Sorry that things are so tough.
There is an interesting parallel thread on a medical forum triggered by this - https://www.msn.com/en-au/health/other/australian-hospital-manager-calls-junior-doctors-a-workforce-of-clinical-marshmellows-in-email-stuff-up/ar-AA1y9DRg?cvid=e150c6689e524a9190a170e1d0e86725&ei=36
The conclusions I draw from that thread are that, as doctors, our attitudes towards professionalism and the need to get away from clinical work are, in general, very skewed. This will be because staying to make sure things are done and not dumping on the very skeleton out of hours on call team has been inculcated into us from day dot. However, attitudes towards the job being everything are changing.
I am a medical consultant. DP is non-medical and has a hybrid pattern of office/WFH. The day-to-day mental load still falls to me, and I am the one who ‘sees’ that laundry needs to be done, dishwasher needs to be loaded and emptied, child-related admin, supervising homework, household bills, car service and MOT, presents for both sides of the family, etc etc are sorted.
However, school run is down to DP as I can’t get there. If there is sickness, DP has to do it as it is easier (and we agree more reasonable) for him to rearrange his working day/work from home than it is for me to cancel lists of patients, who will have been waiting some time to see me, and will effectively go to the back of the queue again if I cancel them. If something comes up that needs my specific expertise urgently, I have to stay, because who is going to do it if I don’t? Luckily, in my speciality, this is not a frequent occurrence, but there are too few of us in most hospitals to make an out of hours on-call rota of my speciality viable. Other specialities have much more acute work and therefore have more antisocial hours built in and/or more risk of unexpectedly having to stay late.
However, aside from this, I would say that we are both very hands-on in terms of facilitating extra-curricular activities and spending time with our child. We split school holidays/inset days between each of us taking annual leave solo or holiday clubs. However, this means that I get 1 hour to myself per week (which my DP fiercely protects and makes me go and take) and he gets 6 hours. We have very little time together as a family.
His stage of career its important. It is incredibly tough as a resident doctor and really the only autonomy they have over their working hours now is choosing whether to work in the NHS, or whether they leave clinical medicine or pursue it in another country. Savvy people might look at work-life balance and choose future speciality based on this. They also have precious little choice where they work, and even if they are in a stage of training where they have been able to choose their region, they have to rotate to different hospitals, which can be over an hour from their base. I have had trainees (both male and female) have to relocate to the area they are working, away from their young family for a year at a time, and have to maintain the household and pay rent on a salary that is not princely.
As a consultant, you have more autonomy, but a lot less than people might think. You have a stable work base and can feel more secure to request to work LTFT (but be aware that trusts are also entitled to refuse flexible working requests) and you have a little more ability to through money at the problem of cleaning/wraparound care. But the flip side is that you are now at a stage that you have expertise that others don’t. Unfortunately, for a surgeon, there are procedures that only ‘the boss’ can do.
So in summary
1)there is a certain amount that unfortunately just goes with the territory regarding time at work and inability to drop tools.
2)However, that is no excuse for not contributing to the household maintenance (he will have many colleagues who are part of 2 doctor families).
3)If he is currently a resident doctor, things may improve in some ways when he gets more senior…but the demands on him will change.
4) have a chat with him about whether it is an option for either or both of you to go LTFT. It is definitely more common in medical careers now and not seen as unacceptable.