Generalizing:
Recruiters get paid by employers for locating willing physicians. When they get a job to fill, they spam every contact across the globe in that specialty and sometimes related specialties. Spam is a waste of time, so I block the recruiter or send them on a wild goose chase if particularly upsetting.
Recruiters don’t get to know me or the jobs I would entertain. They don’t listen or try to find opportunities that fit me. The 1 recruiter that did listen asked me to fill out and sign a bunch of documents before ever making an effort.
There are probably a few docs that are sitting around, dwiddling thumbs, and waiting to make some recruiters day. The rest of us can be as picky as we want because opportunities are everywhere.
A recruiter wanting to make this a great career would do well in the long-term by finding jobs that are a good fit for their individual docs after building a relationship.