Locum Work vs Permanent Jobs: Which Path Suits You?

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

TL;DR: Doctors in Australia must choose between locum work and permanent positions based on factors like pay, flexibility, career progression, and lifestyle. Locum work offers flexibility and higher pay per shift, while permanent roles provide stability, structured training, and long-term benefits. Your choice depends on your personal and professional priorities. For more information, see The Conversation.

What flexibility does locum work offer?

Locum doctors in Australia have the advantage of selecting their shifts, locations, and hospitals. This flexibility allows them to balance work with personal interests such as travel or family commitments. In contrast, permanent roles typically involve fixed schedules, which can limit flexibility but provide consistency and predictability in work hours.

Locum work is particularly appealing to those who value autonomy in their schedules. The ability to decide when and where to work can lead to a more satisfying work-life balance. However, this flexibility comes with the responsibility of managing one's own schedule and ensuring a steady income stream.

Permanent positions, while less flexible, offer the benefit of a stable routine. For doctors who prefer a predictable work environment, permanent roles provide the assurance of regular hours and a structured work week. This can be advantageous for those with family commitments or other responsibilities that require a consistent schedule.

How do pay and benefits compare?

Locum doctors often earn more per shift compared to their permanent counterparts. This higher pay can be attractive for those looking to maximise their earnings in the short term. However, permanent positions offer additional benefits such as paid leave, superannuation, and other employment perks.

The decision between higher immediate pay and long-term financial security depends on individual priorities. Locum work can be financially rewarding, but it lacks the stability and benefits associated with permanent employment. Doctors need to weigh the potential for higher earnings against the absence of benefits like sick leave and retirement contributions.

Permanent roles provide a comprehensive benefits package that contributes to long-term financial security. These roles offer a steady income, which can be crucial for long-term financial planning. The choice between locum and permanent work ultimately hinges on whether immediate financial gain or long-term stability is more important to the individual doctor.

What are the career growth opportunities?

Career growth opportunities differ significantly between locum and permanent roles. Permanent positions often come with structured training and mentorship programs, which are beneficial for doctors seeking to advance their careers within a specific institution or specialty.

Locum work, on the other hand, offers exposure to a variety of hospitals, departments, and patient populations. This diversity can enhance a doctor's experience and adaptability, providing a broad skill set that is valuable in many clinical scenarios. However, the lack of structured career development programs can be a drawback for those seeking formal advancement.

Doctors must consider their long-term career goals when choosing between locum and permanent positions. Those who value structured career development and mentorship may prefer permanent roles, while those who seek diverse experiences and adaptability may find locum work more fulfilling.

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

In New South Wales, locum doctors enjoy a robust market with numerous opportunities across urban and rural settings. The state's diverse healthcare landscape allows locum doctors to experience a wide range of clinical environments. This can be particularly beneficial for those looking to broaden their clinical expertise and adaptability.

The flexibility of locum work in New South Wales also allows doctors to balance work with personal commitments. Whether it's spending more time with family or pursuing other interests, locum work provides the opportunity to tailor one's schedule to fit personal priorities.

For those considering permanent roles, New South Wales offers a variety of positions with structured training and career advancement opportunities. The state's healthcare system supports professional development, making it an attractive option for doctors seeking long-term career growth.