I think nmm , when I look at the practise styles and reimbursement it seems to me that FP/IM are what you make of it and how you want to live. If you you want all the on call then the FP/IM stuff makes sense but anything really tricky gets farmed out to specialists so whats the point?? With NMM I can still do the same stuff but actuall get people better witha pretty unique skill set that can pay cash with really lower risk