There are good academic jobs out there. Just keep looking. It’s just like the non academic world. Look for a job that’s at least 75th percentile. You do need to compare apples to apples though, ie what’s full time? 4.5 days vs 3? Vaca + CME time + academic days, pay now vs old school pension, etc. Are you in a publish or perish role?
UVAs brand recognition is small compared to Harvard, Stanford, Penn, UCLA, etc. Best in Virginia is like Best in Nebraska. Who cares outside of VA?
They’re going to drown in Locums bills until they fix the pay gap. People make take a 300k job when 400 is on offer elsewhere, but not 600.