Cautiously, since the appointment's fit is not settled until the clinical component is described and reviewed. Dependent steps follow the principal's case, so firm commitments on schooling and housing are better deferred until the appointment question has an answer.
Note that a spouse cannot work in TD status
A spouse and unmarried children under 21 may qualify for TD, with steps depending on each person’s nationality and circumstances. TD permits study but does not authorize employment. Review any proposed remote activity or unpaid placement specifically rather than assuming it is exempt.
If the physician’s spouse is also a clinician, assess their own employment authorization and any practice licensing separately from the principal’s appointment. Ask early which documents will establish each family member's relationship, and check the expiry dates on every travel document in the household rather than only the principal's. Hypothetical example: the physician's spouse is a registered nurse at a teaching hospital and assumes the move is a straightforward transfer within the profession.
Registered Nurse does appear on the USMCA professions list, but a listed profession is not a job offer, and TD status would not authorize the spouse to work in any event. If that spouse wants to work, it requires their own prearranged professional employment and their own assessment, started on its own timetable rather than after the principal has arrived. Where children need school places, ask what proof of status the school district requires before the family relies on a start date.