Hmm, that's interesting... I've lived in Southern California all my life until I went to med school and I don't think all primary care physicians in California are IM. Every single one of my primary has been a FM physician. Compared to many metropolitan regions in the U.S., family medicine seems pretty strong there. Most FM residencies in Southern California don't have any or have very few FMG's. Could it be that FM is more competitive than IM in California??? I don't know, I never really looked into IM programs in California.