Family medicine seems to be fairly popular here in Canada. Most med schools have between 30-40% of the class going into family medicine and most of these people picked it as their first choice. Also, there is a strong emphasis on community health and rural medicine at Canadian med schools. For instance, most med schools here have a mandatory rural medicine experience at the end of M1 year. I don't know enough about the American medical system to know why primary care is considered so undesirable there, but perhaps people would care to elaborate?