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Locum Tenens – Why Doctors Choose To Work As Locums

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While some doctors work as locum tenants instead of full-time jobs, the majority of doctors work in addition to full-time jobs, according to a new study. Last year, 40,000 doctors worked in senior positions in the US, and physician recruiters and locum tenens companies are an important part of this fast-growing industry.

Data from the Center for Disease Control and Prevention (CDC) and the Department of Health indicate that locum doctors will help address the challenges facing hospitals and millions of patients across the country in the coming decades.

Reasons Why Doctors Choose Locum Work

  • Locum doctors fill many posts and ensure that more people go to doctors and receive medical care, which compensates for the shortage of doctors, especially in underserved areas.
  • Many locum doctors use temporary work to focus their careers solely on clinical care. Hospital doctors can also use it to determine what they want to do with their careers.
  • Hospital administrators also find using temporary staffing solutions appealing to save on training and career development costs, and the cost of treatment errors is covered in most contracts.
  • High demand also means that doctors can afford to be flexible about where they want to use their skills and when they want to work.
  • Given the large number of patients currently being seen, GPs can feel safer to find work at any time and be more flexible in their working hours.
  • Salaries for general practitioners have increased in recent years, but doctors often have no leeway to negotiate with health care providers. Working as a locum gives a doctor the opportunity to increase their earnings.
  • Some locum doctors choose this type of employment because they can explore different hospital situations and locations to determine where they want to settle.
  • Newly trained doctors may opt for a locum-based position because it can be a more stable and affordable option than starting their own practice.
  • Many doctors do this type of work to earn extra income and gain more experience, but there are doctors who want to end their careers or work less in retirement.
  • Some temporary doctors are willing to take a second or third job to supplement their income and pay off student loans, according to the American College of Physicians.
  • With locum tenens, doctors can work in any medical function, and there is a wide range of jobs available in different medical specialties.
  • Many doctors say they can be more present at home because they don’t worry about paperwork, personnel decisions, or departmental meetings.
  • Hospitals and facilities across the country regularly use locums when full-time staff is on leave or they are waiting to hire a new doctor. So there are ample opportunities locum doctors can choose from.

The Popularity of Locum Work Will Continue

Not long ago, working in locum tenens was seen as a way for older doctors to retire or new doctors to try different jobs before committing permanently. While there are still a small number of doctors in the US with full-time jobs, a growing number of doctors are taking a new view of locum tenens work and defining it as part of their career path.

The idea of Bigtime Daily landed this engineer cum journalist from a multi-national company to the digital avenue. Matthew brought life to this idea and rendered all that was necessary to create an interactive and attractive platform for the readers. Apart from managing the platform, he also contributes his expertise in business niche.

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TRG Chairman Khaishgi and CEO Aslam implicated in $150 million fraud

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In a scathing 52-page decision, the Sindh High Court has found that TRG Pakistan’s management was acting fraudulently and that Bermuda-based Greentree Holdings historic and prospective purchase of TRG shares were illegal, fraudulent and oppressive. 

The Sindh High Court has further directed TRGP to immediately hold board elections that have been overdue and illegally withheld by the existing board since January 14, 2025. 

In the landmark ruling, the Sindh High Court has blocked the attempted takeover of TRG Pakistan Limited by Greentree Holdings, declaring that the shares acquired by Greentree, nearly 30% of TRG’s stock, were unlawfully financed using TRG’s funds in violation of Section 86(2) of the Companies Act 2017.

“Having concluded that the affairs of TRGP are being conducted in an unlawful and fraudulent manner and in a manner oppressive to members such as the Petitioner (Zia Chishti), the case falls for corrective orders under sub-section (2) of section 286 of the Companies Act,” Justice Adnan Iqbal Chaudhry concluded.

The case was brought by TRGP former CEO and founder Pakistani-American technology entrepreneur Zia Chishti against TRG Pakistan, its associate TRG International and TRG International’s wholly-owned shell company Greentree Limited.  In addition, the case named AKD Securities for managing Greentree’s illegal tender offer as well as various regulators requiring that they act to perform their regulatory duties.

The case centred around the dispute that shell company Greentree Limited was fraudulently using TRG Pakistan’s own funds to purchase TRG Pakistan’s shares in order to give control to Zia Chishti’s former partners Mohammed Khaishgi, Hasnain Aslam and Pinebridge Investments.

According to the case facts, the Chairman of TRG Pakistan Mohammed Khaishgi and the CEO of TRG Pakistan Hasnain Aslam masterminded the $150 million fraud. They did so together with Hong Kong based fund manager Pinebridge who has two nominees on TRG Pakistan’s board, Mr. John Leone and Mr. Patrick McGinnis.

According to the court papers, Khaishgi, Aslam, Leone, and McGinnis set up a shell company called Greentree which they secretly controlled and from which they started buying up shares of TRG Pakistan.  The fraud was that Greentree was using TRG Pakistan’s funds itself.  The idea was to give Khaishgi, Aslam, Leone, and McGinnis control over TRG Pakistan even though they owned less than 1% of the company, lawyers of the petitioner told the court. 

This was all part of a broader battle for control over TRG Pakistan that is raging between Khaishgi, Aslam, Leone, and McGinnis on one side and TRG Pakistan founder Zia Chishti on the other side.  Zia Chishti has been trying to retake control of TRG Pakistan after he was forced to resign in 2021 based on sexual misconduct allegations made by a former employee of his.  This year those allegations were shown to be without basis in litigation that Chishti launched in the United Kingdom against The Telegraph newspaper which had printed the allegations.  The Telegraph was forced to apologize for 13 separate articles it published about Chishti and paid him damages and legal costs.

After Chishti resigned in 2021, Khaishgi, Aslam, Leone, and McGinnis moved to take total control over TRG Pakistan and its various subsidiaries including TRG International and to block out Chishti.  The Sindh High Court’s ruling today has reversed that effort, ruling the scheme fraudulent, illegal, and oppressive.  

It now appears that Zia Chishti will take control of TRG Pakistan in short order when elections are called.  He and his family are now the largest shareholders with over 30% interest.  He is closely followed by companies related to Jahangir Siddiqui & Company which have over a 20% interest.  The result appears to be a complete vindication for Zia Chishti and damning for his rivals Aslam, Khaishgi, Leone, and McGinnis who have been ruled to have been conducting a fraud.  

TRG Pakistan’s share price declined by over 8% on the news on heavy volume.  Market experts say that this was because the tender offer at Rs 75 was gone and that now shares would trade closer to their natural value.  Presently the shares are trading at Rs 59 per share.

According to the court ruling, since 2021, shell company Greentree had purchased approximately 30% of TRG shares using $80 million of TRG’s own money, which means that that the directors of TRG Pakistan allowed company assets to be funneled through offshore affiliates TRG International and Greentree for acquiring TRG’s shares – a move deemed both fraudulent and oppressive to minority shareholders.  The Sindh High Court also found illegal Greentree’s further attempt to purchase another 35% of TRG shares using another $70 million of TRG’s money in a tender offer. 

The ruling is a major victory for the tech entrepreneur Zia Chishti against his former partners and the legal ruling paves the way for him to take control of TRG in a few weeks.

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