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Benefis Health System paused oncology services in Helena after failing to recruit a permanent oncologist and deciding locum coverage was unsustainable. Mass General Brigham, meanwhile, is moving pediatric inpatient care while it closes a budget gap of more than $300 million. Both show employers removing clinical service lines, not just positions, with no layoff count to flag it.
By Robert Truog
 · October 31, 2026

Healthcare job markets run on specialty demand, regional workforce gaps, pay, training limits and changing care models. National headcount growth doesn't erase local shortages. This guide breaks the market down specialty by specialty — with the latest reporting and live openings for each.

Understanding Specialty-Driven Demand

Demand · Role types · Latest reporting

01

Cardiology

Driven by cardiovascular disease, aging and interventional capacity.

General · Interventional · Invasive & noninvasive · Outpatient & hospital

02

Family Medicine

Primary care access gaps keep recruiting steady, urban and rural.

Continuity care · Health systems · Rural access · Panel-based pay

03

Internal Medicine

Tracks chronic disease care and an aging population.

Outpatient · Academic · Hospital-affiliated · Multi-specialty

04

Hospitalist

Inpatient care and census management; pay tied to schedule and productivity.

Block scheduling · Shift pay · Night differential · Team-based

05

Emergency Medicine

Follows population density, trauma capacity and regional infrastructure.

Shift pay · Variable volume · Flexible schedule · High acuity

06

Psychiatry

Behavioral health shortages persist; telepsychiatry keeps growing.

Outpatient · Inpatient · Telehealth · Integrated care

07

Radiology

Imaging volume, workflow complexity, teleradiology and subspecialty demand.

Diagnostic · Interventional · Teleradiology · Academic

08

General Surgery

Hospital expansion, procedure demand and referral patterns.

Community hospital · Trauma center · Multi-specialty groups

09

OB/GYN

Birth rates, women's health access and service line growth.

Hospital-employed · Private group · High-risk obstetrics

10

Pediatrics

Varies with birth rate and community infrastructure.

Outpatient · Hospital-based · Neonatal support

11

Anesthesiology

Tied to surgical case volume and hospital capacity.

Hospital-employed · Private group · Surgical centers

All Specialties

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PhysEmp lists openings across every physician specialty and region.

Flexible Practice

Locum Tenens & Flexible Practice Models

Short-term, contract-based work that covers vacancies, stabilizes new service lines and gives physicians control of the calendar.

Travel Nursing & Advanced Practice

NPs, PAs and travel nurses help steady staffing through workforce shifts.

Evaluating Physician Job Offers

Seven things to check before you sign

  1. Compensation structure (salary vs RVU)
  2. Signing bonuses and incentives
  3. Call expectations
  4. Productivity thresholds
  5. Retention history
  6. Credentialing timeline
  7. Onboarding support
Compensation & Demand guide →

Residents & Early-Career Physicians

Start 12–24 months before graduation

  1. Mentorship structure
  2. Partnership track clarity
  3. Productivity ramp-up support
  4. Cultural alignment
Residency Survival Guide →

Featured Current Openings

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