Medical specialty choice and reasons for change among those Wright State University students who switched their choice between entry and graduation were studied, based on questionnaire findings. For the class of 1982, 35 of the 70 students chose as their eventual specialty their preference at entry to medical school. Primary care specialties (family practice, internal medicine, and pediatrics) had a 46 percent (23 of 50) agreement rate; nonprimary care specialties had a 60 percent (12 of 20) agreement rate. The agreement rates by specialty are indicated. The most frequent change was from family practice at entry; of the 40 graduates who preferred family practice at entry, 24 (60 percent) switched to another specialty, most often to internal medicine (9) and emergency medicine (5). Cumulative results for the classes of 1981 and 1982 indicate that 53 of 115 (46 percent) chose as their eventual specialty their preference at entry to medical school. Primary care specialties had a 42 percent (36 of 85) agreement rate, while nonprimary care specialties had a 57 percent (17 of 30) agreement rate. Again, the most frequent change was from family practice at entry to another eventual specialty. It is suggested that the decrease in family practice preference during the course of medical education may result from an increased awareness of other specialties. Graduates chose aspects of the clinical years (year 3 and 4) as the most influential cause of change. (SW)