Your and your spouse are both physicians.  The future is so bright you need to wear shades.

You both have that ideal job of course in that ideal location in mind.  Unfortunately, the reality is you or your spouse are going to be disappointed if you both go off on independent searches to find your ideal job and assume then your spouse will find an “acceptable” opportunity in the same area.

Deciding whose job is primary will save time, and frustration down the road.