Well, it's about time to start seriously considering what in the world I'm going to do with my life (and where). Anyone who can count their time to graduation in weeks is likely feeling the same way. With exactly four weeks left until I finish my clinical rotation, I'm starting to feel major pressure to find a job, pick a city, and think about the future. I always knew this point would come, and as exciting as it is, the significance of these decisions has been weighing heavily on my mind lately.
I'm realizing that I may not be able to have everything I want in one place. I grew up in Pittsburgh, but moved out of town for quite a while during college and post-college soul searching. In coming home, I had the great fortune of spending time with my grandparents, being around for weddings and holidays, and reconnecting with both family and lifelong friends. In the past three years, I've seen how wonderful it can be to be "home."
I was very optimistic at the onset about the job market in Pittsburgh, but it seems that my optimism may have been off base. I'm having a hard time finding my "dream job" here as there are very few inpatient rehab positions (maybe I'm being unrealistic -- I really want to work with the brain injury population, and I imagine there just aren't that many positions in general). It's just not going to happen here. So while my family, friends, boyfriend, and love of the city remain in Pittsburgh, I can't help but wonder if I would be better off in another place.
I'm at a crossroads. Do I choose my career over everything else? Or do I just hope that by taking a position here, it will work out in the end? I've worked for three years to put myself in a position to be the best possible candidate I can be. It's a tough reality when your visions don't quite match the opportunities that are available to you.