The open "job market" sucks. I've been in it for a year trying to work something out. Getting interviews is hard, and when you finally think you have put together something halfway decent you either realize it's a bait and switch scam or the whole thing falls apart. Leverage is non-existent and take-it-or-leave-it terms still prevail, to the extreme that you are expected to interview without knowing the details of an offer and before an offer is handed to you it comes with a mini-lecture of "if you attempt to negotiate any of this, we will pull it back immediately." I have had offers literally come to me and say "we need you to hurry up and sign this because we have a new grad we interviewed after you and we need to offer to her if you're not going to take it." Locums rates are 50% of full-time pay whereas other fields they are 150-200% of full-time pay. So that's not even a worst-case backup option.
Oh, and I also want to add that I am searching with literally zero geographic restrictions. From Hawaii to Maine from cowtown to downtown Manhattan. I can't imagine trying to throw even a slight geographic restriction in the mix.
I am sick of academics gaslighting about how it's a lie that there is a problem with the "job market." They are not in it. They are in their bubble. Oh, the job market is great because you are hiring people for 400k to be pseudo-academic cogs with no say in anything to staff a different satellite every day of the week? Yeah, maybe it's my fault because my standards are too high after a decade of training for this and jumping through all the stupid board exam hoops I suppose.
Compare this to literally any other field of medicine at the moment. Why are people still applying to this? Yeah, I get it that as a med student you are used to having no stability and certainty about your future and living out of a suitcase as you do rotations. That's ok when you are 25 years old. Trust me, you don't want zero stability and constantly moving around and permanently interviewing when you are in your late 30s. Residency was the best time of my life in medicine because I knew, no matter what, what I was going to be doing and where I was going to be for the next 4 years and it wasn't going to suddenly change up on me. Think ahead and do something else.