You have to make the decision as to what you want your home and your children to have in that home. I think a lot of what you say here really rings true, especially the part about the Date Night. Interesting to read the concerns of so many doctor's wives.
When you work this hard, you need to play hard. A good place to go is to a museum, hiking, or to a park. You might start drinking to ease the pain.
I have no control over my schedule I'm sure you all remember those daysand it kills me to know that he has moved thousands of kilometers away from our home town with me so that I can do this residency. I was the bishops' daughter who went to BYU but didn't go on a mission because I was already married with a 10 month old by my 21st birthday. Is your spouse willing to give you up on Sundays, and half your weeknights. That means that we are always changing and growing. And what is even worse, is to think of him alone in our house Christmas Day while I work a 24 hr in-house call shift.
Be gentle with them and yourself. Know there are a lot of Doctors who cheat though. Perhaps I will have to start one. I follow a blogger who is a nurse and her stories are gut-wrenching. After about 3 months of his occasional interjecting of facts See that 14 year old girl. Sexuality is the enemy of romance, and romance is amazing. Because what are Mormons about. Although we're young, we've talked about marriage and the realities of everything. OP, I'm not a med student, just a plain old grad student. You'll be richly rewarded.