A short-term rental market gets chosen by accident more often than on purpose. A physician sees a listing somewhere appealing, runs a few optimistic numbers, and works backward to justify the buy. The place ends up selecting itself, and the goal tags along afterward.
A cleaner sequence starts with you. The right market follows from your goal, your budget, and how much swing in revenue you can comfortably carry. A market built for monthly cash flow and one built for long-term equity are two different places, and the goal you already settled on decides which one you are looking for.
The market follows the goal
Before a single property is worth evaluating, the goal has to be settled, because the goal is what tells you which kind of market even belongs on your list. A cash-flow buyer and an equity buyer can study the same city and reach opposite conclusions, and both are right for their own aim.
Naming the goal first keeps the search honest. It turns a wall of appealing listings into a filter you can actually apply, and it spares you from touring a market that was picked for its scenery.
Three kinds of markets
Most short-term rental markets sort into three types. Vacation markets run on tourism, beach towns, ski destinations, areas near national parks, with strong nightly rates and demand that concentrates into a few months of the year. Workforce markets run on people who need housing for work, corporate travelers, relocating families, traveling healthcare professionals, trading lower nightly rates for steadier year-round occupancy.
Hybrid markets blend the two, drawing tourists, business travelers, and medical professionals at once, and they carry an added advantage: a property can often move between short, medium, and long-term rental as conditions shift. The category that fits is the one that matches what you decided the property should do, which is why the goal comes first and the map comes second.
What actually decides fit, starting with regulation
Past the market type, a few fundamentals separate a real opportunity from one that only photographs well. Demand durability asks whether the demand rests on something stable, an employer base, an institution, a consistent tourism draw, since steady underlying demand is what carries a property through a slow stretch. Budget fit asks whether the purchase strengthens your position rather than stretching it thin enough that one quiet quarter creates pressure. Risk match asks which level of variability you can comfortably live with.
Regulation sits above all of them. Local rules on short-term rentals, zoning, permitting, and outright bans vary enormously and change often, and a property that pencils out beautifully can be undone by a single ordinance. Regulation gets checked before an offer goes in, and it is the fundamental that physicians researching solo miss most often.
Why this is the specialist's job
Laid out plainly, the work has a clear shape: market typing, demand analysis, regulatory research, budget modeling, risk assessment. Done properly it runs to dozens of hours per market, repeated across every market worth a look, before a single property gets evaluated. That is a costly use of a physician's hours, and it sits far from where your real advantage lies.
Understanding this section gives you something more useful than the research itself: enough grasp of the decision to judge the recommendation you are handed, and to tell a properly vetted market from an optimistically assumed one. The research belongs to the specialist. The decision, informed by their work, stays with you.
Where this goes next
The broader case for whether real estate belongs alongside your income, your taxes, and your retirement timeline lives in Why Locum Physicians Should Think Seriously About Real Estate.
The full guide carries the market work further and connects it to how a property fits a 1099 tax structure, how to read an individual deal, and the account setup that steadies a slow month. Get the Physician's Guide to Short-Term Rental Real Estate.
If you already know real estate has a place in your plan, a strategy session is sixty minutes and covers which markets actually fit your situation. Book a Strategy Session.

David Swanson founded Locum Independence to give locum physicians a financial structure that coordinates their income, tax, and benefits decisions as one system. He works with independent physicians on the business side of practice, so those decisions move together instead of separately.
Read full bio