Let me start by explaining the job. There are two roles here that encompass the job of the consultant. Marketing and Soliciting. The marketing role entails calling every hospital/outpatient center in your region and seeing if they have need ( a job opening for a doctor that they could really use your help filling). The Soliciting role entails you calling around a hundred doctors a day seeing if they want to uproot their lives and take a job that you found (usually in the middle of no where - thats why the hospital agrees to sign your 20K service agreement during your marketing role because no doctor wants this job your soliciting for in the first place).
Here's where it continues to get sticky. Say my region is the Southeast. While I have lots of doctors interested, I have no jobs to fill because there are lines out the door for doctors that want to move to Florida or South Carolina for example. Now lets say I have a region that encompasses Kentucky, Tennessee, West Virginia, etc. Well, now I have a million jobs but no doctor that wants to move to the middle of no where. Especially because 90% of the doctors you talk to are from Pakistan, India, or some country whose people prefer to be in a metropolitan area.
This job is by no means fair between the consultants either. I say this because not only are the consultants separated by region, they are separated by specialty. So, if you are lucky enough to be a Nurse consultant whose territory is the Southeast - Hooray! You have a million outpatient offices/hospitals you can call who may need help filling a position AND you have nurses that like warm weather. Now lets say you are in the Northeast and you employ Pulmonary/ Critical Care Doctors - well you only have a handful of hospitals you can call and if they don't have a need, then you have no jobs to fill, so enjoy working a 9 to 5 and not making any money.
Speaking of money, I was offered a 30K base + Commission. After a year the 30K base disappears and your commission goes up slightly. That should have been my first red flag but I kept being promised a 6 figure salary after I "hit my chair," and I got blinded with the false sense of ability to make a lot of money. Hitting your chair just means you met all the training requirements and your officially a Consultant.
A lot of times you have a doctor/nurse interested in multiple areas, which means you are competing with your fellow coworker for a buck. That is not healthy. You will meet some really slimy people here for that reason.
The number of phone calls you make is constantly being monitored and there is a report sent out once a day where you can see how many calls you made compared to your fellow coworker. Also, not healthy.
The market is incredibly saturated for recruiters so enjoy competing with what seems like everyone under the sun. Many times you'll talk to a doctor who said he's already heard about this job from another recruiter.
It's kind of like a pyramid scheme in that the employees/managers that have been here a long time will get a cut of ever doctor you place (if you place a doctor).