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[quote=Anonymous]It is not for everyone, but it can be incredibly interesting work (along some really boring work...but hey even clinical practice can be boring as well). I would encourage you to think about how you recharge. Do you recharge from the patient interaction or is it after solving and/or trouble shooting a  complex case? I would also think hard about what part of the Agency you are applying to. What center, is it a review division, and internal consultant division, etc. The feel and work for each area can be drastically different (much like choosing a speciality)

For what it is worth I think the demograhic at the Agency is changing. Many of my colleagues are coming straight from fellowship, or are burnt out after being in academics for a few year. A fair number have come from NIH given the difficulties they have had with funding.  A few come from Industry as many. Buy in my experience not as many come from an established private practice.

People have certainly left and returned to clinical practice and a fair number jump to Industry. It ends training for a different type of job.  The half day clinic us enough for some isn't enough for others. Many also moonlight to keep up basic skills. It isnt a lot and you clinical skills can definitely get rusty particularly for primary care of you are a sub specialist)[/quote]

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