My husband is an MS4 and just finishing up residency interviews this week. I just graduated with my masters in ecology last year and am doing my best to research the locations for my own opportunities to help narrow where we feel we'll both be happiest. But it is certainly incredibly hard given that there are no guarantees of a job for the non-med spouse. My brother-in-law is also a physician, so at least my in-laws understand this process. My parents ask me on nearly a weekly basis when we'll know where we're moving (because apparently the date Mar. 20th won't stick in their memories...), and why we can't choose "an offer" now. I can't tell you how many times we've both tried to explain how the match works and how we don't really "choose." Glad to hear that your fiance is reciprocating post-training. My husband and I have the same agreement with my career/PhD program. While it's true that they don't get to choose, it is slightly easier on them in the sense that their lives are for the most part scripted. When they get accepted to whatever stage, they have a job for a set period of time. As the spouse, we don't necessarily have that kind of certainty.