“Elite” medical schools have often been under attack for graduating doctors who want to pursue more competitive medical specialties than primary care. Students who want to pursue primary care specialties at these medical schools were often lacking mentors, guidance and general support. Sometimes they are openly discouraged by faculty and residents from pursuing such low paying career options. National Public Radio recently featured The Mount Sinai School of Medicine, which has recently established a Department of Family Medicine to address this growing need. Listen to the NRP episode; it is really interesting.