Fifteen-minute visits with patients on multiple medications, oodles of paperwork that cause office docs to run a gauntlet just to get through their day, and more documentation and regulatory burdens than ever before. Students see the high pressure that primary care docs are under and are increasingly making the logical choice. During the three-year internal medicine residency, doctors-in-training will spend about two-thirds of their time on hospital-based rotations. If familiarity breeds comfort, then it's not a surprise that recent residency graduates choose to stay in an environment to which they're well-adapted.