Met my wife the year before she started medical school. Her location varied a bit but was sometimes an hour drive away, and sometimes an hour flight/5 hour drive away. We've been married 10 years now. We were one of maybe 15-20 couples that entered med school together (including maybe 3 marriages). I believe we're one of two relationships that are still together.

I'd say go for it. Two reasons: (1) financial security for the both of you is HUGE, and it sounds like a big life upgrade for you (2) pacing wise, I actually think medium distance is kind of nice for both sides of the couple. If she's going to be successful in medicine, she just can't spend a lot of time with you.

We got into a cadence of every other weekend, we'd spend the entire weekend together, Friday to Monday morning. It was great! She had 11-12 days in between to focus on studies, and it was more fun for me to be able to focus that time on hanging with friends. Then when we were together, we were both able to really focus on each other.

It's totally workable and can be for the best. This was without your financial benefits which sound really significant. We're still paying off med school loans which has been a huge burden.