The specialty of pulmonary and critical care medicine (PCCM) is in trouble. Not a meeting goes by without someone bemoaning the fact that we have too few people choosing the field. Couple this with a projected shortage of just such specialists for an aging population and the general public has a problem as well. How do we fix this problem that is of obvious import to both our specialty societies and society at large? Lorin and colleagues (February 2005)1 have made a good start. They begin to quantify the problem by looking to the source of trainees, internal medicine residents. It is they who must choose to enter our training programs, and if they are unwilling to do so, we must query them directly to understand the reasons. What are the key factors that influence decision making, and what can we do to not only keep from driving trainees away but also, more importantly, draw them to us?