1. They have a "positive mental attitude" (as written by Jim Stone of dochunterdiary.com). They are able to see a "great place to raise a family" and a "great place to build a practice", where I see just, well, Desert Gulch, a place where I would neither want to exile my family nor would want to build a practice. And where in general I would not want to be caught dead after sundown.
2. They have magical, mystical, truly superior means of transportation, very much like Harry Potter's broom. A town they see as "only a short drive from LA" to me is 75 miles away and it takes me an excruciating 3 hours on a good day to get to the city.
3. While they can "enjoy all Boston has to offer" from a small town on the New Hampshire border, I get frustrated with all the woods and rocks. And for me the hour plus drive to Boston pretty much takes the fun out of it. I believe one-hour commutes are overrated.
4. They know much better than I what to do on the Internet. They know that you best use Google to "find physician recruiters where you want to go to" (Healthcarerecruiter blog), while I merely have been able to find employers that offered me jobs.
5. They know that the "best practices" are located far outside the city, while I sheepishly was looking INSIDE the city for a practice.
6. They know that a good job search starts by contacting a recruiter, one single recruiter, preferably in a small firm (recommended by recruiter Rebecca Gresham on a product-placement article on the otherwise very respectable MomMD), while I erroneously thought that starting your search by contacting recruiters is the equivalent of shooting yourself in the foot.
7. They know that it is much more ethical and professional NOT to tell your clients about your limitations. They know that it is absolutely wrong to refer your clients to someone that might be able to better help them. Meanwhile I am still making the horrible mistake of sending my patients to a specialist or a more appropriately talented or equipped colleague as soon as I cannot solve a specific problem myself.