November 8, 2024 • 29 mins
Discover how Certified Anesthesiologist Assistants (CAAs) can revolutionize their careers with the growing number of locums opportunities. I sit down with Sabrina Strange from LocumTenens.com to break down exactly what "working locums" means for CAAs, and what you need to have in place before considering a locums position.
LocumTenens.com has recently updated their platform to make it more accessible than ever for CAAs eager to explore the locums market. For anyone considering a dynamic career path with unmatched flexibility, this episode is packed with valuable insights and encouragement to explore the burgeoning CAA locums market.
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:04):
Welcome to the Awakened Anesthetist podcast,
the first podcast to highlightthe CAA experience.
I'm your host, mary Jean, andI've been a certified
anesthesiologist assistant forclose to two decades.
Throughout my journey andstruggles I've searched for
guidance that includes my uniqueperspective as a CAA.
(00:25):
At one of my lowest points, Idecided to turn my passion for
(00:46):
storytelling and my belief thatstick around and experience the
power of being in a communityfilled with voices who sound
like yours, sharing experiencesyou never believed possible.
I know you will find yourselfhere at the Awakened Anesthetist
podcast.
Welcome in.
Hello all my fellow CAAs, aastudents and prospective
(01:07):
students.
I am your host, mary Jean, andwelcome to Awakened Anesthetist.
Today I'm collaborating withlocumtenantscom to bring you an
in-depth look at CAAs workinglocums.
Working locums is a term thatyou may hear thrown around a lot
in the break room or betweenCRNAs or anesthesiologists.
But is the locums market reallyfavorable to CAAs and what
(01:32):
exactly does working locumsreally mean for us here today to
lend their expert advice isSabrina Strange with
locumtenantscom.
So welcome, sabrina, to theAwakened Anesthetist.
And here we do a little rapidfire to kind of get to know each
other pretty quick.
So I'm going to start shootingoff some quick questions.
(01:54):
If that works for you, soundsgreat to me, Mary Jean, awesome.
First, tell us what your roleis at locumtenantscom.
Speaker 2 (02:03):
Yeah, so I am a recruiting production manager,
so I both recruit on my ownterritory as well as manage some
of our recruiters on the team.
Speaker 1 (02:11):
And locumtenantscom places CAAs, crnas and physician
anesthesiologists right,correct, awesome, okay, so darn
it.
I took your next rapid fire,which is can CAAs work locums?
Speaker 2 (02:34):
Well, surprise, they can.
Yes, we have recently brokeninto the CAA market of placing
CAAs at locum assignments, soit's been something they've been
able to do for a while, but wehave recently kind of entered
that market and we're going toget more specifics in place
there to hear how locum tenantscan help CAAs get a locum's
placement.
Speaker 1 (02:48):
But that's for later.
So really high level.
What does working locums meanfor?
Speaker 2 (02:54):
CAAs?
Yeah, so it means takingpart-time assignments at
different hospitals, whetherthat's in your home state or
another state that CAAs areallowed to practice in Cool,
okay, and then a reallylighthearted one.
Speaker 1 (03:07):
What is your favorite coffee shop order?
Speaker 2 (03:10):
I am a coffee addict and a Cortado is my go-to order.
Speaker 1 (03:15):
Be more specific.
I don't even know what aCortado is.
Speaker 2 (03:18):
Yeah, so it's almost like a latte, but really, really
small.
So it's like the half a size ofa normal latte, but more
intense.
Yeah, you can take a shot of itinstead of having to sit there
and drink it.
You're supposed to drink it atthe counter and walk away.
Really, oh, you are serious.
I like this, sabrina.
Okay, I'm professionallyItalian, trained in coffee, fun
(03:39):
fact.
Speaker 1 (03:40):
Okay, we're learning so much more about you now,
sabrina, you mix well with theanesthesia crowd, I'm sure yes
lots of coffee.
Speaker 2 (03:47):
Don't talk to me before my first cup.
Speaker 1 (03:50):
Okay, so let's get started by just really being
specific about the CAA locumsmarket and specifically where
locumtenantscom comes in for us.
When did you start placing CAAsin locums positions?
Speaker 2 (04:07):
So we actually started a few years ago just
here in our home state ofGeorgia, at a local hospital
that reached out saying thatthey needed the help.
However, about four months agois when we really broke into the
market and started placing CAAsmore consistently.
Speaker 1 (04:22):
In just the state of Georgia, or can you place us in
any?
Speaker 2 (04:26):
state.
Any state that you guys canpractice in we can help with.
I will say we're breaking intothat market so you might not
have a job in every single state, but any state that you guys
can practice in we can try andfind you a job.
Speaker 1 (04:39):
Gotcha and I have sort of a personal attachment to
this next question because acouple of years ago I reached
out to you guys, tolocumintendentscom, and the
person I talked to was like I'venever heard of a CAA, I don't
know what that is and, no, wedon't place CAAs.
So can you just give me alittle background on why you
guys decided to start placingCAAs?
(05:01):
I assume it's not because justone hospital asked you, or maybe
it is, I don't know.
Speaker 2 (05:06):
Yeah, we definitely started to see a lot of
facilities saying, hey, wearen't getting enough
anesthesiologists or CRNAs tohelp keep our ORs open.
Do you guys staff CAAs?
And on the opposite side we hada lot of CAAs signing up saying
, hey, we're looking for workand, as embarrassing as this is,
we didn't even have a way forthem to sign up correctly.
(05:27):
I'm sure you felt that when youwere on our job board.
So we really sat down and saidthis is something that
facilities can really use andthere's people out there that
want to travel that don't havethe option to, and that's why we
decided to really do someresearch first and make sure we
understood the difference in aCAA and a CRNA and educate our
team before we startedrecruiting on those jobs and
(05:48):
telling hospitals yes, we canhelp staff CAAs now.
And so if a CAA were to go on tothe locumtenantscom website,
would they be required to thensay, hey, I'm a CAA looking for
a job, and then, you know,different jobs would be
available to us yes, so we havenow updated everything so you
(06:08):
can actually see which jobs areaccepting CAAs and you can sign
up on our job board as a CAA sothat a recruiter will reach out
to you about jobs that fit whatyou're looking for.
Speaker 1 (06:19):
Awesome, great.
That is exactly what I waslooking for two years ago.
So I'm glad that it's circledaround and you guys are placing
us.
Because I knew oflocumtenantscom, because it's
what seems to be one of thebiggest locums agencies in
anesthesia Can you talk a littlebit about locumtenantscom in
(06:40):
the anesthesia marketplace andhow long you've been there and
what you guys have been doing?
Speaker 2 (06:44):
Yeah, so locumtenantscom started in 1995.
So we've probably been in theanesthesia industry for about 20
plus years.
We started out with just apsychiatry team, but anesthesia
has become the largest teamwithin locumtenantscom and we
place more positions in anyother department.
Speaker 1 (07:01):
Hmm, okay.
So because working locums issomething that most CAAs will
have heard of, but very few ofus will have a direct contact
with someone who works locumsunless we know someone on social
media who's sharing theirlocums journey, which is
starting to happen now, can yougive us a real insider look into
(07:21):
what working locums means as aCAA and any differences that a
CAA would experience as a locumsworker as opposed to a CRNA or
an anesthesiologist?
Speaker 2 (07:33):
Yeah, so as far as working locums, that's kind of
what you'd want it to look like.
Everyone does locumsdifferently.
So we have three personas thatwe kind of describe people as
here at locumtittingscom.
The first one someone casual,so someone just doing PRN work
or random weeks, as they havethem, somebody who does this as
(07:54):
their full-time career.
You can work locums everysingle week if you want to, just
like you would a W-2.
You can tell us 30 days out I'mtaking a vacation and I won't
be here for this week and we'lllet our facility that we're
working with know.
So, a little bit different thana straight W-2, but essentially
working a W-2 is a 1099contractor.
And then somebody who does itfor fun.
(08:15):
So somebody maybe who's retiredand said I have a few more
years of me but I don't reallywant to work all the time, but I
want to work half the time,whatever that might look like.
And then, as far as CAAs howthat would be different there is
no difference.
They can work locums just likea CRNA can.
The only issue you'll comeacross is just that this is a
(08:36):
new thing.
There aren't quite as many jobs.
So where you'll hear, crnas arebouncing around from one
facility to the next.
That's not quite an option yet.
We're getting there and in somestates like Georgia or we have
a few jobs in Wisconsin rightnow you might be able to, but
it's going to be probably alittle bit more of a long-term
assignment or somewhere whereyou are just working the random
(08:57):
weeks that they open up, butthat's the only place in your
area that maybe would offer that.
Speaker 1 (09:01):
Okay, and this is maybe jumping the gun a little
bit, but since you mentionedcertain states, what if people
know hey, I want to work inWisconsin, but I'm not familiar
with the market there.
Maybe they're coming from outof state, but they know CAAs
work in Wisconsin, it's a CAAstate and they're moving there.
Would it be a good thing forthem to get in contact with you
and just say, hey, I'minterested, what's available?
(09:25):
Like at what point in our jobsearch, do you want people to
contact locumtenumcom if they'reinterested?
Speaker 2 (09:31):
Absolutely.
I would suggest reaching out atany point Once you realize
you're interested or maybeyou're not even interested, but
you have questions.
That's what recruiters arethere for.
We're here to advocate andsupport at every step of the way
.
We can explain to you what thelocums industry looks like right
now in Wisconsin, what thatlicensing timeline looks like.
(09:51):
We can help get you thatlicense or just answer questions
about what the pay looks likein Wisconsin right now.
We do suggest technically,about three months before you're
looking to work.
I would say with today's worldof credentialing, that might be
closer to six or nine months, ifI'm being honest.
Oh really, the technical ruleis you should be planning your
(10:12):
schedule three months out, okay.
Speaker 1 (10:15):
Wonderful, great.
Thank you for that.
Yeah, that three months doesseem to be sort of what I hear,
just like the schedule is thatyou need at least three months
notice to get your license andyour credentialing.
Talk to me about the currentjob market as you see it, the
trends.
What makes a CAA in demand Ifthey want to go locums?
(10:35):
Do you need to have specialskills and any growth potential
there for us in this market?
Speaker 2 (10:41):
Absolutely.
I think that for CAAs there'sonly growth potential right now
as facilities are realizing leftand right that they can't keep
ORs open because there's such ashortage of anesthesiologists
and CRNAs, they're all turningto the CAAs and saying we need
your help, we've not had you inour hospital before, but we
would like to start bringing youin.
(11:01):
We've worked with a fewfacilities in Indiana that did
not have CAAs before, and now wehave 10 CAAs working and or
getting ready to start workingwith them.
Oh my, wow.
So the CAAs starting in Indianaor we're hopeful they'll get to
start soon is definitely a greatexample of how fast the CAA
(11:24):
market is expanding in certainstates.
We're also seeing a lot ofexamples of CAAs saying hey, I
would really like to work inthis specific state.
Here's my availability, can youhelp me find a facility?
And that is definitelysomething we offer and I think
kind of helps make thingsspecialized to what you're
looking for as a CAA in yourassignments.
(11:45):
So that also, I think, reallyhelps with the growth potential
of where that market is going.
Speaker 1 (11:51):
That is huge that someone could contact you and
say, hey, I want to work in thishospital.
That's never had CAAs before,but I know locumtenantscom has
affiliations there because theyplace other providers.
Can you help me break in andyou guys would be able to help
us do that?
Yeah, absolutely.
Speaker 2 (12:09):
That's one of our favorite ways, and how we've
gotten to where we are is askingpeople hey, what are you
looking for?
Turning around sending thatinformation to our top clients
and saying I have someoneactively looking to work, here's
what they're looking for.
Does this fit what you want?
Yes, perfect, here we go.
And that helps open the doorsfor other CAAs, because
sometimes a facility will tellus they don't need help until
(12:31):
they see we really have somebodythere ready to help and all of
a sudden they could use helpwith five different openings.
So that's one of our favoriteways to help find a new job,
because we know it fits bothparties perfectly.
Speaker 1 (12:42):
Yeah, Talk to me a little bit about why you have
such a good reputation in,because I know that it's
difficult to be talking withthese hospital credentialers and
there's so many layers, there'sso much bureaucracy.
Hospital credentialers andthere's so many layers, there's
so much bureaucracy.
Where do you think that trustcomes from that?
If locumtenantscom says, hey, Ihave this CAA provider that
wants to come to their hospitalthat they're like, okay, yeah
(13:05):
we'll take a look.
Speaker 2 (13:06):
Yeah, I think that a huge reason facilities trust us
the way they do is because we'vebeen in the game for so long.
We've built these relationshipsup over 20 years and we, I
think, as a company, have reallygood morals.
We really pride ourselves onalways doing the right thing,
treating others how we wouldlike to be treated, and I think
(13:26):
that goes a long way with ourfacilities, and they see that
when they work with us.
We're not afraid to admit whenwe make a mistake, make sure
that it gets corrected.
We do make mistakes, we're justhumans here.
Things do go wrong.
A lot of the new small agenciesthat have entered the market
want to act like everything'sperfect all the time and that
they didn't make a mistake.
It's somebody else's.
And I think because we're sohonest with who we are and that
(13:49):
we are humans, it makes a hugedifference, but it really is
time.
I've had different peopleworking on assignments for three
, four, five years.
That's not something everyagency can say.
Speaker 1 (14:06):
Sounds like integrity is really important to you guys
.
That's awesome.
That's kind of incredible tohear, honestly, because I work
in a new-ish CAA state and Ihave a little bit of a
touchstone into how difficultthat process is to get CAAs into
a new hospital, so that'sreally exciting, wow.
Okay, give me some pros andcons.
It sounds like you'll be honestwith me on some cons of working
locums.
Give me both sides of the coin.
Speaker 2 (14:28):
Yeah, the pros are easy, right.
You have freedom to schedulethings how you want.
You get to choose where youwant to work.
If you like the facility, youcan stay there longer.
If you don't, you always have a30-day out to say, hey, this
isn't meshing as well, I'd liketo find somewhere else to go
work.
I mean, I could go on and onabout the pros, down to picking
(14:49):
an EMR system that you alreadyknow, so you don't have to learn
a new one.
Or maybe you want to learn anew case that you've never done
before.
Go to a facility that's willingto teach you those and you can
add that to your list of thingsthat you know how to handle.
The cons are definitely that,with as much flexibility as you
have, that can always be adouble-sided coin.
(15:11):
Just because you have the 30day out, so does the facility.
Maybe they don't think thingsare meshing well on their end,
and now you have to kind of finda new place to go pretty
quickly, and it is really scary,I think, sometimes coming into
a new facility.
Some people think that freedomin the first week is always
really hectic and you're in ahotel room alone, potentially at
(15:32):
night, kind of like, oh, thiswas a crazy week and you have to
you know, kind of get throughthat.
I would say.
Almost everyone that starts anew assignment the first week or
so is like, oh, maybe this wasa bad thing, maybe I should go
back to where I was and by theend of the assignment, nine
times out of 10, at leastthey're like I don't want to
leave, I'm really happy here andI'm enjoying it.
(15:52):
So that's the number one thing.
I think I hear from people thatthey don't love that and
privileging in a new facilitycan be quite a pain.
It's why it's nice to have aninternal team that really helps
people through that process.
So something else that makes usstand out from other agencies
that both the facilities we workwith and CAAs enjoys that we're
very customized in our teams.
(16:13):
So our recruiters, their solejob is to recruit.
That's what they're good at,it's what they know how to do.
We have a full team forcredentialing in-house and for
privileging for the facilities,as well as teams for licensing.
There's always someone that cananswer your question.
That's truly a specialist in it, instead of just somebody who
maybe has done it one or twotimes.
You won't see that at everyagency, and it's something that
(16:35):
I do think really sets us asideon both sides the hospitals we
work with and the cliniciansthat we get to work with.
Speaker 1 (16:41):
Mm-hmm, thank you for being so honest, because I do
think it is just so valuable tohear the real real behind
something as important as howyou're going to direct your
career, as important as howyou're going to direct your
career and those things reallymatter.
Like to understand that there'ssome cons to everything,
including working logums, whichmost people like to talk about,
(17:07):
how amazing and how much moneyyou make, and you know there's
so many pros, but there's somereal cons.
So I appreciate your honestythere.
I wanted to actually go backreally quick.
You're throwing out some termsthat I'm just thinking that my
audience may not exactly know,so I wanted to go back and just
define what a recruiter is, ajob board and a locums agency
and it sounds likelocumtenantscom is all three of
(17:30):
those things, but can you justgive some more words to what
those are and define those a bitis all three of those things,
but can you just give some more?
Speaker 2 (17:36):
words to what those are and define those a bit
Correct.
Yes, we are all three of thosethings.
So let me actually start theopposite.
So a job board locumtenantscomis a job board and an agency in
one.
So the difference is that ourjob board can be posted on by
other agencies, facilitiesdirectly, groups that are trying
to bring in people, so it's notjust us, and when you click on
(17:58):
there you'll see it'll connectyou with the correct recruiter
that goes with the job or withthe correct agency.
So locumtenantscom is the agency.
So as a whole, you're going tohave two main people you speak
to at the agency and it's goingto be a recruiter and a marketer
.
The recruiter is the personwho's going to be two main
people you speak to at theagency and it's going to be a
(18:19):
recruiter and a marketer.
The recruiter is the personwho's going to be talking to you
about the different jobs thatwe have and connecting you with
the facility.
You won't hear from themarketer quite as often, but
they're actually the recruitingcounterpart.
So they are the people talkingto the facilities, finding the
jobs, finding out what they need, when they need, what the
practice description looks likeof that job.
So you'll hear from them mainlyif a recruiter is out of town
(18:40):
and they need to jump in andhelp, but every once in a while
you'll hear from them with anupdate about the assignment as
well, or about an assignmentyou're interested in.
Speaker 1 (18:48):
Okay, thank you.
Yes, we're speaking right at aninflection point for CAAs and
CAAs in the market, where we areexpanding rapidly, and I just
want to be sure everyone has thebest information to move
forward, to make you know, whatI like to say is to live a life
by design rather than default,and I just want you to speak on
(19:11):
how a CAA would know if they'reready to work locums.
Definitely, in our world itseems like, oh, you shouldn't
work locums right out of school,you need some experience.
But you had mentionedpreviously that, oh, I could
possibly be placed in a hospitallike, let's say, that does HARS
, if they're willing to train me, that I could get some more
heart experience, some morecardiac experience.
Can you talk a little bit aboutwhat skills we need to have and
(19:33):
how open we need to be on, whatcases we're comfortable with or
not?
Speaker 2 (19:38):
Absolutely.
The answer is you can be readyat any point in time.
So even new grads, direct out,can be placed in locum tenens
positions.
The caveat is not everyfacility is open to that.
So some facilities say you haveto have worked for two years,
some say it doesn't matter.
They all have this red tape ofwhat they will and won't accept.
(20:01):
And if you can reach out to arecruiter, they'll tell you
which positions you're eligiblefor, even if you are a new grad,
we'll let you know which ones.
Hey, they might take you, theymight not.
It's worth a shot.
Or, hey, it's not even worthlooking at because we know,
based on what they've done inthe past, that they won't be
open to it.
And then, as far as cases go,the more open you can be, the
better.
(20:21):
Of course, more cases you knowhow to do will always help.
However, don't ever let thatdeter you.
If you see a job posting on ajob board that says you have to
know how to do PEDS, hearts, ob,all of these different cases,
and you don't know how, buteverything else about the, I
would still reach out to thatrecruiter and say, hey, I'm
(20:42):
interested, I don't do thesecases and they'll let you know
if it's a deal breaker or not.
We often place clinicians atassignments where they only do
three quarters of the cases andthey just know which cases they
can and can't be scheduled for.
Not the end of the world,especially if a facility is
looking for three, four or fivedifferent providers to fill
something.
Speaker 1 (21:01):
Not the end of the world five different providers
to fill something, not the endof the world.
Okay, good, good to know.
Yeah, because I do thinkthere's this stigma of locums.
Sometimes when you're on theother end of a hospital that has
full-time workers or employedworkers and then contract locums
workers, that it makes it a bittricky if the locums can only
(21:22):
do certain cases like sort ofwhat you're describing.
So I do think, yes, it's bestto say I want to be able to do
all the cases at a hospital.
I don't want to say, hey, I'm alocums, I could never do this
case, but being straightforwardwith it sounds like the
recruiter would make sure you'replaced in sort of a copacetic
situation.
Yes, absolutely Awesome.
(21:43):
Okay, I think I'm at my lastquestion.
I really would love to have youguys back if you're willing,
because there's so many littledetails about tax filings and
1099 versus W-2 and healthinsurance and life insurance and
malpractice and all thesethings that I think get grouped
into this locums conversationand we've touched so much just
(22:07):
on how to really expand what'spossible to even think, oh, I
might be able to work locums,but then there's all this other.
So hopefully we can have youguys on again and have that
discussion, but I think I wantto end here on just what a CAA
or a AA student who's in schoollistening to this and thinking,
hey, that might be the path Iwanna take.
(22:27):
What is their next best?
Speaker 2 (22:29):
step.
Their next best step is to takea look at our job board, and I
say that knowing our competitorspost on there.
They're gonna see otheragencies, but they should really
get a good idea of what jobsare out there and what matters
most to them.
Is it making the highest hourlyrate possible, is it location
somewhere fun in the mountainsor a big city, or is it truly
(22:52):
finding something that's aperfect fit as far as their
cases, their preferred scheduleand those items?
And once they really thinkabout that and know what they're
looking for, reach out to arecruiter, because we are here
to be a resource.
I have been in the industry forover five years and my favorite
thing to do still is talk tosomebody brand new, answer their
(23:14):
questions and help them findthe perfect next step for them,
whether that is locums or maybeit's not.
Speaker 1 (23:21):
I'm excited for all of hopefully, the CAAs that are
me calling locumtenscom andsaying, hey, I heard you on
Awaken Anesthet.
Not, I'm excited for all ofhopefully, the CAAs that are me
calling locumtenscom and saying,hey, I heard you on Awaken
Anesthetist and I'm justinterested because it does sound
like a really cool opportunityto start getting more facilities
more aware of CAAs.
So that's really exciting to meas a CAA.
So thank you so much for takingus on and I'm really interested
(23:44):
to see where this partnershipgoes and hopefully you help a
lot of CAAs live the life thatthey want.
So I appreciate you so much.
Sabrina, thank you so much forbeing here on Awaken Anesthetist
.
Thank you for having me.
I hope you enjoyed this episodeand conversation about the
locum tenants market withlocumtenantscom.
(24:04):
If you are interested inpursuing locums or just maybe
looking at the locumtenantscomwebsite just to see what's
available, I'm going to havesome links in the show notes so
you can peruse in the privacy ofyour own home without anyone
contacting you.
And also, sabrina gave me alink that if you put in your
(24:24):
information, in exchange youwill get three downloadable
resources that will help youmake some early decisions in
your locums journey.
I did it myself.
Basically, they ask you foryour name and email address and
then you can click on therewhether you want to have a
recruiter call you.
That's definitely one of thethings in this market that can
(24:46):
be a bit overwhelming is thatonce you give your name out and
your information, you do tend toreceive a lot of recruiter
calls.
So I like that they give us theoption in this link to choose
whether recruiter reached out tous or not.
I was just really impressed bySabrina and this company and I'm
very interested to see howlocumtenenscom can help build
(25:09):
the CAA profession in terms ofgetting us into new hospitals
possibly new states or firsthospitals in new states.
That was all very exciting tome and just goes to show how
much momentum the CAA professionhas right now, at this
particular moment, it's such awonderful time to have found out
about the profession.
If you are a AA student or aprospective, I really encourage
(25:33):
you to look back into some ofthese other episodes here at
Awakened Anesthetist to make themost informed decision for
yourself about this career.
You can also follow me onInstagram at AwakendAnesthetist.
I show behind the scenes andjust give you some real life
sort of feel on what it is to bea CAA.
(25:54):
You can also join us every monthduring season four of this
podcast for an offering calledMindful Connections.
It's a time for everyone in theCAA community, no matter where
you are in your journey, to comeand gather.
It's free.
We'll do a little bit ofmindfulness practice in a really
practical and sort ofscience-minded type, a friendly
(26:16):
way, and then we'll discuss atheme that's pertinent to our
health, our professionaldevelopment and our personal
development and just have a timeto pause together in a way that
really is unprecedented andsomething that we all yet
deserve.
So I hope to see you at any ofthe Mindful Connections
(26:36):
offerings.
You can find a link for thoseas well in the show notes, and
I'm just really grateful thatyou all are here and listening.
We are coming to the wrap up of2024.
This podcast will be taking abit of a holiday break at the
end of December, but we do haveseveral more episodes before
then and definitely at least onemore process episode.
(26:58):
So I hope you all stay tunedand keep following along.
You can chat me, email me, dmme, let me know what you thought
about this episode the mostimportant thing you could do for
the podcast truly is just todirectly share this episode
right now with a friend, a CAAor another AA student in your
life.
Tell them why you loved thisepisode, why you think they'll
(27:20):
love this episode, encouragethem to take a listen and follow
along.
All right, let's talk soon,y'all.
Welcome to the Awakened Anesthetist podcast,
the first podcast to highlightthe CAA experience.
I'm your host, mary Jean, andI've been a certified
anesthesiologist assistant forclose to two decades.
Throughout my journey andstruggles I've searched for
guidance that includes my uniqueperspective as a CAA.
(00:25):
At one of my lowest points, Idecided to turn my passion for
(00:46):
storytelling and my belief thatstick around and experience the
power of being in a communityfilled with voices who sound
like yours, sharing experiencesyou never believed possible.
I know you will find yourselfhere at the Awakened Anesthetist
podcast.
Welcome in.
Hello all my fellow CAAs, aastudents and prospective
(01:07):
students.
I am your host, mary Jean, andwelcome to Awakened Anesthetist.
Today I'm collaborating withlocumtenantscom to bring you an
in-depth look at CAAs workinglocums.
Working locums is a term thatyou may hear thrown around a lot
in the break room or betweenCRNAs or anesthesiologists.
But is the locums market reallyfavorable to CAAs and what
(01:32):
exactly does working locumsreally mean for us here today to
lend their expert advice isSabrina Strange with
locumtenantscom.
So welcome, sabrina, to theAwakened Anesthetist.
And here we do a little rapidfire to kind of get to know each
other pretty quick.
So I'm going to start shootingoff some quick questions.
(01:54):
If that works for you, soundsgreat to me, Mary Jean, awesome.
First, tell us what your roleis at locumtenantscom.
Speaker 2 (02:03):
Yeah, so I am a recruiting production manager,
so I both recruit on my ownterritory as well as manage some
of our recruiters on the team.
Speaker 1 (02:11):
And locumtenantscom places CAAs, crnas and physician
anesthesiologists right,correct, awesome, okay, so darn
it.
I took your next rapid fire,which is can CAAs work locums?
Speaker 2 (02:34):
Well, surprise, they can.
Yes, we have recently brokeninto the CAA market of placing
CAAs at locum assignments, soit's been something they've been
able to do for a while, but wehave recently kind of entered
that market and we're going toget more specifics in place
there to hear how locum tenantscan help CAAs get a locum's
placement.
Speaker 1 (02:48):
But that's for later.
So really high level.
What does working locums meanfor?
Speaker 2 (02:54):
CAAs?
Yeah, so it means takingpart-time assignments at
different hospitals, whetherthat's in your home state or
another state that CAAs areallowed to practice in Cool,
okay, and then a reallylighthearted one.
Speaker 1 (03:07):
What is your favorite coffee shop order?
Speaker 2 (03:10):
I am a coffee addict and a Cortado is my go-to order.
Speaker 1 (03:15):
Be more specific.
I don't even know what aCortado is.
Speaker 2 (03:18):
Yeah, so it's almost like a latte, but really, really
small.
So it's like the half a size ofa normal latte, but more
intense.
Yeah, you can take a shot of itinstead of having to sit there
and drink it.
You're supposed to drink it atthe counter and walk away.
Really, oh, you are serious.
I like this, sabrina.
Okay, I'm professionallyItalian, trained in coffee, fun
(03:39):
fact.
Speaker 1 (03:40):
Okay, we're learning so much more about you now,
sabrina, you mix well with theanesthesia crowd, I'm sure yes
lots of coffee.
Speaker 2 (03:47):
Don't talk to me before my first cup.
Speaker 1 (03:50):
Okay, so let's get started by just really being
specific about the CAA locumsmarket and specifically where
locumtenantscom comes in for us.
When did you start placing CAAsin locums positions?
Speaker 2 (04:07):
So we actually started a few years ago just
here in our home state ofGeorgia, at a local hospital
that reached out saying thatthey needed the help.
However, about four months agois when we really broke into the
market and started placing CAAsmore consistently.
Speaker 1 (04:22):
In just the state of Georgia, or can you place us in
any?
Speaker 2 (04:26):
state.
Any state that you guys canpractice in we can help with.
I will say we're breaking intothat market so you might not
have a job in every single state, but any state that you guys
can practice in we can try andfind you a job.
Speaker 1 (04:39):
Gotcha and I have sort of a personal attachment to
this next question because acouple of years ago I reached
out to you guys, tolocumintendentscom, and the
person I talked to was like I'venever heard of a CAA, I don't
know what that is and, no, wedon't place CAAs.
So can you just give me alittle background on why you
guys decided to start placingCAAs?
(05:01):
I assume it's not because justone hospital asked you, or maybe
it is, I don't know.
Speaker 2 (05:06):
Yeah, we definitely started to see a lot of
facilities saying, hey, wearen't getting enough
anesthesiologists or CRNAs tohelp keep our ORs open.
Do you guys staff CAAs?
And on the opposite side we hada lot of CAAs signing up saying
, hey, we're looking for workand, as embarrassing as this is,
we didn't even have a way forthem to sign up correctly.
(05:27):
I'm sure you felt that when youwere on our job board.
So we really sat down and saidthis is something that
facilities can really use andthere's people out there that
want to travel that don't havethe option to, and that's why we
decided to really do someresearch first and make sure we
understood the difference in aCAA and a CRNA and educate our
team before we startedrecruiting on those jobs and
(05:48):
telling hospitals yes, we canhelp staff CAAs now.
And so if a CAA were to go on tothe locumtenantscom website,
would they be required to thensay, hey, I'm a CAA looking for
a job, and then, you know,different jobs would be
available to us yes, so we havenow updated everything so you
(06:08):
can actually see which jobs areaccepting CAAs and you can sign
up on our job board as a CAA sothat a recruiter will reach out
to you about jobs that fit whatyou're looking for.
Speaker 1 (06:19):
Awesome, great.
That is exactly what I waslooking for two years ago.
So I'm glad that it's circledaround and you guys are placing
us.
Because I knew oflocumtenantscom, because it's
what seems to be one of thebiggest locums agencies in
anesthesia Can you talk a littlebit about locumtenantscom in
(06:40):
the anesthesia marketplace andhow long you've been there and
what you guys have been doing?
Speaker 2 (06:44):
Yeah, so locumtenantscom started in 1995.
So we've probably been in theanesthesia industry for about 20
plus years.
We started out with just apsychiatry team, but anesthesia
has become the largest teamwithin locumtenantscom and we
place more positions in anyother department.
Speaker 1 (07:01):
Hmm, okay.
So because working locums issomething that most CAAs will
have heard of, but very few ofus will have a direct contact
with someone who works locumsunless we know someone on social
media who's sharing theirlocums journey, which is
starting to happen now, can yougive us a real insider look into
(07:21):
what working locums means as aCAA and any differences that a
CAA would experience as a locumsworker as opposed to a CRNA or
an anesthesiologist?
Speaker 2 (07:33):
Yeah, so as far as working locums, that's kind of
what you'd want it to look like.
Everyone does locumsdifferently.
So we have three personas thatwe kind of describe people as
here at locumtittingscom.
The first one someone casual,so someone just doing PRN work
or random weeks, as they havethem, somebody who does this as
(07:54):
their full-time career.
You can work locums everysingle week if you want to, just
like you would a W-2.
You can tell us 30 days out I'mtaking a vacation and I won't
be here for this week and we'lllet our facility that we're
working with know.
So, a little bit different thana straight W-2, but essentially
working a W-2 is a 1099contractor.
And then somebody who does itfor fun.
(08:15):
So somebody maybe who's retiredand said I have a few more
years of me but I don't reallywant to work all the time, but I
want to work half the time,whatever that might look like.
And then, as far as CAAs howthat would be different there is
no difference.
They can work locums just likea CRNA can.
The only issue you'll comeacross is just that this is a
(08:36):
new thing.
There aren't quite as many jobs.
So where you'll hear, crnas arebouncing around from one
facility to the next.
That's not quite an option yet.
We're getting there and in somestates like Georgia or we have
a few jobs in Wisconsin rightnow you might be able to, but
it's going to be probably alittle bit more of a long-term
assignment or somewhere whereyou are just working the random
(08:57):
weeks that they open up, butthat's the only place in your
area that maybe would offer that.
Speaker 1 (09:01):
Okay, and this is maybe jumping the gun a little
bit, but since you mentionedcertain states, what if people
know hey, I want to work inWisconsin, but I'm not familiar
with the market there.
Maybe they're coming from outof state, but they know CAAs
work in Wisconsin, it's a CAAstate and they're moving there.
Would it be a good thing forthem to get in contact with you
and just say, hey, I'minterested, what's available?
(09:25):
Like at what point in our jobsearch, do you want people to
contact locumtenumcom if they'reinterested?
Speaker 2 (09:31):
Absolutely.
I would suggest reaching out atany point Once you realize
you're interested or maybeyou're not even interested, but
you have questions.
That's what recruiters arethere for.
We're here to advocate andsupport at every step of the way
.
We can explain to you what thelocums industry looks like right
now in Wisconsin, what thatlicensing timeline looks like.
(09:51):
We can help get you thatlicense or just answer questions
about what the pay looks likein Wisconsin right now.
We do suggest technically,about three months before you're
looking to work.
I would say with today's worldof credentialing, that might be
closer to six or nine months, ifI'm being honest.
Oh really, the technical ruleis you should be planning your
(10:12):
schedule three months out, okay.
Speaker 1 (10:15):
Wonderful, great.
Thank you for that.
Yeah, that three months doesseem to be sort of what I hear,
just like the schedule is thatyou need at least three months
notice to get your license andyour credentialing.
Talk to me about the currentjob market as you see it, the
trends.
What makes a CAA in demand Ifthey want to go locums?
(10:35):
Do you need to have specialskills and any growth potential
there for us in this market?
Speaker 2 (10:41):
Absolutely.
I think that for CAAs there'sonly growth potential right now
as facilities are realizing leftand right that they can't keep
ORs open because there's such ashortage of anesthesiologists
and CRNAs, they're all turningto the CAAs and saying we need
your help, we've not had you inour hospital before, but we
would like to start bringing youin.
(11:01):
We've worked with a fewfacilities in Indiana that did
not have CAAs before, and now wehave 10 CAAs working and or
getting ready to start workingwith them.
Oh my, wow.
So the CAAs starting in Indianaor we're hopeful they'll get to
start soon is definitely a greatexample of how fast the CAA
(11:24):
market is expanding in certainstates.
We're also seeing a lot ofexamples of CAAs saying hey, I
would really like to work inthis specific state.
Here's my availability, can youhelp me find a facility?
And that is definitelysomething we offer and I think
kind of helps make thingsspecialized to what you're
looking for as a CAA in yourassignments.
(11:45):
So that also, I think, reallyhelps with the growth potential
of where that market is going.
Speaker 1 (11:51):
That is huge that someone could contact you and
say, hey, I want to work in thishospital.
That's never had CAAs before,but I know locumtenantscom has
affiliations there because theyplace other providers.
Can you help me break in andyou guys would be able to help
us do that?
Yeah, absolutely.
Speaker 2 (12:09):
That's one of our favorite ways, and how we've
gotten to where we are is askingpeople hey, what are you
looking for?
Turning around sending thatinformation to our top clients
and saying I have someoneactively looking to work, here's
what they're looking for.
Does this fit what you want?
Yes, perfect, here we go.
And that helps open the doorsfor other CAAs, because
sometimes a facility will tellus they don't need help until
(12:31):
they see we really have somebodythere ready to help and all of
a sudden they could use helpwith five different openings.
So that's one of our favoriteways to help find a new job,
because we know it fits bothparties perfectly.
Speaker 1 (12:42):
Yeah, Talk to me a little bit about why you have
such a good reputation in,because I know that it's
difficult to be talking withthese hospital credentialers and
there's so many layers, there'sso much bureaucracy.
Hospital credentialers andthere's so many layers, there's
so much bureaucracy.
Where do you think that trustcomes from that?
If locumtenantscom says, hey, Ihave this CAA provider that
wants to come to their hospitalthat they're like, okay, yeah
(13:05):
we'll take a look.
Speaker 2 (13:06):
Yeah, I think that a huge reason facilities trust us
the way they do is because we'vebeen in the game for so long.
We've built these relationshipsup over 20 years and we, I
think, as a company, have reallygood morals.
We really pride ourselves onalways doing the right thing,
treating others how we wouldlike to be treated, and I think
(13:26):
that goes a long way with ourfacilities, and they see that
when they work with us.
We're not afraid to admit whenwe make a mistake, make sure
that it gets corrected.
We do make mistakes, we're justhumans here.
Things do go wrong.
A lot of the new small agenciesthat have entered the market
want to act like everything'sperfect all the time and that
they didn't make a mistake.
It's somebody else's.
And I think because we're sohonest with who we are and that
(13:49):
we are humans, it makes a hugedifference, but it really is
time.
I've had different peopleworking on assignments for three
, four, five years.
That's not something everyagency can say.
Speaker 1 (14:06):
Sounds like integrity is really important to you guys
.
That's awesome.
That's kind of incredible tohear, honestly, because I work
in a new-ish CAA state and Ihave a little bit of a
touchstone into how difficultthat process is to get CAAs into
a new hospital, so that'sreally exciting, wow.
Okay, give me some pros andcons.
It sounds like you'll be honestwith me on some cons of working
locums.
Give me both sides of the coin.
Speaker 2 (14:28):
Yeah, the pros are easy, right.
You have freedom to schedulethings how you want.
You get to choose where youwant to work.
If you like the facility, youcan stay there longer.
If you don't, you always have a30-day out to say, hey, this
isn't meshing as well, I'd liketo find somewhere else to go
work.
I mean, I could go on and onabout the pros, down to picking
(14:49):
an EMR system that you alreadyknow, so you don't have to learn
a new one.
Or maybe you want to learn anew case that you've never done
before.
Go to a facility that's willingto teach you those and you can
add that to your list of thingsthat you know how to handle.
The cons are definitely that,with as much flexibility as you
have, that can always be adouble-sided coin.
(15:11):
Just because you have the 30day out, so does the facility.
Maybe they don't think thingsare meshing well on their end,
and now you have to kind of finda new place to go pretty
quickly, and it is really scary,I think, sometimes coming into
a new facility.
Some people think that freedomin the first week is always
really hectic and you're in ahotel room alone, potentially at
(15:32):
night, kind of like, oh, thiswas a crazy week and you have to
you know, kind of get throughthat.
I would say.
Almost everyone that starts anew assignment the first week or
so is like, oh, maybe this wasa bad thing, maybe I should go
back to where I was and by theend of the assignment, nine
times out of 10, at leastthey're like I don't want to
leave, I'm really happy here andI'm enjoying it.
(15:52):
So that's the number one thing.
I think I hear from people thatthey don't love that and
privileging in a new facilitycan be quite a pain.
It's why it's nice to have aninternal team that really helps
people through that process.
So something else that makes usstand out from other agencies
that both the facilities we workwith and CAAs enjoys that we're
very customized in our teams.
(16:13):
So our recruiters, their solejob is to recruit.
That's what they're good at,it's what they know how to do.
We have a full team forcredentialing in-house and for
privileging for the facilities,as well as teams for licensing.
There's always someone that cananswer your question.
That's truly a specialist in it, instead of just somebody who
maybe has done it one or twotimes.
You won't see that at everyagency, and it's something that
(16:35):
I do think really sets us asideon both sides the hospitals we
work with and the cliniciansthat we get to work with.
Speaker 1 (16:41):
Mm-hmm, thank you for being so honest, because I do
think it is just so valuable tohear the real real behind
something as important as howyou're going to direct your
career, as important as howyou're going to direct your
career and those things reallymatter.
Like to understand that there'ssome cons to everything,
including working logums, whichmost people like to talk about,
(17:07):
how amazing and how much moneyyou make, and you know there's
so many pros, but there's somereal cons.
So I appreciate your honestythere.
I wanted to actually go backreally quick.
You're throwing out some termsthat I'm just thinking that my
audience may not exactly know,so I wanted to go back and just
define what a recruiter is, ajob board and a locums agency
and it sounds likelocumtenantscom is all three of
(17:30):
those things, but can you justgive some more words to what
those are and define those a bitis all three of those things,
but can you just give some more?
Speaker 2 (17:36):
words to what those are and define those a bit
Correct.
Yes, we are all three of thosethings.
So let me actually start theopposite.
So a job board locumtenantscomis a job board and an agency in
one.
So the difference is that ourjob board can be posted on by
other agencies, facilitiesdirectly, groups that are trying
to bring in people, so it's notjust us, and when you click on
(17:58):
there you'll see it'll connectyou with the correct recruiter
that goes with the job or withthe correct agency.
So locumtenantscom is the agency.
So as a whole, you're going tohave two main people you speak
to at the agency and it's goingto be a recruiter and a marketer
.
The recruiter is the personwho's going to be two main
people you speak to at theagency and it's going to be a
(18:19):
recruiter and a marketer.
The recruiter is the personwho's going to be talking to you
about the different jobs thatwe have and connecting you with
the facility.
You won't hear from themarketer quite as often, but
they're actually the recruitingcounterpart.
So they are the people talkingto the facilities, finding the
jobs, finding out what they need, when they need, what the
practice description looks likeof that job.
So you'll hear from them mainlyif a recruiter is out of town
(18:40):
and they need to jump in andhelp, but every once in a while
you'll hear from them with anupdate about the assignment as
well, or about an assignmentyou're interested in.
Speaker 1 (18:48):
Okay, thank you.
Yes, we're speaking right at aninflection point for CAAs and
CAAs in the market, where we areexpanding rapidly, and I just
want to be sure everyone has thebest information to move
forward, to make you know, whatI like to say is to live a life
by design rather than default,and I just want you to speak on
(19:11):
how a CAA would know if they'reready to work locums.
Definitely, in our world itseems like, oh, you shouldn't
work locums right out of school,you need some experience.
But you had mentionedpreviously that, oh, I could
possibly be placed in a hospitallike, let's say, that does HARS
, if they're willing to train me, that I could get some more
heart experience, some morecardiac experience.
Can you talk a little bit aboutwhat skills we need to have and
(19:33):
how open we need to be on, whatcases we're comfortable with or
not?
Speaker 2 (19:38):
Absolutely.
The answer is you can be readyat any point in time.
So even new grads, direct out,can be placed in locum tenens
positions.
The caveat is not everyfacility is open to that.
So some facilities say you haveto have worked for two years,
some say it doesn't matter.
They all have this red tape ofwhat they will and won't accept.
(20:01):
And if you can reach out to arecruiter, they'll tell you
which positions you're eligiblefor, even if you are a new grad,
we'll let you know which ones.
Hey, they might take you, theymight not.
It's worth a shot.
Or, hey, it's not even worthlooking at because we know,
based on what they've done inthe past, that they won't be
open to it.
And then, as far as cases go,the more open you can be, the
better.
(20:21):
Of course, more cases you knowhow to do will always help.
However, don't ever let thatdeter you.
If you see a job posting on ajob board that says you have to
know how to do PEDS, hearts, ob,all of these different cases,
and you don't know how, buteverything else about the, I
would still reach out to thatrecruiter and say, hey, I'm
(20:42):
interested, I don't do thesecases and they'll let you know
if it's a deal breaker or not.
We often place clinicians atassignments where they only do
three quarters of the cases andthey just know which cases they
can and can't be scheduled for.
Not the end of the world,especially if a facility is
looking for three, four or fivedifferent providers to fill
something.
Speaker 1 (21:01):
Not the end of the world five different providers
to fill something, not the endof the world.
Okay, good, good to know.
Yeah, because I do thinkthere's this stigma of locums.
Sometimes when you're on theother end of a hospital that has
full-time workers or employedworkers and then contract locums
workers, that it makes it a bittricky if the locums can only
(21:22):
do certain cases like sort ofwhat you're describing.
So I do think, yes, it's bestto say I want to be able to do
all the cases at a hospital.
I don't want to say, hey, I'm alocums, I could never do this
case, but being straightforwardwith it sounds like the
recruiter would make sure you'replaced in sort of a copacetic
situation.
Yes, absolutely Awesome.
(21:43):
Okay, I think I'm at my lastquestion.
I really would love to have youguys back if you're willing,
because there's so many littledetails about tax filings and
1099 versus W-2 and healthinsurance and life insurance and
malpractice and all thesethings that I think get grouped
into this locums conversationand we've touched so much just
(22:07):
on how to really expand what'spossible to even think, oh, I
might be able to work locums,but then there's all this other.
So hopefully we can have youguys on again and have that
discussion, but I think I wantto end here on just what a CAA
or a AA student who's in schoollistening to this and thinking,
hey, that might be the path Iwanna take.
(22:27):
What is their next best?
Speaker 2 (22:29):
step.
Their next best step is to takea look at our job board, and I
say that knowing our competitorspost on there.
They're gonna see otheragencies, but they should really
get a good idea of what jobsare out there and what matters
most to them.
Is it making the highest hourlyrate possible, is it location
somewhere fun in the mountainsor a big city, or is it truly
(22:52):
finding something that's aperfect fit as far as their
cases, their preferred scheduleand those items?
And once they really thinkabout that and know what they're
looking for, reach out to arecruiter, because we are here
to be a resource.
I have been in the industry forover five years and my favorite
thing to do still is talk tosomebody brand new, answer their
(23:14):
questions and help them findthe perfect next step for them,
whether that is locums or maybeit's not.
Speaker 1 (23:21):
I'm excited for all of hopefully, the CAAs that are
me calling locumtenscom andsaying, hey, I heard you on
Awaken Anesthet.
Not, I'm excited for all ofhopefully, the CAAs that are me
calling locumtenscom and saying,hey, I heard you on Awaken
Anesthetist and I'm justinterested because it does sound
like a really cool opportunityto start getting more facilities
more aware of CAAs.
So that's really exciting to meas a CAA.
So thank you so much for takingus on and I'm really interested
(23:44):
to see where this partnershipgoes and hopefully you help a
lot of CAAs live the life thatthey want.
So I appreciate you so much.
Sabrina, thank you so much forbeing here on Awaken Anesthetist
.
Thank you for having me.
I hope you enjoyed this episodeand conversation about the
locum tenants market withlocumtenantscom.
(24:04):
If you are interested inpursuing locums or just maybe
looking at the locumtenantscomwebsite just to see what's
available, I'm going to havesome links in the show notes so
you can peruse in the privacy ofyour own home without anyone
contacting you.
And also, sabrina gave me alink that if you put in your
(24:24):
information, in exchange youwill get three downloadable
resources that will help youmake some early decisions in
your locums journey.
I did it myself.
Basically, they ask you foryour name and email address and
then you can click on therewhether you want to have a
recruiter call you.
That's definitely one of thethings in this market that can
(24:46):
be a bit overwhelming is thatonce you give your name out and
your information, you do tend toreceive a lot of recruiter
calls.
So I like that they give us theoption in this link to choose
whether recruiter reached out tous or not.
I was just really impressed bySabrina and this company and I'm
very interested to see howlocumtenenscom can help build
(25:09):
the CAA profession in terms ofgetting us into new hospitals
possibly new states or firsthospitals in new states.
That was all very exciting tome and just goes to show how
much momentum the CAA professionhas right now, at this
particular moment, it's such awonderful time to have found out
about the profession.
If you are a AA student or aprospective, I really encourage
(25:33):
you to look back into some ofthese other episodes here at
Awakened Anesthetist to make themost informed decision for
yourself about this career.
You can also follow me onInstagram at AwakendAnesthetist.
I show behind the scenes andjust give you some real life
sort of feel on what it is to bea CAA.
(25:54):
You can also join us every monthduring season four of this
podcast for an offering calledMindful Connections.
It's a time for everyone in theCAA community, no matter where
you are in your journey, to comeand gather.
It's free.
We'll do a little bit ofmindfulness practice in a really
practical and sort ofscience-minded type, a friendly
(26:16):
way, and then we'll discuss atheme that's pertinent to our
health, our professionaldevelopment and our personal
development and just have a timeto pause together in a way that
really is unprecedented andsomething that we all yet
deserve.
So I hope to see you at any ofthe Mindful Connections
(26:36):
offerings.
You can find a link for thoseas well in the show notes, and
I'm just really grateful thatyou all are here and listening.
We are coming to the wrap up of2024.
This podcast will be taking abit of a holiday break at the
end of December, but we do haveseveral more episodes before
then and definitely at least onemore process episode.
(26:58):
So I hope you all stay tunedand keep following along.
You can chat me, email me, dmme, let me know what you thought
about this episode the mostimportant thing you could do for
the podcast truly is just todirectly share this episode
right now with a friend, a CAAor another AA student in your
life.
Tell them why you loved thisepisode, why you think they'll
(27:20):
love this episode, encouragethem to take a listen and follow
along.
All right, let's talk soon,y'all.
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