Your Colonoscopy Wait List Is a Revenue Problem Hiding in Plain Sight
Every week your endoscopy suite runs below capacity, your health system loses $57,000 in GI procedural revenue. We have 180+ board-certified gastroenterologists — including 45+ fellowship-trained advanced endoscopists — ready to start clearing that backlog within 21 days.
Trusted by Northwestern Medicine for GI staffing
180+
GI Network
board-certified gastroenterologists
45+
Advanced Endoscopy
ERCP/EUS-trained specialists
12+ years
Avg Experience
post-fellowship
100%
Malpractice Record
clean — verified quarterly via NPDB
The Screening Gap Nobody's Talking About
In May 2021, the U.S. Preventive Services Task Force lowered the recommended colorectal cancer screening age from 50 to 45. Overnight, 20-22 million Americans became newly eligible for screening colonoscopies.
Here's the problem: the number of gastroenterologists didn't change.
1,600+
Gastroenterologist shortage projected by end of 2025
Source: Becker's ASC
~200
GI fellowship positions open nationally each year
3-year training pipeline that can't be accelerated
52 years
Average age of gastroenterologists
Retirement wave already underway
The downstream effects hit every hospital differently, but the pattern is the same:
Your screening wait time is growing
If patients are waiting 6+ weeks for a colonoscopy at your facility, some of them are going elsewhere. Others are simply not getting screened. Only about 20% of adults aged 44-49 are current on CRC screening — not because they don't want to be screened, but because there aren't enough scopes to go around.
Source: American Cancer Society
Your ERCP backlog creates clinical risk
Complex biliary cases — common bile duct stones, suspected cholangiocarcinoma, post-surgical complications — can't wait 3-4 weeks for your one advanced endoscopist to have an opening. Each delayed ERCP is a potential cholangitis admission, a potential sepsis event, and a potential readmission on your quality scorecard.
Your GI physicians are burning out
50% of gastroenterologists reported burnout in 2025. When your employed GIs are taking 1-in-2 call, covering extra endoscopy sessions, and seeing their wait lists grow despite working harder — you don't have a staffing problem. You have a retention problem disguised as a staffing problem. And locums coverage is how you buy time to solve it before your best people leave.
Source: Medscape Physician Mental Health Report
The revenue math is unforgiving
A single gastroenterologist generates an average of $5.5 million per year in revenue for their hospital. An unfilled GI position costs approximately $57,000 per week in lost procedural revenue — that's $1.4 million over a 6-month vacancy. And with average permanent GI recruitment taking 195+ days, a 6-month gap isn't unusual. It's the norm.
Source: AMN Healthcare 2024 Physician Revenue Survey, RosmanSearch, Merritt Hawkins
What We Cover
The full spectrum of GI locums — from routine screening to complex therapeutic endoscopy
General Gastroenterology
The foundation of most GI locums needs. Our general gastroenterologists handle: diagnostic and screening colonoscopy (average ADR >30%, exceeding the national benchmark of 25%), upper endoscopy (EGD), inpatient GI consultation (GI bleeding, acute pancreatitis, hepatic encephalopathy, IBD flares), inflammatory bowel disease management including biologic therapy coordination, liver disease evaluation (NAFLD/NASH, cirrhosis, hepatitis B and C), motility disorders, and celiac disease workup.
Advanced Endoscopy (ERCP/EUS)
This is our most in-demand GI subspecialty — and one of the deepest advanced endoscopy benches in the locums market. Only about 80 advanced endoscopy fellows graduate annually nationwide. We have 45+ in our network.
Hepatology
For health systems with transplant programs or high-acuity liver disease volumes: pre-transplant evaluation and MELD optimization, post-transplant immunosuppression management, hepatocellular carcinoma surveillance, advanced portal hypertension management, variceal surveillance and banding, hepatitis B and C treatment (including treatment-experienced patients), and autoimmune liver disease (AIH, PBC, PSC).
Coverage Models
Block Schedules
1-2 weeks per month for sustained supplemental capacity
Full-Time Blocks
3-6 months during active permanent recruitment
PRN Weekend Coverage
Endoscopy + inpatient GI call, Saturday/Sunday
Emergency Deployment
48-72 hours for unexpected departures
Seasonal Surge
Extra providers for post-holiday screening surges
Program Launch
Temporary advanced endoscopists to build an ERCP/EUS program while you recruit permanently
Our GI Network
180+ board-certified gastroenterologists with documented quality metrics and verified credentials
Board-certified (ABIM-GI), fellowship-trained, full-spectrum inpatient + outpatient
ERCP/EUS fellowship-trained, 500+ lifetime ERCPs, EMR/ESD/POEM capable
Transplant hepatology, advanced liver disease, HCC surveillance
Concentration in underserved and rural markets where GI shortages are most acute
Experienced practitioners, not recent graduates learning on your patients
Exceeds the national quality benchmark of 25% (GIQuIC)
Documented procedural quality metrics
No open claims, no settled suits, no board actions — verified quarterly via NPDB
Every Provider Pre-Credentialed
Complete files on record before they're ever presented to you. Board certifications verified. References checked. Malpractice history reviewed quarterly via NPDB. When you request a GI specialist, you're not getting a resume — you're getting a provider ready to start.
Why GI Groups Choose Us
Four reasons hospital administrators and GI practice leaders partner with LocumsOne for gastroenterology coverage
The Speed Problem Is Solved
When a GI physician leaves unexpectedly, every day compounds the damage — $8,100/day in lost revenue plus the downstream effects of growing wait lists, overworked colleagues, and surgeon frustration from delayed pre-op clearances.
- 72 hours from your call to a credentialing packet on your MSO's desk
- Hospital privileges typically active within 21 days
- 48-hour emergency deployment available
- Every provider maintains complete, current credentialing files
- Board certification verified directly with ABIM (not self-reported)
- Malpractice history cleared via NPDB
- References from colleagues within past 24 months
- Procedural quality metrics documented
The Quality Is Documented
We don't just say our GIs are good. We track the metrics that matter and provide clinical quality data alongside every CV.
- Adenoma detection rates: Network average >30% vs. 25% national benchmark
- Colonoscopy completion rates: >95%
- ERCP cannulation success rates: >90% for advanced endoscopists
- Complication rates tracked and reported
- Clinical quality data provided with every candidate presentation
The Economics Work
15-22% margin vs. the 40-60% industry standard. On a typical GI locums placement, that difference saves your health system $30,000-$50,000+ per month of coverage.
- $30,000-$50,000+ savings per month of coverage
- $180,000-$300,000 total savings over 6-month vacancy
- No compromise on provider quality or clinical outcomes
- Same board-certified specialists, better economics
No Lock-In
Use us for a single week while your GI is at DDW, or build an ongoing partnership for continuous supplemental coverage.
- No minimums or exclusivity requirements
- No long-term contracts
- Single-week assignments available
- 60%+ of GI clients started with a single trial placement
Start with a Single Placement
No contracts. No minimums. Request a single GI provider for a single assignment, evaluate the experience from first call to last day, and decide from there. If we don't earn your next placement, we don't deserve it.
Why Locums Doctors Choose Us
If you're a gastroenterologist considering locums work, here's why our providers consistently rate us higher than traditional agencies
You Earn More
Because our margins are 15-22% (not 40-60%), we can pay you a higher rate than traditional agencies — often $20-$50/hr more for the same assignment.
Same hospital, same cases, more money in your pocket.
Assignments Are Described Honestly
When we tell you it's a 12-case endoscopy day with 2 add-on consults, that's what it is. We've physically visited the majority of our client facilities.
No bait-and-switch. No surprise "light call" that's actually q2 coverage for a 200-bed hospital with no GI backup.
We Don't Name-Clear You
Your NPI is yours. We never register you with a facility without your explicit, written consent. No surprise non-competes. No 2-year lockout windows.
If you want to work directly with a facility after your assignment, that's your business.
This is a major differentiator — physician forums like SDN are full of complaints about agencies that name-clear without consent.
1099 Independence
All our GI providers are independent contractors. Structure through your S-Corp or LLC. Maximize your deductions. Control your schedule completely.
1 week/month, 2 weeks on / 2 weeks off, 6-month blocks — whatever fits your life.
Credentialing That Doesn't Waste Your Time
We maintain your complete credentialing file and keep it current. When a new assignment comes up, we don't ask you to re-submit the same 75 pages of paperwork.
Your file goes to the MSO immediately, not 3 weeks after you've signed the contract.
Ready to See the Difference?
Join 180+ board-certified gastroenterologists who've discovered a better way to practice locums. Higher pay, honest assignments, and complete control over your schedule.
"We lost our senior gastroenterologist with 2 weeks notice — right before our busiest screening season. LocumsOne had a board-certified GI with 14 years of experience credentialed and seeing patients in 5 days. He cleared our colonoscopy backlog, handled inpatient consults, and the rate was $140/hr less than what our previous agency quoted for the same coverage. We've since made LocumsOne our primary GI partner."
Common Questions About GI Locums
Straight answers to the questions hospital administrators actually ask
Every advanced endoscopist in our network has completed a dedicated fellowship (not just "extra training during GI fellowship") and has performed 500+ lifetime ERCPs with documented cannulation success rates above 90%. They handle the full range: sphincterotomy, stone extraction, biliary/pancreatic stenting, cholangioscopy, and management of post-surgical anatomy. We can provide case volume data for any candidate.
Yes. The majority of our general gastroenterologists are experienced with and comfortable taking inpatient GI call — including acute GI bleeding requiring emergent endoscopy, acute pancreatitis, hepatic encephalopathy, and IBD flares. We can structure assignments around call coverage specifically, including 7-on/7-off, weekend-only, or backup call models.
Our internal credentialing is already done — every provider has a complete, current file before we ever present them. We submit to your MSO within 72 hours of your request. With a cooperative medical staff office, hospital privileges are typically active within 21 days. For emergency coverage, fast-track/temporary privileges can be arranged in 5-7 days at many facilities. We will never quote you a timeline we can't deliver.
Limited — approximately 8-10 pediatric gastroenterologists. Pediatric GI has fewer than 2,000 board-certified practitioners nationally, making locums coverage inherently harder to source. Contact us with specific needs and we'll tell you immediately if we can help.
Yes, and many prefer it. We coordinate credentialing across all campuses simultaneously. Multi-site coverage is common for health systems with separate endoscopy centers, hospital-based suites, and outpatient clinics.
Still Have Questions?
We're happy to walk through your specific GI staffing needs and explain exactly how we can help — no sales pitch, just honest answers.
Your Endoscopy Suite Should Be Full Tomorrow
Tell us your GI coverage need — screening volume, advanced endoscopy, inpatient call, hepatology — and we'll have credentialed specialists for your review within 24 hours.