Layoffs across my industry, where did you pivot? after 15 years as a dental hygienist

Our sector has been shrinking and I am unsure if I should wait it out. I do not usually post, so bear with me. The postings I see are fewer and ask for more. How did you choose?

Keep everything in writing and save the confirmation numbers. It made the follow-up calls so much easier.

Look at job postings to see which skills repeat, then fill the gap. That gave me a direction.