There are many factors associated with choosing family medicine as a career. Many medical students have an interest in primary or non-primary care prior to entering medical school, while other students decide on a residency choice during their third and fourth year of medical school. There are a number of well-documented reasons why medical students choose family medicine as a career. These are categorized into Admission, Medical School Curriculum, and Structural Factors. This paper looks at those factors influencing the choice of family medicine as a career. In reviewing the literature, there is little new information since 2003. Limited effort has gone into effecting productive changes.