The construct of "other-directed versus self-directed career choice" has existed for quite some time. The current focus of vocational psychologists and counselors has made them question the relevance of this construct for contemporary American society. Many counselors today challenge the assumption that a career choice based on others' expectations is problematic. This longitudinal study utilized a logistic regression analysis to determine whether self-directed or other-directed status, as measured by the Thematic Apperception Test related to success with which individuals enacted career choices. The sample consisted of 433 BS/MD students enrolled in a Bachelor of Science-Doctor of Medicine (BS/MD) degree program at a Midwestern medical college. The findings showed that self-directed or other-directed career choice did not predict academic success.