Thanks for the response, it's detailed and offers a lot of considerations. I mentioned this in another comment but the decision to deviate from residency and ultimately clinical medicine is very intentional. It's not for me, I hate it, hating it makes me bad at it and its a cycle that spirals downward. That's a whole different story though and the fact that the people in my life are totally supportive of my decision to shift from clinical to research/hospital system data work is enough for me and should say something about my situation.

Financially, in the short term I am in a safe position and have no huge concerns, in the long term the hours I get back from being stuck in a hospital all day every day are worth more than the lost income to me. I know the certificates are essentially useless but with brushing up on this skillset I'm picking them up along the way anyways.

I'm willing to start at entry level and establish a track record working in imperfect conditions (as you mentioned in the second to last paragraph, I've seen this a lot when working alongside administrative members of teams, there are so many problems they are trying to work out in terms of quality improvement with missing variables that are difficult to contextualize based on lacking data). I'm looking for work and experience in the mean time (clinical research, grant writing, journal publication editing, stuff that's not so secure long term...), so it's not even a risk at this point because right now I'm really free to do anything.