It hurts to say bye to my daughter and fly to the U.S. But I can't find work as a doctor in Canada

This First Person piece is written by Syeda Qasim, who is a Pakistani-trained doctor and divides her time between the U.S and Canada. For more information about CBC's First Person stories, please see the FAQ.

"Mama, when will we start living together again?" asks my six-year-old daughter as my husband drives us to the Billy Bishop Airport in downtown Toronto for my flight to New Jersey. 

"Soon, jaani," I say to her, using an endearment in Urdu. "As soon as Mama's training finishes." 

We're sitting in the backseat of the car and holding hands. I see my husband glance at my reflection through the rearview mirror, and I swallow the lump in my throat and look out of the window so neither of them can see my tears. 

I am halfway through a multi-year residency in the U.S. After four years of pursuing a spot at a hospital in Canada, it's the only place where I have been able to find a spot that accepted me — an internationally-trained doctor. 

Living away from my husband and daughter while doing my residency has been challenging. My daughter lives with my husband in Toronto, and we share the responsibility of taking care of her. We try to squeeze in weekends or vacations to meet up and spend quality time together. I appreciate his support and that he stands by my side as I pursue my dream of working as a doctor. 

But every time I leave my family behind in Toronto, I wonder whether studying to be a physician was the best decision of my life or the worst. Medicine instilled in me the passion to serve humanity and pursue my career, but it's also a tough profession, with long hours of work and study and time away from loved ones. I graduated from medical school in  Lahore, Pakistan, at one of the institutions where parents pray and wish their child gets admission. After five years of going through countless books and exams, I graduated in 2012. I was preparing for my licensing exams in Pakistan while working part-time as an instructor at a medical college when I got married in 2013. My husband and I immigrated to Canada in 2015, and that's when I began the long journey of becoming recognized as a physician in North America. 

I studied for 10-to-12-hour per day, even through my pregnancy, and eventually cleared my U.S. and Canadian licensing exams. Meanwhile, I started working as an instructor at an Ontario school that prepares other foreign medical graduates for their licensing exams. Initially I only applied for a residency spot in Canada, but three years of not landing one took a toll on my mental health. 

We decided to change our game plan and I applied for a residency in the U.S. — a larger population meant more spots — and I finally got accepted to a pathology residency program in New Jersey in 2021. 

When I got accepted into residency, telling our then four-year-old daughter was difficult. It took, and still does, take a lot of "bribery" toys to help her see the brighter picture. 

The first year I spent without them, I would travel to Toronto every two or three weeks just to spend the weekend together. This long-distance relationship has taught us some tricks to stay connected — from finding cheaper airfare tickets to having "dance parties" on Zoom. 

Sometimes I feel that this limited time we get to spend together has brought us even closer as a family. It's as if we try to make up for the time we spend away from each other. Before I leave for New Jersey, I try to create a small "treasure hunt" in the house so my daughter can hunt for a small surprise every day so she can miss me a little less — or at least that's how I convince myself that it's OK to leave her. 

Since then, I've missed milestones in my daughter's life, such as her kindergarten graduation and her first tooth falling out. But whenever I question my decision to pursue training, I know deep within that if I do not, I cannot be a good mother and a good wife as I would not be satisfied with my life. 

My husband always tells me we have come too far now to back out. When I see him and my daughter cheering me on, I know I can make it to the finish line.