I would predict it might be difficult, but probably not impossible. Being off 5 years would make it harder than being off 1-2 I would think. I don't see the primary care market in my part of the country being saturated any time soon...it's too damn hard a job and I don't see salaries going up that much and burnout will remain high IMHO. I don't know about NYC though...perhaps there are so many residents being cranked out that there is competition for jobs.