3 Reasons Locuming May Not Be for You

[5 min read | Locum Pay & Rates | May 2026]

TL;DR: Locum work offers flexibility and travel, but it isn't for everyone. If you're not keen on frequent travel, value job stability, or prefer predictable work environments, locuming might not be your ideal career path. Consider these factors carefully before making the switch. For more insights, see The Guardian.

What if you’re not into travelling?

Locum work is often associated with the opportunity to travel, which many doctors find appealing. However, this aspect may not suit everyone. For those with families or a strong home base, remaining in one location while locuming can be challenging. Some locum doctors choose rotational stints, spending a few weeks in a rural area before returning home. This lifestyle may not be ideal for individuals with young or elderly dependents, or for those who prefer stability and routine in their living arrangements.

The travel aspect of locuming can be particularly demanding. Constantly moving between locations can disrupt personal life and make it difficult to maintain relationships. For some, the excitement of new places doesn't outweigh the inconvenience of being away from home. It's crucial to weigh these factors before committing to a locum career.

Do you value a stable job?

Full-time employment offers benefits like annual leave, sick leave, and other forms of paid leave. In contrast, locum doctors are only compensated for the shifts they work. This lack of financial stability can be stressful, especially for those who struggle with budgeting or saving. The uncertainty of income can lead to financial anxiety, particularly during times when shifts are scarce.

Shift availability can fluctuate throughout the year. Typically, there are fewer opportunities at the beginning of the year, with an increase from July onwards, peaking in December. February is often the month with the least locum opportunities. While there are always shifts available, the variability can be unsettling for those who prefer a consistent income.

How do uncertain work environments affect you?

Locum doctors encounter a variety of work environments, each with its own set of benefits and challenges. Adapting to new hospital systems, wards, protocols, and team dynamics can be overwhelming. This is particularly true for individuals who thrive on stability and predictability in their work settings. Locums often fill in for staff who have left suddenly, which can make it difficult to step into roles that require familiarity and experience.

The diverse environments can be both a blessing and a curse. While some enjoy the challenge of new settings, others find it stressful to constantly adapt. It's important to consider whether you enjoy the unpredictability of different work environments or prefer a more stable and consistent workplace.

What does this mean for locum doctors in New South Wales?

In New South Wales, locum opportunities are abundant, especially in rural and regional areas. However, the challenges of travel, financial instability, and adapting to new environments are equally relevant. Doctors considering locum work in NSW should evaluate their personal and professional priorities. The state's diverse healthcare settings offer a range of experiences, but also require adaptability and resilience.

For those who prefer a more settled lifestyle, it may be worth considering locum positions closer to home or in more stable environments. The decision to pursue locum work should be informed by a clear understanding of these challenges and how they align with your career goals.