I work in Ortho/Sports Medicine. I am just not challenged. At all. The most satisfying part of my job is my contact with patients, which is fairly often with my product line. I can't imgaine still being a sales rep, or even a manager, in 10+ years. I see so many possibilities with nursing... acute care, private practice, case manager, administration, education, etc. I want a career and not just a well paying job. Maybe I'm nuts, but I'm completely dissatisfied as well.