<p>Yeah, there are tradeoffs and the options have expanded. My wife is a neurologist and I’m an attorney. Non-traditional second careers for both of us. We waited 15 years to have kids - after she was finished with residency and I was finished with law school. As a result, we are in our late 50s with a D who will be a junior in high school and a D who will be a sophomore in college (and considering medicine as a career). Our marriage survived both medical school and law school. We know lots of people who were less fortunate in that regard. We had a commuting marriage for 3 years while she did her residency. Four hour commute each way on weekends (in good weather - longer in the snow). One of our friends did a general surgical residency. She managed to have three children during her last year of medical school and her residency (that is extreme IMHO).</p>
<p>Specialty and practice arrangement will make a difference in your lifestyle. Some medical students pick their specialty based on perceived lifestyle. There are basically no dermatology emergencies. Does your hospital or group have hospitalists? That will make a difference. With larger groups you have less frequent call, but when you are on, it is a *****.</p>
<p>My sister was an anesthesiologist responsible for liver transplant anesthesia at a major academic medical center. One of the “benefits” was that she had blocks of liver call on and blocks of time off - which allowed her concentrated time with her three kids. On the other hand, when the phone rang, you went and the cases were grueling.</p>
<p>There will be money, call, anxiety and time tradeoffs with all specialties. Having gone through medical school vicariously, my observation was that for many if not most medical students, picking a specialty and residency was by process of elimination - you eliminate specialties that you don’t want based on things you didn’t like about each specialty after doing a rotation. Of course some pick a specialty based on size of loans to repay (militates towards higher paying specialties like cardiology, radiology etc.)</p>
<p>Technology has also affected how physicians practice, and thus their lifestyles. With teleradiology, radiologists can now provide services virtually from anywhere. Radiologists working for virtual service practices (e.g., NightHawk, Virtual Radiology) can provide services from their home or vacation houses at odd hours. Allows them to work around other family/relationship scheduling.</p>
<p>Your situation in life with a relationship and family will affect career decisions and vice versa. For example, I see more physicians (especially women) looking for part-time positions now than in the past (I do health care law), in order to accommodate family responsibilities. Once upon a time, that was relatively unheard of - now, many medical employers recognize that the world has changed and provide the necessary flexibility. </p>
<p>So, physician practice and lifestyle is not as cut and dried as it once was, but you are still going to have to make some decisions and sacrifices in order to make the whole thing work.</p>