heme/onc locums

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Anybody here do heme/onc locums work? Could you tell me about what it's like? (salary, working conditions, pain of medical licensing in multiple states) How long are the gigs usually? (1 day, 1 week, 1 month etc.) Any market for single-boarded med onc locums?

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Anybody here do heme/onc locums work? Could you tell me about what it's like? (salary, working conditions, pain of medical licensing in multiple states) How long are the gigs usually? (1 day, 1 week, 1 month etc.) Any market for single-boarded med onc locums?
I get roughly 2 dozen emails a day offering a variety of locums positions ranging from 1 week to "ongoing". Call is usually expected. Comp for agency jobs typically runs in the $3000-3500/d range, at least around here. This includes malpractice and credentialing fees. It's 1099 income and doesn't include any "benefits" like health/disability/life insurance, PTO, 401k, etc.

I have worked with a number of locums oncologists in the past. One of them wasn't terrible.
 
I have worked with a number of locums oncologists in the past. One of them wasn't terrible.
Is this mostly inpatient work to cover a gap in the schedule? What did these locums docs say was their reason for working locums?

It seems like a totally weird situation in Onc that goes against the reasons most people enter the field.
 
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Is this mostly inpatient work to cover a gap in the schedule? What did these locums docs say was their reason for working locums?
People work locums in all fields for a variety of reasons. I am personally considering it, 15-20 years down the road as a transition to retirement. But a lot of the locums docs I've interacted with have done it because they can't hold down a regular job d/t personality issues.
It seems like a totally weird situation in Onc that goes against the reasons most people enter the field.
Why you went into the field, and why some other people went into the field, are likely radically different.
 
I have credentialed a number of locums and one of them was not terrible. Perhaps we are talking about the same person.
About 2 years ago, someone suggested we engage a locums doc to help cover a few months between a physician retiring and a new one coming onboard. I gave up all of my administrative time to cover that clinic so we could avoid locums.
 
For personal reasons I am considering doing full-time locums work for the next 1-2 years. Are there any good resources on the logistics? I am aware I could discuss with a recruiter but I am looking for a non-biased take from someone with experience.
 
For personal reasons I am considering doing full-time locums work for the next 1-2 years. Are there any good resources on the logistics? I am aware I could discuss with a recruiter but I am looking for a non-biased take from someone with experience.
I guess it depends on what you mean by logistics.
 
I guess it depends on what you mean by logistics.
I am thinking about several things here.

Is one locums company superior to another for physicians?
Are there unintended tax consequences that I should anticipate/plan for?
What is the typically living situation like?
How do the companies define hours worked?
How does the recruiter get paid(from my cut?)?
Do you get paid for onboarding?
Who handles licensing?
What are some pitfalls to avoid?
Malpractice etc.
 
Would you mind messaging me their information?
I think he’s talking about this guy. https://www.instagram.com/theoncrediblemd/

If there’s another full time locums heme onc social media guy with a lambo I’d like to know though lol. I agree this guy is your best shot for mentorship, and true mentorship in how to arrange logistics and make this work. Not some bs academic mentorship. He has several vids on important technical topics on oncology locums
 
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I don't see how this is a viable lifestyle for anyone but a swinging bachelor or a DINK type scenario. If you have kids in school and value being there for them, it's a no go for me. (Unless you do locums in state - which may or may not be that hard by contacting dept heads directly). That said whereas once we would consider locums for unemployable physicians, it's now becoming more important avenue for physicians crushing under the weight of massive consolidation in healthcare and devaluation (either by comp or resources) of MDs.
 
I don't see how this is a viable lifestyle for anyone but a swinging bachelor or a DINK type scenario. If you have kids in school and value being there for them, it's a no go for me. (Unless you do locums in state - which may or may not be that hard by contacting dept heads directly). That said whereas once we would consider locums for unemployable physicians, it's now becoming more important avenue for physicians crushing under the weight of massive consolidation in healthcare and devaluation (either by comp or resources) of MDs.

Would only need to be a bachelor for a couple of years before investing enough to hit coastFIRE
 
I think he’s talking about this guy. Login • Instagram

If there’s another full time locums heme onc social media guy with a lambo I’d like to know though lol. I agree this guy is your best shot for mentorship, and true mentorship in how to arrange logistics and make this work. Not some bs academic mentorship. He has several vids on important technical topics on oncology locums
Maybe it's a generational thing but I got second-hand embarrassment from most of those videos. There was some relevant stuff in there if you look for it. Imagine being a patient with a serious illness and your doctor is posting click-bait videos about how much it is to gas up your Lambo.
 
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I think he’s talking about this guy. https://www.instagram.com/theoncrediblemd/

If there’s another full time locums heme onc social media guy with a lambo I’d like to know though lol. I agree this guy is your best shot for mentorship, and true mentorship in how to arrange logistics and make this work. Not some bs academic mentorship. He has several vids on important technical topics on oncology locums
Wow I didn't know this guy made an instagram. I was a resident at the same hospital he was a fellow. I knew of him peripherally as I knew his junior co-fellows better. He was a notoriously bad clinician and wasn't quiet about only doing this for the money. The hospitalist team was glad he graduated so he would stop moonlighting and making a mess of things. He might know how to make money but I wouldn't want to work with him after hearing stories from his colleagues.
 
Wow I didn't know this guy made an instagram. I was a resident at the same hospital he was a fellow. I knew of him peripherally as I knew his junior co-fellows better. He was a notoriously bad clinician and wasn't quiet about only doing this for the money. The hospitalist team was glad he graduated so he would stop moonlighting and making a mess of things. He might know how to make money but I wouldn't want to work with him after hearing stories from his colleagues.

You went to Harbor UCLA? I did some med school rotations there!

I don’t think I overlapped with this guy but to be fair I think clinical competency can always be improved, lifelong learning and all.

What does it mean to be a bad clinician? I thought IM was easy with uptodate and nowadays you have open evidence and other AI tools that just tell you evidence based management for everything, so even if your knowledge base is not good you can always look up what to do… it’s not like being a surgeon and not knowing how to operate… so how do you define bad clinician? I’ve never actually met a “bad” IM doctor and I finished an internal medicine residency. NPs on the other hand…
 
The problem is if you are so intellectually lazy that you refuse to look things up. I’m on UTD, Journal watch, and other resources 10-15 times a day because I love to learn and want my patients to receive the best care they can as of (.todaydate). Some docs never open the NCCN guidelines. Instead of evidence based medicine it’s “eminence based medicine.” Sad but true - there are docs that don’t want to burn the calories from using their brain cells. For me personally, I find learning new things the best part about medicine.

Hate to say it but this may be the best argument for the ABIM forcing us to do some number of questions per quarter. We all know we can phone it in with CME and a some docs as I mentioned are practicing what they learned in residency and will do nothing more than that.
 
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The problem is if you are so intellectually lazy that you refuse to look things up. I’m on UTD, Journal watch, and other resources 10-15 times a day because I love to learn and want my patients to receive the best care they can as of (.todaydate). Some docs never open the NCCN guidelines. Instead of evidence based medicine it’s “eminence based medicine.” Sad but true - there are docs that don’t want to burn the calories from using their brain cells. For me personally, I find learning new things the best part about medicine.

Hate to say it but this may be the best argument for the ABIM forcing us to do some number of questions per quarter. We all know we can phone it in with CME and a some docs as I mentioned are practicing what they learned in residency and will do nothing more than that.

I agree with this. I am in the minority but I am of the opinion that we should continue to mandate the 10 year ABIM exams. Instead of failing 10% of the test takers, set a passing score of 70% or something and only fail the ones who can't score past the passing score.
 
I agree with this. I am in the minority but I am of the opinion that we should continue to mandate the 10 year ABIM exams. Instead of failing 10% of the test takers, set a passing score of 70% or something and only fail the ones who can't score past the passing score.
I think I should be able to submit a log of the dozens (hundreds?) of hours I spend annually reading UpToDate and call it a day
 
I agree with this. I am in the minority but I am of the opinion that we should continue to mandate the 10 year ABIM exams. Instead of failing 10% of the test takers, set a passing score of 70% or something and only fail the ones who can't score past the passing score.

I think I should be able to submit a log of the dozens (hundreds?) of hours I spend annually reading UpToDate and call it a day
I fall in the middle here. I decided to do the LKA when I had to re-up last year and I actually find it fairly educational. I would say that half of the questions are softballs, another quarter of them make me think for a minute and the rest I actually have to look something up and learn something. I am one of those people who keeps a tab open with UTD, one with NCCN and one with PubMed open at all times and I will look something up on at least half of my new patients and 10-25% of my follow ups every single day.

I think the 10y exam is a dinosaur given how rapidly oncology (and medicine in general) is changing. I would venture to guess that <10% of the correct answers on my initial cert exam 11 years ago are still correct today. Even with the LKA, I've seen questions that are no longer correct based on recent data, and it tells you in real time if you got it right and allows you to comment on it. So if there was a NEJM paper published last week that contradicts the "correct" answer, you can reference it in your comment. I have no idea if they then turn around and give you credit for it, but it feels much less helpless than answering a few hundred questions in a row and then waiting 3+ months to find out how you did.
 
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