Life as a perpetual fellow - career trajectory and advice for a non conventional pathway.

I'm looking for some advice and guidance for myself as I'm struggling with the direction (or lack thereof) that I'm headed.

I'm lucky enough to be starting my 4th consecutive clinical fellow job. I have been unsuccessful in imt applications for each consecutive year and my personal lifestyle has changed considerably in that time - now wider options outside of my local area and of course abroad are not feasible.

My next job has a very manageable work routine - I'm never going to complain about it. It affords more structure to my life and revise for exams if I want. That said, while I've failed in the past, I'm not sure how time and money spent on exams is going to help me currently, especially without being in a training program or even a job that requires those skills.

In securing another 12 months employment I'm kicking the prospect of unemployment down the road. I'm unconvinced if I actually *want* to apply for IMT anymore and if I'm successful I can only apply to the local area, and if I'm honest I'm just not that competitive to ever get first choice.

How do I excel or take advantage of things to be a better clinician? How do I get my years of work in various fellow jobs to count towards training. What courses can I do to get more skills and what is really beneficial?

I find each year for appraisal I'm just finding free courses to do online efhl etc just to record cpd - but this is not helping, this is not fun and I suffered through teach the trainer this year - how on earth is this actually helping me? Attending teaching is rarely worth it, as the teaching doesn't offer new material or technique or any form of practical skill.

What can I do that makes me a valuable doctor to secure a permanent locally employed doctor? At this point I'm becoming more and more jaded about it as I go on.