The locum mechanism enables a doctor to come to the assistance of sites designated by the MSSS-FMOQ Parity Committee in four sectors of activity, i.e., Emergency, short-term, Anesthesiology, and Obstetrics.
There are two situations where a doctor may practise under the locum mechanism:
1 - Prems exclusively for Locums
He holds a waiver in lieu of a compliance notice for practising exclusively on locums. He then undertakes to practise for at least 95% of his annual billing days on locums.
A doctor wishing to practise exclusively under the locum mechanism may obtain a waiver in lieu of a compliance notice if positions are available. He has to apply for this on registering for locums with the provincial Centre national médecins-Québec. To register for locums, the physician has to hold a permit to practise from the Collège des médecins du Québec and malpractice insurance corresponding to the sectors of activity covered by his locum practice.
2 - Part-Time Locum
He holds a compliance notice from a region and registers as a locum (médecin dépanneur). In this scenario, the doctor has to maintain his commitment for the majority of his practice (55% of his billing days) to be carried out in the area where he holds his PREM compliance notice.