Exit strategy

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Graduating pgy3. I figure I’ll be able to not be miserable working at a cmg (which I am assuming will be my only option) for 10-15 years. Looking for ideas to pivot into after medicine. What a sad time.

I lasted about 6 years.
 
Im kind of at a loss on what to do now. ED shifts are drying up around my area. Im credentialled at a few places, but there are no shifts to pickup, places are hiring fulltimers only and its getting difficult to pickup per diem shifts. Im ok right now working fulltime ICU, but still should pickup some ED shifts so I don't lose skills. Also pissed as hell at myself for wasting so much time and energy doing "leadership" BS during residency/fellowship and it having absolutely zero impact on my career path. So much for board positions, committee chair nonsense, etc. What a colossal waste of time. Maybe it would have made a difference if I had freedom to move to wherever. But, im location locked 2/2 wifes wishes. Cant magically make a leadership position in the area appear. Kind of lost faith in national leadership (ACEP, AAEM, SCCM, etc), lost faith in hospital leadership, etc, so have little to no motivation to work my way up in national organizations or even try to work my way up in the hospital. Think im hitting the midlife crisis stage already. Guess I work ICU, randomly pickup ED shifts for the next decade and retire? Is that it ? All that work in med school, residency, fellowship, and this is it? God thats depressing as hell. Night shift icu for the next 3650 days here I come. Ugh.
 
Im kind of at a loss on what to do now. ED shifts are drying up around my area. Im credentialled at a few places, but there are no shifts to pickup, places are hiring fulltimers only and its getting difficult to pickup per diem shifts. Im ok right now working fulltime ICU, but still should pickup some ED shifts so I don't lose skills. Also pissed as hell at myself for wasting so much time and energy doing "leadership" BS during residency/fellowship and it having absolutely zero impact on my career path. So much for board positions, committee chair nonsense, etc. What a colossal waste of time. Maybe it would have made a difference if I had freedom to move to wherever. But, im location locked 2/2 wifes wishes. Cant magically make a leadership position in the area appear. Kind of lost faith in national leadership (ACEP, AAEM, SCCM, etc), lost faith in hospital leadership, etc, so have little to no motivation to work my way up in national organizations or even try to work my way up in the hospital. Think im hitting the midlife crisis stage already. Guess I work ICU, randomly pickup ED shifts for the next decade and retire? Is that it ? All that work in med school, residency, fellowship, and this is it? God thats depressing as hell. Night shift icu for the next 3650 days here I come. Ugh.

Why are you only working night shifts in the ICU?
 
Im kind of at a loss on what to do now. ED shifts are drying up around my area. Im credentialled at a few places, but there are no shifts to pickup, places are hiring fulltimers only and its getting difficult to pickup per diem shifts. Im ok right now working fulltime ICU, but still should pickup some ED shifts so I don't lose skills. Also pissed as hell at myself for wasting so much time and energy doing "leadership" BS during residency/fellowship and it having absolutely zero impact on my career path. So much for board positions, committee chair nonsense, etc. What a colossal waste of time. Maybe it would have made a difference if I had freedom to move to wherever. But, im location locked 2/2 wifes wishes. Cant magically make a leadership position in the area appear. Kind of lost faith in national leadership (ACEP, AAEM, SCCM, etc), lost faith in hospital leadership, etc, so have little to no motivation to work my way up in national organizations or even try to work my way up in the hospital. Think im hitting the midlife crisis stage already. Guess I work ICU, randomly pickup ED shifts for the next decade and retire? Is that it ? All that work in med school, residency, fellowship, and this is it? God thats depressing as hell. Night shift icu for the next 3650 days here I come. Ugh.

Would your wife prefer you be unemployed on the street? Sounds like you need a new wife(s).
 
I’m credentialed at 5 - yes 5 hospitals in my neck of the woods for EM. I’ve worked weekend mid shift for years per diem. I haven’t been able to pick up a shift since April.
 
Would your wife prefer you be unemployed on the street? Sounds like you need a new wife(s).

That's quite presumptive. Quite possible that she has moved around a lot for his training and finally wants to settle. Not unreasonable even if it personally sucks.
I suspect my wife will reach that point too soon.
 
That's quite presumptive. Quite possible that she has moved around a lot for his training and finally wants to settle. Not unreasonable even if it personally sucks.
I suspect my wife will reach that point too soon.

That’s true medschool and residency is hard for spouses
 
That's quite presumptive. Quite possible that she has moved around a lot for his training and finally wants to settle. Not unreasonable even if it personally sucks.
I suspect my wife will reach that point too soon.

Well unless she makes 6 figures, it's not reasonable for her to expect him to stay in a soul-sucking job making low salary.
 
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