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Thank you for saying this! New to this all so there’s a fear of “retaliation” when I make that new job search. My current references (program leadership) have my back on this and said they are happy to be used again. Once I leave NYC i have no plans of coming back lol.It's sub-optimal, but s*** happens. They'd be annoyed but there isn't really anything they can do about it other than make you pay back part of the signing bonus. When I was a medical director, every single person who left our group for a different job had it lined up and signed before anybody contacted me for a reference, so it's not like I could have nuked anybody's chances if I'd wanted to (although it would have been nice to have the chance to counteroffer in some cases).
You need to look out for you, nobody else is going to.
Agreed. It’s “sub optimal” but you’d be surprised how often it happens, and I totally agree that you need to look out for #1 and get what you want and need out of any given job.It's sub-optimal, but s*** happens. They'd be annoyed but there isn't really anything they can do about it other than make you pay back part of the signing bonus. When I was a medical director, every single person who left our group for a different job had it lined up and signed before anybody contacted me for a reference, so it's not like I could have nuked anybody's chances if I'd wanted to (although it would have been nice to have the chance to counteroffer in some cases).
You need to look out for you, nobody else is going to.
If you're staying for shorter term, hospitalist is usually the better option given the shift work and lack of continuity. PCP usually requires a longer commitment to build up a panel given the continuity involved. If in NYC, try to find a a teaching hospitalist job where residents would be doing nearly all grunt work; otherwise a lot more will fall on the attending given the overall poor ancillary staffing in many NYC hospitals. The other option in your case would be to do telemedicine which would allow you to live from anywhere and not switch jobs when you move. However note that telemedicine seems saturated right now so employed positions tend to pay low (unless you want to start your own telemedicine practice).Current IM PGY-3, goal is primary care. Currently at a big academic center (not in NYC). A very long story but husband will be working in NYC for either 1 year or 3 years & we wont know which until Spring 2025. Abundance of PCP jobs but most expecting 2-3 year commitment. Hospitalist in NYC is seemingly nightmarish (so will PC probably but at least I like that…). UC is very FM/EM recruiting & I obviously cannot see kids. Would I be absolutely screwing myself over if I took one of these jobs and left after a year? I know paying back the signing bonus is a given but other thoughts appreciated. And if anyone needs an internist for a year, let me know!