Hi...haven't posted in a while, but I'm a long-time lurker I am in the process of applying to FM residencies, and one of the things that I love about the specialty is the sheer variety of practice options. As many on this forum have pointed out, a family medicine doc can do outpatient, hospitalist work, ER, academics, and I'm sure a plethora of other things. However, for someone such as myself who plans to practice in medium to large cities, what are the realities of having these options when there are other specialists around? Do any of you find that family medicine is more pigeon-holed in larger cities? For reference, I'm talking about cities about the size of Portland or Seattle. Thank you for your help. These answers won't change my mind, obviously, since I'm about to start interviewing in two weeks, but I like to have opinions from realists out there in the world.