Trust me, I feel your pain! I was pretty much in the same boat. A couple of posts a few days ago actually helped me with some ideas. Maybe you can expand on the type of practice you would like, where you want to work (rural or urban), and possibly a specialty, along with what kind of social life you think you might live. I tried to imagine living one day as a doctor and all the interactions that begins as soon as I wake up to before I go to bed. I then expanded on the entire year and included activities or hobbies that I enjoy doing now or possibly in the future. Including your personal life will probably help...although the idea of having a spouse ten years from now is kind of weird....just think you (I'm assuming you're male) will have to type in your vision about "your wife" A very distant vision. Good luck! I hope this helps. Look at the last few posts a couple of days ago, it really helped me brainstorm. Oh and just in case you were wondering, my vision essay was 2603 characters long spread out over 5 paragraphs.