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If you are going into primary care and have a lot of debt, you pretty much have to do this, especially since in addition to making more money, you may enroll in debt forgiveness program. On the other hand, I have seen some statistics where certain specialties like NS get the highest salary in the coasts, such as in the West. Maybe because the coasts give you more opportunities to deal with wealthier patients.
Another big point here is tax. If someone is really worried about income, then a relocation, at least temporary, might sound very good. For example, let's say you graduated with a lot of debt and for some reason you cannot refinance a high, compound interest rate. As a starting physician, your salary is not going to be as high as someone with more experience. So, after you graduate you select and undeserved area (let's say +$30K income) but in a state that has no state income tax (compare to CA, this can make 10% different, or another +$30K in income). Now you are saving $60K or more year, which is a lot of money you can use to either pay off/reduce your debt (if it is high interest), invest in the market, buy a property and rent it, etc, etc. Then after a few years when you have reduced/payed off your debt and established a name for yourself, you can move to the coasts.
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