Thank you for your reply! I pretty much know all this already and know IM will probably give me more of what I want in a career. I’m also trying to look at the bigger picture. Both will take me down similar paths of becoming a primary care doctor. Which one will make it easier to get into an urban area in Texas with my step score? For example, Austin and Houston have both FM and IM programs. It would look bad to apply to both at the same institutions, so which would I have a better chance of getting an interview at coming from out of state with a low step score? My gut says FM is easier to get into because that’s what is typical, but maybe someone from those areas know better?