Physicians who are completing their training have worked long hours with low compensation for years. Many of their non-physician friends are several years into their career, and are enjoying a higher standard of living. Spouses have also made significant sacrifices. Thus, the stage is set for money to talk – maybe even scream as a physician nears the end of their training. The best long term practice option may be the one offering the highest compensation – or not. Physicians should adopt the “The Long View”, and carefully evaluate which opportunity reflects the best balance between Professional Objectives, Financial Growth, Personal and Family Considerations, and Lifestyle.