Job search
Timing a residency-to-attending job search.
Physician hiring runs on a longer clock than most job searches. Waiting until your final year to start looking is usually too late for the roles you'd actually want.
12–18 months out
This is when most competitive employed positions and academic openings first post, especially in specialties with longer credentialing timelines (hospital privileging alone can take several months). Fellowship-bound residents in competitive subspecialties often see their best openings surface even earlier, closer to two years out.
9–12 months out
A reasonable point to start actively applying if you haven't already, particularly for hospital-employed and larger group positions where credentialing and licensing take longer to process. This window still leaves room to negotiate and complete state licensing before start date.
6–9 months out
Private practice and smaller group openings tend to move faster and post closer to the actual start date, so this window still has real options — but employed and academic positions with formal hiring cycles are largely filled by now.
Under 6 months out
Still workable, especially for locum tenens, smaller practices, or positions where a prior candidate fell through, but the pool of open competitive roles is meaningfully smaller and licensing/credentialing timing becomes the binding constraint rather than the job search itself.