I'm a 3rd year medical student who's pretty serious about pursuing IM and most likely a subspecialty as well. However, several people I have talked to, including some who have finished with IM residency, discourage me and recommend other non-medicine fields. I am not so easily discouraged by what others have to say and I'm still passionate about medicine. What I want to know is, why is there such a bias against medicine? What misconceptions are out there? I have heard about lifestyle issues but isn't a physician's lifestyle ultimately in his or her own hands to some extent? I know that being a medicine doc requires some sacrifice that is reasonable because you are doing it to help patients. But if later in life, one needs more time for other things as well, is it possible cut down on the amount of work one does? I wouldn't even mind having a substantially decreased income if I was able to do that. Any thoughts? Any comments people who are finished with residency and practicing in IM or subspecialties would be especially appreciated.