OP, Congrats on your achievement. Never ever give up on your dreams. I am sure you can do it. Keep going girl. You have already got very good feedback on this. My friend was in a similar situation during residency. Her husband and elder son stayed in their home in another state as he cannot change his job. My friend took an apartment near her medical school with her younger daughter (<1 yrs that time) & her MIL. If MIL is not there she hired a live in nanny , who also helped to take care of home. Her husband and elder one visited them once in every month or so for almost 3 years.. That's how they managed the whole period. She completed the course and is now practicing. Even now, they hire a nanny if needed. But its expensive. You may have to find ways to finance it. Also you can explore options if your dh can move into the location of your medical school. That will be ideal. All the best.