Portfolio career tips for physicians & APPs

Stephanie England, author of this post Stephanie England • Follow
Calendar icon July 8, 2025 • 8 min • Share icon
Physician advanced practice provider in a white coat and glasses looking at a laptop, focusing on portfolio career tips for healthcare professionals.

Highlights

  • Find out which partners you need to build a strong foundation for your portfolio career — from staffing agencies and tax pros to mentors and financial advisors.
  • Learn how to define your goals and align your work with what matters most to you.
  • Discover what it takes to manage variability, including planning for income shifts, insurance and taxes as an independent contractor.

Healthcare careers are no longer one-size-fits-all. Increasingly, physicians and advanced practice providers (APPs) are opting out of traditional employment models in favor of more flexible, customizable alternatives — and at the forefront of that movement is the portfolio career.

Female physician advanced practice provider smiling and holding a tablet, with text asking 'What is a portfolio career?' and defining it as 'Combining multiple roles, responsibilities and revenue streams into a dynamic, personalized career path.

As someone who has spent years working closely with locum tenens professionals, I’ve seen firsthand how this shift is transforming both provider lifestyles and the delivery of patient care. For some, success in medicine used to mean climbing a single institutional ladder — from resident to partner, or from junior attending to department chair. While that path still works for many, it’s no longer the only route.

Today, success can also mean crafting a personalized career that prioritizes autonomy, sustainability and a wider impact. Whether you’re easing into semi-retirement, exploring new clinical environments or just want more time for life outside of work, a portfolio career lets you design a professional journey on your own terms. And for many providers, locum tenens roles are a powerful building block of that journey.

Infographic detailing portfolio career options in medicine, including part-time clinical shifts, locum tenens, telemedicine, academic/research, consulting, and healthcare policy work.

At Aya Locums, we’ve seen a steady increase in providers who are deliberately building locums into their broader career plans. Some combine it with fellowships, others use it to test-drive new practice environments, and many pair it with telemedicine or family commitments to create a better life-work balance.  

If you’re ready to explore this path, here are five key tips to help you get started: 

   1. Define your goals and priorities

Before you start applying for locum assignments, take time to outline what you’re hoping to achieve. Are you looking to:

  • Continue earning while working less?
  • Explore different regions or practice settings?
  • Carve out time for family, travel or passion projects?
  • Transition gradually into retirement?

A portfolio career can help you do all of that — but your goals should guide the decisions you make. Locum tenens is especially beneficial if flexibility and variety are high on your list. With assignments available nationwide, you can choose when, where and how you work.

   2. Understand your tolerance for variables

One of the biggest shifts from a traditional role to a portfolio career is the move from predictability to possibility. You may have variable income, changing work environments and nontraditional benefits to plan for.

To prepare:

  • Budget for downtime between assignments.
  • Look into private insurance options.
  • Get familiar with taxes for independent contractors (many locum tenens roles are 1099, while others can be W-2, depending on the state).

While this added responsibility might seem daunting at first, it also opens doors to high earning potential and autonomy. Aya Locums offers access to opportunities with transparent pay and concierge-level support to help guide you through the process.

   3. Find the right partners

You don’t have to navigate a portfolio career alone. Successful locum providers often rely on a trusted network, including:

  • A reputable staffing agency, like Aya Locums, to handle credentialing, licensing and transportation & housing logistics.
  • A tax professional who understands self-employment deductions and quarterly payments.
  • A financial advisor to help plan for retirement or sabbaticals.
  • A career coach, mentor or peer network for ongoing guidance and support.

The right team can make your transition smoother and help ensure you’re maximizing every opportunity — not just clinically, but financially and professionally.

   4. Stay open-minded and ready for change

The beauty of a portfolio career is that it evolves with you. You might start with weekend locum shifts, then later explore telehealth, teaching, consulting or even nonclinical leadership roles. The key is to remain open to the many possibilities that exist throughout healthcare.

Each experience you gain, whether in a rural hospital, urban trauma center or academic setting, builds your skillset and adds depth to your professional story.

Locum tenens is especially valuable in this regard. It allows you to experiment with different roles and settings without long-term commitment, helping you figure out what works best for you.

   5. Invest in lifelong learning

In a portfolio career, your greatest asset is you—so keep sharpening it by perfecting your locum tenens CV, earning new certifications, attending conferences, and taking on short-term leadership roles; every skill you master amplifies your versatility and marketability.

Locum assignments can provide a front-row seat to emerging practices and diverse clinical teams. Take advantage of those experiences to grow your knowledge and broaden your expertise. 

Your portfolio career starts now

Connect with an Aya Locums recruiter for a free, personalized strategy session—no obligation.

Build my portfolio career

One last note

A portfolio career isn’t just about cobbling together jobs — it’s about building a career with intention, freedom and fulfillment, and defining success for yourself. 

Whether you’re looking to avoid burnout, pursue passion projects or simply practice medicine on your own terms, locum tenens work can offer the flexibility and variety you need to make it happen. 

Your career, like your patients, deserves personalized care. If you’re interested in exploring locum tenens as part of your portfolio career, connect with an Aya Locums recruiter today who will provide comprehensive guidance and support throughout the entire process. Or visit our partners at DocCafe for additional opportunities.

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Stephanie England, author of this post
Stephanie England

Stephanie England is Senior Director of Provider Solutions at Aya Locums and Qualivis. An accomplished leader in healthcare staffing, she brings a proven track record in recruiting top-tier physicians and advanced practice providers, and is passionate about creating flexible, sustainable career paths for clinicians. Connect with Stephanie on LinkedIn.

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