One of my colleagues was looking for a way out for years. Along the way she started picking up a few shifts at an urgent care on steroids (can get CTs, etc). She makes less there than in the ED, but not that much less--especially when she factors in the time she saves with a vastly shorter commute, being able to walk out of her UC shift with all her notes done, and no required hospital meetings. She also doesn't have to deal with all the admission phone calls, wrangling consultants, or unreasonable patient admission requests since she just directs any of those to her local ED. And she never works there past 10pm. About a year ago she stopped stressing about finding some perfect alternative to the ED and she just started solely working at the UC. She's still super happy.