My gut seems to be wiser than my head on this stuff. Nearly every time that I've moved on, it's turned out to be the right call in hindsight.
She was essentially assured the job, but was concerned about the ad. "We want someone who is committed to us and this, who wants to stay with the clinic and be here for the long haul."
She was pre-emptively feeling guilty. "I know that in about a year I'm going to move on, they want commitment..."
I simply told her, "What happens if they have a massive business downturn next week, or one of the doctors retires, or COVID lockdowns, etc. How do you think they're going to react?
1 - 'we dont have the revenue or workload to support keeping you on, but, since you made a commitment to us, we are making one to you and will keep you on payroll', or,
2 - 'revenues are down or workload doesn't require the level of staffing we have, so thank you for your service, today will be your last day at the clinic'?"
We all know which is going to happen in 99.9%+ of cases.
That sucks, it happens, it's not just you.
One place, I had reason to leave. Coincidentally, a non-startup, who I'd previously chosen the current place over, re-approached me, with an even sweeter deal than before (VP, doubling my TC, and a great team). So I went to an exec of the place where I was, saying what the showstopper org problems were, and that I had urgency to make a decision. They convinced me we'd solve the problems, so I decided to stay, out of general policy of loyalty to whatever team I'm currently on. Tech company battle-hardened veterans can guess correctly how that worked out. :)
A poor diet, lack of sleep, or lack of exercise are guaranteed to make you hate your life — something that switching jobs isn’t going to fix.