Having trouble deciding which job offer to take

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I was doing well on a med surg unit, liked the management and staff.  They’re downgrading the unit.  This is not the direction I want my career to go in.  So like many others, I am looking for another job.  I’ve applied and interviewed for med surg as well as some specialities.  I’ve gotten job offers at my current facility for med tele units.  I know the docs, some staff and they’re day shifts.  I’m currently day shift.  But staffing is a huge issue and matrixes would be challenging as I learn new skills.  I also got offers at a different facility (bit nicer) for a med surg day shift and a cardiovascular neurosurgery fellowship program.  This last one is really tempting!  So much to learn and a rare opportunity!  But it’s nights and a 2 year contract, though I could put my name on a wait list for day shift.  I also have interviews coming this week for a couple other positions.  I am so conflicted.  Do I stay at a facility I know and try to learn a new speciality when matrixes are high?  Do I go with my safe and known medsurg at this other facility for the sake of day shift and then transfer to a speciality there after 2-3 years?  Do I take the CVNS position and tough it out until a day shift position comes up and get an amazing experience?  Any thoughts or advice would be appreciated!  

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