If anyone out there is one half of an MD-PhD couple, I would appreciate some advice on how you made it through the various trials that such a situation presents for early-career individuals. My husband is in his third year of medical school and I'm finishing up a postdoctoral fellowship. Besides the stress of his current surgical rotation, things are going well for us. We will have to live apart for nine months of next year while I start my new position as an assistant professor and he finishes up his MD. After that, he will try to get matched in the state where I'll be working and then we'll hopefully have children. The anticipation of this situation really worries me. I know that he will be working long hours during his residency (most likely in anesthesia), and at the same time, I'll be working toward tenure by teaching, doing research, writing grants, serving on committees, and mentoring graduate and undergraduate students. Needless to say, we will both be extremely busy over the next 5-6 years. I'm hoping that someone can give us tips on how to keep our marriage strong and do a decent job of raising children in this situation. We are not in a position to hold off on having kids as I am already in mid-30s. Thank you.