Taking your first locum tenens assignment is exciting — and a little intimidating. Whether you’re a seasoned provider leaving a full-time job or a newer graduate ready to explore the flexibility of contract work, knowing what to expect can make all the difference.
Here’s how to prepare for success in your first locum assignment and hit the ground running.
1. Orientation Will Be Minimal
Unlike permanent roles that offer week-long onboarding, most locum assignments offer 1–2 days (or hours) of orientation. You’ll need to quickly:
- Learn the EMR system
- Understand documentation expectations
- Meet key staff and department leads
- Clarify call schedules, patient flow, and protocols
Tip: Ask your recruiter for a pre-arrival packet or facility guide. Review the EMR platform and procedural expectations in advance.
2. Be Prepared to Adapt Quickly
Locum providers are expected to blend in and get to work fast. That means being flexible, observing facility culture, and asking smart questions without hesitation. Everyone knows you’re temporary — but your professionalism and attitude go a long way.
Staff will appreciate:
- Showing up early
- Helping teammates even if “it’s not your job”
- Communicating clearly when you need something
3. Housing and Travel Are Usually Covered
Most agencies cover:
- Flights or mileage reimbursement
- Rental car or transportation stipend
- Hotel or furnished housing
Make sure you get housing details in writing. Some providers prefer a per diem to book their own accommodations — especially for longer-term assignments.
4. You’ll Need to Be Credentialed and Licensed
Before you start, the facility will need to complete your credentialing process — including verifying licenses, DEA, malpractice history, immunizations, and peer references. This can take 2–8 weeks depending on the site and your responsiveness.
Tip: Work with a recruiter who handles credentialing in-house and helps you stay on track with paperwork.
5. Malpractice Insurance Should Be Provided
Reputable agencies offer malpractice insurance with tail coverage. Confirm that your contract includes:
- Occurrence-based or claims-made with tail
- Coverage limits (commonly $1M/$3M)
- Policy documentation if requested by the facility
Never accept an assignment without confirmed coverage.
6. The First Week Sets the Tone
Your first few days are your chance to build trust with the team. Be dependable, stay humble, and deliver safe, efficient care. Most staff are happy to help if you show you're invested — even short term.
Don’t be afraid to:
- Clarify roles and workflow
- Ask for backup if you're uncertain
- Take notes during orientation
7. You Might Be Asked to Extend
If the team likes you and the facility still has a need, you may be asked to extend or return. Be honest about your availability — but keep the door open if you’d consider future work there.
Conclusion
Your first locum tenens assignment can open doors to new career paths, better income, and a healthier work-life balance — but preparation is key. By knowing what to expect, staying organized, and embracing the unknown with confidence, you can turn your first contract into the start of something great.