I couldn't agree more, that's why I'd rather deal with patients more in depth than just family practice bceause while they'll treat/see common things like sore throats and sprained ankles, and prescribe meds, which is great and all, but like you said, when there is a serious problem, there is rarely a chance they treat the patient in house, they are almost always refered to an outpatient site or other specialty clinic. And BTW, that's amazing that you're an internal medicine physician! If you don't mind, when the time comes I'd like to be able to ask you some questions about the MCAT, GRE, residency and other things like that, I just don't want to become bothersome or anything. lol.