Do you have a vision of yourself practicing medicine?
Your hometown? Is it a Big city? little city? small town? Rural area?
Office based practice? Does a hospital setting seem more to your liking (ER, ICU?, rehab)?
Like long term relationships with patients (treating chronic conditions such as diabeters as well as primary care-prevention) or intense short-term contacts (as one has with a specialty surgeon)?
Would you like to practice medicine in a clincal setting with no other resopnsiblities (you want to practice as a clinician) or whould you prefer to combine patient care with teaching residents and research (if so, say that you want to go into academic medicine)?
Shadowing and/or other experiences in medicine should have given you some pictures in your head. Where do you see yourself in those pictures?