Vagabonds, Vagabonds Everywhere

Balloon

Launch site of the first trans-Atlantic balloon flight – Presque Isle, Maine. Jonathan Trappe, who is really cool thinks this is really cool. It must be.

It’s been too long since my last post, so let’s get right into it.

I realized recently that one of the fascinating things about being a Physical Therapist and traveling is all the different people that we get to meet and get to know as we work with them. This thought started when a man showed up at the door of our cabin looking to rent it, because our landlord has left the “For Rent” sign out front. We got to talking about this first TransAtlantic Hot Air Balloon launch site which is just down the road. At this point, the guy introduces himself Jonathan Trappe and whips out his phone to show Kate and I why he finds the balloon memorial so fascinating. “I guess it’s just a small group of us that find that kind of thing really cool. This is my balloon,” he says while showing a picture on his phone of him hooked into a harness attached to a bunch of toy-like latex balloons floating above the clouds. I say to him that it looks like he’s pretty far up. He says, “Yeh, this picture is taken at 20, 000 ft above the Alps!” You gotta check this stuff out ClusterBalloon.com – There’s place down the street that Jonathan might rent. I hope he does, maybe we can be friends.

I don’t know why this came as some sort of revelation to me that I get to meet a lot of people doing what I do – afterall, being able to be a social creature at work is one of the major reasons I got into PT in the first place. Now, I’ve been practicing for 7 years (which through some very rough math works out to 12,000 to 14,000 hours in the clinic), and I can think of a lot of really interesting people that I’ve been fortunate to meet. There’s a couple of patients I’ve treated that opened my eyes to some different and cool stuff. There was this Buddhist monk that would show up for her treatments in her burnt-orange monk robe we’d talk about the different veins of Buddhism. She’d tell me about how she was one of the first female monks in her particular denomination of Buddhism, how it was the most pure of the denominations, and how she brought it to the US several decades back. Just a fascinating woman, I don’t really remember all that much else about her, but she definitely sticks out in my mind as a cool person to have known.

There was this man in his late 80’s I saw for home care a few years back. He opened my eyes to the religion of Spiritualism. He was a leader nationally in the Spiritualist Church where they believe when people die they exist in the same world as us as spirits. To dumb it down: they believe in ghosts. And this guy was a medium who could communicate with the dead. He lived with this much younger roommate who was a tarot card reader. They were always making this soup that I can distinctly remember the smell of – It may have been some sort of mix of the soup and just the particular smell of their place that I remember, it was very distinct. I go over and work with this man a couple times a week. Somewhere inbetween he and the tarot card reader telling me fascinating stories and explaining more about Spiritualism, we’d sneak in a few exercises and some work to improve his mobility. He believed that anyone could be trained to be a medium — that you didn’t particularly need to have a knack for it. Besides this religion that fascinated me, he was just a sharp, open minded guy that I think of occasionally and wish I had kept in touch with. I did think to call him one day, but enough time had passed that I had changed phones and didn’t have his number anymore. Too bad, I’d like to know how he’s doing….. and take him up on that medium session he offered.

"Hey! Look a van with a New Hampshire plate. What are the chances out here in Alaska. On an unrelated note: Brrr, It's cold, glad we're not in a tent...."

“Hey! Look a van with a New Hampshire plate. What are the chances out here in Alaska. On an unrelated note: Brrr, It’s cold, glad we’re not in a tent….”

The travel really increases the amount of people from less-than-ordinary circumstances that pass through my life. When actually out traveling on the road or in airports, I don’t typically go out of my way to chat up people, I’d rather not deal with the inconvenience of them asking me where I live :-), but occasionally someone will creep into the daily interactions and stick as a memory. The only reason cluster-balloon-guy stopped in is because the “For Rent” sign was still up. If we had been well settled into a place for months or years, that sign wouldn’t have been out there and Jonathan wouldn’t have come-a-knocking. “New Hampshire” was the name dubbed to the couple on the Alaskan State Ferry ride to Washington who were driving a big van displaying a New Hampshire license plate and with a big aluminum canoe strapped to the top of the van. We first met them in the line of cars waiting to get onto the first boat out of the Anchorage area. The gentleman of the couple noticed our Maine plates and came strolling over saying something like, “Hey! Maine!? We’re from New Hampshire!” We continued to see this couple everywhere on the 10 day trip down to the lower 48. We saw them on the boat, we saw them out in Juneau on a 2 day stop there, and we even passed them on the highway headed out of Bellingham, Washington. My most amusing memory (of these people whom we never really got to know that well) happened one afternoon on the boat when seas were rough and water was splashing and blowing up over the top of the several story high ship. New Hampshire was hanging out nearby and I remembered they had been tenting out on the deck of the ship. It wasn’t unusual for people to tent on the deck of the ship, but this was getting late in the season and they had the only tent out there in November. The tent was tied to a railing after they were overhead paged on the boat to attend to their tent. According to the ship’s crew, it’s not unusual for winds to whip up, taking unsecured tents weighed down with gear right off the boat into the Gulf of Alaska. I was a little scared to ask them if their tent was out on the deck during this patch of rough seas, but I remember as things calmed a bit and no more water was coming over the top of the ship, Mr. New Hampshire stands up and very matter-of-factually says, “I guess I’ll go see if the tent is still there.” What a character, and neat people living a cool life, cracks me up.

Anyways, just because I feel like there’s supposed to be some conclusion here, let me say this: I like meeting people and I think PT and traveling is a nice combination that lets me meet some pretty cool people. We’re trying to buy a second car off Craiglist this week, that’s a process that lends itself to some strange people getting involved… should be fun!

Ask James

Hey everyone. It’s hit that time of year where April comes around and I realize I haven’t posted in 3 months. Don’t worry, I haven’t been working too hard, just skiing too much. 🙂

I thought one quick way to get back in the blog-habit is to post a recent email conversation I had with a new traveler. I think he was asking the right questions and made the right decisions in the end. Maybe our conversation can help someone else out there who is working on getting into travel PT.

Happy reading and happy travels! I’ll write again soon.

 

New Traveler: My wife and I have ventured out to begin traveling therapy. We left sunny SC and drove 2800 miles to cloudy OR last week. My wife had a for sure job but my opportunity fell through somewhere around Wyoming.

But now I have been contacted by a SNF and they want to offer me a contract directly.

They asked me to name a price and I asked to have time to think it over a while.

I have a little idea of what to say because I know what the travel company is paying my wife. But before I respond to them I am hoping to get some advice from y’all.

Here are my details: This will be my first job; I graduated in December. It’s going to be a 6 month contract. I have no experience in a SNF but I had 2 clinical rotations in outpatient (1 manual focused), 1 acute rotation, and 1 inpatient rotation.

One traveling company recruiter told me I should make 1400 dollars a week if they didn’t cover housing or insurance. I have both through my wife’s job.

Any thoughts?

Thanks

HoboHealth: Awesome to hear you guys are taking the plunge and hitting the road!!!

I have two thoughts. If the SNF job sounds like something you wouldn’t mind doing, then go for it. But if you’d rather be doing something else, then I think holding out another week or two may yield some good results if you’ve been seeing other opportunities in the area come and go. So, make that decision first… Is this really an assignment that’ll be ok for you? (Also, since you haven’t done SNF before, are there other PTs to help guide you? …the more the better.) Do you need another recruiter?

My 2nd thought is that $1400 sounds really low to me. I know therapists that made about $1500 wkly after taxes through an agency on their first assignment after only 6 months PT experience. Figure on top of that (or whatever your wife is making) that the agency is charging another $10-$20 an hour. That’s a lot of bargaining room for you. I would say as a new grad doing an independent contract $1600 is a very acceptable starting place for take home ($40/hr). I think you should aim higher $2000 ($50/hr)? I’ve heard of independent home health contracts going as high as $70/hr. Depends how ballsy you’re feeling…. Doesn’t hurt to ask. Also, just make sure you’re getting what perks and reimbursements you can.

Here’s some links in case you haven’t read them already (the second is some sample independent contracts):
The Job Search
Independent Contracts

New TravelerGonna give you a quick update. I went in for the interview on Friday and loved the facility as well as the other PTs and PTAs. I decided that it would be a great first job for me as a PT. The managers do a lot of the extra stuff like billing, etc so it will allow me to concentrate on solidifying my eval and treatment skills. As you know it’s quite different being an actual PT than a PT student. No one looking over your shoulder and checking behind you.

It is a unique situation. The clinic is considered an outpatient clinic because it is in a retirement village and serves an independent living community as well as a SNF so I will see a wide variety of patients.

The pay is good. It’s right around what we were discussing. I feel like it’s excellent for a new grad. $42 an hour initially and $48 after a month because I will decline the benefits. I am insured through my wife’s job.

Thanks for sharing the link as well. I used some of the pointers from your blog when negotiating the contract. The whole process went pretty smooth. My wife and I are planning to stay in Oregon for 6 months and then move on. We want to hit up Alaska in the next year. Maybe y’all will still be there and we can get a beer.

Thanks for the help. Hope to stay in touch.

HoboHealth: Thanks for the update. Sounds like a great gig and like you made some good decisions over the past few days!

Good luck and keep in touch when you start working towards AK!

International Travel – Reflection (part 4 of 4)

Reflections

How could Amy not bust out a move at a time like this!?

How could Amy not bust out a move at a time like this!?

So after all of that, all of the waiting, searching, and more waiting, was it all worth it? Most definitely. We were told by those that have traveled to the Middle East before us that our worldview will change from living and working here, and it no doubt has.

From a Physio perspective, there are so many opportunities, so many ways that I can contribute to the department I am part of, and so many things I can learn from others. I am working with people from over 50 different countries, in 1 hospital. The hospital is world class and offers me all that I am willing to accept. I can formulate a research hypothesis and have the means and staff to assist me in carrying it out. We have top physicians, Physios and speakers from around the world presenting topics to us and consulting with our team to make our hospital a better place. It is quite an amazing to be part of something so unique.

One more shot of Doha from the water a night.

One more shot of Doha from the water at night.

From a personal perspective, we have learned how to adapt to different living conditions and more importantly to different cultures. I have learned that being open, non judgmental and genuinely interested in others has allowed me to create trusting relationships with my patients, coworkers, and friends.

I have learned, most importantly, that people are genuinely nice, despite their class, country or religion and that we are all fighting the same battles. We have met wonderful people from our drivers (yes we all tend to have drivers out here!) to CEO’s, tried new sports (squash), adapted our old sports (“mountain biking” in a flat desert) and had our share of love-hate relationships with everything from traffic, to food, and the eternal sunshine that is Qatar.

I hope these posts have kept you engaged and maybe even gotten some to want to jump on a plane and move abroad tomorrow. Thanks for letting me share my thoughts with you!

~Amy

PT International Travel – The Prep Work (part 2)

This is part 2 of a series on travel abroad as a working Physical Therapist. For previous posts, click “previous blogs” on the menu at the top of the page.

——-

Whether you are following a significant other somewhere or you are looking to relocate abroad on your own, there are a lot of things you want to consider before and during the transition process. Hopefully my story will help those of you thinking about travel abroad decide to take that leap out of the US and help you figure out how to do it. The process is never ending, but the better prepared you are, the less frustrated you will get!

Souq Waqif, a marketplace and one of the favorite tourist spots in Doha.

Souq Waqif, a marketplace and one of the favorite tourist spots in Doha.

 Like I mentioned in the first post, having a contact may be your greatest advantage in landing a job abroad. Think of a friend or family that lives abroad, a coworker that worked abroad or even someone that knows someone that worked or has contacts abroad. Six degrees of separation may work here! That is generally how most of us foreigners here in Qatar ended up where we are.

Since my husband was the one who took a job that was placing us overseas, I had to do a ton of research on the possible countries – Chile, Australia and Qatar – to see if any of them would be a place I could practice. Unlike many other professions, healthcare workers usually have either the burden of proving their proficiency through re-examination (who wants to take the boards again!) or through verification.

So, before you start packing your bags for some beautiful coastline, there’s a few things you will want to research, and then continue to research throughout the process. I’ll try to keep this as condensed as possible, but here’s some quick links if you don’t want to read all of it.

On the water looking back at Doha

On the water looking back at Doha

Given that we had 3 potential locations we could move to, I started by looking into the culture and the requirements for a PT in each country. A good place to start is the World Federation of Physical Therapy (http://www.wcpt.org). They have contact info for a ton of countries, including websites, emails, phone numbers and addresses. Awesome.

I started by emailing the contact for Chile. The biggest questions I was asking at first were 1. Do they accept a US licensure carte blanc, on a case by case basis, or do they require all international PT’s to take an examination? 2. Is Spanish (or Arabic for Qatar) a requirement or are there hospitals where the primary language among healthcare workers is English? I also checked out Chile’s physiotherapy webpage that I found on www.WCPT.org and googled hospitals in Santiago, Chile. Everything was in Spanish. The email I received from their PT association was in Spanish. Fluency seemed like a must at this point. So for Chile, I waited on proceeding until I had a better idea if we would end up there.

Next was Australia. I started by checking out http://www.physiotherapy.asn.au but also contacted a college professor as well, knowing that she practiced there. In Australia, they evaluate each candidate on a case by case basis, but chances are, an exam was likely. Now, being 6 years out of school, I would want to know that I would be here for at least a few years if I was going to study for another board. Again, further search was put on hold. But I couldn’t help to check out New Zealand, since I was looking in that part of the world. http://www.physioboard.org.nz/index.php?Registration-Overseas-QualifiedPhysiotherapists . Now this is the kind of information I was looking for! Direct information on how to apply as an international PT. Perfect. Now only if we were going there instead!

I saved Qatar for last. This is where we ended up and was probably the most complex process I have ever endured! I began with checking out background information on Qatar which is a moderately liberal/conservative Islamic country in the middle east. We have to be married to live together. I can drive, walk around, and do most things as I would in the US. It is respectful to have my shoulders and knees covered when in public. English is the common language given the hundreds of languages that are spoken here. So it seemed I should be able to transition here with moderate ease.

We then started by asking my husband’s company a ton of questions to find out if I should come over with my husband of if I needed to wait before I made my move. The big questions – sponsorship, benefits and education qualifications. I will get into these topics in the next blog and the details of what I specifically had to do to be eligible to work in Qatar.

PT International Travel – An Introduction (part 1)

People are ALWAYS asking me about travel abroad. Unfortunately, I have never traveled abroad to work and know very little about it. Recently, a friend, packed up her bags and headed for Qatar where she has now resumed work as a Physical Therapist. She has been kind enough to put some of her experiences to paper and share them with us.

Over the next month or so, we will post several blogs by Amy Sheridan about her experiences finding work abroad and the logistical and cultural obstacles that she has contended with.

Without further a-do, here is an introduction to Amy and we will soon follow-up with the next several pieces.

-James
———————————————

Doha, Qatar largest city. A population of about 1 million.

Doha, Qatar’s largest city. A population of about 1 million.

Ever think of working as a PT abroad? My husband and I had been throwing that idea around for a year or so before a great opportunity arose for him as an engineer in Qatar. We jumped, and I left my physical therapy job in the US and followed him there. Why Qatar? Why work abroad when you can work as a traveling PT in the US? Well, hopefully our tales will give you some background on not only work and play life abroad but also on the process that I had to go through to work in Qatar.

Prior to jumping ship, I worked as a Sports and Ortho PT in a private outpatient clinic in Boston. I had been working there since graduating from Northeastern University in 2006. Having a boss that traveled to the Middle East for 10 or so years to treat athletes actually prepared me to work abroad. I always thought it would be awesome to start traveling with him there. Instead, I ended up here myself.

Amy getting around Qatar via some local transportation.

Amy exploring Qatar via some local transportation.

The number one reason we ended up in Qatar, of all places to relocate to, was contacts. And patience. My husband must have posted his resume on 50 job websites for work all over the world without a single reasonable follow-up (very frustrating, I might add!) before a conversation with a subcontractor led him to a brilliant contact and a job. My job also came from a contact I made 3 years ago at a conference. If that’s not an ad for keeping old business cards, I don’t know what is!

Over the next few blogs, I’ll share the seemingly never ending production of preparing to relocate, the millions of questions we asked before and during the relocation process, securing visas and residency, idiosyncrasies of living in another country, culture shock, and finally what it is like to work in Qatar. I’m hoping that my experience will guide any of you looking into it or in the midst of the process.

-Amy

Alaskan Ferry Trip

Every experienced traveling health care worker should consider an assignment in Alaska. The Alaska Marine Highway (AMHS) has to a part of the travel plans!

DSC_5937

Our first ship, the Kenicott, this was bigger than our second ship, but smaller than our last.

When Kate and I were preparing to head up to Alaska from our annual winter assignment in Colorado, we researched the ferry up to Alaska and missed our window to book tickets. Hoping to travel in late April or Early May, I called to AMHS at the beginning of March, but found all the slots to bring our car along filled up, we knew better on the way back and scheduled several months out. Now is as good a time as any to describe the clientele and lodging on the boats of the AMHS: This is the mode of transport for inter-village travel, retired fisherman, vagabonds, gypsies, hippies, and general rapscallions. So, as a traveling PT, you’ll fit right in.

We stayed in three different types of “state rooms” on our three ferries. The “state rooms” are as small as a 5 foot by 8 foot closet containing a card table that miraculously converts into a bunk bed. The ritzy-er state rooms have their own bathrooms and just a little bit more space.  Now, the regular ol’ rapscallions, they prefer the no-accommodations-version of this ride. All over the boat, people lie out in their sleeping bags, setup tents duct taped to the deck, and generally get by on sleeping where and when they can.

Arriving into Juneau, our first major stop of the trip.

Arriving into Juneau, our first major stop of the trip.

There are 11 ships that cover 3,500 miles of “highway”. The AMHS has been awarded the title of “All-American Road” which apparently is very prestigious among the country’s scenic highways and byways. By all normal standards, the network of ferries serving the coastline of Alaska is just another interstate highway. Many of the towns the AMHS services have no other roads to them and can only be reached by sea or air. Because there are no other ways into these towns, any type of vehicle you can imagine gets driven onto the car deck of the ferry. I drove our over-packed car onto the car deck and saw an Alaska Airlines tarmac vehicle, smaller boats, multiple prison laundry vans, and a bunch of assorted hippy-wagons. …an eclectic group of vehicles for an eclectic group of people.

The Alaska Marine Highway is awesome. I came away from 6 months in Alaska feeling really good about my experience, but also feeling like I had missed some sort of “bush” experience off the beaten path. Anchorage was great, and, as they say, “it’s only 15 minutes from Alaska.” But, there’s a less accessible part of Alaska… the majority of Alaska… that I hadn’t seen yet. Pull out a map sometime, check out exactly how far away Alaska is and how big it is. Alaska is north of much of the Yukon. Alaska is 2 times bigger than Texas. There’s enough coastline in Alaska that at low tide it’s 3 times bigger than Texas. Overlaid on a map of the lower 48, Alaska touches both Disney World AND Disneyland. Alaska is really far away, and Alaska is really big.

A bald eagle grabbing a snack somewhere between Sitka and Ketchikan.

A bald eagle grabbing a snack somewhere between Sitka and Ketchikan.

The trip on the state ferry fulfilled all my needs for exploration and Alaskan solitude. We traveled 10 days on three different boats down the coast of Alaska and through the inner passage past British Columbia. After a rough ride across the gulf of Alaska and a few short stops in small villages, we arrived in Juneau and had a couple days to explore. Having our car with us, we were able to drive around. We enjoyed dinner at a cool little restaurant on Douglas Island which is connected to Juneau by a bridge. We only saw Douglas in the dark, but it apparently is home to a community-run ski resort, seems like a really cool place. Back in Juneau, the next day, we enjoyed an awesome hike in the snow above Mendenhall Glacier, stopped by Alaskan Brewing Company for some samples, and had a shockingly authentic time at the Red Dawg Saloon. At the Red Dawg, we walked in on about a dozen rowdy locals who at the time had their glasses raised in the air for a toast. They welcomed us for a couple beers and talked our ears off…. Funny people, funny place. At 3 AM we got back on the ferry and spent the day cruising down to Sitka, a town of about 8,000 on the Pacific Coast of Southeast Alaska.

We were lucky enough to have a friend in Sitka, who, much like our friend I mentioned in the previous blog, is doing a stint with the Native Corporation Hospitals. Gio has it good. He lives in a picturesque log cabin just out of town and occasionally gets to make some trips out to the bush by small plane to treat patients in secluded Alaskan villages. Gio took us around and gave us the ultimate locals’ tour of Sitka. Two times we went to Whale Park, an area of town with a view out over a cove. Both times we went, like advertised, there was a pod of orcas far out in the water, but diving up and down, spouting water up into the air. We also took a day hike up through the snow for a scenic view of town and it’s volcano on a neighboring island (Mt Edgecombe). To cap it all off, we stopped at Baranoff Island Brewing Company on the way back to the ferry. Great beers – in a small town – on an island – a long way from everything. Who knew?

The last leg of our ferry trip was 3 days with only one quick stop in Ketchikan. We enjoyed a make-shift turkey dinner on Thanksgiving and eventually made it into Bellingham, WA. What a trip. A must do. Put it on the list.

I’ve added some photos below of some of our pictures on the trip. Click on one to open up the gallery. Enjoy!

 

Alaska Wrap-Up!

We are again on the edge of an epic road trip. Kate and I are celebrating the first of 37 days off from work and really excited for the upcoming trip as we pack up and get ready to hit the road. This trip is going to be a really neat way to wrap up our time in Alaska. Before getting back to the lower 48, we will take a 10 day water ferry down the coast of Alaska seeing glaciers, sea life, and stopping in a few smaller Alaskan towns along the way.

Today, I really just wanted to share with you some of my favorite memories from the last 6 months. Alaska is a must-do for any experienced travel healthcare worker. As I’ve shared previously, getting set-up here was tougher than most assignments, but the adventure and experience was well worth it.

During our time here, “Champ,” the RV we bought for chump-change, became our access portal to weekend adventure and camping without fear of rain, cold, or bears. Champ drove us as far south from Anchorage as Homer, a small coastal town at the tip of the Kenai Penisula, “where the land ends and the sea begins.” Down in Homer we met up with a nurse friend, Anna, that I had met on assignment in Colorado. She has found her way out hereto the great north the way a lot of other nurses and PTs have, working for the Native Hospital Corporation… If you’re open to being in Alaska for a couple years and paying off some loans, look into it, but that’s a whole other commentary for a different time. We knew Anna had adventurous plans for the weekend, but the end result was the coolest weekend this summer. The weather was perfect, 70 degrees and flat seas. We hopped on a water taxi that took us across the bay to a marked trailhead on a rocky and secluded beach. Feeling like we were exploring untouched land with bear spray strapped on each of our hips, we hiked into a glacial lake with ice bergs floating in it that had recently broken off the glacier at the opposite end. Past the lake, we hiked out to another isolated trailhead on another beach where we had tied off kayaks to paddle a couple miles over to the town of Halibut Cove. On the way to Halibut Cove, we paddled our kayaks across the flat bay seeing sea otters at close range, halibut swimming right underneath us, and giant starfish latched onto the bottom in more shallow water. Before taking the water ferry back to Homer from Halibut Cove, we explore the isolated community of 37 people that I think is best described as a super-rugged artists’ commune. One girl managing an art gallery told us about how in the winter she takes her snow mobiles across the bay to play hockey on the glacial like we had come from. Now that’s Alaskan.

Champ also took us as far north as Denali National Park where we visited when my parents visited in July. In the park, we managed to not see a single bear, but did see a caribou up real close. One of the things I love most about our national parks system is how quickly you can be way, way away from all other people. There’s a fact out there that goes something like: only 10% of visitors to National Parks ever go more than 1 mile from paved roads… that’s not the exact fact, but in Denali National Park with 7,370 square miles and one main road, you get the point. On the trip back down from Denali, we spent the night in Talkeetna, a fun outdoorsy town, but more importantly we spent the night all together in Champ. And slept like rocks. Anyways, that was another great weekend away in Champ.

My other favorite adventures that were a little closer to home were climbing O’Malley Peak which is one of the most prominent peaks visible from Anchorage, seeing the Northern lights from our apartment several weeks ago, and several weekend trips down to Girdwood including when we skied at Alyeska our first weekend here.

But, it’s time to go. We get on a ferry on Wednesday and do the ghetto version of an inner passage cruise before an all-corners of the country trip visiting family and couch surfing with friends. Eventually in mid-December we’ll land back in Colorado and do the usual and extraordinary winter gig back there.

Also, in exciting HoboHealth news, Amy Sheridan, a friend who has recently started working as a PT in Doha, Qatar will be sharing her experiences on this blog. I know Amy has stories for us, and I can’t wait.

Stay tuned, many, many updates in the next few weeks!

(Click the photos below to enlarge!)

THE Journey

Oh yeah, it’s getting back to that time again. Time to road trip. Let’s face it, the reason we go to work on assignment every morning is to pay for this very expensive habit we haven’t been able to kick yet… TRAVEL! I really do think the bi-annual cross country trips have become two of my favorite parts of the year. I don’t know why I enjoy them,

Glacier

On the road trip up to Alaska in Glacier National Park.

I despise packing everything into the Accord, I hate long days in the car, but I guess I love the whimsy of quick side trips to places not listed in Fodor’s and feeling the reality of just how big this country and world are. Too deep? Don’t worry it won’t last.

Don’t get me wrong, meow. I love the time we spend on assignment in a wide variety of locales and the excitement of truly living in and absorbing a place’s culture. Enjoying the adventure here in Alaska is exactly what is to blame for the long time between writings over the past few months. But, the truth is, I’m usually looking forward to the next trip and destination.

On the trip from CO up here to AK we had really wanted to take the ferry that comes up through the inner passage with whales, glaciers, and general awesomeness. We got started too late, missed the opportunity to book, and instead were forced to take the coolest road trip of our lives. If you followed my Facebook and Twitter through the trip, then you know some of the highlights. The 4,000 miles took us from a Brian Mulligan course in Denver through some of

British Columbia

Camping in British Columbia. A beautiful night, but I think we were pushing the season… brrr, chilly!!!

the most beautiful and desolate land I’ve ever seen.  It hard to briefly share the whole trip and experience because some of the best parts of the trip were where there was very little at all. The hundreds of miles between tiny villages amazed me.

The road trip was a great time but a long way to drive. This time around, we have our ferry tickets booked and will getting on the boat headed south 4 weeks from now. We have done a lot of fun road trips over the years of travel PT and I remember a particularly fun road trip that Kate and I did with four other classmates from Boston to L.A. while traveling out west for clinical rotations. This road trip excites me as much as that epic trip back in 2005. This time, our itinerary will take us to three of the four corners of this country, and I can’t wait.  These road trips are my best chance to post some good picture and stories, so stay tuned as November and December grind on.

 

THE Job Search

I promised a few blogs about how we got all our details settled on this current assignment. Given the location (Alaska) being so far away, the popular season we are here in, and a number of other unpredictable factors, setting up this assignment was tricky.

In the past, I’ve worked with a few travelers who have negotiated their own contracts, but Kate and I had never done this. I’ve had some interest in it, but not enough to actively pursue it. There are advantages and disadvantages to both using a recruiter and going the independent route. When you do have a recruiter from a staffing agency, they are your advocate, your negotiator, and your first point of contact for any issues you may have on contract. Also, while we typically choose to arrange our own housing and travel, many staffing agencies will handle this for you if you like.

On the other hand, as an experienced traveler, having the securities of a recruiter as a third party representative comes at a cost. …a real monetary cost. The idea that really attracts people into arranging their own contracts is that you eliminate the middle man and the cost that goes with paying the middle man. Therefore, an employer can dish out less and you get the same or more.

On this assignment, we had a friend in the Anchorage area who was willing to drop our names around town and find some potential employers for us. This worked, this worked very well. Kate quickly got a job offer with a private practice just outside Anchorage. There was a period of stress where she had to be willing to be her own advocate and ask for certain details in her compensation package. Now, she is making good pay and has many of the tax free benefits that a recruiter would be able to offer. The clinic she’s working for has even allowed her to use a car that different therapists have driven over the years, SWEET!

My contract took a little bit longer to develop. I continued to search with a few recruiters, but nothing was really working out. I found a lot of jobs that had repeat travelers lined up for the summer or were just too far from town. We had already started our road trip to AK when another contact of my friend called wondering when I was available. The job hadn’t popped up on any of the searches because the director didn’t want to work through a staffing agency. As it worked out, my benefits are comparable to what I would make through an agency, but by eliminating the middle-man, the clinic is likely paying far lower than they would pay a recruiter… WIN-WIN!

Ultimately, we’re pleased with the jobs we’ve found. The jobs are where we wanted, when we wanted, and are professionally/mentally stimulating. The story of our success negotiating private contracts on this assignment does come with a warning. There were additional stresses having to negotiate our own benefits without a recruiter as a go-between. Also, we would not have been able to negotiate if we hadn’t worked with so many recruiters in the past. Also, if something were to go wrong with the contract, the assignment, or anything it’s on us! The buffer through a middle man is a nice comfort that frequently comes at only a small cost to the clinician.

Here are a few things that I recommend are in your contract whether you go it alone or work through a recruiter:

-Guaranteed 40 hours pay

-A 30 day notice clause for either party to end the contract

-Travel, housing, and licensure fee reimbursement

-Negotiating any planned days off ahead of time

-Holiday schedule and pay

I do have friends and past co-workers who have made their own contracts. We did not do this, the places we were working for had used contract staff before and had their own contracts. I have seen some independent contract examples if you’re interested.

 

 

The THE Series

The THE series. Of all our travel assignments this one has been the toughest to find THE housing, most unique in finding THE jobs, and longest of THE roadtrips. We left our apartment in Aspen 4 weeks ago today, we have put 4,500 miles on the car, racked up 8,000 frequent flier miles, and will finally move into our new place in one more week in Anchorage.

As I’ve mentioned in previous blogs, I feel like one role of this site is to develop a knowledge-base of travel healthcare experiences in an environment not influenced by recruiting companies. Everything Kate and I have been through over the past 6 weeks needs to be shared with other travelers, and can be used as a template for how-to and how-to-not.

Expect in the coming weeks the THE series: THE housing, THE job search, and THE first few weeks (a working title). Thanks for tuning in, travel safe.