house w2 anesthesia do contract out directly to anesthesiologist directly. But these hospital administrators are clueless on market condition.

I have a direct hospital contract (no agency) states, per diem w2 @250/hr hospital provides malpractice. The alternative contract they also gave me is $350/hr 1099 but I supply my own malpractice....this is 2024!! I told them another hospital 10 miles away (their own hospital sister system!!) is already giving me $375/hr 1099 and they cover hote/car and malpractice.

It's like admin is so out of touch with market conditions. But most of medicine is very slow to respond to market condition unless there is a mass crisis. The plug a hole method/slow bleed for years is what they will continue to do.
 
aneftp said:
Because many hospitals are loathe to have "fight" club. They don't want to employ anesthesia, radiology, EM. If a surgeon complains to hospital admin there is no anesthesia staffing. Is the admin who is responsbile for staffing in house anesthesia gonna to fight him or herself? Or is it better to have a 3rd part like envision/usap/team health be the fall guy and have to answer those questions.

I think 50% of administrations have no clue how surgery runs in their own hospital. They are more focus on revenue being generation globally in their hospital (adminssions, infections). They al attend the same meetings and events being lecture how to run hospitals a certain way.

As for cutting out the middle man. Some hospitals that do employ in house w2 anesthesia do contract out directly to anesthesiologist directly. But these hospital administrators are clueless on market condition.

I have a direct hospital contract (no agency) states, per diem w2 @250/hr hospital provides malpractice. The alternative contract they also gave me is $350/hr 1099 but I supply my own malpractice....this is 2024!! I told them another hospital 10 miles away (their own hospital sister system!!) is already giving me $375/hr 1099 and they cover hote/car and malpractice.

It's like admin is so out of touch with market conditions. But most of medicine is very slow to respond to market condition unless there is a mass crisis. The plug a hole method/slow bleed for years is what they will continue to do.
Click to expand...
My locums place pays local per diem anesthesiologists 275-300/hr W2, while agencies are paying 350-400/hr 1099 with travel/car/hotel, etc.
 
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aneftp said:
It’s even worse at a place I know that in urban area that pays w2 prn docs $225/hr! And paid 1099 crnas $220/hr!!
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Shame on the docs who sign up for that. Unless it is an overnight call where you can almost be guaranteed to sleep 7 hours.
 
Depends on the hours for overnight call. If its 16 hours x225 sure, but 8 hours, I would rather have my guaranteed sleep in my bed without possibility of a g1 for labor epidural or a ex lap, etc.
 
dannyboy1 said:
Shame on the docs who sign up for that. Unless it is an overnight call where you can almost be guaranteed to sleep 7 hours.
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It’s standard mommy track 7-3p job for doc. It appeals to some doctors. All about the laws of supply and demand.

Some people don’t want to drive more than 15-20 min for work and be home by 330p for the kids.

Obviously they aren’t the primary bread winners. But want some extra income.

Plus it’s an easy assignment. 1:2 supervising or 1:3 max. So that appeals to a lot of part time docs who just want to make sure their feet are still wet in the game.
 
livinlavidalocums said:
Like many others have said, avoid the big agencies!
I asked to be presented for 60 hrs a week including 20hrs of OT. Locumtenens.com presented and said only 40 hrs which is -40% lower income. I said No. 6 weeks later another smaller agency with good reviews on this forum with a much better offer has hit a roadblock as I was victim to “bait and switch” from locumtens.com 6weeks ago.
I hope me sharing this information helps my colleagues and prevents them from the headache I am dealing with now. Stay away from Locumtenens.com with higher markups and aggressive unethical tactics.
Click to expand...
IDK.
I've had crap experience with AMN and Comphealth, but the best from Locumtenens.com
They aren't the highest pay, but I don't get much pushback on the type of car rental, hotel, etc...
Their checks always deposit on time.
They may take a bigger cut, but its less hassle for me to go chasing after my money, which I've had to do with other locums.

livinlavidalocums said:
Anyone have a solution? I emailed and texted Locumtenens.com requesting them to withdraw the presentation since the terms of permission to present were not honored
Click to expand...
You can have the other locums company present you under the terms. If they come back and say that you've already been presented by LT, you can tell them that you only provided them terms for presentation, but they have not presented you under your terms. I did this myself for a job and it worked out fine.
 
Basically the moral to learn from this is to put a line in email that sttates and disclaimer that goes like this

“This is my consent to be presented at X hospital for X rate and therms”

“If should terms are not met, should another offer becomes available from another party, I (physican X) am bound by any terms due to non performance clause of locums tenems.com (or similar contact and their affiliates or parent or subsidiary)”

They will freak out if you put a non performance cause in any form of written communication
 
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