Locum tenens horror stories…and how to prevent them

We all know that staffing your facility with top-notch locum tenens is of utmost significance to you. However, regardless of your greatest efforts, a foul apple might slip by way of the cracks. So that can assist you keep away from these dangerous apples, we’re sharing some hard-learned experiences and supply recommendation that can assist you keep away from these conditions in your individual hospital or well being system. Listed below are just a few of our favourite locum tenens horror tales together with methods you possibly can forestall them from touchdown at your step.

Locum dentist brings escort to work

When a dentist who signed a three-month contract in a rural northwest Kansas neighborhood despatched a message that he was delayed 24 hours attending to his project, the employees was understanding. Then he confirmed as much as work unshowered, smelling like alcohol and sweat. Even so, the employees determined to provide him the advantage of the doubt, considering perhaps one thing had occurred on his drive.

“He had not checked into the housing they’d arrange for him,” remembers Sasha Randolph, recruitment and retention supervisor on the Kansas Recruitment and Retention Middle. “That night time, the CEO known as him, and he mentioned, ‘I don’t wish to sleep on the resort. I’m sleeping in my automotive.’ She tried to make different preparations, and this was a rural location so it was troublesome. The subsequent day, he’s alleged to be at a breakfast assembly with different suppliers, and he brings in an escort — a name woman he had met on the aspect of the highway.”

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As a result of the CEO had a cease clause permitting her to finish the contract if there was any dissatisfaction, she shortly dismissed the dentist and located one other supplier, Randolph says. And this expertise had a huge impact on the way in which she screens locum suppliers immediately.

“That was the primary massive horror story that made me cease and say, ‘What does the background examine appear like? Had they practiced someplace else? Have been there testimonials of their work life?’ I had not been asking for it or recommending my shoppers ask for it,” Randolph says. “I by no means went again to have a look at this suppliers references, however we put some new insurance policies and procedures in place to ensure it didn’t occur once more.”

Sexual harassment inside hours on the job

Mark Douyard, a senior doctor recruiter at Bayhealth, remembers what he describes as probably the most “outrageous” incident in his profession.

“We had an emergency medication physician who, on his first night time shift, truly pulled a radiation tech onto his lap and mentioned, ‘You’re sort of cute’ whereas he was sitting on the nurses’ station,” Douyard says.

Whereas Douyard admits this was an remoted incident and he doesn’t assume the hospital may have averted it, it’s necessary to notice that employees members shortly reported the state of affairs.

“He misplaced his license over the difficulty, and his project was cancelled as quickly as individuals discovered about it. Perhaps he was playing around, however clearly the opposite individuals concerned didn’t assume he was joking,” Douyard says. “Might it have been prevented with extra screening? Perhaps.”

A locums…impersonator?

You’ve in all probability felt insufficient at work at instances or woefully unprepared — however you in all probability haven’t impersonated a doctor. Steve Jacobs, doctor recruitment supervisor for Einstein Healthcare Community and president of the Mid-Atlantic Doctor Recruiter Alliance (MAPRA), says his locums horror story “takes the cake.”

“The worst incident we ever had was an individual who introduced themselves as a doctor, however they weren’t a doctor,” he says. “That they had the CV written out with medical faculty and all types of stuff, nevertheless it was actually apparent they didn’t know what they had been speaking about. The locum firm purchased into it and moved the CV on to us. We did some digging, and it turned out they weren’t even a medical physician — they had been a botanist.”

Though Jacobs is proud they caught the error earlier than sending the “physician” on for credentialing and privileging, he acknowledges that this was a coaching subject the place a employees member didn’t overview the CV correctly. He says it’s additionally necessary to vet locum tenens suppliers the identical method you’ll a everlasting supplier.

“The pandemic modified the taking part in discipline. Now I can truly do a Microsoft Groups assembly with locums and see who they’re and get a really feel for them. Earlier than it was a name on the telephone,” Jacobs says. “We now have our chairperson speak to them because the group chief and perform a little extra due diligence. It’s a steadiness of the company sending somebody and me doing my fact-checking.”

Preventing over who “owns” the locum

Locum tenens horror tales aren’t simply restricted to the locum suppliers. Generally working with a locum tenens company generally is a nightmare.

Jacobs says the worst expertise he’s had with an company was when a recruiter at a locum tenens company beginning preventing with him over management of a locum tenens candidate.

“The candidate was despatched over by the corporate, and I mentioned, ‘No, we already had that one introduced by one other firm.’ They mentioned, ‘Show it. We have to see who that’s. In any other case, we’re going to cost you,’” Jacobs remembers. “It was an overzealous locum company worker not realizing I hold observe of each locum introduced to me. I mentioned, ‘In the event you ever wish to do enterprise with me once more, you’ll again off proper now.’”

Douyard says he has additionally confronted this subject, receiving calls from an company saying the candidate had an unique settlement with them. “They had been going to invoice me for his hours, and we ended up utilizing the physician by way of one other firm. No physician indicators an unique settlement with a locums firm,” he says. “They pestered me continually for 2 or three weeks.”

Happily, the answer to this example is holding clear paperwork in regards to the businesses you labored with to deliver particular docs on board, Douyard says.

Jacobs reminds recruiters that they dictate what occurs, not the company they’re working with.

“You’re in much more management than you assume you might be when it comes to the contract and the connection. They be just right for you, not the opposite method round,” he says. “I discovered early on that if I mentioned no, they had been both going to vanish or hear. In the event that they listened, then we might meet midway and preserve the connection and transfer ahead.”

Finest practices for stopping locums horror tales

Among the best methods to get high quality locum tenens suppliers is to create a “locum toolbox” to consult with, Randolph says.

“I reached out to different organizations who had been utilizing locums and requested ‘What are you searching for on the supplier aspect? What are you searching for on an company aspect? What communication or stopgaps are you able to do on the consumer aspect?’” she says. “I wanted to know what sort of assets individuals had been utilizing and what I may implement internally to ensure no horror tales had been taking place. In the event you don’t have a system or course of arrange, you can’t be profitable.”

It’s additionally necessary to maintain clear data on who you’ve been working with, Douyard says, and be in contact with the company and the doctor.

“I’ve met and communicated personally with each locum physician who has labored right here within the five-and-a-half years I’ve been with the corporate,” he says.

Lastly, Jacobs factors out that having an organized course of is vital.

“Once I began right here, everyone was doing their very own factor when locums got here into their division. There have been 57 completely different processes occurring at one time. We stripped it down and centralized it by way of me,” he says. “We’ve 4 individuals: one for payor credentialing, one for medical employees privileging, one for malpractice, and one for HR. It’s a must to simplify. In the event you’re ready for ‘John’ to come back again from trip to decide, you’re going to have a tough time getting your course of to work.”

Most locum tenens suppliers are gifted clinicians of the very best high quality, however whenever you first begin hiring locum tenens, it may possibly really feel like stumbling about at the hours of darkness. Nonetheless, with the correct planning and preparation, you possibly can have a fantastic expertise hiring locum tenens…and keep away from the horror tales.

What was your scariest locum tenens expertise, and what did you be taught from it? Share your tales within the feedback under.

This text was initially printed on . Reprinted with permission.

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