Finishing residency is one of the biggest transitions in a physician’s career. For many new graduates, locum tenens work offers a flexible, well-paid, and low-pressure way to step into independent practice. Whether you’re exploring locums during your final year of training or planning to start right after graduation, a little preparation goes a long way.
At SCI Anesthesia, we work with residents and new attendings every year. Here’s what we’ve learned about how to set yourself up for a smooth, successful first assignment.
1 Start Your Credentialing Documents Early
Hospitals and surgery centers require extensive documentation before you can begin working, and this process can take weeks. Getting organized early will save you time and stress.
Have these ready to go:
- Updated CV with month/year formatting
- Active state licenses (or proof of application)
- Case logs
- Immunization records
- DEA registration
- References who respond quickly
Even if you’re still in residency, you can begin assembling these items now. A complete file helps you get placed faster.
2 Understand Your Licensing Strategy
If you plan to jump into locums right after residency, it helps to be intentional about where you want to practice. Some states issue licenses quickly, while others take months. Many new grads benefit from applying early, looking into states that participate in the Interstate Medical Licensure Compact, and talking with a recruiter about which regions have the strongest demand for their specialty. At SCI Anesthesia, we regularly guide residents through this process and help them identify states that align with both their goals and the current market.
3 Know What You Want from Your First Assignment
Locum tenens work is flexible by design, but that flexibility
works best when you know what you’re looking for. Some new attendings want to travel; others prefer to stay close to home. Some want high case volume; others want a slower pace while they settle into independent practice. Think about the type of facility you prefer, the schedule you want, and the environment where you’ll feel most confident. When your recruiter understands your priorities, they can match you with opportunities that genuinely fit.
4 Build Confidence in Independent Practice
Residency prepares you clinically, but locum work adds a layer of adaptability. You’ll be stepping into new environments, meeting new teams, and learning new workflows quickly. Reviewing common protocols, staying sharp on airway and crisis management algorithms, and approaching each facility with curiosity rather than hesitation can make a big difference. Asking questions early, before you’re in the middle of a busy day, helps you settle in faster. The variety you’ll encounter as a locum often accelerates your growth more than a traditional first job.
5 Choose a Staffing Partner Who Supports You
Your first locum assignment shouldn’t feel overwhelming. A strong staffing partner will walk you through credentialing, present opportunities that genuinely match your goals, prepare you for each facility’s expectations, and stay in touch throughout your assignment. At SCI Anesthesia, we take pride in supporting new graduates through every step of the process, so they never feel like they’re navigating it alone.
Locum tenens can be an excellent way to transition from residency into independent practice. With the right preparation, and the right partner, you can gain experience, explore new locations, and build confidence while maintaining flexibility in your career.
If you’re a resident or new attending interested in locum opportunities, our team is here to help you get started. 
