Louis01

At-will employment goes both ways, and hospitals will cut a residency cohort without blinking if census drops. Do not disclose your relocation plans until you have a signed, written offer from an out-of-state facility. If you end up rescinding, expect that specific health system to flag you as non-rehireable for a year or two—HR automated systems usually track that. But if you aren't planning to live in that region anyway, it's a calculated risk worth taking. Protect your license and your income first, keep your capstone focus on learning PICU skills, and only notify the manager once the new ink is dry.