RT Journal A1 Edelstein RA T1 “Minutes from fishing and the opera” JF JAMA JO JAMA YR 2009 FD June 24 VO 301 IS 24 SP 2533 OP 2534 DO 10.1001/jama.2009.805 UL http://dx.doi.org/10.1001/jama.2009.805 AB Almost every day in the office, I receive advertisements from medical employment agencies, offering “incredible starting salaries,” “beautiful semirural settings only steps away from a major university town,” “excellent professional sports teams,” and, my personal favorite, “only minutes from fishing and the opera.” Although the benefits they offer are certainly enticing (“good-bye to snow shovels,” “no ED call,” “work day that can end at 4:30”), I can only believe that perhaps the grass is not greener on the other side. I suspect that most of these idyllic positions are subject to the same difficulties and realities that we physicians all face in our current situations. Instead, I find reading these ads makes me look critically at my current job situation, and I often ask myself, How did I get here? What would my own job's realistic description look like?