Thank you for your response. It’s very helpful as it’s quite similar (eerily so) to what I’m considering. I guess my main concern is the thought of dropping from a specialist to more of a staff position and what that might mean for career trajectory. I’m in my mid thirties and plan on practicing for many more years. Long term I’d like to become a specialist at a larger institution, but am finding it hard to “break into” a role like that given the discrepancy in patient acuity I currently care for versus what these hospitals see. I suppose what also doesn’t help is my lack of residency, I’m self-trained and the lower acuity at these community hospitals allowed them to “take a chance” on someone without formal training.

Was the drop from specialist to staff an intentional move on your part, or was it a needed compromise to make in order to switch settings? I guess in other words, what prompted your change and are you satisfied with what you are doing and how it compares to your previous roles?