I have been gone for as long as two weeks with no locums, but another solo doctor covering calls. I had not really considered using a locums before - but interested. Does it pay off financially? A locums would cost a lot, but I also do pay my staff when I'm gone, for at least part of the time. This brings up another question, do you pay your staff when you are gone to do nothing, give them paid vacation, or have them take unpaid time off?