When a career has reached a plateau, a dead end or a crossroads, it can be a very stressful and frustrating time. There is a tendency to go around in circles or vacillate for some considerable time, occasionally even decades.
It can be hard to share career concerns with colleagues and family may not understand or simply get weary of a repeating record.
In these situations, which we have seen many times during our 25 years advising the medical profession, there are a number of key issues that need addressing: