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I have been with him through medical school and residency for internal medicine, which was tough, but manageable. If she is as real deal as you say she is, she believes this also.
But now he is a senior doc and is called on for all the difficult stuff and can't or won't say no.
You should both sit down and have a serious conversation about what you want and what she wants and if you can both deal with the compromise. As others mentioned, when they are home they are often exhausted, catching up on sleep, preparing a presentation or catching up on notes.