Or your colleagues are slow and you make most of the billings Understand this up front and negotiate this. Top rural practices know that they need a variety of types of practitioners to keep good market share and share call and otherwise meet the needs of all of their patients. Learn about the value of having a variety of types of physicians - amiables, drivers, etc. You and your spouse just can t seem to find some friends who share your strange unpredictable hours and interests. Keep looking in various civic or church groups or through practice contacts.
Good friends are the heart of rural practice.
Devote time to this area, especially in the early years of rural practice. Rural home sales are far more volatile, especially for larger homes. Buy smaller early and move up later. Make more contacts that way also. Your spouse is feeling that there is more to life than taking care of the family while you work Often a symptom of too much time in practice and not enough time or valuable time at home.