6 Ways to Ensure Success as a New Grad Travel Therapist

Written by Whitney Eakin, PT, DPT, ATC

1. Do your research and maintain realistic expectations.

Travel therapy is amazing… most of the time. As with anything, it can have its pros and cons. While most parts of being a travel therapist are an incredible adventure, there are still parts that aren’t always fun. It’s important that you do your research to understand all the nuances that go into being a travel therapist before jumping in. This goes for anyone looking into travel therapy, but especially new grads. If you plan to take a travel job as your first position after graduation, you need to know what to expect.

We recommend going into travel therapy with an open and adventurous mind. Not every assignment will be perfect; not every city will be your favorite; you won’t always have the easiest time with housing; there’s always a chance your contract could get cancelled; and sometimes you may question your decision to take on the life of a travel therapist. But if you go into this journey of travel therapy knowing this up front and are willing to roll with the punches for the sake of traveling the country, earning more money, and having unforgettable adventures, you will be successful and join the thousands of other healthcare travelers out there living and loving this lifestyle!

2. Connect with great travel therapy companies and recruiters.

If you talk to any travel therapist, they’ll tell you that your recruiter and company can make or break your experience with traveling! This is of utmost importance for new grads, because you will want support and mentorship as you begin to look for your first few travel jobs. You need a recruiter who gets you, your wants, and your needs as a new grad therapist. You want a recruiter who will be in your corner, going to bat for you with your best interest in mind, not just the best interest of the travel company or the client (facility). Many travel therapy companies offer some form of new graduate mentorship program, whether in the form of a mentor by phone or by placing you at “new grad friendly” facilities. These are things you will want to consider when choosing a company.

For more information on how to best choose a travel therapy company and recruiter, check out this article, or send us a message and we can give you personalized company and recruiter recommendations for you based on your situation!

3. Find a great first travel therapy job.

Your first few travel therapy jobs (or in the case of a new grad, first jobs period) will be crucial in your success as both a clinician and as a travel therapist. Sadly, we have heard horror stories of people having one terrible experience with travel therapy that turned them away from traveling again, and pushed them to take a permanent position, even though they had planned to continue traveling. This is unfortunate, and usually the result of them not knowing exactly what they were getting into on their first assignment and/or having a bad recruiter.

For your first job (or first few jobs), we recommend you work closely with your recruiter(s) to find a facility that is going to provide a supportive environment for you as a new grad. This may include having another therapist of your same discipline on staff (another PT, OT, SLP, PTA, or COTA); having more of a ramp up period in your caseload with training provided; and making sure the productivity expectations are reasonable. These are all important things to find out during your phone interview. For specific questions to ask during an interview, check out this article.

As mentioned before, a great recruiter should be able to assist you in this process of identifying supportive facilities. They may even have prior experience with facilities where they have placed new grads before that have been successful. Most importantly, a good recruiter will support your decision to decline an offer if it doesn’t sound like a good fit for you, and they will not push you into taking a job that’s not right for you just to secure a placement for themselves.

4. Don’t be afraid to ask for help, and never stop learning.

As a new grad travel therapist, it is important that you are ready to be an independent clinician and not have your “hand held,” but at the same time you shouldn’t be afraid to ask for help and mentorship when you need it. This could be from your co-workers at your facility; through the clinical liaison provided by the travel company by phone; and even by reaching out to former professors, clinical instructors, and classmates for consultation when you encounter tough clinical situations.

Also don’t forget to utilize a variety of resources (textbooks, CEU courses, websites, blogs, podcasts, Facebook networking groups, etc.) to continue learning once you start practicing on your own. Being a student working under a clinical instructor is very different than being out on your own! There is a huge learning curve when you first get started. You don’t have to know it all when you first start practicing, regardless if you choose to take a travel or a perm job right out of school!

5. Stand up for yourself and your professional license.

New grad or not, you worked very hard to get to the point of being a licensed clinician! Regardless of whether you’re in a travel job or perm job, you need to maintain integrity, be ethical, and follow the law. If you are being asked to practice in an unethical or illegal manner, you must stand up for yourself and practice the way that you feel is best. You are ultimately responsible for your actions and your license. Do not be dragged down by poor management or not-so-great co-workers.

There are many examples of how you could be placed in a bad situation where your ethics and legality are tested. For example, starting at a new clinic where they want you to sign off on documentation for patients that you haven’t seen before, or for visits that occurred before your start date. This can be a common event when you’re filling in as a traveler. It’s important you do not sign off on anything for which you were not present, including co-signing assistant notes. Another example would be feeling pressured to work off the clock to get your documentation done, or add additional time to your evaluation codes to account for documentation time, which is sadly a very common practice in many Skilled Nursing Facilities. These things are illegal, and regardless of what the other staff “has always done,” if it doesn’t feel right to you, it’s probably not! We would encourage you to reach out to an unbiased third party to discuss any potential ethical or legal questions you may have. Again that could mean reaching out to the clinical liaison by phone or to a former professor or clinical instructor.

If you’re facing ethical dilemmas or problems in your facility, don’t be afraid to talk to you director of rehabilitation or your recruiter if appropriate. You can’t always predict how a clinic will be before you start working there, but you can always get out of a bad situation if you are being asked to practice in an illegal or unethical way.

6. Work smarter, not harder.

There are some great ways you can optimize and be an efficient therapist, without always going over and beyond. This can be especially important when you’re starting out as a new grad travel therapist. Often when you start as a new grad, you want to do everything perfectly, including doing all the fancy treatment techniques and being extremely thorough in your documentation. But sometimes for the sake of time management and being successful at a new clinic, you need to go back to the basics.

Don’t overachieve on documentation so you can maintain good time management. Just make sure you document the appropriate amount, but don’t go over and beyond or be too wordy. Time management is going to be a huge key to success as a new grad travel therapist, and you definitely don’t want to be working off the clock to get notes done.

Focus on functional and effective treatments, while emphasizing building a strong patient rapport. Don’t worry too much at first about using every new fad treatment out there. Often times it’s your relationships and demeanor that matter the most to be successful and well-received, by both your patients and your co-workers, not how good you are at the latest manual therapy techniques and the coolest exercises.

Take advantage of co-treatments when applicable in an inpatient setting, to learn from your colleagues from other disciplines and get ideas. This can be extremely helpful as a new grad, especially in a travel therapy position where you’re not only learning how to be an independent practitioner, but you’re also having to learn a new location, staff, caseload, etc!

Last, do no harm! Focus on being the best therapist you can be, while ensuring you put patients’ health and safety first and foremost. It’s better to do a basic treatment, or do nothing at all, than to do something you’re uncertain about and cause harm to a patient.

Conclusion

Traveling as a new grad can be a wonderful experience and a great way to get ahead start on your finances, but it’s vital to go in well-informed and with realistic expectations about what the process will entail. Finding a great company and recruiter is paramount to your success and sanity as a travel therapist. Be picky about your first job to make sure that it’s a good fit for you and will provide you with the best opportunity to succeed. Don’t be afraid to reach out to other therapists both in person and online for help or ideas with regards to patient care, and spend some time continuing your education to be the best possible clinician. Always stand up for your ethics and protect your license. And finally, don’t burn yourself out by working long hours being a perfectionist with documentation and treatment. Of course, include the key components in your notes and provide sound treatment methods, but it’s important to be efficient with your time to have a good experience as a travel therapist.

If you have questions about anything regarding getting started with your travel therapy journey, feel free to contact us. If you need help finding a great recruiter and company to help make your travel therapy career a success, we can help you with that as well.

What to Look for in a Home Health Travel Therapy Contract

Written by Travis Kemper, PT, DPT

Home health can be a great option for travel therapists due to the abundant need for therapists to serve patients in this setting. If you are willing to take home health contracts, options for locations will open up dramatically at any given time, and usually you can command even higher pay than normal. To see if home health may work for you, check out my pros and cons article here.

Since home health is a bit different than other settings, you may be wondering what things you should look for in a home health contract and what questions you should ask in an interview for this setting. Here is a more in depth look at some important aspects of a home health contract that you should consider:

  • Training:
    • Find out how much training will be provided by the company. This is especially important if you don’t have prior experience in this setting.
    • Tips during training: Take the computer from your trainer and document as much as possible. You know how to be a therapist, but as I mentioned in the pros and cons article, there is a lot of documentation in home health, so you really want to start getting familiar with the system as soon as possible.
    • Of course, you should also pay attention to the differences in care that you’ll be providing in home health because there are some important safety issues to take note of during evaluations, but otherwise the therapy you’ll be providing is similar to other settings.
    • In our experience, my wife Julia and I have received about two weeks of training at the home health contracts we have taken.
  • Points system:
    • You want to find out how their productivity works, and if it’s on a points system vs. hourly vs. purely based on number of visits regardless of type. This is an important measure of productivity that is different from every other setting. Your company may assign a certain number of points to each type of visit based on the length of time they predict this visit taking (I am sure that it is also based on the reimbursement from insurance).
    • For example, the last home health contract we did had the following points system:
      • 2.5 points for start of care/OASIS
      • 1.5 points for evaluation
      • 1.25 for discharge
      • 1 point per regular visit
    • In a 40 hour week we were expected to complete 30 points at that company.  The numbers generally are similar to these from what I have heard from others. This is also how many full time and PRN employees are paid in home health instead of hourly/salary.
  • Travel Radius:
    • You want to find out how far you will be expected to drive and what areas you will be covering for your home health visits.
    • This is going to be the number one factor outside of your personal efficiencies with documentation and planning that is going to affect your productivity capabilities.
    • At our first contract, our travel radius was very similar and only about 15 miles from the office for either one of us. At our second contract, my radius stayed about the same, but the majority of my patients were located in a 10 mile radius of the city in my territory; while Julia’s was a larger territory, probably 20 miles, and her patients were more spread out as there was no main city in her territory.
    • This is something that is hard to figure out before you take a contract. We didn’t even know exactly where our territories were going to be when we took our second contract due to the huge territory the company covered. There were many days where I would only drive 15-25 miles in total, and Julia would drive 50-60 miles.
    • Obviously the more you drive, the tougher it is to hit your productivity standards. Your best bet is to ask how many miles you can expect to drive in a day/week in the interview. You can also ask around to find out about the area and the traffic before committing.
  • Mileage Reimbursement:
    • Find out if they reimburse for mileage and how much.
    • We do not recommend you take a home health position unless they are going to reimburse you for mileage.
    • You want to be making at least 50 cents per mile no matter what, and personally if I ever do home health again I will demand the government rate of 58 cents per mile. The mileage is not only for your gas consumption, but also for the wear and tear on your vehicle. If you are planning to do home health for an extended period of time, getting a fuel efficient vehicle is highly recommended as well.

These are a few of the key factors you want to consider when looking into taking a home health contract as a travel therapist. Home health can be a rewarding setting to work in, especially because it can be flexible for your lifestyle. But you want to make sure to ask the right questions so that you won’t be stretched too thin when it comes to number of visits, driving radius, gas, and wear and tear on your car. If you have more questions about working in home health, or have a specific job offer you’d like to discuss with us, please reach out to us for mentorship!

Therapy Compact Licensure

Written by Travis Kemper, PT, DPT

Therapy Licensure Compacts

To the physical therapy crew, licensing is already getting easier and will continue to get easier in the future thanks to the “PT Compact,” a licensure compact that is adding more states every few months.

For the SLPs reading this, ASHA is working on a compact for you as well. I am sure that OT will be soon to follow, but I couldn’t find anything definitely in the works other than a request for volunteers to get involved. The future is bright in the world of therapy licensing!

What is a Licensure Compact?

Basically, a licensure compact is an agreement between the states that once someone meets certain requirements, that person will be eligible in every state that has signed the agreement.

An example of a type of “licensure compact” you will probably be most familiar with is your driver’s license. All 50 states have agreed that my Arizona license will be legal in all 50 states for driving. Just think how insane traveling would be if you had to get a new driver’s license every time you changed states!

Similarly, for healthcare workers, a licensure compact allows those who meet certain requirements to practice in every state that’s in the agreement, without having to get a new license in that state. Nursing already has this type of agreement, and the different therapy disciplines are just now getting on board.

What Are the Benefits of a Compact License and How Does it Work?

The current method for working in each state as a PT, OT, SLP is to get licensed in each state individually. You can learn more about the typical licensure process here.

However, a Compact License will make life much easier. Once you have a Compact License, you should be able to more easily practice in each state that’s participating, without going through the hassle of getting licensed in each individual state.

The way it works is that once you have the Compact License, and are already licensed in your home state, for each additional state you would then just pay a fee depending on the state, take the jurisprudence exam (if required), and then start practicing in another compact state. It should eliminate a lot of wasted time and money getting license verifications, waiting on the mail, and then waiting on the state to process everything.

Hopefully soon I will be able to tell you how simple and effective it is from personal experience, but at this time I am waiting on Arizona to start issuing Compact License “privileges.”. (And Whitney and Jared are waiting on Virginia too!)

Who is Eligible for the PT Compact License?

To be eligible, your home state must be a participating member of the compact. You must have a valid PT or PTA license in your home state, with no active “encumbrances or disciplinary action in the last 2 years.” And last, your state has to be actively issuing Compact License “privileges.” The other state you want to work in obviously must also be a member state and must be issuing compact privileges.

So for me, my home is in Arizona, I have a license in Arizona with no complaints or disciplinary actions, and Arizona is a member state of the compact. Unfortunately for me, I cannot yet become a compact member because AZ is not “issuing compact privileges” yet. Once they begin issuing privileges, I should be able to get a Compact License and easily travel to any of the other states that are actively issuing licenses.

Which States Are Participating?

As of now (February 2019), there are currently 9 states that have enacted the Compact License and are actively issuing privileges. They include:

  • Oregon
  • Utah
  • North Dakota
  • Texas
  • Iowa
  • Missouri
  • Mississippi
  • Tennessee
  • New Hampshire

The below states have enacted legislation in order to start participating, but are not yet issuing Compact License privileges:

  • Washington
  • Montana
  • Arizona
  • Colorado
  • Nebraska
  • Oklahoma
  • Louisiana
  • Kentucky
  • West Virginia
  • North Carolina
  • South Carolina
  • New Jersey

The following states have introduced legislation, but the legislation has not yet been enacted and Compact Privileges are not being issued yet.

  • Nevada
  • Arkansas
  • Georgia
  • Virginia
  • Maryland
  • Michigan

Summary

The PT Compact License will change the game for therapists seeking to work in other states, primarily traveling physical therapists. If you plan to travel for a long period of time and don’t currently live in a compact state, you may want to explore moving your tax home to a compact state. You can find more information about tax homes here.

We are very excited about the PT Compact as it should make our lives as travelers much more simple! New states have been popping up frequently throughout the last 2 years, and I check this page weekly to keep up with it and cross my fingers each week hoping AZ turns dark blue!

Hopefully SLP and OT will get on board soon with a Compact License as well!

Are you a Compact Licensed therapist already? If so, let us know your experiences! Do you have more questions about the Compact License? Feel free to reach out to us or check out PTCompact.org to learn more!

Intangible Benefits to Consider When Choosing a Travel Company

Written by: Jared Casazza, PT, DPT

The biggest concerns for most therapists when considering starting out as travelers include pay and benefits. Whitney and I were no exception here. I wanted to make as much as I possibly could while also getting decent health, dental, and vision insurance.

However, over the past several years as travel therapists, we’ve learned that there are other important factors to consider when deciding between travel companies which we call the “intangible benefits” of the companies. The reason these things are intangible is because they don’t show up directly on your weekly paycheck or in your health insurance package, but they can make a big difference in some cases.

Day One Insurance

Depending on your situation, not having to wait 14-30 days before your health insurance benefits take effect can be really important. For Whitney and I, this isn’t necessarily a deal breaker when working with a particular company since we rarely use our health insurance anyway, but it is important to consider. We prefer to work with companies that offer health insurance benefits starting on the very first day of the contract and encourage you to ask this question when interviewing potential recruiters as well.

401k Contributions and 401k Matching

I’m a big proponent of contributing to tax deferred retirement accounts. Not only does contributing to these accounts lower your income taxes, but also your income based student loan payment as well, so working with a company that doesn’t offer a 401k is not something that I’d do very often except in some sort of extenuating circumstance. A 401k match is also a perk that isn’t always offered and may have limited usefulness to travelers in some cases, but should be considered when deciding which travel company to work with.

CEU Reimbursements

Not all companies will offer CEU reimbursement, instead putting that extra money directly into your weekly pay. Depending on your weekly pay and your other reimbursements for a contract, this may or may not be a big deal to you. For us, if we are offered jobs by two different companies with similar pay but one offers a certain amount of CEU reimbursement per contract, that can sway us toward that company. Others may offer access to MedBridge or other online CEUs while on contract with them, at no additional cost to you, which can be a nice perk.

Free Gifts and Trips

Some travel companies will reward their therapists with free gifts such as: shirts, cups, mugs, bags, food, or even all-inclusive trips! These things are always exciting and can be a huge benefit in some cases. Usually we’d prefer to just make more money each week instead of that money going toward gifts and trips, but if two companies offer similar pay, but one offers a free trip each year in addition to the pay, then that company would be hard to pass up! Depending on the traveler’s personality, even small surprise gifts can turn a bad week into a good one, which can make a big impact over the long run.

40 Hour Guarantee

40 hour guarantees (sometimes also called guaranteed work weeks “GWW”) have been huge for me and Whitney! In fact, in almost 4 years of traveling, we’ve never accepted a contract that didn’t have a 40 hour guarantee included. If we take contracts, we want to be sure that we will always be getting full pay even if the facility suddenly starts having fewer patients for some reason and tries to decrease our hours. The security of knowing we’ll be getting paid our full amount no matter what is vital for us.

Most companies offer 40 hour guarantees on some or most contracts, but this varies from company to company. Also, as we’ve found out over the years, all 40 hour guarantees are not created equal. Some companies will only pay you for the full 40 hours if the census is low at the facility, but not if there’s a holiday or inclement weather that causes the facility to be closed. In most situations, we go with companies that pay the full 40 hours no matter what, with all other things being equal. Getting paid even on days when the facility is closed has meant I’ve made thousands of extra dollars over the course of my traveling career. This is one of the biggest intangible benefits for me.

Number of Available Jobs

I’ve talked in the past about smaller companies being able to pay higher weekly amounts with a given bill rate due to lower overhead, but this doesn’t always mean that smaller companies are the optimal choice. Bigger companies often have more available jobs, including exclusive contracts, which means more options for the traveler and potentially less down time between contracts. An extra $100/week can easily be offset by a few weeks of unintended time off due to not finding a contract that fits the traveler well, which could sometimes happen with smaller companies with less job options.

Job availability is even more important when traveling as a pair like Whitney and I, or Travis and his wife, Julia. Having one person in the pair accept a job while hoping to find something for the other person before the job starts can lead to a lot of unpaid time off. Whitney and I have had very good luck with finding two jobs that started exactly when we needed them to over the years (except a couple cases), and we attribute most of that to working with several different companies (most of them bigger) that have the most job options.

Conclusion

Having a high weekly pay rate is certainly important as a travel therapist and the most important thing to me, but it’s important not to forget about the intangible benefits that can directly or indirectly lead to more or less money in your pocket over the course of your traveling career. Make sure that you’re informed and consider all of the variables when deciding which travel companies to work with and which travel assignments to take to ensure that your travel career is a success!

If you would like some suggestions for companies/recruiters that we’ve found to have the best offerings in terms of pay and intangible benefits over the years, then reach out to us here! If you have any questions about travel therapy or these intangible benefits then feel free to contact us!

Travel Therapy Licensing Process

Written by Travis Kemper, PT, DPT with contributions by Whitney Eakin, PT, DPT, ATC


Licensing and housing are probably the two most frustrating and challenging aspects of being a travel healthcare professional. We will cover housing in future articles, but let’s dig in to the current state of licensing, and I’ll give an overview of how my wife Julia and I, as well as Jared and Whitney, have attempted to navigate licensing as traveling physical therapists thus far.

How Does Licensing Work as a Travel Therapist?

In general, if you want to work in a different state as a travel therapist, you need to get licensed in each individual state where you plan to work. There is a “PT Compact” license that has begun for physical therapists, which makes the licensing process much easier for those who are eligible for the compact. Some type of compact license is also in the works for occupational therapists, but has not been passed yet. But, with the exception of the small percentage of therapists that can take advantage of a compact (or multi-state) license currently, the rest of us have to take care of licensing the old fashioned way.

What does licensing entail? Generally, an application, a fee, sometimes a jurisprudence/law exam (usually can be taken online or sent in on paper, but some states require you to test at a testing center), sometimes fingerprinting, and sending in a lot of verifications including: school transcripts, original board exam scores, and verifications that your license is in good standing from all other states in which you are licensed.

In some cases, travel therapy companies can help with the licensing process. Generally, this means they will reimburse you for a license once you’ve obtained it yourself and have accepted a contract with their company in that state. Sometimes, they can help you with the licensing process up front, including paying some of the costs and doing some of the leg work for you. But this is usually only once you are already a current traveler of theirs and are looking into your next contract with them in a new state.

Our Approach to Licensing Thus Far

We certainly don’t have all the answers, and like housing, there are multiple approaches and techniques to the licensing process that can all be successful for different travelers at different times. As a couple, finding positions has generally been time consuming and difficult, and starting contracts when we want has been challenging. Our friends who travel solo have found it much easier to find positions in the states in which they are interested and in a more timely manner than we have.

At first, we decided to only look at quick license states, meaning that we could look for jobs in states that would allow us time to find the job first and then get the license second. Therefore, we would ensure that we were only paying for the license once the job was already secured, instead of wasting time and money getting licensed in several states without knowing if we would actually take a job there. This tactic was primarily because we were broke after grad school (I’m sure most of you can relate) and couldn’t afford to pay for multiple licenses out of our own pocket up front, with the hopes of taking positions in those locations and then getting reimbursed.

We started with our first license and job in Arizona, because that is our home state, and we were getting that license no matter what. Next, we went to South Carolina, because it was a quick license state.

A note about “quick license” states: They are quick once they get all your paperwork, but most still require paper verifications from your current licensed states, and this can be a very timely process in itself. Licensing makes me speak very negatively about our state governments when they take two weeks to print out and send a piece of paper that I paid them $15-$25 to send! In the case of South Carolina, our start date was delayed two weeks because of the license verification from Arizona.

After that fiasco, we became more proactive and decided to get licenses up front in West Virginia, Kentucky, Maryland, and Tennessee while on contract in South Carolina, so we would not have a delay again in starting our next contracts. This seemed like a great idea at the time, and we figured a couple thousand dollars we spent on these licenses could be recouped fairly quickly.

This once again turned out to be a losing plan, after taking two extra weeks to find positions, we finally accepted positions in New Mexico (notice New Mexico was not on the list of licenses we had!) and started that licensing process there due to not being able to even interview for any positions in the other states. Again, the other states where we were already licensed made getting this license expensive and time consuming. New Mexico also lost half of the documents that were sent in. Luckily, the staff there was actually helpful unlike other states (cough West Virginia cough), and after 8 hours on the phone, we were able to get our licenses pushed through even though they did not have all the physical documents that were required.

What We’ve Learned About Licensing

So, where are we currently with licenses and what have we learned? Well, as of this point we are back working in Arizona, and seeing as that is our home state, we will be keeping that license. We still have New Mexico and Kentucky, but will be letting Kentucky expire in March 2019 instead of renewing. We already let the rest of them expire instead of paying to renew them.

Right now we are in the process of getting our California licenses, because California is reportedly a gold mine for travel therapy couples, and it is a gorgeous state. The current plan is to hang out in California and Arizona until our home state of Arizona starts issuing compact license privileges, and then use the compact to be able to move around the country again.

You can find out more about the PT Licensure Compact here.

What About Jared and Whitney’s Experience?

So far, Whitney and Jared have had a little better go at licensing than us, for the most part. Similarly, they chose to start by working in their home state of Virginia. After that, they were methodical in their licensing choices, and chose to get licensed in advance in each state rather than wait until after they found jobs to get licensed. They always chose states based on trends of which states tended to have the most PT jobs, since they also travel as a couple.

They chose their next state, Massachusetts, based on seeing a lot of job options in that area, and that choice worked out well with them being able to find two jobs together for their desired start date after they were already licensed. Next, they chose North Carolina, for the same reason. They wanted to be in South Carolina, Georgia, or Florida ideally, but they were seeing a lot more jobs show up in pairs in North Carolina, so they went with that. And, that ended up being another good choice, with them able to start with two jobs in the same area right on time, after they were already licensed.

After North Carolina, they chose Illinois due to seeing a lot of jobs there in general, but this choice never quite panned out. They ended up letting this license lapse and never used it. For what ever reason, the timing wasn’t right and they weren’t able to nail down two jobs together in Illinois. Similarly, they got licensed in Arizona due to a high number of PT jobs, but so far the timing has not worked out for them to go to Arizona either. They plan to keep this license though and use it in the future.

So, their travels have been a little limited due to licensing restrictions, and they’ve only ended up working in Virginia, Massachusetts, and North Carolina so far in 3.5 years of being travel therapists. But, a big reason for this also is that they were risk averse, and did not want to waste a lot of money on licenses if they didn’t think they’d use them, so they’ve held off on some opportunities because of that.

They too are holding out for their home state of Virginia to start issuing compact license privileges, which will significantly open up their options. Otherwise, they plan to get one to two more licenses, including California and possibly Washington due to lots of PT opportunities in those states, making it more likely to find two jobs together as a pair.

Take Home Points

The licensing process can be challenging and frustrating as a travel therapist, especially when traveling as a pair. All of this is at least twice as easy if you are traveling as a solo healthcare professional, but you may still have some of the same challenges that we have faced.

In general, you have a few different strategies you can use to approach licensing, which include:

  1. Pick a state you think will have good job options, one at a time, and get licensed in advance. Have the license in hand, then start looking for jobs there.
  2. Look for jobs in quick license states, and then if you find a job, get the license there afterwards.
  3. Get a few different licenses up front to open up your options before starting to look for jobs.

Although this process can be cumbersome, it is still doable. Many therapists don’t have near the trouble Julia and I have had, especially those traveling by themselves. Jared and Whitney had a fairly easy time with licensing and job finding for the first 2+ years, and have only recently run into some hiccups. If you play your cards right, you’ll still have a great experience as a travel therapist, as long as you’re somewhat flexible and willing to go with the flow if setbacks do happen.

Let us know what strategies have worked or failed for you for licensing! We are always open to hearing ideas from fellow travelers. Have questions for us about licensing? Send us a message!

The Single Biggest Advantage of Travel Therapy

Written by: Jared Casazza, PT, DPT


In the past I’ve written several articles on the financial advantages of being a travel therapist and how those advantages have allowed Whitney and me to embark on an alternative lifestyle full of international travel. In fact, I’ve always made it known that the financial aspects of being a travel therapist are the biggest reasons I was so dead set on going down the path of travel therapy even two years prior to graduation. However, there is one even bigger advantage that I’ve been thinking a lot about lately that is even more important to me than making more money… and that is flexibility.

The Many Faces of Flexibility

Flexibility as a travel therapist comes in many forms. There’s the flexibility to take extended periods of time off.

  • I’m currently writing this after last working over 6 months ago.

There’s the flexibility to try out different settings for a three month stint to see if you have any interest in that area.

  • I’ve now worked in outpatient ortho, acute care, home health, skilled nursing, and wound care while traveling.

There’s the flexibility to choose to invest money instead of paying down student debt.

  • This is primarily due to travel therapists having lower taxable income meaning a lower monthly income based payment due each month. And this is the path I’ve chosen for my own finances.

There’s even the flexibility to decide if pay or travel location is more important to you for the next three months and to change your mind about that decision after each assignment.

  • Occasionally these two coincide, but generally higher paying contracts are in less desirable areas.

Flexible Time Off

Starting out traveling as a new grad, I was most concerned about making as much money as possible to offset my student loan debt (and in my case, start investing heavily early in my career). For that reason, pay was the primary consideration for me, but I’ve recently found that the flexibility to take time off is even more important. These things go hand in hand to some degree, because without making so much more money as a traveler, it would be difficult to take extended time off of work, but the flexibility goes beyond that.

If I had taken a permanent job out of school, there’s little doubt it my mind that I also would have saved a large percentage of my income despite the lower total pay at a permanent job. After a couple of years, I would have likely had enough saved to take an extended trip out of the country, but because of the nature of a permanent position this would have been impossible. After all, it’s difficult to find a permanent employer in healthcare that is willing to let an employee take two consecutive weeks off, much less 5 months! So to me, the flexibility in time off allowed by travel therapy is huge.

Flexibility to Try New Settings

The flexibility to try out different settings is something that I didn’t know at first would be a benefit of traveling. I was always most interested in outpatient ortho as a student and undoubtedly would have taken a permanent job in this area had I not decided to travel. Whitney with her Athletic Training background was 100% in agreement with me in this area. To my surprise, after taking a couple of contracts in other areas, I found that I actually really enjoy home health and even wound care!

As a student, wound care was something that I was terrified of, and I would have never willingly taken a job with that requirement if it wasn’t for knowing it was only for three months. Home health is an area that I started to become interested in, but I most likely wouldn’t have taken the leap into trying it out at a permanent job due to fear of the unknown. As a traveler, it is much easier to get over that fear when you have a predetermined end date that you know will be there pretty quickly if it turns out you really don’t like the job (this was skilled nursing for me).

Flexibility to Invest Instead of Paying Down Debt

I’m not sure if investing instead of paying off my debt is something that I would have done if I had taken a permanent job, but there’s no doubt that it’s more feasible as a travel therapist. The biggest reason is that with a lower taxable pay as a travel therapist comes a lower income based student loan payment. Ordinarily, this wouldn’t be a big deal, but when using the REPAYE income based repayment plan, this becomes more important.

The reason is that under REPAYE, half of the accumulated interest each month is subsidized, which ends up being a massive benefit for travel therapists who choose an income driven repayment plan. For me, this is the difference between having an effective interest rate of 6% on my loans versus an effective interest rate of 3.2%. Or, to put this in different terms, it’s the difference between my student debt growing at $500/month versus growing at $266/month.

If you take into account that the stock market returns on average 7-10%, then you can see why investing your money to get that return instead of paying off low interest debt at 3% would make sense. Having the interest accumulate much more slowly makes investing instead of paying down my student debt a no-brainer in my current situation.

Flexibility to Choose Between Pay and Location

Since the primary motivator of travel therapy for Whitney and me was pay, to this point we’ve always chosen to take higher paying travel contracts in rural areas. In addition to the higher pay, we like the slower pace, caring people, and lower cost of living that goes along with traveling to rural areas. Although rural areas are great for us, they lack the excitement of being closer to bigger cities and more desirable areas.

In the future, as money becomes less and less of a motivating factor for us as we approach financial independence, location is likely going to become more important. For example, we’ll likely sacrifice pay and low cost of living at some point to take travel assignments in Hawaii and southern California, which is something that we would never have done three years ago when starting out.

Take Home Points

It’s inevitable that priorities change throughout one’s life. The many different forms of flexibility offered by travel therapy have made pursuing these changes in desires and priorities much more feasible for Whitney and me. Starting out, we never would have guessed that some day we would value being able to take 5 months off to travel around the world, being able to experiment with different settings, or being able to try out the city life without committing to it long term. Travel therapy has given us the ability to do all of the above due to the flexibility, and that has been priceless!

 

jared doctor of physical therapy

Author: Jared Casazza, PT, DPT – Traveling Doctor of Physical Therapy – Aggressively seeking Financial Independence early in his career

Questions to Ask a Travel Therapy Company and Recruiter

Written by: Whitney Eakin, PT, DPT, ATC


So if you’re looking into travel therapy, by now you may have figured out that you need to contact travel companies and decide who you want to work with. In general, we recommend therapists work with at least two to three companies, in order to give themselves the most job options. It’s a great idea to talk to a few different ones at first to get an idea of which recruiters you like and which companies you like. Once you’ve found a few good ones, you’ll have them as your main contacts when it’s time to look for jobs.

Just to clarify, having two to three you’re working with doesn’t mean you’re an employee or locked in yet! You’re only locked in once you take a job with one company, and then you’re just locked in for that assignment. After that, you’re back to being a free agent and can mix and mingle with all your recruiters for the next job search.

But what should you be looking for in these companies and recruiters? What questions do you need to ask them to find out if they’re any good? Are there red flags to watch out for with recruiters? These are questions we hear from many therapists who are just getting started looking into the travel world. So let’s dive in and cover some of the things you should consider and some questions you should ask!

Recruiters

*Ok some of these aren’t actually “questions to ask” more just things to consider!

  • Do you like them?
    • Yep, this is important, you should like them and get along well, because you’ll be talking to them a lot and depending on them to help you.
  • Are they responsive?
    • Getting back to you quickly via calls, texts, and/or emails is important, especially when it’s crunch time and you’re searching for a job!
  • Can you reach them after hours/on weekends?
    • We have to respect the recruiters’ personal lives and encourage them to have a work-life balance, but sometimes things come up outside of business hours (since, of course, we work during business hours too) and on weekends. It’s nice to know whether you can reach them by cell phone in case of an urgent situation.
  • Are they trustworthy?
    • You have to feel this one out a little over time, gauge whether they’re being open and honest with you, or whether they’re holding back information and being shady.
  • How much experience do they have?
    • Ask how long they’ve been a recruiter and how long they’ve been with that company. This may or may not be a huge deal breaker, because they’ve all got to start somewhere. But gauge how long they’ve been in the business, and if they’re newer, how much training they got and who trained them.
  • How many travelers do they work with at one time?
    • This can vary from 15 to 50 or more. Ask them how many they usually work with, and what happens if they feel like their desk is getting too busy and they have too many travelers.
  • Do they work with a team?
    • Some companies work as a team of recruiters, but most work independently. But figuring out who else is in the office and who covers for your recruiter if he/she is out is a good thing to know. Also building a relationship with the recruiter’s manager might not be a bad idea in case your recruiter is ever out.

Companies

  • What states/areas do they cover?
    • Find out what states and areas they staff, and if there are certain areas where they tend to have more jobs. Most agencies staff nationwide, but sometimes they’ll have more connections in a particular area.
  • Do they work with only therapists or other healthcare professionals too?
    • Some companies do only therapy, while others staff everything from nursing to imaging technicians. Typically, they will have different departments for different professions, such as have a separate nursing division that isn’t involved with the therapy division. Just something good to know and understand who your company and especially your recruiter specializes in working with.
  • Are they considered a “small,” “medium,” or “large” company?
    • This just helps you understand what their overhead is like and how that might affect pay, as well as how their company runs and their job availability. For example, a bigger company may have more jobs but lower pay; a smaller company may have less jobs but higher pay. But it varies greatly!
  • What are their benefits like?
    • You’ll want to compare the benefits packages for each company. Here are some key things to look for:
      • Insurance: When does it start? Does it carry over between contracts? What company is it with? Do they have different tiers of coverage? How much is taken out weekly from your paycheck?
      • 401k: Do they offer it? Do they offer a match? When can you start contributing? When does the match start? When is the match “fully vested”? (meaning, if you leave the company after 1 or 2 contracts, do you keep the match, or do they take it back?)
      • PTO: Is there any opportunity to build PTO?
      • Others: Do they offer any additional perks, such as life insurance, disability, etc.
  • Do they offer reimbursements?
    • Some companies offer reimbursements for things like state licensing, CEUs, and travel to/from facilities. However, some companies have this just come directly out of your pay package for that particular contract, so you really end up with the exact same amount of money, just divided up differently. Whereas some companies have a different department and budget allocated for these reimbursements, so while it probably affects the company’s overall pay to all travelers, it does not directly affect your paycheck on an individual assignment. So if they say yes they will reimburse, ask where it’s coming from.
  • Do they offer CEU access?
    • Some companies instead of reimbursing you for CEU’s will give you online access to CEUs via a website where they have a subscription, so you can earn CEUs online for free while on contract with them.
  • What does an average pay package look like?
    • It’s important to find out what a normal range is that they see for your discipline. For example, they might say anywhere from $1500-1800/week. You might want to see how they break this pay down as well, including what numbers they use for hourly taxable pay (Ex: $20/hr) and how they break down your stipend/per diem money (Ex: hourly, or weekly). This is all a little more advanced, but you’ll learn as you go along and work with a few different recruiters and see how they break things down.
  • Do they offer a 40 hour guarantee?
    • This may depend on the company itself or the client they’re working with (the facility). Find out if they can secure a 40 hour guarantee for your contract, and if so, what does it cover? Does it include only if census is low, or does it also cover holidays and clinic closures due to inclement weather?
  • Where do their jobs come from?
    • Do they have a lot of direct clients, or do they mostly rely on Vendor Management Systems (VMS)? This is also a little advanced, but it’s good to understand where their jobs are coming from. All companies will have access to the jobs on the VMS systems usually, so companies that rely heavily on that will tend to have most of the same jobs.
  • Do they “cold call” if they’re having trouble finding jobs for you?
    • This is an important thing for them to be willing to do for you if they’re unable to find jobs in the particular area you’re looking for. “Cold calling” means they’re willing to call around to facilities in the area or ones they’ve worked with in the past, regardless of whether they have any job openings listed at that time. This puts them, and you, ahead of the game and can dig up some good job options that may not be posted yet.

These are some of the key things we feel it’s important to consider and ask when looking into travel companies and recruiters. Many companies will be similar in terms of jobs they offer and benefits, so sometimes your recruiter will make a big difference for you. You want to find a couple of recruiters you really like and trust, and build a good relationship with them. This will help you to have a great travel experience!

If you’d like to know the companies and recruiters we recommend, please reach out to us and we’d be happy to help you!


Whitney

Author: Whitney Eakin, Doctor of Physical Therapy, Certified Athletic Trainer, and Travel Physical Therapist since 2015