It's really not rocket science! A woman in our school is going to graduate with nearly $200,000 of debt, wants to work part time and start a family. Given that foundation for coming to medical school, was I shocked to hear she wanted to be a dermatologist or gastroenterologist or radiologist? No. Then the reasons came tumbling forth, and not a single mention of healing the sick. I hope that she ends up in Gastro and she is allowed to fully reflect on her decision to come to medical school over being anything else when the first projectile, GI bleed vomit hits her :)