There are many spouses who come to the island, and they do a variety of things. There’s usually a spouses organization at the school. Some spouses treat their two years on the island as an extended vacation. Others may find work, either at the school or surrounding businesses. Some spouses are busy taking care of children, and some spouses stay back in the states or Canada and come visit once every while. Some spouses even found ways to work online, and moved wherever their student spouse moved. Irene and I did a long distance relationship almost the entire time I was in medical school (except during the times when I was rotating in Miami, where she was also going to school). We used Skype to keep up with each other.