Nursing And Allied Travel Jobs – The Real Story
THERE’S ALWAYS TWO SIDES TO THE STORY!
I’ve been a medical traveler for many years now and have had numerous occasions to review a large number of Travel Company web sites. Most of them contain some type of Q & A section that explains how they work and what they offer. I’ve found that the information given, while accurate, is very incomplete.
Most of what I’ve learned about the medical travel industry has been learned through the proverbial School of Hard Knocks. It occurred to me recently to write an article that expanded on the usual information given on medical travel websites, an article that presented (as Paul Harvey used to say) the “Rest of the Story.”
And so…here we go!
SALARY
Travel Company: On their web sites Travel Companies usually state a salary range that they offer depending on the type of position, your area of expertise and your experience.
Rest of the Story: What you are initially offered for a travel assignment is usually not the top dollar that is available for that assignment. Most travelers merely accept what they are offered believing the “deal is the deal” for that particular assignment. I used to do that too… but not any more!
You especially limit your chances of getting the best salary for your assignments if you choose to register with only one travel agency. When you do that, you give away all leverage to negotiate for better pay. I am always registered with multiple travel companies so I can compare several potential assignments at once and negotiate for the best over all packages.
There are numerous other “pitfalls” when it comes to getting the most compensation for your travel job. For example, it behooves you to clarify the stipulations for receiving certain types of bonuses and whether you must work solely for one company to earn those bonuses. Again, if you work for only one company, you may unknowingly forfeit higher compensation in other areas of your benefit package in order for the company to offer you those bonuses, in which case they can hardly be called a bonus.
Remember, you can always, “work your best deal,” (negotiate) with several companies while still remaining highly professional. In addition, knowing how to ask for more will telegraph to a recruiter that you know your business and will position you to receive the best offers.
HOUSING
Travel Company: Travel companies always state they will provide you with fully furnished housing while you are on your assignment.
Rest of the Story: You may be asked to share a two bedroom apartment with another traveler, even a stranger, who is working at your same location unless you know you can request a one bedroom separate apartment.
Some travelers have been “required” (because they merely accepted this arrangement) to live in an extended stay facility for the entire 13 weeks of an assignment. This is very cramped quarters and becomes extremely wearying after just a couple of weeks.
I have seen travelers deal with other conditions that were very undesirable such as having their housing located too far from the hospital. I had this experience on one assignment (before I learned to clear all that up in advance!). Each morning I had to make my way through 10 miles of early morning rush hour traffic to reach the hospital.
In addition, fully furnished means different things to different people. If you don’t know what to ask for in advance you can be stuck with things like a poorly furnished kitchen (only a few sad looking pots and pans for cooking) as well as sparse and unattractive furniture (an ugly green sofa and purple chair spring to mind).
Knowing what your options really are and how to ask for them is paramount to having a comfortable, safe, convenient and enjoyable living arrangement. Multiple considerations are there for the asking, but you definitely have to ask. By clarifying in advance what I need and expect, and by applying simple to learn negotiating techniques I’ve perfected over time, I now receive the very best housing accommodations on all my assignments.
GENERAL BENEFIT PACKAGES
Travel Company: All travel companies offer a variety of benefits besides housing and salary which can include per diem pay, travel expenses, bonuses, clothing and equipment reimbursement, insurance, continuing education, 401 K’s, etc.
Rest of the Story: Travel benefit packages are definitely not all equal! For instance, one travel company’s insurance coverage may not start until 30 days after you have begun your assignment versus a policy offered by another company that becomes effective the first day on the job. These and numerous other “small print” concerns can come back to bite you if you’re unprepared!
I’ve also talked to nurses who were never offered per diem pay (the average is $30.00 a day or $210.00 a week) but others were receiving it simply because they asked for it!
Some were told they could elect to have per diem pay but would receive fewer benefits in other areas if they chose that option. However, that was not the case for other travelers who refused that trade off. I know I continually receive per diem pay on ALL my assignments without sacrificing any reduction in other areas of compensation.
To make your travel experience the most lucrative and enjoyable, it pays (literally!) to know what is available as well as how to access those top of the line benefit packages.
TRAVEL PROVISIONS
Travel Company: Travel companies offer a variety of ways to cover your travel expenses. If you are required to fly to your assignment, your flight costs will be paid in advance and your travel itinerary arranged for you plus a rental car will be provided once you arrive at your destination. If you are desirous of driving your own car to your job site, you will receive mileage compensation and/or a flat fee amount for travel expenses.
Rest of the Story: Travel companies can save a lot of money by booking you on flights that leave or arrive at undesirable times of the day or night or that re-route you all over the place, necessitating you change planes frequently.
I had that experience early on in my travel career (oh what a novice I was then!), when after 3 stops, and long layovers, I finally landed at an airport at 1 am in the morning that was a full two hour drive away from my job site! Just to add to the misery, after that two hour drive in the middle of the night I arrived to find the hotel booked for me was the ultimate rat’s nest with a stuck heater system that turned my room into an unbearable steam bath.
I also have some rather interesting stories about the type of cars that were rented on my behalf (tin can anyone?). Fortunately I’ve learned how to avoid all those nightmares and now travel comfortably and at reasonable hours.
The point is that if you don’t know your way around the available travel options, plus know how to negotiate for the best travel considerations, you can have some pretty nasty travel experiences.
JOB LOCATIONS
Travel Company: Travel companies paint a somewhat glamorous picture of the places you can travel and the wonderful experiences you can have.
Rest of the Story: If you’re a traveling novice there is a very good chance you will end up in some out of the way place or hospital that is anything but glamorous. Travel companies are anxious to fill whatever positions that present (after all, that’s how they make their money!) and so they can offer less than desirable job locations to those who don’t know how to navigate the system. That certainly happened to me the first time I took a travel position. I landed in a miserable little town with a very boring job assignment. It made for a very long 13 weeks!
Just knowing you might get dealt the “low end of the deck” if you’re new to the game can help you avoid something really dower. However, even seasoned travelers are often not getting the best assignments that are available. Thankfully, over time I’ve learned what to ask for and what to avoid, and more importantly, how to spot a bad job location no matter how many bows are on the package.
THE BEST JOBS
Travel Company: Travel companies accurately state that a recruiter will contact you about a job opportunity and will give you a general overview of the job, its requirements, and what salary and other benefits are being offered. You will also have an opportunity to ask whatever questions you wish concerning the position.
Rest of the Story: Recruiters are going to provide the basics of the potential job assignment to you but they are not going to go into any great detail unless it is in direct response to your questions. You should also be prepared to ask pertinent questions of the hospital representative if you should decide to interview for a position presented to you by the recruiter.
I remain astounded at the number of even experienced travelers that either do not ask many questions concerning a potential job assignment or don’t know what to ask to find out the “nitty gritty” of what the job really entails. As a result, there are many travelers who are quite “surprised” (and not in a good way!) about the real facts once they reach their job destination. And of course, like it or not, they are bound by a legal contract to fulfill their assignment.
Just by asking the number of staff that will be working on your floor or in your department, the number of patients or tests you will be expected to oversee or perform, and the ratio of permanent and travel staff, you can begin to get a definite feel for what you will encounter. Recently while considering a position, I was able to ask those questions plus several others that revealed there had been a recent “uproar” in the department with people leaving in mass, leading me to decide not to jump into the fray.
I am always being treated to the latest horror story concerning jobs that were anything but what they were thought to be. That doesn’t have to be your story if you learn the right questions to ask in order to get the real picture.
IN CONCLUSION
As you can see, knowledge is power! Without it, you’re in for a very bumpy ride in the medical travel world. I’ve explained just a few Q & A areas where travel companies are only giving you the basics of the process. Unfortunately, relying on “just the basics” will have you collecting a few horror stories of your own!
Why Not Outlet Pricing for Travelers?
The proliferation of ‘factory outlets’ or ‘manufacturer-direct’ prices has become common place, but are we getting true ‘outlet or direct’ prices?
The middleman, agent or even retailer is suffering in our modern internet-based environment and big-box stores which appear to offer rock-bottom prices but still make enormous profits are commonplace.
The world of agents from insurance to travel to financial are feeling the crunch as they are rapidly being considered as expensive cost overheads by the producer, provider or manufacturer.
The airlines started the demise of the travel agency system when they started eliminating agent commissions and over-rides and turned to online booking systems aimed directly at the consumer, forcing some retail agencies to charge additional booking fees. Now you can find airline reservation sites charging fees for online seat selection plus anything else that they can get away with. Are the savings they are making being passed on to the consumer?
Insurance companies began advertising for direct dealings as did banks with their development of in-house financial planners (not at all independent, but merely another name for a bank products salesperson). Are they keeping the old commission for themselves or do they pass on the savings to the consumer?
Let’s focus on one of the consumers’ largest expenditures over a lifetime – recreational travel, business travel, vacations and trips and the Retail Travel Agent or Agency:
1.These were really needed before the consumer could access websites from B&B’s to Hotels,
Luxury Lodges and Tour Operators or if you wanted to pick up an expensive glossy brochure.
2.These were really needed before travel providers and tour operators enabled the consumer to
book directly with them on the internet with reservation systems and booking requirements that required little training or expertise.
3.These were really needed before airlines promoted their own booking services and became more greedy for any extra percentage or fee and wanted to be rid of travel agents as expensive and redundant overheads.
Now, these agents are only really needed if travelers want knowledge, experience and expertise of specific destinations, activities or tour companies, or of course, those travelers still not using the web.
Let’s not feel too sorry for retail agents as top-notch travel consultants are essential to travelers who have complex itineraries or who are venturing to the lesser know areas of the world. All is not dark for travel agents with knowledge, experience and expertise as consumers who need these professionals now have access to them with the web wherever they may be located and no longer need to use local agents unless they have the requisite skills. But, they still have to be found as they may not be in your local area or even in your own country.
There are various forms and levels of travel middlemen – Inbound Tour Operators, Wholesalers, Retail Agencies, all of which earn a percentage from the original travel provider for their advertising, promotion and sales efforts, these percentages can be anywhere from 10% to 25% or even more! When you see a travel advertisement offering $200 off per person and you book through a retail agent, you are still paying the commission, so by booking directly with the operator you should get the special offer and also save the commission.
Some travel operators already offer their products directly to the consumer but at the same prices as the consumer would get from a retail agent. Fair enough if these providers do not use middlemen but if they also sell through retailers their prices should be ‘net of commissions’ for direct bookers and ‘retail’ for agency sales.
When the consumer goes directly to the travel provider these middlemen percentages should not apply but the provider is sometimes in a predicament. To show a net price and retail price on their website could deter the middlemen from handling their products. Until now.
Travel providers are now able to offer net prices directly to consumers by using the TopTravelVoucher services at TopTravelSites.com. This website is in effect operating as a travel agent who does not sell travel on behalf of travel operators, but generates travelers who go directly to the providers for information and bookings. As the website does not need bricks and mortar offices, expensive glossy brochures, familiarization trips and computer reservation systems plus all the other paraphernalia of operating a travel agency, it is able to rebate sales commissions to travelers as a reward for handling their own arrangements directly with the travel operators.
This innovative consumer travel service offers travel discounts in over 70 countries to travelers who purchase their deeply discounted TopTravelVouchers. They offer their services to the global travel trade community and to the global traveler. They do not charge the travel trade for any promotion services and allow multiple listings for any kind of travel product as long as the consumer gets net pricing.
The consumer does not have to buy before seeing the travel offer and can also buy the vouchers to be used as gift certificates. All vouchers come with a 100% money back guarantee and even if the traveler is unhappy after completion of travel the monies for the vouchers are still 100% refundable.
At present you can get TopTravelVouchers for Escorted Tours, Eco Tours, Adventure Tours, Small Boat Cruises, Lodges, Resorts, Hotels, B&B’s and new products are arriving on a daily basis.
Some tours offer a flat percentage off of the retail price while other vouchers have a fixed value. One voucher for a Greek Cruise has a value of 1,500euros and can be purchased for only $100usd and there are many escorted tours around the world offering a 10% discount on the tour price, which can be significant depending on length of tour and number of travelers. If you have a family or group of travelers you can often buy a voucher for each person (there is a particular 7 day Thai River Rovers cruise that appeals to me if I can find a few friends to join the charter).
So now, no matter where you live or where you want to go, you can book discounted travel from your home, cyber-cafe or laptop anywhere in the world. You could be in the offices of a tour operator and go online and get a voucher and then hand it over to get instant savings. Not bad eh?
This website and concept is a first for the internet and with the support of the global travel trade from the smallest of travel operators to the giants, it can only grow larger with expanded product selections and savings as this aspect of internet travel is on a seemingly endless growth path.
Travelers who go directly to travel websites must do their own due diligence, talk free with skype, 800 number, or email with the operators, read testimonials, check the latest pricing and last minute deals, make a booking and check for deeply discounted TopTravelVouchers in order to get fairer fare prices. If your tour operator does not offer a ‘net of commissions’ tour price when you do your own bookings, ask for it or suggest they start to offer these vouchers and you will start saving on your travel.
Although this service is not yet a household word for travelers the TopTravelVoucher service from TopTravelSites.com is on the way to making a difference in that we can now find true outlet prices for a lot of travel choices directly from tour operators, wholesalers and even retail travel agents who often operate their own in-house tour programs. All want to expand their reach to the ever expanding international client base of travelers comfortable with handling their own travel arrangements and who all want fairer fare prices.
Related posts
Travel Pre And Post Internet
Travel Pre Internet:
I’ve been travelling for over 40 years – by thumb in my early days, by boots in the Scouts, a Lambretta came next and then my first old banger followed by newer old bangers to the beaches of the Costa Brava.
My thumb, boots, bikes and bangers took me all over Europe and the UK before finding that a charter flight to Spain on an old ‘Connie’ could get me to the beaches and bars a lot quicker and allow more time to enjoy the local travel opportunities by horse and cart and the occasional bus and train.
‘Go West and Prosper’ seemed to be a good idea so instead of taking an 8 hour flight I took an 8 day transatlantic crossing from Tilbury to Montreal on the Stephan Batory of Polish Ocean Lines ensuring that jet lag did not trouble my travel plans. Some years later I crossed the pond again on a ship but this time it was 5 times bigger and I travelled in style on the QE2 and dined in the Queen’s Grill somewhat removed from my earlier experience. I highly recommend ocean voyages but cannot see myself on one of the modern cruise ships going from port to port with constant line-ups to get on and off to buy t-shirts. However, I have done 10 Windjammers and a Star Clipper cruise in the Caribbean which were all memorable (let’s hope Windjammer Barefoot Cruises recover from their woes). But I digress.
I had read that Canada is a spectacular country, from sea to shining sea, and my entrance into the St. Lawrence River to Montreal and then heading west in an old Econoline van from the Great Lakes, across the Prairies to the Rocky Mountains before ending up whale watching off of the Pacific Coast of Vancouver Island was a trip of wonder to a bloke from London. Today the scenery is still spectacular and the best way to go is still by road so rent or buy a car, motorhome or motorbike, take the train or tour bus but remember the maps, a fly rod, good boots and take your time.
My favorite part of Canada / USA for adventure travel has to be Northern BC / Alaska, to hike the Chilkoot Trail in the steps of the goldseekers of 1898. The Northwest Territories to canoe the Nahannie River and the Yukon to drive from Dawson City to Chicken, Alaska. If you like the outdoors and can put up with a few bugs, cast a fly and scale a few hills or drive on endless dirt roads sharing the space with moose, caribou, elk, bears and eagles, then these are the places to put on your list. The pleasures and experiences in driving to Inuvik on the Dempster Highway or to Prudhoe Bay on the Dalton Highway or even the Canol Road can only be felt by doing them. I would have mentioned the Alaska Highway but now it is an easy drive unlike the aforementioned.
Today the costs of driving these distances may mean that sharing the journey with others is required, but RVing or simply vanning and camping is a great way to see beyond the horizon. Some enroute adventures now need to be booked in advance whereas when I hiked Denali and the Chilkoot Pass it was just a case of turning up, registering with the local ranger office and heading on out. A little more forward planning is needed for today’s traveller and cost considerations of lengthy flights or drives have to somehow be countered with more careful planning. In the days of reasonable gas prices I would not even consider the driving or flying costs and have driven to Key West from the northwest coast, down the west coast to the Baja and to the west coast from New York. I once even flew my 1946 Fleet taildragger from the Pacific to the Atlantic and back using around 5 gallons an hour of avgas. Before the oil and credit crisis I drove from Rio de Janeiro to Lima, down to Tierra del Fuego and back to Rio covering over 15,000 miles of spectacular scenery and with no consideration about the cost of gas. South America should be on your itinerary too! Some other memorable drives that may now require a mortgage with the gas companies include London to The Nordkapp, Norway, Skippers Canyon in New Zealand and the loneliness of the far north of Australia and the amazing coast of Western Australia stopping by at Monkey Mia and Wave Rock.
We tend to forget that the real cost of travelling is often less today than over the 40 years of my travels. In 1977 my round-trip airfare from Canada to Australia cost over $1700 in 1977 dollars so today it is far cheaper to fly, even with the airlines gouging for fuel, extra baggage, no service and no pleasure. The ‘Big Mac’ method of price comparison as developed by The Economist newspaper gives us a good gauge for most expenditures of today compared to yesterday but my $1500 cost to get a private pilots licence in the 1970’s seems cheap by comparison to today, but obviously not when using this Big Mac principle. Other travel costs are also far cheaper today but this should not mean that travellers should disregard the many methods of saving costs that can then be put to extended or improved travel experiences
Travel Post-Internet:
In my 40 years of travel I have had to use travel agents to make even the simplest of reservations and buy tickets, not even thinking to ask them if they had “been there, done that?” It was just a case of there being no other options to buying travel. Now we have unlimited choices and can seek out better travel agents, better prices, better selections and information about anywhere in the world for our travels – without even leaving home.
The Internet now gives travellers ideas and options of Where to go, When to go, Why to go, What to do, Who to book with and How to save money and offset costs. We can search and find experts for every travel option. If we are comfortable with the Internet we no longer have to go to a travel agent to make reservations and buy tickets except to book with some of the larger travel companies that still produce glossy brochures and offer all inclusive packages or tours that only sell through the agency system. The Internet also allows those of us who are smart enough to know when to seek out a top travel agent with knowledge, experience and expertise (KEE skills) of destinations and activities about where to find them. There is no longer any need to only use our local agents when we can find one somewhere else in the world. When we do not need ‘the knowledge’ and can do it ourselves we simply surf the web so that we can book directly with tour and travel operators wherever we have decided to go.
Some travel agents operate their own tours, some are both wholesale and retail, some limit consumer selection by only selling their ‘preferred’ suppliers and some have professional consultants with years of experience invested in gaining knowledge, experience and expertise and are worth their weight in gold to the savvy traveller. Beware though, as some are also called destination specialists and some of these designations merely require the agent to take a rudimentary test offered by tourism offices, destination marketing groups or even tour operators and in my opinion can harm the reputation of the travel industry. A specialist is not necessarily an expert.
Travel is probably the most used commercial aspect of the Internet and if retail agents want to harness this exciting medium to offer ‘the knowledge’ and their ‘kee’ skills to a global audience, not just their local community, they must embrace the changes that are happening. Travellers now have the ability to seek answers to the 5 W’s of travel and the important ‘How to’ save money and offset costs by having information just a click away.
And then it occurred to me that even internet travel prices often include a commission element even when sold directly to the consumer. If we book directly with operators we should not have to pay full retail prices as we are doing for ourselves what a retail agent would normally do for us. A dilemma for the operator is that to show a both a retail and a cost price option could deter many agents from selling the services as travellers could use an agent for free advice and book directly with the operator to get a ‘net of commission’ price. Obviously this two tier pricing is not often available but travellers who do not need advice should also not be penalized by retail pricing. A new way had to be found and I think I have found it!
The need for fairer fare prices is why I developed the Top Travel Voucher program at The Top Travel Club and I even found a dot com for it. All travel selections on the site are at ‘net of commission’ prices for members who handle there own travel arrangements directly with the operators linked on the club website using our voucher program.
I am inviting travel operators from around the world to join this program, from B&B’s, Motels, Hotels, Luxury Lodges, Eco Resorts, Beach Resorts and Tour and Adventure Operators who want to promote their products and services to travellers who are comfortable with direct bookings and reservations.
I am also inviting Travel Agents with knowledge, experience and expertise of destinations and activities to showcase their skills to a global audience of travellers and to the members of this new travel club. I am leery of ’specialist agents’ and only want experts to showcase their services.
This opportunity is available to the travel trade at no cost except for them to offer net, wholesale or outlet prices to club members and visitors to the website using top travel vouchers. I believe this program offers fairer fare prices to direct-booking travellers. The operator would normally be paying commission anyway but now travellers get the savings because they make their own arrangements.
The Top Travel Club opened in mid-April 2008 offering thousands of top travel vouchers for travel in over 70 countries with around 150 travel operators onboard. Every week we add more travel operators with more choices for members. Currently you can get savings on accommodations, adventure travel, boat charters, culinary tours, hike, bike and dive tours, auto and RV rentals fishing lodges and guides, safaris, vacation rentals, single travel, women only and dude ranches. Members get the vouchers free of charge by paying an annual membership fee and non-members can buy the vouchers on the internet at Top Travel Sites at deeply discounted prices to the face-value. The future growth will include restaurants, travel clothing, travel insurance and the opportunity to access air ticket consolidators who want to deal directly with consumers.
The way I have travelled and the way I see travel is that consumers should have unlimited access to every travel opportunity with the ability to do their own due diligence or to find a professional who can offer quality advice and services at fair prices, and to find all of this without needing endless hours of searching.
To find out more about the new way of cost offsets for travel please go to The Top Travel Club and my apologies for some of the spelling (traveller / traveler) but that is what I was taught. As long as we all understand the meaning, vive le difference!