with a nanny, a cook, and a maid, many things are possible ;-)
if there are grandparents around who like playing with the kids, it can open up some time too..
Yes, but OP is a sub-specialty doc. Depending on the specialty and cost of living in his area, he might be able to afford a nanny, cook, and maid. If this is something you can afford, you should look into it. Having a cook, in particular, can free up a TON of time. It's also not much more expensive than take-out and substantially healthier. We have someone who comes to our house on Sunday and cooks dinner for the week. We'll usually cook Fri and go out Sat night (babysitter). So all we have to do is reheat things during the week. If you have a nanny, ask her if you can pay her another $2-3/hr to do some light housework (wipe counters, tidy, laundry).
If you have a 3rd kid, get a night nurse until they're consistently sleeping through the night. This will make the biggest difference of all.
OP might have more free time available to he realizes. Now whether you use that time to train or spend with family is your choice, but minimally everyone will be happier.