I think everyday about how my life would take a complete 180 if I were to lose my job. If you are stuck in PP working for a 100k a year and top out at 140k with bonus...then honestly I would feel more confident about job security since you are already at the bottom and those jobs are a dime a dozen. Those of us lucky (not necessarily the best - just the luckiest) enough to have good paying/good benefits hospital MSG jobs know they would not find an equivalent job in their same area/state within 1 year. Hopefully they are making smart financial decisions - especially coming out of residency (see The White Coat Investor). All the "in demand crap" pushed by generic jobs websites that take BLS info are just making the problem with podiatry worse. There is extremely minimal (I had to change from ZERO) demand for good paying jobs. There is GREAT demand for jobs allowing PP owners to take advantage of new grads. There is INCREASING demand for "fellowships" where PP owners take advantage of 3rd year residents who have the wool pulled over their eyes by ACFAS and the incestuous nature of fellowships who believe it is their ticket to success in the field of Podiatry. As I have said many times on this forum, Podiatry is plagued by too many (ie the vast majority) of wanna be MDs who still want to be in the medical profession at the doctor level. They will justify and twist and turn the numbers and whatever they read online to fit their world view of podiatry being this great field with limitless opportunities and increasing demand blah blah blah. That ship has sailed. At this point podiatry is a TERRIBLE financial decision for anyone not in or just starting school. You will have 300k of debt that will take you at least a decade to pay off and will be a constant looming threat over your head that will dictate many life decisions in a bad way. For those of us who are already in this profession - the answer is clear - get a hospital job ( really only possible these days by having experience and having friends already in the system) or open up your own practice. While I would never in a million years open up my place, those that do are basically doubling down. I do know many opening up their own that are doing very well. At this point if I were to lose my hospital employed job, I would quit podiatry. My loans will soon be paid off, I will have no debt and some savings. I am smart and can leverage this into other types jobs. EDIT - I should also point out that this reality also has dictated how I practice - I don't do big complicated cases anymore. I live in a very small town. I don't need that case, I don't want that case. And most importantly if that case goes bad - my reputation and long term outlook is done. I am not going to jeopardize my great setup to be some Instagram hero and put up pics of some crazy deformity correction or huge trauma. If you live in a big city, you can afford to have some poor outcomes - they won't make or break you. Life in a small town is different. I have zero tolerance for a crazy patient or someone who is too big of a risk. These people are already used to driving 3 hours to the nearest big city and medical center for things related to their heart/kidneys/lungs etc - they are doing that for their pilon fracture/charcot recon/ cavus recon just like they did before I got here.