We wrote this essay to construct a grounded theory about how women in medicine experience the intersection of family and work. We were particularly interested in women who had children while in medical school or were practicing medicine part-time. These two populations interested us because they represented women who had made decisions about motherhood in direct opposition to the prevailing culture of medicine. Our results suggest that the dominant experience of these women is one of double consciousness: a sense of competing aims between family life and work, between an exchanger and obligated self, and between the embodiment of motherhood and physicianhood.