Keep an open mind when conducting a job search in this tight market. Your opportunities will be greater if you look within industries other than your current one.
Look also at the fields most likely to experience growth when the recovery takes place, such as medical and “green” jobs.
If earning a medical degree isn’t practical, consider medical coding training courses, or similar training to get your foot in the door.
The best approach is preparation. Be ready when the jobs become available, because if you’re not, others will be.