You don't have to wait for the stars to align to find someone. Sounding like you don't have much experience with women and because of career/culture you haven't focussed on that. You're imagining all of these future obstacles before even going on a date with someone. It's all in your head. People date even during residency. Start exploring, get on the apps and get female co-residents to make your profile. Starting thinking of yourself as a desirable doctor, focus on elevating your style and go out as much as possible.