When considering a new practice locale, I recommend a hefty dose of introspection first. Your likes/dislikes and interests are all serious factors to consider before taping up those moving boxes and relocating across the country. Do you like larger cities, smaller cities, or something in between? While big cities often offer a more diverse patient population, they can be overwhelming for some physicians. These doctors would rather work in a close-knit community, the kind where you walk down the street and Johnny the postman calls out your name as he waves. Of course, there is a middle ground here: You could always live in the suburbs and commute to your practice in the city.

Now, consider your interests and determine if a particular city will cater toward those interests. For example, are you a physician who enjoys international travel or has family overseas? If so, then proximity to an international airport is crucial. Also, living on the east coast often makes traveling to international destinations much easier. It’s also a good idea to assess what you like to do during your free time. (Okay, if you’re fresh out of residency/fellowship you might have forgotten what you like to do during this elusive “free time.” Don’t worry. It will come back to you.) If you enjoy going to the theatre then you should research what sort of performing arts venues a city offers. If grilling out before the big game is your idea of a good time, then finding a locale with a sports pocket might be a good fit.

While serious introspection should definitely play a role in your decision making process, the two most common factors physicians should consider when moving are career and family—and rightly so. While every city needs doctors, some cities might be a better fit for your career in medicine based on your specialty. For example, if you’re a neurologist who is looking to study a rare, degenerative disease, a certain research-oriented institution might be the best choice for your neurological career. Or, you might be drawn to a city due to work alongside a renowned physician in your field of practice. Sacrificing sunny weather or living on the coast might be a worthwhile price to pay when compared to the knowledge/experience you’ll gain while working in the right clinical or academic environment.

And let’s not forget about the family. Perhaps the single largest reason doctors relocate is in order to be closer to family. (Sure, they can drive you crazy but few motivators are as strong as family ties). If you have young children, it’s particularly nice to be closer to grandma and grandpa—also known as free, eager, top-notch babysitters. If the same city is a bit too close, consider finding a nearby metro area within a quick drive, or plane ride, to the folks.

Only after considering family, career goals, and your personal preferences, is it time to get that cover letter and resume ready. Bring on the boxes!