I've been through a bumpy ride professionally the past several months, and last week my colleague and I were on the verge of giving notice and looking for greener pastures, but a certain amount of ingenuity and iron nerve (mine) and a large amount of diplomacy (his) managed to save the situation, at least temporarily. I would say "phew" except I don't really feel relieved. Practicing medicine is difficult, but making a living, holding down a job, keeping one's foot firmly planted in the realm of acceptable working conditions is even more so.
We hospitalists are a peripatetic lot; apparently a quarter of us plan to change jobs within the next two years. It's easier to contemplate job change when you're a hospitalist, compared to someone in private practice, for instance, but I know a lot of primary care doctors who have been moving around, changing jobs, changing roles, all in an effort to find a decent balance between job satisfaction and an adequate salary. It seems medicine is evolving in the same way American industry has: away from the ideal of spending one's entire career at one organization, toward job change, mobility, uncertainty.