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How locum tenens work helps physicians and APPs reclaim control

Brian Sutter
Policy
June 16, 2025
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Burnout isn’t a weakness—it’s a warning sign.

I recently spoke with a nurse practitioner looking for a lifestyle change that could give her more balance without stepping away from medicine.

“I love caring for patients,” she told me, “but I don’t even recognize my life anymore. My schedule runs me, not the other way around.”

For her, locum tenens wasn’t a detour but a lifeline. Within months, she regained control of her time, rediscovered her passion, and felt like herself again.

Burnout often shows up quietly: A missed vacation, endless EMR nights, a gradual shift from purpose to survival. We chalk it up to duty, not being tough enough. But burnout isn’t a personal failure; it’s a system’s red flag.

For physicians and advanced practice providers (APPs), the pressure to keep pushing, despite emotional fatigue, shifting values, or feeling disconnected, can feel unrelenting. Some are finding a new path forward: locum tenens work.

It’s not a permanent fix for a broken system. But for many, the breakthrough helps them reclaim autonomy, reset purpose, and stay in medicine—on their own terms.

Burnout is real—and it’s systemic.

In 2023, nearly half of U.S. physicians reported experiencing burnout, according to a national survey by Medscape. APPs are facing parallel challenges: growing documentation demands, under-recognition, and limited scheduling flexibility.

Burnout isn’t just exhaustion; it’s moral distress, disconnection from meaning, and a loss of control over your work.

Many clinicians don’t feel they’re allowed to step away. The sunk cost of training, fear of abandoning patients or colleagues, and uncertainty of what’s next keeps them stuck.

Locum tenens offers something that often feels impossible in traditional roles: a permission slip to reset.

Why locum tenens isn’t just a gig—it’s a breakthrough

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Locums is usually misunderstood as temporary or transitional work. At its core, locum tenens gives providers control over time, geography, and workload. That control is exactly what burnout steals.

Here’s how it becomes a breakthrough for many:

  • You get to pause. Breaks between contracts offer space to rest and recover without quitting.
  • You rediscover agency. Choose your location, specialty mix, and schedule.
  • You focus on medicine. Most locum roles are clinical-first, meaning fewer meetings, less admin, and more direct care.
  • You gain perspective. Practicing in new environments allows clinicians to see what really matters—and what they won’t tolerate.

What we’re hearing from the field

While every provider’s path is different, a consistent pattern has emerged among those who’ve embraced locum tenens: relief, renewal, and the return of professional identity.

In a CHG Healthcare survey, 74 percent of locum tenens physicians cited schedule flexibility as a top benefit, and over 60 percent said it reduced their burnout levels. Many describe the experience as a way to regain control over their professional lives.

Some use locums as a short-term reset. Others build entire careers around it, prioritizing autonomy, rest, and mission-aligned care. For those in mid- or late-career stages, it can be a powerful bridge to reinvention.

Even for those who return to traditional roles, locums often create space for clarity, helping clinicians re-engage with medicine on their own terms.

The career ladder is shifting—and that’s a good thing

The traditional career narrative—long-term employment, incremental promotions, full-time until retirement—is breaking down.

What’s replacing it? Flexibility. Exploration. Intentional rest. Strategic pivots.

Locum tenens enables all of that:

  • Mid-career physicians explore rural, urban, or even international options.
  • APPs escape volume-driven clinic quotas and try inpatient, urgent care, or specialty settings.
  • Late-career clinicians phase into retirement gradually, working 3–6 months a year.
  • Early-career clinicians are using locums to test what kind of setting fits them best, before settling in.

This isn’t instability; it’s intelligent career design in a profession that has long resisted it.

Breakthrough doesn’t mean easy.

Locum tenens work still takes effort.

  • Credentialing and licensing require paperwork and patience.
  • Being new at a facility comes with learning curves.
  • You’ll manage your own benefits, retirement, and tax planning.
  • Some facilities are better organized than others.

But most locum providers say that what they gain—freedom, rest, clarity—far outweighs the tradeoffs.

And many agencies help clinicians handle licensing, housing, and onboarding. The work is still yours, but you don’t go it alone.

Signs you might need a breakthrough (not just a vacation)

Even with support, the decision to seek a different path often comes from deep-seated feelings of exhaustion and disillusionment. If you’re questioning whether you’re merely tired or truly burned out, here are a few signals:

  • You feel numb, not just tired.
  • You avoid eye contact with patients or dread the next one.
  • You fantasize about walking away… often.
  • You’ve forgotten what it feels like to want to go to work.
  • You don’t feel proud of your work anymore.
  • You can’t name the last time you truly rested.

These aren’t inconveniences; they’re signs that deserve attention, not guilt.

Burnout recovery isn’t linear. But locums helps make it possible.

Healing from burnout isn’t a straight line. It’s not a checklist. It’s a process of:

  • Rebuilding your energy
  • Relearning your boundaries
  • Reconnecting with purpose
  • Reclaiming your time

Locum tenens provides the structure and space to do that without leaving your profession behind.

You’re still a physician. Still an APP. Still dedicated. But now, with more flexibility and control, you can be all those things without breaking in the process.

Final thought: You deserve more than survival

You didn’t conquer med school, residency, or years of call shifts just to barely survive your career. You don’t need to prove your dedication by staying in depleting roles.

Locum tenens is not just a different way to work; it’s a different way to live your professional life. It’s a tool to help you stay in medicine without losing yourself.

If you’re burned out, consider this: Maybe you don’t need to leave medicine. Maybe you just need a new way to be in it.

Brian Sutter is a health care marketing leader at Advantis Medical. He writes about provider well-being, system operations, AI in health care, and amplifying the voices of health care professionals by capturing their real-life experiences and challenges. He also consults with health care organizations to improve clinician experience and expand access to flexible career options. You can explore his recent travel nursing articles or follow his work on Medium, Vocal, and SubStack. You can also connect with him on X (Twitter) or LinkedIn.

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