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Job market goes in cycles - right now it doesn't seem so bad. Even at its tightest, I don't think it's ever been at the point of needing to look abroad. Of course, it depends on your flexibility (are you tied to a specific location or type of position). Talking to those residents/fellows currently on the interview trail will give you the best indication. 

If you're earlier in medical training, if you are sensible with money, you shouldn't have difficulty paying off loans, etc. Should be on par with other specialist physicians.

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