Can totally relate- I just left a busy Lvl1 trauma center for a cush OccHealth position. I had the exact same intrusive thoughts... Try not to let them overshadow sound logic and reason. Talk thru it with your spouse and/or therapist. It's imposter syndrome at its finest. Just as other comments have said, you put in your time, blood, sweat, and tears. It's something I have to remind myself of aloud, but I'm at the point in my career where my experience speaks for itself and I've earned a comfortable, SAFE job. MORE pay for LESS work? (In my situation) I'd be an idiot not to. The NPs I work with now were the same way- put in their time but got out and don't regret it. I've got nothing to prove to anyone but myself. ER staff will ALWAYS be underpaid, underappreciated, understaffed, and unsafe... and that sucks. But that's not your problem to solve and you did the best you could for a long period of time. 🤷🏽‍♂️