My wife and I started medical school at the same time, but she is MD/PhD and therefore is finishing medical school and applying to residency while I am in my final year of residency in Anesthesiology and starting to look for jobs. We have a 1 year old daughter and, as you might imagine, it is extremely important that our family remain together. Our challenge: for her to find a residency and for me to find a job in the same area despite the uncertainty of the residency Match and somewhat differing timelines in terms of us learning where she will end up and my need to commit to job offers once I start reaching out to and hopefully interviewing with potential groups. I will be finishing my residency at the University of Washington in Seattle. She will be graduating medical school from the same institution and applying for residency in Physical Medicine and Rehabilitation. I anticipate that she will be a highly qualified and competitive applicant for PM&R and the same has been said by PM&R faculty with whom she has met. I have roots in the Midwest which has had her thinking about residency positions in Rochester, MN at Mayo; Univ of Minnesota; University of Michigan, and Northwestern (Chicago). Additionally, she is interested in the University of Washington program here in Seattle as well as a couple of programs in Ohio (Columbus and Cleveland), Univ of Pittsburg Medical Center, and the Univ of Utah. This list arises essentially from places where we could see ourselves settling down and living upon completion of her residency. Ideally, she would find a job in the same city and I wouldn't have to leave a group after being there for four years. I will be looking for private practice Anesthesiology jobs in the above areas, but am a little overwhelmed as to how to go about all of this. My hope is that some of you might be able to provide some guidance/advice as to how to go about this process under the given circumstances. Do any of you have any advice regarding groups I should get in touch with in these areas? Anyone dealing with or dealt with a similar situation? Any advice is very much welcomed. I'm happy to provide any additional details I may have left out. Thanks in advance for your help.