Yup. First, ask for a paid leave of absence, you need an extended medical health break, long term paid leave. A sabbatical. You are experiencing workplace stress. Go for a full year off, maybe they'll give you that:) Then, Smaller rural communities are always in need of qualified medical practitioners. There's always a shortage. They are always grateful to have you. Get back to the land and like minded people. Closer to the food. Away from the cities. Financially, you may not make as much, but neither will you need as much, and the odds of living a good deal longer are much higher. Clean air, clean water, fresh food, etc. It has done wonders for me already and I've only been out here a year. You can practice general medicine and still put time into the various specializations that interest you. Rural old people need eye doctors too. You are free to follow any direction you like. Your stress level should be greatly relieved.