The Interstate Medical Licensure Compact (IMLC/IMLCC) is an expedited pathway that helps physicians doing locum tenens obtain multiple state medical licenses faster, but it does not create one “multi-state license”—each Compact state still issues its own full license, and you must be licensed in the patient’s state (including telehealth). Through the IMLC, you apply via your State of Principal License (SPL) to receive a Letter of Qualification (LOQ)(typically the longest step), then use the Compact process to request expedited licenses in other member states; timelines are often measured in weeks, but background checks, fingerprints, and board processing can still delay starts. Costs include an initial Compact fee plus each state’s license fees and ongoing renewals, so the IMLC is most valuable for locums clinicians who plan to maintain a multi-state footprint (anchor states + opportunity states) and who start the process before they urgently need a new license.
Locum tenens work rewards speed: the faster you can secure and maintain state licenses, the more shifts you can accept—often with better pay and better scheduling leverage. Unfortunately, medical licensure is paperwork-heavy, repetitive, and slow because state medical boards typically require primary-source verification (PSV) of key credentials (medical school, training, identity, exam history, etc.).
If you’re relocating your medical practice or starting multi-state locum tenens, understanding how to transfer a DEA number between states is critical for staying compliant and avoiding credentialing delays. Many clinicians search “DEA transfer,” “move DEA registration to another state,” or even “transfer DEA license,” but the process usually means updating your DEA registration address when you move—or obtaining separate DEA registrations for each statewhere you prescribe controlled substances. In this guide, we break down the exact steps to change your DEA registration when changing states, what to do if you’ll be practicing in multiple states, how state licensing and controlled substance requirements affect your timeline, and the most common mistakes that slow down hospital credentialing.
We are physicians, we are exceptionally trained to provide medical care, and we pride ourselves on perfection. We are not trained to be businessmen or lawyers, yet this aspect of our practice impacts so much of our quality of life and day-to-day frustrations. Locum Tenens doctors are no different. Understanding the Locum Tenens contract is one of the most daunting and anxiety inducing aspects of what we do. What exactly are you agreeing to and how can you maximize and protect yourself? Well, it’s time to break down the Locum Tenens contract!
If you’re a physician (or advanced practitioner) considering locum tenens work, one of the first big decisions you’ll face is how you get the job:
Work through a locum tenens staffing agency (the most common route), or
Schedule locums directly with a hospital, clinic, or health system (a “direct locums contract”).
Both can work extremely well—and both can go sideways if you don’t understand the tradeoffs. The right option depends on your specialty, tolerance for admin, travel needs, how quickly you need to start, and how much control you want over contract terms and logistics.
Locum tenens urology can be one of the best ways to gain flexibility, protect income, and design a career around your life instead of the other way around. Urology is also one of the specialties where “coverage” can mean wildly different things—from clinic-only to full-scope hospital call with emergent OR cases, inpatient consults, cystoscopy, stone work, trauma coverage, and even oncology-heavy practice depending on the facility.
Locum tenens isn’t just a temporary staffing solution—it can be a strategic career move for gastroenterologists who want more schedule control, strong earning potential, and the freedom to choose the practice environment that fits best. But GI locums is its own world: procedure-heavy workflows, anesthesia and endoscopy suite logistics, call burden tied to bleeds and biliary disease, inpatient consult volume spikes, and credentialing/privileging that can be more complex than many other specialties.
Locum tenens isn’t just for ER docs and hospitalists anymore. Infectious disease (ID) physicians are increasingly in demand for hospital consult services, antimicrobial stewardship programs, infection prevention support, outpatient HIV/PrEP care, travel medicine, and coverage during recruitment gaps. If you’re an ID doctor considering locums, your success hinges on a few ID-specific realities: consult workflow, call expectations, stewardship responsibilities, inpatient vs outpatient mix, and how facilities define “coverage” for a specialty that often spans the entire hospital.
Locum tenens work can be an incredible way to regain control of your schedule, increase earning potential, and step away from long-term administrative burden. But before you sign your first contract, you need to speak the language.
“Whenever a doctor cannot do good, he must be kept from doing harm” ~Hippocrates
This guide walks doctors through everything they need to know before starting their first locum tenens assignment, with a practical 50-point checklist covering how to choose the right job, lock down scope and contract terms, understand pay/call/guarantees, verify malpractice coverage, complete credentialing and compliance, manage DEA/state requirements, handle travel and housing logistics, and succeed clinically in a new system (EHR access, workflows, escalation pathways, handoffs, documentation, and follow-up responsibilities). It also includes a detailed FAQ that answers the most common first-time locums questions—helping physicians avoid surprises like scope creep, unpaid time, credentialing delays, and unsafe coverage—so the first assignment is predictable, efficient, and burnout-resistant.