Locum Tenens - Achieving a balance
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Achieving a balance
Offering flexibility and the chance to visit interesting locales, locum tenens is also a solution for practitioners with more specific personal needs. Such was the case for Donald Bley, MD, a family physician from the Mid-Atlantic who could rarely find time to visit his new vacation home up North.


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"After completing my residency in 1975 and serving 2 years in the United States Air Force, I accepted a permanent position in a multi-specialty practice near my hometown. I was so satisfied with both the location and the work that I stayed there for 25 years. And 4 years ago when I was ready for a change, I took a position as a hospitalist just 35 miles away."

Although Dr. Bley had no interest in moving permanently, he and his wife, Beverly, were very fond of the Northeast. "My wife is from New England, and we always had a wonderful time visiting her family. We loved the area so much, in fact, that we finally decided to buy a second home there."

Unfortunately, Dr. Bley's schedule did not afford him much time to visit the area. "It takes 2 days to drive from one house to the other, and I rarely had enough time off to make the trip. I knew that locum tenens contracts would grant me the flexibility I needed, but I was a bit apprehensive about giving up my steady job and the guaranteed salary that went along with it."

CAREFUL PLANNING


Making the most of opportunities
Since Dr. Bley and his wife were determined to make the most of their new home, they met with their financial advisor to devise a plan. "After more than 30 years of practice, I was ready to scale back my hours. But I needed some income and I still enjoyed seeing patients, so we developed a plan that would allow me to move toward retirement gradually. The first year, I would provide services for 8 to 10 months, then 6 months the second year, 4 months the next year, and so on until I was ready to retire completely."

With a financial strategy in place, Dr. Bley set his new plan in motion. "Ideally, I was hoping to find opportunities near my vacation home during the late spring, summer, and fall, and spend the winter near my original home farther south. I obtained a license for the new state and contacted a couple of staffing agencies."

PERSONAL CONNECTIONS

Dr. Bley was quickly offered opportunities from two different staffing companies. Ultimately, he accepted his first contract through Fort Lauderdale, Florida-based Weatherby Locums. "Both opportunities sounded promising, but two of the doctors from the Weatherby Locums contract contacted me personally, which made a big difference. Though I was excited to provide services at a new location, I wanted to make sure we all had similar expectations."

Once he spoke with his future colleagues, Dr. Bley felt confident stepping into the four-doctor/one-physician assistant practice, which was located about 200 miles from his vacation home. "The 16-week contract started in July, allowing me to commute to the new house all summer. Plus, I was happy to help out my fellow family physicians. The most senior doctor had retired and I was there to fill his position until the permanent replacement arrived in the late fall."

As it turned out, Dr. Bley was able to assist the group even more than he had originally anticipated. "Sadly, the wife of one of the other doctors suffered a tragic accident the day I arrived. The whole community was devastated. I helped fill the unexpected vacancy and was pleased I could help keep the practice functioning smoothly during that difficult time."

The other doctors and patients seemed to feel the same way. "All of my colleagues expressed how grateful they were to have the extra help. And the patients—who range from newborns to the elderly—were not at all hesitant to see someone new. They were just happy not to have to wait too long for an appointment. Some even asked me to stay permanently, which I consider a tremendous compliment."

The situation worked well for Dr. Bley, too. "I generally provided services in the office Tuesday through Friday, from 9:00 a.m. until 5:00 p.m. Plus, I took call every fourth weekday and every fourth weekend. This arrangement left me plenty of long weekends to drive to the vacation house, where my wife spent the summer. We finally have the time to enjoy our new home together, which was the point of starting locum tenens in the first place."

WIDE-REACHING BENEFITS

Realizing the benefits of providing locum tenens services, Dr. Bley notes, "The staffing agency covers my malpractice insurance, plus a tail—which is a huge savings for me—along with all transportation costs and rent for a furnished apartment. The best part, however, is the significant reduction of work-related stress. I no longer worry about call schedules, CPT or ICD-9 codes, office staffing, or Medicare reimbursement. I just take good care of the patients and submit my hours to the staffing firm."

Continues Dr. Bley, "When evaluating staffing companies, find out how much credentialing assistance representatives will offer, what their turnaround time is for answering questions, and how promptly they reimburse you for services." He adds, "I would advise anyone signing up with a new staffing firm to really get to know the primary contact person. If you are comfortable with this individual and he or she knows exactly what you are looking for, you are much more likely to find a good match and have a positive experience."

Dr. Bley also suggests physicians increase their options by utilizing services from a few different companies. "Though I would not hesitate to team up with Weatherby Locums again, I accepted my second opportunity through a different agency because it offered me a winter contract just 2 hours from my primary residence. Thanks to locum tenens, my wife and I can now spend winters near our family and summers up North at our new vacation home. Going mobile has helped us achieve a balanced lifestyle as we approach retirement."