Throw away account for anonymity. Representative new grad job offers and the state of the current market in the southwest... Job 1: Hospital employee. physician only. W2. ~350K, no OB, moderate call, probably 55-60 hrs/week. Super competitive retirement package with 401k/457f, profit sharing. loan repayment, stipend, and sign on bonus worth another ~200k. Level 2 trauma center and surg center. Job 2: True private practice track small community hospital. physician only. 3 year track, no buy-in. 300k till partner. "they don't hire people that don't make partner". Ceiling ~600k after full partner. Switch to 1099 as full partner. 401k match but no other bells and whistles. Strong group leaders with "no plan to sell" and contract with hospital for past 30+ years. No trauma. q4 call from home but a lot of OB call backs. CRNA presence but cover own cases but apparently "can consult you" on difficult cases... Job 3: Large AMC. W2. physician only (for now). Level 2 trauma. 475-500k a year. competitive retirement package. 25k sign on bonus. Home call except OB x2 per month in house. Everything else is equal in terms of location, quality of life, cost of living, schools, tail coverage, etc.. New grad with an @$$ load of debt, no money set away looking for an Aug 1st start. Stipend and retirement package are enticing. Don't really know about shooting for the stars with private practice group as that seems to be the 'holy grail'. Curious if those that have been around the block have any advice as to which job they would choose with a gun to their head and why. Any thing worth negotiating? Has to be one of these three jobs... Thanks!