Thanks everyone for all the replies and opinions. Family practice appeals to me because I like the idea of being a generalist and being able to treat all types of patients. As someone previously stated, it would be most rewarding. I'm still uncertain about rural care only because I would prefer to live in a more metropolitan environment, but maybe that will change as I get older. Since I am still single and really have no obligations, I suppose I am leaning more towards the medical school route. I can understand that for those with families and children, this route is exteremely difficult. I am amazed at those who are able to get through it and succeed. But I will try to shadow some NPs to get more exposure. So far, I've only encountered PAs in hospitals where I am, so I would have to actively look for NPs to shadow. I find the nursing model appealing as a means to providing patient care. It seems some of the philosophies of D.O. training incorporates this holistic approach to patient care as well.