We often hear the lamentation that insufficient numbers of medical students are choosing Internal Medicine (IM) as a career choice. Promoting IM as a career is important since it addresses a looming need for in depth adult care services but also as it feeds multiple subspecialties including hospital Medicine. Some subspecialties, such as Endocrinology have a projected shortfall  over the foreseeable future with increasing demand due to burgeoning diabetes and obesity. We have noted the changes in recent medical education and ponder future directions based on our combined educational experience of 70 + years in Academia. We have also had the chance to observe recent measures which have been instituted to address this potential shortfall of future Internists. Some measures have been simple and direct, “be nice” to your students, a laudable sentiment. However, offering pool parties and pizza have not been successful in getting students to choose IM.