Adam,
The Richmond job market should be excellent for your Wife, they have several hospitals including the VA hospital and MCV ( Medical College of Virginia). It's a great city with plenty of history, museums, good night life, and you would be there right next to Virginia Motorsports Park. During the winter all it would take is one good ice storm and you would probably have enough business to last you a year or so! Come on down and find out what southern hospitallity is all about.