Relocating as a physician comes with unique challenges—and high-stakes decisions. This guide was designed to simplify the process, helping you confidently navigate everything from job changes and licensing to housing, financial planning, and lifestyle choices. Whether you’re moving for residency, a new opportunity, or retirement, this physician-focused resource offers expert insights, smart strategies, and planning tools to help you take the next step with clarity.
Volume 1 | 2025
PHYSICIAN RELOCATION GUIDE A Comprehensive Framework
RELOCATION TAILORED TO PHYSICIANS
Meet
Your Trusted Guide for Every Step of the Physician Relocation Journey
Physicians like you don’t just move across state lines—you transition into new chapters of life, career, and community. At MD Match, we exist to support that transition with concierge-level service, industry- specific insight, and trusted connections in every market you’re considering. We’re not a one-size-fits-all referral service. We’re a carefully curated network of professionals who understand the real pressures physicians face—tight timelines, licensing headaches, contract negotiations, student loans, and family logistics.
SEASONED PHYSICIAN RELOCATION EXPERTS
MD Match has over a decade of experience in physician recruitment and relocation and uses that understanding of your unique needs to offer exceptional service across all aspects of your relocation journey.
COMPREHENSIVE SUPPORT FOR ALL ASPECTS OF YOUR RELOCATION
Relocation involves much more than just finding a new home. We see the big picture and support all aspects, including finding competent recruiters, trusted lenders, moving companies, interior designers, accountants, financial advisors, attorneys and more!
SAVE TIME
Every moment counts as a medical professional. Let us lighten your load by handling the groundwork for you, no matter where you are. We can link you to customized resources, sparing you from exhaustive research efforts and saving you precious time. From our quick focused calls to our streamlined process, you optimize your time without compromising quality. Dealing with unqualified professionals unfamiliar with your specific situation can be incredibly frustrating, regardless of your destination. We can connect you with experts well-versed in the complexities of physician relocation, minimizing the likelihood of stress and headaches throughout the process. FRUSTRATION-FREE RELOCATION
PHYSICIAN RELOCATION ROADMAP
SELF-ASSESSMENT AND RESEARCH Determine your career goals, lifestyle preferences, and personal priorities. Research potential relocation destinations based on factors such as quality of life, cost of living, career opportunities, healthcare infrastructure, climate, and educational resources. JOB SEARCH AND APPLICATION Work with recruitment agencies, professional networks, and medical associations to explore employment opportunities and job openings in desired locations. Apply for positions that match your qualifications and preferences. Prepare for interviews by researching healthcare organizations and practicing common interview questions LICENSING AND CREDENTIALING Apply for medical licensure in the new state, ensure compliance with all regulatory requirements. Complete the credentialing process with healthcare facilities or insurance networks where you will practice, obtaining necessary documentation and completing applications Understand any reciprocity agreements or special requirements for out-of-state or international physicians MANAGE THE RELOCATION Create a timeline and checklist for the relocation process. Organize logistics issues, such as hiring professional movers, packing and organizing belongings, and notify utilities and service providers as well as government agencies of address change. Transition medical practices caseloads.
RELOCATION PLANNING Conduct comprehensive research on potential relocation destinations Gather information on local healthcare facilities, employment opportunities for physicians, housing market and rental options, school districts, cultural and recreational amenities, transportation
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infrastructure, and community demographics and diversity.
INTERVIEW AND JOB OFFER Interview with potential employers. Negotiate employment contracts, compensation packages, and benefits considering factors such as salary and bonuses, work schedule and call requirements, professional development opportunities, retirement and insurance benefits, and relocation assistance.
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FINANCIAL PLANNING AND BUDGETING Estimate relocation expenses including moving costs, temporary housing, real estate expenses, transportation costs, and cost of living differentials. Create a budget a budget and financial plan for the relocation process. Explore potential sources of financial assistance or relocation incentives offered by employers or healthcare organizations. SETTLE IN Get acquainted with the local healthcare system and medical community Build relationships with colleagues, patients, and community members Explore recreational and cultural opportunities Settle into a new home and neighborhood
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PHYSICIAN RELOCATION GUIDE | GETTING STARTED
STEP 1: SELF-ASSESSMENT & RESEARCH
Relocating as a physician involves more than just finding a new job. The right move should align with your personal goals, professional aspirations, and lifestyle preferences. This first step is designed to help you pause, reflect, and focus before taking action. Start with clarity - before you start packing. Identify Personal Preferences and Lifestyle Priorities Reflect on your personal preferences, such as proximity to natural features like mountains or oceans, cultural atmosphere, and recreational opportunities. Lifestyle priorities may include factors like access to quality healthcare, education options for children, assisted living for ageing family members, community amenities, and social networks. Evaluate Career Goals and Objectives Assess your professional goals, such as advancing in a particular specialty, pursuing academic research opportunities, or achieving a better work-life balance. Career objectives may include considerations like professional development opportunities, access to advanced technology and resources, mentorship programs, and potential for leadership roles within healthcare organizations.
PHYSICIAN RELOCATION GUIDE | SELF-ASSESSMENT AND RESEARCH PHASE
Assessing personal and professional needs is a crucial step for physicians considering a move to a new city. Start by asking yourself questions like:
About the Location Do I prefer to live in a large city, a mid-sized metro, or a smaller community? What type of climate am I most comfortable in year-round? Is proximity to family or friends important to me at this stage? How important are school ratings, daycare access, or educational opportunities in this move? Do I want to be near the beach, mountains, or other recreational areas? What is the cost of living in areas I’m considering—and how does that impact my lifestyle? Am I looking for a community that’s vibrant and social, or quiet and low-key? How long am I comfortable commuting to work or the hospital? Do I want to own or rent a home in this next chapter? About the Role Am I looking for a long-term position, a stepping stone, or a contract-based role? Do I prefer working in an academic setting, private practice, or a large health system? What kind of team culture or work environment do I thrive in? Do I want leadership opportunities, teaching roles, or research involvement? What kind of schedule aligns with my lifestyle (hospitalist vs. clinic, call vs. no call)? How much flexibility do I want in my contract? Am I hoping for a role with a built-in patient panel or am I open to building one? Does the compensation package reflect both my market value and long-term goals? How does the medical community in this area support physician wellness and networking? What are my long-term personal and professional goals? What kind of patients do I want to work with? What kind of patient volume do I prefer? What kind of clinical environment do I thrive in?
STEP 2: RELOCATION PLANNING
From Insight to Action: Organize, Compare, and Strategize
You’ve clarified what matters most—now it’s time to turn your self-assessment into a relocation strategy.
👥 Build Your Team
🗺️ Narrow Down Locations
Don’t go it alone. Start assembling your relocation team now:
Based on your priorities, choose 2–3 top destinations to explore more deeply. Create a comparison chart that ranks: Commute time to hospital(s) Nearby school ratings Housing availability and affordability Local cost of living Community lifestyle fit Local physician demand in your specialty
Realtor familiar with physician buyers Mortgage lender offering physician loan products Financial advisor for tax planning and equity strategy Moving coordinator or concierge Hospital onboarding contact Local community guide
📆 Create a Timeline
🔍 Research Resources
Every relocation involves multiple moving parts—especially with contract start dates, credentialing, and moving logistics. Break your timeline into milestones:
Start compiling info you’ll need later:
Temporary housing options Local childcare, gyms, grocery stores, houses of worship Licensing board contacts School enrollment documentation Physician groups or support networks in the area
Job offer and contract negotiations Housing search and offer Licensure, credentialing, insurance
School enrollment deadlines Moving company booking Final relocation
PHYSICIAN RELOCATION PLANNING WORKSHEET
Compare up to 3 potential cities you’re considering. This worksheet helps clarify how each aligns with your professional goals, lifestyle preferences, and family needs.
Criteria
City 1
City 2
City 3
City Name
Proximity to Major Hospitals or Healthcare Systems
Opportunities for Professional Growth (e.g., leadership, research, teaching)
Lifestyle Fit (outdoors, nightlife, arts, dining)
Cost of Living (housing, taxes, transportation, etc.)
Quality of Schools or Educational Resources (if applicable)
Spouse/Partner Career Opportunities
Climate Preferences
Community and Social Support
Commute Time to Work
State Income Tax and Physician-Friendly Policies
Local Networking or Mentorship Opportunities
Access to Continuing Education/CME
Proximity to Extended Family or Important Personal Networks
Overall Gut Feeling
Relocation Concierge Services
Are you a physician planning to relocate? MD Match assists in the overwhelming process by connecting you and your family with professionals who understand your unique needs. Our focus is on ensuring a smooth transition, not just finding housing, by carefully selecting realtors to provide a positive relocation experience. Trust us for a confident and easy move.
We offer various services for relocating physicians, including:
Customized community tours School matching and interviews
Physician/spouse recruitment via Recruitment Reimagined Referrals for professional services (CPAs, financial advisors, attorneys) Insurance planning with preferred partners Exclusive invitations to social events with local business owners and physicians Introductions to country clubs, golf clubs, and civic organizations.
Local Market Expertise: We prioritize realtors with deep expertise in the local market including a comprehensive understanding of the area’s neighborhoods, school districts, amenities, and future developments. Our chosen realtors can provide insights into the best locations that suit your lifestyle.
Personalized Service Approach: We select realtors who are dedicated in tailoring their services to your needs and excel in providing personalized service, taking time to understand your specific needs and preferences.
Strong Negotiation Skills: We match you with realtors who can effectively advocate on your behalf, ensuring you get the best possible deal and favorable terms ensuring your interests are always protected.
Experience with Physician Relocations: Our realtors have experience working with medical professionals and understand the importance of proximity to hospitals, clinics, and other health care facilities. We appreciate the time constraints and flexibility required to meet with clients who may have unpredictable work schedules.
Commitment to Community Integration : Relocating is not just about finding a new home; it’s about becoming part of a new community. Our realtors are deeply connected to their local communities and can offer valuable resources to help youint
Proven Track Record: We only work with realtors who have a proven track record of success. We can confidently connect our physicians with reliable professionals who can facilitate a smooth transaction.
PHYSICIAN RELOCATION GUIDE | JOB SEARCH AND CONTRACT NEGOTIATION PHASE
STEP 3: JOB SEARCH & APPLICATIONS
The job search phase for physicians is a critical process that requires careful consideration of various factors such as specialty, location, work-life balance, compensation, and career advancement opportunities. Physician recruiters play a crucial role in facilitating this process by connecting physicians with suitable job opportunities and providing valuable support and guidance throughout the job search journey.
Understanding Career Goals and Preferences Physician recruiters take the time to understand the career goals, preferences, and priorities of each physician they work with. Whether a physician is seeking a position in a specific geographic location, a particular healthcare setting (such as academic medical centers, private practices, or community hospitals), or a certain specialty area, recruiters can tailor their search to match these preferences.
Access to Exclusive Job Opportunities
Physician recruiters often have access to a wide range of job opportunities, including those that may not be publicly advertised. They maintain extensive networks and partnerships with healthcare organizations, medical groups, and hospitals, allowing them to connect physicians with exclusive job openings that align with their qualifications and interests.
Use this checklist to identify locations that align with your values, priorities, and aspirations. Questions to Ask Employers
ABOUT THE POSITION What type of position are you looking for?
Are there any signing bonuses or relocation assistance available? Is there potential for salary growth or advancement within the organization? How are raises and promotions determined? What benefits are offered, such as health insurance, retirement plans, and paid time off? What is the salary structure, and are there oppportunities for bonuses or incentives? COMPENSATION AND BENEFITS Salary and Structure Are there opportunities for continuing medical education (CME) and professional development? Does the practice/hospital support attending conferences and workshops? PROFESSIONAL DEVELOPMENT What is important for your career growth? Are there opportunities for teaching or mentoring medical students and residents? Are there any ongoing research projects or opportunities for involvement in clinical trials? What is the pathway for career advancement within the organization? Are there any ongoing research projects or opportunities for involvement in clinical trials?
What are the primary responsibilities for this position?
What is the typical patient load per day?
Are there opportunities for specialization or focusing on specific areas of interest?
What is the call schedule like?
How many other physicians and healthcare professionals will I be working with?
PRACTICE/HOSPITAL How important is work environment?
What is the size and structure of the practice/hospiital? Can you describe the patient demographics and common cases treated here? What electronic health record (EHR) system do you use? How is the priactice/hospital performing financially? What is the culture like here? How do you ensure a supportive and collaborative work environment?
Questions to Ask Employers (continued)
WORK LIFE BALANCE
FUTURE OF THE ORGANIZATION
What are the long-term goals and vision for the practice/hospital? How do you plan to grow or change over the next five years? What are the biggest challenges currently facing the practice/hospital? How is the organization adapting to changes in healthcare policies and regulations? What role do you see me playing in the future growth and success of the organization?
What is the typical workweek like, including hours and days worked? How are vacation and personal days structured and managed? What support systems are in place for managing work-related stress and burnout? Are there flexible scheduling options available? How does the organization support work-life balance for its physicians?
RELOCATION
Can you provide information about the local community and amenities?
What are the local schools like, if applicable?
Are there any relocation services or support provided by the organization? How do you assist new physicians in integrating into the the community? Are there networking opportunities or professional groups for physicians in the area?
STEP 4: JOB OFFER AND COMPENSATION MODELS FOR PHYSICIANS
Each compensation model has its advantages and potential drawbacks, and the choice often depends on the physician’s specialty, practice setting, personal preferences, and career goals.
Fixed Salary: Physicians receive a predetermined annual salary regardless of the number of patients seen or procedures performed Salary Plus Bonus: A bonus salary is provided along with potential bonuses based on performance metrics such as patient satisfaction, quality of care, or financial targets. SALARY-BASED COMPENSATION
PRODUCTIVITY-BASED COMPENSATION
Fee-for-Service (FFS): Physicians are paid based on number and type of services they provide. Each service or procedure has a set fee. Relative Value Unit (RVU) Model: Compensation is based on the RVUs assigned to each service or procedure, which account for the time, skills, and effort required. Payments are made according to the total RVUs generated.
PERFORMANCE-BASED COMPENSATION
Quality Incentive Programs: Physicians receive bonuses or additional compensation for meeting or exceeding quality benchmarks and patient outcomes. Value-Based Compensation: Payments are linked to the value of care provided, focusing on efficiency, outcomes, and patient satisfaction rather than volume Per Member Per Month (PMPM): Physicians or practices receive a set amount of money per enrolled patient per month, regardless of the number of services provided. This model encourages cost-effective care management. CAPITATION
COMPENSATION MODELS FOR PHYSICIANS
HYBRID MODELS
Combination of Salary and Productivity: Physicians receive a base salary with additional compensation based on productivity, quality measures, or other performance metrics. Global Payment Model: A fixed payment covers a wide range or services for a patient population, incentivizing coordinated and efficient care.
Independent Contractor: Physicians are paid per service or on a contractual basis and are responsible for their own benefits and taxes. Practice Ownership/Partnership: Physicians have ownership stakes in the practice, sharing in the profits and decision-making processes. Compensation may include salary, dividends, and profit sharing. CONTRACTUAL AND OWNERSHIP MODELS Accountable Care Organizations (ACOs): Physicians share in the savings generated from providing high-quality, cost-effective care to a defined patient population. Savings are shared between the healthcare provider and payer. SHARED SAVINGS PROGRAMS
Concierge Medicine: Patients pay a retainer or membership fee for enhanced access and personalized care. Physicians often have smaller patient panels, allowing for more dedicated time per patient. RETAINER-BASED MODELS
Public Sector and Academic Positions: Physicians working in government-funded institutions or academic centers may recieve salaries funded by public sources, often including benefits such as loan repayment programs. GOVERNMENT AND INSTITUTIONAL SALARIES
BENEFIT OPTIONS FOR PHYSICIANS
HEALTH INSURANCE Hospital Systems: Typically offer comprehensive health insurance packages, including medical, dental, and vision coverage. Options may include HMOs, PPOs, and high-deductible health plans with Health Savings Accounts (HSAs). Private Practices: May offer similar health insurance packages, though options might be more limited compared to larger hospital systems. Smaller practices might also offer HSAs or Health Reimbursement Arrangements (HRAs)
PAID TIME OFF (PTO) AND LEAVE Hospital Systems: Typically offer generous PTO policies, including vacation days, sick leave, personal days, and paid holidays. Additional leave options may include parental leave, bereavement leave, and sabbaticals. Private Practices: PTO policies can vary widely, with some offering similar benefits to hospital systems, while others may provide fewer days off depending on practice size and resources.
DISABILITY AND LIFE INSURANCE
PROFESSIONAL DEVELOPMENT AND SUPPORT
Hospital Systems: Typically offer both short-term or long-term disability insurance, as well as life insurance policies with coverage amounts based on salary. Private Practices: Benefits can vary, with some practices providing robust disability and life insurance plans, while others may offer minimal coverage or none at all.
CONTINUING MEDICAL EDUCATION (CME) Hospital Systems: Usually provide CME allowances covering expenses such as conference fees, travel, and educational materials. Paid time off for CME activities is also common. Private Practices: CME benefits vary, but many offer stipends or reimbursements for educational Smaller practices might offer less financial support compared to larger hospital systems. Hospital Systems: Often provide mentorship programs, leadership and development courses, and support for board certification and licensure fees. Private Practices: May offer similar professional development opportunities, though they might be less formalized than those in larger hospital systems. OTHER BENEFITS Hospital Systems: May include wellness programs, employee assistance programs (EAPs), on-site childcare, gym memberships, and tuition reimbursement. Private Practices: Benefits can vary, but may include similar wellness programs, gym memberships, and flexible work schedules. Smaller practices might offer unique perks tailored to their specific work environment.
MALPRACTICE INSURANCE
Hospital Systems: Generally provide comprehensive malpractice insurance coverage as part of the employment package, often including tail coverage. Private Practices: Coverage varies, with some practices offering full malpractice insurance while others may require physicians to contribute to the cost or obtain their own policies.
STUDENT LOAN REPAYMENT Physicians at nonprofit hospitals or government entities may qualify for student loan forgiveness through the Public Service Loan Forgiveness (PSLF) program, on direct loans Substantial forgiveness after 120 qualifying payments (10 years) under an income-driven repayment plan. Employer must be a qualified 501(c)(3) or public institution. Must be on a qualifying repayment plan (e.g., IBR, PAYE, REPAYE).
PHYSICIAN RETIREMENT PLAN OPTIONS
As you transition from residency to attending role, your income—and financial responsibilities—grow significantly. This is the perfect time to take retirement planning seriously. Building a tax-efficient, long- term investment strategy now can help you secure financial independence and reduce future stress.
Below is a quick overview of the retirement plan options available to physicians as they advance in their careers:
1. Employer-Sponsored 401(k) or 403(b)
These are the most common retirement plans offered by hospitals and health systems. In 2025, you can contribute up to $23,500 (plus $7,500 catch-up if you’re 50 or older). Many employers match a portion of your contributions, which is essentially free money.
✅ Action Step: Contribute at least enough to get the full employer match. Consider maxing out as your income stabilizes.
2. Roth 401(k) or Roth 403(b)
If your employer offers a Roth option, you can contribute after-tax dollars today and withdraw the money tax-free in retirement. This is a strong option for younger physicians in lower tax brackets or those expecting tax rates to rise.
✅ Tip: A mix of traditional and Roth contributions may offer more flexibility in retirement.
3. Backdoor Roth IRA
As an attending, your income may exceed the limits for regular Roth IRA contributions. The Backdoor Roth IRA allows you to legally bypass those limits by contributing to a Traditional IRA and converting it to a Roth. This strategy allows your investments to grow and be withdrawn tax-free in retirement. ⚠️ Note: Make sure you don’t have pre-tax IRAs that trigger the pro-rata rule. A fiduciary advisor can help you navigate this.
4. SEP IRA or Solo 401(k)
If you earn extra income through moonlighting or consulting (1099 income), you may qualify for a SEP IRAor Solo 401(k). These plans allow for significant additional retirement contributions—25% of eligible employee compensation up to $70,000 in 2025 depending on income and plan structure. ✅ Ideal for: Physicians with side income looking to save aggressively and reduce taxes.
PHYSICIAN RETIREMENT PLAN OPTIONS
5. Defined Benefit / Cash Balance Plan
These plans are often used by private practice owners or high-earning specialists to defer six-figure contributions each year, with all growth tax-deferred. They can be used alongside 401(k) plans to maximize savings. ⚠️ Complexity: These plans require actuarial support and commitment over several years, but they can supercharge retirement savings.
6. Rabbi Trust (Non-Qualified Deferred Compensation Plans)
Some hospitals and large medical groups offer a Rabbi Trust—a non-qualified deferred compensation plan typically offered to highly compensated employees. This plan allows you to defer a portion of your income into an investment account that grows tax-deferred. ⚠️ Caution: The assets remain legally tied to the employer and are subject to creditor risk. However, they can be a useful tool for high earners who have already maxed out other retirement vehicles.
Final Thoughts: Don’t Go It Alone
Choosing the right mix of retirement plans depends on your income structure, career goals, and tax situation. Making the wrong choices early on can mean lost time, missed compounding, and higher taxes.
That’s why working with a fiduciary financial advisor—one who is legally bound to put your interests first —is so important.
Compass Asset Management Group specializes in guiding physicians through every stage of their financial journey. From residency through retirement, we help doctors make informed, strategic decisions about investing, tax planning, and wealth preservation.
You’ve trained for a career of service
We’ll help you build a financial future that honors your hard work.
The content of this article is for informational purposes only and is not intended as an offer of investment advice, investment strategy or to buy, transfer or sell any security or other investment vehicle. Information contained herein has been obtained from sources deemed reliable but Spire Wealth Management LLC, Spire Securities LLC and their affiliates, including Compass Asset Management Group LLC, do not guarantee its accuracy. The views and opinions expressed in this article are those of the authors and do not necessarily reflect the opinions of Spire Wealth Management LLC, Spire Securities LLC or its affiliates. Compass Asset Management Group does not provide tax, legal or accounting advice. This material has been prepared for informational purposes only, and is not intended to provide, and should not be relied on for, tax, legal or accounting advice. Please consult your own tax, legal and accounting advisors before engaging in any transaction. Spire Wealth Management LLC is a federally Registered Investment Advisor. Securities offered through an affiliate, Spire Securities LLC. Member FINRA/SIPC By accessing any links contained in this article you will be leaving Spire Wealth Management LLC & its affiliates and Compass Asset Management Group LLC websites and entering a website hosted by another party. Although Spire Wealth Management LLC & its affiliates and Compass Asset Management Group LLC have approved these as reliable partner sites, please be advised that you will no longer be subject to, or under the protection of, the privacy and security policies of Spire Wealth Management LLC & its affiliates Compass Asset Management Group LLC websites. The other parties are solely responsible for the content of their websites. We encourage you to read and evaluate the privacy and security policies on the sites you are entering, which may be different than those of Spire Wealth Management LLC & its affiliates Compass Asset Management Group LLC. Diversification does not guarantee profit nor is it guaranteed to protect assets.
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STEVEN M DIGREGORIO President of Compass Asset Management Group, LLC and an Investment Advisor Representative with Spire Wealth Management, LLC.
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PHYSICIAN RELOCATION GUIDE | JOB SEARCH AND CONTRACT NEGOTIATION PHASE
Negotiating Compensation and Contract Terms Physician recruiters are experienced in negotiating compensation packages and contract terms on behalf of their physician candidates. They advocate for competitive salaries, benefits, signing bonuses, relocation assistance, and other incentives that align with the physician's experience and market standards. Recruiters also help physicians navigate complex contract language and ensure that all terms are fair and favorable.
Providing Ongoing Support and Guidance Throughout the job search and recruitment process, physician recruiters offer ongoing support and guidance to physicians. They address any concerns or questions that may arise, provide feedback and advice, and serve as trusted advisors during the decision- making process. Recruiters strive to build long-term relationships with physicians, offering assistance not only during the initial job search but also throughout their careers.
Interviews & Offers
Attend Interviews for Positions that Interest You Once you have identified job opportunities that align with your interests and qualifications, attend interviews to learn more about the positions and the organizations offering them. Interviews provide an opportunity for physicians to showcase their skills and experiences while also evaluating the workplace culture, team dynamics, and organizational values. Evaluate Job Offers When evaluating job offers, physicians consider various factors such as salary, benefits, relocation assistance, work-life balance, and potential for career advancement. They assess how the offer aligns with their financial needs, lifestyle preferences, and long-term career objectives. Physicians may also seek input from trusted advisors, such as mentors or professional associations, to help them make informed decisions. Negotiate Terms of Employment If physicians receive job offers, they may negotiate the terms of employment to ensure that the offer meets their expectations and aligns with their worth in the market. Negotiable aspects of the job offer may include salary, benefits (such as health insurance, retirement plans, and vacation time), signing bonuses, relocation assistance, flexible work arrangements, and opportunities for professional development. Negotiation requires effective communication, research into market standards, and a clear understanding of one's own value and priorities.
PHYSICIAN RELOCATION GUIDE | LICENSING AND CREDENTIALING PHASE
STEP 5: LICENSING & CREDENTIALING
What You Need to Know Before You Sign That Offer Letter
Relocating as a physician involves more than finding a home—it means navigating the complex web of licensing, credentialing, and sometimes immigration. This step is critical, and delays or omissions here can stall or even jeopardize your move and employment.
State Licensing
Hospital Credentialing
Every state has its own medical board and requirements. Whether you’re moving across state lines or starting your first attending role, you’ll need to: Start early. Licensing can take 6–12 weeks or longer depending on the state. Check state-specific rules. Some states require fingerprinting, in-person notarizations, or original transcripts. Gather your documents. Typical documents include: Medical school diploma Residency/fellowship completion certificates USMLE or COMLEX scores Letters of recommendation or verification from training programs Malpractice insurance history Employment history and references ❗ Important: Disclose anything that may delay or complicate your licensure—malpractice suits, disciplinary actions, gaps in training, etc. Being transparent upfront can help avoid issues later, including rescinded offers.
Once licensed, you’ll also need to be credentialed by the hospital or healthcare system where you’ll work. This can be an equally time-consuming process. Expect: Extensive background and employment verification DEA registration and NPI updates Credentialing committee approvals Possible delays due to missing documentation 🕓 Timeline: Hospital credentialing often takes 60– 90 days, and sometimes longer. It should run parallel to your licensing efforts—not after.
Understanding Reciprocity Agreements
In some cases, physicians relocating from one state or country to another may be eligible for licensure through reciprocity agreements or endorsement processes. These agreements allow physicians to transfer their existing license or credentials to the new jurisdiction without having to fulfill all of the standard requirements. It's essential for physicians to understand any reciprocity agreements or special provisions that may apply to their situation.
PHYSICIAN RELOCATION GUIDE | LICENSING AND CREDENTIALING PHASE
Immigration & Visa Considerations
If you’re an international medical graduate or currently practicing on a visa, relocation introduces additional challenges:
Visa Types: H-1B, J-1 (including waivers), O-1, or green card sponsorships Timeline: Immigration processing can take 3–6 months, and employer cooperation is essential Special Considerations: J-1 waiver physicians often have location restrictions Some states and employers are more visa-friendly than others Dual-intent visas (like H-1B) offer more flexibility than J-1 in certain cases
💡 Tip: Involve your future employer’s legal/HR team early and disclose all visa-related details clearly. Immigration delays or surprises can cost you the job.
Licensing and Credentialing Checklist
Stay Organized! We recommend creating a secure digital folder with all related documents. If you’re working with a recruiter or coordinator, share this folder with them to speed things along.
Check for special requirements for out-of-state or international physicians.
Contact the relevant medical board or licensing authorities, including state medical boards, regulatory agencies, or professional organizations.
Gather necessary documentation such as medical school transcripts, postgraduate training records, proof of completion of residency or fellowship programs, letters of recommendation, and USMLE or COMLEX scores.
Complete licensure applications or reciprocity agreements, if eligible.
PHYSICIAN RELOCATION GUIDE | FINANCIAL PLANNING AND BUDGETING PHASE
STEP 6: FINANCIAL PLANNING & BUDGETING Smart Moves Now, Strong Foundation Later
🧾 Common Expenses to Plan For: Professional movers or DIY truck rental Temporary housing or Airbnb Travel and lodging for home search trips Home down payment and closing costs Security deposits and utility setup Licensing, credentialing, and exam fees Childcare, school registration, or tutors Furnishing and home setup 📎 Downloadable Budget Tracker available in your MD Match Toolkit (optional section here if you’re including worksheets or links).
Relocation is one of the most expensive—and most important—investments you’ll make in your career. Whether you’re a resident making your first attending-level salary or a seasoned physician transitioning states, a clear financial plan helps reduce stress, avoid surprises, and keep you focused on the big picture.
📊 Know What You’re Working With
Before diving into mortgages or moving trucks, start by understanding your full financial picture. ✏️ Key Starting Points: Current savings available for moving costs Expected salary in the new role (and how it’s paid—monthly? biweekly? bonuses?) Existing debts (student loans, credit cards, car payments) Ongoing expenses (childcare, tuition, spousal income changes) 💡 Tip: Many new attending physicians experience lifestyle creep—income goes up, but so do expenses. A written budget helps avoid overcommitting too soon.
🏡 Budget for the Move
Relocating often costs $10,000–$25,000+, depending on distance, family size, and homeownership plans.
PHYSICIAN RELOCATION GUIDE | FINANCIAL PLANNING AND BUDGETING PHASE
Consider Physician-Specific Loans Many physicians qualify for tailored mortgage options—even with high student debt and little down payment. ⚕️ Physician Mortgage Features: Low or 0% down No PMI (Private Mortgage Insurance) Higher debt-to-income allowances Can close with signed employment contract 🧠 MD Match Tip: We’ve vetted lenders who specialize in working with physicians and understand your timeline. Ask us for an introduction—our partners offer fair, competitive terms. Don’t Forget the Transition Period It may take 60–90 days before your first paycheck lands. Build a short-term cushion to cover: Rent or mortgage
Final Tip: Think Long Game You’re not just relocating—you’re building a financial foundation for your future. Start (or grow) your emergency fund Maximize retirement contributions once income stabilizes Consider disability and life insurance for income protection Review your estate plan (especially if buying a home or having kids) 🌟 Whether you’re buying your first home, starting a family, or negotiating your contract— this move is a huge step. A solid financial plan keeps it exciting, not overwhelming.
💡 Strategy Spotlight: Smart Homebuying for Temporary Moves
If you’re relocating for a short-term training program (like residency or fellowship) or testing out a new role, consider purchasing a home that’s not just livable—but profitable. 🏡 Why it works: Physician loans can be used multiple times, as long as the home is your primary residence. Buying a property with short-term rental potential (near hospitals, universities, or vacation zones) can allow you to earn income once you move on. This gives you more flexibility if your job is uncertain—and a financial asset if plans change. 📎 Tip: Work with a realtor who understands physician needs and local zoning rules for short- term rentals.
Moving and utility costs Credit card minimums Groceries and gas Childcare or school tuition
If cash is tight, short-term physician loans or relocation stipends (sometimes provided by employers) can help fill the gap.
STEP 7: MANAGE THE RELOCATION PROCESS
Tips for a Smooth Transition to Your New Life and Practice
Relocating as a physician comes with unique logistical and emotional challenges. Between patient handoffs, licensing timelines, family coordination, and contract start dates, it’s easy to feel overwhelmed. But with the right plan in place, your move can be smooth, efficient, and even exciting.
Key Strategies for a Successful Relocation:
1. Build a Personalized Timeline Start with your contract start date and work backward. Include milestones like giving notice, packing, finalizing credentials, and travel dates. Break it down into 30-, 60-, and 90-day goals if possible. 2. Coordinate With Your Employer’s Relocation Team (if applicable) Ask if they offer relocation benefits, reimbursement, or a preferred vendor list for movers, temporary housing, or credentialing support. 3. Partner With Local Experts Lean on professionals who specialize in physician relocation. They’ll understand your time constraints and can help with:
Area orientation tours Temporary or permanent housing School and childcare research DMV, utility, and voter registration logistics
4. Involve the Family Early If relocating with a spouse or children, factor in their needs from the beginning—school enrollments, partner job searches, or even housing preferences. 5. Use a Centralized Checklist Keep all your key documents and to-do items in one place (you’ll find a printable relocation checklist on the next page!). Track progress weekly to reduce last-minute stress. 6. Stay Proactive About Medical Licensure & Credentialing Delays in these areas are common. Keep your paperwork organized, follow up consistently, and disclose all relevant information early. 7. Know When to Outsource Don’t try to do it all yourself. Hiring a relocation concierge or using a service like MD Match can save time, money, and energy—while ensuring your move is handled professionally.
Physician Relocation Checklist Use this checklist to complete everything necessary for an out of state move
Research new area PRE-MOVE PREPERATION
Schedule Appraisal Finalize Mortgage Details APPRAISAL AND FINANCING
Explore neighborhoods
Check local amenities (schools, hospitals, grocery stores, ect.)
CLOSING PROCESS
Review Closing Documents Closing Date: ____________
BUDGET PLANNING
Calculate Moving Expenses Obtain Moving Quotes Plan for temporary housing if necessary
MOVING AND LOGISTICS
Moving Company
Packing and Unpacking Services
Match with an agent specializing in your new area FIND A REAL ESTATE AGENT HOME BUYING PROCESS Mortgage Pre-Approval Gather Financial Documents Contact Mortgage Lenders
Long Term/ Short Term Storage
Vehicle Transportation Pet Relocation Services Moving Date: ____________
UTILITIES AND SERVICES
Arrange for transfer or setup of utilities (electricity, gas, water, internet) Utility Set Up Date: _______
HOUSE HUNTING
Update Address with USPS
Schedule House Tours Shortlist Preferred Homes Offer And Negotiation Make An Offer On A Home Home Inspection
Update Driver’s License Register Vehicle(s) In New State
SETTLING IN
Enroll Children in School (if applicable) Join Professional and Social Groups Familiarize Yourself with Local Healthcare Facilities
Schedule Inspection
Inspection Date: __________
Moving Checklist
Change of Address
1 Month Before Move
2 Weeks Before Move
US Postal Service Drivers License IRS Social Security Voter Registration Banks/Investments Insurance/Doctors Friends & Family Schools
Reserve Moving Truck/Movers
Submit A Postal Change Of Address
Get Boxes, Tape & Other Moving Necessities Notify Utility Companies of the Date for the Final Meter Reading
Empty The Fuel From Your Lawn Mower, Power Tools, Etc Create A Room By Room Packing Calendar and Track Your Progress
Notify Cable Company, Security and Any Other Services You Receive
Assemble A Folder Of Important Information About The Home For the Next Homeowner
Begin Cleaning Out Closets, Attic & Garage Analyze What Items Can Be Thrown Away/Donated Start Packing Infrequently Used Items Moving Day Double Check That All Cabinets, Closets & Dishwasher Are Empty Give Movers A Tour & Any Specific Instructions On What To Move and What Not To Move
Make Sure All Necessary Repairs Are Completed Plan Meals To Use Up Refrigerated Food
Defrost Your Freezer & Empty Ice Maker 1-5 Days Before Move Clean Refrigerator, Microwave, Stove Top & Oven Confirm Travel/Moving Arrangements
Gather & Clean Outdoor Furniture
Dispose of Trash
Celebrate!!
Final Cleaning
Pack A Suitcase For Each Family Member With Clothes & Thoiletries To Get Through The First 3 Days
Leave a Note of Your New Address in the House so Future Residents Can Forward Any Remaining Mail
Back Up All Computers
Take A Final Walkthrough of the Home to Make Sure No Items Are Left Behind
Use Towels, T-shirts, Pillows, and Blankets Around Breakables
Arrange Help For Kids/Pets For Moving Day
Service / Provider Contact List
Real Estate Agent
Mortgage Broker
Name
Name
Phone
Phone
Moving Company
Licensing Service
Name
Name
Phone
Phone
Credentialing Service
Insurance Broker
Name
Name
Phone
Phone
School Enrollment
Utilities Setup
Name
Name
Phone
Phone
Home Security Installation
Community Orientation
Name
Name
Phone
Phone
Other: __________________
Other: __________________
Name
Name
Phone
Phone
Other: __________________
Other: __________________
Name
Name
Phone
Phone
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