What should I do with my life?

I'm having the hardest time trying to figure out what comes next in my life. I've been through so many hats: priest, writer, teacher, doctor. I feel like I've lived several different lives.

Now I'm living the somewhat enviable life of a pensioner or trustafarian, with a stable medicine gig that allows me to work only a week every few months. I'm like a recessionista without the anxiety.

I'm getting ancy. Now what?


I've considered a number of different choices for my future career/life:

Adventurer! - learn how to kitsurf/climb mountains/track wild boars/etc and go around the world being bold, foolish and attractively useless

Volunteer! - build schools in Asia. Clinic in South Africa, or here in California.

Writer! - write down my innermost thoughts on a regular basis, publish occasionally, wear a black hat, perhaps start smoking?

Filmmaker! - nuff said. Documentary films about medicine. Narratives about anything.

Doctor! - go back into fulltime medicine. Become director of an ED, or hardcome academic medicine. Do a fellowship in Critical Care or Pediatrics.

Student! - go back for an MBA, PhD in Literature or hardcore science, MFA in creative writing. Or just take general ed courses in art, literature, history, quantum physics, etc.

Dilitante! - do some combination of the above very casually. - this is currently what I'm doing with my life, to greater or lesser success.

All of them seem equally engaging, but I'm having trouble choosing. It's what I call the 'tyranny of freedom', which is both wonderful and overwhelming at the same time. It's been fantastic to really examine my priorities and what I want out of life. They include, in no particular order:

Friends
Creative outlets
A girlfriend
Sensual delights - food, sex, beautiful surroundings
Play
Work - something worthwhile, fun and hopefully lucrarive
Adventure

I hope that all of you know the joys and horrors of this kind of freedom. If you have any suggestions, let me know!