I’m a doctor, and I took time out a while ago expecting to be back in 2ish years continuing training... Well here I am 4.5 years later and still no return in sight due to our family circumstances. I haven’t read whole thread so I apologise if I’m repeating anyone.
2 thoughts - firstly, I completely disagree that changing specialties would inevitably result in a similar intensity of workload and expectation to surgical training. This quite simply isn’t true. There are many, many specialties which are infinitely more family friendly than FT surgical training, especially when done LTFT. Most, as I’m sure you’ll know, do 60/80% which immediately reduces your childcare bill but will not necessarily double the length of training. Also, if you have (from memory) 5/6 years to go time, surely even if it was another 6 years before you were fully qualified as a GP, your work/life balance in that time will have been infinitely better and you will have seen much more of your children, so it may well be worth it regardless.
Secondly, don’t underestimate the impact that quitting work completely will have on your own self-esteem, identity, drive and motivation, mental health, autonomy, sense self-worth and ability to have your own headspace from time to time, as well as your ability to return later to the same level (obviously specialty and stage dependent). For me, it’s been a LONG slog, and I’ve made huge personal sacrifices to be at home with my kids, as we don’t have much other choice (my view may be tainted by the fact that I parent alone most of the time week to week). Yes, it’s been a privilege, I wouldn’t have had it any other way on reflection, and I’m sure that I’ll look back at this time fondly in the future, but my God what I would give for a bit of myself back - the confident, successful, intelligent woman who breezed through her medical degree and had the time of her life, who was generally considered to be a pretty bloody good doctor and colleague, and who had the ability to eat lunch or drink a coffee or have a conversation with another adult without being kicked in the face/screamed at/drowned under yet another load of washing/called ‘Daisy’s mum’ by someone who has no idea what my name actually is (name changed for obvious reasons!!)...
My point is, I guess, in your position I would investigate the middle ground a little further before jacking it all in completely.
If you would like, PM me and I can point you in the direction of a couple of resources for docs on career breaks.
Good luck!