Abstract：
Despite its rising popularity, little has been described about locum tenens employment (locums) in neurosurgery. This study provides the first nationwide overview of the locums neurosurgery experience.
An anonymous online survey examined practice characteristics of respondents, extent of and satisfaction with locums, motivations for pursuing locums, case volumes, agencies used, compensation, and positive/negative aspects of experiences. Responses were collected between November 2020 and February 2021.
Response rate for the 1852 neurosurgeons who opened the survey request was 4.9%; 36 of 91 respondents had previously worked locums and were commonly motivated by compensation or transitioning to new jobs or retirement. In our response group, 92% of locums respondents had taken more than one position and 47% had taken more than 10. Neurosurgeons performing <200 cases/year were significantly more likely to have also worked locums than those performing >200 cases/year (41.6% locums, 12.7% non-locums, P = 0.001). Responses showed that 69% of locums respondents earned $2000-$2999/day and 16% earned >$3500/day. Nearly 78% of locums respondents were satisfied with their experience(s) and 86% would take another future locums position. Being in practice for >15 years was significantly associated with satisfaction with locums (P = 0.03). Reported flaws included unfamiliarity with hospitals, limited continuity of care, credentialing burdens, and inadequate travel compensation.
Locums is utilized by neurosurgeons across multiple practice types and may serve to complement workloads or \"fill in gaps\" between longer-term employment. Overall, locums neurosurgeons are well compensated, and the majority are satisfied with their experience(s). Inevitably, flaws still exist with locums employment, which may be the focus of organized efforts aiming to improve the experience.
An anonymous online survey examined practice characteristics of respondents, extent of and satisfaction with locums, motivations for pursuing locums, case volumes, agencies used, compensation, and positive/negative aspects of experiences. Responses were collected between November 2020 and February 2021.
Response rate for the 1852 neurosurgeons who opened the survey request was 4.9%; 36 of 91 respondents had previously worked locums and were commonly motivated by compensation or transitioning to new jobs or retirement. In our response group, 92% of locums respondents had taken more than one position and 47% had taken more than 10. Neurosurgeons performing <200 cases/year were significantly more likely to have also worked locums than those performing >200 cases/year (41.6% locums, 12.7% non-locums, P = 0.001). Responses showed that 69% of locums respondents earned $2000-$2999/day and 16% earned >$3500/day. Nearly 78% of locums respondents were satisfied with their experience(s) and 86% would take another future locums position. Being in practice for >15 years was significantly associated with satisfaction with locums (P = 0.03). Reported flaws included unfamiliarity with hospitals, limited continuity of care, credentialing burdens, and inadequate travel compensation.
Locums is utilized by neurosurgeons across multiple practice types and may serve to complement workloads or \"fill in gaps\" between longer-term employment. Overall, locums neurosurgeons are well compensated, and the majority are satisfied with their experience(s). Inevitably, flaws still exist with locums employment, which may be the focus of organized efforts aiming to improve the experience.
摘要：
背景：尽管它越来越受欢迎，关于神经外科中的locumtenens就业(locums)的描述很少。这项研究提供了全国范围内神经外科手术经验的第一个概述。
方法：一项匿名在线调查检查了受访者的实践特征，对机车的程度和满意度，追求机车的动机，casevolumes,使用的机构，补偿,和经验的积极/消极方面。回复是在11/2020-02/2021之间收集的。
结果：打开调查请求的1,852名神经外科医生的反应率为4.9％。36/91受访者以前曾工作过场所，通常是出于补偿或过渡到新工作或退休的动机。92%的受访者担任过一个以上职位，47%的受访者担任过10个以上职位。执行<200例/年的神经外科医生与执行>200例/年的神经外科医生相比，也有可能工作场所（41.6％的场所，12.7%非新生儿，p=0.001)。69%的受访者收入为2000-2999美元/天，16%的受访者收入>3500美元/天。近78％的受访者对他们的经验感到满意，86％的受访者将采取另一个未来的立场。执业时间>15年与对麻雀的满意度显着相关（p=0.03）。报告的缺陷包括对医院不熟悉，护理的连续性有限，资历负担，旅行补偿不足。
结论：神经外科医生在多种实践类型中使用Locums，可以用来补充工作量或“填补长期就业之间的空白”。总的来说,神经外科医生得到了很好的补偿，大多数人对他们的经验感到满意。不可避免地,临时就业仍然存在缺陷，这可能是旨在改善体验的有组织努力的重点。
方法：一项匿名在线调查检查了受访者的实践特征，对机车的程度和满意度，追求机车的动机，casevolumes,使用的机构，补偿,和经验的积极/消极方面。回复是在11/2020-02/2021之间收集的。
结果：打开调查请求的1,852名神经外科医生的反应率为4.9％。36/91受访者以前曾工作过场所，通常是出于补偿或过渡到新工作或退休的动机。92%的受访者担任过一个以上职位，47%的受访者担任过10个以上职位。执行<200例/年的神经外科医生与执行>200例/年的神经外科医生相比，也有可能工作场所（41.6％的场所，12.7%非新生儿，p=0.001)。69%的受访者收入为2000-2999美元/天，16%的受访者收入>3500美元/天。近78％的受访者对他们的经验感到满意，86％的受访者将采取另一个未来的立场。执业时间>15年与对麻雀的满意度显着相关（p=0.03）。报告的缺陷包括对医院不熟悉，护理的连续性有限，资历负担，旅行补偿不足。
结论：神经外科医生在多种实践类型中使用Locums，可以用来补充工作量或“填补长期就业之间的空白”。总的来说,神经外科医生得到了很好的补偿，大多数人对他们的经验感到满意。不可避免地,临时就业仍然存在缺陷，这可能是旨在改善体验的有组织努力的重点。
