Money, perceived prestige, chip on shoulder from not getting in IU so must prove themselves, type A "want to be the best of the best" personalities, competitive with other classmate types, lack of understanding of what a surgical residents lifestyle entails, young and ignorant, closeminded, because everyone else wants to...etc etc--this list of potentials could go on and on. Granted that there are surely a few people who really have what it takes and an accurate understanding of the rigors of becoming a surgeon, it is funny to witness nevertheless, and most I've spoken with have no clue.