Jalopycat, if that's what you honestly want to do, I would encourage you to put that down, I really don't think that a lot of other people will be putting that down as I would hope that most people would be honest and most people would not think of doing that (because financial (debt) considerations, and family and other things). I'm already a med student but I don't understand why this question that I keep hearing about is giving you guys so much trouble. It's not like they are making you sign a contract saying that you have to do this because you indicated you wanted to do this on your application, just put down whatever fantasy practice you have in your mind, no one will get mad if you change your mind, everyone changes your mind. When I applied for medical school, I said that I wanted to be in academic medicine because I wanted to teach as well as practice medicine, I had to answer that question in my secondaries though, but I thought that it was important to my application. Just be honest, if you want to be the head neurosurgeon of the country, say that's what you want to be, or if you want to go out into rural USA and practice in a farm or if you would rather own your own private practice, just be honest. I really don't think that anyone is going to look you up in 4 years and see if you are doing what you said that you wanted to do, we all change our minds. It tells them something about your personality though.