During a conversation a bit ago about work life as an attending, I remembered a pediatrics resident at the hospital I worked at saying that when she was done with her residency, she and another pediatrician (I think another peds resident from the hospital who was the same year as her) were going to try to get a job as 1 pediatrician together, where they would make the same salary, have the same number of patients, work the same hours, etc as 1 full time pediatrician, but between the two of them so that each of them would make 1/2 as much as normal, see 1/2 as many pts, and work 1/2 the hours as a full time pediatrician obviously. They were trying to do this because they were thinking of starting a family and therefore wanted to work less, and they both had husbands that were successful in their careers and so the wives didn't need to work full time financially speaking This got me thinking about something...Why can't this happen in surgery? They are doing primary care, where you have longitudinal relationships with patients and are the patients main doctor. As compared to surgery, which is a case by case basis type of specialty. You do a case on a patient, and make sure they are fine post op, and they don't see you again. (obviously there are long term relationships in all specialties with certain pts, but relatively speaking not nearly as much as primary care is my point) So it would seem, given the above, that surgery would be the best specialty where something like the 2 for 1 position thing would work out. (Or 3 for 2 etc) Pay is higher in surgery than in primary care, so financially one wouldn't have to be in these people's positions with spouses who make good livings. Is this not done because of surgeon's preferences and/or not thinking longer hours are not a big deal? (by going into surgery, that's pretty much self selecting out the population like these two who are more lifestyle concerned) So what do all of you think? Could something like this work in surgery?