The high income of some groups, such as that of orthopedic surgeons, may be one of the factors that explains why the number of applicants to those residencies has always remained high. However, financial drive alone is certainly not the final answer in career decision making. Medical students today are sophisticated enough to take into account both the salaries and the work and stress of each field in medicine. Fields that allow for a comfortable lifestyle and time for family and friends will naturally be more attractive to Generation X. For example, cardiothoracic surgery, with its high-end salaries, is seeing its training fellowships become much less competitive than they were 10 years ago, and this is probably due, at least in part, to the grueling lifestyle.