I am two years behind you fourth years but I make no bones about it......I am going to do family medicine. As a PA I love family medicine, and with the additional knowledge (and a solid PA..working with me!!), I know I can make 300K or change. In my last practice, all the PA's were making 6 figs, and the FP's were making 125 as new partners, 200 after a couple years, and the two big guys made over 350K each and only worked about half the week. You have develop that pyramid scheme to make it work...but it really works that way.
Also, for me, I want to feel comfortable doing even more than I was already doing as a PA in FP. I want to do basic stress tests, Flex Sigs, Vas's, Colpo's, all my own derm stuff that isn't needing a Moh's Surgeon basically, D&C's PRN, and much more. And I plan to be in an area where I can be the medical director for a local EMS agency, so I want to feel comfortable with some crazy trauma as well. So, for me, it comes down to exposure to all this stuff. That only leaves some of those rare unopposed programs where the residents can do everything. Ventura County California, John Peter Smith in Fort Worth, BU in Boston, ETSU in Kingsport, Tn, and UNM in Albuquerque. These are only the places I have run across thus far. We spend every vacation going to some of these places and getting a feel for the cost of living and area. Good luck to you 4th years looking for something good....tell us if you find it!!
Matt