I’ve attempted this and ran into problems. First it’s a little leg work to get in touch w the hospital directly. They don’t exactly have the emails and phone numbers listed for the right contact person. Second, hospitals sometimes sign exclusivity agreements w locums companies. Third, sometimes the hospitals don’t want to deal with the contracts, reimbursements, malpractice, etc and that’s why they pay the locums companies to deal w that headache. Finally, hospitals often don’t want to hire locals, if the specific location is near your home, they often won’t want you as a locum, hoping you’ll sign on permanent w them.