You have to spend about 2 days a week in clinical. Depending on your schedule you may be able to work 3 12 hour shifts and then the other 2 days, do clinical. I think this would be very difficult with kids (I have three) though. I spent 2 days in clinical then about 20 hours a week working while doing the program. I felt like I couldn't have done more than this with my family. I spent all day long working then after kids went to bed, I did homework from 8:30-11:00pm every night.