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Posted on
April 5, 2025

How Locum Tenens Works to Fill Short-Term and Long-Term Staffing Needs

Maintaining consistent clinical coverage is a constant challenge for healthcare organizations—especially during provider absences, seasonal volume surges, or while recruiting for permanent staff. You may have heard of temporary providers stepping in to help maintain continuity during these gaps—but how does locum tenens work in practice?

Rooted in the Latin phrase meaning “to hold the place of,” locum tenens is a flexible staffing model that allows qualified clinicians to fill short-term or long-term roles. It’s a strategic tool that helps facilities avoid care disruptions, support staff well-being, and maintain operational stability.

This article breaks down how the locum tenens process works—from initial engagement to placement—and why it’s become an essential part of workforce planning across today’s healthcare landscape.

What Is Locum Tenens?

In healthcare, locum tenens refers to physicians, advanced practice providers, and other clinical professionals who take on temporary assignments to fill staffing gaps. These assignments can range from a weekend ER shift to a year-long coverage plan for a specialist on sabbatical.

Originally used in primary care settings, the model has expanded to support nearly all specialties—including internal medicine, general surgery, psychiatry, and emergency medicine. Today, it’s a versatile tool for health systems seeking clinical stability without long-term overhead.

The Evolution of Temporary Medical Staffing

Locum tenens staffing has grown beyond short-term coverage. Rising demand for specialists, the need for staffing flexibility, and the increasing mobility of the medical workforce have made it a go-to solution for systems of all sizes.

Beyond physicians, staffing firms now routinely place:

  • Nurse practitioners and physician assistants
  • Allied health professionals
  • Medical technologists
  • Behavioral health specialists

This expansion has increased the value of locum tenens as a comprehensive coverage solution across service lines.

Key Benefits for Healthcare Facilities

Healthcare organizations turn to locum tenens for several strategic advantages:

  • Continuity of care: Avoid service interruptions during provider absences or transitions
  • Speed to coverage: Rapid access to credentialed clinicians
  • Cost control: No long-term salary, benefit, or onboarding commitments
  • Operational flexibility: Scale staff up or down as needed

When used strategically, locum tenens staffing not only fills gaps—it strengthens clinical operations and supports long-term workforce planning.

How the Locum Tenens Process Works

Understanding how locum tenens works—from engagement to placement—can help healthcare leaders implement it effectively.

1. Partnering with a Staffing Agency

The first step is working with a trusted healthcare staffing partner. Agencies handle the recruitment, vetting, credentialing, and placement process. They also align provider qualifications with your facility’s clinical needs and culture.

A quality staffing partner manages:

  • Candidate sourcing
  • Licensing and credentialing support
  • Travel and housing logistics
  • Contract negotiation and compliance

This ensures that internal teams can focus on care delivery while coverage needs are addressed efficiently.

2. Credentialing and Licensing Requirements

Providers must meet all credentialing and licensure standards in the state where they’ll be practicing. Some states offer expedited licensure, while others require longer lead times.

Staffing agencies assist with:

  • State licensure application and verification
  • Hospital privileging processes
  • Malpractice insurance (often included as part of the placement)

This process is typically managed by the agency’s compliance team to keep timelines on track and reduce administrative strain.

3. Contract Terms and Logistics

Locum tenens contracts outline all key terms, including:

  • Duration of the assignment
  • Scope of clinical responsibilities
  • Schedule and shift expectations
  • Compensation structure
  • Travel and housing reimbursements

Facilities can negotiate certain elements to align with internal policy, including payment structures or required onboarding protocols.

Meeting a Range of Staffing Needs

One of the strengths of the locum tenens model is its ability to flex across a wide range of staffing scenarios. Here’s how it can work in different contexts:

Emergency Coverage Solutions

When a facility faces sudden staffing shortfalls—due to illness, family leave, or an unexpected departure—locum tenens physicians or APPs can be deployed quickly. Many agencies specialize in rapid placement, with pre-vetted providers ready to mobilize.

Use cases include:

  • Emergency department surge staffing
  • Immediate hospitalist coverage
  • Unplanned leave replacement in inpatient or outpatient settings

Agencies typically handle travel, lodging, and malpractice insurance to minimize administrative burden and enable fast onboarding.

Seasonal and Peak Period Staffing

Patient volumes often increase during flu season, summer vacation periods, or regional population surges. Locum tenens can help balance the workload without overextending your core team.

Seasonal locum coverage offers:

  • Predefined timeframes for temporary support
  • Consistent patient access during high-volume periods
  • The ability to test new service lines or expand coverage hours

It’s a cost-effective way to maintain service quality and avoid staff burnout.

Long-Term Staff Replacement

When a provider is out for an extended period—such as during maternity leave, a sabbatical, or prolonged illness—locum tenens can ensure uninterrupted care delivery.

Longer-term locum placements offer:

  • Workforce stability during prolonged absences
  • Reliable provider continuity for patients
  • The potential to evaluate candidates for permanent roles

Facilities benefit from consistent staffing without the risks and delays of a full recruitment cycle.

Locum Tenens as a Strategic Staffing Solution

When used strategically, locum tenens can support:

  • Transition periods in leadership or staffing
  • Market expansion into new locations or specialties
  • Workforce burnout reduction through better schedule balance

Rather than being seen as a stopgap, locum tenens is increasingly part of the broader workforce planning toolkit.

Is Locum Tenens Right for Your Facility?

Understanding how locum tenens works is the first step in leveraging it to meet your organization’s evolving needs. Whether for short-term relief or long-term planning, locum staffing helps protect access, strengthen care delivery, and manage operational risk.

Want to explore how locum tenens can work for your facility? Partner with Caliber to build a flexible, reliable staffing solution tailored to your short- and long-term needs.

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