In the division of labor between myself and my husband, I have been given the task of daycare drop off and pick up. It makes sense for a variety of reasons, one of which is that my husband often gets home after the daycare closes.
As a result, at the end of the day, I am sometimes FREAKING OUT that I've got to get out of the hospital before the daycare closes.
Our daycare has pretty long hours, so 90% of the time I arrive very comfortably before the deadline. 5% of the time, my daughter is one of the last kids there, but it's still no problem. Then another 5% of the time, I'm racing furiously through traffic to get to the daycare before closing time.
I've always made it there in time, sometimes with a safety margin of only a minute or two. I guess it wouldn't be the end of the world if I were late. Basically, I would be charged like $20 per minute after the deadline and I'd have to find my child sitting there all alone with a forlorn, abandoned expression on her face. That's still better than the hospital-based daycare a friend of mine was using, where they would call child protective services if you were more than five minutes late.
Most of the physicians I work with don't seem to have this issue. All their kids are older or they have a spouse or relative to help out. They say they were at the hospital till 8 o'clock the night before and just shrug like this is no big deal. In medicine, things come up. If you've got one foot out the door and a patient says he has 10 out of 10 chest pain, what are you supposed to do? There's no excuse not to stay. You can always put off dictations a little bit longer, but there's no excuse for not caring for a seriously ill patient.
It's yet another thing to consider when entering medicine. You do lose a degree of flexibility and control in your life, which can be rough when you have small kids.