Nancy,
I'm not a child development expert, but the research I have read says that children can develop confidence and all that other good stuff just as easily in a good nursery environment as they can being 24/7 with their mother. The catch is the good nursery environment.
For many mothers who leave work, this is the deciding question. They were not able to find or afford the care they wanted for their children so they leave work or scale back their hours.
Other mothers I have met say the years after 3 are more important for being at home - it's the early years that are best for continuing your career!
Do what is best for your family given your situation. Your child will thrive when you are confident that you are doing the best you can for them.
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Bon,
I'm sure you appreciate life is full of trade-offs. I am at home with my children, but I gave up a lucrative career. You have a lucrative career but want more time with your children. It is the rare individual who can have their cake and eat it too.
I do know an ex-mother at home who is a medical professional in a very technical job who was able to return to work after being away for 10 years. It wasn't like she opened her door and announced 'take me back' and the hospitals fell all over themselves to take her, but after much searching and persistance she found what she calls her dream job, good hours at a super hospital. Don't sell yourself short. You are smart enough to be a doctor; you won't forget everything you know if you take a year or so off.
I know another GP who left his surgery to become a 'tv doctor' - those doctors who do medical reports on talk shows. He did this because he is a single dad who has to look after three children. His hand is still in the medical profession, he has a fun job and he has more time to spend with his kids.
Then there is private work - you don't say if you are a specialist, but there are plenty of clinics that only operate certain hours, or you can work a limited number of hours within a group practice.
I'm not an expert in the medical industry, but I've given you three options just there. I'm sure with some thought and creativity you'll come up with even more.